| Table Name |
Table Description |
Field Name |
Field Description |
Field Type |
Field Length |
Decimal Places |
Required |
| AGENCY |
Service Agency Code and Name |
AGENCYCODE |
nyc agency code |
C |
5 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
CODE |
agency code |
C |
7 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
FACILITYC |
nyc facility code |
C |
4 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
MAILTO |
nyc mail to (what ?) |
C |
1 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
NAME |
agency name |
C |
35 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
UDF_1 |
user defined field 1 |
C |
20 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
UDF_2 |
user defined field 2 |
C |
20 |
0 |
False |
| AGENCY |
Service Agency Code and Name |
UNITCODE |
nyc unit code |
C |
5 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
AG_CODE |
agency code |
C |
7 |
0 |
True |
| APPOINT |
I-CHAP Appointment tracking |
APPT_TYPE |
appointment type |
C |
1 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
HOMEDATE |
home visit date |
D |
8 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
HOMEVISIT |
home visit needed ? |
L |
1 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
ID |
system generated id |
C |
8 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
LASTCONT |
last contact type |
C |
1 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
MISSDATE |
appointment date |
D |
8 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NEXTDATE |
next appointment date |
D |
8 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NFAMCALL |
# calls to family |
N |
2 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NFAMLET |
# letter to family |
N |
2 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NFAMVIS |
# of family visits |
N |
2 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NPROVCALL |
# calls to provider |
N |
2 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NPROVLET |
# letter to provider |
N |
2 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
NPROVVIS |
# of provider visits |
N |
2 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
OUTCOME |
outcome of appointment track |
C |
1 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
PROBLEM |
problem for tracking |
C |
1 |
0 |
False |
| APPOINT |
I-CHAP Appointment tracking |
RECDATE |
last contact date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
AMOUNT |
amount provider billed |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
BALANCE |
balance=amount-other(not used) |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
BDATE |
Billing date on provider bill |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
BEN_DATE |
Bill entering date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
BILINSID |
INSURANCE COMPANY BILLED TO |
C |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
BILL_STA |
Bill status (hold/process) |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
CK_AMOUNT |
nys_price |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
CK_BATCH |
check batch number |
C |
5 |
0 |
False |
| ARCHIVE |
Bill Archive File |
CK_DATE |
check start processing date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
CK_IDATE |
check issued date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
CK_NUMBER |
check # |
C |
12 |
0 |
False |
| ARCHIVE |
Bill Archive File |
CK_PAID |
total $ on check (check #) |
N |
9 |
2 |
False |
| ARCHIVE |
Bill Archive File |
CK_RESULT |
check result |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
COMMENSU |
commensurate flag |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
DENYCODE |
REJECTION CODE FOR INSURANCE |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
EIAGENCY |
e.i. billing agency code |
C |
9 |
0 |
False |
| ARCHIVE |
Bill Archive File |
ICD9_PROC |
icd9 for procedure code |
C |
6 |
0 |
False |
| ARCHIVE |
Bill Archive File |
ID |
system id |
C |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
ID_PROV |
provider ID |
C |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
ID_SVC |
authorization number |
C |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
INS_BATCH |
insurance process batch number |
C |
5 |
0 |
False |
| ARCHIVE |
Bill Archive File |
INS_BDATE |
date billing insurance |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
INS_EDATE |
insurance return/respone date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
INS_PAID |
amount insurance paid |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
INS_RESULT |
result of billing insurance |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
INS_YN |
private insurance (yes/no) |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
INVOICE |
medicaid invoice number |
C |
9 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MD_BATCH |
medicaid process batch number |
C |
5 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_BDATE |
date billing medicaid |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_BILL |
medicaid billable (True/False) |
L |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_NRSUB |
# of resubmits 0-9 |
N |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_PAID |
amount medicaid paid |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
MED_RDATE |
medicaid return/response date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_RSTA |
medicaid reconcile result |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_TECH |
medicaid for assist tech |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
MED_TRAN |
medicaid for transportation |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NUM_ADJ |
number of adjustments |
N |
2 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NYS_EXPAMT |
nys reimbursement exp amount |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
NYS_EXPRST |
nys reimbursement exp result |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NYS_PRICE |
nys_rate X units |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
NYS_RATE |
rate based on svc date |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
NY_BATCH |
billing NYS process batch # |
C |
5 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NY_DATE |
date billing NYS |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NY_INVOICE |
invoice for billing NYS |
C |
6 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NY_PAID |
(ck_amount-ins_paid-med_pai)/2 |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
NY_RDATE |
NYS result/respone date |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NY_RESULT |
billing NYS result |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
NY_RESULT2 |
record disk update ny_result |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
OCK_AMOUNT |
old nys price |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
OINS_PAID |
old amount insurance paid |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
OMED_PAID |
old amount medicaid paid |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
ONY_PAID |
old amount nys paid |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
OTH_PAID |
amount other paid |
N |
8 |
2 |
False |
| ARCHIVE |
Bill Archive File |
PC_CODE |
procedure code |
C |
7 |
0 |
False |
| ARCHIVE |
