|
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. |
|
|