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Domain

Claims

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

1,197 claims terms

plan payment statuspln_pmt_sts

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

policy claim datepol_clm_dt

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

policy claim statuspol_clm_sts

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

policy payment amountpol_pmt_amt

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

policy payment statuspol_pmt_sts

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

practitioner claim dateprac_clm_dt

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

practitioner claim statusprac_clm_sts

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

practitioner payment amountprac_pmt_amt

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

practitioner payment statusprac_pmt_sts

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

precertification claim dateprecert_clm_dt

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

precertification claim statusprecert_clm_sts

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

precertification payment amountprecert_pmt_amt

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

precertification payment statusprecert_pmt_sts

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

prescription claim daterx_clm_dt

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

prescription claim statusrx_clm_sts

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

prescription payment amountrx_pmt_amt

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

prescription payment statusrx_pmt_sts

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

problem claim dateprob_clm_dt

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

problem claim statusprob_clm_sts

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

problem payment amountprob_pmt_amt

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

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