|
Name |
Type |
Discontinued? |
|
| 1 |
TX_ID |
NUMERIC |
No |
|
|
|
|
| 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 |
|
|
