claimtypePayRates


Description

Claim type payment rates that define the payment rates and reimbursement amounts for different claim types across various payers and contracts.

Columns

Column Type Size Nulls Auto Default Children Parents Comments
dateeffective smalldatetime 16 null

Date effective - Date when this payment rate configuration becomes effective

comment varchar 500 null

Rate comments - Administrative comments or notes about this payment rate

dateend smalldatetime 16 null

End date - Date when this payment rate configuration expires or becomes inactive

EffectiveDate Unknown 0 null

Effective date - Date when this payment rate becomes active

ExpirationDate Unknown 0 null

Expiration date - Date when this payment rate expires

fkClaimTypeID Unknown 0 null

Claim type reference - Reference to the claim type

fkPayerID Unknown 0 null

Payer reference - Reference to the insurance payer

groupname varchar 61 null

Group name - Name of the payment group or rate category this rate belongs to

patientid int 4 null

Patient reference - Reference to a specific patient if this is a patient-specific rate

PaymentRate Unknown 0 null

Payment rate - Amount paid per unit for this claim type

PayRateID Unknown 0 null

Primary key - claimtypePayRates unique identifier for each payment rate

rates money 21,4 null

Rate amount - The actual payment rate amount for this claim type and payer combination

servicetypeid int 4 null

Service type reference - Reference to the service type for this payment rate

modifierid int 4 null

Modifier reference - Reference to billing modifiers that affect this payment rate

proccode int 4 null

Procedure code reference - Reference to the procedure code for this payment rate

userid int 4 null

User reference - Reference to the user who created or manages this payment rate

paygroup int 4 null

Payment group - Numeric identifier for the payment group or rate tier

ratestatus varchar 10 null

Rate status - Current status of this payment rate (Active, Inactive, Pending, etc.)

minutes int 4 null

Service minutes - Duration in minutes for services covered by this payment rate

fkcpid int 4 null

CP reference - Reference to the claim processing or contract provider identifier

Relationships