|
Name |
Type |
Discontinued? |
|
1 |
EXTERNAL_CVG_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the loaded coverage information record. |
|
|
2 |
PAT_ID |
VARCHAR |
No |
|
|
|
The unique ID of the patient record linked to the External ID bundle associated with this external coverage data. |
|
|
3 |
EXT_DEMOG_ID |
NUMERIC |
No |
|
|
|
The unique ID of the External Demographic Set that this external coverage is loaded to. |
|
|
4 |
EXTERNAL_CVG_PAYER_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
5 |
EXTERNAL_CVG_PLAN_ID_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
The name of the benefit plan record. |
|
|
6 |
EXTERNAL_CVG_SUB_IDENT |
VARCHAR |
No |
|
|
|
The ID of the subscriber for the associated external coverage. |
|
|
7 |
EXTERNAL_CVG_SUB_NAME |
VARCHAR |
No |
|
|
|
The name of the subscriber for the associated external coverage. |
|
|
8 |
EXTERNAL_CVG_SUB_DOB_DATE |
DATETIME |
No |
|
|
|
The date of birth of the subscriber for the associated external coverage. |
|
|
9 |
EXTERNAL_CVG_SUB_SEX_C_NAME |
VARCHAR |
No |
|
|
|
The sex of the subscriber for the associated external coverage. |
May contain organization-specific values: Yes |
Category Entries: |
Female |
Male |
Unknown |
Nonbinary |
X |
Other |
|
|
10 |
EXT_CVG_MEM_REL_TO_SUB_C_NAME |
VARCHAR |
No |
|
|
|
The member's relationship to the subscriber for the associated external coverage. |
May contain organization-specific values: Yes |
Category Entries: |
Self |
Spouse |
Child |
Employee |
Unknown |
|
|
11 |
EXTERNAL_CVG_GROUP_NUM |
VARCHAR |
No |
|
|
|
The group number for the associated external coverage. |
|
|
12 |
EXT_CVG_SOURCE_SYSTEM_C_NAME |
VARCHAR |
No |
|
|
|
The external source that sent the external coverage information. |
May contain organization-specific values: Yes |
Category Entries: |
MyChart |
EpicCare Link |
Welcome |
RTE Response |
Roster Management Engine |
MyChart Guest |
Interconnect Network |
Yaqeen Register |
Standalone Webservice |
Payer Platform |
Incoming External Pre-Adjudicated Claims (X12 837) Interface |
PB Exchange |
Roster Assignment and Attribution |
Electronic Authorization Request Autotrigger |
|
|
13 |
EXTERNAL_CVG_MEMBER_IDENT |
VARCHAR |
No |
|
|
|
The member's insurance ID for the associated external coverage. |
|
|
14 |
EXTERNAL_CVG_GROUP_CODE |
VARCHAR |
No |
|
|
|
Unique identifier to represent the secondary level of the client organization. |
|
|
15 |
EXTERNAL_CVG_GROUP_NAME |
VARCHAR |
No |
|
|
|
The name of the group plan. |
|
|
16 |
EXTERNAL_CVG_EFF_DATE |
DATETIME |
No |
|
|
|
The first date the patient is covered by the plan. |
|
|
17 |
EXTERNAL_CVG_TERM_DATE |
DATETIME |
No |
|
|
|
The last date the patient is covered by the plan. |
|
|
18 |
EXTERNAL_CVG_CA_PLAN_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
General plan or product group type. |
May contain organization-specific values: Yes |
Category Entries: |
Health |
Dental |
|
|
19 |
EXTERNAL_CVG_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
Name of the Benefit Plan. |
|
|
20 |
EXTERNAL_CVG_REGION_NAME |
VARCHAR |
No |
|
|
|
|
21 |
EXTERNAL_CVG_LOB_ID |
VARCHAR |
No |
|
|
|
ID of the Line of Business. |
|
|
22 |
EXTERNAL_CVG_LOB_ID_LOB_NAME |
VARCHAR |
No |
|
|
|
The name of the line of business record. |
|
|
23 |
EXTERNAL_CVG_CORPORATION_NAME |
VARCHAR |
No |
|
|
|
|
24 |
EXTERNAL_CVG_PAYER_NAME |
VARCHAR |
No |
|
|
|
|
25 |
EXTERNAL_CVG_VBP_PROGRAM_ID |
NUMERIC |
No |
|
|
|
Contract ID associated with a row of Eligibility |
|
|
26 |
EXTERNAL_CVG_VBP_PROGRAM_ID_RECORD_NAME |
VARCHAR |
No |
|
|
|
The name of the program record. |
|
|
27 |
EXT_CVG_PAT_PRIMARY_LOC_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
28 |
EXTERNAL_CVG_ENROLLMENT_C_NAME |
VARCHAR |
No |
|
|
|
Coverage enrollment category |
May contain organization-specific values: Yes |
Category Entries: |
End-Stage Renal Disease |
Disabled |
Aged Dual |
Aged Non-dual |
|
|
29 |
EXTERNAL_CVG_ADJ_TYPE |
INTEGER |
No |
|
|
|
Type of change happening to the external coverage |
|
|
30 |
EXTERNAL_CVG_ADJ_SEQ |
INTEGER |
No |
|
|
|
The order in which adjustments occurred over time for the associated external coverage. |
|
|
31 |
EXT_CVG_REL_CODE_SET_C_NAME |
VARCHAR |
No |
|
|
|
Determines whether the associated external coverage is HIPAA (Health Insurance Portability and Accountability Act) or CWF (Common Working File) |
May contain organization-specific values: No |
Category Entries: |
HIPAA |
CWF |
|
|