Bill Archive File |
PROC_STA |
bill process status |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
PV_INVOICE |
provider invoice number |
C |
12 |
0 |
False |
| ARCHIVE |
Bill Archive File |
RETROBILL |
# of retroactive billing |
N |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
RTR_BATCH |
Provider Retro Batch Number |
C |
5 |
0 |
False |
| ARCHIVE |
Bill Archive File |
RTR_STA |
A=pay prv B=prv rec C=prv adj |
C |
1 |
0 |
False |
| ARCHIVE |
Bill Archive File |
SBDATE |
date of service beginning |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
SEDATE |
date of service ending |
D |
8 |
0 |
False |
| ARCHIVE |
Bill Archive File |
UNITS |
number of units |
N |
3 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_ADDR1 |
address 1 |
C |
25 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_ADDR2 |
address 2 |
C |
25 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_CITY |
city |
C |
17 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_CODE |
agency code |
C |
9 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_COOR |
service coordination |
L |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_CTT_CTY |
is contract with county |
C |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_CTT_ED |
contract end date |
D |
8 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_CTT_NUM |
contract with county number |
C |
12 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_CTT_SD |
contract start datE |
D |
8 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_CTYEI |
county e.i. program |
C |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_EADDR1 |
address 1 of authorized |
C |
25 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_EADDR2 |
address 1 of authorized |
C |
25 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_ECITY |
city of authorized |
C |
17 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_EPHONE |
phone of authorized |
C |
12 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_ESTATE |
state of authorized |
C |
2 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_EVAL |
evaluation and multi-disc. |
L |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_EZIP |
zip of authorized |
C |
10 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_NAME |
billing agency name |
C |
35 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_PARNAME |
participant name |
C |
35 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_PHONE |
telephone |
C |
12 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_RESP |
respite |
L |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_SSN |
social security number |
C |
11 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_STATE |
state |
C |
2 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_SVC |
services |
L |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_TECH |
tech assist |
L |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_TIN |
tax information number |
C |
9 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_TRAN |
transpotation |
L |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
AG_USETIN |
ssn or tin |
C |
1 |
0 |
False |
| BAGENCY |
provider's billing agency |
AG_ZIP |
zip |
C |
10 |
0 |
True |
| BAGENCY |
provider's billing agency |
IF_DATE |
date sent to IFMS (Suffolk) |
D |
8 |
0 |
True |
| BAGENCY |
provider's billing agency |
IF_SEND |
need to send to ifms (suffolk) |
C |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
IF_VENDOR |
ifms vendor for Suffolk |
C |
1 |
0 |
True |
| BAGENCY |
provider's billing agency |
REF_LINE |
Nassau NUMIS system ref. line |
C |
4 |
0 |
False |
| BATCH |
batch control file |
ACTIVITY |
batch activity code |
C |
2 |
0 |
False |
| BATCH |
batch control file |
BATCH |
batch number |
C |
6 |
0 |
False |
| BATCH |
batch control file |
BDATE |
beginning date |
D |
8 |
0 |
False |
| BATCH |
batch control file |
DATESENT |
date of batch activity perform |
D |
8 |
0 |
False |
| BATCH |
batch control file |
EDATE |
ending date |
D |
8 |
0 |
False |
| BATCH |
batch control file |
REC_SENT |
number of records sent |
N |
7 |
0 |
False |
| BATCH |
batch control file |
STATUS |
% reconciled |
C |
20 |
0 |
False |
| BILL |
Billing |
AMOUNT |
amount provider billed |
N |
8 |
2 |
True |
| BILL |
Billing |
BALANCE |
balance=amount-other(not used) |
N |
8 |
2 |
True |
| BILL |
Billing |
BDATE |
Billing date on provider bill |
D |
8 |
0 |
True |
| BILL |
Billing |
BEN_DATE |
Bill entering date |
D |
8 |
0 |
True |
| BILL |
BILLING |
BILINSID |
INSURANCE COMPANY BILLED TO |
C |
8 |
0 |
False |
| BILL |
Billing |
BILL_STA |
Bill status (hold/process) |
C |
1 |
0 |
True |
| BILL |
Billing |
CK_AMOUNT |
nys_price |
N |
8 |
2 |
True |
| BILL |
Billing |
CK_BATCH |
check batch number |
C |
5 |
0 |
True |
| BILL |
Billing |
CK_DATE |
check start processing date |
D |
8 |
0 |
True |
| BILL |
Billing |
CK_IDATE |
check issued date |
D |
8 |
0 |
True |
| BILL |
Billing |
CK_NUMBER |
check # |
C |
12 |
0 |
True |
| BILL |
Billing |
CK_PAID |
total $ on check (check #) |
N |
9 |
2 |
True |
| BILL |
Billing |
CK_RESULT |
check result |
C |
1 |
0 |
True |
| BILL |
Billing |
COMMENSU |
commensurate flag |
C |
1 |
0 |
True |
| BILL |
Billing |
DENYCODE |
REJECTION CODE FOR INSURANCE |
C |
1 |
0 |
True |
| BILL |
Billing |
EIAGENCY |
e.i. billing agency code |
C |
9 |
0 |
True |
| BILL |
Billing |
ICD9_PROC |
icd9 for procedure code |
C |
6 |
0 |
False |
| BILL |
Billing |
ID |
system id |
C |
8 |
0 |
True |
| BILL |
Billing |
ID_PROV |
provider ID |
C |
8 |
0 |
True |
| BILL |
Billing |
ID_SVC |
authorization number |
C |
8 |
0 |
True |
| BILL |
Billing |
INS_BATCH |
insurance process batch number |
C |
5 |
0 |
False |
| BILL |
Billing |
INS_BDATE |
date billing insurance |
D |
8 |
0 |
True |
| BILL |
Billing |
INS_EDATE |
insurance return/respone date |
D |
8 |
0 |
True |
| BILL |
Billing |
INS_PAID |
amount insurance paid |
N |
8 |
2 |
True |
| BILL |
Billing |
INS_RESULT |
result of billing insurance |
C |
1 |
0 |
True |
| BILL |
Billing |
INS_YN |
private insurance (yes/no) |
C |
1 |
0 |
True |
| BILL |
Billing |
INVOICE |
medicaid invoice number |
C |
9 |
0 |
False |
| BILL |
Billing |
MD_BATCH |
medicaid process batch number |
C |
5 |
0 |
False |
| BILL |
Billing |
MED_BDATE |
date billing medicaid |
D |
8 |
0 |
True |
| BILL |
Billing |
MED_BILL |
medicaid billable (True/False) |
L |
1 |
0 |
True |
| BILL |
Billing |
MED_NRSUB |
# of resubmits 0-9 |
N |
1 |
0 |
False |
| BILL |
Billing |
MED_PAID |
amount medicaid paid |
N |
8 |
2 |
True |
| BILL |
Billing |
MED_RDATE |
medicaid return/response date |
D |
8 |
0 |
True |
| BILL |
Billing |
MED_RSTA |
medicaid reconcile result |
C |
1 |
0 |
True |
| BILL |
Billing |
MED_TECH |
medicaid for assist tech |
C |
1 |
0 |
True |
| BILL |
Billing |
MED_TRAN |
medicaid for transportation |
C |
1 |
0 |
True |
| BILL |
Billing |
NUM_ADJ |
number of adjustments |
N |
2 |
0 |
True |
| BILL |
Billing |
NYS_EXPAMT |
nys reimbursement exp amount |
N |
8 |
2 |
False |
| BILL |
Billing |
NYS_EXPRST |
nys reimbursement exp result |
C |
1 |
0 |
True |
| BILL |
Billing |
NYS_PRICE |
nys_rate X units |
N |
8 |
2 |
True |
| BILL |
Billing |
NYS_RATE |
rate based on svc date |
N |
8 |
2 |
True |
| BILL |
Billing |
