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

Intergy Version: 22.00.00.00

PlanClaimStatus

Table Definition  Parent Tables  Child Tables

Table Definition

Description: This table stores the status information for each claim.

Field Datatype Default Null Option Comment
PlanID INTEGER ?   MANDATORY FK - From PlanClaim
PolicyNumber CHARACTER(20)   MANDATORY FK - From PlanClaim
ClaimSID INTEGER ?   MANDATORY FK - From PlanClaim
StatusCount INTEGER 0   MANDATORY System generated count for each planclaim
ReportType CHAR(3)   OPTIONAL MH9: Must be 4, 5, 10, or 11
StatusSource CHARACTER(5)   OPTIONAL "WebMD" or Payer ID
StatusDateStamp CHARACTER(14)   OPTIONAL PS7/WS3/CE3: Process Datestamp
StatusCategory CHARACTER(5)   OPTIONAL PS6: Status Category Code
ClaimStatus CHARACTER(10)   OPTIONAL WS7/PS8: Claim Status
AmountPaid DECIMAL(10,2)   OPTIONAL PS9 (RPT10&11)
PayerClaimID CHARACTER(30)   OPTIONAL Payer Reference Number for Claim
ErrorFieldData CHARACTER(80)   OPTIONAL CE7/PS14: Data in Error
ErrorField CHARACTER(14   OPTIONAL CE8: Error Field
ErrorFieldName CHARACTER(30)   OPTIONAL CE9: Field Name
ErrorSequence INTEGER 0   OPTIONAL
ErrorMessage CHARACTER(255)   OPTIONAL CE11/PS15: Error/Status Message
ErrorRejectReason CHARACTER(10)   OPTIONAL CE12: Reject Reason Code
ErrorLevel CHARACTER(2)   OPTIONAL CE13: Error Level (1 or 2)
SplitClaim INTEGER 0   OPTIONAL PS20: Split Claim Indicator
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.
FileArchiveSID INTEGER ?   OPTIONAL FK - from Medman.EMCReportFile table
ClearinghouseFileRef CHAR(30)   OPTIONAL CI5: File tracking number assigned by the clearinghouse
ClearinghouseClaimRef CHAR(20)   OPTIONAL CI6: Claim ID assigned by the clearinghouse
DueDate DATE   OPTIONAL RI13:Request for information due date (RPT10&11)
PayerPhone CHAR(15)   OPTIONAL RI17:Payer Phone Number (RPT10&11)
PayerContact CHAR(60)   OPTIONAL RI18:Payer Contact (RPT10&11)
PayerAddress1 CHAR(55)   OPTIONAL RI19:Payer Response Address 1 (RPT10&11)
PayerAddress2 CHAR(55)   OPTIONAL RI20:Payer Response Address 2 (RPT10&11)
PayerCity CHAR(30)   OPTIONAL RI21:Payer Response City (RPT10&11)
PayerState CHAR(2)   OPTIONAL RI22:Payer Response State Code (RPT10&11)
PayerZip CHAR(15)   OPTIONAL RI23:Payer Response Postal Code (RPT10&11)
PayerFileID CHAR(25)   OPTIONAL RI16:File ID from the payer's report.

Parent Tables
Parent TableJoin PhraseWhen deleting parent record...
PlanClaim PlanClaimStatus.PlanID = PlanClaim.PlanID and
PlanClaimStatus.PolicyNumber = PlanClaim.PolicyNumber and
PlanClaimStatus.ClaimSID = PlanClaim.ClaimSID
CASCADE if PlanClaimStatus exists

Child Tables
Child TableJoin PhraseWhen deleting PlanClaimStatus record...