HospitalBillingClaimDetai
This table contains detailed claim print record information for claims associated with the hospital liability bucket.
| Column Name | Type | Description |
|---|---|---|
| ClaimFilingOrderPosition | INTEGER | This column holds the filing order position of the claim coverage at the time claims were processed. |
| ClaimResearchStudyIdentifier | VARCHAR | This column holds the research study for the claim. |
| LastClaimErrorTestDateTime | DATETIME | This column holds the date and time at which the claim was last tested for errors. |
| ClaimEvaluationBaseAccountClass | INTEGER | The base account class used to evaluate this claim. |
| ClaimReconciliationIdentification | VARCHAR | This column contains the claim reconcilation ID associated with this claim. |
| ClaimServiceAreaIdentifier | NUMERIC | This column holds the service area for the claim. |
| IntraConnectPhysicalOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| Claim | INTEGER | The claim type. |
| ClaimAuthorizationStatus | INTEGER | Stores the authorization status of the claim. |
| ClaimHighestPrecedenceRebillReasonCode | INTEGER | This column stores the reason why we sent the claim again to payer. It holds onto the rebill reason with the highest precedence from the category list. |
| TotalNonCoveredAmount | NUMERIC | Total non-covered amount. |
| CommunityLogOwnerIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| ClaimPrintRecordStatus | INTEGER | The record's status |
| ClaimHospitalAccount | NUMERIC | The hospital account ID for this claim. |
| PaperClaimFormIdentification | VARCHAR | The paper form ID used for this claim. |
| ClaimSourceBillingSystemCode | INTEGER | This column contains the billing system that created the claim. |
| ClaimTotalDueAmount | VARCHAR | Total due amount. |
| DiagnosisRelatedGroupTaxAmount | NUMERIC | The Diagnosis Related Group tax amount. This will be stored for accounts billed with Diagnosis Related Group that have tax calculated based on expected reimbursement values. |
| LastClaimExternalErrorTestInstant | DATETIME | Stores the last claim external error test instant. |
| SkilledNursingFacilityClaimTypeCode | INTEGER | This item identifies the type of Skilled Nursing Facility claim produced. |
| ClaimEvaluationAccountClass | VARCHAR | The account class used to evaluate this claim. |
| CancellationClaimValueCode | VARCHAR | The value code associated with this claim if it is a cancel claim. |
| ClaimLastErrorDatetime | DATETIME | This column holds the date and time (in UTC instant form) when the error list on the claim changed. Whenever an error is added, removed or overridden, this column will be updated. |
| ClaimGrouperDetailsLoadDateTime | DATETIME | This column holds the date and time when the grouper details were added to the claim. |
| LastClaimExternalErrorTestUserID | VARCHAR | Stores the user ID who performed the last claim external error test. |
| ReplacementClaimCommentText | VARCHAR | Code associated with this claim record if it is a replacement claim. |
| ClaimCoveredDays | INTEGER | Covered days. |
| PrincipalDiagnosisIdentifier | NUMERIC | Principal diagnosis. |
| ClaimReferralSourceIdentifier | VARCHAR | The referring source ID for this claim. |
| LiabilityBucketIdentifier | NUMERIC | The liability bucket ID for this claim. |
| MinimumServiceDate | DATETIME | The minimum service date for this claim. |
| ClaimExtractValueIdentifier | NUMERIC | The ID of the claim record. |
| ClaimGroupNumber | VARCHAR | Group number. |
| ClaimRunIdentifier | VARCHAR | The claim run (CLR) record that contains this claim. |
| HomeHealthBillTypeCode | INTEGER | Home Health bill type. |
| OriginalInvoiceNumber | VARCHAR | In PB, this column holds the original invoice number during refresh and resubmit. In HB, this column holds the invoice number associated with the primary claim in a crossover scenario. |
| IsCancelClaimIndicator | INTEGER | Indicates whether this is a cancel claim. |
| ClaimPayerIdentification | NUMERIC | The payer ID for this claim. |
| IsClaimGrouperResponseSaved | VARCHAR | This column identifies claims into which full responses from the grouper have been saved. |
| IsCombinedClaim | INTEGER | If this column is set to 1, the claim is a combined claim. |
| FacilityActorTypeIdentifier | INTEGER | This item stores the type of facility. For Norway claims, this identifies the facility as a GP Office, Trust, or Municipality. |
| ClaimRenderingProviderIdentifier | VARCHAR | This column holds the claim level rendering provider. |
| ElectronicClaimFormIdentifier | VARCHAR | The electronic claim form ID for this claim. |
| HasChargeFromOtherBucketIndicator | VARCHAR | This item is a flag indicating that charge information from another bucket was added to the current claim during processing. |
| PayerHistoricalFollowUpDate | DATETIME | The suggested initial follow-up date for a claim based on historical trends for the payer. |
| LastRetestBatchJobDateTime | DATETIME | This column holds the date and time at which the claim was last tested by the retest batch job. |
| PredictedClaimPaymentDate | DATETIME | The predicted payment response date for a claim based on historical trends for the payer. |
| LastExternalTestWorkqueueIdentifier | VARCHAR | The unique ID of the last hospital billing claim edit workqueue from which the claim was sent for an external claim error test. |
| ClaimIdentifier | NUMERIC | The claim information ID used by this claim. |
| DepartmentTypeNorwayClaimIdentifier | VARCHAR | The type of department. For Norway claims, this identifies the department as a GP Office, Trust, or Municipality. |
| ClaimErrorStatus | INTEGER | This column holds the error status of the claim. |
| TotalChargesAmount | NUMERIC | Total charges amount. |
| ClaimGuarantorAccountIdentifier | NUMERIC | The guarantor account ID for this claim. |
| ClaimRequisitionGrouperIdentifier | NUMERIC | The requisition grouper ID for this claim. |
| UniformBillingClaimFromDate | DATETIME | The uniform billing claim from date. |
| ClaimDefinitionIdentifier | NUMERIC | The claim definition ID used for this claim. |
| LastClaimExternalEditTestStatus | INTEGER | Stores the status of the last claim external edit test. |
| ClaimNonCoveredDays | INTEGER | Non-covered days. |
| ClaimTotalTaxAmount | NUMERIC | Gross tax amount at a claim level, this is the sum of all the tax amounts sent on a claim. |
| TotalAdjustmentAmount | NUMERIC | Total adjustment amount. |
| ClaimFormType | INTEGER | The form type. This is either paper or electronic. |