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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 |