Columns
| Column | Type | Size | Nulls | Auto | Default | Children | Parents | Comments |
|---|---|---|---|---|---|---|---|---|
| AgClID | int identity | 4 | √ | null |
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Primary key - Unique identifier for each agency clearing house configuration |
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| fkClearingHouseID | int | 4 | √ | null |
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Clearing house reference - Links to ClearingHouse table for the clearing house provider |
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| AgInterchangeQualifier | varchar | 2 | √ | null |
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Agency interchange qualifier - EDI interchange qualifier code for the agency |
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| AgInterchangeID | varchar | 15 | √ | null |
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Agency interchange ID - EDI interchange identification number for the agency |
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| AcknoledgementReq | int | 4 | √ | null |
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Acknowledgement required - Flag indicating if EDI acknowledgement is required |
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| UsageIndicator | varchar | 1 | √ | null |
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Usage indicator - EDI usage indicator (P=Production, T=Test) |
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| FunctionalIdentifier | varchar | 2 | √ | null |
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Functional identifier - EDI functional identifier code for transaction type |
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| RespAgencyCode | varchar | 1 | √ | null |
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Responsible agency code - Code identifying the responsible agency |
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| VersionCode | varchar | 12 | √ | null |
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Version code - EDI version/release code for transaction standards |
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| EDI | varchar | 3 | √ | null |
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EDI code - Electronic Data Interchange transaction code |
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| BHT_StructureCode | varchar | 4 | √ | null |
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BHT structure code - Beginning of Hierarchical Transaction structure code |
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| BHT_TrPurposeCode | varchar | 2 | √ | null |
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BHT transaction purpose code - Transaction purpose code for BHT segment |
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| BHT_TrTypeCode | varchar | 2 | √ | null |
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BHT transaction type code - Transaction type code for BHT segment |
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| REF_IDQualifier | varchar | 3 | √ | null |
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REF ID qualifier - Reference identification qualifier for REF segment |
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| REF_VersionCode | varchar | 30 | √ | null |
|
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REF version code - Reference version code for REF segment |
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| NM1_EntityIDCode | varchar | 3 | √ | null |
|
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NM1 entity ID code - Entity identifier code for NM1 segment |
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| NM1_EntityTypeQualifier | varchar | 1 | √ | null |
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NM1 entity type qualifier - Entity type qualifier for NM1 segment |
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| NM1_IDCodeQualifier | varchar | 2 | √ | null |
|
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NM1 ID code qualifier - Identification code qualifier for NM1 segment |
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| NM1_IDCode | varchar | 10 | √ | null |
|
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NM1 ID code - Identification code for NM1 segment |
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| PER_ContFuncCode | varchar | 2 | √ | null |
|
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PER contact function code - Contact function code for PER segment |
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| PER_ContName | varchar | 25 | √ | null |
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PER contact name - Contact name for PER segment |
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| PER_NumQualifier | varchar | 2 | √ | null |
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PER number qualifier - Communication number qualifier for PER segment |
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| PER_Num | varchar | 25 | √ | null |
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PER number - Communication number for PER segment |
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| HL_A_LevelCode | varchar | 2 | √ | null |
|
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HL A level code - Hierarchical level code for HL segment A |
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| HL_A_ChildCode | varchar | 1 | √ | null |
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HL A child code - Hierarchical child code for HL segment A |
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| HL_A_PRV_Code | varchar | 3 | √ | null |
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HL A PRV code - Provider code for PRV segment in HL A |
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| HL_A_PRV_RefIDQualifier | varchar | 3 | √ | null |
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HL A PRV reference ID qualifier - Reference ID qualifier for PRV segment in HL A |
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| HL_A_PRV_RefID | varchar | 30 | √ | null |
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HL A PRV reference ID - Reference ID for PRV segment in HL A |
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| HL_A_NM1_EntityIDCode | varchar | 3 | √ | null |
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HL A NM1 entity ID code - Entity ID code for NM1 segment in HL A |
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| HL_A_NM1_EntityTypeQualifier | varchar | 1 | √ | null |
