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| Column Name | Description | Data Populates From |
|---|---|---|
| Prac Name | Practice Name | Practice associated with the patient's encounter |
| Loc Name | Name of Service Location | Encounter Maintenance |
| Location SubGrp 1 | Location Subgrouping 1
| Locations Master File |
| Location SubGrp 2 | Location Subgrouping 2
| Locations Master File |
| Rendering | Rendering Provider | Encounter Maintenance |
| Provider SubGrp 1 | Provider Subgrouping 1
| Providers Master File |
| Provider SubGrp 2 | Provider Subgrouping 2
| Providers Master File |
| Addtl Prov | Additional Provider
| Charge Posting |
| Enc Referring | Encounter Referring Provider | Encounter Maintenance |
| Enc Referring Addr 1 | Encounter Referring Provider Address 1 | Providers Master File |
| Enc Referring Addr 2 | Encounter Referring Provider Address 2 | Providers Master File |
| Enc Referring City | Encounter Referring Provider City | Providers Master File |
| Enc Referring State | Encounter Referring Provider State | Providers Master File |
| Enc Referring Zip | Encounter Referring Provider Zip Code | Providers Master File |
| Enc Referring County | Encounter Referring Provider County | Providers Master File |
| Chg Referring | Charge Referring Provider | Charge Posting |
| Sv It | Service Item | Charge Posting |
| Sv It Desc | Service Item Description | Service Item Maintenance |
| CPT4 | CPT4 Code | CPT4 Codes Master File |
| CPT4 Desc | CPT4 Description | CPT4 Codes Master File |
| Modifier 1 | Modifier 1 | Charge Posting |
| Modifier 2 | Modifier 2 | Charge Posting |
| Modifier 3 | Modifier 3 | Charge Posting |
| Modifier 4 | Modifier 4 | Charge Posting |
| 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 |
| Pat Name | Patient name | Patient Information |
| Per Nbr | Person Number | Patient Information |
| Addr 1 | Address Line 1 | Patient Information |
| Addr 2 | Address Line 2 | Patient Information |
| City | City | Patient Information |
| Zip | Zip Code | Patient Information |
| State | State | Patient Information |
| County | County | Patient Information |
| Sex | Sex at Birth | Patient Information |
| Birth Dt | Birth Date | Patient Information |
| Pat Age | Patient Age | Patient Information |
| Md Rc | Medical Record Number | Patient Chart |
| Pat Type | Patient Type | Encounter Maintenance |
| Ovr | Override Unit Price | Charge Posting |
| Void | Voided Charge Indicator | Transaction Detail |
| Dt of Svc | Date of Service | Charge Posting |
| End Dt of Svc | Ending Date of Service | Encounter Maintenance |
| Proc Dt | Process Date | Charge Posting |
| Ovr Proc Dt | Override Process Date | Batch Maintenance |
| Bt Info | Batch Information | Batch Maintenance |
| Crt Dt | Create Date | Charge Posting |
| Unit Price | Unit Price | Charge Posting |
| Chg Amt | Charge Amount | Charge Posting |
| Count | Quantity | Charge Posting |
| Payer Name | Payer Name | Add/Modify Payer Information |
| Fin Class | Financial Class | Payers Master File |
| Department | Service Item Department | Service Items Library |
| Tooth | Tooth Number | Charge Posting |
| Surface | Tooth Surface | Charge Posting |
| Form | Claim Form Used: 1500, UB, ADA | Service Items Library |
| FQHC Qual Enc | FQHC Qualifying Encounter Indicator | |
| CCBHC Qual Enc | CCBHC Qualifying Encounter Indicator | |
| Out | Outsource Indicator | Financial tab of the Patient Chart |
| Out Dt | Outsource Date | Financial tab of the Patient Chart |
| Out Agency | Outsource Agency | Financial tab of the Patient Chart |
| Client Def 1 - 14 | Enterprise Client Defined 1 - 14 Fields
| |
| 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 |
| Mrkt Plan Name | Marketing Plan Name | Encounter Maintenance |
