agencyclearinghouse


Description

Agency clearing house EDI configuration table for managing Electronic Data Interchange (EDI) parameters and settings for healthcare claims processing. This table stores comprehensive X12 EDI transaction configurations including interchange qualifiers, functional identifiers, entity codes, and segment terminators required for automated claims submission, remittance processing, and electronic communication between healthcare providers and insurance payers through clearing house intermediaries.

Columns

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

Primary key - Unique identifier for each agency clearing house configuration

fkClearingHouseID int 4 null

Clearing house reference - Links to ClearingHouse table for the clearing house provider

AgInterchangeQualifier varchar 2 null

Agency interchange qualifier - EDI interchange qualifier code for the agency

AgInterchangeID varchar 15 null

Agency interchange ID - EDI interchange identification number for the agency

AcknoledgementReq int 4 null

Acknowledgement required - Flag indicating if EDI acknowledgement is required

UsageIndicator varchar 1 null

Usage indicator - EDI usage indicator (P=Production, T=Test)

FunctionalIdentifier varchar 2 null

Functional identifier - EDI functional identifier code for transaction type

RespAgencyCode varchar 1 null

Responsible agency code - Code identifying the responsible agency

VersionCode varchar 12 null

Version code - EDI version/release code for transaction standards

EDI varchar 3 null

EDI code - Electronic Data Interchange transaction code

BHT_StructureCode varchar 4 null

BHT structure code - Beginning of Hierarchical Transaction structure code

BHT_TrPurposeCode varchar 2 null

BHT transaction purpose code - Transaction purpose code for BHT segment

BHT_TrTypeCode varchar 2 null

BHT transaction type code - Transaction type code for BHT segment

REF_IDQualifier varchar 3 null

REF ID qualifier - Reference identification qualifier for REF segment

REF_VersionCode varchar 30 null

REF version code - Reference version code for REF segment

NM1_EntityIDCode varchar 3 null

NM1 entity ID code - Entity identifier code for NM1 segment

NM1_EntityTypeQualifier varchar 1 null

NM1 entity type qualifier - Entity type qualifier for NM1 segment

NM1_IDCodeQualifier varchar 2 null

NM1 ID code qualifier - Identification code qualifier for NM1 segment

NM1_IDCode varchar 10 null

NM1 ID code - Identification code for NM1 segment

PER_ContFuncCode varchar 2 null

PER contact function code - Contact function code for PER segment

PER_ContName varchar 25 null

PER contact name - Contact name for PER segment

PER_NumQualifier varchar 2 null

PER number qualifier - Communication number qualifier for PER segment

PER_Num varchar 25 null

PER number - Communication number for PER segment

HL_A_LevelCode varchar 2 null

HL A level code - Hierarchical level code for HL segment A

HL_A_ChildCode varchar 1 null

HL A child code - Hierarchical child code for HL segment A

HL_A_PRV_Code varchar 3 null

HL A PRV code - Provider code for PRV segment in HL A

HL_A_PRV_RefIDQualifier varchar 3 null

HL A PRV reference ID qualifier - Reference ID qualifier for PRV segment in HL A

HL_A_PRV_RefID varchar 30 null

HL A PRV reference ID - Reference ID for PRV segment in HL A

HL_A_NM1_EntityIDCode varchar 3 null

HL A NM1 entity ID code - Entity ID code for NM1 segment in HL A

HL_A_NM1_EntityTypeQualifier varchar 1 null

HL A NM1 entity type qualifier - Entity type qualifier for NM1 segment in HL A

HL_A_NM1_IDCodeQualifier varchar 2 null

HL A NM1 ID code qualifier - ID code qualifier for NM1 segment in HL A

HL_A_NM1_IDCode varchar 10 null

HL A NM1 ID code - ID code for NM1 segment in HL A

HL_A_REF_ID1Qualifier varchar 3 null

HL A REF ID1 qualifier - First reference ID qualifier for REF segment in HL A

HL_A_REF_ID1Value varchar 20 null

HL A REF ID1 value - First reference ID value for REF segment in HL A

HL_A_REF_ID2Qualifier varchar 3 null

HL A REF ID2 qualifier - Second reference ID qualifier for REF segment in HL A

HL_A_REF_ID2Value varchar 20 null

HL A REF ID2 value - Second reference ID value for REF segment in HL A

HL_B_LevelCode varchar 2 null

HL B level code - Hierarchical level code for HL segment B

HL_B_ChildCode varchar 1 null

HL B child code - Hierarchical child code for HL segment B

HL_B_SBR_PayerResp varchar 1 null

HL B SBR payer responsibility - Payer responsibility code for SBR segment in HL B

HL_B_SBR_Relationship varchar 2 null

HL B SBR relationship - Individual relationship code for SBR segment in HL B

HL_B_SBR_FilingIndicator varchar 2 null

HL B SBR filing indicator - Claim filing indicator for SBR segment in HL B

NMR_EntityIDCode varchar 3 null

NMR entity ID code - Entity identifier code for NMR segment

NMR_EntityTypeQualifier varchar 1 null

NMR entity type qualifier - Entity type qualifier for NMR segment

NMR_IDCodeQualifier varchar 2 null

NMR ID code qualifier - Identification code qualifier for NMR segment

SefFilePath varchar 100 null

SEF file path - Standard Exchange Format file path for EDI validation

X12OutputPath varchar 100 null

X12 output path - File path for X12 EDI output files

x12SegmentTerm varchar 10 null

X12 segment terminator - Character(s) used to terminate EDI segments

x12ElementTerm varchar 1 null

X12 element terminator - Character used to separate EDI data elements

x12CompositeTerm varchar 1 null

X12 composite terminator - Character used to separate composite data elements

HL_B_NMR_EntityIDCode varchar 3 null

HL B NMR entity ID code - Entity ID code for NMR segment in HL B

HL_B_NMR_IDCodeQualifier varchar 2 null

HL B NMR ID code qualifier - ID code qualifier for NMR segment in HL B

CLM_FacilityCodeQualifier varchar 2 null

CLM facility code qualifier - Facility code qualifier for CLM segment

CLM_FacilityCodeValue varchar 2 null

CLM facility code value - Facility code value for CLM segment

CLM_SignatureOnFile varchar 1 null

CLM signature on file - Signature on file indicator for CLM segment

CLM_AcceptAssign varchar 1 null

CLM accept assignment - Accept assignment indicator for CLM segment

CLM_BenefitAssign varchar 1 null

CLM benefit assignment - Benefit assignment indicator for CLM segment

CLM_ReleaseofInfo varchar 1 null

CLM release of info - Release of information indicator for CLM segment

toBill int 4 null

To bill flag - Flag indicating if this configuration should be used for billing

NM1_2010BB_Payer varchar 35 null

NM1 2010BB payer - Payer name for NM1 segment in 2010BB loop

Relationships