Table Detail Report
PFT_CM_EVENT_LOG
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Profit Contract Management Event Log |
| Definition: | Contains transaction log entries for contract management changes. |
| Table Type: | ACTIVITY |
Column Detail - PFT_CM_EVENT_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. |
| BILL_ITEM_GROUP2_ID | NUMBER | N | Identifies the associated Bill Item "inclusion" Group |
| BILL_ITEM_GROUP_ID | NUMBER | N | Identifies the associated Bill Item "exclusion" Group |
| BO_HP_RELTN_ID | NUMBER | N | Associates the log record to the BO Health Plan |
| DAYS_OF_SERVICE_CNT | NUMBER | N | Days of service = admit_dt_tm - disch_dt_tm |
| EXCLUDED_CHRG_AMT | FLOAT | N | The total dollar amount of all charges in the excluded list |
| MAX_PRICE_AMT | FLOAT | N | The maximum price the package can have |
| NOMENCLATURE_ID | NUMBER | N | Associates the log record to its Nomenclature |
| OUTLIER_COST_AMT | FLOAT | N | The cost of the package for each day after the outlier days |
| OUTLIER_DAYS_CNT | NUMBER | N | The number of days the package is effective |
| PFT_CM_EVENT_LOG_ID | NUMBER | N | Uniquely identifies each contract management event log |
| PRICE_AMT | FLOAT | N | The price of the package being coded |
| TOTAL_CHRG_AMT | FLOAT | N | The total dollar amount of all charges on the invoice |
| TRANS_ALIAS_ID | NUMBER | N | Related alias for combination of trans_type_cd, trans_sub_type_cd and trans_reason_cd |
| 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_CM_EVENT_LOG
| Child Column in PFT_CM_EVENT_LOG(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BO_HP_RELTN_ID | BO_HP_RELTN | BO_HP_RELTN_ID |
| NOMENCLATURE_ID | NOMENCLATURE | NOMENCLATURE_ID | |
| TRANS_ALIAS_ID | PFT_TRANS_ALIAS | PFT_TRANS_ALIAS_ID |
PFT_HP_COV_SCH_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | PFT HP COV SCH RELTN |
| Definition: | Stores the relationship between health plan and covered/non-covered schedules |
| Table Type: | REFERENCE |
Column Detail - PFT_HP_COV_SCH_RELTN
| 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. |
| ENCNTR_TYPE_CD | NUMBER | N | This is the encounter type code |
| 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 |
| PFT_HP_COV_SCH_RELTN_ID | NUMBER | N | Unique key |
| SCHEDULE_CD | NUMBER | N | Stores the schedule that the health plan is related to |
| 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_HP_COV_SCH_RELTN
| Child Column in PFT_HP_COV_SCH_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | HEALTH_PLAN_ID | HEALTH_PLAN | HEALTH_PLAN_ID |
PFT_HP_MEDIA_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Stores media types needed for each Health_Plan instead of firing off a rule. |
| Definition: | Stores media types needed for each Health_Plan instead of firing off a rule every time we gen a claim to see what media type it goes out on. |
| Table Type: | REFERENCE |
Column Detail - PFT_HP_MEDIA_RELTN
| 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. |
| BATCH_ROUTE_IDENT | VC2(100) | N | Identifies the batch route used to send electronic claims. |
| 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 |
| BILL_TYPE_CD | NUMBER | N | Code value for the bill type |
| 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. |
| MEDIA_SUB_TYPE_CD | NUMBER | N | The Media sub type of the claim. |
| MEDIA_TYPE_CD | NUMBER | N | Media type code from code set |
| PARENT_ENTITY_ID | NUMBER | N | Id to the table identified in parent entity name |
| PARENT_ENTITY_NAME | VC2(250) | N | Table referenced by the parent entity id |
| PFT_HP_MEDIA_RELTN_ID | NUMBER | N | Unique identifier of this table |
| PRIORITY_SEQ | NUMBER | N | The sequence of the priority for this row |
| 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_HP_MEDIA_RELTN
| Child Column in PFT_HP_MEDIA_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILLING_ENTITY_ID | BILLING_ENTITY | BILLING_ENTITY_ID |
