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Column Name | Description | Data Populates From |
---|---|---|
Payer Name | Payer Name | Payers Master File |
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 |
Name | Patient Name | Patient Information |
Per Nbr | Person Number | Patient Information |
Addr1 | Address 1 | Patient Information |
Addr2 | Address 2 | Patient Information |
City | Person City/State/Zip | Patient Information |
Country | Person Country | Patient Information |
County | Person County | 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 |
Sex Code | Sex at Birth Abbreviation (M/F/U) | Patient Information |
Birth Dt | Birth date of the patient | 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 |
Cont | Relationship Emergency Contact Name | Patient Chart, Demographics tab, Relationship/Guar/Cont sub tab |
Cont Phone | Relationship Emergency Contact Phone | Patient Chart, Demographics tab, Relationship/Guar/Cont sub tab |
Contact Fax | Relationship Emergency Contact Fax number | Patient Chart, Demographics tab, Relationship/Guar/Cont sub tab |
Email Addr | Email Address | Patient Information |
Lst Enc | Date of the patient last encounter | Patient Chart |
Act | Active patient indicator | Patient Information |
Avail | Include/Exclude Indicator | Include/Exclude list in System Admin Module |
Co Amt | Co-pay Amount | Payers Master File |
Ded Amt | Deductible Amount | Payers Master File |
Co Type | Co-Pay Type | Patient Maintenance |
Co Perc | Co-Pay Percentage | Patient Maintenance |
Fr Ins Cd | Front of Insurance Card | ICS |
Bck Ins Cd | Back of Insurance Card | ICS |
Pol Eff | The date that the insurance policy is in effect. | Insurance Maintenance |
Pol Exp | The date that the insurance policy expires | Insurance Maintenance |
Pol Nbr | Insurance policy number | Insurance Maintenance |
Plan # | Insurance plan number | Insurance Maintenance |
Not | Notification Indicator | Patient Maintenance |
Ver | Verification Indicator | Patient Maintenance |
Auth | Authorization Pre-certification indicator | Insurance Maintenance |
Group Name | Insurance group name | Insurance Maintenance |
Group # | Insurance group number | Insurance Maintenance |
MSP | Medicare Secondary Payer Reason | Insurance Maintenance |
Medi # | Medi Gap ID number Medicare supplemental plan (better known as “Medi-Gap” plans for picking up the “gaps” in Medicare Parts A, B and C). | Insurance Maintenance |
Sig | Sig Events Source description | Patient Maintenance |
Orig Payer Num | Original Payer Number | Payers Master File |
Med Cv | Medical Coverage Indicator | Patient Maintenance |
Dent Cv | Dental Coverage Indicator | Patient Maintenance |
Pres Cv | Prescription Coverage Indicator | Patient Maintenance |
Eye Cv | Vision Coverage Indicator | Patient Maintenance |
WC Cv | Workman's Compensation Indicator | Patient Maintenance |
Def COB | Coordination of Benefits | Patient Maintenance |
Emp | Employer Name | Patient Maintenance |
Def Pay Dt | Default Payer date | Payers Master File |
NDex | County Code | Patient Maintenance |
Claim Type | Claim Type | Patient Maintenance |
Ins Type | Insurance Type | Patient Maintenance |
BCBS | Blue Cross Blue Shield Plan Code | Payers Master File |
KP | Kenpak Indicator KenPAK is a Kentucky Medicaid Plan. | Payers Master File |
Note | Note Indicator | Insurance Maintenance |
NEIC/Pyr# | NEIC/Payer number | Payers Master File |
Addr1 | Payer address line 1 | Payers Master File |
Addr2 | Payer address line 2 | Payers Master File |
City, State, Zip | Payer city, state, Zip | Payers Master File |
Country | Payer country | Payers Master File |
County | Payer country | Payers Master File |
Payer Email Addr | Payer email address | Payers Master File |
National Plan ID | National Plan ID number | Payers Master File |
MP | MediPass Indicator | Payers Master File |
Edt | No edit indicator | |
Crs | ERA Crossover Flag indicator | Payers Master File |
OPN | Display override policy number indicator | Payers Master File |
Hid | Hidden indicator | Payers Master File |
Fin Class | Financial Class | Payers Master File |
Def Pay Trans | Default payment transaction description | Payers Master File |
Def Adj Trans | Default adjustment transaction description | Payers Master File |
Sub Lib | Submitter Profile Library indicator | Submitter Profile Library |
UB Sub Lib | UB Submitter Profile | Submitter Profile Library |
Trans ID | Transmitter ID | Payers Master File |
UB Trans ID | UB transmitter ID | Payers Master File |
Med | Media Type description | Payers Master File |
Sec Med | Secondary Media Type | Payers Master File |
Ter Med | Tertiary Media Type | Payers Master File |
Mgd Care Cont | Managed care contract indicator | Payers Master File |
Rsn Cd Lib | Reason Code Library | Practice Preferences |
Place of Serv | Place of Service | Charge Posting |
UB | UB Field 52 | Payers Master File |
Client Def 1 - 14 | Enterprise Client Defined 1 - 14 Fields
| |
Pro | Pro-rate indicator | Payers Master File |
Co Resp | Co-pay responsibility | Payers Master File |
Form Temp | Form template description | Form Templates Master |
CE Lib | Claim Edit Library description | Claim Edit Library |
Nt Tmp | Note template indicator | Payers Master File |
Nt Tmp Desc | Note template description | Payers Master File |
Enc Co | Encounter co-pay required indicator | Encounter Maintenance |
Addtl Tran1-6 | Transaction descriptions for transaction codes 1-6 | Transaction Master |
Co Perc | Co-pay percentage indicator | Payers Master File |
Clm Sub | Claim Submitter type | Claim Submitter Library |
Ref Auth | Referral Authorization Required | Payers Master File |
Ref Frm | Referral Indicator | Payers Master File |
Lab Fac | Laboratory Facility used indicator | Charge Posting |
Rad Fac | Radiology Facility used indicator | Charge Posting |
Diag Code | Diagnosis Code indicator | Charge Posting |
Accept Asn | Default accept assignment indicator | Payers Master File |
Def Deduct | Default Deductible Amount | Payers Master File |
Plan Type | Plan Type | Payers Master File |
Max Chg | Maximum claim charges | Payers Master File |
GA B Hlth | Georgia Better Health indicator | Payers Master File |
Req Pol Nbr | Policy Number Required Indicator | Payers Master File |
Pol Nbr Frmt | Policy Format Indicator | Payers Master File |
Req Grp Nbr | Group Number Required Indicator | Payers Master File |
Grp Nbr Frmt | Group Number Format Indicator | Payers Master File |
Crt Dt | Create Date The date the record was created. | Insurance Maintenance, Who/When, Modification Information |
Created By | Created By The user that created the record. | Insurance Maintenance, Who/When, Modification Information |
Mod Dt | Last Modified Date The date the record was last modified. | Insurance Maintenance, Who/When, Modification Information |
Modified By | Last Modified By The user that last modified the record. | Insurance Maintenance, Who/When, Modification Information |
Enc Rate Lib | Encounter Rate Billing Library | This populates from the Encounter Rate Billing Library. |
TPL Code | Third Party Liability Carrier Code | Insurance Information |
Source of Payment Typology | Source of Payment Typology | Tab |
Practice Source of Payment Typology | Practice Source of Payment Typology | Payers Master File > Practice Tab |
Medicare Replacement | Payer Medicare Replacement Indicator | Payers Master File |