NY_BATCH |
billing NYS process batch # |
C |
5 |
0 |
False |
| BILL |
Billing |
NY_DATE |
date billing NYS |
D |
8 |
0 |
True |
| BILL |
Billing |
NY_INVOICE |
invoice for billing NYS |
C |
6 |
0 |
False |
| BILL |
Billing |
NY_PAID |
(ck_amount-ins_paid-med_pai)/2 |
N |
8 |
2 |
True |
| BILL |
Billing |
NY_RDATE |
NYS result/respone date |
D |
8 |
0 |
True |
| BILL |
Billing |
NY_RESULT |
billing NYS result |
C |
1 |
0 |
True |
| BILL |
Billing |
NY_RESULT2 |
record disk update ny_result |
C |
1 |
0 |
False |
| BILL |
Billing |
OCK_AMOUNT |
old nys price |
N |
8 |
2 |
True |
| BILL |
Billing |
OINS_PAID |
old amount insurance paid |
N |
8 |
2 |
True |
| BILL |
Billing |
OMED_PAID |
old amount medicaid paid |
N |
8 |
2 |
True |
| BILL |
Billing |
ONY_PAID |
old amount nys paid |
N |
8 |
2 |
True |
| BILL |
Billing |
OTH_PAID |
amount other paid |
N |
8 |
2 |
True |
| BILL |
Billing |
PC_CODE |
procedure code |
C |
7 |
0 |
True |
| BILL |
Billing |
PROC_STA |
bill process status |
C |
1 |
0 |
True |
| BILL |
Billing |
PV_INVOICE |
provider invoice number |
C |
12 |
0 |
False |
| BILL |
Billing |
RETROBILL |
# of retroactive billing |
N |
1 |
0 |
True |
| BILL |
Billing |
RTR_BATCH |
Provider Retro Batch Number |
C |
5 |
0 |
True |
| BILL |
Billing |
RTR_STA |
A=pay prv B=prv rec C=prv adj |
C |
1 |
0 |
True |
| BILL |
Billing |
SBDATE |
date of service beginning |
D |
8 |
0 |
True |
| BILL |
Billing |
SEDATE |
date of service ending |
D |
8 |
0 |
True |
| BILL |
Billing |
UNITS |
number of units |
N |
3 |
0 |
True |
| BILLADJ |
bill adjustment |
ADJ_AMOUNT |
adjust amount |
N |
8 |
2 |
True |
| BILLADJ |
bill adjustment |
ADJ_DATE |
adjustment date |
D |
8 |
0 |
True |
| BILLADJ |
bill adjustment |
ADJ_NOTE |
notes |
C |
40 |
0 |
True |
| BILLADJ |
bill adjustment |
ADJ_TYPE |
adjustment type |
C |
1 |
0 |
True |
| BILLADJ |
bill adjustment |
ID |
ID |
C |
8 |
0 |
True |
| BILLADJ |
bill adjustment |
ID_PROV |
PROVIDER ID |
C |
8 |
0 |
True |
| BILLADJ |
bill adjustment |
ID_SVC |
service id |
C |
8 |
0 |
True |
| BILLADJ |
bill adjustment |
NY_ADJAMT |
nys adjustment amount |
N |
8 |
2 |
True |
| BILLADJ |
bill adjustment |
NY_ADJRST |
adjustment result |
C |
1 |
0 |
True |
| BILLADJ |
bill adjustment |
NY_BATCH |
batch number |
C |
5 |
0 |
True |
| BILLADJ |
bill adjustment |
NY_DATE |
date submit to NYS |
D |
8 |
0 |
True |
| BILLADJ |
bill adjustment |
NY_INVOICE |
ny batch invoice # |
C |
6 |
0 |
True |
| BILLADJ |
bill adjustment |
NY_RDATE |
nys return date/respone |
D |
8 |
0 |
True |
| BILLADJ |
bill adjustment |
NY_RESULT |
ADJUSTMENT BILLING RESULT |
C |
1 |
0 |
True |
| BILLADJ |
bill adjustment |
PC_CODE |
PROCEDURE CODE |
C |
7 |
0 |
True |
| BILLADJ |
bill adjustment |
SBDATE |
service begin date(part of id) |
D |
8 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
EIAGENCY |
E.I. agency code |
C |
9 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
ID |
child id |
C |
8 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
ID_PROV |
provider id |
C |
8 |
0 |
False |
| BILLRTR |
Bill - retroactive billing |
ID_SVC |
authorization number |
C |
8 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
PC_CODE |
procedure code |
C |
7 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_AMOUNT |
retroactive amount |
N |
8 |
2 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_BATCH |
RTR batch number |
C |
5 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_CHECK |
retroactive check number |
C |
12 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_CHKAMT |
pay provider chech amount |
N |
10 |
2 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_DATE |
retroactive process date |
D |
8 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_IDATE |
retroactive check issued date |
D |
8 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_NEWAMT |
new nys price |
N |
8 |
2 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_NEWRAT |
new rate |
N |
8 |
2 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_OLDAMT |
ck_amount from bill.dbf |
N |
8 |
2 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_OLDRAT |
nys_rate from bill.dbf |
N |
8 |
2 |
True |
| BILLRTR |
Bill - retroactive billing |
RTR_RESULT |
retroactive reconciliation |
C |
1 |
0 |
True |
| BILLRTR |
Bill - retroactive billing |
SBDATE |
service date |
D |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ADJBATCH |
NYS ADJUSTMENT BATCH NUMBER |
C |
5 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ADJINVOIC |
ADJUSTMENT INVOICE NUMBER |
C |
6 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ADJ_AMT |
NYS ADJUSTMENT AMOUNT |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ADJ_DATE |
NYS ADJUSTMENT DATE |
D |
8 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ADJ_TYPE |
NYS ADJUSTMENT TYPE |
C |
1 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
AMOUNT |
|
N |
8 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
BDATE |
|
D |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
BEN_DATE |
|
D |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
EIAGENCY |
EIAGENCY |
C |
9 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
EIFSDATE |
EIFS PROCESS DATE |
D |
8 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ID |
Child ID |
C |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ID_PROV |
Provider ID |
C |
8 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
ID_SVC |
Authorization Number |
C |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
NYS_PDAMT |
NYS PAID AMOUNT |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
NYS_RESULT |
NYS RESULT |
C |
1 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
NY_BATCH |
NYS Original BATCH Number |
C |
5 |
0 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
NY_INVOICE |
NYS Original INVOICE Number |
C |
6 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
OLDAMOUNT |
AMOUNT COPIED FROM BILL |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
OLDBALANCE |
BALANCE COPIED FROM BILL |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
OLDCKAMNT |
CHK_AMOUNT COPIED FROM BILL |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
OLDNYSPRIC |
NYSPRICE COPIED FROM BILL |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
OLDNYSRATE |
NYS_RATE COPIED FROM BILL |
N |
8 |
2 |
False |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
PC_CODE |
|
C |
7 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
PV_INVOICE |
|
C |
12 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_AMOUNT |
Retro Amount |
N |
8 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_BATCH |
Provider Retro batch number |
C |
5 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_CHECK |
CHECK Number |
C |
12 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_CHKAMT |
|
N |
10 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_DATE |
DATE Prov Retro Batch Created |
D |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_IDATE |
Prov Retro Reconcile Date |
D |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_NEWAMT |
|
N |
8 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_NEWRAT |
|
N |
8 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_OLDAMT |
|
N |
8 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_OLDRAT |
