Columns
| Column | Type | Size | Nulls | Auto | Default | Children | Parents | Comments |
|---|---|---|---|---|---|---|---|---|
| CheckOrTraceNumber | varchar | 50 | √ | null |
|
|
Check or trace number - Medicaid check number or electronic trace number for payment identification |
|
| MedicaidCycle | varchar | 50 | √ | null |
|
|
Medicaid cycle - Medicaid processing cycle identifier for the payment |
|
| LastName | varchar | 50 | √ | null |
|
|
Patient last name - Last name of the patient who received services |
|
| FirstName | varchar | 50 | √ | null |
|
|
Patient first name - First name of the patient who received services |
|
| PatientControlNumber | varchar | 50 | √ | null |
|
|
Patient control number - Medicaid patient control number for claim identification |
|
| AuthorizationNumber | varchar | 30 | √ | null |
|
|
Authorization number - Medicaid authorization number for the services provided |
|
| ServiceDate | smalldatetime | 16 | √ | null |
|
|
Service date - Date when the Early Intervention services were provided |
|
| AmountBilled | money | 21,4 | √ | null |
|
|
Amount billed - Total amount billed to Medicaid for the services |
|
| AmountPaid | money | 21,4 | √ | null |
|
|
Amount paid - Amount paid by Medicaid for the services |
|
| TCN | varchar | 50 | √ | null |
|
|
Transaction control number - Medicaid transaction control number for tracking |
|
| Status | varchar | 50 | √ | null |
|
|
Claim status - Status of the Medicaid claim (Paid, Denied, Pending, etc.) |
|
| CARGroupCode | varchar | 10 | √ | null |
|
|
CAR group code - Claim Adjustment Reason group code from Medicaid |
|
| CARCode | varchar | 10 | √ | null |
|
|
CAR code - Specific Claim Adjustment Reason code from Medicaid |
|
| CARDescription | varchar | 500 | √ | null |
|
|
CAR description - Description of the Claim Adjustment Reason |
|
| RemarkCode | varchar | 10 | √ | null |
|
|
Remark code - Additional remark codes from Medicaid remittance |
|
| RemarkDescription | varchar | 500 | √ | null |
|
|
Remark description - Detailed description of the remark codes from Medicaid remittance |
|
| InvoiceNumber | varchar | 50 | √ | null |
|
|
Invoice number - Invoice number associated with the Medicaid claim |
|
| EIDataSource | varchar | 50 | √ | null |
|
|
EI data source - Early Intervention data source identifier for the claim |
|
| PatientAccountNumber | varchar | 50 | √ | null |
|
|
Patient account number - Patient account number in the Medicaid system |
|
| fkFileID | int | 4 | √ | null |
|
|
File reference - Links to raFiles table for the source remittance file |
|
| DateImported | smalldatetime | 16 | √ | (getdate()) |
|
|
Import date - Date when the Medicaid remittance data was imported |
|
| pkEiMedicaidID | int identity | 4 | √ | null |
|
|
Primary key - Unique identifier for each Early Intervention Medicaid remittance record |
Indexes
| Constraint Name | Type | Sort | Column(s) |
|---|---|---|---|
| PK_ra_EIMedicaidId | Primary key | Asc | pkEiMedicaidID |
