|
Name |
Type |
Discontinued? |
|
1 |
IMAGE_ID |
VARCHAR |
No |
|
|
|
This is the ID for the remittance image record with remittance service line information. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number in the results of a query. Each instance of service line information will have its own line. |
|
|
3 |
SERVICE_LINE |
VARCHAR |
No |
|
|
|
Service line information for claim remittance. |
|
|
4 |
PROC_IDENTIFIER |
VARCHAR |
No |
|
|
|
The composite medical procedure identifier to identify a medical procedure by its standardized codes for service line information. |
|
|
5 |
LINE_ITEM_CHG_AMT |
NUMERIC |
No |
|
|
|
Monetary amount for submitted service line item charge. |
|
|
6 |
PROV_PAYMENT_AMT |
NUMERIC |
No |
|
|
|
Monetary amount for the service line item provider payment amount. |
|
|
7 |
NUBC_REV_CD |
VARCHAR |
No |
|
|
|
National uniform billing committee revenue code for service line information. |
|
|
8 |
UNITS_PAID_CNT |
NUMERIC |
No |
|
|
|
Count of the Units of Service Paid for service line information. |
|
|
9 |
SUBM_PROC_IDENT |
VARCHAR |
No |
|
|
|
Submitted composite medical procedure identifier information if that was different from adjudicated procedure for service line information. |
|
|
10 |
ORIG_UNITS_CNT |
NUMERIC |
No |
|
|
|
Original units of service count for service line information. |
|
|
11 |
SVC_LINE_CHG_PB_ID |
NUMERIC |
No |
|
|
|
ID for professional billing service line charge. |
|
|
12 |
SVC_LINE_CHG_HB_ID |
NUMERIC |
No |
|
|
|
ID for hospital billing service line charge. |
|
|