Table Detail Report
PFT_BILL_ITEM_COND_CRIT_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Billing Item Condition Criteria Relation |
| Definition: | Relates bill items to charge group condition criteria. |
| Table Type: | REFERENCE |
Column Detail - PFT_BILL_ITEM_COND_CRIT_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. |
| 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. |
| BILL_ITEM_COND_CRIT_RELTN_ID | DOUBLE | N | Unique, generated number that identifies a single row on the PFT_BILL_ITEM_COND_CRIT_RELTN table. Relates Bill Item Criteria values to Bill Template condition criteria. |
| BILL_ITEM_ID | DOUBLE | N | Foreign key to BILL_ITEM that relates the bill item to a bill template criteria condition. |
| BT_COND_CRIT_R_ID | DOUBLE | N | Uniquely identifies a specific relationship between a Bill Template Condition, a Criteria record, and a Bill Item. |
| END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data.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. |
| 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_BILL_ITEM_COND_CRIT_RELTN
| Child Column in PFT_BILL_ITEM_COND_CRIT_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILL_ITEM_ID | BILL_ITEM | BILL_ITEM_ID |
| BT_COND_CRIT_R_ID | BT_COND_CRIT_RELTN | BT_COND_CRIT_R_ID |
PFT_BILL_SUMMARY
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | PFT BILL SUMMARY |
| Definition: | Bill summary table for profit OMF reporting |
| Table Type: | ACTIVITY |
Column Detail - PFT_BILL_SUMMARY
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACCT_ID | DOUBLE | N | References the account id |
| 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. |
| AUTO_SUBMIT_CD | DOUBLE | N | Code value related to the unit of the specified period after which bill will be submitted automatically. e.g. 25 days, "days" will be the auto_submit_cd. |
| AUTO_SUBMIT_IND | DOUBLE | Y | Indicate whether the bill should be submitted automatically. |
| 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 | References the benefit order id |
| BILLED_BALANCE | DOUBLE | N | Bill balance |
| BILLING_ENTITY_ID | DOUBLE | N | References the billing entity table |
| BILLING_ENTITY_NAME | VARCHAR(100) | Y | Name of the billing entity |
| BILL_ALIAS | VARCHAR(40) | Y | Bill alias |
| BILL_BALANCE_DUE | DOUBLE | N | Bill balance due |
| BILL_BAL_FORWARD | DOUBLE | N | Bill balance forward |
| BILL_CLASS_CD | DOUBLE | N | Identifies the class (e.g. Claim, Letter etc.) to which a bill record belongs. |
| BILL_STATUS_CD | DOUBLE | N | Code value associated to the status of the bill. e.g. pending, ready to bill etc. |
| BILL_STATUS_REASON_CD | DOUBLE | N | Code value associated to the reason for a particular state of bill. |
| BILL_TEMPLATE_ID | DOUBLE | N | References the bill template table |
| BILL_TEMPLATE_NAME | VARCHAR(250) | Y | Name of the bill template |
| BILL_TYPE_CD | DOUBLE | N | Bill type code value |
| BILL_VRSN_NBR | DOUBLE | N | Version number of a bill record |
| CORSP_ACTIVITY_ID | DOUBLE | N | References the corsp_log table |
| 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. |
| GEN_DT_TM | DATETIME | Y | The date and time the bill record was generated |
| INTERIM_BILL_FLAG | DOUBLE | Y | Interim billing flag |
| MANUAL_REVIEW_IND | DOUBLE | Y | Indicates whether the bill record has been manually edited. |
| MEDIA_SUB_TYPE_CD | DOUBLE | N | Code value associated to the sub type of the bill submission media. e.g. continuous feed, 837 (ANS X.12) etc. |
| MEDIA_TYPE_CD | DOUBLE | N | The code value associated to the bill submission media. |
| PAGE_CNT | DOUBLE | Y | Page count |
| PAYOR_CTRL_NBR_TXT | VARCHAR(100) | Y | Payor Control number text |
| PFT_BILL_SUMMARY_ID | DOUBLE | N | Unique identifier for this table |
| PFT_ENCNTR_ID | DOUBLE | N | References the financial encounter id. |
| SORT_FIELD_1_CD | DOUBLE | N | Code value for primary sort field. |
| SORT_FIELD_1_VALUE | VARCHAR(250) | Y | Primary sorting field for batch processing. |
| SORT_FIELD_2_CD | DOUBLE | N | Code value for secondary sort field. |
| SORT_FIELD_2_VALUE | VARCHAR(250) | Y | Secondary sorting field for batch processing. |
| SORT_FIELD_3_CD | DOUBLE | N | Code value for tertiary sort field. |
| SORT_FIELD_3_VALUE | VARCHAR(250) | Y | Tertiary sorting field for the batch processing. |
| SUBMIT_DT_TM | DATETIME | Y | The date and time for which the bill record is submitted to a payer. |
| SUBMIT_REASON_CD | DOUBLE | N | Submit reason code |
| SUBMIT_STATUS_CD | DOUBLE | N | submitted status |
| SUBMIT_STATUS_REASON_CD | DOUBLE | N | Submitted status reason |
| 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_BILL_SUMMARY
