HospitalLiabilityBuck
This table contains hospital liability bucket information from the Hospital Liability Buckets (HLB) master file. This table does not include information for pre-allocated HLB records that are not yet in use.
| Column Name | Type | Description |
|---|---|---|
| FirstInsurancePaymentTransactionIdentifier | NUMERIC | The transaction ID of the first non-positive payment posted after the date of the first accepted claim on a bucket. If a transaction is part of a chain of transactions such that a previous transaction in the chain posts to an insurance bucket different than this bucket, we do not consider it. |
| LastClaimInvoiceNumber | VARCHAR | This item holds the invoice number from the most recently accepted claim on the bucket. |
| ClaimRunSkipReasonCode | INTEGER | The reason the bucket was skipped on the claim run. |
| Re | NUMERIC | This column stores the unique identifier for the automatic write-off transaction's reversal on the liability bucket. |
| TotalPaymentAmount | NUMERIC | The total monetary amount of payments on the liability bucket. |
| IsPaymentDistributionCompleteIndicator | VARCHAR | This column stores whether payment distribution is complete. |
| LiabilityBucketHasOpenOverpaymentFlag | VARCHAR | Indicates whether there are any open overpayments on this liability bucket. |
| InsuranceDataSource | INTEGER | This item contains the source of this insurance data. The options are payment posting or user. |
| MedicarePartBClaimFlag | INTEGER | Indicates that the charges in the liability bucket should be submitted for Medicare part B claims processing. |
| ClaimAcceptedFlag | VARCHAR | Indicates if a claim has been accepted for the charges in the liability bucket. |
| LiabilityBucketCreationDate | DATETIME | The date the liability bucket was created. |
| NextResponsibilityAmount | NUMERIC | The amount of liability that was transferred from this liability bucket to another bucket. |
| CurrentClaimOverrideIcn | VARCHAR | Current claim override ICN |
| ExpectedReimbursementSourceCode | INTEGER | Stores the source of the expected reimbursement calculation. |
| LevelOfCareClaimCategoryNumber | INTEGER | The category number indicating the claim that the level of care should be applied too for interim billing associated with this bucket. |
| SupplementalPaymentSourceBucketIdentification | NUMERIC | Pointer to source bucket for supplemental payment (IME) bucket. |
| ExpectedReimbursementComment | VARCHAR | Stores the expected reimbursement comment |
| ExpectedReimbursementOverrideFlag | INTEGER | Stores the expected reimbursement override flag |
| SystemActionNonCoveredWriteOffTransactionIdentifier | NUMERIC | This column stores the unique identifier for the transaction used to write off non-covered charges using a system action. |
| AcceleratedNrpIndicator | VARCHAR | If this item is set to Yes, it indicates that an accelerated NRP has been performed on the bucket. |
| LiabilityBucketHasOpenDenialBillSpecificDataCaptureIndicator | VARCHAR | Indicates if the liability bucket has open denial BDC records. |
| ExpectedOverridingContractContact | VARCHAR | Stores the contact of the overriding expected reimbursement contract |
| CurrentAutomaticWriteoffTransactionIdentifier | NUMERIC | This column stores the unique identifier for the current auto write-off transaction. |
| LiabilityBucketClaimType | INTEGER | The type of claim associated with the liability bucket. |
| HospiceElectionClaimStatus | INTEGER | This column identifies the election status for the hospice election claim, whether it is elected or revoked. |
| InterimBillingEndDate | DATETIME | For an interim liability bucket, the billing end date. The last charge service date that is included in the bucket. |
| BucketHasOpenUnderpaymentIndicator | VARCHAR | Indicates whether there are any open underpayments on this liability bucket. |
| SkilledNursingFacilitySpecialBucketTypeClassification | INTEGER | Identifies buckets that are SNF special buckets. |
| LogicalDeploymentOwnerId | 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. |
| AccountClassOverride | VARCHAR | Account Class Override. When a claim is demanded or resubmitted, the account class can be overridden. For example, the HAR may have an account class of inpatient, but this is overridden on the claim to outpatient. |
| UseExistingClaimDataIndicator | VARCHAR | Indicates whether the claims processor should use data from an existing claim when resubmitting or demanding a new claim. |
| LiabilityBucketCurrentBalance | NUMERIC | The current balance on the liability bucket. |
| LiabilityBucketTotalAdjustmentAmount | NUMERIC | The total monetary amount of adjustments on the liability bucket. |
