|
Name |
Type |
Discontinued? |
|
| 1 |
TX_ID |
NUMERIC |
No |
|
|
|
| Unique ID of the transaction. |
|
|
| 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 |
AMOUNT |
NUMERIC |
No |
|
|
|
| Dollar amount of the calculated reimbursement. This value is the amount we expect to be reimbursed and cannot exceed the charge amount. |
|
|
| 4 |
USER_ID |
VARCHAR |
No |
|
|
|
| User ID of the person who performed the reimbursement calculation. |
|
|
| 5 |
USER_ID_NAME |
VARCHAR |
No |
|
|
|
| The name of the user record. This name may be hidden. |
|
|
| 6 |
CALC_MODULE_C_NAME |
VARCHAR |
No |
|
|
|
| Module that triggered this reimbursement calculation. The possible values for this column are: 1) CLAIMS: Claims Processing 2) CHG ENTRY: Charge Entry 3) ACCT MAINT: Account Maintenance 4) PMT POST: Payment Posting 5) RECALC UTIL: Reimbursement Recalculation Utility |
| May contain organization-specific values: No |
| Category Entries: |
| Claims Processing |
| Charge Entry |
| Account Maintenance |
| Payment Posting |
| Reimbursement Recalculation Utility |
| Testing/Modeling |
| Ad Hoc Reevaluation |
| Manual Override |
| Plan Swap Override |
|
|
| 7 |
CALC_DATE |
DATETIME |
No |
|
|
|
| Date of the reimbursement calculation. |
|
|
| 8 |
CALC_TIME |
DATETIME (Local) |
No |
|
|
|
| Date and time of the reimbursement calculation. |
|
|
| 9 |
CONTRACT_AMOUNT |
NUMERIC |
No |
|
|
|
| Stores the allowed amount as calculated by the reimbursement contract. This amount can exceed the charge amount. |
|
|
| 10 |
REIMB_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
| Stores how the reimbursement amount was calculated for the charge. |
| May contain organization-specific values: No |
| Category Entries: |
| System Calculated |
| Contract Overridden |
| Expected Amounts Overridden |
| Overridden by Wisdom Estimate |
|
|
| 11 |
COVERAGE_ID |
NUMERIC |
No |
|
|
|
| This column stores the coverage used to compute reimbursement. |
|
|
| 12 |
REIMB_COVERAGE_ID |
NUMERIC |
No |
|
|
|
| This item is part of the reimbursement history group. It stores the coverage used to compute reimbursement. |
|
|