|
Name |
Type |
Discontinued? |
|
| 1 |
BUCKET_ID |
NUMERIC |
No |
|
|
|
| This column stores the unique identifier for the liability bucket. |
|
|
| 2 |
BUCKET_NAME |
VARCHAR |
No |
|
|
|
| The name of the liability bucket. |
|
|
| 3 |
HSP_ACCOUNT_ID |
NUMERIC |
No |
|
|
|
| This column stores the unique identifier for the hospital account to which the liability bucket is linked. |
|
|
| 4 |
BKT_TYPE_HA_C_NAME |
VARCHAR |
No |
|
|
|
| The type of the liability bucket. |
| May contain organization-specific values: No |
| Category Entries: |
| Prebilled |
| Primary Claim |
| Secondary Claim |
| Self-Pay |
| Bad Debt |
| Interim Primary Claim |
| Interim Secondary Claim |
| Undistributed |
| Home Health RAP |
| Secondary Home Health RAP |
| Hospice Election |
| Secondary Hospice Election |
| Informational |
| Homing |
|
|
| 5 |
CLAIM_TYPE_HA_C_NAME |
VARCHAR |
No |
|
|
|
| The type of claim associated with the liability bucket. |
| May contain organization-specific values: No |
| Category Entries: |
| New Claim |
| Late Replacement Claim |
| Late Charge Claim |
| Late Write Off |
| Supplemental Payment Claim |
|
|
| 6 |
BKT_STS_HA_C_NAME |
VARCHAR |
No |
|
|
|
| The status of the liability bucket. |
| May contain organization-specific values: No |
| Category Entries: |
| Created |
| Queued |
| Processed |
| Printed |
| Outstanding |
| Error |
| Closed |
| Rejected |
| Replaced |
|
|
| 7 |
CLOSE_REASON_HA_C_NAME |
VARCHAR |
No |
|
|
|
| The reason why the liability bucket was closed. |
| May contain organization-specific values: No |
| Category Entries: |
| Transferred |
| Zero Balance |
| Replaced |
| Late Write-Off |
| RAP Canceled |
| No Part B Charges |
| Alternate Payor Charges Only |
| SNF Part B Charges Only |
| SNF Non-Covered Part A |
| Informational Claim Accepted |
|
|
| 8 |
COVERAGE_ID |
NUMERIC |
No |
|
|
|
| This column stores the unique identifier for the coverage associated with the liability bucket. |
|
|
| 9 |
PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 10 |
BENEFIT_PLAN_ID_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit plan record. |
|
|
| 11 |
CURRENT_BALANCE |
NUMERIC |
No |
|
|
|
| The current balance on the liability bucket. |
|
|
| 12 |
PREVIOUS_CREDITS |
NUMERIC |
No |
|
|
|
| The total monetary amount of credits on buckets from which liability was transferred to the bucket in question. |
|
|
| 13 |
CHARGE_TOTAL |
NUMERIC |
No |
|
|
|
| The total monetary amount of charges on the liability bucket. |
|
|
| 14 |
PAYMENT_TOTAL |
NUMERIC |
No |
|
|
|
| The total monetary amount of payments on the liability bucket. |
|
|
| 15 |
ADJUSTMENT_TOTAL |
NUMERIC |
No |
|
|
|
| The total monetary amount of adjustments on the liability bucket. |
|
|
| 16 |
NEXT_RESP_AMT |
NUMERIC |
No |
|
|
|
| The amount of liability that was transferred from this liability bucket to another bucket. |
|
|
| 17 |
SERV_AREA_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue location. |
|
|
| 18 |
INTERIM_START_DATE |
DATETIME |
No |
|
|
|
| For an interim liability bucket, the billing start date. The first charge service date that is included in the bucket. |
|
|
| 19 |
INTERIM_END_DATE |
DATETIME |
No |
|
|
|
| For an interim liability bucket, the billing end date. The last charge service date that is included in the bucket. |
|
|
| 20 |
INTERIM_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| For an interim liability bucket, the interim bucket type. Choices are First Claim, Middle Claim, and Last Claim. |
| May contain organization-specific values: No |
| Category Entries: |
| First Claim |
| Middle Claim |
| Last Claim |
|
|
| 21 |
LAST_CLAIM_DATE |
DATETIME |
No |
|
|
|
| The date of the last claim for the liability bucket. |
|
|
| 22 |
PMT_DIST_COMP_YN |
VARCHAR |
No |
|
|
|
| This column stores whether payment distribution is complete. |
| May contain organization-specific values: No |
| Category Entries: |
| Yes |
| No |
|
|
| 23 |
EXP_NA_WOFF_AMT |
NUMERIC |
No |
|
|
|
| This column stores the expected not-allowed write-off amount. |
|
|
| 24 |
ACT_NA_WOFF_AMT |
NUMERIC |
No |
|
|
|
| This column stores the actual not-allowed write-off amount. |
|
|
| 25 |
CURR_AUTO_WO_TX_ID |
NUMERIC |
No |
|
|
|
| This column stores the unique identifier for the current auto write-off transaction. |
|
|
| 26 |
