|
Name |
Type |
Discontinued? |
|
| 1 |
PB_TX_ID |
VARCHAR |
No |
|
|
|
| The unique identifier (.1 item) for the detail transaction record. |
|
|
| 2 |
INV_CLM_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| Specify the source claim type associated with the detailed transaction. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Unspecified Claim |
| Medical Claim |
| Pharmacy Claim |
| Dental Claim |
| Vision Claim |
| All |
|
|
| 3 |
CLAIM_NUMBER |
VARCHAR |
No |
|
|
|
| Specify the identifier of the source claim associated with the detailed transaction. |
|
|
| 4 |
SOURCE_CLAIM_ID |
NUMERIC |
No |
|
|
|
| Specify the claim from which this transaction originates. |
|
|
| 5 |
SERVICE_DATE |
DATETIME |
No |
|
|
|
| Specify the service date of the source claim associated with the detailed transaction. |
|
|
| 6 |
SELECTIVE_PLAN_GRP_ID |
VARCHAR |
No |
|
|
|
| Used to find outstanding detail transactions that aren't batched quickly. Used in places such as payment computing. |
|
|
| 7 |
SELECTIVE_PLAN_GRP_ID_PLAN_GRP_NAME |
VARCHAR |
No |
|
|
|
| The name of the employer group record |
|
|
| 8 |
CLAIM_PAYEE_C_NAME |
VARCHAR |
No |
|
|
|
| Specify the recipient type of the associated claim. |
| May contain organization-specific values: No |
| Category Entries: |
| Subscriber |
| Vendor |
| Member |
| Third Party |
|
|
| 9 |
VENDOR_ID_VENDOR_NAME |
VARCHAR |
No |
|
|
|
|
| 10 |
THIRD_PARTY_VENDOR_ID_VENDOR_NAME |
VARCHAR |
No |
|
|
|
|
| 11 |
ASSOCIATED_REFUND_DTX_ID |
NUMERIC |
No |
|
|
|
| Specify the associated vendor refund transaction (DTX). |
|
|
| 12 |
BALANCE_OFFSET_TRANSACTION_ID |
VARCHAR |
No |
|
|
|
| Specify that it offsets a balance carried by another PDX. |
|
|
| 13 |
REALIZED_RCVRY_TRANSACTION_ID |
VARCHAR |
No |
|
|
|
| Points to the realized recovery transaction (PDX). |
|
|
| 14 |
PREPAY_OFFSET_TRANSACTION_ID |
VARCHAR |
No |
|
|
|
| This item appears on the refund prepayment recovery transaction (PDX) and points to the realized recovery transaction (PDX) created when the vendor refund or recoupment is posted. |
|
|
| 15 |
ASSOCIATED_VENDOR_CHECK_ID |
NUMERIC |
No |
|
|
|
| Specify the associated vendor check (APC) of the recoupment transaction (PDX). |
|
|
