|
Name |
Type |
Discontinued? |
|
| 1 |
DISPUTE_PERIOD_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the dispute period record. |
|
|
| 2 |
LINE |
INTEGER |
No |
|
|
|
| The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
| 3 |
NEW_ATTR_PROV_ID_PROV_NAME |
VARCHAR |
No |
|
|
|
| The name of the service provider. This item may be hidden in a public view of the CLARITY_SER table. |
|
|
| 4 |
ASSGN_ATTR_CHANGE_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The type of assignment and attribution change that is requested by the dispute period. |
| May contain organization-specific values: No |
| Category Entries: |
| Change Attribution |
| Remove from Roster |
| Add to Roster |
|
|
| 5 |
NEW_ATTR_PROV_NAME |
VARCHAR |
No |
|
|
|
| The name of the attributed provider in the event that there is no SER record. |
|
|
| 6 |
NEW_ATTR_PROV_NPI |
INTEGER |
No |
|
|
|
| The new / correct attributed provider NPI for the dispute period. |
|
|