HSP_CLAIM_PAT_RESP

Description:

This table contains information about how the patient responsibility for the claim was calculated.

Primary Key

Column Name	Ordinal Position
CLAIM_PRINT_ID	1
LINE	2

Column Information

	Name	Type	Discontinued?
1	CLAIM_PRINT_ID	NUMERIC	No
	The unique identifier (.1 item) for the claim print 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	CLAIM_PX_LINE_NUM	INTEGER	No
	Stores the line number in related group 710 that this detail line corresponds to. If blank, then the patient responsibility detail on this line is for DRG reimbursement.
4	SERVICE_TYPE_ID	VARCHAR	No
	Stores the service type associated with the benefits on this line. If coverage level benefits are used, then the service type will be blank.
5	SERVICE_TYPE_ID_SERVICE_TYPE_NAME	VARCHAR	No
	The name of this benefit service type.
6	SERVICE_TYPE_SOURCE_DESC	VARCHAR	No
	Stores a description of how the service type was calculated for the line.
7	DEDUCTIBLE_AMOUNT	NUMERIC	No
	Stores the amount of deductible that was applied to this line.
8	COPAY_AMOUNT	NUMERIC	No
	Stores the amount of copay that was applied to this line.
9	COINSURANCE_AMOUNT	NUMERIC	No
	Stores the amount of coinsurance that was applied to this line.
10	NON_COVERED_AMOUNT	NUMERIC	No
	Stores the amount that was not covered by insurance on this line.
11	NON_COVERED_RSN_C_NAME	VARCHAR	No
	Stores the reason that the not covered amount is not covered by insurance. May contain organization-specific values: No Category Entries: Noncovered procedure Lifetime insurance maximum reached Annual insurance maximum reached Visit insurance maximum reached
12	ANNUAL_MOOP_CONTRIB_AMOUNT	NUMERIC	No
	Stores the amount that this line contributed to the maximum out of pocked accumulation.
13	VISIT_MOOP_CONTRIB_AMOUNT	NUMERIC	No
	Stores the amount that this line contributed to the maximum visit out of pocked accumulation.
14	OUT_OF_POCKET_LMT_RSN_C_NAME	VARCHAR	No
	Stores the reason that the out-of-pocket maximum limited the patient responsibility for the current line. May contain organization-specific values: No Category Entries: Annual out-of-pocket max met on a previous line Visit out-of-pocket max met on a previous line Annual and visit out-of-pocket max met on a previous line Annual out-of-pocket max met on the current line Visit out-of-pocket max met on the current line Annual and visit out-of-pocket max met on the current line