|
Name |
Type |
Discontinued? |
|
1 |
BFH_ID |
NUMERIC |
No |
|
|
|
This column stores the unique identifier for the billing activity history 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 |
ACTION_C_NAME |
VARCHAR |
No |
|
|
|
Stores what actions were actually performed on the account. |
May contain organization-specific values: No |
Category Entries: |
Send Breeze Letter |
Send to Pre-Collect |
Send to Bad Debt |
Return from Agency |
Write-Off Self-Pay |
Update Billing/Statement Note |
Change Review Notification Date |
Add to Workqueue |
Add Note |
Outsource Account |
Change Agency |
Update Billing Indicators |
Send Letter |
Change Self-Pay Follow-up Date |
Send to External Agency AR |
Modify SNF PPS Codes |
Defer |
Change Self-Pay Follow-up Level |
Add Charge |
Reverse Transaction |
Reprice Charge |
Correct Charge |
Update Stop Bills |
Enable Paperless Billing |
Disable Paperless Billing |
Post Adjustment |
Transfer Follow-up Record |
Next Responsible Party |
Transfer to Self-Pay |
Undo Billing |
Submit Claim Status Request |
Update Guarantor Status |
Post Refund |
Change Bundled Episode |
Duplicate and Send Charge |
Initiate Informational Claim |
Evaluate Pricing Contracts |
Override Home Health Discharge Disposition |
Change Financial Assistance |
Reevaluate Self-Pay Discounts |
Unlock Pay as Guest |
Change Admit/Discharge Dates |
Update Additional Payment Reconciliation |
Change Account Class |
Override Surcharge |
Override Expected Reimbursement |
Update Invoice Numbers |
Discharge Account |
Combine Account |
Uncombine Account |
Reopen Account |
Close Account |
Override Claim Sent Dates |
Override Claim ICN |
Create Related Account |
Add Guarantor Note |
Update Coding Status |
Update Abstracting Status |
Update CDI Review Status |
Change Assigned Coder |
Change Assigned Abstracter |
Change Assigned CDI Specialist |
Initiate Homing |
Initiate Billing |
Post Not Allowed Adjustment |
Override Self-Pay Discount |
Update Settlement Numbers |
Admission Day Billing |
Send Detail Bill |
Send Statement |
Process Late Charges |
Undo All Billing |
Send Guarantor Detail Bill |
Undo Discharge |
Override DNB Warnings |
Override RAP Checks |
Update Coding Flags |
Override Expected Self-Pay Liability |
Create Trust Account Series |
Change Next Statement Date |
Change Next Payment Plan Auto Pay Date |
Log Denial/Remark |
Defer Payment Plan |
Contest Account |
Complete |
Transfer |
Skip |
Route |
Stamp Epic Settlement Numbers |
Reevaluate Expected Reimbursement |
Reevaluate APC Grouping |
Undo Informational Bucket |
Initiate No-Pay Claim |
Initiate Exhaust Claim |
Research Review |
Send Denied Amount to Self-Pay |
Ignore Denied Amount |
Void DBC |
Undo Close DBC |
Park DBC |
Unpark DBC |
Reprice DBC |
Send In Basket Message for DBC |
Flag for Review |
Close DBC |
Recalculate DBC Close Dates |
Update Visit Auto Pay |
Terminate Visit Auto Pay |
Set Up Recurring Payment |
Update Recurring Payment |
Terminate Recurring Payment |
Split Account |
Update SNF Exhaust Date |
Process Payment Plan Payment Now |
Change Next Visit Auto Pay Date |
Set Up Recurring Trust Transfer |
Update Recurring Trust Transfer |
Terminate Recurring Trust Transfer |
Process Recurring Trust Transfer Now |
Perform One-Time Trust Transfer |
Close Recurring Series |
Reopen Recurring Series |
Override Send DBC to Grouper Checks |
Send DBC to Grouper |
Close Case |
Refund |
Log Correspondence |
Log Variance |
Mark for Separate Service Area Billing |
Unmark for Separate Service Area Billing |
Send to Billing Service Area |
Return to Care Service Area |
Send Claim Detail Bill |
Process Visit Auto Pay Payment Now |
Process Recurring Payment Now |
Update Self-pay Charge Exemption Reason |
Redistribute Self-Pay Credits |
Send Eligibility Query |
