ScanEvalclaim_vw

Form header identifier - Unique identifier for the scanned form header record

Millisecond timestamp - Precise timestamp in milliseconds for form processing

User identifier - ID of the user who processed or scanned the form

Document name - Name or title of the scanned evaluation document

Date signed - Date when the evaluation form was signed (as text from scanned form)

Signature indicator - Indicator of signature presence on the scanned evaluation form

Scan date - Date when the evaluation document was scanned (as text)

Form identifier - ID of the evaluation form type that was scanned

Service type identifier - Type of evaluation service documented on the scanned form, references iCS2.dbo.ServiceType for standardized service classification

Procedure identifier - Evaluation procedure code from the scanned form

Modifier identifier - Procedure modifier from the scanned evaluation form, references iCS2.dbo.Modifier for standardized modifier codes

Admission identifier - Patient case ID from the scanned evaluation form

Authorization identifier - Authorization ID from the scanned evaluation form

Claim type program identifier - Claim type and program combination from scanned evaluation form

Payment source identifier - Payment source ID from the scanned evaluation form

Form comments - Comments or notes from the scanned evaluation form

Service date placeholder - Standardized placeholder for evaluation service date

Agency patient ID placeholder - Standardized placeholder for agency patient identifier

Attendance code placeholder - Standardized placeholder for attendance code

Bilingual PA placeholder - Standardized placeholder for bilingual professional assistant

Evaluation PA placeholder - Standardized placeholder for evaluation professional assistant

Bilingual indicator placeholder - Standardized placeholder for bilingual service indicator