Table Detail Report

PFT_BR_EDIT_FAILURE_DETAIL



Column Section Relationship Section Top of Page


Table-level Detail

Description: ProFit Bill Record Edit Failure Detail
Definition: Stores a list of claim scrubbing detail information for an edit failure for a bill record.
Table Type: ACTIVITY





Column Detail - PFT_BR_EDIT_FAILURE_DETAIL


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.
BEG_EFFECTIVE_DT_TM DATETIME 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END_EFFECTIVE_DT_TM DATETIME N The date/time after which the row is no longer valid as active current data.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.
FAILURE_ALIAS_NAME VARCHAR(40) N The alias for the edit failure error that was returned from the scrubbing service.
FAILURE_ALIAS_NAME_KEY VARCHAR(40) N The indexed alias for the edit failure error that was returned from the scrubbing service.
FAILURE_CATEGORY_CD DOUBLE N Provides information about the category of the edit failure.
FAILURE_CATEGORY_GROUP_CD DOUBLE N This column provides information about the category group of the edit failure.
FAILURE_DESC VARCHAR(2000) Y The description for the edit failure that was returned from the scrubbing service.
LINE_ITEM_INDEX_NBR DOUBLE N The clain line item to which this failure is associated.
PFT_BR_EDIT_FAILURE_DETAIL_ID DOUBLE N Uniquely identifies detail information from the claim scrubbing for an edit failurefor a bill record.
PFT_BR_EDIT_FAILURE_ID DOUBLE N Uniquely identifies the billing record failure to which this detail is related.
PROVIDER_ENROLLMENT_ID DOUBLE N Uniquely identifies the related provider enrollment to which an edit failure detail is related.
RESOLUTION_ACTION_DT_TM DATETIME Y the date time of a resolution action being applied
RESOLUTION_ACTION_FLAG DOUBLE N the indicator denoting the resolution action applied. 0 = Default, 1 = Cancel and Regenerate Claim, 2 = Ignore
RESOLUTION_ACTION_PRSNL_ID DOUBLE N the personnel Id applying the resolution action
SEVERITY_CATEGORY_TEXT VARCHAR(100) Y The severity reason category for the edit failure.
SEVERITY_CD DOUBLE N Contains the severity code of the edit failure.
SEVERITY_TEXT VARCHAR(100) Y *** OBSOLETE *** This field is no longer supported and should not be used.
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 - PFT_BR_EDIT_FAILURE_DETAIL


Child Column in PFT_BR_EDIT_FAILURE_DETAIL(FK) Parent Table Name Parent Column Name
Parents: PFT_BR_EDIT_FAILURE_ID PFT_BR_EDIT_FAILURE PFT_BR_EDIT_FAILURE_ID
PROVIDER_ENROLLMENT_ID PROVIDER_ENROLLMENT PROVIDER_ENROLLMENT_ID
RESOLUTION_ACTION_PRSNL_ID PRSNL PERSON_ID


PFT_BR_LINE_STATUS_DETAIL



Column Section Relationship Section Top of Page


Table-level Detail

Description: ProFit Bill Record Claim Line Status Detail
Definition: Stores the claim line acknowledgements from the payer.
Table Type: ACTIVITY





Column Detail - PFT_BR_LINE_STATUS_DETAIL


Column Name Type Null? Definition
ACTIVE_IND DOUBLE 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.
ADDL_STATUS_INFO_TXT VARCHAR(1000) Y Stores additional status information.
CREATED_DT_TM DATETIME Y The date and time this row was created.
PFT_BR_CLAIM_STATUS_DETAIL_ID DOUBLE Y Uniquely identifies the related row on the PFT_BR_CLAIM_STATUS_DETAIL table.
PFT_BR_LINE_STATUS_DETAIL_ID DOUBLE N A system generated number used to uniquely identify a row on the PFT_BR_LINE_STATUS_DETAIL table.
PFT_LINE_ITEM_ID DOUBLE Y Uniquely identifies the related row on the PFT_LINE_ITEM table.
SVC_LINE_ENTITY_CD DOUBLE Y Stores the entity code for the claim line.
SVC_LINE_STATUS_CATEGORY_CD DOUBLE Y Indicates the general category of a claim line status.
SVC_LINE_STATUS_CATEGORY_TXT VARCHAR(30) Y Indicates the general category in a textual format of a claim line status.
SVC_LINE_STATUS_CD DOUBLE Y This code conveys the staus of a claim line item.
SVC_LINE_STATUS_DT_TM DATETIME Y The date and time of the status codes that were sent in from upstream.
SVC_LINE_STATUS_TXT VARCHAR(30) Y Conveys the status of a claim line item in a textual format.
UPDT_APPLCTX DOUBLE 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 DOUBLE 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 DATETIME Y 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 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 DOUBLE 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 - PFT_BR_LINE_STATUS_DETAIL