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HL A NM1 entity type qualifier - Entity type qualifier for NM1 segment in HL A |
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| HL_A_NM1_IDCodeQualifier | varchar | 2 | √ | null |
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HL A NM1 ID code qualifier - ID code qualifier for NM1 segment in HL A |
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| HL_A_NM1_IDCode | varchar | 10 | √ | null |
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HL A NM1 ID code - ID code for NM1 segment in HL A |
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| HL_A_REF_ID1Qualifier | varchar | 3 | √ | null |
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HL A REF ID1 qualifier - First reference ID qualifier for REF segment in HL A |
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| HL_A_REF_ID1Value | varchar | 20 | √ | null |
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HL A REF ID1 value - First reference ID value for REF segment in HL A |
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| HL_A_REF_ID2Qualifier | varchar | 3 | √ | null |
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HL A REF ID2 qualifier - Second reference ID qualifier for REF segment in HL A |
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| HL_A_REF_ID2Value | varchar | 20 | √ | null |
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HL A REF ID2 value - Second reference ID value for REF segment in HL A |
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| HL_B_LevelCode | varchar | 2 | √ | null |
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HL B level code - Hierarchical level code for HL segment B |
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| HL_B_ChildCode | varchar | 1 | √ | null |
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HL B child code - Hierarchical child code for HL segment B |
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| HL_B_SBR_PayerResp | varchar | 1 | √ | null |
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HL B SBR payer responsibility - Payer responsibility code for SBR segment in HL B |
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| HL_B_SBR_Relationship | varchar | 2 | √ | null |
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HL B SBR relationship - Individual relationship code for SBR segment in HL B |
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| HL_B_SBR_FilingIndicator | varchar | 2 | √ | null |
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HL B SBR filing indicator - Claim filing indicator for SBR segment in HL B |
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| NMR_EntityIDCode | varchar | 3 | √ | null |
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NMR entity ID code - Entity identifier code for NMR segment |
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| NMR_EntityTypeQualifier | varchar | 1 | √ | null |
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NMR entity type qualifier - Entity type qualifier for NMR segment |
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| NMR_IDCodeQualifier | varchar | 2 | √ | null |
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NMR ID code qualifier - Identification code qualifier for NMR segment |
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| SefFilePath | varchar | 100 | √ | null |
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SEF file path - Standard Exchange Format file path for EDI validation |
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| X12OutputPath | varchar | 100 | √ | null |
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X12 output path - File path for X12 EDI output files |
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| x12SegmentTerm | varchar | 10 | √ | null |
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X12 segment terminator - Character(s) used to terminate EDI segments |
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| x12ElementTerm | varchar | 1 | √ | null |
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X12 element terminator - Character used to separate EDI data elements |
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| x12CompositeTerm | varchar | 1 | √ | null |
|
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X12 composite terminator - Character used to separate composite data elements |
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| HL_B_NMR_EntityIDCode | varchar | 3 | √ | null |
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HL B NMR entity ID code - Entity ID code for NMR segment in HL B |
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| HL_B_NMR_IDCodeQualifier | varchar | 2 | √ | null |
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HL B NMR ID code qualifier - ID code qualifier for NMR segment in HL B |
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| CLM_FacilityCodeQualifier | varchar | 2 | √ | null |
|
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CLM facility code qualifier - Facility code qualifier for CLM segment |
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| CLM_FacilityCodeValue | varchar | 2 | √ | null |
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CLM facility code value - Facility code value for CLM segment |
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| CLM_SignatureOnFile | varchar | 1 | √ | null |
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CLM signature on file - Signature on file indicator for CLM segment |
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| CLM_AcceptAssign | varchar | 1 | √ | null |
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CLM accept assignment - Accept assignment indicator for CLM segment |
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| CLM_BenefitAssign | varchar | 1 | √ | null |
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CLM benefit assignment - Benefit assignment indicator for CLM segment |
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| CLM_ReleaseofInfo | varchar | 1 | √ | null |
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CLM release of info - Release of information indicator for CLM segment |
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| toBill | int | 4 | √ | null |
|
|
To bill flag - Flag indicating if this configuration should be used for billing |
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| NM1_2010BB_Payer | varchar | 35 | √ | null |
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NM1 2010BB payer - Payer name for NM1 segment in 2010BB loop |
