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Domain

Claims

ICD-10, CPT, EDI 837/835, adjudication, and remittance workflows.

1,197 claims terms

effective claim dateeff_clm_dt

The claim submission date for a coverage start validity. Used to track temporal information related to effective claim date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for effective management and reporting.

effective claim statuseff_clm_sts

The claim adjudication state for a coverage start validity. Used to track the current state or condition of the effective. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for effective management and reporting.

effective payment amounteff_pmt_amt

The payment transaction value for a coverage start validity. Used to capture financial data associated with effective transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for effective management and reporting.

effective payment statuseff_pmt_sts

The payment processing state for a coverage start validity. Used to capture financial data associated with effective transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for effective management and reporting.

eligibility claim dateelig_clm_dt

The claim submission date for a coverage qualification status. Used to track temporal information related to eligibility claim date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for eligibility management and reporting.

eligibility claim statuselig_clm_sts

The claim adjudication state for a coverage qualification status. Used to track the current state or condition of the eligibility. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for eligibility management and reporting.

eligibility payment amountelig_pmt_amt

The payment transaction value for a coverage qualification status. Used to capture financial data associated with eligibility transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for eligibility management and reporting.

eligibility payment statuselig_pmt_sts

The payment processing state for a coverage qualification status. Used to capture financial data associated with eligibility transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for eligibility management and reporting.

emergency claim dateemerg_clm_dt

The claim submission date for a urgent care service. Used to track temporal information related to emergency claim date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for emergency management and reporting.

emergency claim statusemerg_clm_sts

The claim adjudication state for a urgent care service. Used to track the current state or condition of the emergency. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for emergency management and reporting.

emergency payment amountemerg_pmt_amt

The payment transaction value for a urgent care service. Used to capture financial data associated with emergency transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for emergency management and reporting.

emergency payment statusemerg_pmt_sts

The payment processing state for a urgent care service. Used to capture financial data associated with emergency transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for emergency management and reporting.

encounter claim dateenc_clm_dt

The claim submission date for a healthcare service interaction. Used to track temporal information related to encounter claim date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for encounter management and reporting.

encounter claim statusenc_clm_sts

The claim adjudication state for a healthcare service interaction. Used to track the current state or condition of the encounter. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for encounter management and reporting.

encounter payment amountenc_pmt_amt

The payment transaction value for a healthcare service interaction. Used to capture financial data associated with encounter transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for encounter management and reporting.

encounter payment statusenc_pmt_sts

The payment processing state for a healthcare service interaction. Used to capture financial data associated with encounter transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for encounter management and reporting.

endocrinology claim dateendo_clm_dt

The claim submission date for a hormone specialty care. Used to track temporal information related to endocrinology claim date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for endocrinology management and reporting.

endocrinology claim statusendo_clm_sts

The claim adjudication state for a hormone specialty care. Used to track the current state or condition of the endocrinology. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for endocrinology management and reporting.

endocrinology payment amountendo_pmt_amt

The payment transaction value for a hormone specialty care. Used to capture financial data associated with endocrinology transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for endocrinology management and reporting.

endocrinology payment statusendo_pmt_sts

The payment processing state for a hormone specialty care. Used to capture financial data associated with endocrinology transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for endocrinology management and reporting.

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