File CLAIMS_TRACKING(356) Data List

ENTRY ID PATIENT VISIT OUTPATIENT ENCOUNTER ADMISSION EPISODE DATE ADMISSION TYPE PRESCRIPTION PROSTHETIC ITEM REFILL DATE INITIAL BILL NUMBER OTHER TYPE OF BILL SECOND OPINION REQUIRED SECOND OPINION OBTAINED EARLIEST AUTO BILL DATE EVENT TYPE REASON NOT BILLABLE INACTIVE ESTIMATED INS. PAYMENT (PRI) ESTIMATED INS. PAYMENT (SEC) ESTIMATED INS. PAYMENT (TER) TRACKED AS INSURANCE CLAIM? TRACKED AS RANDOM SAMPLE? TRACKED AS SPECIAL CONDITION TRACKED AS A LOCAL ADDITION? ESTIMATED MT CHARGES ESTIMATED TOTAL CHARGES ADMITTING REASON (ICD) SPECIAL CONSENT ROI SCHEDULED ADMISSION DATE ENTERED ENTERED BY DATE LAST EDITED LAST EDITED BY HOSPITAL REVIEWS ASSIGNED TO INS. REVIEWS ASSIGNED TO FOLLOW-UP TYPE *ADDITIONAL COMMENT ACUTE CARE DISCHARGE DATE ECME NUMBER ECME REJECT NON BILLABLE CODER LAST REVIEWED BY BILLABLE CODER CODE VALID BILLABLE DATE CODE VALID NON BILLABLE DATE BILLABLE FINDINGS TYPE ADDITIONAL COMMENTS