claimtypeinprogtype


Description

Claim type program configuration defining claim type configurations and business rules for specific program types. This configuration table manages claim type settings including authorization requirements, unit limits, display options, and default behaviors for different program types to support program-specific billing workflows and claim validation.

Columns

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

Primary key - Unique identifier for each claim type program configuration

fkClaimTypeID int 4 null

Claim type reference - Links to iCS2.dbo.ClaimType for centralized claim type definitions

fkProgramID int 4 null

Program reference - Links to iCS2.dbo.ProgramType for centralized program type definitions this configuration applies to

ReqAuth int 4 null

Authorization required - Flag indicating if authorization is required for this claim type

MaxUnit int 4 null

Maximum units - Maximum number of units allowed for this claim type

showAuth int 4 null

Show authorization - Flag controlling authorization display in user interface

showGoals int 4 null

Show goals - Flag controlling goals display in user interface

fishAuth int 4 null

FISH authorization - Flag for FISH (Florida Information Sharing Hub) authorization requirements

DefaultErrorOption int 4 null

Default error option - Default error handling option for this claim type

showCPT int 4 null

Show CPT codes - Flag controlling CPT code display in user interface

showICD9 int 4 null

Show ICD codes - Flag controlling ICD diagnosis code display in user interface

defaultPatientData int 4 null

Default patient data - Flag for using default patient data

defaultProvID int 4 null

Default provider ID - Default provider identifier for this claim type

Relationships