|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_PRINT_ID |
NUMERIC |
No |
|
|
|
The ID of the claim record associated with a single hospital account or liability bucket. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number of one of the multiple values associated with a specific group of data within this record. |
|
|
3 |
REIMB_AMT |
NUMERIC |
No |
|
|
|
Stores the reimbursement amount for claim line. |
|
|
4 |
REIMB_METHOD_C_NAME |
VARCHAR |
No |
|
|
|
Stores the reimbursement method. |
May contain organization-specific values: No |
Category Entries: |
Charge Entry Line Calculation |
Invoice Line Calculation |
Invoice Bundle Calculation |
APC |
|
|
5 |
FROM_SERV_DT |
DATETIME |
No |
|
|
|
Stores the from date for a claim line. For services that do not span multiple days, the service date will be held here. |
|
|
6 |
TO_SERV_DT |
DATETIME |
No |
|
|
|
Stores the through date for a claim line. |
|
|
7 |
POS_TYPE_PER_TX |
VARCHAR |
No |
|
|
|
Stores the place of service type per transaction. |
|
|
8 |
TOS_C_NAME |
VARCHAR |
No |
|
|
|
Stores the type of service for the claim line. |
May contain organization-specific values: Yes |
Category Entries: |
Medical Care |
Surgery |
Consultation |
Diagnostic Radiology |
Diagnostic Laboratory |
Therapeutic Radiology |
Anesthesia |
Assistant at Surgery |
Other Medical Items or Services |
Whole Blood |
Used Durable Medical Equipment (DME) |
Ambulatory Surgical Center (Facility usage for Surgical Services) |
Hospice (Obsolete, Discontinued 1/95) |
ESRD Supplies |
Monthly Capitation Payment for Dialysis |
Kidney Donor |
Pneumococcal/Flu Vaccine |
Second Opinion on Elective Surgery (Obsolete) |
Third Opinion on Elective Surgery (Obsolete) |
Diagnostic Medical (Obsolete) |
Ancillaries, Hospital and Nursing Home (Obsolete) |
Drug Services (Obsolete) |
Accommodations, Hospital and Nursing Home (Obsolete) |
Dental (Obsolete) |
Vision Care and Cataract Lens (Obsolete) |
Nuclear Medicine (Obsolete) |
Diagnostic X-Ray (Professional) (Obsolete) |
Rental of DME |
Radiation Therapy (Professional) (Obsolete) |
Diagnostic Lab (Professional) (Obsolete) |
Diagnostic Medical (Professional) (Obsolete) |
DME Purchase (Obsolete) |
CRD Equipment (Obsolete) |
Pre-Admission Testing (Obsolete) |
EPSDT |
High Risk Screening Mammography |
Low Risk Screening Mammography |
Ambulance |
Enteral/Parenteral Nutrients/Supplies |
Immunosuppressive Drugs |
Diabetic Shoes |
Hearing Items and Services |
Lump Sum Purchase of DME, Prostethics, Orthotics |
Vision Items or Services |
Surgical Dressings or Other Medical Supplies |
Psychological Therapy |
Occupational Therapy |
Physical Therapy |
Medication (Obsolete) |
Chiropractic Care |
DME Prescription |
|
|
9 |
PROC_ID_PROC_NAME |
VARCHAR |
No |
|
|
|
The name of each procedure. |
|
|
10 |
PROC_DESC |
VARCHAR |
No |
|
|
|
Stores the procedure description. |
|
|
11 |
HCPCS_CODES |
VARCHAR |
No |
|
|
|
Stores the Healthcare Common Procedure Coding System code for the claim line. |
|
|
12 |
PROF_CLM_MODIFIERS |
VARCHAR |
No |
|
|
|
Stores modifiers on the claim line. |
|
|
13 |
DX_MAP |
VARCHAR |
No |
|
|
|
Comma-delimited list of diagnosis pointers for the claim line. |
|
|
14 |
QUANTITY |
NUMERIC |
No |
|
|
|
Stores the quantity associated with the claim line. |
|
|
15 |
OVRD_REV_CODE_ID |
NUMERIC |
No |
|
|
|
Stores the override revenue code. |
|
|
16 |
OVRD_REV_CODE_ID_REVENUE_CODE_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue code. |
