Table Detail Report
CLAIM_TRANS_INFO
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Claims Transaction Information |
| Definition: | The claim_trans_info table holds claim transaction information for a given batch. |
| Table Type: | ACTIVITY |
Column Detail - CLAIM_TRANS_INFO
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| BATCH_TRANS_ID | NUMBER | Y | Uniquely identifies the related remittance batch_id on the BATCH_TRANS table. |
| BILL_VRSN_NBR | NUMBER | Y | Contains the related bill_vrsn_nbr from the BILL_REC table. |
| CAPITAL_EXCEPTION_AMT | FLOAT | Y | MIA24 is the capital exception amount. |
| CAPITAL_OUTLIER_AMT | FLOAT | Y | MIA17 is the Prospective Payment System (PPS) Capital Outlier amount |
| CLAIM_PAY_REMARK_CD_MIA05_TXT | VC2(250) | Y | MIA05 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MIA20_TXT | VC2(250) | Y | MIA20 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MIA21_TXT | VC2(250) | Y | MIA21 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MIA22_TXT | VC2(250) | Y | MIA22 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MIA23_TXT | VC2(250) | Y | MIA23 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MOA03_TXT | VC2(250) | Y | MOA03 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MOA04_TXT | VC2(250) | Y | MOA04 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MOA05_TXT | VC2(250) | Y | MOA05 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MOA06_TXT | VC2(250) | Y | MOA06 is the Claim Payment Remark Code |
| CLAIM_PAY_REMARK_CD_MOA07_TXT | VC2(250) | Y | MOA07 is the Claim Payment Remark Code |
| CLAIM_TRANS_INFO_ID | NUMBER | N | A system generated number that uniquely identifies a row on the CLAIM_TRANS_INFO table. |
| CORSP_ACTIVITY_ID | NUMBER | Y | In conjunction with the bill_vrsn_nbr, uniquely identifies the related claim row on the BILL_REC table. |
| COST_REPORT_DAYS_CNT | NUMBER | Y | MIA15 is the cost report days |
| COVERED_DAYS_CNT | NUMBER | Y | MIA01 is the covered days |
| CREATED_DT_TM | DATE | Y | Date and time the record was created. |
| DISPROPORTION_AMT | FLOAT | Y | MIA06 is the disproportionate share amount |
| DRG_AMT | FLOAT | Y | MIA04 is the Diagnosis Related Group (DRG) amount |
| DSH_CAPITAL_AMT | FLOAT | Y | MIA11 is the Prospective Payment System (PPS) capital, disproportionate share, hospital Diagnosis Related Group (DRG) amount |
| ESRD_PAY_AMT | FLOAT | Y | MOA08 is the End Stage Renal Disease (ESRD) payment amount |
| FEDERAL_DRG_AMT | FLOAT | Y | MIA16 is the federal specific Diagnosis Related Group (DRG) amount |
| FSP_CAPITAL_AMT | FLOAT | Y | MIA09 is the Prospective Payment System (PPS) capital, federal specific portion, Diagnosis Related Group (DRG) amount |
| HOSPITAL_DRG_AMT | FLOAT | Y | MIA14 is hospital specific Diagnosis Related Group (DRG) Amount |
| HSP_CAPITAL_AMT | FLOAT | Y | MIA10 is the Prospective Payment System (PPS) capital, hospital specific portion, Diagnosis Related Group (DRG), amount |
| IME_CAPITAL_AMT | FLOAT | Y | MIA13 is the Prospective Payment System (PPS) capital indirect medical education claim amount |
| MIA_NON_PAYABLE_AMT | FLOAT | Y | MIA19 is the professional component amount billed but not payable |
| MOA_NON_PAYABLE_AMT | FLOAT | Y | MOA09 is the professional component amount billed but not payable |
| OLD_CAPITAL_AMT | FLOAT | Y | MIA12 is the old capital amount |
| OPERATING_OUTLIER_AMT | FLOAT | Y | MIA02 is the Prospective Payment System (PPS) Operating Outlier amount |
| PASS_THROUGH_AMT | FLOAT | Y | MIA07 is the Medicare Secondary Payer (MSP) pass-through amount |
| PAYABLE_AMT | FLOAT | Y | MOA02 is the claim HCPCS payable amount |
| PPS_CAPITAL_AMT | FLOAT | Y | MIA08 is the total Prospective Payment System (PPS) capital amount |
| PSYCH_DAYS_CNT | NUMBER | Y | MIA03 is the lifetime psychiatric days |
| REIMBURSEMENT_RATE_PCT | FLOAT | Y | MOA01 is the reimbursement rate. Percentage expressed as a decimal 0.0 thru 1.0 |
| TEACHING_AMT | FLOAT | Y | MIA18 is the indirect teaching amount |
| UPDT_APPLCTX | NUMBER | Y | 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 | Y | 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 | Y | 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 | Y | 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 - CLAIM_TRANS_INFO
| Child Column in CLAIM_TRANS_INFO(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BATCH_TRANS_ID | BATCH_TRANS | BATCH_TRANS_ID |
