ColumnName |
Domain |
Datatype |
NULL |
Definition |
Build |
|
int |
NO |
Identifies the build number and patch level of the software that inserted/updated this row. The format is the Build number followed by 3 digits for the patch level which is typically 000. The build number is tied to specific versions of the software, e.g. Sunrise 15.3 is Build 5021, Sunrise 16.3 is Build 5503. |
TouchedBy |
|
varchar(50) |
NO |
Information about the user that last updated the row. This will typically be the UserID (IDCode from CV3User table) and may be prefixed with an environment identifier followed by an underscore, e.g. b96d2bf5_jongmore. |
TouchedWhenUTC |
|
datetimeoffset(3) |
NO |
The date and time that the row was last updated including the time zone offset from UTC, for example 2015-01-30 04:55:04.372 -05:00. The date and time is based on the Enterprise Time Zone. |
CreatedBy |
|
varchar(50) |
NO |
Information about the user that created the row. This will typically be the UserID (IDCode from CV3User table) and may be prefixed with an environment identifier followed by an underscore, e.g. b96d2bf5_jongmore. |
CreatedWhenUTC |
|
datetimeoffset(3) |
NO |
The date and time that the row was created including the time zone offset from UTC, for example 2015-01-30 04:55:04.372 -05:00. The date and time is based on the Enterprise Time Zone. |
MSRowVersion |
|
timestamp |
NO |
Optimistic lock identifier using rowversion datatype. |
ERATransactionSetClaimID |
|
bigint |
NO |
Auto generated unique primary key value. |
ERATransactionSetID |
|
bigint |
NO |
A foreign key to the ERATransactionSetID column in the SXARCMERATransactionSet table. |
PatientControlNumber |
|
varchar(38) |
NO |
PHI: Patient control number |
ClaimStatusCode |
|
tinyint |
NO |
Claim status code. This matches an entry in SXAEDIDictionaryEntry where DictionaryID = 247. No foreign key reference required. |
ClaimTotalCharges |
|
SXACurrencyDt |
NO |
Total charges as reported in the claim segment |
ClaimTotalPayments |
|
SXACurrencyDt |
NO |
Total payments as reported in the claim segment |
ClaimTotalAdjustments |
|
SXACurrencyDt |
NO |
Total adjustments as reported in the CAS segments |
ClaimPatientResponsibility |
|
SXACurrencyDt |
NO |
Patient responsibility as reported in the claim segment |
IsBalanced |
|
bit |
NO |
Flag Indicating whether the claim is balanced or not |
IsDenied |
|
bit |
NO |
Flag indicating whether the claim is denied |
IsCrossOver |
|
bit |
NO |
Flag indicating whether the claim was crossed over to another payer |
CrossOverPayerName |
|
varchar(60) |
YES |
Name of the cross-over insurance |
ClaimControlNumber |
|
varchar(50) |
NO |
Payer claim control number |
DRG |
|
varchar(4) |
YES |
Claim adjudication DRG |
DRGWeight |
|
varchar(15) |
YES |
Adjudicated DRG weight |
WorksheetID |
|
bigint |
YES |
A foreign key to the WorksheetID column in the SXARCMWorksheet table. |
FacilityCodeValue |
|
varchar(2) |
YES |
Facility code |
WorksheetYear |
|
int |
YES |
A foreign key to the WorkSheetYear column in the SXARCMWorksheet table. |
ProviderIdentifier |
|
varchar(80) |
YES |
Contains the industry identifier value for the provider on a claim |
ClaimHeaderNumber |
|
int |
NO |
This is a numerical value assigned by the payer to group multiple claims within a transaction set |
ERAProviderID |
|
bigint |
YES |
A foreign key to the ERAProviderID column in the SXARCMERAProvider table. |
AllowedAmount |
|
SXACurrencyDt |
YES |
Contains the value paid on a previous claim if not a primary claim |
ClaimID |
|
bigint |
YES |
A foreign key to the ClaimID column in the SXARCMClaim table. |
TransactionID |
|
bigint |
YES |
A foreign key to the TransactionID column in the SXARCMTransaction table. |
TransactionYear |
|
int |
YES |
A foreign key to the TransactionYear column in the SXARCMTransaction table. |
StatusID |
|
int |
NO |
Value indicating the status of a record |
LocationID |
|
bigint |
YES |
ID column for the principal visit location |
VisitID |
|
bigint |
YES |
ID column for the principal visit |
BillTypeCode |
|
varchar(1) |
YES |
single character representing the claim frequency type code |
ClaimType |
|
tinyint |
NO |
Value indicating the type of claim |
TransactionCodeMasterID |
|
int |
YES |
A foreign key to the TransactionCodeMasterID column in the SXARCMTransactionCodeMaster table. |
PriorAuthorizationNumber |
|
varchar(50) |
YES |
Claim Prior Authorization Number |
InterestAmount |
|
SXACurrencyDt |
YES |
Contains an optional amount representing the interest paid on a claim |
TransactionCodeOverride |
|
varchar(50) |
YES |
Store Override Transaction Code |
TransactionCodeMasterIDOverride |
|
int |
YES |
Store Override Transaction Code ID |
RepricedClaimRefNumber |
|
varchar(50) |
YES |
Column to store the RepricedClaimRefNumber |
IsProxy |
|
bit |
NO |
Is Proxy for Proxy Claim Payer Configuration |
ActualCoveredDays |
|
int |
YES |
Covred actual days |
PatientControlNumberReceived |
|
varchar(50) |
YES |
To store the actual patient control number received in 835 file |
AccountGroupType |
|
int |
YES |
This is the Account Group from the client visit |
IsCrossedClaim |
|
bit |
NO |
this flag is used to set the crossed over insurance flag . It is informational |
IsWorkInProgress |
|
bit |
NO |
Is transactionSetClaim store properly or not with child tables. |
IsPRSet |
|
bit |
NO |
this flag is used to set patient Responsibility . It is informational |
InsuranceRemittanceConfigurationID |
|
int |
YES |
A foreign key to the InsuranceRemittanceConfigurationID column in the SXARCMInsuranceRemittanceConfiguration table. |
ClaimPeriodStartDate |
|
date |
YES |
Stores claim period start date |
ClaimPeriodEndDate |
|
date |
YES |
Stores claim period end date |
MSReplrowguid |
|
uniqueidentifier |
NO |
Unique GUID used to support merge replication. |
EpisodeYear |
|
int |
YES |
A foreign key to the EpisodeYear column in the SXARCMClaim table. |