|
N |
8 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_PAID |
PROVIDER PAID Amount |
N |
9 |
2 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_RESULT |
Blank, Paid, Denied |
C |
1 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
RTR_STA |
|
C |
1 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
SBDATE |
Service Begin Date |
D |
8 |
0 |
True |
| BILLRTR1 |
NEW BILL RETROACTIVE FILE |
UNITS |
|
N |
3 |
0 |
True |
| CHARTBLE |
ASCII CHART TABLE TO SCREENOUT |
CCHAR |
ACTUAL ASCII CHARACTER |
C |
1 |
0 |
True |
| CHARTBLE |
ASCII CHART TABLE TO SCREENOUT |
LCHECK |
LOGICAL TO CHECK THIS CHAR |
L |
1 |
0 |
True |
| CHARTBLE |
ASCII CHART TABLE TO SCREENOUT |
NCHAR |
ASCII NUMBER OF THIS CHAR |
N |
3 |
0 |
True |
| CHILD |
Child |
AKAF |
as known as first name |
C |
20 |
0 |
False |
| CHILD |
Child |
AKAL |
as known as last name |
C |
20 |
0 |
False |
| CHILD |
Child |
ALCHFREQ |
frequency of use alcohol |
C |
1 |
0 |
True |
| CHILD |
Child |
ALCHQNTY |
amount of alcohol |
N |
2 |
0 |
True |
| CHILD |
Child |
BIRTHORDER |
birthorder |
C |
1 |
0 |
True |
| CHILD |
Child |
BWGM |
birth weight in grams |
N |
4 |
0 |
False |
| CHILD |
Child |
BWLB |
partial birth weigth (lb) |
N |
2 |
0 |
True |
| CHILD |
Child |
BWOZ |
partial birth weigth (oz) |
N |
2 |
0 |
True |
| CHILD |
Child |
CCASSIGN |
date assigned to coordinator |
D |
8 |
0 |
True |
| CHILD |
Child |
CCNUM |
service coordinator number |
C |
5 |
0 |
True |
| CHILD |
Child |
CCNUM2 |
E.I. staff code |
C |
5 |
0 |
True |
| CHILD |
Child |
CCTYPE |
service coordinator type |
C |
1 |
0 |
True |
| CHILD |
Child |
CCTYPE2 |
other staff type |
C |
1 |
0 |
False |
| CHILD |
Child |
CIGSDAY |
cigarettes per day |
N |
2 |
0 |
True |
| CHILD |
Child |
CLINIC |
clinic/site code |
C |
5 |
0 |
False |
| CHILD |
Child |
COMM_DATE |
commensurate date |
D |
8 |
0 |
True |
| CHILD |
Child |
CTYBIRTH |
county of birth |
C |
2 |
0 |
True |
| CHILD |
Child |
CTYDSS |
notify county DSS Y/N flag |
C |
1 |
0 |
False |
| CHILD |
Child |
CTYRES |
county of resident |
C |
2 |
0 |
True |
| CHILD |
Child |
CTYRESPO |
fiscal reponsible county |
C |
2 |
0 |
True |
| CHILD |
Child |
DOB |
child's date of birth |
D |
8 |
0 |
True |
| CHILD |
Child |
DRUG |
Other drug use |
C |
1 |
0 |
True |
| CHILD |
Child |
EARLY |
(not used) |
C |
1 |
0 |
False |
| CHILD |
Child |
EC |
Y-active,C-closed,Blank-No |
C |
1 |
0 |
True |
| CHILD |
Child |
ECEVDATE |
most recent ec evaluation date |
D |
8 |
0 |
True |
| CHILD |
Child |
ECIFSPDATE |
most recent ec ifsp date |
D |
8 |
0 |
True |
| CHILD |
Child |
ECREFDATE |
ec referral date |
D |
8 |
0 |
True |
| CHILD |
Child |
ECSVDATE |
most recent ec service date |
D |
8 |
0 |
True |
| CHILD |
Child |
ENTDATE |
case entry date |
D |
8 |
0 |
True |
| CHILD |
Child |
ENTRYOP |
entry operator |
C |
5 |
0 |
False |
| CHILD |
Child |
FIRST |
child's first name |
C |
20 |
0 |
True |
| CHILD |
Child |
GESTAGE |
weeks of gestation |
N |
2 |
0 |
True |
| CHILD |
Child |
HEPBSTA |
Y-active,BLANK-No |
C |
1 |
0 |
False |
| CHILD |
Child |
HOSPBIRTH |
hospital of birth |
C |
30 |
0 |
False |
| CHILD |
Child |
HOSPDSCH |
hospital of discharge |
C |
30 |
0 |
False |
| CHILD |
Child |
ID |
system generated id (internal) |
C |
8 |
0 |
True |
| CHILD |
Child |
ID_COMPOSE |
composed id for matching |
C |
20 |
0 |
False |
| CHILD |
Child |
IFSP |
YYY->interim,initial,6 month |
C |
10 |
0 |
True |
| CHILD |
Child |
IHAP |
Y-active, C-closed, BLANK-No |
C |
1 |
0 |
True |
| CHILD |
Child |
IHAPCL |
not been used (same as ihap) |
C |
1 |
0 |
False |
| CHILD |
Child |
IHAPEV |
YYYY->6,12,20,30 months eval. |
C |
10 |
0 |
True |
| CHILD |
Child |
IHEVDATE |
most recent evaluation date |
D |
8 |
0 |
True |
| CHILD |
Child |
IhrefDATE |
referral date |
D |
8 |
0 |
True |
| CHILD |
Child |
IMMU |
immunization record flag |
C |
1 |
0 |
False |
| CHILD |
Child |
IMMUDATE |
immunization entry date |
D |
8 |
0 |
False |
| CHILD |
Child |
IMMUUPDATE |
immunization update date |
D |
8 |
0 |
False |
| CHILD |
Child |
LAST |
child's last name |
C |
20 |
0 |
True |
| CHILD |
Child |
LEADSTA |
lead status |
C |
1 |
0 |
True |
| CHILD |
Child |
LHUNUM |
local id number (if used) |
C |
15 |
0 |
True |
| CHILD |
Child |
MEDICAID |
medicaid program ? |
C |
1 |
0 |
True |
| CHILD |
Child |
MEDICAID_N |
medicaid number |
C |
8 |
0 |
True |
| CHILD |
Child |
MI |
child's M.I. |
C |
1 |
0 |
True |
| CHILD |
Child |
MOMDOB |
mother's date of birth |
D |
8 |
0 |
True |
| CHILD |
Child |
MOMEDU |
years of education completed |
N |
2 |
0 |
True |
| CHILD |
Child |
MOMNAME |
mother's name |
C |
25 |
0 |
False |
| CHILD |
Child |
NECEVAL |
# of ec valuations |
N |
2 |
0 |
True |
| CHILD |
Child |
NECSVC |
number of ec service records |
N |
3 |
0 |
True |
| CHILD |
Child |
NFAMCT |
number of family court records |
N |
2 |
0 |
False |
| CHILD |
Child |
NFAMILY |
number of family records |
N |
2 |
0 |
True |
| CHILD |
Child |
NICU |
length of stay in NICU |
N |
3 |
0 |
True |
| CHILD |
Child |
NIFSP |
number of ifsp records |
N |
2 |
0 |
True |
| CHILD |
Child |
NPHCPDE |
# of PHCP D&E |
N |
2 |
0 |
True |
| CHILD |
Child |
NREFERRAL |
# of non-ec referral records |
N |
2 |
0 |
True |
| CHILD |
Child |
ORIGIN |
hispanic origin |
C |
2 |
0 |
True |
| CHILD |
Child |
PHCP |
Y-Active,C-Closed, or Blank-No |
C |
1 |
0 |
True |
| CHILD |
Child |
PhrefDATE |
PHCP referral date |
D |
8 |
0 |
True |
| CHILD |
Child |
PLURALITY |
plurality |
C |
1 |
0 |
True |
| CHILD |
Child |
PRENAT |
month prenatal began |
C |
1 |
0 |
True |
| CHILD |
Child |
PRENATAL |
prenatal info collected flag |
L |
1 |
0 |
True |
| CHILD |
Child |
PRIMEVAL |
primary evaluation Y or Blank |
C |
1 |
0 |
True |
| CHILD |
Child |
RACE |
race |
C |
10 |
0 |
True |
| CHILD |
Child |
RACEOTHER |
Race other |
C |
15 |
0 |
True |
| CHILD |
Child |
REFDATE1 |
earlier referral date- ihap/ec |
D |
8 |
0 |
True |
| CHILD |
Child |
SEX |
sex |
C |
1 |
0 |
True |
| CHILD |
Child |
SSNUM |
social security number |
C |
11 |
0 |
True |
| CHILD |
Child |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| CHILD |
Child |
TR_FLAG |
transfer tracking flag |
L |
1 |
0 |
False |
| CHILD |
Child |
TR_STATUS |
status used for re-transfer |
C |
1 |
0 |
False |
| CHILD |
Child |
UPDATEOP |
update child record's operator |
C |
5 |
0 |
False |
| CHILD |
Child |
UPDDATE |
case updated date |
D |
8 |
0 |
False |
| CHILD |
Child |
USER1 |
user defined field 1 |
C |
30 |
0 |
False |
| CHILD |
Child |
USER2 |
user defined field 2 |
C |
30 |
0 |
False |
| CINFO |
Keep county information |
ADDR1 |
|
C |
55 |
0 |
False |
| CINFO |
Keep county information |
ADDR2 |
|
C |
55 |
0 |
False |
| CINFO |
Keep county information |
CITY |
|
C |
30 |
0 |
False |
| CINFO |
Keep county information |
CONTNAME |
|
C |
60 |
0 |
False |
| CINFO |
Keep county information |
CTELNO |
|
C |
12 |
0 |
False |
| CINFO |
Keep county information |
EIN |
|
C |
10 |
0 |
False |
| CINFO |
Keep county information |
ETIN |
|
C |
10 |
0 |
False |
| CINFO |
Keep county information |
MEDGS02 |
|
C |
7 |
0 |
False |
| CINFO |
Keep county information |
MEDISA06 |
|
C |
7 |
0 |
False |
| CINFO |
Keep county information |
NPI |
National Provider Identifier |
C |
10 |