PFT_LINE_ITEM
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Line Item |
| Definition: | Stores Line Item data from a claim. |
| Table Type: | ACTIVITY |
Column Detail - PFT_LINE_ITEM
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| BILL_TYPE_CD | NUMBER | N | Identifies type of bill |
| BILL_VRSN_NBR | NUMBER | N | Identifies the Version Number of the Claim |
| CORSP_ACTIVITY_ID | NUMBER | N | Internal number to identify claim |
| DESCRIPTION | VC2(100) | Y | Description of the revenue code for this line on the claim |
| FROM_SERVICE_DT_TM | DATE | Y | From Service Date of the charges on this line of the claim |
| LINE_ITEM_IDENT | VC2(20) | Y | Contains the reference id for the line item on the claim. This column is in the format of nnnnn-rrr where the nnnnn represents the claim number and the sss is a randomly generated number. |
| LINE_NBR | NUMBER | Y | Line number of the given line on a claim |
| MODIFIER_FLAG | NUMBER | Y | Identifies if the modifier_value is a nomenclature_id or a code value |
| MODIFIER_VALUE | FLOAT | Y | Charge Modifier for this line or charge on the claim |
| NONCOVERED_CHARGES | FLOAT | Y | Total Non-Covered Charge Amount for this line on the claim |
| PAGE_NBR | NUMBER | Y | Page number of the give line on a claim |
| PFT_LINE_ITEM_ID | NUMBER | N | Uniquely identifies a line item data from a claim. |
| PROCEDURE_CODE | FLOAT | Y | Procedure Code for this line on the claim |
| REVENUE_CD | NUMBER | N | Revenue code identified for this line on the claim |
| TOTAL_ADJUSTMENTS | FLOAT | N | Total adjustments that have been applied to this charge |
| TOTAL_CHARGES | FLOAT | Y | Total charge amount for this line on the claim |
| TOTAL_PAYMENTS | FLOAT | N | Total Payments that have been applied to this charge |
| TOTAL_UNITS | NUMBER | Y | Units or days of service for this line on the claim |
| TO_SERVICE_DT_TM | DATE | Y | To service date of charges on this line of the claim |
| 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. |
| VARIANCE_AMT | FLOAT | N | Differences between estimated and actual reimbursement. |
Relationship Detail - PFT_LINE_ITEM
| Child Column in PFT_LINE_ITEM(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILL_VRSN_NBR | BILL_REC | BILL_VRSN_NBR |
| CORSP_ACTIVITY_ID | BILL_REC | CORSP_ACTIVITY_ID |
| Parent Column in PFT_LINE_ITEM (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | PFT_LINE_ITEM_ID | BATCH_TRANS_FILE | PFT_LINE_ITEM_ID |
| DENIAL | PFT_LINE_ITEM_ID | ||
| PFT_BR_LINE_STATUS_DETAIL | PFT_LINE_ITEM_ID | ||
| PFT_LINE_ITEM_CHRG_RELTN | PFT_LINE_ITEM_ID | ||
| PFT_LINE_ITEM_DETAIL | PFT_LINE_ITEM_ID |
PFT_LINE_ITEM_ACTIVITY
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Line Item Activity |
| Definition: | Relates activity (Payments, Adjustments, Balance Forwards of other Invoices) from PFT_BILL_ACTIVITY to a Bill |
| Table Type: | ACTIVITY |
Column Detail - PFT_LINE_ITEM_ACTIVITY
| 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. |
| 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 | N | 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. |
| BILL_VRSN_NBR | NUMBER | N | Version number of a bill record |
| CORSP_ACTIVITY_ID | NUMBER | N | The related bill record. |
| 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. |
| PFT_BILL_ACTIVITY_ID | NUMBER | N | Identifies the activity for a bill record |
| PFT_LINE_ITEM_ACTIVITY_ID | NUMBER | N | Identifies related activity (Payments, Adjustments, Balance Forwards of other Invoices) between the Bill and Bill Activity |
| 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_LINE_ITEM_ACTIVITY
| Child Column in PFT_LINE_ITEM_ACTIVITY(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILL_VRSN_NBR | BILL_REC | BILL_VRSN_NBR |
| CORSP_ACTIVITY_ID | BILL_REC | CORSP_ACTIVITY_ID | |
| PFT_BILL_ACTIVITY_ID | PFT_BILL_ACTIVITY | PFT_BILL_ACTIVITY_ID |