|
|
17 |
CHARGE_AMT |
NUMERIC |
No |
|
|
|
Stores the charge amount for the claim line. |
|
|
18 |
INS_DUE_AMT |
NUMERIC |
No |
|
|
|
Stores the insurance amount due for the claim line. |
|
|
19 |
PAT_DUE_AMT |
NUMERIC |
No |
|
|
|
Stores the patient amount due for the claim line. |
|
|
20 |
NON_CVD_AMT |
NUMERIC |
No |
|
|
|
Stores the non-covered amount for the claim line. |
|
|
21 |
PAYMENT_AMT |
NUMERIC |
No |
|
|
|
Stores the payment amount for the claim line. |
|
|
22 |
INSURANCE_PAID_AMT |
NUMERIC |
No |
|
|
|
Stores the insurance amount paid for the claim line. |
|
|
23 |
PAT_PAID_AMT |
NUMERIC |
No |
|
|
|
Stores the patient amount paid for the claim line. |
|
|
24 |
ADJUSTMENT_AMT |
NUMERIC |
No |
|
|
|
Stores the adjustment amount for the claim line. |
|
|
25 |
PRINT_DESCRIPTIO_YN |
VARCHAR |
No |
|
|
|
This controls procedure description printing for professional claims. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
26 |
REV_LOCATION_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
27 |
DEPT_ID_EXTERNAL_NAME |
VARCHAR |
No |
|
|
|
The external name of the department record. This is often used in patient correspondence such as reminder letters. |
|
|
28 |
PX_START_DT |
DATETIME |
No |
|
|
|
Start date for timed procedures. |
|
|
29 |
PX_STOP_DT |
DATETIME |
No |
|
|
|
Stop date for timed procedures. |
|
|
30 |
PX_START_TM |
DATETIME (Local) |
No |
|
|
|
Start time for timed procedures. |
|
|
31 |
PX_STOP_TM |
DATETIME (Local) |
No |
|
|
|
Stop time for timed procedures. |
|
|
32 |
LINE_COMMENT |
VARCHAR |
No |
|
|
|
|
33 |
LINE_POS_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
34 |
CMS_CODE_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
Stores the code type for the transaction level Healthcare Common Procedure Coding System code override. If a procedure has been assigned to the line without setting the override, this column will be left blank. |
May contain organization-specific values: Yes |
Category Entries: |
CPT(R) |
HCPCS |
ADA |
ASA |
SKS |
THL |
CBV |
VT |
ZA |
CCSD |
|
|
35 |
CMS_REND_PROV_ID_PROV_NAME |
VARCHAR |
No |
|
|
|
The name of the service provider. This item may be hidden in a public view of the CLARITY_SER table. |
|
|
36 |
CMS_MOLDX_TEST_CODE |
VARCHAR |
No |
|
|
|
Holds the auxiliary procedure code for a CMS line. |
|
|
37 |
CMS_AUXPX_CD_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
Holds the type of auxiliary procedure code when one is applicable to a CMS line. |
May contain organization-specific values: No |
Category Entries: |
Laboratory Test Code |
Molecular Diagnostic Test Code |
|
|
38 |
CMS_PRIOR_AUTH |
VARCHAR |
No |
|
|
|
Stores the prior-authorization number for a service line. |
|
|
39 |
CMS_REF_NUM |
VARCHAR |
No |
|
|
|
Stores the referral number for a service line. |
|
|
40 |
CMS_LINKED_AUTH_ID |
NUMERIC |
No |
|
|
|
Stores the professional billing charge level linked authorization ID. |
|
|
41 |
CMS_MEDICARE_PAID_AMT |
NUMERIC |
No |
|
|
|
For eMedNY 150003 claims, this is the amount that Medicare paid for this service line. This appears in field 24K (SVC_LN_INFO_2.LN_MCR_PAID_AMT). The EMEDNY_MEDICARE_PLANS profile variable can be used to control which coverages count as Medicare coverages. |
|
|
42 |
INVOICE_GRP_LN |
VARCHAR |
No |
|
|
|
The group line number on the invoice record that corresponds to the data in INVOICE_CLM_LN. |
|
|