|
Name |
Type |
Discontinued? |
|
| 1 |
CASE_ID |
VARCHAR |
No |
|
|
|
| The unique identifier for the case request record. |
|
|
| 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 |
INS_FILING_ORDER_C_NAME |
VARCHAR |
No |
|
|
|
| This item identifies the patient's insurance as primary, secondary, or tertiary. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Primary |
| Secondary |
| Tertiary |
|
|
| 4 |
INS_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 5 |
INS_PRODUCT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| This item contains the patient's insurance product type. |
| May contain organization-specific values: Yes |
|
|
| 6 |
INS_SUBSCRIBER_NUM |
VARCHAR |
No |
|
|
|
| This item contains the patient's insurance subscriber ID. |
|
|
| 7 |
INS_SUBSCR_DOB_DT |
DATETIME |
No |
|
|
|
| This item contains the patient's insurance subscriber date of birth. |
|
|
| 8 |
INS_POLICY_NUM |
VARCHAR |
No |
|
|
|
| This item contains the patient's insurance policy number. |
|
|
| 9 |
INS_GROUP_NUM |
VARCHAR |
No |
|
|
|
| This item contains the patient's insurance group number. |
|
|
| 10 |
INS_PRECERT_NUM |
VARCHAR |
No |
|
|
|
| This item contains the patient's insurance pre-cert number |
|
|
| 11 |
INS_PLAN_ID_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit plan record. |
|
|
| 12 |
INS_SUBSCRIBER_REL_C_NAME |
VARCHAR |
No |
|
|
|
| Describes the Insurance Subscriber Relationship. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Aunt |
| Brother |
| Daughter |
| Father |
| Friend |
| Granddaughter |
| Grandfather |
| Grandmother |
| Grandson |
| Legal Guardian |
| Mother |
| Other |
| Step Father |
| Sister |
| Self |
| Step Mother |
| Son |
| Spouse |
| Uncle |
| Employer |
| Unverified Proxy |
| Transplant Recipient |
| Visit Contact |
|
|
| 13 |
INS_PHONE_NUM |
VARCHAR |
No |
|
|
|
| Contains the phone number for insurance. |
|
|