Table Detail Report
ENCNTR_PLAN_COB_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Encounter Plan Coordination of Benefits Relationship |
| Definition: | The encounter health plan-coordination of benefits relationship table defines the set of encounter health plans that are a part of a particular insurance coordination of benefits set and their priority within the coordination of benefits set. |
| Table Type: | ACTIVITY |
Column Detail - ENCNTR_PLAN_COB_RELTN
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | DOUBLE | 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 | DOUBLE | 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 | DATETIME | N | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
| ENCNTR_PLAN_COB_ID | DOUBLE | N | Uniquely identifies the related encounter health plan coordination of benefits. |
| ENCNTR_PLAN_COB_RELTN_ID | DOUBLE | N | Uniquely identifies a relationship between an encounter health plan and a particular insurance coordination of benefits set. |
| ENCNTR_PLAN_RELTN_ID | DOUBLE | N | Uniquely identifies the related encounter health plan relationship. |
| PRIORITY_SEQ | DOUBLE | N | This is a numeric number used to represent the order in which to consider this health plan for reimbursement for this insurance coordination of benefits, if the person is a member of more than one health plan. The priority_seq is 1-based. |
| UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
| UPDT_CNT | DOUBLE | 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 | DATETIME | N | The date and time the row was last inserted or updated. |
| UPDT_ID | DOUBLE | 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 | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - ENCNTR_PLAN_COB_RELTN
| Child Column in ENCNTR_PLAN_COB_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ENCNTR_PLAN_COB_ID | ENCNTR_PLAN_COB | ENCNTR_PLAN_COB_ID |
| ENCNTR_PLAN_RELTN_ID | ENCNTR_PLAN_RELTN | ENCNTR_PLAN_RELTN_ID |
| Parent Column in ENCNTR_PLAN_COB_RELTN (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | ENCNTR_PLAN_COB_RELTN_ID | ENCNTR_PLAN_COB_R_HIST | ENCNTR_PLAN_COB_RELTN_ID |
ENCNTR_PLAN_COB_R_HIST
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Encounter Plan Profile Relationship History |
| Definition: | Used for tracking history of changes to ENCNTR_PLAN_COB_RELTN rows |
| Table Type: | ACTIVITY |
Column Detail - ENCNTR_PLAN_COB_R_HIST
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | DOUBLE | 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 | DOUBLE | 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 | DATETIME | N | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
| CHANGE_BIT | DOUBLE | N | Identifies which columns have had a change. |
| ENCNTR_PLAN_COB_ID | DOUBLE | N | Uniquely identifies the related encounter health plan coordination of benefits. |
| ENCNTR_PLAN_COB_RELTN_ID | DOUBLE | N | Uniquely identifies a relationship between an encounter health plan and a particular insurance coordination of benefits set. |
| ENCNTR_PLAN_COB_R_HIST_ID | DOUBLE | N | Uniquely identifies a change to an encntr_plan_cob_reltn row. |
| ENCNTR_PLAN_RELTN_ID | DOUBLE | N | Uniquely identifies the related encounter health plan relationship. |
| PM_HIST_TRACKING_ID | DOUBLE | N | This is the value of the unique primary identifier of the pm_hist_tracking table. It is an internal system assigned number. |
| PRIORITY_SEQ | DOUBLE | N | This is a numeric number used to represent the order in which to consider this health plan for reimbursement for this insurance profile, if the person is a member of more than one health plan. The priority_seq is 1-based. |
| TRACKING_BIT | DOUBLE | N | Identifies which columns are being tracked for history. |
| TRANSACTION_DT_TM | DATETIME | Y | ** Obsolete ** This column has been obsoleted. Use column updt_dt_tm for any filtering/ordering query. If transaction date time is needed, it should be retrieved from pm_hist_tracking table. Note that its date may be in the past, as in before the update date time. |
| UPDT_APPLCTX | DOUBLE | 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 | DOUBLE | 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 | DATETIME | 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 | DOUBLE | 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 | DOUBLE | 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 - ENCNTR_PLAN_COB_R_HIST
| Child Column in ENCNTR_PLAN_COB_R_HIST(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ENCNTR_PLAN_COB_RELTN_ID | ENCNTR_PLAN_COB_RELTN | ENCNTR_PLAN_COB_RELTN_ID |
