|
Name |
Type |
Discontinued? |
|
| 1 |
REFERRAL_ID |
NUMERIC |
No |
|
|
|
| The referral ID for the referral record. |
|
|
| 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 |
TAR_SERVICE_CODE |
VARCHAR |
No |
|
|
|
| The service code for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 4 |
TAR_MODIFIER |
VARCHAR |
No |
|
|
|
| The modifier for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 5 |
TAR_VALID_FROM_DATE |
DATETIME |
No |
|
|
|
| The start date for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 6 |
TAR_VALID_TO_DATE |
DATETIME |
No |
|
|
|
| The expiration date for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 7 |
TAR_UNITS |
INTEGER |
No |
|
|
|
| The number of units for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 8 |
TAR_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
| The status for the line of Treatment Authorization Request (TAR) adjudication info. |
| May contain organization-specific values: Yes |
|
|
| 9 |
TAR_DESC |
VARCHAR |
No |
|
|
|
| The free text description for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 10 |
TAR_RSN |
VARCHAR |
No |
|
|
|
| The free text reason for the line of Treatment Authorization Request (TAR) adjudication info. |
|
|
| 11 |
TAR_SVC_LN_CVG_ID |
NUMERIC |
No |
|
|
|
| The coverage associated with the line of Treatment Authorization Request (TAR) adjudication information. |
|
|
| 12 |
TAR_SVC_LN_CTL_NUM |
VARCHAR |
No |
|
|
|
| The service line Treatment Authorization Request (TAR) control number. If this value exists, it should be used as a control number for this service line. If there is no value, the header level control number (TAR_CTL_NUM in table TAR_INFO) should be used. |
|
|