0 |
False |
| CINFO |
Keep county information |
NPI_O |
2nd NPI for other Services |
C |
10 |
0 |
False |
| CINFO |
Keep county information |
PROGNAME |
|
C |
35 |
0 |
False |
| CINFO |
Keep county information |
STATE |
|
C |
2 |
0 |
False |
| CINFO |
Keep county information |
ZIP |
|
C |
10 |
0 |
False |
| CLINIC |
clinic/site |
ADDR1 |
address 1 |
C |
35 |
0 |
False |
| CLINIC |
clinic/site |
ADDR2 |
address 2 |
C |
35 |
0 |
False |
| CLINIC |
clinic/site |
CODE |
clinic code |
C |
5 |
0 |
False |
| CLINIC |
clinic/site |
NAME |
clinic/site name |
C |
35 |
0 |
False |
| CLINIC |
clinic/site |
PHONE |
phone |
C |
12 |
0 |
False |
| DEFAULT |
DEFAULT VALUES FOR CONSTANT #s |
NVALUE |
NUMBER OF CLAIMS IN A BATCH |
N |
10 |
0 |
True |
| DISKUSER |
User info for reading disk |
ADDR1 |
|
C |
25 |
0 |
False |
| DISKUSER |
User info for reading disk |
ADDR2 |
|
C |
25 |
0 |
False |
| DISKUSER |
User info for reading disk |
AGENCY |
|
C |
35 |
0 |
True |
| DISKUSER |
User info for reading disk |
CITY |
|
C |
17 |
0 |
False |
| DISKUSER |
User info for reading disk |
FAX |
|
C |
12 |
0 |
False |
| DISKUSER |
User info for reading disk |
NAME |
|
C |
35 |
0 |
False |
| DISKUSER |
User info for reading disk |
PERMIT |
|
C |
9 |
0 |
True |
| DISKUSER |
User info for reading disk |
PHONE |
|
C |
12 |
0 |
False |
| DISKUSER |
User info for reading disk |
STATE |
|
C |
2 |
0 |
False |
| DISKUSER |
User info for reading disk |
STATUS |
|
C |
1 |
0 |
False |
| DISKUSER |
User info for reading disk |
TEST837 |
|
L |
1 |
0 |
False |
| DISKUSER |
User info for reading disk |
TPARECVD |
|
L |
1 |
0 |
False |
| DISKUSER |
User info for reading disk |
ZIP |
|
C |
10 |
0 |
False |
| ECEVAL |
Early Care Evaluation |
ADAPM |
dev. method - adaptive |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
ADAPS |
dev. status - adaptive |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
AUDIOL |
involved - audiologist |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
COGM |
dev. method - cognitive |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
COGS |
dev. status - cognitive |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
COMM |
dev. method - communication |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
COMS |
dev. status - communication |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
DIAG1 |
1st diagnosed condition |
C |
6 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
DIAG2 |
2nd diagnosed condition |
C |
6 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
EDATE |
date of evaluation |
D |
8 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
ELIGIB |
EI eligibility |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
EV_TYPE |
evaluation type |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
ID |
system generated id |
C |
8 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
NURSE |
involved - nurse |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
NURSEPTT |
nurse practitioner |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
NUTRI |
involved - nutritionist |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
OT |
involved - occup. therapist |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
OTHER |
involved - other |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
OTHPHYS |
involved - other physician |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
PEDIA |
involved - pediatrician |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
PHYM |
dev. method - physical |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
PHYS |
dev status - physical |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
PHYSASSI |
physicians assistant |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
PSYCHOL |
involved - psychologist |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
PT |
involved - physical therapist |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SENM |
dev. method - sensory |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SENS |
dev status - sensory |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SOCWKR |
involved - social worker |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SOC_EMM |
dev. method - social/emotional |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SOC_EMS |
dev. status - social/emotional |
C |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SPECED |
involved - special educator |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
SPEECH |
involved - speech pathologist |
L |
1 |
0 |
True |
| ECEVAL |
Early Care Evaluation |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| ECEVAL |
Early Care Evaluation |
TR_FLAG |
transfer tracking flag |
L |
1 |
0 |
False |
| ECEVAL |
Early Care Evaluation |
TR_STATUS |
used for re-transfer |
C |
1 |
0 |
False |
| ECREF |
Early Care Referral |
ADAPT |
area - adaptive |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
CLOSEDATE |
date of closure |
D |
8 |
0 |
True |
| ECREF |
Early Care Referral |
COG |
area - cognitive |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
COMMUN |
area - communication |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
COND1 |
1st condition in ICD9 code |
C |
6 |
0 |
True |
| ECREF |
Early Care Referral |
COND2 |
2nd condition in ICD9 code |
C |
6 |
0 |
True |
| ECREF |
Early Care Referral |
CREASON |
reason for closure |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
EARLYREF |
referral source |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
ECNOTE |
note pad |
M |
10 |
0 |
False |
| ECREF |
Early Care Referral |
ECRCOMMENT |
comment |
M |
10 |
0 |
False |
| ECREF |
Early Care Referral |
ID |
system generated id |
C |
8 |
0 |
True |
| ECREF |
Early Care Referral |
ID_PROV |
provider id (system generated) |
C |
8 |
0 |
True |
| ECREF |
Early Care Referral |
IHAPNOTE |
I-CHAP notes |
M |
10 |
0 |
False |
| ECREF |
Early Care Referral |
PHYSICAL |
area - physical |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
REDATE |
date of E.I. referral |
D |
8 |
0 |
True |
| ECREF |
Early Care Referral |
SENSORY |
area - sensory |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
SOCEMO |
area - social emotional |
C |
1 |
0 |
True |
| ECREF |
Early Care Referral |
TL_CL_CODE |
closure reason |
C |
1 |
0 |
False |
| ECREF |
Early Care Referral |
TL_CL_DATE |
closure date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_COMP |
evaluation complete date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_ELIG |
eligible |
C |
1 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_LCOD |
evaluation status |
C |
2 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_MTHD |
method |
C |
1 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_NOTE |
kids eligible |
C |
10 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_SCHD |
date referred (evaluation) |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_EV_SUMM |
summary received date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_IF_BGIN |
ifsp begin date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_IF_COMP |
ifsp completed date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_IF_LCOD |
ifsp status |
C |
2 |
0 |
False |
| ECREF |
Early Care Referral |
TL_IF_SCHD |
ifsp schedule date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_INI_CON |
