BillingRate


Description

Service billing rates defining the rates charged for different healthcare services based on payer, procedure, service type, and other billing parameters. This table manages the complex rate structures used for medical billing and ensures accurate pricing for insurance claims and invoices.

Columns

Column Type Size Nulls Auto Default Children Parents Comments
RateID int identity 4 null

Primary key - Unique identifier for each billing rate

fkPaysourceID varchar 20 null

Payment source - Identifier for the payer or insurance company

fkCPID int 4 null

Care plan reference - Links to care plan if rate is plan-specific

ProcedureID int 4 null

Procedure reference - Links to procedures table for the CPT/HCPCS code

ServiceTypeid int 4 null

Service type - Links to iCS2.dbo.ServiceType for centralized service type definitions and standardized service codes across the multi-tenant healthcare system

ModifierID int 4 null

Modifier reference - Links to iCS2.dbo.Modifier for centralized billing modifier definitions and standardized modifier codes used across all healthcare billing processes

Minutes int 4 null

Service duration - Duration in minutes for this rate (minimum)

RateAmt money 21,4 null

Rate amount - Dollar amount charged per unit of service

DateRetroactive datetime 16,3 null

Retroactive date - Date from which rate changes apply retroactively

DateEffective datetime 16,3 null

Effective date - Date when this rate becomes effective

Dateinactive datetime 16,3 null

Inactive date - Date when this rate becomes inactive

RateName varchar 200 null

Rate name - Descriptive name for this rate structure

Comments varchar 500 null

Rate comments - Notes about the rate or billing requirements

DateCreated smalldatetime 16 null

Creation date - Timestamp when the rate was created

CreatedBy int 4 null

Created by user - UserID of the person who created this rate

DateUpdated smalldatetime 16 null

Last update date - Timestamp of the most recent rate update

UpdatedBy int 4 null

Updated by user - UserID of the person who last modified this rate

MinutesTo int 4 null

Maximum duration - Maximum duration in minutes for this rate

NumInGroup int 4 null

Group size - Number of participants for group service rates

CPTCodeID int 4 null

CPT code reference - Links to CPT code table for procedure coding

Indexes

Constraint Name Type Sort Column(s)
PK__BillingRate__367DAEC7 Primary key Asc RateID
IX_cpid Performance Asc fkCPID
IX_Dateeffective Performance Asc DateEffective
IX_DateInactive Performance Asc Dateinactive
IX_Modifier Performance Asc ModifierID
IX_PaysourceID Performance Asc fkPaysourceID
IX_Procedure Performance Asc ProcedureID
IX_ServiceTypeID Performance Asc ServiceTypeid

Relationships