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

REMITTANCE_DETAILS

Payments and adjustments reported for the patient's claims in an 835 file. Single Population

File
data/REMITTANCE_DETAILS.csv
Category
patient
Primary key
REMIT_FILENAME, SEQUENCE_NO, REMIT_SET_NUMBER
Columns
53

01Relates to the patient

ACCOUNT is the patient's ACCOUNT

Single-patient export: the patient's rows.

02References

  • REMIT_FILENAME, REMIT_SET_NUMBER → REMITTANCE_SETS.REMIT_FILENAME, REMIT_SET_NUMBER

03Columns

#ColumnTypeSource typeNullNotes
1REMIT_FILENAME PKstringvarchar(100)no
2SEQUENCE_NO PKintegerintno
3BATCH_NOstringvarchar(20)no
4INVOICEintegerintno
5LINE_NOintegerintno
6ACCOUNTstringvarchar(12)no
7FIRST_NAMEstringvarchar(25)yes
8LAST_NAMEstringvarchar(35)yes
9MIstringchar(1)yes
10REFERENCE_NOstringvarchar(30)yes
11CHECK_NOstringvarchar(20)yes
12COMPANY_CODEstringvarchar(20)yes
13PAYOR_IDstringvarchar(15)yes
14INSURANCE_IDstringvarchar(25)yes
15REMIT_CODEstringvarchar(5)yes
16REMIT_STATUSstringvarchar(4)yes
17TRANSACTION_DATEdatetimedatetimeyes
18TRANSACTION_TYPEintegerintyes
19AMOUNTdecimaldecimal(19,4)yes
20AMOUNT_PAIDdecimaldecimal(19,4)yes
21APPROVED_AMOUNTdecimaldecimal(19,4)yes
22COINSURANCE_AMOUNTdecimaldecimal(19,4)yes
23COINSURANCE_CODEstringvarchar(20)yes
24DEDUCTIBLE_AMOUNTdecimaldecimal(19,4)yes
25POSTEDstringchar(1)no
26PROC_CODEstringvarchar(20)yes
27DATE_OF_SERVICEdatetimedatetimeyes
28DATE_OF_SERVICE_THRUdatetimedatetimeyes
29PROVIDER_IDstringvarchar(15)yes
30LOCATOR_CODEstringvarchar(3)yes
31MEDICAID_SPECIALTY_CODEstringvarchar(3)yes
32REMIT_NUMBERstringvarchar(20)yes
33REMARK_CODEstringvarchar(5)yes
34REMARK_CODE_2stringvarchar(5)yes
35REMARK_CODE_3stringvarchar(5)yes
36REMARK_CODE_4stringvarchar(5)yes
37REMARK_CODE_5stringvarchar(5)yes
38REMIT_SET_NUMBER PKstringvarchar(40)no
39AUTO_XOVER_PAYORstringvarchar(40)yes
40AUTO_XOVER_PAYOR_IDstringvarchar(15)yes
41ACCEPT_ASSIGNMENTstringchar(1)yes
42POS_CODEstringvarchar(2)yes
43AMOUNT_ADJdecimaldecimal(19,4)yes
44ADJ_GROUP_CODEstringvarchar(2)yes
45PAT_RESPONSIBLITY_AMOUNTdecimaldecimal(19,4)yes
46APG_CODEstringvarchar(4)yes
47APG_FULL_WEIGHTdecimaldecimal(19,4)yes
48APG_ALLOWED_PERCENTAGEstringvarchar(5)yes
49APG_EXISTING_OP_AMOUNTdecimaldecimal(19,4)yes
50APG_CAPITAL_ADDONdecimaldecimal(19,4)yes
51APG_ZERO_PAID_LINEstringvarchar(5)yes
52APG_AMOUNT_PAIDdecimaldecimal(19,4)yes
53COPAY_DUEdecimaldecimal(19,4)yes