initial contact date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_IN_LCOD |
initial contact status |
C |
2 |
0 |
False |
| ECREF |
Early Care Referral |
TL_REC_CON |
most recent contact |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_REF_RCV |
county received ref date |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_SC_ASIG |
date assigned |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TL_SC_CODE |
current s.c. |
C |
5 |
0 |
False |
| ECREF |
Early Care Referral |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| ECREF |
Early Care Referral |
TR_FLAG |
transfer tracking flag |
L |
1 |
0 |
False |
| ECREF |
Early Care Referral |
TR_STATUS |
used for re-transfer |
C |
1 |
0 |
False |
| ECSVC |
Early Care Service |
BALANCE |
unpaid balance |
N |
8 |
2 |
True |
| ECSVC |
ECSVC |
BILINSID |
BILINSID FOR INSURANCE CHECK |
C |
8 |
0 |
False |
| ECSVC |
Early Care Service |
CHARGED |
total amount charged |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
CK_PAID |
(not used) |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
COST |
total cost of service |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
CT_BATCH |
batch # of generating contract |
C |
5 |
0 |
False |
| ECSVC |
ECSVC |
DENYCODE |
DENYCODE FOR INSURANCE |
C |
1 |
0 |
False |
| ECSVC |
Early Care Service |
ECCOMMENT |
comment |
M |
10 |
0 |
False |
| ECSVC |
Early Care Service |
EDATE |
EI service end date |
D |
8 |
0 |
True |
| ECSVC |
Early Care Service |
EIAGENCY |
e.i. agency (billing) |
C |
9 |
0 |
True |
| ECSVC |
Early Care Service |
ENTERDATE |
Date of record entered |
D |
8 |
0 |
False |
| ECSVC |
Early Care Service |
ICD9CM |
icd9 code for madicaid billing |
C |
6 |
0 |
True |
| ECSVC |
Early Care Service |
ICD9_PROC |
icd9 for procedure code |
C |
6 |
0 |
True |
| ECSVC |
Early Care Service |
ID |
system id |
C |
8 |
0 |
True |
| ECSVC |
Early Care Service |
ID_PROV |
provider's id |
C |
8 |
0 |
True |
| ECSVC |
Early Care Service |
ID_SVC |
service authorization number |
C |
8 |
0 |
True |
| ECSVC |
Early Care Service |
IFSP_NUM |
link to ifsp num |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
INS_PAID |
insurance paid summary |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
LASTSVDATE |
last bill svc date if cancel D |
D |
8 |
0 |
True |
| ECSVC |
Early Care Service |
MED_PAID |
medicaid paid summary |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
MODIDATE |
date of record modified |
D |
8 |
0 |
False |
| ECSVC |
Early Care Service |
NCLAIM |
number of claims |
N |
3 |
0 |
True |
| ECSVC |
Early Care Service |
NEEDLETTER |
need a contract letter |
L |
1 |
0 |
False |
| ECSVC |
Early Care Service |
NOTEI51 |
51+ % not ei |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
NSVC |
# of services (system used) |
N |
2 |
0 |
True |
| ECSVC |
Early Care Service |
NYS_PAID |
NYS paid summary |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
OTH_PAID |
other paid summary |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
PAMT1 |
1st payment amount |
N |
8 |
2 |
False |
| ECSVC |
Early Care Service |
PAMT2 |
2nd payment amount |
N |
8 |
2 |
False |
| ECSVC |
Early Care Service |
PAMT3 |
3th payment amount |
N |
8 |
2 |
False |
| ECSVC |
Early Care Service |
PC_AMOUNT |
authorized amount |
N |
8 |
2 |
True |
| ECSVC |
Early Care Service |
PC_CODE |
procedure code |
C |
7 |
0 |
True |
| ECSVC |
Early Care Service |
PSRC1 |
1st payment source |
C |
1 |
0 |
False |
| ECSVC |
Early Care Service |
PSRC2 |
2nd payment source |
C |
1 |
0 |
False |
| ECSVC |
Early Care Service |
PSRC3 |
3th payment source |
C |
1 |
0 |
False |
| ECSVC |
Early Care Service |
R_CANCEL |
reason for canceling service |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
SDATE |
service start date |
D |
8 |
0 |
True |
| ECSVC |
Early Care Service |
SDAYS |
# of days per week |
N |
1 |
0 |
False |
| ECSVC |
Early Care Service |
SHR |
# of hours per day |
N |
4 |
1 |
False |
| ECSVC |
Early Care Service |
SLOC |
service location |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
SMETH |
service method |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
SVC |
service type |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
SVC_CAT |
service category |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
SVC_STATUS |
service status Ok/Hold/Cancel. |
C |
1 |
0 |
True |
| ECSVC |
Early Care Service |
SWKS |
# of weeks (service) |
N |
2 |
0 |
False |
| ECSVC |
Early Care Service |
TOTSVC |
total # of service (system) |
N |
2 |
0 |
True |
| ECSVC |
Early Care Service |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| ECSVC |
Early Care Service |
TR_FLAG |
transfer tracking flag |
L |
1 |
0 |
False |
| ECSVC |
Early Care Service |
TR_STATUS |
used for re-transfer |
C |
1 |
0 |
False |
| ECSVC |
Early Care Service |
UNITS |
number of units |
N |
3 |
0 |
True |
| ECSVC |
Early Care Service |
UNIT_CLAIM |
total unit claimed |
N |
3 |
0 |
True |
| ECSVC |
Early Care Service |
UNIT_COST |
cost per unit |
N |
8 |
2 |
True |
| FAMCT |
Family Court |
CTDATE |
court order date |
D |
8 |
0 |
False |
| FAMCT |
Family Court |
CTTRANS |
court order transport |
N |
5 |
0 |
False |
| FAMCT |
Family Court |
CTTUIT |
court order tuition |
N |
5 |
0 |
False |
| FAMCT |
Family Court |
DOCKET |
court order docket number |
C |
10 |
0 |
False |
| FAMCT |
Family Court |
ENDDATE |
end date |
D |
8 |
0 |
False |
| FAMCT |
Family Court |
HCOND |
handicapping condition |
C |
1 |
0 |
False |
| FAMCT |
Family Court |
ID |
system id |
C |
5 |
0 |
False |
| FAMCT |
Family Court |
PDDATE |
paid date |
D |
8 |
0 |
False |
| FAMCT |
Family Court |
PDTRANS |
paid transport |
N |
5 |
0 |
False |
| FAMCT |
Family Court |
PDTUIT |
paid tuition |
N |
5 |
0 |
False |
| FAMCT |
Family Court |
PETDATE |
petition date |
D |
8 |
0 |
False |
| FAMCT |
Family Court |
PETTRANS |
petition transport |
N |
5 |
0 |
False |
| FAMCT |
Family Court |
PETTUIT |
petition tuition |
N |
5 |
0 |
False |
| FAMCT |
Family Court |
PLACE |
placement authorization |
C |
1 |
0 |
False |
| FAMCT |
Family Court |
SISID |
sis child id |
C |
9 |
0 |
False |
| FAMCT |
Family Court |
STACID |
stac child id |
C |
6 |
0 |
False |
| FAMCT |
Family Court |
STDATE |
start date |
D |
8 |
0 |
False |
| FAMILY |
Family |
ADULT1 |
1st adult name |
C |
30 |
0 |
True |
| FAMILY |
Family |
ADULT2 |
2nd adult name |
C |
30 |
0 |
True |
| FAMILY |
Family |
ADULT3 |
3th adult name |
C |
30 |
0 |
True |
| FAMILY |
Family |
CAREMEM |
memo |
M |
10 |
0 |
False |
| FAMILY |
Family |
ID |
system id |
C |
8 |
0 |
True |
| FAMILY |
Family |
ID_HOUSE |
house id |
C |
8 |
0 |
True |
| FAMILY |
Family |
LEGAL |
legal guardian (y/n) |
C |
1 |
0 |
True |
| FAMILY |
Family |
PRIMCARE |
primary residence (y/n) |
C |
1 |
0 |
True |
| FAMILY |
Family |
REL1 |
relation with 1st adult |
C |
1 |
0 |
True |
| FAMILY |
Family |
REL2 |
relation with 2nd adult |
C |
1 |
0 |
True |
| FAMILY |
Family |
REL3 |
relation with 3nd adult |
C |
1 |
0 |
True |
| H835 |
CLAIM PAYMENT ADVICE |
BILLDATE |
billing date |
D |
8 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
CHARGAMNT |
CHARGAMOUNT |
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
CITYPAID |
