HospitalBillingDenialLineDetai
This table contains denial information stored in the Denial/Remark/Correspondence records in the Denial/Correspondence (BDC) master file. There can be multiple lines of data for each record. Each line represents one claim/explanations of benefits (EOB) line that was denied.
| Column Name | Type | Description |
|---|---|---|
| DenialLineIncludedForResubmissionIndicator | VARCHAR | Determines whether the denial line is included for resubmission. |
| DenialLineRevenueCodeIdentifier | NUMERIC | This column stores the unique identifier for the line-level revenue code for the denial. |
| DenialCorrespondenceRecordIdentifier | NUMERIC | This column stores the unique identifier for the denial or correspondence record. |
| DeniedLineAmountPaid | NUMERIC | This column stores the amount paid for the line that was denied. $0.00 if fully denied, >0 if partially denied. If the denial was for the entire invoice then this is the amount paid for the entire claim. |
| 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. |
| DeniedClaimLineAllowedAmount | NUMERIC | Allowed amount for claim line that was denied. If the denial was for the entire invoice this is the allowed amount for the entire claim. |
| DeniedLineTransactionControlNumber | VARCHAR | The transaction control number for the denied line. |
| DenialLineCurrentProceduralTerminologyCode | VARCHAR | This item stores the line-level CPT(R) code for the denial. |
| DeniedClaimLineOutlierPaymentAmount | NUMERIC | Outlier payment, if any, for claim line that was denied. If the denial was for the entire invoice then this is the outlier payment for the entire claim. |
| DenialDataLineNumber | INTEGER | Line number of denial data. There can be multiple lines of denial data and this is the number of the line that enterprise reporting is extracting. |
| DeniedLineResubmissionComment | VARCHAR | The resubmission comment for the denied line. |
| DeniedExplanationOfBenefitsLineNumber | INTEGER | This column stores the line on explanation of benefits that was denied. "-1" represents the total denial data that is the sum of the invoice-level and sum of line-level data. "0" represents the invoice-level data. |
| ClaimLineDeniedAmount | NUMERIC | Denied amount for claim line that was denied. If the denial is for the entire invoice then this is the denied amount for the claim. |
| DenialLineBilledAmount | NUMERIC | Billed amount on the claim line that was denied. If the denial was at the invoice level - this is the billed amount for the entire claim |
| DeniedLineItemQuantity | NUMERIC | The line level quantity for the denied line. |
| LogicalDeploymentOwnerIdentifier | 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. |
| LineResubmissionInformationOverrideAmount | NUMERIC | The override resubmit value of amount for the denied line. |
| DenialResubmissionOverrideQuantity | NUMERIC | The override resubmit value of quantity for the denied line. |
| LinePrimaryChargeTransactionIdentifier | NUMERIC | Charge with the greatest amount from the claim line that was denied. If two charges have the same amount the older one will be the primary charge. |