|
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 Professional Billing outstanding self-pay balance for the guarantor from the previous statement. |
|
|
3 |
PREV_AMT_DUE |
NUMERIC |
No |
|
|
|
The Professional 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 Professional Billing new charge amount. |
|
|
5 |
NEW_PMT_AMT |
NUMERIC |
No |
|
|
|
The Professional Billing new payment amount. |
|
|
6 |
NEW_ADJ_AMT |
NUMERIC |
No |
|
|
|
The Professional Billing new adjustment amount. |
|
|
7 |
TOT_CHG_AMT |
NUMERIC |
No |
|
|
|
The Professional Billing total charge amount. |
|
|
8 |
TOT_PMT_AMT |
NUMERIC |
No |
|
|
|
The Professional Billing total payment amount. |
|
|
9 |
TOT_ADJ_AMT |
NUMERIC |
No |
|
|
|
The Professional Billing total adjustment amount. |
|
|
10 |
CURR_PAT_BAL |
NUMERIC |
No |
|
|
|
The Professional Billing outstanding self-pay balance for the guarantor. |
|
|
11 |
CURR_AMT_DUE |
NUMERIC |
No |
|
|
|
The Professional 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 Professional Billing payment plan total amount. |
|
|
13 |
PMT_PLAN_BAL |
NUMERIC |
No |
|
|
|
The Professional Billing payment plan balance. |
|
|
14 |
PMT_PLAN_DUE |
NUMERIC |
No |
|
|
|
The Professional Billing payment plan due amount. |
|
|
15 |
FOLLOW_UP_CYCLE_AGING_DATE |
DATETIME |
No |
|
|
|
The Professional Billing follow-up cycle aging date. |
|
|
16 |
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 |
|
|
17 |
PREV_INS_BAL |
NUMERIC |
No |
|
|
|
The previous Professional Billing insurance balance. |
|
|
18 |
NEW_INS_CHG_AMT |
NUMERIC |
No |
|
|
|
The new Professional Billing insurance charge amount. |
|
|
19 |
NEW_INS_PMT_AMT |
NUMERIC |
No |
|
|
|
The new Professional Billing insurance payment amount. |
|
|
20 |
NEW_INS_ADJ_AMT |
NUMERIC |
No |
|
|
|
The new Professional Billing insurance adjustment amount. |
|
|
21 |
CURR_INS_BAL |
NUMERIC |
No |
|
|
|
The current Professional Billing insurance balance. |
|
|
22 |
NEW_PAT_CHG_AMT |
NUMERIC |
No |
|
|
|
The new Professional Billing patient charge amount. |
|
|
23 |
NEW_PAT_PMT_AMT |
NUMERIC |
No |
|
|
|
The new patient payment amount. |
|
|
24 |
NEW_PAT_ADJ_AMT |
NUMERIC |
No |
|
|
|
The new patient adjustment amount. |
|
|
25 |
PREV_UNDIST_AMT |
NUMERIC |
No |
|
|
|
Stores the total undistributed amount from previous statement. |
|
|
26 |
AUTOPAY_CARD_ID |
NUMERIC |
No |
|
|
|
The credit card used for the Professional Billing automatic payment plan. |
|
|
27 |
AUTOPAY_DATE |
DATETIME |
No |
|
|
|
The next date that the credit card will be charged for the Professional Billing automatic payment plan. |
|
|
28 |
AUTOPAY_AMT_DUE |
NUMERIC |
No |
|
|
|
Stores the amount that the credit card will be charged for the Professional Billing automatic payment plan. |
|
|
29 |
TOT_DEBIT_AMT |
NUMERIC |
No |
|
|
|
|
30 |
TOT_DEBIT_ADJ_AMT |
NUMERIC |
No |
|
|
|
The total debit adjustment amount. |
|
|
31 |
TOT_CREDIT_AMT |
NUMERIC |
No |
|
|
|
|
32 |
TOT_CREDIT_ADJ_AMT |
NUMERIC |
No |
|
|
|
The total credit adjustment amount. |
|
|
33 |
TOT_MATCH_INS_PMT_AMT |
NUMERIC |
No |
|
|
|
The total matched insurance payment amount. |
|
|
34 |
TOT_MATCH_PAT_PMT_AMT |
NUMERIC |
No |
|
|
|
The total matched patient payment amount. |
|
|
35 |
TOT_MATCH_ADJ_AMT |
NUMERIC |
No |
|
|
|
The total matched adjustment amount. |
|
|
36 |
TOT_UNDIST_AMT |
NUMERIC |
No |
|
|
|
The total undistributed amount. |
|
|
37 |
PAT_UNDIST_AMT |
NUMERIC |
No |
|
|
|
The patient undistributed amount. |
|
|
38 |
INS_UNDIST_AMT |
NUMERIC |
No |
|
|
|
The insurance undistributed amount. |
|
|
39 |
TOT_VOIDED_CHG_AMT |
NUMERIC |
No |
|
|
|
The total voided charge amount. |
|
|
40 |
TOT_VOIDED_DEBIT_ADJ_AMT |
NUMERIC |
No |
|
|
|
The total voided debit adjustment amount. |
|
|
41 |
TOT_VOIDED_PMT_AMT |
NUMERIC |
No |
|
|
|
The total voided payment amount. |
|
|
42 |
TOT_VOIDED_CREDIT_ADJ_AMT |
NUMERIC |
No |
|
|
|
The total voided credit adjustment amount. |
|
|
43 |
CURR_ACCT_BAL |
NUMERIC |
No |
|
|
|
The current account balance. |
|
|
44 |
NEW_SKIPPED_CHG_TOT |
NUMERIC |
No |
|
|
|
Sum of the original amount of charges that are skipped this statement and shown on the previous statement. |
|
|
45 |
NEW_UNSKIPPED_CHG_TOT |
NUMERIC |
No |
|
|
|
Sum of the original amount of charges that are shown on this statement and skipped on the previous statement. |
|
|
46 |
NEW_VOIDED_TX_TOT |
NUMERIC |
No |
|
|
|
Sum of the original amount of void debits that are shown on previous statement. |
|
|
47 |
NEW_ADJ_TX_TOT |
NUMERIC |
No |
|
|
|
Sum of new adjustments matched amount. |
|
|
48 |
NEW_PMT_ADJ_TOT |
NUMERIC |
No |
|
|
|
Sum of the difference of the payment's outstanding amount between current statement and previous statement. |
|
|
49 |
NEW_PAT_DISCNT_CHARITY_ADJ |
NUMERIC |
No |
|
|
|
Stores the new PB patient discount amount that occurred since the last statement. |
|
|
50 |
TOT_PAT_DISCNT_CHARITY_ADJ |
NUMERIC |
No |
|
|
|
Stores the total PB patient discount amount on the current statement. |
|
|
51 |
NEW_PAT_RFND |
NUMERIC |
No |
|
|
|
Stores the new PB patient refund amount that occurred since the last statement. |
|
|
52 |
TOT_PAT_RFND |
NUMERIC |
No |
|
|
|
Stores the total PB patient refund amount on the current statement. |
|
|
53 |
NEW_PAT_OTHER_ADJ |
NUMERIC |
No |
|
|
|
Stores the new PB patient other adjustment amount that occurred since the last statement. Patient other adjustments are any patient adjustments that are not refunds or discounts. |
|
|
54 |
TOT_PAT_OTHER_ADJ |
NUMERIC |
No |
|
|
|
Stores the total PB patient other adjustment amount on the current statement. Patient other adjustments are any patient adjustments that are not refunds or discounts. |
|
|