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| Column Name | Description | Data Populates From |
|---|---|---|
| Prac Name | Practice Name | Practice associated with the patient's encounter |
| Sect Name | Section Name | Accounts Receivable or Bad Debt |
| Loc Name | Location Name | Charge Posting |
| Location SubGrp 1 | Location Subgrouping 1
| Locations Master File |
| Location SubGrp 2 | Location Subgrouping 2
| Locations Master File |
| Rendering | Charge Rendering Provider | Charge Posting |
| Enc Rendering | Encounter Rendering Provider | Encounter Maintenance |
| Provider SubGrp 1 | Provider Subgrouping 1
| Providers Master File |
| Provider SubGrp 2 | Provider Subgrouping 2
| Providers Master File |
| Admitting | Admitting Provider | Encounter Maintenance |
| Fst Consult | First Consulting Provider | Encounter Maintenance |
| Sec Consult | Second Consulting Provider | Encounter Maintenance |
| Enc Referring | Encounter Referring provider | Encounter Maintenance |
| Chg Referring | Charge Referring Providers | Charge Posting |
| Addtl Prov | Additional Provider
| Charge Posting |
| Supervisor | Supervising Provider | Encounter Maintenance |
| Facility | Facility | Encounter Maintenance |
| FQHC Qual Enc | FQHC Qualifying Encounter Indicator | |
| CCBHC Qual Enc | CCBHC Qualifying Encounter Indicator | |
| Pat Name | Patient Name | Patient Information |
| Per Nbr | Person Number | Patient Information |
| Addr 1 | Address 1 | Patient Information |
| Addr 2 | Address 2 | Patient Information |
| City | City | Patient Information |
| State | State | Patient Information |
| Zip | Zip Code | Patient Information |
| County | Count | Patient Information |
| Sex | Sex at Birth | Patient Information |
| Birth Dt | Birth Date | Patient Information |
| Pat Age | Patient Age | Patient Information |
| Pat Age in Years | Patient Age in Years | Patient Information |
| Pat Age in Months | Patient Age in Months | Patient Information |
| Pat Age in Years (DOS) | Patient Age in Years on the Date of Service | Patient Information |
| Pat Age in Months (DOS) | Patient Age in Months on the Date of Service | Patient Information |
| Md Rc | Medical Record Number | Patient Chart |
| Pat Type | Patient Type | Encounter Maintenance |
| Src Type | Source Type | Account/Budget/Encounter/Invoice |
| Status | Encounter/Charge Status | Unbilled/Billed/Rebill/History/Bad Debt |
| Department | Service Item Departments | Service Items Library |
| Modality | Service Item Modality | Service Items Library |
| Component | Service Item Component: Global, Professional, Technical | Service Items Library |
| Place Of Serv | Place of Service | Charge Posting |
| Rv Cd | Service Item Revenue Code | Service Items Library |
| Aft Care | Service Item After Care Days | Service Items Library |
| Payer Name | Payer Name | Encounter Payer Information |
| Payer SubGrp 1 | Payer Subgrouping 1
| Payers Master File |
| Payer SubGrp 2 | Payer Subgrouping 2
| Payers Master File |
| Contracted Ind | Contracted Payer Indicator | Payers Master File |
| Sec Payer | Secondary Payer Name | Encounter Payer Information |
| Tert Payer | Tertiary Payer Name | Encounter Payer Information |
| Fin Class | Financial Class | Payers Master File |
| Diag 1 - 12 | Diagnosis Code 1 - 12 | Charge-Level: Codes 1-4 Encounter-Level: Codes 5-12 |
| Diag 1 - 12 Desc | Diagnosis 1 - 12 Description | Diagnosis Codes Library |
| Dtl E/I/A/B | Details for Encounter/Invoice/Account/Budget | Encounter/Invoice/Account/Budget Number |
| Proc Dt | Process Date | Charge Detail/Transaction Detail |
| Event | Event Name | Appointment |
| Month | Month | |
| Year | Year | |
| Mo/Yr | Month and Year | |
| Beg A/R | Beginning Accounts Receivable | Calculated |
| Chg Amt | Charge Amount | Charge Detail |
| ER Chg Amt | Encounter Rate Charge Amount | Charge Detail |
| ER Net Chg Amt | Encounter Rate Net Charge Amount | Calculated |
| Adj Amt | Adjustment Amount | Transaction Detail |
| ER Adj Amt | Encounter Rate Adjustment Amount | Transaction Detail |
| Pay Amt | Payment Amount | Transaction Detail |
| Ref Amt | Refund Amounts | Transaction Detail |
| Net ER Adj | Encounter Rate Net Adjustment Amount | Calculated |
| Ending A/R | Ending Accounts Receivable | Calculated |
| Out | Outsource Indicator | Encounter Maintenance |
| Out Dt | Outsource Date | Encounter Maintenance |
| Out Agency | Outsource Agency | Encounter Maintenance |
| Client Def 1 - 14 | Enterprise Client Defined 1 - 14 Fields
| |
| Pat Prov UD 1 - 12 | Patient Provider User Defined 1 - 12 Fields
| |
| Homeless Status | Homeless Status | |
| Migrant Worker | Migrant Worker Status | |
| Language Barrier | Language Barrier | |
| Primary Medical | Primary Medical Coverage | |
| Race | Race | Patient Information
|
| Ethnicity | Ethnicity | Patient Information
|
| Tribal Affiliation | Tribal Affiliation | |
| Blood Quantum | Blood Quantum | |
| School Based Hlth Care | School Based Health Care | |
| Public Housing Primary | Public Housing Primary Care | |
| Veteran Status | Veteran Status | Patient Information |
| Descendancy | Descendancy | |
| IHS Eligibility Status | IHS Eligibility Status | |
| Classification/Beneficiary | Classification/Beneficiary | |
| Community Code | Community Code | Patient Information |
| Consent To Treat Ind | Consent To Treat Indicator | |
| Consent To Treat Date | Consent To Treat Date | |
| Enc Homeless Status | Encounter Homeless Status | Encounter Maintenance |
| Prim Dental Prov Name | Primary Dental Provider Name | Patient Information |
| Rental Ind | Rental Indicator | Encounter Maintenance |
| Diag 1 - 12 Type | Diagnosis 1 - 12 Type | ICDCM Codes Master File |
| Diag 1 - 12 SubGrp 1 | Diagnosis 1 - 12 Sub Grouping 1 | Diagnosis Codes Library |
| Diag 1 - 12 SubGrp 2 | Diagnosis 1 - 12 Sub Grouping 2 | Diagnosis Codes Library |
| Diag 1 - 12 Cat | Diagnosis 1 - 12 Category | Diagnosis Categories Master File |
| Race Category | Race Category | Race Category Mapping Master File
|
| Ethnicity Category | Ethnicity Category | Ethnicity Category Mapping Master File
|
| Chg Ordering | Charge Ordering Provider | Charge Posting |
| Enc Ordering | Encounter Ordering Provider | Encounter Maintenance |
| Admitting DX | Admitting Diagnosis | Encounter Diagnosis Selection |
| Diag 1 - 12 EOC | Diag 1 - 12 Episode of Care | ICDCM Codes Master File |