| Mrkt Plan Type | Marketing Plan Type | Encounter Maintenance |
| Mrkt Desc | Marketing Plan Description | Encounter Maintenance |
| RVU 1 | Relative Value Unit 1 | Service Items Library |
| RVU Total 1 | Relative Value Unit Total 1 | Service Items Library |
| RVU 2 | Relative Value Unit 2 | Service Items Library |
| RVU Total 2 | Relative Value Unit Total 2 | Service Items Library |
| RVU 3 | Relative Value Unit 3 | Service Items Library |
| RVU Total 3 | Relative Value Unit Total 3 | Service Items Library |
| RVU 4 | Relative Value Unit 4 | Service Items Library |
| RVU Total 4 | Relative Value Unit Total 4 | Service Items Library |
| RVU 5 | Relative Value Unit 5 | Service Items Library |
| RVU Total 5 | Relative Value Unit Total 5 | Service Items Library |
| RVU 6 | Relative Value Unit 6 | Service Items Library |
| RVU Total 6 | Relative Value Unit Total 6 | Service Items Library |
| RVU 7 | Relative Value Unit 7 | Service Items Library |
| RVU Total 7 | Relative Value Unit Total 7 | Service Items Library |
| RVU 8 | Relative Value Unit 8 | Service Items Library |
| RVU Total 8 | Relative Value Unit Total 8 | Service Items Library |
| Diag 1 - 12 Cat | Diagnosis 1 - 12 Category | Diagnosis Categories 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 Type | Diagnosis 1 - 12 Type | ICDCM Codes Master File |
| Diag 1 - 12 Risk Ind | Diagnosis 1 - 12 Risk Indicator | ICDCM Codes Master File |
| Pct Poverty | Percent of Poverty | Patient Information |
| Poverty Cat | Poverty Category | Patient Information |
| Homeless Status | Homeless Status | Patient Information |
| Migrant Worker Status | Migrant Worker Status | Patient Information |
| Language Barrier | Language Barrier | Patient Information |
| Primary Med Cov | Primary medical Coverage | Patient Information |
| Race | Race | Patient Information
|
| Ethnicity | Ethnicity | Patient Information
|
| Tribal Affiliation | Tribal Affiliation | Patient Information |
| Blood Quantum | Blood Quantum | Patient Information |
| Veteran Status | Veteran Status | Patient Information |
| School Based Hlth Care | School Based Health Care | Patient Information |
| Public Housing Primary | Public Housing Primary Care | Patient Information |
| Descendancy | Descendancy | Patient Information |
| IHS Eligibility Status | IHS Eligibility Status | Patient Information |
| Classification Beneficiary | Classification Beneficiary | Patient Information |
| Community Code | Community Code | Patient Information |
| Consent to Treat Ind | Consent to Treat Indicator | Patient Information |
| Consent to Treat Date | Consent to Treat Date | Patient Information |
| Enc Homeless Status | Encounter Homeless Status | Encounter Maintenance |
| Contracted Ind | Contracted Payer Indicator | Payers Master File |
| Prim Dental Prov Name | Primary Dental Provider Name | Patient Information |
| Prim Enc Rate SIM | Primary Encounter Rate Service Item | Encounter Maintenance |
| Prim Enc Rate Amt | Primary Encounter Rate Amount | Encounter Maintenance |
| Sec Enc Rate SIM | Secondary Encounter Rate Service Item | Encounter Maintenance |
| Sec Enc Rate Amt | Secondary Encounter Rate Amount | Encounter Maintenance |
| Ter Enc Rate SIM | Tertiary Encounter Rate Service Item | Encounter Maintenance |
| Ter Enc Rate Amt | Tertiary Encounter Rate Amount | Encounter Maintenance |
| Dt Appl Placed | Date Appliance Placed | Encounter Maintenance |
| Race Category | Race Category | Race Category Mapping Master File
|
| Ethnicity Category | Ethnicity Category | Ethnicity Category Mapping Master File
|
| CPT EOC | CPT Episode of Care | CPT4 Codes Master File |
| Diag 1 - 12 EOC | Diag 1 - 12 Episode of Care | ICDCM Codes Master File |