Update Follow-up Records By Rule |
Send Self-Pay to Consolidated Service Area / External Billing |
Return from Consolidated Service Area / External Billing |
Undo NRP Back to Selected Bucket |
Distribute Bundled Payments |
Consecutive Account Merge |
Resubmit Charge |
Perform Workqueue Action |
Resubmit Claim |
Print Claim |
Transfer to Insurance |
Void Charge |
Post Split Write-off |
Send Guarantor Letter |
Send Invoice Letter |
Initiate RAP |
Initiate Secondary RAP |
Initiate Notice of Election |
Initiate Home Health No-Pay RAP |
Initiate Home Health Notice of Admission |
Transaction Reverse |
Transfer Transaction |
Charge Duplicate and Send |
Research Correct |
Client Correct |
Quick Correct |
Contest Charge |
Post Transaction Refund |
Add Corresponding Charge |
Edit Refund |
Update Denial/Remark |
Void Denial/Remark |
Reopen Denial/Remark |
Update Correspondence |
Void Correspondence |
Reopen Correspondence |
Update Variance |
Void Variance |
Reopen Variance |
Create Release |
Update Claim Status Follow-Up |
Void Claim Status Follow-Up |
Reopen Claim Status Follow-Up |
Start Appeal |
Void Appeal |
Reset Self-Pay Aging Date |
Reset Insurance Aging Date |
Replace Claim |
Submit Cancel Claim |
Recalculate Discount |
Repost |
Reprint Refund Slip |
Undistribute |
Transfer to HB |
Refund Request |
Void Transaction |
Send to Collection Agency |
Recall from Collection Agency |
Refund Review |
Edit Visit Filing Order |
Change AP Import Status |
Edit Payment |
Edit Adjustment |
Post Debit Adjustment |
PB Demand Claim |
Transfer Visit/Invoice |
PB Accept Filing Order |
PB Reject Filing Order |
Post PB Debit Adjustment |
Turn On Automatic Self-Pay Write-Off |
Turn Off Automatic Self-Pay Write-Off |
PB Undistribute |
Override Posted Not Billed Warnings |
Retroadjudication |
Create Shadow Charges |
Update Payment Plan |
Terminate Payment Plan |
Set Reminder |
Send Billing Notification |
Execute Extension |
Update PB Billing Status |
Evaluate for Financial Assistance Case Creation |
Demand Claim |
Remove From Claim Queue |
Rehome |
Add to Credit Workqueue |
Send Tapestry Letter |
Add Tapestry Note |
Set Up Auto Pay |
Make One-Time Payment |
Update Delinquency Status |
Reinvoice Account |
Ad Hoc Adjustment |
Premium Write Off |
|
|
4 |
ACTION_NOTE_ID |
VARCHAR |
No |
|
|
|
This column stores the unique identifier for the resultant hospital account note record from this activity. |
|
|
5 |
ACTION_COMMENT |
VARCHAR |
No |
|
|
|
The user entered comment for the action. |
|
|
6 |
ACTION_AGENCY_ID |
NUMERIC |
No |
|
|
|
This column stores the unique identifier for the user-entered agency for the action. |
|
|
7 |
ACTION_AGENCY_ID_COLL_AGENCY_NAME |
VARCHAR |
No |
|
|
|
The name of the collection agency. |
|
|
8 |
ACTION_PROC_ID_PROC_NAME |
VARCHAR |
No |
|
|
|
The name of each procedure. |
|
|
9 |
ACTION_DATE |
DATETIME |
No |
|
|
|
The user entered date for the action. |
|
|
10 |
ACTION_ASGN_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The agency assign reason category number that is set as a result of this action. |
May contain organization-specific values: Yes |
No Entries Defined |
|
|
11 |
ACTION_WD_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The agency withdraw reason category number that is set as a result of this action. |
The category values for this column were already listed for column: ACTION_ASGN_RSN_C_NAME |
|
|
12 |
ACTION_PAPRLS_RSN_C_NAME |
VARCHAR |
No |
|
|
|
Stores the reason the paperless billing status was changed for the associated action |
May contain organization-specific values: Yes |
|
|
13 |
ACTION_TX_ID |
NUMERIC |
No |
|
|
|
Stores the associated transaction created as a result of a billing activity action. |
|
|
14 |
ACTION_AMOUNT |
NUMERIC |
No |
|
|
|
Stores an amount associated with a performed billing activity action. |