CITY PAID |
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
CK_AMOUNT |
nys_price |
|
0 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
CK_BATCH |
check batch number |
C |
5 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
COUNTYCOST |
|
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
ID_PROV |
provider id (system generated) |
C |
7 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
ID_SVC |
AUTHORIZATION NUMBER |
C |
8 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
INS_PAID |
INSURANCE PAID |
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
MD_BATCH |
BATCH NUMBER |
C |
10 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
MEDI_PAID |
MEDICAL PAID |
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
NYS_REIMB |
|
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
OTH_PAID |
nys_price |
N |
8 |
2 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
PV_INVOICE |
provider invoice number |
C |
10 |
0 |
False |
| H835 |
CLAIM PAYMENT ADVICE |
SVC_DATE |
SERVICE DATE |
D |
8 |
0 |
False |
| H837CLM |
Claim Information for 837i |
AMT01 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
AMT02 |
|
C |
18 |
0 |
False |
| H837CLM |
Claim Information for 837i |
AMT_23 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM01 |
|
C |
38 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM02 |
|
C |
18 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM05 |
|
C |
6 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM06 |
|
C |
1 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM08 |
|
C |
1 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM09 |
|
C |
1 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM18 |
|
C |
1 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLMLVL |
|
C |
4 |
0 |
False |
| H837CLM |
Claim Information for 837i |
CLM_23 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
DTP01 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
DTP02 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
DTP03 |
|
C |
35 |
0 |
False |
| H837CLM |
Claim Information for 837i |
DTP_23 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
HDLVL |
|
C |
6 |
0 |
True |
| H837CLM |
Claim Information for 837i |
HI01BE |
|
C |
30 |
0 |
False |
| H837CLM |
Claim Information for 837i |
HI01BK |
|
C |
30 |
0 |
False |
| H837CLM |
Claim Information for 837i |
HI_23BE |
|
C |
2 |
0 |
False |
| H837CLM |
Claim Information for 837i |
HI_23BK |
|
C |
2 |
0 |
False |
| H837CLM |
Claim Information for 837i |
ID_SVC |
|
C |
8 |
0 |
False |
| H837CLM |
Claim Information for 837i |
PRVDLVL |
|
C |
4 |
0 |
True |
| H837CLM |
Claim Information for 837i |
REF01G1 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
REF02G1 |
|
C |
8 |
0 |
False |
| H837CLM |
Claim Information for 837i |
REFG1 |
|
C |
3 |
0 |
False |
| H837CLM |
Claim Information for 837i |
SBCRLVL |
|
C |
4 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT01 |
|
C |
4 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT02 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT03 |
|
C |
30 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT04 |
|
C |
8 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT05 |
|
C |
8 |
0 |
False |
| H837HEAD |
Header file for 837I |
BHT06 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
ERRORMSG |
|
C |
60 |
0 |
False |
| H837HEAD |
Header file for 837I |
ERR_CODE |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
GE |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
GE01 |
|
C |
6 |
0 |
False |
| H837HEAD |
Header file for 837I |
GE02 |
|
C |
9 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS01 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS02 |
|
C |
15 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS03 |
|
C |
15 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS04 |
|
C |
8 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS05 |
|
C |
8 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS06 |
|
C |
9 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS07 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
GS08 |
|
C |
12 |
0 |
False |
| H837HEAD |
Header file for 837I |
HDLVL |
|
C |
6 |
0 |
True |
| H837HEAD |
Header file for 837I |
IEA |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
IEA01 |
|
C |
5 |
0 |
False |
| H837HEAD |
Header file for 837I |
IEA02 |
|
C |
9 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA01 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA02 |
|
C |
10 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA03 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA04 |
|
C |
10 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA05 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA06 |
|
C |
15 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA07 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA08 |
|
C |
15 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA09 |
|
C |
6 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA10 |
|
C |
4 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA11 |
|
C |
1 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA12 |
|
C |
5 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA13 |
|
C |
9 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA14 |
|
C |
1 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA15 |
|
C |
1 |
0 |
False |
| H837HEAD |
Header file for 837I |
ISA16 |
|
C |
1 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10140 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10141 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10240 |
|
C |
1 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10241 |
|
C |
1 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10340 |
|
C |
35 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10341 |
|
C |
35 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10840 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10841 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10940 |
|
C |
80 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM10941 |
|
C |
80 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM140 |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
NM141 |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
PER |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
PER01 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
PER02 |
|
C |
60 |
0 |
False |
| H837HEAD |
Header file for 837I |
PER03 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
PER04 |
|
C |
80 |
0 |
False |
| H837HEAD |
Header file for 837I |
REF |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
REF0187 |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
REF0287 |
|
C |
30 |
0 |
False |
| H837HEAD |
Header file for 837I |
SE |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
SE01 |
|
C |
10 |
0 |
False |
| H837HEAD |
Header file for 837I |
SE02 |
|
C |
9 |
0 |
False |
| H837HEAD |
Header file for 837I |
ST |
|
C |
2 |
0 |
False |
| H837HEAD |
Header file for 837I |
ST01 |
|
C |
3 |
0 |
False |
| H837HEAD |
Header file for 837I |
ST02 |
|
C |
9 |
0 |
False |
| H837HEAD |
Header file for 837I |
STATUS |
|
C |
20 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
HDLVL |
|
C |
6 |
0 |
True |
| H837PRVD |
Provider Information for 837i |