RVSE_AUTO_WO_TX_ID |
NUMERIC |
No |
|
|
|
| This column stores the unique identifier for the automatic write-off transaction's reversal on the liability bucket. |
|
|
| 27 |
WO_ADJ_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
| This column stores the write-off adjustment status. |
| May contain organization-specific values: No |
| Category Entries: |
| No Expected W/O, No Actual W/O |
| Expected W/O done, No Actual W/O |
| No Expected W/O, Actual W/O done |
| Expected W/O = Actual W/O |
| Expected W/O <> Actual W/O |
|
|
| 28 |
MDCRE_B_CLM_FLG_C_NAME |
VARCHAR |
No |
|
|
|
| Indicates that the charges in the liability bucket should be submitted for Medicare part B claims processing. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes - Part A Exhausted |
| Yes - Part B Only |
|
|
| 29 |
CLAIM_FORM_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The form type of the last claim on the bucket. |
| May contain organization-specific values: Yes |
| Category Entries: |
| CMS Claim |
| UB Claim |
| State Visit Data |
| State Visit Provider Data |
| Vektis Claim |
| Pharmacy Claim |
|
|
| 30 |
EXTERN_AR_FLAG_YN |
VARCHAR |
No |
|
|
|
| External A/R Flag. This flag determines if a bucket's balance is to be counted as belonging to an external agency. |
| May contain organization-specific values: No |
| Category Entries: |
| Active AR |
| External AR |
| Bad Debt |
| Outsourced |
| Received Self-Pay Active AR |
| Received Self-Pay External AR |
| Received Self-Pay Bad Debt |
|
|
| 31 |
BAD_DEBT_FLAG_YN |
VARCHAR |
No |
|
|
|
| Bad Debt Flag. This flag determines if a bucket's balance is to be counted as belonging to a bad debt agency. |
| The category values for this column were already listed for column: EXTERN_AR_FLAG_YN |
|
|
| 32 |
PYR_RCVD_DATE |
DATETIME |
No |
|
|
|
| This column stores the date on which the latest claim for the associated liability bucket was received by a payer. |
|
|
| 33 |
FST_PYR_RCVD_DATE |
DATETIME |
No |
|
|
|
| This column stores the date on which the first claim for the associated liability bucket was received by a payer. |
|
|
| 34 |
WO_CPTN_TX_ID |
NUMERIC |
No |
|
|
|
| This column stores the unique identifier for the transaction used to write off non-covered charges using a system action. |
|
|
| 35 |
LEVEL_OF_CARE_C_NAME |
VARCHAR |
No |
|
|
|
| The category number of the patient's Level of Care on the interim bill start date associated with this bucket. |
| May contain organization-specific values: Yes |
|
|
| 36 |
USE_EXIST_DATA_YN |
VARCHAR |
No |
|
|
|
| Indicates whether the claims processor should use data from an existing claim when resubmitting or demanding a new claim. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
| 37 |
ALT_PAY_YN |
VARCHAR |
No |
|
|
|
| This column stores whether this bucket resulted from alternate payer routing logic. Yes - It is an alternate payer; No - It is not an alternate payer; " - Not been evaluated, status unknown. |
| The category values for this column were already listed for column: USE_EXIST_DATA_YN |
|
|
| 38 |
EXPECTED_REIMB_CMT |
VARCHAR |
No |
|
|
|
| Stores the expected reimbursement comment |
|
|
| 39 |
SURCHARGE_HTR_ID |
NUMERIC |
No |
|
|
|
| Stores the current transaction for the surcharge. |
|
|
| 40 |
COPAY_AMOUNT |
NUMERIC |
No |
|
|
|
| Total current copay due on the bucket as specified by last payment on the insurance bucket or last user override. |
|
|
| 41 |
COINS_AMOUNT |
NUMERIC |
No |
|
|
|
| Total current coinsurance due on the bucket as specified by last payment on the insurance bucket or last user override. |
|
|
| 42 |
DEDUCTIBLE_AMOUNT |
NUMERIC |
No |
|
|
|
| Total current deductible due on the bucket as specified by last payment on the insurance bucket or last user override. |
|
|
| 43 |
NON_COVERED_AMT |
NUMERIC |
No |
|
|
|
| Total current non covered due on the bucket as specified by last payment on the insurance bucket or last user override. |
|
|
| 44 |
USER_COMMENT |
VARCHAR |
No |
|
|
|
| This column stores the comment the user entered when overriding self-pay explanation of benefits (EOB) information. |
|
|
| 45 |
XR_BILLED_AMOUNT |
NUMERIC |
No |
|
|
|
| Stores the expected reimbursement billed amount. It is the billed amount of the claim where the expected reimbursement is calculated. |
|
|