|
Name |
Type |
Discontinued? |
|
| 1 |
REFERRAL_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the referral record. |
|
|
| 2 |
PREV_AUTH_EXP_DATE |
DATETIME |
No |
|
|
|
| For prior authorization requests that were created because the existing authorization is about to expire, this item holds the date that the existing authorization will expire. |
|
|
| 3 |
ELIG_PAT_ENC_CSN_ID |
NUMERIC |
No |
|
|
|
| This item holds the CSN of the encounter to use for pharmacy benefits for a prior authorization request. |
|
|
| 4 |
TOTAL_DOC_SECONDS |
INTEGER |
No |
|
|
|
| This item tracks how many total seconds users spent with ePA documentation activities open. |
|
|
| 5 |
PA_PRIORITY_SETBY_C_NAME |
VARCHAR |
No |
|
|
|
| The prior authorization priority change source category ID for the source of the priority of medication prior authorization request. |
| May contain organization-specific values: No |
| Category Entries: |
| User |
| Medication Grouper |
| Profile |
|
|
| 6 |
PA_PRIORITY_C_NAME |
VARCHAR |
No |
|
|
|
| The prior authorization priority category ID for the priority of medication prior authorization request. |
| May contain organization-specific values: No |
| Category Entries: |
| Standard |
| Unknown |
| Urgent |
|
|
| 7 |
PA_DAYSPLY |
INTEGER |
No |
|
|
|
| This item holds the days' supply value used for ePA requests. |
|
|
| 8 |
PA_DAYSPLY_SRC_C_NAME |
VARCHAR |
No |
|
|
|
| Records how ePA days' supply (I RFL 9260) was obtained for printing and auditing. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Calculated |
| Estimated |
| Manually entered/override |
|
|
| 9 |
ELECTRONIC_APPEAL_USED_YN |
VARCHAR |
No |
|
|
|
| This item tracks whether native Epic Electronic Appeal functionality was used to appeal this Electronic Prior Authorization. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|