ProfessionalBillingVisits
This table contains Professional Billing visit information stored in the Hospital Accounts Receivable (HAR) master file. It doesn’t include HAR records created for Hospital Billing and Single Billing Office.
| Column Name | Type | Description |
|---|---|---|
| ProfessionalBillingVisitPatientIdentification | VARCHAR | Stores the patient associated with the PB visit. |
| ProfessionalBillingVisitSelfPayBalance | NUMERIC | Contains the self-pay balance on the Professional Billing visit. |
| SelfPayResponsibilityAfterDiscount | NUMERIC | The self-pay responsibility after any self-pay or financial assistance discounts are posted on the self-pay bucket. |
| ProfessionalBillingRevenueLocationIdentifier | NUMERIC | The revenue location of the Professional Billing visit. |
| FirstDayOfServicePrimaryPayerIdentifier | NUMERIC | The visit account's primary payer at the end of the first day of service. The first day of service is the minimum charge service date. |
| IsPlaceholderExpectedVisitAccount | VARCHAR | Stores a flag indicating whether the HAR was created as a placeholder expected visit account. |
| FirstBillingDayPrimaryCoverageIdentifier | NUMERIC | The visit account's primary coverage at the end of the first day of billing. The first day of billing for an account is the first insurance claim accept date, the start date of the first self-pay follow-up cycle or the first full self-pay statement date. |
| IsSelfPayVisit | VARCHAR | Indicates whether the Professional Billing visit is self-pay. |
| PrimaryPayerAtBillingCommencement | NUMERIC | The visit account's primary payer at the end of the first day of billing. The first day of billing for an account is the first insurance claim accept date, the start date of the first self-pay follow-up cycle or the first full self-pay statement date. |
| ZeroBalancePrimaryPlanIdentifier | NUMERIC | The visit account's primary plan at the end of the first day the account's active AR balance reaches zero. The first day an account's active AR balance reaches zero is the first date the account balance is sent to collections or the first date the account's balance reaches zero. |
| PrimaryCoverageAtZeroAccountReceivableBalance | NUMERIC | The visit account's primary coverage at the end of the first day the account's active AR balance reaches zero. The first day an account's active AR balance reaches zero is the first date the account balance is sent to collections or the first date the account's balance reaches zero. |
| FirstProfessionalBillingChargeTransactionIdentifier | NUMERIC | Contains the first valid Professional Billing charge on the Professional Billing visit. |
| ProfessionalBillingStatusCategoryIdentifier | INTEGER | This column stores the Professional Billing status category ID for the visit. |
| ProfessionalBillingFinancialClassCategoryIdentifier | VARCHAR | The financial class category ID for the Professional Billing visit. |
| SelfPayBalanceAfterInsurance | NUMERIC | The balance transferred to self-pay after insurance is taken into account. This does not include any self-pay discount, financial assistance, or pre-payments. |
| FirstAcceptedClaimSubmissionDate | DATETIME | The first date an insurance claim was sent, that is accepted, for this visit account. |
| ProfessionalBillingPrimaryCoverageIdentification | NUMERIC | The primary coverage on the Professional Billing visit. |
| PostedNotBilledRuleType | INTEGER | This item stores Posted Not Billed rule type for the account. If there are multiple rules for the charges, this item will store the error type if available, otherwise it'll be warning type. This item will also be indicator that account has charge in Posted Not Billed status. |
| ProfessionalBillingVisitServiceAreaIdentification | NUMERIC | The service area of the Professional Billing visit. |
| DoNotBillInsuranceIndicator | VARCHAR | Indicates whether the Professional Billing visit has the Do Not Bill Insurance flag set. |
| ProfessionalBillingUndistributedBalance | NUMERIC | Contains undistributed balances on the PB visit. |
| ProfessionalBillingFilingOrderOverrideState | INTEGER | This column indicates whether the Professional Billing filing order has been overridden by a user. |