| Child Column in PFT_BILL_SUMMARY(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ACCT_ID | ACCOUNT | ACCT_ID |
| BENEFIT_ORDER_ID | BENEFIT_ORDER | BENEFIT_ORDER_ID | |
| PFT_ENCNTR_ID | PFT_ENCNTR | PFT_ENCNTR_ID |
PFT_BR_CLAIM_DETAIL
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Bill Record Claim Detail |
| Definition: | Claim related information is saved in PFT_CLAIMS_DETAILS |
| Table Type: | ACTIVITY |
Column Detail - PFT_BR_CLAIM_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. |
| ACTIVE_STATUS_DT_TM | DATETIME | N | The date and time that the active_status_cd was set. |
| BILL_VRSN_NBR | DOUBLE | N | The version number identifying which bill |
| CLAIM_DETAIL_TXT | VARCHAR(250) | N | Additional claim related information. |
| CORSP_ACTIVITY_ID | DOUBLE | N | Foreign key reference to the corsp_log table |
| PFT_BR_CLAIM_DETAIL_ID | DOUBLE | N | Unique generated number that identifies a single row on the PFT_BR_CLAIM_DETAIL |
| TYPE_CD | DOUBLE | N | The type code Identified for the claim. |
| 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_CLAIM_DETAIL
| Child Column in PFT_BR_CLAIM_DETAIL(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_BR_CLAIM_STATUS_DETAIL
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Bill Record Claim Status Detail |
| Definition: | Stores the claim acknowledgments from the payer. |
| Table Type: | ACTIVITY |
Column Detail - PFT_BR_CLAIM_STATUS_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. |
| ADDL_STATUS_INFO_TEXT | VARCHAR(1000) | Y | Stores the additional status information. |
| BILL_VRSN_NBR | DOUBLE | N | Version number of a bill record. |
| CORSP_ACTIVITY_ID | DOUBLE | N | Foreign key reference to BILL_REC table. |
| CREATED_DT_TM | DATETIME | N | The date and time for which this table row is created. |
| PAYER_CATEGORY_CD | DOUBLE | N | Indicates the general category of a claim's status. |
| PAYER_CATEGORY_TXT | VARCHAR(30) | Y | Stores the X12 value of the general category of a claim's status. |
| PAYER_CONTROL_IDENT | VARCHAR(50) | Y | Stores the payer claim control number. |
| PAYER_ENTITY_CD | DOUBLE | Y | Stores the entity codes. |
| PAYER_STATUS_CD | DOUBLE | N | These convey the status of an entire claim. |
| PAYER_STATUS_DT_TM | DATETIME | Y | The date/time of the status codes that sent in from upstream. |
| PAYER_STATUS_TXT | VARCHAR(30) | Y | Stores the X12 value of the status of an entire claim. |
| PFT_BR_CLAIM_STATUS_DETAIL_ID | DOUBLE | N | Unique system generated number that identifies a row on the PFT_BR_CLAIM_STATUS_DETAIL table. |
| TRANSACTION_CONTROL_IDENT | VARCHAR(50) | N | Stores the claim status transaction trace number which is unique for each transaction. |
| 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_CLAIM_STATUS_DETAIL
| Child Column in PFT_BR_CLAIM_STATUS_DETAIL(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_BR_CLAIM_STATUS_DETAIL (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | PFT_BR_CLAIM_STATUS_DETAIL_ID | PFT_BR_LINE_STATUS_DETAIL | PFT_BR_CLAIM_STATUS_DETAIL_ID |
PFT_BR_EDIT_FAILURE
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Bill Record Edit Failure |
| Definition: | Stores a list of claim scrubbing edit failures for a bill record. |
| Table Type: | ACTIVITY |
Column Detail - PFT_BR_EDIT_FAILURE
| 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. |
| BILL_VRSN_NBR | DOUBLE | N | Contains the Bill Version Number |
| BO_HP_RELTN_ID | DOUBLE | Y | Contains the ID of the balance on the BO_HP_RELTN table to which the edit failure is associated. |
| CORSP_ACTIVITY_ID | DOUBLE | N | Identifies the bill record to which the edit is related. |
| EDIT_DT_TM | DATETIME | N | The time the edit occurred. |
| 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. |
| EXTERNAL_GROUP_IDENT | VARCHAR(250) | N | The unique transaction external identifier from the cloud scrubbing service for this edit failure. |
| EXT_PARTNER_IDENT | VARCHAR(250) | N | The identifier referencing this edit failure at an external claim scrubbing partner. |
| FAILURE_INSTANCE_SEQ | DOUBLE | N | Indicates the sequence number for this edit failure. |
| PFT_BR_EDIT_FAILURE_ID | DOUBLE | N | Uniquely identifies a claim scrubbing edit failure for a bill record. |
| PRSNL_ID | DOUBLE | N | The identifier of the person who initiated the edit. |
| 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
| Child Column in PFT_BR_EDIT_FAILURE(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BO_HP_RELTN_ID | BO_HP_RELTN | BO_HP_RELTN_ID |
| PRSNL_ID | PRSNL | PERSON_ID |
| Parent Column in PFT_BR_EDIT_FAILURE (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | PFT_BR_EDIT_FAILURE_ID | PFT_BR_EDIT_FAILURE_DETAIL | PFT_BR_EDIT_FAILURE_ID |