Table Detail Report
PFT_CHARGE_BO_RELTN
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | ProFit Charge Benefit Order Relation |
Definition: | Identifies a charge(pft_charge_id) as being a member of the charge group identified by benefit_order_id, including any billing information that is specific to this relationship (such as the health plan coverage of the charge for the coordination of benefits represented by the charge group). |
Table Type: | ACTIVITY |
Column Detail - PFT_CHARGE_BO_RELTN
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
ACTIVE_STATUS_CD | DOUBLE | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
ACTIVE_STATUS_DT_TM | DATETIME | Y | The date and time that the active_status_cd was set. |
ACTIVE_STATUS_PRSNL_ID | DOUBLE | N | The person who caused the active_status_cd to be set or change. |
ADJUDICATED_STATUS_CD | DOUBLE | N | Status of adjudication for the charge |
BEG_EFFECTIVE_DT_TM | DATETIME | Y | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
BENEFIT_ORDER_ID | DOUBLE | N | FK to the benefit_order table |
BILL_TEMPL_ID | DOUBLE | N | FK to the bill_templ table |
BT_COND_RESULT_ID | DOUBLE | N | FK to the bt_cond_result table as of iteration 2.2 no longer used |
COVERED_BITMAP | DOUBLE | N | This column utilizes bit manipulation to determine whether a charge is covered by the associated health plan. |
COVERED_IND | DOUBLE | Y | Covered Indicator |
DENIED_IND | DOUBLE | Y | ** obsolete ** This column is no longer used. Denied Indicator |
DENIED_REASON_CD | DOUBLE | N | ** obsolete ** This column is no longer used. Denied Reason Code |
END_EFFECTIVE_DT_TM | DATETIME | Y | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
PFT_CHARGE_BO_RELTN_ID | DOUBLE | N | Primary Key |
PFT_CHARGE_ID | DOUBLE | N | FK to the pft_charge table |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PFT_CHARGE_BO_RELTN
Child Column in PFT_CHARGE_BO_RELTN(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | BENEFIT_ORDER_ID | BENEFIT_ORDER | BENEFIT_ORDER_ID |
BILL_TEMPL_ID | BILL_TEMPL | BILL_TEMPL_ID | |
PFT_CHARGE_ID | PFT_CHARGE | PFT_CHARGE_ID |
PFT_CHRG_GRP_RPRCS
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | PFT Charge Group Reprocess |
Definition: | Stores balance information along with encounter details to reprocess through WTP server. |
Table Type: | ACTIVITY |
Column Detail - PFT_CHRG_GRP_RPRCS
Column Name | Type | Null? | Definition |
---|---|---|---|
BALANCE_STATUS_TXT | VARCHAR(40) | Y | State of the balance at a particular instance of time |
BATCH_REPROCESSING_STATUS_FLAG | DOUBLE | N | Batch reprocessing status as pending,In Progress, Error and Completed. |
BENEFIT_ORDER_ID | DOUBLE | N | System defined unique identifier of a benefit order. |
BILLING_ENTITY_ID | DOUBLE | N | Uniquely identifies the related Billing Entity. |
BILLING_ENTITY_NAME | VARCHAR(50) | Y | Allows for the billing entity to have a different name than the organization that it is related to. |
BT_CONDITION_ID | DOUBLE | N | Uniquely identifies each bill template condition. |
CHARGE_GROUP_AMT | DOUBLE | Y | The current amount due for this that particular balance. |
CHARGE_GROUP_NAME | VARCHAR(200) | Y | Contains the name of a particular bill template condition. |
CREATED_ID | DOUBLE | N | Uniquely identifies the related personnel who created the record. |
ENCOUNTER_ALIAS_NAME | VARCHAR(215) | Y | Stores the financial encounter's alias which will be used to identify the financial encounter. |
ENCOUNTER_BALANCE_AMT | DOUBLE | Y | Balance related to a profit encounter. |
ENCOUNTER_STATUS_TXT | VARCHAR(40) | Y | Encounter status identifies the state of a particular encounter type from the time it is initiated until it is complete. (i.e., temporary, preliminary, active, discharged (complete), cancelled). |
ENCOUNTER_TYPE_TXT | VARCHAR(40) | Y | Categorizes the encounter into a logical group or type. examples may include inpatient, outpatient, etc. |
FAILURE_REASON_FLAG | DOUBLE | Y | If the reprocess fail, this column displays reason why it failed. |
