|
Name |
Type |
Discontinued? |
|
| 1 |
MEM_LIST_ID |
NUMERIC |
No |
|
|
|
| The ID of the transaction member list record computed as part of the specialty capitation payment process. |
|
|
| 2 |
EFFECTIVE_DATE |
DATETIME |
No |
|
|
|
| The effective date of the specialty capitation payment computation. |
|
|
| 3 |
ELIGIBILITY_DATE |
DATETIME |
No |
|
|
|
| The test date used to determine if a member is eligible for inclusion in specialty capitation payment computations. |
|
|
| 4 |
SERV_AREA_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue location. |
|
|
| 5 |
CARRIER_ID |
VARCHAR |
No |
|
|
|
| The ID of the carrier that defines the context of the specialty capitation payment computation. |
|
|
| 6 |
CARRIER_ID_CARRIER_NAME |
VARCHAR |
No |
|
|
|
| The name of the carrier record. |
|
|
| 7 |
NETWORK_ID |
VARCHAR |
No |
|
|
|
| The ID of the network that defines the context of the specialty capitation payment computation. |
|
|
| 8 |
NETWORK_ID_NETWORK_NAME |
VARCHAR |
No |
|
|
|
|
| 9 |
BENEFIT_PLAN_ID_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit plan record. |
|
|
| 10 |
RKP_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the risk panel for the member. |
|
|
| 11 |
RKP_ID_RISK_PANEL_NAME |
VARCHAR |
No |
|
|
|
| The name of the risk panel. |
|
|
| 12 |
LOB_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the line of business for the member. |
|
|
| 13 |
LOB_ID_LOB_NAME |
VARCHAR |
No |
|
|
|
| The name of the line of business record. |
|
|
| 14 |
MGRP_ID_MEM_GRP_NAME |
VARCHAR |
No |
|
|
|
| The name of the member group |
|
|
| 15 |
MEM_LIST_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The type of member list that this record represents. |
| May contain organization-specific values: No |
| Category Entries: |
| Member List |
| Addition |
| Subtraction |
| Change Addition |
| Change Subtraction |
|
|
| 16 |
ADJUST_ORIG_LIST_ID |
NUMERIC |
No |
|
|
|
| The ID of the transaction member list that this list adjusts. |
|
|
| 17 |
LOAD_BATCH_DATE |
DATETIME |
No |
|
|
|
| The date that the member list was loaded into the system. |
|
|
| 18 |
ASSOC_EXT_VAL_C_NAME |
VARCHAR |
No |
|
|
|
| The member group association value for the member list. |
| May contain organization-specific values: Yes |
|
|
| 19 |
CAPITATION_CODE_C_NAME |
VARCHAR |
No |
|
|
|
| The capitation code associated with the transaction. |
| May contain organization-specific values: Yes |
|
|
| 20 |
PRODUCT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The product type associated with the member list. |
| May contain organization-specific values: Yes |
|
|
