
File Accounts_Receivable(430) Data List
| BILL NO. |
LAST INTEREST CHARGE DATE |
LAST ADMIN CHARGE DATE |
LAST PENALTY CHARGE DATE |
FISCAL YEAR |
DATE BILL PREPARED |
FORM TYPE |
SERVICE |
VOUCHER NUMBER |
DESCRIPTION |
BILLING AGENCY |
AGENCY LOCATION CODE (ALC) |
CURRENT BALANCE |
DOCUMENT NUMBER |
APPROVING OFFICIAL (SERVICE) |
ELECTRONIC SIGNATURE |
DATE SIGNED (APPROVED) |
APPR. OFFICIAL'S TITLE |
SITE |
DATE SENT TO DMC |
DMC PRINCIPAL BALANCE |
DMC INTEREST BALANCE |
DMC ADMIN BALANCE |
DMC Debt Valid |
DMC Debt Valid Edited By |
DMC Debt Valid Edited Date |
AGENT CASHIER |
ACCOUNT RECEIVABLE SECTION |
MEDICARE CONT. ADJUSTMENT |
MEDICARE UNREIMBURSABLE |
DATE STATUS UPDATED |
DATE BILL REFERRED TO TOP |
TOP REFUND STATUS |
TOP TRACE NUMBER |
TOP REFUND YEAR |
STATUS REMARK |
TYPE OF CARE |
DATE BILL REFERRED TO TCSP |
TCSP RECALL FLAG |
TCSP RECALL EFF. DATE |
TCSP RECALL REASON |
RECALL AMOUNT |
ORIGINAL DATE REFERRED TO TCSP |
STOP TCSP REFERRAL FLAG |
STOP TCSP REFERRAL EFF. DATE |
STOP TCSP REFERRAL REASON |
STOP TCSP REFERRAL COMMENT |
TCSP CASE RECALL FLAG |
TCSP CASE RECALL EFF. DATE |
TCSP CASE RECALL REASON |
TCSP GENDER |
TCSP RE-REFERRAL |
DATE CALM DONE |
TCSP TIN |
TCSP DEBTOR NAME |
TCSP DELINQUENCY DATE |
TCSP DEBTOR ADDRESS, LINE 1 |
TCSP DEBTOR ADDRESS, LINE 2 |
TCSP DEBTOR ADDRESS, CITY |
TCSP DEBTOR ADDRESS, STATE |
TCSP DEBTOR ZIP CODE |
ORIGINAL TCSP AMOUNT |
CURRENT TCSP AMOUNT |
TCSP DEBTOR PHONE |
TCSP COUNTRY CODE |
TCSP DOB |
STATUS UPDATED BY |
CS ADJ TRANS NUMBER |
REJECT DATE |
DUE PROCESS NOTIFICATION FLAG |
DUE PROCESS REQUEST DATE |
DUE PROCESS LETTER PRINT DATE |
DUE PROCESS REFERRAL DATE |
DUE PROCESS ERROR DATE |
DUE PROCESS ERROR CODES |
APPROPRIATION SYMBOL |
SECONDARY INSURANCE CARRIER |
TERTIARY INSURANCE CARRIER |
SEND TCSP RECORD 1 |
SEND TCSP RECORD 2 |
SEND TCSP RECORD 2A |
SEND TCSP RECORD 2C |
STOP INTEREST ADMIN CALC |
CATEGORY |
SEGMENT |
RECEIVABLE CODE |
TYPE OF BILL |
BEGINNING BUDGET FY |
ENDING BUDGET FY |
FUND |
ADMIN OFFICE |
ORGANIZATIONAL CTRL POINT |
FCP/PROJ |
HOLD LETTER DATE |
HOLD LETTER REASON |
HOLD LETTER COMMENTS |
INSURED NAME |
INSURED SEX |
PT RELATIONSHIP |
CERT SSN HIC ID NO. |
GROUP NAME |
GROUP NUMBER |
EMPLOYEE INFORMATION DATA |
EMPLOYMENT STATUS CODE |
EMPLOYER NAME |
EMPLOYEE ID NUMBER |
EMPLOYER LOCATION |
CONTROL POINT |
COST CENTER |
SUB COST CENTER |
BOC (SUB ACCOUNT) |
