EDIClaimEdits


Description

EDI claim edit tracking managing electronic claim edits and status information from EDI processing. This table tracks claim edits from electronic data interchange processing including patient information, claim status, trace numbers, and program details to support EDI claim management and electronic billing workflows.

Columns

Column Type Size Nulls Auto Default Children Parents Comments
EditCode Unknown 0 null

Edit code - Specific edit or error code from EDI processing

EditDescription Unknown 0 null

Edit description - Description of the edit or error

pk_ID int identity 4 null

Primary key - Unique identifier for each EDI claim edit record

fkEDIFileID int 4 null

EDI file reference - Links to EDI file that contained this claim edit

PatientID int 4 null

Patient reference - Links to Patient table for the claim

PatientName varchar 200 null

Patient name - Name of the patient for this claim edit

ClaimTraceNumber varchar 200 null

Claim trace number - Unique trace number for tracking the claim

ClaimID int 4 null

Claim reference - Links to Claim table for the associated claim

ResolutionStatus Unknown 0 null

Resolution status - Status of edit resolution (Pending, Resolved, Ignored)

ServiceDate varchar 30 null

Service date - Date of service for the claim

EDIClaimStatus varchar 30 null

EDI claim status - Status of the claim in EDI processing

ProgramTypeID int 4 null

Program type reference - Links to program type for the claim

BatchId int 4 null

Batch reference - Links to billing batch for this claim

NYEISID varchar 100 null

NY EIS ID - New York Early Intervention System identifier

MunicipaltyCode varchar 100 null

Municipality code - Code for the municipality or local area

PayerClaimControlNumber bigint 8 null

Payer control number - Payer-assigned claim control number

Severity Unknown 0 null

Edit severity - Severity level of the edit (Warning, Error, Fatal)

Indexes

Constraint Name Type Sort Column(s)
IX_EDIClaimEdits_ClaimID Performance Asc ClaimID
IX_EDIClaimEdits_fkEDIFileID Performance Asc fkEDIFileID

Relationships