PMT_EOB_INFO_II

Description:

The PMT_EOB_INFO_II table contains the Explanation of Benefits information given a transaction ID. This table contains multiple response items pertaining to PMT_EOB_INFO_I table.

Primary Key

Column Name	Ordinal Position
TX_ID	1
LINE	2

Column Information

	Name	Type	Discontinued?
1	TX_ID	NUMERIC	No
	The transaction ID.
2	LINE	INTEGER	No
	The line number of one EOB code which is different from EOB line number in PMT_EOB_INFO_I.
3	AMOUNT	NUMERIC	No
	The Explanation of Benefits amount for a transaction.
4	EOB_CODES	VARCHAR	No
	The EOB Code for this transaction.
5	ADJ_PROC_ID_PROC_NAME	VARCHAR	No
	The name of each procedure.
6	ACTIONS	VARCHAR	No
	The action category ID for the payment Explanation of Benefits (EOB) action in this table. This column is frequently used to link to the ZC_TX_ACTION_TYPE table.
7	SYSTEM_COMMENT	VARCHAR	No
	The comment put into the systems for this transaction.
8	WINNINGRMC_ID	VARCHAR	No
	The winning remittance code ID from the remittance code.
9	WINNINGRMC_ID_REMIT_CODE_NAME	VARCHAR	No
	The name of each remittance code.
10	TX_MATCH_DATE	DATETIME	No
	The date when the charge was matched to the payment.
11	PEOB_EOB_RMC_IDS	VARCHAR	No
	The remittance code specified by the payer in its Explanation of Benefits (EOB). If this contains a comma delimited list, we will only show the first remittance code.
12	PEOB_EOB_AMOUNT	NUMERIC	No
	The not allowed amount associated with the Remittance Codes that the payor specifies in its Explanation of Benefit (EOB).
13	PEOB_EOB_GRPCODE_C_NAME	VARCHAR	No
	The Explanation Of Benefits group code category ID for the transaction from insurance payment posting. May contain organization-specific values: Yes Category Entries: Patient Responsibility Contractual Obligation Payor Initiated Correction and Reversal Other Adjustment
14	PEOB_DUP_DENIAL_C_NAME	VARCHAR	No
	This item contains the duplicate denial reason calculated at the time the payment is distributed to the invoice. It is populated only when a duplicate denial (Remittance code external ID=18) is present. May contain organization-specific values: No Category Entries: Same Payer and Suscriber on Different Coverages Correct or Repost Charge Router Repost Retroadjudication Demand Claim Resubmit Insurance Similar Charge on Account Same Visit With Multiple Claims Transfer Same Subscriber On Different Coverages Coverage Billed Multiple Times Unknown