|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_REC_ID |
VARCHAR |
No |
|
|
|
The unique ID of the claim reconciliation record. |
|
|
2 |
CONTACT_DATE |
DATETIME |
No |
|
|
|
The contact date of the claim, in external format. |
|
|
3 |
CONTACT_DATE_REAL |
NUMERIC |
No |
|
|
|
The contact date of the claim, in internal format. |
|
|
4 |
CLM_STATUS_CODE_C_NAME |
VARCHAR |
No |
|
|
|
The status code of the claim being tracked over time. |
May contain organization-specific values: Yes |
Category Entries: |
Unmapped code received |
|
|
5 |
PAYR_CLM_AMT_SUBMT |
NUMERIC |
No |
|
|
|
The amount submitted by the payer on this claim. |
|
|
6 |
PAYOR_CLM_AMT_PAID |
NUMERIC |
No |
|
|
|
The amount paid by the payer on this claim. |
|
|
7 |
PAYOR_REF_NUM |
VARCHAR |
No |
|
|
|
The claim's payer reference number. |
|
|
8 |
PAYOR_NAME |
VARCHAR |
No |
|
|
|
The payer name of the payer on the claim. |
|
|
9 |
CH_REF_NUM |
VARCHAR |
No |
|
|
|
This is the claim's clearinghouse reference number. |
|
|
10 |
CH_NAME |
VARCHAR |
No |
|
|
|
This is the claim's clearinghouse name. |
|
|
11 |
CLAIM_STATUS_MSG |
VARCHAR |
No |
|
|
|
The claim's textual status message. |
|
|
12 |
STATUS_DATE |
DATETIME |
No |
|
|
|
The status date of the claim. |
|
|
13 |
FILE_NAME |
VARCHAR |
No |
|
|
|
This is the filename associated with this claim. |
|
|
14 |
CM_CT_OWNER_ID |
VARCHAR |
No |
|
|
|
ID of the deployment owner for this contact. |
|
|
15 |
CLM_CLOSED_REASON_C_NAME |
VARCHAR |
No |
|
|
|
The category value for the reason the claim was closed. This value can be used to link to the ZC_CLM_CLSD_REASON table to get more information on the category values. |
May contain organization-specific values: No |
Category Entries: |
Payment |
Posting Action |
External Status Change |
Bucket Closed |
Bucket Rejected |
Bucket Replaced |
Bucket Reopened |
Invoice Split During Refresh |
|
|
16 |
CLAIM_ST_CAT_CODE_C_NAME |
VARCHAR |
No |
|
|
|
The status category code of the claim being tracked over time. |
May contain organization-specific values: Yes |
Category Entries: |
Unmapped code received |
|
|
17 |
TRANSMIT_MEDIUM_C_NAME |
VARCHAR |
No |
|
|
|
If claim has been transmitted, this item stores the medium. |
May contain organization-specific values: Yes |
Category Entries: |
Paper |
Electronic |
|
|
18 |
ERR_FIELD |
VARCHAR |
No |
|
|
|
The field a claim error is reported in. |
|
|
19 |
ERR_ITEM |
VARCHAR |
No |
|
|
|
The item for which the claim error was reported. |
|
|
20 |
ERR_VAL |
VARCHAR |
No |
|
|
|
The claim value that caused the error. |
|
|
21 |
ERR_MSG |
VARCHAR |
No |
|
|
|
The error message received for a claim. |
|
|
22 |
CH_SENT_DATE |
DATETIME |
No |
|
|
|
Stores the date that the claim was sent out of the clearinghouse. |
|
|
23 |
PAYOR_RECV_DATE |
DATETIME |
No |
|
|
|
Stores the date that the payer received the claim. |
|
|
24 |
CLAIM_SEL_ACT_C_NAME |
VARCHAR |
No |
|
|
|
Stores the action that was selected to be performed on the invoice. |
May contain organization-specific values: No |
Category Entries: |
No Action |
Accept Claim |
Send to WQ |
|
|
25 |
CLAIM_ACT_INFO_C_NAME |
VARCHAR |
No |
|
|
|
Can store additional information on why a given action was selected. |
May contain organization-specific values: No |
Category Entries: |
File payor does not match CLP payor |
Billing system mismatch |
Claim not on claim run |
Claim run not in status of processed |
Unable to lock CLP |
No codes mapped to Send to WQ |
|
|
26 |
TRANSMIT_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
Stores the system transmission status for the claim. |
May contain organization-specific values: No |
Category Entries: |
Not Transmitted |
Transmit Success |
Transmit Failed |
Retransmit Success |
Retransmit Failed |
Queued |
|
|
27 |
EXTERNAL_REJECT_YN |
VARCHAR |
No |
|
|
|
Yes/No flag indicating that the claim has been rejected by the payor or clearinghouse. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
