ProfessionalBillingTransactionDetails
This table contains information about professional billing transactions.
| Column Name | Type | Description |
|---|---|---|
| LinkedProtocolContactSerialNumber | NUMERIC | Contact serial number of the charge's linked protocol version within linked research study or linked treatment plan. |
| FirstProfessionalBillingTransactionIdentification | NUMERIC | Stores the transaction ID of the first transaction in a chain of transactions. Note that this chain will include transactions from both Hospital Billing and Professional Billing, so this item will return the very first transaction. For a given transaction, either column ARPB_TRANSACTIONS2.FIRST_HTR_ID, or column ARPB_TRANSACTIONS2.FIRST_ETR_ID will be populated. This is different from column ARPB_TRANSACTIONS2.FIRST_TX_ID, which only chains back to the point that the transaction was transferred from Hospital Billing. |
| ProtocolCycleDayIdentifier | VARCHAR | The record ID for the charge's linked cycle in the protocol linked to either a research study or a treatment plan. |
| LastInvoiceNumberOnAcceptedClaim | VARCHAR | The last invoice number from when a transaction was on an accepted claim run. |
| LastStatementDate | DATETIME | The last date a transaction was on an accepted statement run. |
| InitialClaimSubmissionDate | DATETIME | The first date a transaction was on an accepted claim run. |
| TransactionOriginalPatientIdentifier | INTEGER | A unique identifier based on the patient this transaction was originally posted to. This is not to be confused with the patient CSN. This item should not change once set and was previously called a purge stamp. |
| VoidedInsuranceAmount | NUMERIC | The total amount owed from insurance at the time a charge was voided. This includes previously applied payments and adjustments. |
| ResearchChargeRoutingCategory | INTEGER | Category value to indicate how a charge related to a research study was routed, either to the research study guarantor account or to the patient's account. |
| ResearchStudyOriginalPatientAccountIdentifier | NUMERIC | Stores the original patient account for charges billed to the guarantor account related to a research study. |
| TransactionIdentifier | NUMERIC | The unique identifier for the transaction record. |
| FirstTransactionIdentifier | NUMERIC | Stores the ETR ID of the first transaction in a chain of transactions. Note that this chain does not include transactions from HB, so this item will not return the very first transaction if it was transferred between HB and PB. If you want the very first transaction in this case, then use column ARPB_TRANSACTIONS2.FIRST_HTR_ID, or column ARPB_TRANSACTIONS2.FIRST_ETR_ID. |
| OriginalBundledPaymentHospitalTransactionIdentifier | NUMERIC | The original bundled payment hospital transaction ID. |
| IsPreServicePaymentIndicator | VARCHAR | Indicates whether or not this is a pre-service payment, such as a co-pay. This item is only populated for self-pay payments. A payment is considered pre-service if it is a visit pre-pay or co-pay payment (such as during check-in). |
| TransactionPricingAlgorithmIdentifier | INTEGER | Stores the pricing algorithm that was used to price the charge. |
| FirstHospitalTransactionIdentification | NUMERIC | Stores the hospital transaction ID of the first transaction in a chain of transactions. Note that this chain will include transactions from both Hospital Billing and Professional Billing, so this item will return the very first transaction. For a given transaction, either column ARPB_TRANSACTIONS2.FIRST_HTR_ID, or column ARPB_TRANSACTIONS2.FIRST_ETR_ID will be populated. This is different from column ARPB_TRANSACTIONS2.FIRST_TX_ID, which only chains back to the point that the transaction was transferred from Hospital Billing. |
| TransactionEnteredInstant | DATETIME | The transaction entered instant (date and time in UTC) for manually posted payments. The transaction filing instant (date and time in UTC) for electronically posted payments. |
| PaymentRoutingCode | INTEGER | This column returns the routing code stored in the cash control group (DPR) or the payment batch global. |
| ResearchEnrollmentIdentification | NUMERIC | The unique ID of the research study association linked to this charge. |
