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Column Name | Description | Data Populates From |
---|---|---|
Prac Name | Practice Name | Practice associated with the guarantor's Account Profile |
Guar Name | Guarantor Name | Guarantor Information |
Per Nbr | Person Number | Patient Information |
Acct Nbr | Account Number | Account Profile |
SSN | Social Security Number | Patient Information |
Birth Dt | Birth Date | Patient Information |
Pat Age | Patient Age | Patient Information |
Sex Code | Sex at Birth Abbreviation (M/F/U) | Patient Information |
Sex | Sex at Birth | Patient Information |
Addr 1 | Address 1 | Patient Information |
Addr 2 | Address 2 | Patient Information |
City, State Zip | City, State, Zip | Patient Information |
Hm Phone | Home Phone | Patient Information |
Day Phone | Day Phone | Patient Information |
Alt Phone | Alternate Phone | Patient Information |
Sec Hm Phone | Secondary Home Phone | Patient Information |
Cell Phone | Cell Phone | Patient Information |
Email Addr | Email Address | Patient Information |
County | County | Patient Information |
Country | Country | Patient Information |
Emp Cont | Employer Contact | Patient Information > Employer |
Emp Ext | Employer Contact Phone Extension | Patient Information > Employer |
Process Dt | Process Date | Account Profile > Budget Tab |
Bdg Type Desc | Budget Type Description | Account Profile > Budget Tab |
Bdg Cycle Desc | Budget Cycle Description | Account Profile > Budget Tab |
Bdg Cr Dt | Budget Create Date | Account Profile > Budget Tab |
Nxt Pmt Due Dt | Budget Next Payment Due Date | Account Profile > Budget Tab |
Lst Bdg Let | Last Budget Letter | Account Profile > Budget Tab |
Delinq Dt | Delinquent Date | Account Profile > Budget Tab |
Pre-List Dt | Pre-List Date | Account Profile > Budget Tab |
Term Dt | Termination Date | Account Profile > Budget Tab |
# Pmt | Number of Payments | Account Profile > Budget Tab |
Bdg Pmt Amt | Budget Payment Amount | Account Profile > Budget Tab |
Beg Bdg Amt | Beginning Budget Amount | Account Profile > Budget Tab |
Beg Rem Amt | Beginning Remaining Amount | Account Profile > Budget Tab |
Crt Dt | Create Date | Account Profile > Budget Tab |
Created By | Created By | Account Profile > Budget Tab |
Mod Dt | Last Modified Date | Account Profile > Budget Tab |
Modified By | Last Modified By | Account Profile > Budget Tab |
Homeless Status | Homeless Status | Patient Information > UDS |
Migrant Worker | Migrant Worker Status | Patient Information > UDS |
Language Barrier | Language Barrier | Patient Information > UDS |
Primary Medical | Primary Medical Coverage | Patient Information > UDS |
Race | Race | Patient Information
|
Ethnicity | Ethnicity | Patient Information
|
Tribal Affiliation | Tribal Affiliation | Patient Information > UDS |
Blood Quantum | Blood Quantum | Patient Information > UDS |
School Based Hlth Care | School Based Health Care | Patient Information > UDS |
Public Housing Primary | Public Housing Primary Care | Patient Information > UDS |
Veteran Status | Veteran Status | Patient Information |
Descendancy | Descendancy | Patient Information > UDS |
IHS Eligibility Status | IHS Eligibility Status | Patient Information > UDS |
Classification/Beneficiary | Classification/Beneficiary | Patient Information > UDS |
Community Code | Community Code | Patient Information |
Consent To Treat Ind | Consent To Treat Indicator | Patient Information > UDS |
Consent To Treat Date | Consent To Treat Date | Patient Information > UDS |
Enc Homeless Status | Encounter Homeless Status | Encounter Maintenance |
Prim Dental Prov Name | Primary Dental Provider Name | Patient Information |
Race Category | Race Category | Race Category Mapping Master File
|
Ethnicity Category | Ethnicity Category | Ethnicity Category Mapping Master File
|