Table Detail Report
PFT_ENCNTR_HIST
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | PFT ENCNTR HIST |
| Definition: | ProFit's encounter history |
| Table Type: | ACTIVITY |
Column Detail - PFT_ENCNTR_HIST
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACCT_ID | NUMBER | N | Candidate key reference to an account. |
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| ADJUSTMENT_BALANCE | FLOAT | Y | Total adjustment balance for financial encounter in history. |
| ADJ_BAL_DR_CR_FLAG | NUMBER | Y | Determines if the Balance is a Debit or Credit Balance |
| APPLIED_PAYMENT_BALANCE | FLOAT | Y | Total applied payment balance for financial encounter in history. |
| BAD_DEBT_BALANCE | FLOAT | N | Bad debt balance on finanical encounter |
| BAD_DEBT_BAL_DR_CR_FLAG | NUMBER | N | debit/credit flag for bad_debt_balance field |
| BALANCE | FLOAT | Y | Total balance for financial encounter in history. |
| BEG_EFFECTIVE_DT_TM | DATE | Y | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| BILLING_ENTITY_ID | NUMBER | N | Billing Entity ID |
| BILL_STATUS_CD | NUMBER | N | Billing status of an invoice. Examples: Complete, Inprocess, Generated |
| CHARGE_BALANCE | FLOAT | Y | Total Charge Balance for financial encounter in history. |
| CHRG_BAL_DR_CR_FLAG | NUMBER | Y | Charge Balance Debit Credit Flag for financial encounter in history.0 - Unknown or zero balance.1 - Debit Balance2 - Credit Balance |
| COL_LETTER_IND | NUMBER | N | Indicates this financial encounter is excluded from collection letters |
| COMBINED_INTO_ID | NUMBER | N | Candidate key reference to a PFT Encounter. |
| CONSOLIDATION_IND | NUMBER | N | Indicates this financial encounter is excluded from a consolidation statement |
| CR_START_DT_TM | DATE | Y | stores the start of the cardiac rehab treatment |
| CR_TOTAL_VISITS | NUMBER | Y | stores the running total of cardiac rehab treatment visits |
| DISCH_DT_TM | DATE | Y | Discharged Date Time of financial encounter in history. |
| DR_CR_FLAG | NUMBER | Y | Flag identifying whether the balance is debit or credit. |
| DUNNING_HOLD_IND | NUMBER | N | Indicates if this financial encounter remains at the same dunning level regardless of other criteria |
| DUNNING_IND | NUMBER | N | Indicates this financial encounter is exluded from dunning messages |
| DUNNING_LEVEL_CD | NUMBER | N | Dunning Level Cd for financial encounter in history. |
| DUNNING_LEVEL_CHANGE_DT_TM | DATE | Y | Date and Time of Dunning Level Change for the financial encounter in history. |
| DUNNING_LEVEL_CNT | NUMBER | Y | Dunning Level Count for financial encounter in history. |
| ENCNTR_ID | NUMBER | N | This is the value of the unique primary identifier of the encounter table. It is an internal system assigned number. |
| END_EFFECTIVE_DT_TM | DATE | Y | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| EXT_BILLING_IND | NUMBER | Y | External Billing Indicator for financial encounter in history. |
| FIN_CLASS_CD | NUMBER | N | Financial Class Code |
| GOOD_WILL_IND | NUMBER | Y | Tells if the ProFit encounter is being paid off timely. |
| INTERIM_BILL_IND | NUMBER | Y | Indicates whether or not an encounter qualifies for interim billing. |
| INTERIM_IND | NUMBER | Y | Interim Indicator for financial encounter in history. |
| LAST_ADJUSTMENT_DT_TM | DATE | Y | Date of the last adjustment made against this encounter |
| LAST_CLAIM_DT_TM | DATE | Y | Date of the last claim made against this encounter |
| LAST_PATIENT_PAY_DT_TM | DATE | Y | The latest date/time of a patient payment |
| LAST_STMT_DT_TM | DATE | Y | Date of the last Statement made against this encounter |
| OT_START_DT_TM | DATE | Y | stores the start of the occupational therapy treatment |
| OT_TOTAL_VISITS | NUMBER | Y | stores the running total of occupational therapy treatment visits |
| PAYMENT_PLAN_FLAG | NUMBER | Y | This fields holds a flag value that defines the type of payment plan. |
| PAYMENT_PLAN_STATUS_CD | NUMBER | N | This field defines the status of the payment plan |
| PFT_ENCNTR_HIST_ALIAS | VC2(215) | Y | stores the financial encounter's alias which will be used to identify the financial encounter |
