|
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 |
|
|
|
|
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. |
|
|