28 |
PERFORM_ACT_C_NAME |
VARCHAR |
No |
|
|
|
Will store the action that was performed on the invoice. |
May contain organization-specific values: No |
Category Entries: |
No Action |
Accept Claim from Run |
Send to WQ from Run |
Accept from WQ |
Resubmit from WQ |
Resend to WQ |
External Test Response No Action Mapped |
|
|
29 |
PERFORM_ACT_RSN |
VARCHAR |
No |
|
|
|
Stores the reason for the action that was performed on the invoice. |
|
|
30 |
GROUP_CONTROL_NUM |
INTEGER |
No |
|
|
|
Stores the group control number (GS-06) value for an American National Standards Institute (ANSI) electronic claim file. |
|
|
31 |
TRANSMIT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
Records electronic claim transmission type. |
May contain organization-specific values: No |
Category Entries: |
Automatic Transmission |
CORE Transmission |
|
|
32 |
PAYOR_CONTACT_NAME |
VARCHAR |
No |
|
|
|
Name of contact person or department associated with an information request. |
|
|
33 |
CLAIM_BILL_TYPE |
VARCHAR |
No |
|
|
|
This is the bill type received in the claim reconciliation file. |
|
|
34 |
MRN |
VARCHAR |
No |
|
|
|
This is the medical record number (MRN) received in the claim reconciliation file. |
|
|
35 |
INTERMEDIARY_IDENT |
VARCHAR |
No |
|
|
|
This is the transmission identifier received in the claim reconciliation file. |
|
|
36 |
AGENCY_CLAIM_NUM |
VARCHAR |
No |
|
|
|
This is the claim number received in the claim reconciliation file. |
|
|
37 |
CASE_REF_IDENT |
VARCHAR |
No |
|
|
|
This is the case reference identifier received in the claim reconciliation file. |
|
|
38 |
INFO_REQ_NUM |
VARCHAR |
No |
|
|
|
This is the attachment request tracking number received in the claim reconciliation file. |
|
|
39 |
PRIOR_INFO_REQ_NUM |
VARCHAR |
No |
|
|
|
This is the prior attachment request tracking number received in the claim reconciliation file. |
|
|
40 |
INFO_REQ_DUE_DATE |
DATETIME |
No |
|
|
|
Stores the date the requested information is to be returned. |
|
|
41 |
RESP_CONTACT_NAME |
VARCHAR |
No |
|
|
|
Name used by the payer for routing the requested information within their system. |
|
|
42 |
RESP_CONTACT_CITY |
VARCHAR |
No |
|
|
|
City of the mailing location for the return of attachment data. |
|
|
43 |
RESP_CONTACT_STATE |
VARCHAR |
No |
|
|
|
State of the mailing location for the return of attachment data. |
|
|
44 |
RESP_CONTACT_ZIP |
VARCHAR |
No |
|
|
|
Postal Code of the mailing location for the return of attachment data. |
|
|
45 |
RESP_CONTACT_CNTRY |
VARCHAR |
No |
|
|
|
Country of the mailing location for the return of attachment data. |
|
|
46 |
RESP_CONTACT_SUBDIV |
VARCHAR |
No |
|
|
|
Subdivision of the mailing location for the return of attachment data. |
|
|
47 |
SUPPORTED_ACTIONS_C_NAME |
VARCHAR |
No |
|
|
|
The claim actions supported by the interface profile at the time a claim status update is received from an external entity. |
May contain organization-specific values: No |
Category Entries: |
Accept Claim |
Send to Workqueue |
All Available Actions |
|
|
48 |
TX_DEST_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The destination type when the claim is transmitted. |
May contain organization-specific values: No |
Category Entries: |
Payer |
Clearinghouse |
Other Entity |
|
|
49 |
PAYER_CHECK_DATE |
DATETIME |
No |
|
|
|
Holds the payer check date from claim reconciliation. |
|
|
50 |
PAYER_CHECK_NUM |
VARCHAR |
No |
|
|
|
Holds the payer check number from claim reconciliation. |
|
|
51 |
STATUS_RESP_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
This type of status response this contact represents. |
May contain organization-specific values: No |
Category Entries: |
Claim Acknowledgment |
Claim Status Request Response |
Claim Pending Status |
Claim Request for Additional Information |
Implementation Acknowledgment |
|
|
52 |
CLAIM_RECON_CSN_ID |
NUMERIC |
No |
|
|
|
The contact serial number (CSN) of the contact. |
|
|