HEALTH_PLAN_NAME | VARCHAR(100) | Y | Name of the related health plan. |
LOGICAL_DOMAIN_ID | DOUBLE | N | The unique identifier for a logical domain. This identifier allows the data to be grouped by logical domain. For example, If you assign clients a logical_domain_id this would allow you to store data for multiple clients on this table. |
PFT_CHRG_GRP_RPRCS_ID | DOUBLE | N | System Generated Number to Uniquely Identify a Row on the PFT_CHRG_GRP_RPRCS table. |
PFT_ENCNTR_ID | DOUBLE | N | Uniquely identifies the related profit encounter record |
REPORT_FILE_NAME | VARCHAR(100) | Y | Contains file name where for reporting need after reprocess. |
REPROCESSING_STATUS_FLAG | DOUBLE | Y | Reprocessing status for each balance like Failure or Success. |
SLICE_GRP_VALUE | DOUBLE | N | Load balancing slice number for reprocess using WTP |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
USER_BATCH_GRP_VALUE | DOUBLE | N | User based batch number for reprocess |
Relationship Detail - PFT_CHRG_GRP_RPRCS
Child Column in PFT_CHRG_GRP_RPRCS(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | BENEFIT_ORDER_ID | BENEFIT_ORDER | BENEFIT_ORDER_ID |
BT_CONDITION_ID | BT_CONDITION | BT_CONDITION_ID | |
LOGICAL_DOMAIN_ID | LOGICAL_DOMAIN | LOGICAL_DOMAIN_ID | |
PFT_ENCNTR_ID | PFT_ENCNTR | PFT_ENCNTR_ID | |
CREATED_ID | PRSNL | PERSON_ID |
PFT_CHRG_GRP_RPRCS_HIST
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | Profit Charge Group Reprocess History |
Definition: | Stores historical balances information along with encounter details that were reprocessed through WTP server. |
Table Type: | ACTIVITY |
Column Detail - PFT_CHRG_GRP_RPRCS_HIST
Column Name | Type | Null? | Definition |
---|---|---|---|
BALANCE_STATUS_TXT | VARCHAR(40) | Y | State of the balance at a particular instance of time |
BATCH_REPROCESSING_STATUS_FLAG | DOUBLE | N | Batch reprocessing status as pending,In Progress, Error and Completed. |
BENEFIT_ORDER_ID | DOUBLE | N | System defined unique identifier of a benefit order. |
BILLING_ENTITY_ID | DOUBLE | N | Uniquely identifies the related Billing Entity. |
BILLING_ENTITY_NAME | VARCHAR(50) | Y | Allows for the billing entity to have a different name than the organization that it is related to. |
BT_CONDITION_ID | DOUBLE | N | Uniquely identifies each bill template condition. |
CHARGE_GROUP_AMT | DOUBLE | Y | The current amount due for this that particular balance. |
CHARGE_GROUP_NAME | VARCHAR(200) | Y | Contains the name of a particular bill template condition. |
CREATED_ID | DOUBLE | N | Uniquely identifies the related personnel who created the record. |
ENCOUNTER_ALIAS_NAME | VARCHAR(215) | Y | Stores the financial encounter's alias which will be used to identify the financial encounter. |
ENCOUNTER_BALANCE_AMT | DOUBLE | Y | Balance related to a profit encounter. |
ENCOUNTER_STATUS_TXT | VARCHAR(40) | Y | Encounter status identifies the state of a particular encounter type from the time it is initiated until it is complete. (i.e., temporary, preliminary, active, discharged (complete), cancelled). |
ENCOUNTER_TYPE_TXT | VARCHAR(40) | Y | Categorizes the encounter into a logical group or type. examples may include inpatient, outpatient, etc. |
FAILURE_REASON_FLAG | DOUBLE | Y | If the reprocess fail, this column displays reason why it failed. |
HEALTH_PLAN_NAME | VARCHAR(100) | Y | Name of the related health plan. |
LOGICAL_DOMAIN_ID | DOUBLE | N | The unique identifier for a logical domain. This identifier allows the data to be grouped by logical domain. For example, If you assign clients a logical_domain_id this would allow you to store data for multiple clients on this table. |
PFT_CHRG_GRP_RPRCS_HIST_ID | DOUBLE | N | System Generated Number Used to Uniquely Identify a Row on PFT_CHRG_GRP_RPRCS_HIST. |
PFT_ENCNTR_ID | DOUBLE | N | Uniquely identifies the related profit encounter record |
REPORT_FILE_NAME | VARCHAR(100) | Y | Contains file name where for reporting need after reprocess. |
