Last Updated: 7/22/2025 8:42:49 PM

Intergy Version: 22.00.00.00

Claim

Table Definition  Parent Tables  Child Tables

Table Definition

Description: This table is used to store claim information. It serves as a header record to all other claim details.

Field Datatype Default Null Option Comment
ClaimSID INTEGER ?   MANDATORY System generated unique id using claim sequence.
PracticeID INTEGER ?   OPTIONAL FK
PatientID INTEGER ?   OPTIONAL FK
AccountSID INTEGER ?   MANDATORY FK
AilmentSID INTEGER ?   OPTIONAL FK
ClaimNumber CHARACTER(20)   OPTIONAL System generated unique id using the formula below: YYMM#### where first Y is base 36 second Y is 0-9 MM is 1-12 #### is base 36.
SatisfiedDate DATE ?   OPTIONAL If the claim is satisfied then this field will contain the date the claim was satisfied, otherwise the date will be ?.
AssignBenefits CHARACTER(1)   MANDATORY Flag to indicate if the benefits are assigned directly to the provider.
TimeStamp CHARACTER(14)   OPTIONAL System generated date/time stamp record was last written.
LastUser INTEGER ?   OPTIONAL User ID of user that last wrote the record.
CreateStamp CHARACTER(14)   OPTIONAL System generated date/time stamp record was created.
CreateUser INTEGER ?   OPTIONAL User ID of user that created the record.
LowestRespCoverageOrder INTEGER 0   MANDATORY System generated. Lowest responsible coverage order for all charges in the claim. Important Note: Coverage Order 99 represents guarantor responsible.
ParentClaimSID INTEGER ?   OPTIONAL System generated unique id using claim sequence.
LegacyClaimNumber CHARACTER(20)   OPTIONAL Patient Control Number - the number sent out to identify the Claim in the Legacy system. This field is only set by the "General Conversion".
Converted CHARACTER(1) No_Value__N_   OPTIONAL Indicates if the record was created by the Converter - Y indicates that Yes the record was created by the General Conversion.

Parent Tables
Parent TableJoin PhraseWhen deleting parent record...
Claim Claim.ParentClaimSID = Claim.ClaimSID NONE if Claim exists
Ailment Claim.AilmentSID = Ailment.AilmentSID RESTRICT if Claim exists
PatientAccount Claim.PracticeID = PatientAccount.PracticeID and
Claim.PatientID = PatientAccount.PatientID and
Claim.AccountSID = PatientAccount.AccountSID
CASCADE if Claim exists

Child Tables
Child TableJoin PhraseWhen deleting Claim record...
Claim Claim.ParentClaimSID = Claim.ClaimSID NONE if Claim exists
ClaimCharge ClaimCharge.ClaimSID = Claim.ClaimSID CASCADE if ClaimCharge exists
ChargeCoverage ChargeCoverage.ClaimSID = Claim.ClaimSID SET NULL if ChargeCoverage exists
PlanClaim PlanClaim.ClaimSID = Claim.ClaimSID CASCADE if PlanClaim exists