| BILL_VRSN_NBR | BILL_REC | BILL_VRSN_NBR | |
| CORSP_ACTIVITY_ID | BILL_REC | CORSP_ACTIVITY_ID |
CONS_BO_SCHED
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | CONS BO SCHED |
| Definition: | Stores guarantor and next billing date info for statement and invoice billing. |
| Table Type: | ACTIVITY |
Column Detail - CONS_BO_SCHED
| 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_GROUP_ID | NUMBER | N | Relates the record to the billing entity group. |
| BILLING_ENTITY_ID | NUMBER | N | Candidate key reference to the billing_entity table. |
| CONSOLIDATION_CD | NUMBER | Y | Determines whether an CONS_BO_SCHED_ID based on this template will be consolidated. |
| CONS_BO_SCHED_ID | NUMBER | N | Primary Key |
| CYCLE_DAY | NUMBER | N | Day of the month on which statement will be generated. |
| 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. |
| GUARANTOR_ACCESS_CODE | VC2(250) | Y | Guarantor's access code to be entered when using on line bill payment - quick payment option. |
| LAST_BILL_DT_TM | DATE | Y | Date of the last bill |
| NEXT_BILL_DT_TM | DATE | Y | Date on which the next bill will be send. |
| ORGANIZATION_ID | NUMBER | N | Candidate key reference to the organization table. |
| PERSON_ID | NUMBER | N | This is the value of the unique primary identifier of the person table. It is an internal system assigned number. |
| PROC_IND | NUMBER | Y | Indicator that is turned on when the nightly batch has processed the cons_bo_sched. Turned off by statement generation process |
| RC_CONT_PROCESS_ID | NUMBER | N | Stores continous workflow process id if the statement generated through continous workflow instead of legacy statement cycle. |
| RESTART_STMT_CYCLE_IND | NUMBER | N | Indicates whether the restart is monthly or FPP on monthly. |
| STATEMENT_CYCLE_ID | NUMBER | N | Foreign key to the statment cycle - this is the current cycle |
| 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 - CONS_BO_SCHED
| Child Column in CONS_BO_SCHED(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILLING_ENTITY_GROUP_ID | BILLING_ENTITY_GROUP | BILLING_ENTITY_GROUP_ID |
| ORGANIZATION_ID | ORGANIZATION | ORGANIZATION_ID | |
| PERSON_ID | PERSON | PERSON_ID | |
| RC_CONT_PROCESS_ID | RC_CONT_PROCESS | RC_CONT_PROCESS_ID |
| Parent Column in CONS_BO_SCHED (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | CONS_BO_SCHED_ID | BENEFIT_ORDER | CONS_BO_SCHED_ID |
| CBOS_PERSON_RELTN | CONS_BO_SCHED_ID | ||
| CBOS_PE_RELTN | CONS_BO_SCHED_ID |
CORSP_BR_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | CORRESPONDENCE BILL RECORD RELATION |
| Definition: | Relation table with corsp_log and bill_rec |
| Table Type: | ACTIVITY |
Column Detail - CORSP_BR_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. |
| ACTIVITY_ID | NUMBER | N | Foreign key reference to the corsp_log table. |
| 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. |
| BILL_REC_ID | NUMBER | N | Part of foreign key reference to the bill_rec table |
| BILL_VRSN_NBR | NUMBER | N | Part of foreign key reference to the bill_rec table |
| CORSP_BR_RELTN_ID | NUMBER | N | Primary Key |
| 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. |
| 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 - CORSP_BR_RELTN
| Child Column in CORSP_BR_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILL_REC_ID | BILL_REC | CORSP_ACTIVITY_ID |
| BILL_VRSN_NBR | BILL_REC | BILL_VRSN_NBR | |
| ACTIVITY_ID | CORSP_LOG | ACTIVITY_ID |
CORSP_KEYWORD_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | CORRESPONDENCE KEYWORD RELTN |
| Definition: | Corspespondence Keyword Relation |
| Table Type: | ACTIVITY |
Column Detail - CORSP_KEYWORD_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. |
| ACTIVITY_ID | NUMBER | N | The foreign key to the correspondence that this keyword is related to. |
| 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. |
| CORSP_KEYWORD_ID | NUMBER | N | This is the unique identifier |
| 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. |
| KEYWORD_TXT | VC2(50) | Y | A text field to store additional keywords that may not common enough to include in the code set. |
| 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 - CORSP_KEYWORD_RELTN
| Child Column in CORSP_KEYWORD_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ACTIVITY_ID | CORSP_LOG | ACTIVITY_ID |
