|
Name |
Type |
Discontinued? |
|
| 1 |
ESTIMATE_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the patient estimate 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 |
ADDL_LINE_NUM |
INTEGER |
No |
|
|
|
| The line number of related group 1000 that stores additional information about the charge line. It is used to map a line in 2000 related group to a procedure line. |
|
|
| 4 |
FILE_ORD_NUM |
INTEGER |
No |
|
|
|
| The coverage level associated with the corresponding coverage (I PES 168). |
|
|
| 5 |
REMIT_CODE_ID |
VARCHAR |
No |
|
|
|
| This stores any Explanation of Benefits/Remittance Advice codes associated with the service line. |
|
|
| 6 |
REMIT_CODE_ID_REMIT_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of each remittance code. |
|
|
| 7 |
REMIT_AMT |
NUMERIC |
No |
|
|
|
| This stores the amount associated with the Explanation of Benefits or remittance advice codes. |
|
|
| 8 |
REMIT_CATEGORY_C_NAME |
VARCHAR |
No |
|
|
|
| This stores the payment category that the payer has assigned the amount to |
| May contain organization-specific values: No |
| Category Entries: |
| Patient |
| Not Allowed |
| Other Adjustment |
| Denied |
|
|
