ElectronicRemittanceCodeDefinition
This table contains basic information about the remittance codes that can accompany electronic payments and claim denials.
| Column Name | Type | Description |
|---|---|---|
| DenialSourceArea | INTEGER | This item stores the source area that will be logged when this remit code is used to log a denial in hospital billing. It can also be used as a report grouper for remittance codes for professional billing. |
| DenialInitialRootCauseCategory | INTEGER | This item represents the initial root cause of the denial. |
| InternalUsageFlagIndicator | VARCHAR | This is used to determine whether this RMC is used internally or not. |
| RemittanceCodeCategoryIdentifier | VARCHAR | To group remittance codes into categories which then will be used for reporting. |
| RemittanceCodeType | VARCHAR | To let the user chose whether code is of type "Reason" or "Remark". This will be used for reporting. |
| RemittanceCodeExternalIdentification | VARCHAR | External identification number for this remittance code. |
| RemittanceCodeReportingGroupTwo | VARCHAR | This item is used for reporting. |
| ReportingGroupFour | VARCHAR | This item is used for reporting. |
| RemittanceCodeReportGrouperCategory | INTEGER | The report grouper category value for the remittance code. |
| OverrideDenialClassification | INTEGER | Used to override the default mapped denial class. If populated, this value will be used during denial creation to populate denial class instead of the Epic-mapped value shown in CLARITY_RMC.DENIAL_CLASS_C. |
| InsurancePaymentPostingField | INTEGER | For an EOB line using this code on the Insurance Payment Posting form, enter the field where the EOB amount should appear automatically. This corresponds to the mapping of EOB codes for electronic remittance payments. |
| PhysicalDeploymentOwnerIdentifier | VARCHAR | ID of the physical deployment owner for this record. Physical owners will be where the data is hosted, either on the cross-over server or the owner deployment. |
| RemittanceAdjustmentReasonShortDescription | VARCHAR | The short description that helps you identify the remittance adjustment reason. |
| RemittanceCodeGroup | INTEGER | The group code for this remit code. This pulls the first line from item RMC 170. All of the group codes for a remit code are found in the REMIT_GROUP_CODE table. |
| DeploymentLogicalOwnerIdentifier | VARCHAR | ID of the logical deployment owner for this record. Logical owners show the deployment where the record was created but doesn't represent if the record is a part of version skew. |
| IsFollowUpCode | VARCHAR | Determine whether this reason code will be added to follow-up record |
| IsDenialPreventableFlag | VARCHAR | This items stores whether or not the denial could have been prevented by a user or a process when this remit code is used to log a denial in hospital billing. |
| ReportGroupTitle | VARCHAR | The report grouper category title for the remittance code. |
| DenialClassificationCode | INTEGER | The Epic-standard mapped denial classification used for benchmarking purposes. |
| RemittanceCodeName | VARCHAR | The name of each remittance code. |