|
|
15 |
ACT_NOT_ALLOWED_AMT |
NUMERIC |
No |
|
|
|
Stores a not allowed amount associated with a performed billing activity action. |
|
|
16 |
ACCT_RMV_FROM_TRACKER_ID |
NUMERIC |
No |
|
|
|
Stores the financial assistance tracker from which the hospital account is removed as part of the billing action. |
|
|
17 |
ACCT_ADD_TO_TRACKER_ID |
NUMERIC |
No |
|
|
|
Stores the financial assistance tracker to which the hospital account is added as part of the billing action. |
|
|
18 |
ACTION_LOCATION_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
19 |
ACT_RELATED_HAR_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The related account type this action changed the account to. |
May contain organization-specific values: Yes |
Category Entries: |
Elective Services |
ED/Inpatient Split Billing |
Leave of Absence / Bed Hold |
Interrupted Stay |
Separate Service Area Billing |
Home Infusion Medical Benefits |
Received Self-Pay |
Shadow Billing |
Home Infusion Bypass |
PAS LPR Hospital at Home Visit |
Other |
|
|
20 |
ACTION_ADMIT_DATE |
DATETIME |
No |
|
|
|
Stores the admit date set through a billing activity action. |
|
|
21 |
ACTION_DISCHRG_DATE |
DATETIME |
No |
|
|
|
Stores the discharge date set through a billing activity action. |
|
|
22 |
ACT_RELATED_HAR_ID |
NUMERIC |
No |
|
|
|
This column stores the unique identifier for the related hospital account created through the Create Related Account billing action. |
|
|
23 |
ACT_COMB_HSP_ACCOUNT_ID |
NUMERIC |
No |
|
|
|
This column stores the unique identifier for a hospital account that was combined or uncombined through a billing activity action. |
|
|
24 |
ACT_COMBINE_RSN_C_NAME |
VARCHAR |
No |
|
|
|
This item tracks the reason that an account was combined |
May contain organization-specific values: No |
Category Entries: |
Combine due to billing |
Combine due to error |
System combine due to contact move |
System combine - recurring series split no longer needed |
System combine - Home Health/Hospice |
System combine - replaced voided Hospital Account |
|
|
25 |
COMM_MODE_C_NAME |
VARCHAR |
No |
|
|
|
History of the communication mode used in an account activity. |
May contain organization-specific values: No |
Category Entries: |
Paper |
Electronic |
Guarantor Preference |
|
|
26 |
ACT_HH_DISCHRG_DISP_C_NAME |
VARCHAR |
No |
|
|
|
This column stores the patient status (I CLM 1021) value entered for the Override Home Health Discharge Disposition action in an account activity. |
May contain organization-specific values: Yes |
|
|
27 |
ACTION_ACCT_CLASS_C_NAME |
VARCHAR |
No |
|
|
|
The account class this action changed the account to. |
May contain organization-specific values: Yes |
|
|
28 |
ACTION_START_DATE |
DATETIME |
No |
|
|
|
History of start date used in a date range of an action. |
|
|
29 |
ACTION_END_DATE |
DATETIME |
No |
|
|
|
History of end date used in a date range of an action. |
|
|
30 |
ACT_CODABS_STAT_C_NAME |
VARCHAR |
No |
|
|
|
The Coding or Abstracting status change made by the action. |
May contain organization-specific values: Yes |
Category Entries: |
Not Started |
In Progress |
Waiting |
Completed |
Ready To Start |
On Hold |
|
|
31 |
ACT_CDI_STAT_C_NAME |
VARCHAR |
No |
|
|
|
This column stores the clinical documentation improvement (CDI) status change made by the action. |
May contain organization-specific values: Yes |
Category Entries: |
Not Started |
In Progress |
Physician Query |
All Reviews Completed |
|
|
32 |
ACT_CHNG_STAT_CMT |
VARCHAR |
No |
|
|
|
The comment associated with the change made by the action. |
|
|
33 |
ACT_ASGN_USER_ID |
VARCHAR |
No |
|
|
|
This column stores the Coding, Abstracting, or Clinical Documentation Improvement user assignment made by the action. |
|
|
34 |