SUB BOC |
REVENUE SOURCE |
RSC (CALC FOR ACCRUED BILLS) |
SUB-REV SOURCE |
STATION |
FEDERAL/NON-FEDERAL/EMPLOYEE |
REFUND/REIBURSMENT |
SAT STATION |
JOB NUMBER |
XPROGAM |
REPORTING CATEGORY |
FMS LINE NUMBER |
VENDOR ID |
FMS TRANSMISSION DATE |
ORIGINAL AMOUNT |
RETURNED DATE |
RETURN REASON CODE |
COMPROMISE INDICATOR |
COMPROMISE AMOUNT |
CLOSED DATE |
BANKRUPTCY DATE |
DATE OF DEATH |
DATE OF DISSOLUTION |
REMOVED FROM RECONCILATION? |
DATE RETURNED TO SERVICE |
REC ORIGINAL TCSP AMOUNT |
REC CURRENT TCSP AMOUNT |
REC TCSP RECALL EFF. DATE |
TCSP AGENCY DEBT ID LAST 2 |
RETURNED BY |
AMENDED DATE |
AMENDED BY |
AMENDED AMOUNT |
FISCAL COMMENTS (RETURN) |
SERVICE COMMENTS (AMEND) |
GL NO. |
BILL RESULTING FROM |
REPAYMENT PLAN DATE |
*DAY OF MON. PAYMENT DUE |
*REPAYMENT AMOUNT DUE |
*NUMBER OF PAYMENTS |
AR REPAYMENT PLAN |
*REPAYMENT DUE DATES |
DATE ACCOUNT ACTIVATED |
LETTER1 |
LETTER2 |
LETTER3 |
REFERRAL DATE |
REFERRAL CODE |
REFERRAL AMOUNT |
LAST INT/ADM CHARGE DATE |
LETTER4 |
LAST LETTER DATE |
RE-REFERRAL DATE |
RETURNED DATE BY RC/DOJ |
REFERRAL DATE TO COWC |
REFERRED AMOUNT TO COWC |
IRS OFFSET LETTER |
DATE FORWARDED TO IRS |
IRS PRINCIPAL BALANCE |
IRS INTEREST BALANCE |
IRS ADMIN. BALANCE |
ORIGINAL IRS LETTER AMOUNT |
ORIGINAL IRS OFFSET AMOUNT |
REFERRAL REASON CODE |
REFERRAL COMMENT |
OVER LETTER3 |
PATIENT |
DELINQUENT DAYS |
PRINCIPAL BALANCE |
INTEREST BALANCE |
ADMINISTRATIVE COST BALANCE |
MARSHAL FEE |
COURT COST |
TOTAL PAID PRINCIPAL |
TOTAL PAID INTEREST |
TOTAL PAID ADMINISTRATIVE COST |
TOTAL PAID MARSHAL FEE |
OUTSTANDING PB |
OUTSTANDING IB |
OUTSTANDING AB |
OUTSTANDING MF |
OUTSTANDING CC |
EXCESS PAYMENT AMOUNT |
REFUNDED AMOUNT |
REFUNDED DATE |
TOTAL PAID COURT COST |
REFUNDED BY |
CURRENT STATUS |
IRS LOCATION COST |
CREDIT REP. COST |
DMV LOCATION COST |
DMV LOCATION CHECK |
CONSUMER REP. AGENCY COST |
POSTAL LOCATION COST |
ABLE TO PAY |
ABLE TO LOCATE |
POSTAL LOC.DATE SENT |
POSTAL LOC.DATE RECEIVED |
IRS ABLE TO LOCATE |
IRS LOC. DATE SENT |
IRS LOC. DATE RECEIVED |
CREDIT REP. ABLE TO PAY |
CREDIT REPT. DATE SENT |
CREDIT REP. DATE RECEIVED |
PATIENT FOLDER REVIEWED |
DATE FOLDER REVIEWED |
DEBTOR |
APPROVED BY (FISCAL) |
AR ELECTRONIC SIGNATURE |
AR DATE SIGNED |
AR APPR.OFFICIAL'S TITLE |
APPROVED BY (BILLING) |
PREVIOUS STATUS |
APPROVED DATE (SERVICE) |
PROCESSED BY (SERVICE) |
COMMENTS |