Operations

The drug enforcement administration number for a pre-service authorization. Used as a unique reference to identify and track the precertification across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The recorded date of death associated with a member or patient on a pre-service authorization in utilization management and payer systems. Used by data engineers to void or terminate active authorizations, prevent post-mortem claims approval, and reconcile member status across EHR and enrollment platforms.

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

The removal status flag 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.

The textual explanation associated with a pre-service authorization, detailing the clinical service, procedure, or medical necessity justification within utilization management and EHR systems. Used by data engineers to support reporting, map service descriptions to structured codes, and provide context for authorization decisions in payer platforms.

The granular service-level information captured within a pre-service authorization record in utilization management and payer systems, including procedure specifics, units, and clinical parameters. Used by data engineers to support detailed claims matching, authorization auditing, and benefit validation workflows across EHR and adjudication platforms.

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

The time span length for a pre-service authorization. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The date on which a pre-service authorization becomes active and valid for use within utilization management and payer systems. Used by data engineers to enforce authorization validity windows, align coverage periods with claims submission dates, and support date-range filtering in EHR and claims adjudication platforms.

The electronic mail address associated with a provider, facility, or contact linked to a pre-service authorization in utilization management and payer systems. Used to deliver authorization decisions, request additional clinical documentation, and support digital communication workflows across EHR, member portal, and payer correspondence platforms.

The date on which an approved pre-service authorization ceases to be valid for claims adjudication in payer, EHR, and utilization management systems. Data engineers use PRECERT_END_DT to filter active authorizations, enforce adjudication windows, and identify claims submitted after authorization coverage has lapsed.

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

The data entry user for a pre-service authorization. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The cultural classification for a pre-service authorization. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The final date through which a pre-service authorization remains eligible for use in claims processing and utilization management platforms. Distinct from end date in some payer systems, PRECERT_EXP_DT is critical for data engineers validating authorization currency during claims adjudication and denial root cause analysis.

The external system reference id for a pre-service authorization. Used as a unique reference to identify and track the precertification across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The facsimile number for a pre-service authorization. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The service charge for a pre-service authorization. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

The given name for a pre-service authorization. Used to display and describe the precertification in a human-readable format. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for precertification management and reporting.

A binary indicator (Y/N or 1/0) stored in claims, utilization management, or EHR authorization tables denoting whether a pre-service certification requirement exists for a given service or procedure. Data engineers use PRECERT_FLG to filter services requiring prior approval and to support compliance and audit reporting workflows.