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| Column Name | Description | Data Populates From | 
|---|---|---|
| Prac Name | Practice Name | Practice associated with the patient's eligibility/referral | 
| Pat Name | Patient Full Name | Patient Information | 
| Per Nbr | Person Number | Patient Information | 
| Insured | Name of Insured | Guarantor Maintenance | 
| Insured Pat Nbr | Patient's HIC/Policy Number | Insurance Maintenance | 
| Rendering | Rendering Provider (Requesting Physician) | Requesting Physician from Inquiry | 
| Payer Name | Payer Name associated with transaction | Insurance Maintenance associated with the transaction | 
| Inq Type | Type of Inquiry (Eligibility, New Referral, or Referral History) | Type of inquiry selected from the pop-up menu used to access an inquiry | 
| SubmitStatus | Status of Inquiry | System-generated based on results of the transaction | 
| Response Status | Response Status | Received from clearinghouse | 
| Rejection Definition | Rejection Definition | Received from clearinghouse | 
| Crt Dt | Create Date | System-generated based on the submission date of the inquiry | 
| Appt Dt | Appointment Date | Appointment Book | 
| Enc Nbr | Encounter Number | Encounter Maintenance | 
| Created By | Created By | System-generated based on the User ID of the user who generated the inquiry | 
| Svr Dt | Server Create Date | The date on which the server was created. | 
| Modified By | Name of the person who last modified the inquiry | System-generated based on the user ID | 
| Loc Name | Location Name | Locations master file | 
| Bill Ind | Billable Indicator | Encounter Maintenance |