Child Column in PFT_BR_LINE_STATUS_DETAIL(FK) Parent Table Name Parent Column Name
Parents: PFT_BR_CLAIM_STATUS_DETAIL_ID PFT_BR_CLAIM_STATUS_DETAIL PFT_BR_CLAIM_STATUS_DETAIL_ID
PFT_LINE_ITEM_ID PFT_LINE_ITEM PFT_LINE_ITEM_ID


PFT_CHARGE



Column Section Relationship Section Top of Page


Table-level Detail

Description: ProFit Charge
Definition: Represents the fact that a charge has posted into ProFit Billing system.
Table Type: ACTIVITY





Column Detail - PFT_CHARGE


Column Name Type Null? Definition
ACTIVE_IND DOUBLE 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 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 Y 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.
ACTIVITY_ID DOUBLE N FK to the activity_log
ALT_BILLING_AMT DOUBLE N Charge billing amount as calculated using an alternate formula
ALT_BILLING_QTY DOUBLE N Charge quantity as calculated using alternate formula
BEG_EFFECTIVE_DT_TM DATETIME 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.
BE_ORG_ID DOUBLE N FK to the organization table
BILLING_AMOUNT DOUBLE Y This field reflects the total charge amount minus the credit charges made to this charge.
BILLING_ENTITY_ID DOUBLE N FK to the billing_entity table
BILLING_QUANTITY DOUBLE Y This field reflects the total number of items a charge is for minus the credit charges made to this charge.
BO_GEN_IND DOUBLE Y The indicator that describes if the charge group has generated a claim with the charge on it.
CHARGE_ITEM_ID DOUBLE N FK to the charge table
CLIENT_BILL_IND DOUBLE Y Indicates if the charge will be billed for a client account.
CLIENT_ORG_ID DOUBLE N FK to the organization table
COLLECTION_PRIORITY_CD DOUBLE N Describes the priority of collection.
CR_ACCT_ID DOUBLE N The revenue account associated to the charge.
CR_ACCT_TEMPL_ID DOUBLE N The account template assigned to the revenue account.
DR_ACCT_ID DOUBLE N The A/R account associated to the charge.
DR_ACCT_TEMPL_ID DOUBLE N The account template assigned to the A/R account.
ENCNTR_TYPE_CD DOUBLE N Code value indicating the type of encounter (e.g. Inpatient, outpatient).
END_EFFECTIVE_DT_TM DATETIME 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_BILLED_IND DOUBLE N Stores the external_billed_ind value - The value is set to 1 if the charge is billed by the external system, 0 otherwise
INST_FIN_NBR_KEY VARCHAR(250) Y The financial number associated to the charges encounter.
INTERFACE_ID DOUBLE N FK to the csi_log
LATE_CHRG_FLAG DOUBLE Y Describes if the charge was posted after billing has begun. 0 = Not a late charge; 1 = debit late charge; 3 = PBM credit late charge; 4 = adjusted late charge; 5 = manual late charge; 7 = credit late charge; 9 = Regenerate all charges
MOVE_CHRG_IND DOUBLE N ** obsolete ** No longer used. Indicates wheather charge moved from one financial encounter to another. ** obsolete **
MV_ORIG_CHRG_ITEM_ID DOUBLE Y This Column will be populated with charge item id of the charge which has been moved for the first time.2. Any other workflow on same charge like move charge, financial combine or encntr_mod will copy the same value which has been persisted for first time.
OFFSET_IND DOUBLE Y Describes if the charge has been offset.
ORIGINAL_UPDT_CNT DOUBLE Y Value of the update count on the inserted row.
PACKAGE_PFT_CHARGE_ID DOUBLE N Uniquely identifies the pft_charge related to this package.
PARENT_ENTITY_ID DOUBLE N Identifies the name of the parent entity.
PATIENT_LOC_CD DOUBLE N Code value identifying the location of the patient.
PFT_CHARGE_ID DOUBLE N Primary Key
PFT_CHARGE_STATUS_CD DOUBLE N Describes the current status of the charge.
PFT_CHARGE_STATUS_REASON_CD DOUBLE N Describes the status reason for the charge.
PFT_ENCNTR_ID DOUBLE N FK to the pft_encntr table
PFT_ENCNTR_IND DOUBLE Y ProFit Encounter Table
REPORT_PRIORITY_CD DOUBLE N Describes the priority of the report.
SERVICE_RESOURCE_CD DOUBLE N Identifies the Service Resource Code related to this record.
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 - PFT_CHARGE


