INV_EOB_PAID_CLM
Description:
This table holds the claim level secondary information for a non-primary claim. It contains the paid amount and other secondary amounts other than claim adjustments (CAS).

Primary Key
Column Name Ordinal Position
INVOICE_ID 1
LINE 2

Column Information
Name Type Discontinued?
1 INVOICE_ID NUMERIC No
The invoice record ID.
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 EOB_CLM_CVG_ID NUMERIC No
This item holds the coverage ID associated with American National Standards Institute secondary information that has been edited.
4 EOB_CLM_PAID NUMERIC No
The paid amount.
5 EOB_CLM_CONTRACT NUMERIC No
The contract amount.
6 EOB_CLM_PAT_REMAIN NUMERIC No
The remaining patient liability amount.
7 EOB_CLM_NONCOVERED NUMERIC No
The non-covered amount.
8 EOB_CLM_MIA_01 INTEGER No
This item holds the value for the covered days.
9 EOB_CLM_MIA_02 NUMERIC No
The Monetary amount from the adjudication of the claim.
10 EOB_CLM_MIA_03 INTEGER No
This item holds the value for the lifetime reserve days.
11 EOB_CLM_MIA_04 NUMERIC No
This is the diagnosis related group adjudication amount for the claim.
12 EOB_CLM_MIA_05 VARCHAR No
This is the claim payment remark code.
13 EOB_CLM_MIA_06 NUMERIC No
This is the disproportionate share amount.
14 EOB_CLM_MIA_07 NUMERIC No
This is the Medicare Secondary Payer pass-through amount.
15 EOB_CLM_MIA_08 NUMERIC No
This is the Prospective Payment System capital amount.
16 EOB_CLM_MIA_09 NUMERIC No
This is the Prospective Payment System capital, federal specific portion, Diagnosis Related Group amount.
17 EOB_CLM_MIA_10 NUMERIC No
This is the Prospective Payment System capital, hospital specific portion, Diagnosis Related Group amount.
18 EOB_CLM_MIA_11 NUMERIC No
This is the Prospective Payment System capital, disproportionate share, hospital Diagnosis Related Group amount.
19 EOB_CLM_MIA_12 NUMERIC No
This is the old capital amount
20 EOB_CLM_MIA_13 NUMERIC No
This is the Prospective Payment System capital indirect medical education claim amount.
21 EOB_CLM_MIA_14 NUMERIC No
This is the hospital specific Diagnosis Related Group amount.
22 EOB_CLM_MIA_15 INTEGER No
This is the cost report days for the claim.
23 EOB_CLM_MIA_16 NUMERIC No
This is the federal specific Diagnosis Related Group amount.
24 EOB_CLM_MIA_17 NUMERIC No
This is the Prospective Payment System Capital Outlier amount.
25 EOB_CLM_MIA_18 NUMERIC No
This is the indirect teaching amount.
26 EOB_CLM_MIA_19 NUMERIC No
This is the professional component amount billed but not payable.
27 EOB_CLM_MIA_20 VARCHAR No
This is the Claim Payment Remark Code.
28 EOB_CLM_MIA_21 VARCHAR No
This is the Claim Payment Remark Code.
29 EOB_CLM_MIA_22 VARCHAR No
This is the Claim Payment Remark Code.
30 EOB_CLM_MIA_23 VARCHAR No
This is the Claim Payment Remark Code.
31 EOB_CLM_MIA_24 NUMERIC No
This is the capital exception amount.
32 EOB_CLM_MOA_01 NUMERIC No
This is the reimbursement rate.
33 EOB_CLM_MOA_02 NUMERIC No
This is the claim Health Care Financing Common Procedural Coding System payable amount.
34 EOB_CLM_MOA_03 VARCHAR No
This is the Claim Payment Remark Code.
35 EOB_CLM_MOA_04 VARCHAR No
This is the Claim Payment Remark Code.
36 EOB_CLM_MOA_05 VARCHAR No
This is the Claim Payment Remark Code.
37 EOB_CLM_MOA_06 VARCHAR No
This is the Claim Payment Remark Code.
38 EOB_CLM_MOA_07 VARCHAR No
This is the Claim Payment Remark Code.
39 EOB_CLM_MOA_08 NUMERIC No
This is the End Stage Renal Disease payment amount.
40 EOB_CLM_MOA_09 NUMERIC No
This is the professional component amount billed but not payable.
41 EOB_CLM_DATE DATETIME No
The adjudication date.
42 EOB_CLM_AMT_D8 NUMERIC No
The discount amount.
43 EOB_CLM_AMT_DY NUMERIC No
The per day limit.
44 EOB_CLM_AMT_F5 NUMERIC No
The patient paid amount.
45 CLM_EOB_AMT_T NUMERIC No
The sales tax amount.
46 EOB_CLM_AMT_T2 NUMERIC No
The total amount before taxes.
47 EOB_COINS_DAYS INTEGER No
The coinsurance days.