CORSP_LOG
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Correspondence Log |
| Definition: | The corsp_log table stores information about both incoming and outgoing coorespondece. It holds the storage location of the correspondence and identifies any relationships with various other tables in the system. |
| Table Type: | ACTIVITY |
Column Detail - CORSP_LOG
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACCT_IND | NUMBER | Y | Indicates whether this Correspondence is related to an account - No longer used |
| 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. |
| ACTIVITY_ID | NUMBER | N | Unique Identifier and Foreign Key to the Activity Log table |
| ACTIVITY_IND | NUMBER | Y | Tells us to look on the Act_Act_Reltn table if 1 - No longer used |
| ADDRESS_UPDATE_TYPE_CD | NUMBER | N | Stores the update types for the returned mail. |
| BAD_ADDRESS_CD | NUMBER | N | Stores the bad address type for the returned mail. |
| BATCH_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| 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_IND | NUMBER | Y | Tells us to look on the Corsp_BE_Reltn table if 1 - No longer used |
| BILL_REC_IND | NUMBER | Y | Indicates that a comment is related to a bill record - No longer used |
| CORSP_DESC | VC2(250) | Y | A memo field that summarizes the contents of the correspondence. |
| CORSP_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| CORSP_STATUS_CD | NUMBER | N | The status documents where the correspondence is in the process of being delivered to the recipient. |
| CORSP_SUBJECT | VC2(100) | Y | Free Text Subject field |
| CORSP_SUBJECT_KEY | VC2(250) | Y | Key Field for the Corsp_subect_key. This field can be indexed. |
| CORSP_SUB_TYPE_CD | NUMBER | N | Defines the exact type of correspondence as a sub type of the Corsp_Type_CD |
| CORSP_TYPE_CD | NUMBER | N | Identifies the type of correspondence (Incoming, Outgoing, Comment) |
| CREATED_DT_TM | DATE | Y | Date and time the record was created. |
| CREATED_PRSNL_ID | NUMBER | N | Unique identifier of the person that created the record. |
| DELIVERED_DT_TM | DATE | Y | The date this correspondence was submitted to the external system responsible for delivery. |
| DPV_CD | NUMBER | N | Stores the delivery point validation status for the mail. |
| ENCNTR_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| 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. |
| EXTERNAL_IDENT | VC2(250) | Y | The external identifier is used primarily in the case of correspondence, which is transmitted to the Transaction Services hub. |
| HEALTH_PLAN_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| IMPORTANCE_FLAG | NUMBER | Y | Indicates the priority of a comment (i.e. Low, Medium, High) |
| LONG_TEXT_ID | NUMBER | N | Foreign key to the long_text table. |
| MOVE_TYPE_CD | NUMBER | N | Stores the move type for the returned mail. |
| ORGANIZATION_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| PERSON_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| PRSNL_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| REASON_CD | NUMBER | N | Identifies the reason why the correspondence was posted. |
| SESSION_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| STORAGE_LOC | VC2(100) | Y | List the location of the stored correspondence (network path, filling system id's) |
| STORAGE_TYPE_CD | NUMBER | N | Describes how the correspondence is stored (network drive, filling cabinet, archived). |
| SUBMITTED_DT_TM | DATE | Y | The date this correspondence was delivered. |
| TRANS_IND | NUMBER | Y | Identifies whether a relationships exists. It cuts down the number of joins we have to perform by telling us whether we have a relationship to begin with - No longer used |
| 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. |
| WORKFLOW_CATEGORY_CD | NUMBER | Y | Feild that holds the value of workflow model type. |
Relationship Detail - CORSP_LOG
| Child Column in CORSP_LOG(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ACTIVITY_ID | ACTIVITY_LOG | ACTIVITY_ID |
| LONG_TEXT_ID | LONG_TEXT | LONG_TEXT_ID | |
| CREATED_PRSNL_ID | PRSNL | PERSON_ID |
| Parent Column in CORSP_LOG (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | ACTIVITY_ID | CORSP_BR_RELTN | ACTIVITY_ID |
| CORSP_KEYWORD_RELTN | ACTIVITY_ID | ||
| CORSP_LOG_RELTN | ACTIVITY_ID | ||
| DEPOSIT_RECORD | ACTIVITY_ID |