| ProfessionalBillingVisitSplitKey | VARCHAR | This item will store a unique string that will indicate the HAR should not be reused for other charges, unless that unique string is passed in. |
| ProfessionalBillingSplitReferenceDate | DATETIME | Records the beginning service date of the date range used to split PB HARs. Calculated based on the inpatient stay's admission date. |
| HospitalAccountRecordType | INTEGER | Stores the HAR record type for a PB visit. |
| PrimaryEncounterContactSerialNumber | NUMERIC | The contact serial number associated with the primary patient contact on the Professional Billing visit. |
| ProfessionalBillingInsuranceBalanceAmount | NUMERIC | Contains insurance balance on the PB visit. |
| ConfidentialPatientRealName | VARCHAR | Some patients don't wish to be known by their real name and will be known by a pseudonym instead. This column will always hold the real name and HAR .2 will have the pseudonym. This item can only be accessed by users with appropriate Shared security. |
| LastZeroBalancePayerIdentifier | NUMERIC | The visit account's primary payer at the end of the first day the account's active AR balance reaches zero. The first day an account's active AR balance reaches zero is the first date the account balance is sent to collections or the first date the account's balance reaches zero. |
| FirstDayOfServicePrimaryPlanIdentifier | NUMERIC | The visit account's primary plan at the end of the first day of service. The first day of service is the minimum charge service date. |
| VisitParentLocationIdentification | NUMERIC | The location stored in the visit account. Location is only stored in visit accounts if you are assigning hospital account IDs by location instead of service area. |
| ProfessionalBillingTotalPayments | NUMERIC | The total payments on the PB visit. |
| FirstDayOfServicePrimaryCoverageIdentifier | NUMERIC | The visit account's primary coverage at the end of the first day of service. The first day of service is the minimum charge service date. |
| ProfessionalBillingVisitRecordCreationUserIdentifier | VARCHAR | The user who created the Professional Billing visit record. |
| ProfessionalBillingVisitIdentifier | NUMERIC | The unique identifier for the Professional Billing visit. |
| PatientNameOnHospitalAccount | VARCHAR | The name of the patient associated with the hospital account. |
| FirstDayOfServiceFinancialClass | VARCHAR | The visit account's financial class at the end of the first day of service. The first day of service is the minimum charge service date. |
| ProfessionalBillingVisitTotalCharges | NUMERIC | The total charges on the PB visit. |
| BillingPrimaryBenefitPlanIdentifier | NUMERIC | The visit account's primary plan at the end of the first day of billing. The first day of billing for an account is the first insurance claim accept date, the start date of the first self-pay follow-up cycle or the first full self-pay statement date. |
| LastBillingFinancialClass | VARCHAR | The visit account's financial class at the end of the first day of billing. The first day of billing for an account is the first insurance claim accept date, the start date of the first self-pay follow-up cycle or the first full self-pay statement date. |
| IsFullSelfPayBalanceIndicator | VARCHAR | This item shows whether the balances for this hospital account are in full self-pay. |
| LastCharge | DATETIME | Stores the most recent charge service date on the PB visit. |
| IntraconnectCommunityInstanceOwnerIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| RecordSourceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| SpecialVisit | INTEGER | Indicates the special visit type that should prevent transactions that match its type from the HAR. |
| ProfessionalBillingVisitCreationDate | DATETIME | Record creation date for the PB visit. |
| AtZeroAccountsReceivableFinancialClass | VARCHAR | The visit account's financial class at the end of the first day the account's active AR balance reaches zero. The first day an account's active AR balance reaches zero is the first date the account balance is sent to collections or the first date the account's balance reaches zero. |
| ProfessionalBillingEarliestChargeServiceDate | DATETIME | Stores the earliest charge service date on the PB visit. |
| ProfessionalBillingVisitTotalAdjustments | NUMERIC | Contains total adjustments on the PB visit. |