AuthorizationRequestMilestoneTimeliness
This table contains timeliness information for authorization request milestones.
| Column Name | Type | Description |
|---|---|---|
| ProviderWrittenExtensionNotificationDateTime | DATETIME | The date and time (local) that the provider first received written notification of an extension. |
| UniqueContactDateIdentifier | FLOAT | A unique contact date in decimal format. The integer portion of the number indicates the date of contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc. |
| AuthorizationRepresentativeNotificationOnTimeCategory | INTEGER | The on-time category ID indicating if all required authorized representative decision notifications were complete on time. |
| FirstRepresentativeNotificationDueUtcTimestamp | DATETIME | The date and time (UTC) that the first authorized representative decision notification was due. |
| First | DATETIME | The date and time (local) that the first member decision notification was due. |
| MemberWrittenExtensionNotificationUniversalTime</div> | DATETIME | The date and time (UTC) that the member first received written notification of an extension. |
| AuthorizationDecisionNotificationCompletionUtcDatetime | DATETIME | The date and time (UTC) that all required decision notifications were completed. |
| MedicareAdvantageExpeditedDenialNotificationOnTimeCategory | INTEGER | The on-time category ID indicating if the notification of denial to expedite met Medicare Advantage review category timeliness standards. |
| MemberOralDecisionNotificationUniversalTime | DATETIME | The date and time (UTC) that the member first received oral notification of a decision. |
| MemberNotificationDueUniversalTimeCoordinate | DATETIME | The date and time (UTC) that the first member decision notification was due. |
| MemberOralDenialToExpediteNotificationUniversalTime | DATETIME | The date and time (UTC) that the member first received oral notification of a denial to expedite. |
| ProviderExpeditedDenialNotificationTimelinessCategory | INTEGER | The on-time category ID indicating if all required provider notifications of denial to expedite were complete on time. |
| MedicareAdvantageProviderNotificationOnTimeCategory | INTEGER | The on-time category ID indicating if all required provider decision notifications were complete on time using Medicare Advantage review category standards. |
| RepresentativeOralDecisionNotificationUniversalTime | DATETIME | The date and time (UTC) that the authorized representative first received oral notification of a decision. |
| AuthorizationAllNotificationsOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if all required decision notifications were complete on time. |
| RepresentativeOralNotificationExtensionDateTime | DATETIME | The date and time (local) that the authorized representative first received oral notification of an extension. |
| FirstNotificationDueUniversalTimeCoordinate | DATETIME | The date and time (UTC) that that the first decision notification was due. |
| AuthorizationProviderOralExtensionNotificationDateTime | DATETIME | The date and time (local) that the provider first received oral notification of an extension. |
| AuthorizationGeneralDecisionOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if the decision met general review category timeliness standards. |
| ProviderWrittenExpeditedDenialNotificationDateTime | DATETIME | The date and time (local) that the provider first received written notification of a denial to expedite. |
| GeneralReviewRepresentativeNotificationTimelinessCategory | INTEGER | The on-time category ID indicating if all required authorized representative decision notifications were complete on time using general review category standards. |
| ProviderOralDecisionNotificationDateTime | DATETIME | The date and time (local) that the provider first received oral notification of a decision. |
| GeneralReviewCategoryIdentifier | INTEGER | The review category category ID associated with the general timeliness requirements applied to this authorization request. |
| MemberWrittenExpediteDenialNotificationUniversalTimeCoordinateDateTime | DATETIME | The date and time (UTC) that the member first received written notification of a denial to expedite. |
| MemberWrittenDenialToExpediteNotificationDateTime | DATETIME | The date and time (local) that the member first received written notification of a denial to expedite. |
| AuthorizationDenialToExpediteOnTimeCategory | INTEGER | The on-time category ID indicating if all required notifications of denial to expedite were complete on time. |
| ProviderWrittenDecisionReceivedUniversalTime | DATETIME | The date and time (UTC) that the provider first received written notification of a decision. |
| GeneralReviewAdditionalInformationRequestOnTimeCategory | INTEGER | The on-time category ID indicating if the request for additional information met general review category timeliness standards. |
| MemberOralNotificationExtensionDateTime | DATETIME | The date and time (local) that the member first received oral notification of an extension. |
| ProviderOralExpediteDenialNotificationUniversalTime | DATETIME | The date and time (UTC) that the provider first received oral notification of a denial to expedite. |
