PointOfServiceSystemDefinition
This table contains information from system settings in the Point of Service System Definitions (POS).
| Column Name | Type | Description |
|---|---|---|
| OncologyReauthorizationDoseIncreaseThresholdPercentage | NUMERIC | The threshold percent for dose increases for triggering a referral needing reauth. |
| IntraConnectOwningInstanceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| FinancialCommitmentIdentifierType | NUMERIC | The Identity ID type to use for the provision ID of a financial commitment or service voucher. |
| ReferralAutoCloseReasonNoVisitsLeft | VARCHAR | When a referral is automatically closed due to no remaining visits, this Close Reason will be populated on the referral. |
| CloseReferralWhenIncurredButNotReportedOverdueIndicator | VARCHAR | When a referral's IBNR pay until date has passed, the referral will be closed if this field is set to Yes or is left null. This field is used only when Referrals Management is licensed. |
| CloseReasonNoRemainingClaims | VARCHAR | When a referral is automatically closed due to no remaining claim counts, this Close Reason will be populated on the referral. |
| ReferralStatusWhenAuthorizationNotNeeded | INTEGER | The status to set a referral to when auth isn't needed. |
| PointOfServiceDefinitionIdentifier | NUMERIC | The unique identifier (.1 item) for the definition record. |
| CloseReferralWhenVisitsDepletedIndicator | VARCHAR | When a referral has no visits left, the referral will be closed if this field is set to Yes or is left null. |
| OncologyCheckCurrentDayAuthorizationOnlyIndicator | VARCHAR | This setting determines whether or not the system should look at the authorization status of the current day in the treatment plan. If checked, the authorization status of the current treatment plan day will be considered when displaying the authorization status of the plan in Beacon. By default, this will be blank and the system will look at the referral authorization status. |
| CloseReferralWhenIncurredButNotReportedIsZeroIndicator | VARCHAR | When an outgoing referral's IBNR is reduced to zero, the referral will be closed if this field is set to Yes or is left null. This field is used only when Referrals Management is licensed. |
| 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. |
| GenerateReferralForSelfPayPatientIndicator | VARCHAR | Whether to generate referrals for patients without coverages. |
| PointOfServiceAvoidableBedDayTypeIdentifier | NUMERIC | The bed day type which represents an Avoidable bed day in the referral-level Bed Days form of the patient's authorization/certification record. This bed day type can be used to determine which rows in the REFERRAL_BED_DAY table should be classified as Avoidable day events. |
| OncologyCopyDiagnosisForFinalizedReferralIndicator | VARCHAR | Whether or not changes to the plan problems should get copied to the referral if the referral is in a final status. |
| UmOdagReferralExclusionRuleIdentifier | VARCHAR | Stores the unique identifier of a rule that determines which referrals should be excluded from all ODAG reports. |
| IsPreCertificationNumberAuthorizationIndicator | VARCHAR | This item stores whether or not a coverage-level pre-cert number should be considered an approved authorization for referrals. |
| OncologyExcludeBlankDepartmentAuthorizationRequiredIndicator | VARCHAR | Whether plans without an infusion department should use prior auth or not. |
| ReferralCloseReasonForNoIncurredButNotReported | VARCHAR | When a referral is automatically closed due to no remaining IBNR, this Close Reason will be populated on the referral. |