Operations

The date on which a referral, claim, document, or other transaction was received and logged for a specific healthcare service location. Used in claims intake, referral management, and health information exchange workflows to initiate processing timelines and ensure timely response within defined service level agreements.

The external identifier or pointer linking a physical service site to a source system, regulatory registry, or interoperability framework such as NPI registry, NPPES, or state licensure databases. Used in provider data management, claims routing, and EHR system integrations to resolve and validate facility identities.

The date on which an issue, dispute, or discrepancy associated with a healthcare service site record was formally resolved. Used in facility management systems to close outstanding location-related cases and maintain accurate site records.

A misapplied clinical vital sign field incorrectly mapped to a facility record. In proper context, respiration rate captures breaths per minute for a patient encounter. This field should be reviewed for correct mapping within the location management data model.

The outcome measurement recorded for a physical service site in EHR, quality reporting, or value-based care systems. Captures performance indicators, accreditation findings, inspection outcomes, or clinical results associated with a facility, supporting HEDIS reporting, CMS star ratings, and network quality assessments.

A misapplied clinical field incorrectly associated with a facility record. In proper context, review of systems documents patient-reported symptoms by body system during a clinical encounter. This field should be evaluated for correct placement in the data model.

The version or iteration number indicating how many times a healthcare service site record has been updated. Supports audit tracking and change management by identifying the current revision level of the location's demographic or operational data.

A risk classification or score assigned to a healthcare service site, reflecting factors such as regulatory compliance status, safety incidents, or operational vulnerabilities. Used in facility oversight and credentialing workflows to prioritize monitoring and intervention.

The geographic or operational pathway associated with a healthcare service site, such as a delivery route for mobile services or supply chain logistics. Supports scheduling and resource allocation for facilities operating across distributed service areas.

The calendar date on which a healthcare service site is scheduled for an activity such as an inspection, accreditation review, maintenance visit, or activation. Used in facility management workflows to coordinate planned events associated with the site.

The specific time of day at which a planned activity is scheduled to occur at a healthcare service site. Used alongside the scheduled date to coordinate inspections, activations, or operational events tied to the facility record.

The calculated rating assigned to a physical service site in provider network management, quality measurement, or risk stratification systems. Derived from performance metrics, patient satisfaction surveys, accreditation status, or claims outcomes, supporting tiered network design, value-based contracting, and facility benchmarking workflows.

The ordering number assigned to a physical service site within a series of facility records in claims, EHR, or provider enrollment systems. Establishes processing order for multi-location providers, transfer episodes, or care pathway steps, ensuring accurate data lineage and encounter sequencing across downstream analytics pipelines.

The specific calendar date on which a healthcare service was rendered at a physical service site, captured in claims, EHR, and encounter data systems. Critical for timely filing edits, episode of care grouping, coordination of benefits determination, and longitudinal patient journey analysis across payer and provider platforms.

The coded level of condition seriousness or operational criticality assigned to a physical service site in EHR, claims, or facility management systems. Used to classify trauma center levels, acuity designations, or risk ratings that influence care routing decisions, reimbursement tier assignments, and network adequacy assessments.

A demographic field recorded at the location or facility level, typically capturing the sex or gender designation associated with a provider location or facility record. In healthcare data warehouses, sex fields at the location level are uncommon and should be reviewed for data model accuracy. Most sex or gender data belongs on member or patient dimension tables rather than facility or location records.

The originating system or data feed from which a physical service site record was ingested in EHR, claims, or provider directory platforms. Identifies whether location data originated from NPPES, state licensure files, payer credentialing systems, or facility self-reporting, supporting data lineage tracking and master data management governance.

The effective beginning date on which a physical service site became active or associated with a provider, contract, or member record in enrollment, credentialing, or claims systems. Used to validate network participation timelines, determine benefit eligibility, and support retrospective claims adjudication and coordination of benefits processing.

The time at which operations, services, or a specific scheduled activity began at a healthcare service site. Used in facility management and scheduling systems to record when a location became active or when a site-level event commenced on a given date.

The U.S. state or territory where a healthcare service site is physically located. Used in provider directories, claims adjudication, network management, and regulatory reporting to identify the geographic jurisdiction governing the facility.