REPROCESSING_STATUS_FLAG | DOUBLE | Y | Reprocessing status for each balance like Failure or Success. |
SLICE_GRP_VALUE | DOUBLE | N | Load balancing slice number for reprocess using WTP |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
USER_BATCH_GRP_VALUE | DOUBLE | N | User based batch number for reprocess |
Relationship Detail - PFT_CHRG_GRP_RPRCS_HIST
Child Column in PFT_CHRG_GRP_RPRCS_HIST(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | BENEFIT_ORDER_ID | BENEFIT_ORDER | BENEFIT_ORDER_ID |
BT_CONDITION_ID | BT_CONDITION | BT_CONDITION_ID | |
LOGICAL_DOMAIN_ID | LOGICAL_DOMAIN | LOGICAL_DOMAIN_ID | |
PFT_ENCNTR_ID | PFT_ENCNTR | PFT_ENCNTR_ID | |
CREATED_ID | PRSNL | PERSON_ID |
PFT_CLAIM_RULE
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | ProFit Claim Rule |
Definition: | Contains Claim generation rules. |
Table Type: | REFERENCE |
Column Detail - PFT_CLAIM_RULE
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVE_IND | DOUBLE | N | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
BEG_EFFECTIVE_DT_TM | DATETIME | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
END_EFFECTIVE_DT_TM | DATETIME | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
MEDIA_SUB_TYPE_CD | DOUBLE | N | Identifies the media type to which the rule applies. |
PFT_CLAIM_RULE_ID | DOUBLE | N | Uniquely identifies a claim generation rule. |
PREV_PFT_CLAIM_RULE_ID | DOUBLE | N | Used to track versions of the claim rule information. This field will always point back to the initial value created. This may be used to find the correct version when combined with begin and end effective dates and times. |
RULE_DESC | VARCHAR(200) | Y | Textual description of the claim generation rule. |
RULE_NAME | VARCHAR(100) | Y | The name of the rule. |
RULE_TEMPLATE_ID | DOUBLE | N | Uniquely identifies template information for this claim generation rule. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PFT_CLAIM_RULE
Child Column in PFT_CLAIM_RULE(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | RULE_TEMPLATE_ID | LONG_BLOB_REFERENCE | LONG_BLOB_ID |
PFT_CLAIM_STATUS_HIST
Column Section | Relationship Section | Top of Page |
Table-level Detail
Description: | ProFit Claim Status History |
Definition: | Contains the history of changes to claim status and sub status (status reason) |
Table Type: | ACTIVITY |
Column Detail - PFT_CLAIM_STATUS_HIST
Column Name | Type | Null? | Definition |
---|---|---|---|
ACTIVITY_DT_TM | DATETIME | N | The current date/time of the system that inserted the row. |
BEG_EFFECTIVE_DT_TM | DATETIME | Y | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
CLAIM_EVENT_STATUS_FLAG | DOUBLE | N | Identifies whether the event status is:0 - N/A1 - In Process2 - Failed3 - Success |
CLAIM_STATUS_CD | DOUBLE | N | Primary status of the claim (bill_status_cd on the bill_rec. |
CLAIM_SUB_STATUS_CD | DOUBLE | N | The secondary status of the claim (bill_status_reason_cd on the bill_rec. |
CORSP_ACTIVITY_ID | DOUBLE | N | Identifies the related claim identifier from the bill_rec table. |
END_EFFECTIVE_DT_TM | DATETIME | Y | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
EXTERNAL_IDENT | VARCHAR(250) | Y | The external identifier is the unique identifier for an edi transaction for various payment types. |
LONG_TEXT_ID | DOUBLE | N | Uniquely identifies a message specific to an event. |
PFT_CLAIM_STATUS_HIST_ID | DOUBLE | N | Uniquely identifiesa change to the claim status and sub status for a bill rec. |
UPDT_APPLCTX | DOUBLE | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_CNT | DOUBLE | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_DT_TM | DATETIME | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_ID | DOUBLE | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
UPDT_TASK | DOUBLE | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
Relationship Detail - PFT_CLAIM_STATUS_HIST
Child Column in PFT_CLAIM_STATUS_HIST(FK) | Parent Table Name | Parent Column Name | |
---|---|---|---|
Parents: | LONG_TEXT_ID | LONG_TEXT | LONG_TEXT_ID |