| TransactionReferenceFeeScheduleIdentifier | NUMERIC | Holds the fee schedule that is used in the calculation of the reference amount. This is set by the system and is applicable only to charges. |
| ExpectedReimbursementSourceCode | INTEGER | The item stores how the reimbursement amount was calculated for the charge. |
| ClaimRemovalReasonCategory | INTEGER | Stores the reason charge was removed from the claim queue. |
| FirstInvoiceNumber | VARCHAR | The first invoice number from when a transaction was on an accepted claim run. |
| TransactionOutstandingBalanceCategoryIdentifier | INTEGER | The type of balance category ID for the transaction |
| UniqueDayNumberSourceCategory | INTEGER | Category value to indicate how the charge's linked cycle was determined. |
| ProviderNetworkStatusOnServiceDate | INTEGER | Basic indicator of whether a provider was in or out of network on the service date of a transaction |
| NonRespondersProgramSuspendedIndicator | VARCHAR | This item indicates whether NRP is currently suspended. |
| OutstandingClaimStatus | INTEGER | The status of an outstanding claim that is attached to a transaction. |
| IsDenialRateDenial | VARCHAR | Indicates if the current payment is included in denial rate metric as a denial. Payments with a value of 'Y' are included as denials in both the numerator and denominator. Payments with a value of 'N' are included as clean payments in the denominator. Payments that have denials only for duplicate claims (reason code 18), as well as recoupments of previous denials, are not included in denial rate metrics and have a null value. |
| OwningInstanceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| PostingDepartmentIdentifier | NUMERIC | The department where the transaction was posted. |
| PatientWisdomProcedureIdentifier | NUMERIC | Patient dental procedure that was respected by the temporary transaction that filed into this transaction. |
| OriginalContractReimbursementAmount | NUMERIC | The item stores the original reimbursement amount calculated by contract if the original reimbursement amount is overridden. |
| WriteOffReasonCode | INTEGER | The reason a credit adjustment was posted. This is determined programmatically when possible (e.g. contractual adjustments, self-pay discounts). Otherwise, this is the write-off reason associated with the adjustment category for this adjustment. |
| PostedNotBilledType | INTEGER | This item stores Posted Not Billed type for the charge. |
| OriginalPaymentTransactionIdentifier | NUMERIC | For the negation payment generated during a payment reversal, this item stores the transaction ID of the original payment. |
| HospitalAccountRestrictionDischargeToDate | DATETIME | Displays the hospital account restriction discharge to date. |
| ResultingScheduledPaymentIdentifier | NUMERIC | Stores the scheduled payment record that resulted in this payment. |
| ResearchProtocolCycleName | VARCHAR | The display name of the cycle of this transaction for the associated protocol. This column is only set for research-related charges. |
| ResearchStudySourceCategory | INTEGER | Category value to indicate how the charge's associated research study was determined. |
| MinimumDentalUpgradeUsualCustomaryAmount | NUMERIC | Stores the minimum UCA of from all coverages in filing order |
| FirstStatementRunDate | DATETIME | The first date a transaction was on an accepted statement run. |
| SpecialChargeTypeCategoryIdentifier | INTEGER | The special type category ID for the charge. |
| OriginalBundledPaymentTransactionIdentifier | NUMERIC | The original bundled payment transaction ID. |
| 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. |
| TransactionPostingSource | INTEGER | Returns the source from which the payment is posted in the system. This is calculated based on the transaction source on the ETR. |
| StatementHoldReason` | INTEGER | The reason why the transaction was held in PB statement processing. |
| SourceTaxTransactionIdentification | NUMERIC | Stores the source transaction for a tax charge |
| TransactionAdjustmentCategoryCode | INTEGER | Stores the adjustment category of the associated adjustment code when the credit adjustment is posted. |
| SuspendedNextResponsiblePartyUserIdentifier | VARCHAR | This item stores the suspended next responsible party user for the transaction. |