| InsuranceDataEntryUserIdentifier | VARCHAR | The user who triggered this line of insurance data. Will be the payment posting user or the manual bucket action user. |
| DemandClaimTypeOfBill | VARCHAR | This column contains the demand claim TOB associated with this liability bucket record. |
| ProspectivePaymentSystemReimbursementRate | NUMERIC | The PPS payment reimbursement rate data associated with the liability bucket. |
| Is | VARCHAR | Indicates if the liability bucket has open remark BDC records. |
| ExpectedReimbursementOverrideContractIdentifier | NUMERIC | Stores the expected reimbursement override contract ID |
| TotalChargeAmount | NUMERIC | The total monetary amount of charges on the liability bucket. |
| LastNonCoveredAmountDue | NUMERIC | Total current non covered due on the bucket as specified by last payment on the insurance bucket or last user override. |
| InterimLiabilityBucketType | INTEGER | For an interim liability bucket, the interim bucket type. Choices are First Claim, Middle Claim, and Last Claim. |
| ExpectedNonAllowedWriteOffAmount | NUMERIC | This column stores the expected not-allowed write-off amount. |
| AlternatePayerIndicator | VARCHAR | This column stores whether this bucket resulted from alternate payer routing logic. Yes - It is an alternate payer; No - It is not an alternate payer; "" - Not been evaluated, status unknown. |
| IsExternalAccountsReceivableFlag | VARCHAR | External A/R Flag. This flag determines if a bucket's balance is to be counted as belonging to an external agency. |
| LiabilityBucketLastClaimDate | DATETIME | The date of the last claim for the liability bucket. |
| InformationalClaimTypeCode | INTEGER | This item stores the type of the informational claim. The type identifies the reason for which the informational bucket was generated. |
| 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. |
| LiabilityBucketClosureReason | INTEGER | The reason why the liability bucket was closed. |
| ClaimAccountBaseClassOverrideCode | INTEGER | The account base class override value. When a claim is demanded or resubmitted, the account class can be overridden. For example, the HAR may have an account class of inpatient, but this is overridden on the claim to outpatient. |
| AlternatePayorTypeCategory | INTEGER | The Alternate Payor Type category that was used to direct charges to this bucket. |
| HospitalAccountIdentifier | NUMERIC | This column stores the unique identifier for the hospital account to which the liability bucket is linked. |
| IsExplanationOfBenefitsSavedIndicator | VARCHAR | Indicates whether the Explanation of Benefits is saved for the liability bucket. |
| InterimBillLevelOfCareCategory | VARCHAR | The category number of the patient's Level of Care on the interim bill start date associated with this bucket. |
| LiabilityBucketServiceAreaIdentifier | NUMERIC | This column stores the unique identifier for the service area associated with the liability bucket. |
| LastInsuranceDeductibleAmount | NUMERIC | Total current deductible due on the bucket as specified by last payment on the insurance bucket or last user override. |
| LastCoinsuranceDueAmount | NUMERIC | Total current coinsurance due on the bucket as specified by last payment on the insurance bucket or last user override. |
| LiabilityBucketName | VARCHAR | The name of the liability bucket. |
| ForcedClaimMediaCategory | INTEGER | The media category number that indicates wether claims for the liability bucket should be forced to paper. |
| InterimLiabilityBucketStartDate | DATETIME | For an interim liability bucket, the billing start date. The first charge service date that is included in the bucket. |
| HasOpenCorrespondenceRecordsIndicator | VARCHAR | Indicates if the liability bucket has open correspondence BDC records. |
| TotalChargeReversalAmount | NUMERIC | The total monetary amount of charge reversals on the liability bucket. |
| BucketBillingType | INTEGER | This item tells what kind of billing resulted in this bucket. For list of categories please refer to HLB 131. |
| ShouldCancelClaimIndicator | VARCHAR | Indicates whether the claim associated with this liability bucket should be canceled. |
| LastPostDateForExpectedReimbursement | DATETIME | Stores the last post date allowed for charges used for expected reimbursement calculations. If no date is given, all charges will be used regardless of post date. |
| LiabilityBucketCoverageIdentifier | NUMERIC | This column stores the unique identifier for the coverage associated with the liability bucket. |
| ActualNonAllowedWriteOffAmount | NUMERIC | This column stores the actual not-allowed write-off amount. |
| TransferredLiabilityCreditAmount | NUMERIC | The total monetary amount of credits on buckets from which liability was transferred to the bucket in question. |