| PFT_ENCNTR_HIST_ID | NUMBER | N | Uniquely identifies a historical record of a ProFit encounter. |
| PFT_ENCNTR_ID | NUMBER | N | Foreign key reference to a ProFit encounter. |
| PFT_ENCNTR_STATUS_CD | NUMBER | N | Active or Pending |
| PT_START_DT_TM | DATE | Y | stores the start of the physical therapy visits |
| PT_TOTAL_VISITS | NUMBER | Y | stores the running total of physical therapy treatment visits |
| RECUR_BILL_GEN_IND | NUMBER | Y | stores whether or not a bill has been generated for the recurring financial encounter |
| RECUR_BILL_READY_IND | NUMBER | Y | stores whether or not a recurring bill is ready to be generated for a financial encounter. Should only be valued if recur_ind = 1 |
| RECUR_CURRENT_MONTH | NUMBER | Y | stores the value for the current month for recurring billing. Valid values are limited to 1 - 12. |
| RECUR_IND | NUMBER | Y | stores whether or not the financial encounter is related to a recurring clinical encounter. Should only be valued if the encounter type class on the clinical encounter is "RECURRING" |
| RECUR_SEQ | NUMBER | Y | stores the sequence of the recurring financial encounters. Should only be valued if the recur_ind = 1. |
| SELF_PAY_EDIT_FLAG | NUMBER | Y | Values: (0) No edits to self-pay plan (1) Self-pay plan added (2) Self-pay plan removed (3) Self-pay plan out of sequence |
| SEND_COL_IND | NUMBER | N | Indicates this financial encounter is exluded from being sent to collections |
| SLT_START_DT_TM | DATE | Y | stores the start of the speech language therapy treatment |
| SLT_TOTAL_VISITS | NUMBER | Y | stores the running total of speech language therapy treatment visits |
| STMT_BILLING_LEVEL_CD | NUMBER | Y | ** OBSOLETE ** This column is no longer used. This field indicates the level at which statements are billed for the financial encounter. (Ex. Encounter, Balance) ** Obsolete** |
| UNAPPLIED_PAYMENT_BALANCE | FLOAT | Y | Total amount of unapplied payments to the account |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
Relationship Detail - PFT_ENCNTR_HIST
| Child Column in PFT_ENCNTR_HIST(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ENCNTR_ID | ENCOUNTER | ENCNTR_ID |
PFT_EXPCT_ACTUAL_DEF
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | PFT EXPCT ACTUAL DEF |
| Definition: | Client choice of how to handle expected reimbursement vs. actual reimbursement |
| Table Type: | REFERENCE |
Column Detail - PFT_EXPCT_ACTUAL_DEF
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| BEG_EFFECTIVE_DT_TM | DATE | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| BILLING_ENTITY_ID | NUMBER | N | Foreign key to the billing_entity table |
| DOLLAR_THRESHOLD_AMT | FLOAT | N | The dollar threshold that client selects for posting blindly or queueing |
| END_EFFECTIVE_DT_TM | DATE | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| HEALTH_PLAN_ID | NUMBER | N | Foreign key to the health_plan table |
| PERCENT_THRESHOLD_AMT | FLOAT | N | The percentage threshold that the client selects for posting blindly or queueing |
| PERFORMED_ACTION_CD | NUMBER | N | Defines the action that was performed on these adjustments |
| PFT_EXPCT_ACTUAL_DEF_ID | NUMBER | N | Unique identifier for this table |
| RULE_FLAG | NUMBER | N | Distinguishes between rules for match and rules for no match |
| SELECTED_TASK_ID | NUMBER | N | Foreign key to the selected_task table |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PFT_EXPCT_ACTUAL_DEF
| Child Column in PFT_EXPCT_ACTUAL_DEF(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILLING_ENTITY_ID | BILLING_ENTITY | BILLING_ENTITY_ID |
| HEALTH_PLAN_ID | HEALTH_PLAN | HEALTH_PLAN_ID |
PFT_GENERIC_LOG
| Column Section | Top of Page |
Table-level Detail
| Description: | PFT GENERIC LOG |
| Definition: | This is a generic log table that will be used by multiple process w/in ProFit. |
| Table Type: | ACTIVITY |
Column Detail - PFT_GENERIC_LOG
