HospitalClaimPrintRecord
This table contains claim print record information for claims associated with a given hospital account or liability bucket.
| Column Name | Type | Description |
|---|---|---|
| ClaimMailingPhoneNumber | VARCHAR | The mailing phone number for this claim. |
| ClaimMailingCityStateZip | VARCHAR | The mailing city, state, and ZIP code for this claim. |
| ClaimPrimaryCoveredQuantity | NUMERIC | Quantity covered by primary method. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| DiagnosisRelatedGroupIdentifierType | NUMERIC | The ID Type associated with the diagnosis related group (DRG) on this claim (i.e. MS-DRG V27). |
| ClaimOverlapType | VARCHAR | Overlap type for this claim. |
| PatientResponsibilityPortion | NUMERIC | Portion of the expected amount the patient is responsible for. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimTermDescription | VARCHAR | This item stores the term description from the matching contract line. |
| IsCrossoverClaim | INTEGER | Indicates if this is a crossover claim. |
| ExpectedInsurancePortionAmount | NUMERIC | Insurance portion of the expected amount. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimPrimaryPaymentRate | VARCHAR | Primary payment rate determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimSubmissionPenaltyPercentage | VARCHAR | Late submission penalty percent applied. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimUsualAndCustomaryAmount | NUMERIC | Usual and customary amount for the claim. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimAdditionalPaymentRates | VARCHAR | Additional payment rates. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimAmbulatoryPaymentClassificationSourceSystem | INTEGER | The source system of the claim's APC data. |
| ContractUsedDate | DATETIME | The date that the contract was used for this claim. |
| EditedTypeOfBill | VARCHAR | Indicates the claim type of bill was edited. |
| ClaimForcedFromEditWorkqueueFlag | INTEGER | Indicates if this claim was forced from the claim edit workqueue. |
| IntraConnectPhysicalOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| ClaimAcceptedEditIndicator | VARCHAR | Mark claims that are copies of previous accepted claims for processing purposes. |
| ClaimContractualAmount | NUMERIC | Contractual amount determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimTaxIdentificationNumber | VARCHAR | Claim level tax ID. |
| ClaimMailingAddressLineTwo | VARCHAR | Second line of the mailing address for a given claim record. |
| ClaimContractIdentifier | NUMERIC | The unique ID of the contract that was used for this claim. Zero means that the contract is from an external system. |
| ClaimReimbursementCostThreshold | NUMERIC | The cost threshold of this claim's outlier data. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimOtherReimbursementThreshold | NUMERIC | The other threshold of this claim's outlier data. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| MedicarePartBClaimFlag | INTEGER | Indicates whether this is a Part B claim. If it is a Part B claim, indicates if it is Part A Exhaust or Part B only. |
| ClaimReimbursementOtherOutlierAmount | NUMERIC | The other outlier of this claim's outlier data. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimMailingName | VARCHAR | The mailing name for this claim. |
| ClaimLateSubmissionDays | INTEGER | Late submission days. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ContractDateNumericValue | FLOAT | A numerical representation of the contact date for the contract used in this claim. Used to help link to the VEN_NET_CONT_SVC table. |
| ClaimMailingAddressLineOne | VARCHAR | First line of the mailing address for a given claim record. |
| ClaimAdditionalCoveredQuantity | VARCHAR | Additional payment quantity. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimAdditionalPaymentMethods | VARCHAR | Additional payment methods. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimReimbursementDataSource | VARCHAR | The source system for this claim's reimbursement data. |
| UniformBillingOperatingProviderIdentification | VARCHAR | Stores the operating provider to go onto the uniform billing claim. |
| ClaimProcessingQueueName | VARCHAR | Claim processing queue this claim came from. |
| ClaimOutlierDayThreshold | NUMERIC | The day threshold of this claim's outlier data. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimLevelExpectedReimbursementAmount | NUMERIC | Claim level expected reimbursement. |
| ClaimLinePenaltyPercentage | VARCHAR | Line/Service level penalties imposed on the claim. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| DeprecatedContractNotUsedIndicator | VARCHAR | Indicates whether the contract was used for this claim. Y indicates that the contract was not used. |
| EditedClaimDiagnosisIndicator | VARCHAR | Indicates claim diagnosis were edited. |
| ClaimEditedValueCodesIndicator | VARCHAR | Indicates claim value codes were edited. |
| ClaimCostOutlierAmount | NUMERIC | The cost outlier of this claim's outlier data. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| OriginalHospitalAccountResearchIdentifier | NUMERIC | Stores the original hospital account when research charges have been added to the account. |
| ClaimPaymentMechanismCode | INTEGER | Payment method determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimExpectedReimbursementAmount | NUMERIC | Expected amount determined from reimbursement information for Diagnosis Related Group priced claims. |
| IsPartialClaimResubmission | VARCHAR | Indicates whether the claim is a partial resubmit. |
| ClaimLineEditedIndicator | VARCHAR | Indicates claim lines were edited. |
| RecordLastUpdateInstant | DATETIME | This item holds the instant the record was updated. Used for Clarity extracts. |
| ClaimPrintIdentifier | NUMERIC | Stores the claim record ID associated with a single hospital account. |
| CommunityLogicalOwnerIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| ClaimConditionCodeWasEditedIndicator | VARCHAR | Indicates claim condition codes were edited. |
| IsClaimFromClosedBucket | INTEGER | Indicates if this claim came from a closed bucket. |
| EditedClaimOccurrenceCode | VARCHAR | Indicates claim occurrence codes were edited. |
| ClaimPricingMethodDescription | VARCHAR | A text description of the method used to price the claim. Determined from reimbursement information for Diagnosis Related Group priced claims. |
| ClaimExpectedPatientResponsibilityAmount | NUMERIC | Stores the total expected patient responsibility for the claim. |