| ReferralOverrideUserID | VARCHAR | This item stores the user who overrode the referral associated with this charge. |
| TransactionOriginalAccountIdentifier | INTEGER | A unique identifier based on the account this transaction was originally posted to. This item should not change once set. This item was previously called a purge stamp. |
| ParentTransactionIdentifier | NUMERIC | This column contains the charge ID that created this transaction during transaction filing. This is used for anesthesia supplemental charges, charge quantity splitting, and charge shadowing. |
| ResearchProtocolDayName | VARCHAR | The display name of the day of this transaction for the associated protocol. This column is only set for research-related charges. |
| ChargeOrderTreatmentDayContactSerialNumber | NUMERIC | The contact serial number of the treatment day that generated this charge's order. This contact serial number can be linked to TRG_UPDATE_INFO.CONTACT_SERIAL_NUM for additional information on the treatment day. This treatment day is contained within the treatment plan specified in ARPB_TRANSACTIONS2.TREATMENT_PLAN_CSN. |
| ChargeTransactionPlaceOfServiceType | INTEGER | Place of service type for a charge transaction. |
| GeneratingTreatmentPlanContactSerialNumber | NUMERIC | The contact serial number of the treatment plan that generated the order, which generated this charge. |
| EnterpriseSelfPayInterestAgingDate | DATETIME | Enterprise Self-pay Interest Aging Date |
| TransactionProviderNetworkLevelCategory | VARCHAR | The provider's level of network involvement category ID for the transaction. |
| AssociatedResearchStudyIdentifier | VARCHAR | The record ID for the research study or client associated with the charge. |
| FirstTransactionPostDate | DATETIME | Stores the post date of the first transaction in a chain of transactions. Note that this chain does not include transactions from HB, so this item will not return the very first transaction if it was transferred between HB and PB. If you want the very first transaction in this case, then item ETR 17360 – First HTR ID, or item ETR 17370 – First ETR. |
| FinalizedDentalEstimateRecordIdentifier | NUMERIC | This column contains the Patient Estimate (PES) record ID for a dental estimate that is finalized and is linked to this charge. If the charge was triggered from dental and if there is a dental estimate associated with the encounter (in a status of "Finalized"), that estimate's record ID will be stored in ETR item 1801 and extracted in this column. The item and column are not updated if and when the original finalized estimate is replaced. |
| VisitDoNotBillInsuranceIndicator | VARCHAR | This item indicates whether the visit has been marked as do not bill insurance. |
| ResearchBillingModifierType | INTEGER | The research billing modifier type for a research study related charge. |
| InitialTransactionInvoiceIdentifier | NUMERIC | The first invoice ID from when a transaction was on an accepted claim run. |
| TransactionReportingTypeCategoryIdentifier | INTEGER | The reporting transaction type category ID for the transaction. |
| StatementInterventionWorkqueueIdentifier | VARCHAR | The unique WQF ID of the account workqueue which is used to follow-up on the transactions excluded from the statement run. |
| HospitalBillingTransferSourceTransactionIdentifier | NUMERIC | The transfer source HTR ID for transactions transferred from Hospital Billing. |
| TransactionFinancialDivisionIdentifier | NUMERIC | The Financial Division for this transaction. Taken from the ETR listed or from the associated Bill Area, as found in ARPB_TRANSACTIONS |
| RemittanceImageIdentification | VARCHAR | Used for storing the remittance image ID (IMD) for this transaction. |
| PaymentReversalTransactionIdentifier | NUMERIC | This virtual item returns the reversal transaction ID for a reversed payment. |
| InvoiceCoveragePlanIdentifier | NUMERIC | This column contains the coverage plan associated with the invoice number stamped on an insurance payment or credit adjustment. |
| ReferralOverrideSource | INTEGER | This item stores the referral override source. The options are 1-User or 2-System. |
| OriginalPriceOverriddenIndicator | VARCHAR | Permanent transaction indicator used during repost/correct/retro to determine if the charge's price was originally overridden. |