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| BEG_EFFECTIVE_DT_TM | DATE | Y | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| END_EFFECTIVE_DT_TM | DATE | Y | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| LOG_LEVEL_CD | NUMBER | N | Identifies the log level of the record |
| LOG_MESSAGE | VC2(100) | Y | This is a string field that will allow a user to enter a message that corresponds to the record. |
| LOG_VALUE | VC2(100) | Y | This is a string value that allows extra necessary information to be logged independently of the log_message. This could hold billing entity information, for example. |
| PARENT_ENTITY_ID | NUMBER | N | This field holds the value corresponding to the entry defined in the parent_entity_name column. |
| PARENT_ENTITY_NAME | VC2(32) | N | This field defines the parent entity for the record. |
| PFT_GENERIC_LOG_ID | NUMBER | N | This is the unique identifier to the record on the table. |
| PROCESS_TYPE_CD | NUMBER | N | The field defines the process type for the record. |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
PFT_GPCI_CONTENT
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Geographic Practice Cost Index Content |
| Definition: | Stores information from the CMS Geographic Practice Cost Index Fileliability insurance (PLI). Three distinct GPCIs are used to calculate the payment schedule amount for a service in a Medicare locality. |
| Table Type: | REFERENCE |
Column Detail - PFT_GPCI_CONTENT
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | N | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| BEG_EFFECTIVE_DT_TM | DATE | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| END_EFFECTIVE_DT_TM | DATE | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| LOCALITY_CODE_TXT | VC2(2) | Y | Locality code assigned by CMS |
| LOCALITY_NAME_TXT | VC2(50) | Y | Name of locality assigned by CMS |
| MALPRACTICE_GPCI_NBR | FLOAT | Y | Malpractice related geographic practice cost index component |
| ORGANIZATION_ID | NUMBER | N | Identifies the insurance organization that corresponds to the given carrier number organization alias |
| PFT_GPCI_CONTENT_ID | NUMBER | N | Unique identifier for GPCI Content record |
| PRACTICE_GPCI_NBR | FLOAT | Y | Practice related geographic practice cost index component |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
| WORK_GPCI_NBR | FLOAT | Y | Work related geographic practice cost index component |
Relationship Detail - PFT_GPCI_CONTENT
| Child Column in PFT_GPCI_CONTENT(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ORGANIZATION_ID | ORGANIZATION | ORGANIZATION_ID |
PFT_HOLD
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Hold |
| Definition: | ProFit Hold |
| Table Type: | REFERENCE |
Column Detail - PFT_HOLD
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| BEG_EFFECTIVE_DT_TM | DATE | Y | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| BILLING_ENTITY_ID | NUMBER | N | Billing Entity for which the hold is defined |
| END_EFFECTIVE_DT_TM | DATE | Y | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| HOLD_CD | NUMBER | N | Code value indicating the type of hold. |
| HOLD_CRITERIA_IND | NUMBER | Y | Hold Criteria Indicator |
| HOLD_FLAG | NUMBER | Y | Hold Flag (The value and description of that value vary depending on the hold_reason_cd value). |
| HOLD_NAME | VC2(40) | Y | A user-defined name given to the hold rule. |
| HOLD_REASON_CD | NUMBER | N | Code value indicating the reason for hold. |
| PARENT_ENTITY_ID | NUMBER | N | Parent Entity ID |
| PARENT_ENTITY_NAME | VC2(32) | Y | Parent Entity Name |
| PFT_HOLD_ID | NUMBER | N | Primary key |
| PROCESS_PRIORITY_NBR | NUMBER | Y | A value that indicates the order in which the statement cycles should be processed. The highest priority item gets a process_priority_nbr of 1. |
| STND_DELAY | NUMBER | Y | Standard Delay |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PFT_HOLD
| Child Column in PFT_HOLD(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILLING_ENTITY_ID | BILLING_ENTITY | BILLING_ENTITY_ID |
| Parent Column in PFT_HOLD (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | PFT_HOLD_ID | PE_STATUS_REASON | PFT_HOLD_ID |
| PFT_HOLD_CRITERIA | PFT_HOLD_ID |