InvoiceClaimInformation
This table contains basic invoice information. Each column in this table is from the INV 100 related group, and each line in the table corresponds to a claim that was sent for this invoice (INV) record.
| Column Name | Type | Description |
|---|---|---|
| CoverageIdentifier | NUMERIC | The coverage record ID. |
| InvoiceBenefitPlanIdentifier | NUMERIC | The benefit plan ID. |
| InvoiceMailingStreetAddress | VARCHAR | The bill/statement or claim mailing street address for the invoice number. |
| AlternatePayerInvoiceIndicator | VARCHAR | Identifies if the invoice is for an alternate payer. |
| PlaceOfServiceIdentifier | NUMERIC | The place of service ID. |
| ClaimChangeReasonCode | VARCHAR | Contains a list of all the claim change reason codes associated with the invoice record. |
| ExtractedInstanceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this Chronicles record was extracted. This is populated only if you use IntraConnect. |
| InvoiceLastServiceDate | DATETIME | The to (maximum) service date for the invoice number. This date is determined from the transaction on the invoice with the most recent service date. |
| PhysicalRecordOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this Chronicles record. This is populated only if you use IntraConnect. |
| SourceInvoiceNumber | VARCHAR | This column stores the invoice number that generated the current invoice number. |
| InvoiceMailingAddressCityStateZip | VARCHAR | The bill/statement or claim mailing city, state, and ZIP Code for the invoice number. |
| ClaimClosedWithinFollowUpPeriodIndicator | VARCHAR | Denotes if the claim closed prior to its Suggested Initial Follow-up Date, whereby it was no longer outstanding to insurance. The claim closed date is based on the CRD item of the same name (I CRD 86) if set, else the Final Follow-up Completed Date (I INV 133). |
| InvoiceNumber | VARCHAR | The specific invoice number for the bill or claim. Subsequent invoice numbers may be secondary claims or primary claims that were resubmitted to the same payer. |
| ClaimChangeCommentText | VARCHAR | Contains a list of all the claim change comments associated with the invoice record. |
| InvoiceMailingName | VARCHAR | The bill/statement or claim mailing name for the invoice number. |
| InvoiceMailingAddressCountry | VARCHAR | Stores the mailing address country. |
| ClaimReconciliationRecordIdentifier | VARCHAR | The claim reconciliation record ID. |
| IsBenefitsPredeterminationRequest | VARCHAR | Stores a Yes/No indicator that the associated record represents a request for a predetermination of benefits. |
| LastFollowUpCompletedDate | DATETIME | This item shows the final date all the follow-up records were completed and is based on the last Completed Date (I FOL 122). It will only have a value if all of the follow-up records are currently completed. Should one reopen, this value will also be cleared. |
| VisitNumber | VARCHAR | The visit number for the invoice number. |
| ClaimExternalValueIdentifier | NUMERIC | The unique ID associated with the claim external value record for this row. Values derived from the claim print record or edited by the user will be stored in the claim external value. Form output will be based on the claim external value. |
| EpisodeIdentifier | VARCHAR | The Episode ID. |
| InvoiceMailingPhoneNumber | VARCHAR | The mailing phone number for the invoice number. |
| PaperFormRecordIdentifier | VARCHAR | The unique ID associated with the paper form record for this row. If the invoice was processed on an electronic form, this column will be blank. |
| WasCreatedDuringDemandClaimRun | VARCHAR | This column indicates whether the invoice was created in a demand claim run. |
| InvoiceOperatingProviderIdentifier | VARCHAR | The operating provider ID |
| ClaimDefinitionFileIdentifier | NUMERIC | The claim definition file ID. |
| InvoiceNumberLine | INTEGER | The line number for the invoice number associated with the invoice record. Multiple invoice numbers can be associated with a single invoice record. |
| ClaimCoverageFilingOrderPosition | INTEGER | This column holds the filing order position of the claim coverage at the time claims were processed. |
| InvoiceStatus | INTEGER | The status for the invoice number. |
| PayerIdentification | NUMERIC | The payer ID. |
| InvoiceLateReplacementClaimIndicator | INTEGER | Flag to indicate the late replacement claim status of the invoice. |
| InvoiceForceResubmittedIndicator | VARCHAR | Indicates whether the invoice number was force-resubmitted from a claim edit workqueue. |
| InvoiceClaimRunNumber | VARCHAR | The claim run number. |
| IsCrossoverClaim | VARCHAR | Indicates whether the invoice number is a crossover claim. This usually only applies to secondary claims and indicates that although the claim associated with the invoice was created, it was suppressed from a claim run. |
| ReferralIdentification | VARCHAR | The referral ID. |
| CanceledInvoiceNumbers | VARCHAR | Contains a list of all the canceled invoice numbers associated with the invoice record. |
| ClaimInformationIdentifier | NUMERIC | The claim information record ID. |
| ReplacedInvoiceNumbers | VARCHAR | Contains a list of all the replaced invoice numbers associated with the invoice record. |
| InvoiceTaxIdentificationType | VARCHAR | The tax ID/IRS number type for the invoice number. |
| InvoiceTaxIdentificationNumber | VARCHAR | The tax ID/IRS number for the invoice number. |
| ElectronicFormIdentifier | VARCHAR | The electronic form ID. Blank if not electronic. |