| PM_HIST_TRACKING_ID | PM_HIST_TRACKING | PM_HIST_TRACKING_ID |
ENCNTR_PLAN_DATE_PERIOD
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Encounter Plan Date Period |
| Definition: | The encounter health plan date period table is a generic table for storing date range(s) of various components of the encounter health plan data model (e.g. eligibilities and benefits etc...) . Information will typically be obtained from a payer via an X12 transaction but may also be added or modified directly by the end user. |
| Table Type: | ACTIVITY |
Column Detail - ENCNTR_PLAN_DATE_PERIOD
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | DOUBLE | 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 | DOUBLE | 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 | DATETIME | N | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
| DATE_PERIOD_TYPE_CD | DOUBLE | N | Identifies the type of date/time period for this row. |
| ENCNTR_PLAN_DATE_PERIOD_ID | DOUBLE | N | This is the value of the unique primary identifier of the encntr_plan_date_period table. It's an internally assigned number and generally not revealed to the user. |
| FIRST_DATE | DATETIME | Y | The first date in the period. Although this column is capable of storing the time component of a date, it should be ignored since date periods from an X12 transaction do not contain a time component. This date should be treated as an absolute date and the standard Millennium practice of UTC/Local time zone translations should not be applied when reading and writing to this column. |
| PARENT_ENTITY_ID | DOUBLE | N | The unique identifier of the parent table to which this data belongs. |
| PARENT_ENTITY_NAME | VARCHAR(30) | N | The upper case name of the parent table to which this data belongs. |
| SECOND_DATE | DATETIME | Y | The second date in the period. Although this column is capable of storing the time component of a date, it should be ignored since date periods from an X12 transaction do not contain a time component. This date should be treated as an absolute date and the standard Millennium practice of UTC/Local time zone translations should not be applied when reading and writing to this column. |
| UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
| UPDT_CNT | DOUBLE | 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 | DATETIME | N | The date and time the row was last inserted or updated. |
| UPDT_ID | DOUBLE | 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 | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - ENCNTR_PLAN_DATE_PERIOD
| Parent Column in ENCNTR_PLAN_DATE_PERIOD (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | ENCNTR_PLAN_DATE_PERIOD_ID | ENCNTR_PLAN_DATE_PRD_HIST | ENCNTR_PLAN_DATE_PERIOD_ID |
ENCNTR_PLAN_DATE_PRD_HIST
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Encounter Plan Date Period History |
| Definition: | Contains historical records from the ENCNTR_PLAN_DATE_PERIOD table. |
| Table Type: | ACTIVITY |
Column Detail - ENCNTR_PLAN_DATE_PRD_HIST
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | DOUBLE | 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 | DOUBLE | 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 | DATETIME | N | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
| CHANGE_BIT | DOUBLE | N | Identifies which columns have had a change. |
| DATE_PERIOD_TYPE_CD | DOUBLE | N | Identifies the type of date/time period for this row. |
| ENCNTR_PLAN_DATE_PERIOD_ID | DOUBLE | N | Unique generated number that identifies a single row on the ENCNTR_PLAN_DATE_PERIOD table for which this history is maintained. |
| ENCNTR_PLAN_DATE_PRD_HIST_ID | DOUBLE | N | Unique generated number that identifies a single row on the ENCNTR_PLAN_DATE_PRD_HIST table for which this history is maintained. |
| FIRST_DATE | DATETIME | Y | The first date in the period. Although this is capable of storing the time component of a date, it should be ignored since date periods from an X12 transaction do not contain a time component. This date should be treated as an absolute date and the standard Millennium practice of utc/local time zone translations should not be applied when reading and writing. |
| PARENT_ENTITY_ID | DOUBLE | N | The unique identifier of the parent table to which this data belongs. |
| PARENT_ENTITY_NAME | VARCHAR(30) | N | The uppercase name of the parent table to which this data belongs. |
| PM_HIST_TRACKING_ID | DOUBLE | N | This is the value of the unique primary identifier of the pm_hist_tracking table. It is an internal system assigned number. |
