|
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. |
|
|