HSP_BKT_SPLIT_EOB_INFO
Description:
This table contains information about payment split EOBs.

Primary Key
Column Name Ordinal Position
BUCKET_ID 1
LINE 2

Column Information
Name Type Discontinued?
1 BUCKET_ID NUMERIC No
The hospital billing bucket ID.
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 EOB_PMT_TX_ID NUMERIC No
The payment split EOB payment ID.
4 POST_DATE DATETIME No
The payment split EOB post date.
5 DEPOSIT_DATE DATETIME No
The payment split EOB deposit date.
6 ORIG_BUCKET_ID NUMERIC No
The payment split EOB original hospital billing bucket ID.
7 PMT_PAYER_ID_PAYOR_NAME VARCHAR No
The name of the payor.
8 BUCKET_PAYER_ID NUMERIC No
The payment split EOB hospital billing bucket payer ID.
9 COVERAGE_ID NUMERIC No
The payment split EOB coverage ID.
10 INVOICE_NUMBER VARCHAR No
The payment split EOB invoice number.
11 IMAGE_ID VARCHAR No
The payment split EOB image database ID.
12 ICN VARCHAR No
The payment split EOB internal control number (ICN).
13 PMT_AMT NUMERIC No
The payment split EOB payment amount.
14 ALLOWED_AMT NUMERIC No
The payment split EOB allowed amount.
15 NOT_ALLOWED_AMT NUMERIC No
The payment split EOB not allowed amount.
16 DEDUCTIBLE_AMT NUMERIC No
The payment split EOB deductible amount.
17 COINS_AMT NUMERIC No
The payment split EOB coinsurance amount.
18 COPAY_AMT NUMERIC No
The payment split EOB copay amount.
19 COB_AMT NUMERIC No
The payment split EOB COB amount.
20 ADJ_AMT NUMERIC No
The payment split EOB adjustment amount.
21 NON_COVERED_AMT NUMERIC No
The payment split EOB non-covered amount.
22 INCLUDE_ADJ_AMT NUMERIC No
The payment split EOB include adjustment amount.
23 EXCLUDE_ADJ_AMT NUMERIC No
The payment split EOB exclude adjustment amount.
24 IGNORE_ADJ_AMT NUMERIC No
The payment split EOB ignore adjustment amount.