Child Column in PFT_CHARGE(FK) Parent Table Name Parent Column Name
Parents: CR_ACCT_ID ACCOUNT ACCT_ID
DR_ACCT_ID ACCOUNT ACCT_ID
CR_ACCT_TEMPL_ID ACCT_TEMPLATE ACCT_TEMPL_ID
DR_ACCT_TEMPL_ID ACCT_TEMPLATE ACCT_TEMPL_ID
ACTIVITY_ID ACTIVITY_LOG ACTIVITY_ID
BILLING_ENTITY_ID BILLING_ENTITY BILLING_ENTITY_ID
CHARGE_ITEM_ID CHARGE CHARGE_ITEM_ID
MV_ORIG_CHRG_ITEM_ID CHARGE CHARGE_ITEM_ID
INTERFACE_ID CSI_LOG INTERFACE_ID
BE_ORG_ID ORGANIZATION ORGANIZATION_ID
CLIENT_ORG_ID ORGANIZATION ORGANIZATION_ID
PACKAGE_PFT_CHARGE_ID PFT_CHARGE PFT_CHARGE_ID
PFT_ENCNTR_ID PFT_ENCNTR PFT_ENCNTR_ID




Parent Column in PFT_CHARGE (PK) Child Table Name Child Column Name
Children: PFT_CHARGE_ID CSI_ERROR_LOG PFT_CHARGE_ID
PFT_BALANCE PFT_CHARGE_ID
PFT_BILL_ACTIVITY PFT_CHARGE_ID
PFT_CHARGE PACKAGE_PFT_CHARGE_ID
PFT_CHARGE_BO_RELTN PFT_CHARGE_ID
PFT_CHARGE_GLOBAL_DAYS PFT_CHARGE_ID
PFT_DAILY_BO_HP_CHRG_BAL PFT_CHARGE_ID
PFT_LINE_ITEM_CHRG_RELTN PFT_CHARGE_ID


PFT_CHARGE_BO_RELTN



Column Section Relationship Section Top of Page


Table-level Detail

Description: ProFit Charge Benefit Order Relation
Definition: Identifies a charge(pft_charge_id) as being a member of the charge group identified by benefit_order_id, including any billing information that is specific to this relationship (such as the health plan coverage of the charge for the coordination of benefits represented by the charge group).
Table Type: ACTIVITY





Column Detail - PFT_CHARGE_BO_RELTN


Column Name Type Null? Definition
ACTIVE_IND DOUBLE 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 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 Y 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.
ADJUDICATED_STATUS_CD DOUBLE N Status of adjudication for the charge
BEG_EFFECTIVE_DT_TM DATETIME 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.
BENEFIT_ORDER_ID DOUBLE N FK to the benefit_order table
BILL_TEMPL_ID DOUBLE N FK to the bill_templ table
BT_COND_RESULT_ID DOUBLE N FK to the bt_cond_result table as of iteration 2.2 no longer used
COVERED_BITMAP DOUBLE N This column utilizes bit manipulation to determine whether a charge is covered by the associated health plan.
COVERED_IND DOUBLE Y Covered Indicator
DENIED_IND DOUBLE Y ** obsolete ** This column is no longer used. Denied Indicator
DENIED_REASON_CD DOUBLE N ** obsolete ** This column is no longer used. Denied Reason Code
END_EFFECTIVE_DT_TM DATETIME 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.
PFT_CHARGE_BO_RELTN_ID DOUBLE N Primary Key
PFT_CHARGE_ID DOUBLE N FK to the pft_charge table
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 - PFT_CHARGE_BO_RELTN