ACT_ASGN_USER_ID_NAME |
VARCHAR |
No |
|
|
|
The name of the user record. This name may be hidden. |
|
|
35 |
ACTION_DAY_OF_MONTH |
INTEGER |
No |
|
|
|
The day of month that was selected when the action was performed. |
|
|
36 |
ACTION_CARD_ID |
NUMERIC |
No |
|
|
|
The payment method that was selected when the action was performed. |
|
|
37 |
ACT_BILL_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
Indicates how the account was billed. (Date Range, Cumulative, Part A Final) |
May contain organization-specific values: No |
Category Entries: |
Date Range Billing |
Cumulative Billing |
Part A Final Billing |
Default System Billing |
Selective Billing |
Rebill Unbilled Date Ranges |
Days to Bill Extension |
|
|
38 |
ACT_CONTEST_RSN_C_NAME |
VARCHAR |
No |
|
|
|
Shows why the account was contested. |
May contain organization-specific values: Yes |
Category Entries: |
Account Has Contested Charges |
Patient Not Seen |
Bankruptcy |
Legal |
Deceased |
Not Informed Service Not Covered |
Service Not Provided |
Insurance Appeal |
Patient Grievance |
Other |
|
|
39 |
ACT_CONTEST_RESOLUTION_RSN_C_NAME |
VARCHAR |
No |
|
|
|
Holds why the account's contested status was resolved. |
May contain organization-specific values: Yes |
Category Entries: |
Transfer |
All Charges Resolved |
Contested in Error |
Confirmed Billed Correctly |
Patient No Longer Contesting |
Insurance Issue Resolved |
Problem Fixed |
|
|
40 |
ACTION_COVERAGE_ID |
NUMERIC |
No |
|
|
|
This column stores the unique identifier for the new coverage for the Professional Billing Next Responsible Party (PB NRP) action and the unique identifier for the current coverage for the PB Transfer to Insurance action. |
|
|
41 |
ACTION_NAA_WRITE_OFF_ID_PROC_NAME |
VARCHAR |
No |
|
|
|
The name of each procedure. |
|
|
42 |
ACTION_BASE_AMOUNT |
NUMERIC |
No |
|
|
|
This item stores the base amount set through by a billing activity (ATM) action (for actions with a second, calculated amount). |
|
|
43 |
ACTION_PERCENT |
NUMERIC |
No |
|
|
|
This item stores the percent used by a billing activity (ATM) action. |
|
|
44 |
ACT_LATE_CHG_OPTION_C_NAME |
VARCHAR |
No |
|
|
|
The late charge processing type that was performed on an account |
May contain organization-specific values: No |
Category Entries: |
Late Replacement |
Late Charge Claim |
Late Charge Write-Off |
Late Addition |
|
|
45 |
ACTION_NUM_OF_PMTS |
INTEGER |
No |
|
|
|
The number of payments entered into the billing activity. |
|
|
46 |
ACTION_STMT_DAY_OF_MONTH |
INTEGER |
No |
|
|
|
The statement day of the month entered into the billing activity. |
|
|
47 |
ACT_ACCT_MAN_SPLIT_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The manual split account reason that a billing action set for the account. |
May contain organization-specific values: Yes |
Category Entries: |
Step-Down Level of Care |
Step-Up Level of Care |
Part A Benefits Exhaust |
New Coverage Effective |
Coverage No Longer Effective |
Leave of Absence Out |
Leave of Absence Return |
|
|
48 |
ACTION_RESEARCH_ID_RESEARCH_STUDY_NAME |
VARCHAR |
No |
|
|
|
The name of the research study record. |
|
|
49 |
ACTION_NUM_OF_CHGS |
INTEGER |
No |
|
|
|
The number of charges associated with the action. |
|
|
50 |
ACTION_SP_DSCNT_OV_RSN_C_NAME |
VARCHAR |
No |
|
|
|
This column stores the billing follow-up history item for tracking the self-pay discount override reason if the account is not insured. |
May contain organization-specific values: Yes |
Category Entries: |
Other |
|
|
51 |
ACTION_SP_DSNT_IOV_RSN_C_NAME |
VARCHAR |
No |
|
|
|
This column stores the billing follow-up history item for tracking the self-pay discount override reason if the account is insured. |
May contain organization-specific values: Yes |
Category Entries: |
Other |
|
|
52 |
ACT_WRITE_OFF_BALANCE_YN |
