Behavioral

The monetary value tied to a mental health specialty encounter, claim, or authorization in claims processing or PBM systems. Captures billed, allowed, or paid amounts for psychiatric services used in behavioral health cost analytics and remittance processing.

The authorization decision state for a requested psychiatric service or treatment plan, such as approved, pending, denied, or partially approved. Used in behavioral health utilization management to track prior authorization outcomes and ensure compliance with mental health parity requirements.

The identifier or name of the clinician, care manager, or administrative user who authorized a psychiatric service, treatment plan, or prior authorization request. Used in behavioral health utilization management to maintain accountability and audit trails for mental health service approvals.

The recorded timestamp when a patient arrived for a psychiatric encounter, inpatient admission, or emergency psychiatric evaluation. Used in behavioral health operations to measure door-to-assessment intervals, track throughput efficiency, and meet regulatory timeliness standards for crisis intervention.

The calendar date on which a patient arrived at a psychiatric facility or behavioral health service location. Used to establish the start of a mental health episode of care, calculate length of stay for inpatient psychiatric admissions, and support claims adjudication and reporting.

A structured, comprehensive evaluation of a patient's mental health status, including presenting symptoms, psychiatric history, substance use, and risk factors such as self-harm. Stored in EHR systems and used to guide DSM-based diagnosis, treatment planning, and care coordination workflows.

The outstanding financial amount remaining on a mental health specialty claim or account after payments and adjustments in claims or billing systems. Used to track patient responsibility, underpayments, or unpaid psychiatric service balances in accounts receivable workflows.

The total dollar amount submitted by a behavioral health provider on a claim for psychiatric services rendered. Represents the gross charge before payer adjustments, contractual discounts, or member cost-sharing are applied during the claims adjudication process for mental health services.

The date of birth associated with a patient or member within a mental health specialty context in EHR, claims, or member enrollment systems. Used for age-based eligibility validation, pediatric versus adult psychiatric service categorization, and identity verification.

The date on which a scheduled psychiatric appointment, treatment authorization, or service request was formally cancelled. Used in behavioral health scheduling and utilization management to track no-shows, measure access to mental health care, and identify patterns affecting treatment continuity.

A grouping classification applied to mental health specialty records, providers, or services in EHR and claims systems. Used to segment psychiatric data by service type, disorder class, or benefit tier for reporting, utilization management, and behavioral health analytics.

The gross dollar amount charged by a behavioral health provider for a specific psychiatric service or procedure before any payer or contractual adjustments. Used as the starting point in mental health claims processing to calculate net payments, adjustments, and member cost-sharing obligations.

The primary symptom, behavioral concern, or reason for visit documented by the patient or clinician at the start of a psychiatric encounter. Used in behavioral health records to guide triage, assessment, and treatment planning, and to support diagnostic coding and clinical documentation requirements.

A subordinate record or entity linked to a parent psychiatric record in hierarchical EHR or claims data models. Represents dependent encounters, diagnoses, or authorizations under a parent psychiatric episode, used in data lineage tracking and behavioral health program rollups.

The city associated with a psychiatric facility, provider location, or patient address within a behavioral health record. Used in mental health service area analysis, network adequacy assessments, and geographic reporting to evaluate access to psychiatric care across regions.

A classification tier assigned to mental health specialty services, providers, or medications in EHR, formulary, or claims systems. Used to determine benefit coverage levels, prior authorization requirements, and cost-sharing tiers for psychiatric care in PBM and health plan data.

A standardized classification value such as ICD-10, CPT, or HCPCS code applied to a mental health specialty diagnosis, procedure, or service in claims and EHR systems. Drives psychiatric claim adjudication, quality measure calculation, and behavioral health reporting workflows.

The portion of psychiatric service costs shared by the patient after the deductible is met, calculated as a percentage of the allowed amount under their health plan. Used in behavioral health claims to determine member financial responsibility for mental health services under parity-compliant benefit designs.

A free-text notation field attached to a mental health specialty record in EHR or claims systems. Captures clinician notes, adjudication remarks, or care coordination details that supplement structured psychiatric data and support audit trails and manual review workflows.

The date on which a psychiatric service, treatment episode, authorization period, or clinical assessment was formally completed. Used in behavioral health systems to track episode duration, close active records, and support claims finalization and outcome reporting for mental health services.