| SECOND_DATE | DATETIME | Y | The second date in the period. Although this is capable of storing the time component of a date, it should be ignored since date periods from an X12 transaction do not contain a time component. This date should be treated as an absolute date and the standard Millennium practice of utc/local time zone translations should not be applied when reading and writing. |
| TRACKING_BIT | DOUBLE | N | Identifies which columns are being tracked for history. |
| UPDT_APPLCTX | DOUBLE | 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 | DOUBLE | 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 | DATETIME | 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 | DOUBLE | 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 | DOUBLE | 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 - ENCNTR_PLAN_DATE_PRD_HIST
| Child Column in ENCNTR_PLAN_DATE_PRD_HIST(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ENCNTR_PLAN_DATE_PERIOD_ID | ENCNTR_PLAN_DATE_PERIOD | ENCNTR_PLAN_DATE_PERIOD_ID |
| PM_HIST_TRACKING_ID | PM_HIST_TRACKING | PM_HIST_TRACKING_ID |
ENCNTR_PLAN_ELIGIBILITY
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Encounter PLan Eligibility |
| Definition: | The encounter health plan table contains information about the various service type, coverage level, insurance type, and in plan network combinations for the health plan and the patient's eligibility status for each combination at the time of the visit. Information will typically be obtained from the payer via the X12 270/271 transaction but will on occasion be added or modified directly by the end user. |
| Table Type: | ACTIVITY |
Column Detail - ENCNTR_PLAN_ELIGIBILITY
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | DOUBLE | 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 | DOUBLE | 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 | DATETIME | N | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
| AUTH_REQUIRED_CD | DOUBLE | N | Indicates if an authorization is required for the given service per plan provisions. |
| COVERAGE_LEVEL_CD | DOUBLE | N | The coverage level for which the eligibility and any associated benefits apply. It identifies the types and number of entities that are covered by the insurance plan. |
| ELIGIBILITY_STATUS_CD | DOUBLE | N | The eligibility status of the patient. |
| ENCNTR_PLAN_ELIGIBILITY_ID | DOUBLE | N | This is the value of the unique primary identifier of the encntr_plan_eligibility table. It is an internally assigned number and generally not revealed to the user. |
| ENCNTR_PLAN_RELTN_ID | DOUBLE | N | This is the value of the unique primary identifier of the encntr_plan_reltn table. It is an internal system assigned number. |
| INFO_SOURCE_CD | DOUBLE | N | Designates the information source from which the benefit data was obtained. |
| INSURANCE_TYPE_CD | DOUBLE | N | Type of insurance policy within a specific insurance program for which the eligibility and any associated benefits apply. |
| IN_PLAN_NETWORK_CD | DOUBLE | N | Indicates if the eligibility and associated benefits apply in network or out of network. |
| PAYER_PROV_PLAN_NAME | VARCHAR(100) | Y | The name of the health plan as provided by the payer (carrier). |
| PROC_NOMEN_ID | DOUBLE | N | This is the value of the unique primary identifier of the nomenclature table. It is an internal system assigned number. It identifies a HCPCS, CPT, ICD-9-CM or ICD-10-PCS procedure code. |
| SERVICE_TYPE_CD | DOUBLE | N | The type of service for which the eligibility and any associated benefits apply. |
| UPDT_APPLCTX | DOUBLE | 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 | DOUBLE | 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 | DATETIME | 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 | DOUBLE | 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 | DOUBLE | 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 - ENCNTR_PLAN_ELIGIBILITY
| Child Column in ENCNTR_PLAN_ELIGIBILITY(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ENCNTR_PLAN_RELTN_ID | ENCNTR_PLAN_RELTN | ENCNTR_PLAN_RELTN_ID |
| PROC_NOMEN_ID | NOMENCLATURE | NOMENCLATURE_ID |
| Parent Column in ENCNTR_PLAN_ELIGIBILITY (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | ENCNTR_PLAN_ELIGIBILITY_ID | ENCNTR_PLAN_ELIG_BENEFIT | ENCNTR_PLAN_ELIGIBILITY_ID |
| ENCNTR_PLAN_ELIG_BNFT_HIST | ENCNTR_PLAN_ELIGIBILITY_ID | ||
| ENCNTR_PLAN_ELIG_HIST | ENCNTR_PLAN_ELIGIBILITY_ID |