|
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. |
|
|