Child Column in PFT_CHARGE_BO_RELTN(FK) Parent Table Name Parent Column Name
Parents: BENEFIT_ORDER_ID BENEFIT_ORDER BENEFIT_ORDER_ID
BILL_TEMPL_ID BILL_TEMPL BILL_TEMPL_ID
PFT_CHARGE_ID PFT_CHARGE PFT_CHARGE_ID


PFT_CHRG_GRP_RPRCS



Column Section Relationship Section Top of Page


Table-level Detail

Description: PFT Charge Group Reprocess
Definition: Stores balance information along with encounter details to reprocess through WTP server.
Table Type: ACTIVITY





Column Detail - PFT_CHRG_GRP_RPRCS


Column Name Type Null? Definition
BALANCE_STATUS_TXT VARCHAR(40) Y State of the balance at a particular instance of time
BATCH_REPROCESSING_STATUS_FLAG DOUBLE N Batch reprocessing status as pending,In Progress, Error and Completed.
BENEFIT_ORDER_ID DOUBLE N System defined unique identifier of a benefit order.
BILLING_ENTITY_ID DOUBLE N Uniquely identifies the related Billing Entity.
BILLING_ENTITY_NAME VARCHAR(50) Y Allows for the billing entity to have a different name than the organization that it is related to.
BT_CONDITION_ID DOUBLE N Uniquely identifies each bill template condition.
CHARGE_GROUP_AMT DOUBLE Y The current amount due for this that particular balance.
CHARGE_GROUP_NAME VARCHAR(200) Y Contains the name of a particular bill template condition.
CREATED_ID DOUBLE N Uniquely identifies the related personnel who created the record.
ENCOUNTER_ALIAS_NAME VARCHAR(215) Y Stores the financial encounter's alias which will be used to identify the financial encounter.
ENCOUNTER_BALANCE_AMT DOUBLE Y Balance related to a profit encounter.
ENCOUNTER_STATUS_TXT VARCHAR(40) Y Encounter status identifies the state of a particular encounter type from the time it is initiated until it is complete. (i.e., temporary, preliminary, active, discharged (complete), cancelled).
ENCOUNTER_TYPE_TXT VARCHAR(40) Y Categorizes the encounter into a logical group or type. examples may include inpatient, outpatient, etc.
FAILURE_REASON_FLAG DOUBLE Y If the reprocess fail, this column displays reason why it failed.
HEALTH_PLAN_NAME VARCHAR(100) Y Name of the related health plan.
LOGICAL_DOMAIN_ID DOUBLE N The unique identifier for a logical domain. This identifier allows the data to be grouped by logical domain. For example, If you assign clients a logical_domain_id this would allow you to store data for multiple clients on this table.
PFT_CHRG_GRP_RPRCS_ID DOUBLE N System Generated Number to Uniquely Identify a Row on the PFT_CHRG_GRP_RPRCS table.
PFT_ENCNTR_ID DOUBLE N Uniquely identifies the related profit encounter record
REPORT_FILE_NAME VARCHAR(100) Y Contains file name where for reporting need after reprocess.
REPROCESSING_STATUS_FLAG DOUBLE Y Reprocessing status for each balance like Failure or Success.
SLICE_GRP_VALUE DOUBLE N Load balancing slice number for reprocess using WTP
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.
USER_BATCH_GRP_VALUE DOUBLE N User based batch number for reprocess



Relationship Detail - PFT_CHRG_GRP_RPRCS


Child Column in PFT_CHRG_GRP_RPRCS(FK) Parent Table Name Parent Column Name
Parents: BENEFIT_ORDER_ID BENEFIT_ORDER BENEFIT_ORDER_ID
BT_CONDITION_ID BT_CONDITION BT_CONDITION_ID
LOGICAL_DOMAIN_ID LOGICAL_DOMAIN LOGICAL_DOMAIN_ID
PFT_ENCNTR_ID PFT_ENCNTR PFT_ENCNTR_ID
CREATED_ID PRSNL PERSON_ID