UB_AUTH_NUM_SOURCE

Description:

This table holds the authorization number source category indicating where the prior authorization or referral number for the UB (or institutional) claim service line was found.

Primary Key

Column Name	Ordinal Position
CLAIM_PRINT_ID	1
GROUP_LINE	2
VALUE_LINE	3

Column Information

	Name	Type	Discontinued?
1	CLAIM_PRINT_ID	NUMERIC	No
	The unique identifier (.1 item) for the claim print record.
2	GROUP_LINE	INTEGER	No
	The line number for the information associated with this record.
3	VALUE_LINE	INTEGER	No
	The line number of one of the multiple values associated with a specific group of data within this record.
4	UB_AUTH_NUM_SOURCE_C_NAME	VARCHAR	No
	The auth number search precedence category ID identifying where the authorization number was found. May contain organization-specific values: No Category Entries: None Claim Info - Authorization Number (PB:CLM-341; HB:HAR-7053) Referral - Effective Coverages Authorization Number (RFL-18062) Referral - Default Authorization Number (RFL-60) Referral - Effective Coverages Pre-Certification Number (RFL-18064) Referral - Default Pre-Certification Number (RFL-18010) Episode Authorization Code Bed Days Table - Authorization Number (RFL-8513/8527) Dental Plan - Authorization Number (DTP-302) Referral - SAR/TAR (RFL-210/250/269) Referral - Service Level Auths (ETR-118; AUT-18062)