|
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 |
LINE |
INTEGER |
No |
|
|
|
The line count of line level procedure codes for this claim reconciliation record. |
|
|
5 |
LINE_PROC_CODE |
VARCHAR |
No |
|
|
|
The line level procedure codes for this claim reconciliation record. |
|
|
6 |
LINE_AMT_SUBMT |
NUMERIC |
No |
|
|
|
The line level amount submitted by the payer for this claim reconciliation record. |
|
|
7 |
LINE_AMT_PAID |
NUMERIC |
No |
|
|
|
The line level amount paid by the payer for this claim reconciliation record. |
|
|
8 |
LINE_STAT_CODE_C_NAME |
VARCHAR |
No |
|
|
|
The line level status code for this claim reconciliation record. |
May contain organization-specific values: Yes |
Category Entries: |
Unmapped code received |
|
|
9 |
LINE_STATUS_MSG |
VARCHAR |
No |
|
|
|
The line level textual status message for this claim reconciliation record. |
|
|
10 |
LINE_STAT_CAT_COD_C_NAME |
VARCHAR |
No |
|
|
|
The line level status category code for this claim reconciliation record. |
May contain organization-specific values: Yes |
Category Entries: |
Unmapped code received |
|
|
11 |
LN_CTRL_NUM |
VARCHAR |
No |
|
|
|
Stores the American National Standards Institute (ANSI) line item control number for this claim reconciliation record. |
|
|
12 |
LINE_PROC_MODS |
VARCHAR |
No |
|
|
|
Procedure modifiers associated with the line specified in the information request. |
|
|
13 |
LINE_REV_CODE |
VARCHAR |
No |
|
|
|
Revenue code associated with the line specified in the information request. |
|
|
14 |
LINE_TOOTH_CODE |
VARCHAR |
No |
|
|
|
Tooth code associated with the line specified in the information request. |
|
|
15 |
LINE_TOOTH_SURFACES |
VARCHAR |
No |
|
|
|
Tooth surface codes associated with the line specified in the information request. |
|
|