|
Name |
Type |
Discontinued? |
|
| 1 |
PRINT_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the statement print or detail bill record. |
|
|
| 2 |
PREV_PAT_BAL |
NUMERIC |
No |
|
|
|
| The Hospital Billing outstanding self-pay balance for the guarantor from the previous statement. |
|
|
| 3 |
PREV_AMT_DUE |
NUMERIC |
No |
|
|
|
| The Hospital Billing amount due for the guarantor from the previous statement. It only includes outstanding self-pay balances not on a payment plan. |
|
|
| 4 |
NEW_CHG_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new charge amount. |
|
|
| 5 |
NEW_PMT_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new payment amount. |
|
|
| 6 |
NEW_ADJ_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new adjustment amount. |
|
|
| 7 |
TOT_CHG_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing total charge amount. |
|
|
| 8 |
TOT_PMT_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing total payment amount. |
|
|
| 9 |
TOT_ADJ_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing total adjustment amount. |
|
|
| 10 |
CURR_PAT_BAL |
NUMERIC |
No |
|
|
|
| The Hospital Billing outstanding self-pay balance for the guarantor. |
|
|
| 11 |
CURR_AMT_DUE |
NUMERIC |
No |
|
|
|
| The Hospital Billing amount due for the guarantor. It only includes outstanding self-pay balances not on a payment plan. |
|
|
| 12 |
PMT_PLAN_TOT |
NUMERIC |
No |
|
|
|
| The Hospital Billing payment plan total amount. |
|
|
| 13 |
PMT_PLAN_BAL |
NUMERIC |
No |
|
|
|
| The Hospital Billing payment plan balance. |
|
|
| 14 |
PMT_PLAN_DUE |
NUMERIC |
No |
|
|
|
| The Hospital Billing payment plan due amount. |
|
|
| 15 |
INS_PORTION_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing insurance portion amount. |
|
|
| 16 |
PAT_PORTION_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing patient portion amount. |
|
|
| 17 |
FOLLOW_UP_CYCLE_AGING_DATE |
DATETIME |
No |
|
|
|
| The Hospital Billing follow-up cycle aging date. |
|
|
| 18 |
IS_INFORMATIONAL_YN |
VARCHAR |
No |
|
|
|
| Indicates whether or not this is informational (meaning the amount due is zero). |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
| 19 |
PREV_INS_BAL |
NUMERIC |
No |
|
|
|
| The Hospital Billing previous insurance balance. |
|
|
| 20 |
NEW_INS_CHG_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new insurance charge amount. |
|
|
| 21 |
NEW_INS_PMT_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new insurance payment amount. |
|
|
| 22 |
NEW_INS_ADJ_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new insurance adjustment amount. |
|
|
| 23 |
CURR_INS_BAL |
NUMERIC |
No |
|
|
|
| The Hospital Billing current insurance balance. |
|
|
| 24 |
NEW_PAT_CHG_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new patient charge amount. |
|
|
| 25 |
NEW_PAT_PMT_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new patient payment amount. |
|
|
| 26 |
NEW_PAT_ADJ_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing new patient adjustment amount. |
|
|
| 27 |
PMT_PLAN_MONTH_AMT |
NUMERIC |
No |
|
|
|
| The Hospital Billing payment plan monthly amount. |
|
|
| 28 |
AUTOPAY_CARD_ID |
NUMERIC |
No |
|
|
|
| The payment method that is used for the guarantor's Auto Pay. |
|
|
| 29 |
AUTOPAY_DATE |
DATETIME |
No |
|
|
|
| Date to charge the payment method for this specific statement if its guarantor is on Auto Pay. |
|
|
| 30 |
AUTOPAY_AMT_DUE |
NUMERIC |
No |
|
|
|
| The amount to be charged to the payment method for this specific statement if its guarantor is on Auto Pay. |
|
|
| 31 |
NEW_PAT_DISC_ADJ |
NUMERIC |
No |
|
|
|
| Stores the new HB patient discount amount that occurred since the last statement. |
|
|
| 32 |
TOT_PAT_DISC_ADJ |
NUMERIC |
No |
|
|
|
| Stores the total HB patient discount amount on the current statement. |
|
|
| 33 |
NEW_PAT_REF |
NUMERIC |
No |
|
|
|
| Stores the new HB patient refund amount that occurred since the last statement. |
|
|
| 34 |
TOT_PAT_REF |
NUMERIC |
No |
|
|
|
| Stores the total HB patient refund amount on the current statement. |
|
|
| 35 |
NEW_PAT_OTH_ADJ |
NUMERIC |
No |
|
|
|
| Stores the new HB patient other adjustment amount that occurred since the last statement. Patient other adjustments are any patient adjustments that are not refunds or discounts. |
|
|
| 36 |
TOT_PAT_OTH_ADJ |
NUMERIC |
No |
|
|
|
| Stores the total HB patient other adjustment amount on the current statement. Patient other adjustments are any patient adjustments that are not refunds or discounts. |
|
|