ReferralCoverageAuthorization
The contains coverage auth/cert information for referrals.
| Column Name | Type | Description |
|---|---|---|
| GenericString5 | VARCHAR | Generic string item for general use |
| CommunityPhysicalOwnerInstanceIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this Chronicles record. This is populated only if you use IntraConnect. |
| ReferralCoverageAuthorizationGenericCategoryFour | INTEGER | Generic category for general use |
| IsPrecertification | VARCHAR | Indicates whether pre-cert is required for this coverage |
| IsCoinsuranceMet | VARCHAR | Coinsurance is a percentage of an eligible expense that you are required to pay for a covered service. This field tracks whether or not the patient has paid that amount. |
| ReferralPrecertificationBenefitsStatus | VARCHAR | Status of the pre-certification benefits |
| ChroniclesSourceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this Chronicles record was extracted. This is populated only if you use IntraConnect. |
| ReferralCoverageAuthorizationGenericCategoryFive | INTEGER | Generic category for general use |
| ReferralBenefitsNoteIdentifier | VARCHAR | The unique ID of the note containing benefits information entered on the referral. |
| ReferralCoverageAuthGenericNumericTen | NUMERIC | Generic numeric item for general use |
| PrecertificationBenefitCheckUserID | VARCHAR | ID of user who checked pre-cert benefits information |
| PreCertificationFaxNumber | VARCHAR | Fax number for pre-certification information |
| ReferralCoverageGenericCategory7 | INTEGER | Generic category for general use |
| PrecertificationAgencyPhoneNumber | VARCHAR | Phone number of the agency used for precertification |
| ReferralCoverageGenericNumericItem5 | NUMERIC | Generic numeric item for general use |
| GenericNumericItem1 | NUMERIC | Generic numeric item for general use |
| IsPrecertificationBenefitsCheckRequired | VARCHAR | Indicates whether a pre-certification benefits check is required |
| PrecertificationAgencyIdentification | VARCHAR | ID of the agency used for precertification |
| ReferralCoverageAuthorizationGenericNumericItem6 | NUMERIC | Generic numeric item for general use |
| PrecertificationClinicalInformation | VARCHAR | Phone number for pre-cert clinical information |
| GenericNumericItemSeven | NUMERIC | Generic numeric item for general use |
| PrecertificationClinicalContactName | VARCHAR | Contact individual for pre-cert clinical information |
| ReferralCoverageAuthorizationGenericCategoryEight | INTEGER | Generic category for general use |
| HasPreexistingConditionIndicator | VARCHAR | Contains whether or not pre-existing conditions are present. It is used to track whether or not the patient has pre-existing conditions that may impact their benefits. |
| AuthorizationEndDate | DATETIME | The end date of the period authorized by the payor. |
| ReferralCoverageAuthGenericDateFive | DATETIME | Generic date item for general use |
| PreexistingConditionValue | VARCHAR | Contains Pre-existing conditions value. If the patient has pre-existing conditions that may impact their benefits, this field is used to document the pre-existing conditions. |
| GenericUsageDateOne | DATETIME | Generic date item for general use |
| OutOfPocketMetAmount | NUMERIC | Contains Out of Pocket Met Amount. This fields tracks how much the patient has paid towards their out of pocket expenses. |
| PrecertificationBenefitCheckDate | DATETIME | Date on which pre-cert benefits were checked |
| IsOutOfPocketExpenseMet | VARCHAR | This fields tracks whether or not the patient has paid their out of pocket expenses. |
| ReferralCoverageAuthorizationGenericNumericItem3 | NUMERIC | Generic numeric item for general use |
| PatientDeductibleAmountMet | NUMERIC | Contains Deductible Met Amount. A deductible is the amount you must pay before the Plan begins to pay benefits. This field tracks how much the patient has paid. |
| ReferralCoverageAuthorizationGenericDateThree | DATETIME | Generic date item for general use |
| ReferralCoverageGenericTimeFour | NUMERIC | Generic time item for general use |
| ReferralCoverageGenericNumericFour | NUMERIC | Generic numeric item for general use |
| PrecertificationAgencyContactName | VARCHAR | Contact individual for the pre-certification agency |
| AuthorizationStartDate | DATETIME | The beginning date of the period authorized by the payor |
| ReferralCoverageGenericNumericItemTwo | NUMERIC | Generic numeric item for general use |
| ReferralCoverageGenericCategoryTwo | INTEGER | Generic category for general use |
| ReferralCoverageAuthorizationGenericCategorySix | INTEGER | Generic category for general use |
| GenericStringTwo | VARCHAR | Generic string item for general use |
| PrecertificationReceivedDateTime | DATETIME | Date on which pre-certification information was received |
| ReferralCoverageAuthorizationLifetimeMaximumAmount | NUMERIC | Contains Lifetime Maximum Amount: The maximum amount that the insurance company will cover for this patient over the course of their lifetime. |
| ReferralCoverageAuthGeneralStringOne | VARCHAR | Generic string item for general use |
| HasDeductibleBeenMetIndicator | VARCHAR | A deductible is the amount you must pay before the Plan begins to pay benefits. This field tracks whether or not the patient has paid that amount. |
| ReferralCoverageAuthLineNumber | INTEGER | The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
| GenericTimeThreeSecondsSinceMidnight | NUMERIC | Generic time item for general use |
| ReferralCoverageGenericCategoryThree | INTEGER | Generic category for general use |
| ReferralCoverageAuthGeneralPurposeNumericValueEight | NUMERIC | Generic numeric item for general use |
| GeneralStringValueFour | VARCHAR | Generic string item for general use |
| PrecertificationBenefitsPhoneNumber | VARCHAR | Phone number to use for pre-cert benefits checking |
| ReferralGenericCoverageLevelCategoryTen | INTEGER | Generic category for general use |
| ReferralCoverageGenericStringThree | VARCHAR | Generic string item for general use |
| MaximumOutOfPocketAmount | NUMERIC | Contains Maximum Out of Pocket Amount: The most you pay in coinsurance during a benefit plan year. After you reach your out-of-pocket maximum, your medical plan option pays 100% (unless balance billing applies) of eligible expenses for the remainder of the benefit plan year |
| ReferralPrecertificationCommentNoteIdentification | VARCHAR | The unique ID of the note containing pre-certification comments entered on the referral. |
| GenericDateTwo | DATETIME | Generic date item for general use |
| ReferralCoverageGenericCategory9 | INTEGER | Generic category for general use |
| ReferralCoverageAuthorizationGenericNumericItemNine | NUMERIC | Generic numeric item for general use |