| ProviderWrittenExpediteDenialNotificationUniversalTime | DATETIME | The date and time (UTC) that the provider first received written notification of a denial to expedite. |
| AuthorizationRequestInitialDecisionDueDateUtc | DATETIME | The date and time (UTC) of the first current due instant for any decision requirement. |
| AuthorizationRequestGeneralReviewMemberNotificationOnTimeCategoryIdentification | INTEGER | The on-time category ID indicating if all required member decision notifications were complete on time using general review category standards. |
| MemberFirstWrittenDecisionNotificationUniversalTime</div> | DATETIME | The date and time (UTC) that the member first received written notification of a decision. |
| AllNotificationsCompletedDateTime | DATETIME | The date and time (local) that all required decision notifications were completed. |
| RepresentativeDenialToExpediteOnTimeCategory | INTEGER | The on-time category ID indicating if all required authorized representative notifications of denial to expedite were complete on time. |
| AuthorizedRepresentativeOralExtensionNotificationUtcInstant | DATETIME | The date and time (UTC) that the authorized representative first received oral notification of an extension. |
| RepresentativeOralDenialToExpediteNotificationDateTime | DATETIME | The date and time (local) that the authorized representative first received oral notification of a denial to expedite. |
| MedicareAdvantageAllNotificationsOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if all required decision notifications were complete on time using Medicare Advantage review category standards. |
| MemberWrittenExtensionNotificationDateTime | DATETIME | The date and time (local) that the member first received written notification of an extension. |
| ProviderOralDecisionNotificationUniversalDateTime | DATETIME | The date and time (UTC) that the provider first received oral notification of a decision. |
| MedicareAdvantageRepresentativeNotificationOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if all required authorized representative decision notifications were complete on time using Medicare Advantage review category standards. |
| AuthorizationProviderNotificationTimelinessCategory | INTEGER | The on-time category ID indicating if all required provider decision notifications were complete on time. |
| GeneralReviewProviderNotificationTimelinessCategoryIdentification | INTEGER | The on-time category ID indicating if all required provider decision notifications were complete on time using general review category standards. |
| AuthorizationRequestContactDate | DATETIME | The date of this contact in calendar format. |
| AuthorizationRequestDecisionTimelinessCategoryIdentifier | INTEGER | The on-time category ID indicating if the decision met all decision timeliness requirements. |
| OnTimeMemberExpeditedDenialNotificationCategory | INTEGER | The on-time category ID indicating if all required member notifications of denial to expedite were complete on time. |
| AllAdditionalInformationRequestsOnTimeCategory | INTEGER | The on-time category ID indicating if the request for additional information met all timeliness requirements. |
| RepresentativeWrittenDecisionDateTime | DATETIME | The date and time (local) that the authorized representative first received written notification of a decision. |
| AuthorizationRequestMemberDecisionNotificationOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if all required member decision notifications were complete on time. |
| GeneralReviewAllNotificationsOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if all required decision notifications were complete on time using general review category standards. |
| MedicareAdvantageAdditionalInformationRequestOnTimeCategoryIdentifier | INTEGER | The on-time category ID indicating if the request for additional information met Medicare Advantage review category timeliness standards. |
| AuthorizationRequestInitialDecisionDueDate | DATETIME | The date and time (local) of the first current due instant for any decision requirement. |
| RepresentativeWrittenDenialToExpediteNotificationUniversalTime" | DATETIME | The date and time (UTC) that the authorized representative first received written notification of a denial to expedite. |
| AuthorizationRequestIdentifier | NUMERIC | The unique identifier for the authorization request record. |
| AuthorizationRequestMedicareAdvantageTimelinessStartUtcDateTime | DATETIME | The date and time (UTC) of the start instant for timeliness calculations for the authorization request according to Medicare Advantage guidelines. |
| MemberOralExtensionNotificationUniversalTimeCoordinateDateTime | DATETIME | The date and time (UTC) that the member first received oral notification of an extension. |
| ProviderOralExtensionNotificationUniversalTime | DATETIME | The date and time (UTC) that the provider first received oral notification of an extension. |
| ProviderWrittenDecisionNotificationDateTime | DATETIME | The date and time (local) that the provider first received written notification of a decision. |
| RepresentativeOralDecisionNotificationDateTime | DATETIME | The date and time (local) that the authorized representative first received oral notification of a decision. |