INVOICE_CLM_LN

Description:

This table contains line-level information for the claim generated from this INV record. This information is common to all claims for the INV; use INVOICE_CLM_LN_ADDL for invoice-specific information or line-level overrides.

Primary Key

Column Name	Ordinal Position
INVOICE_ID	1
LINE	2

Column Information

	Name	Type	Discontinued?
1	INVOICE_ID	NUMERIC	No
	The unique ID of the invoice record.
2	LINE	INTEGER	No
	The line number of the transaction ID item.
3	FROM_DATE_OF_SVC	DATETIME	No
	The earliest date of service that appears on the transaction.
4	TO_DATE_OF_SVC	DATETIME	No
	The latest (most recent) date of service that appears on the transaction.
5	PROC_ID_PROC_NAME	VARCHAR	No
	The name of each procedure.
6	MODIFIER_ONE	VARCHAR	No
	The first modifier on the transaction. This is the external modifier, as it would be printed on the claim.
7	MODIFIER_TWO	VARCHAR	No
	The second modifier on the transaction. This is the external modifier, as it would be printed on the claim.
8	MODIFIER_THREE	VARCHAR	No
	The third modifier on the transaction. This is the external modifier, as it would be printed on the claim.
9	MODIFIER_FOUR	VARCHAR	No
	The fourth modifier on the transaction. This is the external modifier, as it would be printed on the claim.
10	QUANTITY	NUMERIC	No
	The quantity that appears on the transaction.
11	CHARGE_AMOUNT	NUMERIC	No
	The dollar amount that appears on the transaction.
12	NON_COVERED_AMT	NUMERIC	No
	The amount not covered on the transaction.
13	TYPE_OF_SERVICE_C_NAME	VARCHAR	No
	The type of service performed for the charge. 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
14	SPECIAL_GRP_TYPE_C_NAME	VARCHAR	No
	This is the type of grouping for this line in the invoice. May contain organization-specific values: Yes Category Entries: Inpatient Charge Transfer Radiation Therapy by Procedure Treatment Level Panel Bundling Global Billing Setup FQHC Bundling Medi-Cal Rural Health Bundling FQHC Billing FPEP Bundling Bilateral Bundling Bundle Tax With Original Charges Bundle Tax Charges Only PQRI Bundle Zero Amount Claim Complete Professional Claim Line Bundling Global Payment Setup Professional and Technical Component Bundling PB Home Infusion Bundling
15	UB_MIN_SERVICE_DT	DATETIME	No
	The UB form minimum service date for the invoice.
16	UB_MAX_SERVICE_DT	DATETIME	No
	The UB form maximum service date for the invoice.
17	DX_POINTER	VARCHAR	No
	Diagnosis pointers. This is a comma-delimited string indicating which diagnosis or diagnoses apply to this line that would appear on the claim. Each pointer corresponds to a line in INV_DX_INFO.