Data dictionary › Billing: encounters, A/R, claims, remittance

CLAIMS

Insurance claims (CMS-1500 / UB-04 / 837) for an invoice. Single Population

File
data/CLAIMS.csv
Category
patient
Primary key
INVOICE
Columns
87

01Relates to the patient

ACCOUNT is the patient's ACCOUNT

Single-patient export: the patient's rows.

02References

03Columns

#ColumnTypeSource typeNullNotes
1INVOICE PKintegerintno
2AR_ONLYstringchar(1)yes
3ACCOUNTstringvarchar(12)no
4CLAIM_STATUSstringchar(1)no
5CLAIM_CURRENT_PAYORstringvarchar(20)yes
6CLAIM_CURRENT_INS_IDstringvarchar(25)yes
7CLAIM_CLASSstringvarchar(15)yes
8OFFICE_LOCATIONstringvarchar(20)yes
9PROVIDER_CODEstringvarchar(20)yes
10REF_PROV_CODEstringvarchar(20)yes
11ACCIDENT_DATEdatetimesmalldatetimeyes
12DATE_OF_ADMISSIONdatetimesmalldatetimeyes
13EMERGENCYstringchar(1)yes
14OVER_90_REASONstringvarchar(2)yes
15CATEGORYstringvarchar(4)yes
16MEDICAID_SPECIALTY_CODEstringvarchar(3)yes
17ADJUST_VOIDstringchar(1)yes
18CLAIM_REFERENCE_NOstringvarchar(30)yes
19SVC_AUTH_EXCEPTIONstringchar(1)yes
20OTHER_REF_PROVstringvarchar(15)yes
21SERVICE_NAMEstringvarchar(40)yes
22OUTSIDE_LAB_INDstringchar(1)yes
23OUTSIDE_LAB_CHARGESdecimaldecimal(19,4)yes
24PATIENT_STATUS_FORM_Bstringvarchar(2)yes
25COPAYdecimaldecimal(19,4)yes
26WCB_STATUSstringchar(1)yes
27FILE_NUMBERstringvarchar(20)yes
28ENTRY_USER_IDstringvarchar(20)no
29ENTRY_DATEdatetimedatetimeno
30CHANGE_USER_IDstringvarchar(20)no
31CHANGE_DATEdatetimedatetimeyes
32PATIENT_STATUSstringchar(1)yes
33ACCIDENTstringchar(1)yes
34ABORTION_STERILIZATIONstringchar(1)yes
35CHAP_REFERRALstringchar(1)yes
36HANDICAPPED_CHILDRENstringchar(1)yes
37DISABILITYstringchar(1)yes
38FAMILY_PLANNINGstringchar(1)yes
39LOCATOR_CODEstringvarchar(3)yes
40VERIFIEDstringchar(1)yes
41CLAIM_SOURCEstringvarchar(20)no
42CLIA_IDstringvarchar(15)yes
43RECEIPT_NUMBERintegerintyes
44RECEIPT_DATEdatetimedatetimeyes
45ACCEPT_ASSIGNMENTstringchar(1)yes
46SCHOOL_DISTRICTstringvarchar(30)yes
47REFERRAL_SOURCEstringvarchar(30)yes
48NUMBER_OF_VISITSintegerintyes
49PROGRAM_CODEstringvarchar(15)yes
50REV_CODEstringvarchar(5)yes
51AMB_TRIP_DATEdatetimedatetimeyes
52LICENSE_PLATEstringvarchar(10)yes
53APPT_IDintegerintyes
54HOSPICE_IDstringvarchar(15)yes
55ADMIT_DIAG_CODEstringvarchar(8)yes
56ADMISSION_SOURCE_CODEstringchar(1)yes
57ADMISSION_TYPE_CODEstringchar(1)yes
58PATIENT_STATUS_UBstringvarchar(2)yes
59SPEND_DOWNdecimaldecimal(19,4)yes
60DISCIPLINEstringvarchar(2)yes
61PROJECTED_VISITSintegerintyes
62MROstringchar(1)yes
63THERAPY_TYPEstringvarchar(2)yes
64DENIAL_NOTICEstringchar(1)yes
65NUM_ENC_RADIOGRAPHintegerintyes
66NUM_ENC_IMAGEintegerintyes
67NUM_ENC_MODELintegerintyes
68ORTHO_TREATMENT_INDstringchar(1)yes
69DATE_APPLIANCE_PLACEDdatetimedatetimeyes
70MONTHS_TX_REMAINintegerintyes
71REPLACE_PROSTHESISstringchar(1)yes
72DATE_PRIOR_PLACEMENTdatetimedatetimeyes
73PLACE_OF_TREATMENTstringvarchar(2)yes
74DEPT_CODEstringvarchar(15)yes
75DURATION_HOURSintegerintyes
76APG_CODEstringvarchar(4)yes
77DISASTER_RECOVERYstringchar(1)yes
78ARBITRATION_FEEdecimaldecimal(19,4)yes
79EVALUATION_NOTESstringvarchar(240)yes
80PROGRESS_NOTESstringvarchar(240)yes
81TREATMENT_NOTESstringvarchar(240)yes
82HISTORY_DESCstringvarchar(240)yes
83SCHOOL_NAMEstringvarchar(30)yes
84PRE_EXISTING_INJURYstringchar(1)yes
85EPISODE_CARE_IDintegerintyes
86ATTEND_PROVIDER_CODEstringvarchar(20)yes
87COUNTYstringvarchar(30)yes