VARCHAR |
No |
|
|
|
Whether to write off the entire balance |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
53 |
ACT_REFERENCE_NUMBER |
VARCHAR |
No |
|
|
|
Stores the reference number |
|
|
54 |
ACTION_EMAIL |
VARCHAR |
No |
|
|
|
Stores the email from the activity when the notification was sent. |
|
|
55 |
ACTION_PHONE_NUMBER |
VARCHAR |
No |
|
|
|
Stores the phone number from the activity when the notification was sent. |
|
|
56 |
ACT_DATE_FLTR_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
This item describes how the start and end dates were interpreted when filtering transactions on a detail bill. |
May contain organization-specific values: No |
Category Entries: |
Transaction Service Dates |
Transaction Post Dates |
Hospital Account Admit/Discharge Dates |
|
|
57 |
ACTION_PRINT_ID |
NUMERIC |
No |
|
|
|
The statement or detail bill ID created by the action. For example, for Send Statement this is the statement that was printed. For Send Detail Bill, this is the detail bill that was printed. If the user chooses to print later, then this will be blank until the statement/detail bill run is accepted. This may never be set if the statement/detail bill is removed from the queue before it is printed. |
|
|
58 |
ACT_SELF_PAY_EXEMPT_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The self-pay charge exemption reason category ID for the hospital account. |
May contain organization-specific values: Yes |
|
|
59 |
ACT_CONS_SP_WITHDRAWAL_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The consolidated self-pay account withdrawal reason that is set as the result of this action. |
May contain organization-specific values: Yes |
Category Entries: |
Created in Error |
Account Combine |
Sent to PB bad debt in non-SBO AR Service Area. |
Conversion Utility |
Multi-Instance Inventory |
|
|
60 |
ACT_SP_LEVEL_CHANGE_C_NAME |
VARCHAR |
No |
|
|
|
Stores the self-pay follow-up level change (increment/decrement) for the associated action. |
May contain organization-specific values: No |
Category Entries: |
Increment |
Decrement |
Specific Level |
|
|
61 |
ACT_INTERIM_START_DT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The start date category used for interim billing |
May contain organization-specific values: No |
Category Entries: |
Admit Date |
Last Interim Bill Date |
Part B Only Begin Date (Part A Exhausted) |
|
|
62 |
ACT_INTERIM_END_DT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The end date category used for interim billing |
May contain organization-specific values: No |
Category Entries: |
Discharge Date |
Number of Days |
Part A Exhaust Date/Number of Days |
Recent End of Month |
Recent Fiscal Year End |
Recent End of Year |
Recent End of Week |
Latest Billable Date (Today - Min Days - 1) |
Monthly Last Day of Month |
Part A Exhaust Date |
Number of Days Since Inpatient Admission |
|
|
63 |
ACT_INTERIM_DAYS_NUM |
INTEGER |
No |
|
|
|
The number of days used for interim billing |
|
|
64 |
ACT_INTERIM_CATCHUP_YN |
VARCHAR |
No |
|
|
|
Whether or not catch up was performed for interim billing |
The category values for this column were already listed for column: ACT_WRITE_OFF_BALANCE_YN |
|
|
65 |
ACT_SELECTIVE_BILLING_RULE_ID |
VARCHAR |
No |
|
|
|
The Hospital Transaction rule used for Selective Billing |
|
|
66 |
ACT_SELECTIVE_BILLING_RULE_ID_RULE_NAME |
VARCHAR |
No |
|
|
|
|
67 |
ACT_PAYER_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
68 |
ACT_NUM_DAYS |
INTEGER |
No |
|
|
|
The number of days used in the billing action |
|
|
69 |
FIN_ASST_CASE_ID |
NUMERIC |
No |
|
|
|
The financial assistance case that was created by the action. |
|
|
70 |
ADDR_QUERY_NOTE_ID |
VARCHAR |
No |
|
|
|
The note containing the address verification query as a result of this action. |
|
|