HL012TA |
|
N |
12 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
HL032TA |
|
C |
2 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
HL042TA |
|
C |
1 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
HL_2TA |
|
C |
2 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N30185 |
|
C |
55 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N30285 |
|
C |
55 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N385 |
|
C |
2 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N40185 |
|
C |
30 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N40285 |
|
C |
2 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N40385 |
|
C |
15 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
N485 |
|
C |
2 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
NM10185 |
|
C |
3 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
NM10285 |
|
C |
1 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
NM10385 |
|
C |
35 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
NM10885 |
|
C |
2 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
NM10985 |
|
C |
80 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
NM185 |
|
C |
3 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
PRVDLVL |
|
C |
4 |
0 |
True |
| H837PRVD |
Provider Information for 837i |
REF011D |
|
C |
3 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
REF01LU |
|
C |
3 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
REF021D |
|
C |
30 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
REF02LU |
|
C |
30 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
REF1D |
|
C |
3 |
0 |
False |
| H837PRVD |
Provider Information for 837i |
REFLU |
|
C |
10 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
DMG01 |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
DMG02 |
|
C |
8 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
DMG03 |
|
C |
1 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
DMG_TTBA |
|
C |
3 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
HDLVL |
|
C |
6 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
HL0122 |
|
N |
6 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
HL0222 |
|
N |
12 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
HL0322 |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
HL0422 |
|
C |
1 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
HL_TB |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N301IL |
|
C |
55 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N302IL |
|
C |
55 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N3IL |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N401IL |
|
C |
30 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N402IL |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N403IL |
|
C |
15 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
N4IL |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM101IL |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM101PR |
|
C |
3 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM102IL |
|
N |
1 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM102PR |
|
N |
1 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM103IL |
|
C |
35 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM103PR |
|
C |
35 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM104IL |
|
C |
25 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM108IL |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM108PR |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM109IL |
|
C |
80 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM109PR |
|
C |
80 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM1IL |
|
C |
3 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
NM1PR |
|
C |
3 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
PRVDLVL |
|
C |
4 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
SBCRLVL |
|
C |
4 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
SBR01 |
|
C |
1 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
SBR02 |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
SBR04 |
|
C |
60 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
SBR09 |
|
C |
2 |
0 |
False |
| H837SBCR |
Subscriber Information for 837 |
SBR_TB |
|
C |
3 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
CLMLVL |
|
C |
4 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
COUNTYP |
|
N |
8 |
2 |
False |
| H837SV2 |
ServicesInformation for 837i |
DTP01472 |
|
C |
3 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
DTP02472 |
|
C |
2 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
DTP03472 |
|
C |
17 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
DTP_24 |
|
C |
3 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
DT_PS |
|
D |
8 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
ERRCODE |
|
C |
8 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
ERRORMSG |
|
C |
60 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
HDLVL |
|
C |
6 |
0 |
True |
| H837SV2 |
ServicesInformation for 837i |
ID_SVC |
|
C |
8 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
LX01 |
|
N |
6 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
LX_23 |
|
C |
2 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
PRVDLVL |
|
C |
4 |
0 |
True |
| H837SV2 |
ServicesInformation for 837i |
P_STA |
|
C |
1 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SBCRLVL |
|
C |
4 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV201 |
|
C |
20 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV203 |
|
C |
18 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV204 |
|
C |
2 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV205 |
|
C |
1 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV206 |
|
C |
10 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV2LVL |
|
C |
4 |
0 |
False |
| H837SV2 |
ServicesInformation for 837i |
SV2_24 |
|
C |
3 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
END835 |
|
L |
1 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
END835DT |
|
D |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
END835TM |
|
C |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
END837 |
|
L |
1 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
END837DT |
|
D |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
END837TM |
|
C |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
HDLVL |
|
C |
6 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
ID_SVC |
|
C |
10 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
INV_NO |
|
C |
30 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
SENDERID |
|
C |
15 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
ST835DT |
|
D |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
ST835TM |
|
C |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
ST837DT |
|
D |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
ST837TM |
|
C |
8 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
START835 |
|
L |
1 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
START837 |
|
L |
1 |
0 |
False |
| HIPASTAT |
Hipaa status time for process |
STATUS |
|
C |
20 |
0 |
False |
| HOUSE |
Address |
APARTMENT |
apartment |
C |
10 |
0 |
True |
| HOUSE |
Address |
CENSUS |
census code |
C |
6 |
0 |
True |
| HOUSE |
Address |
CITY |
city |
C |
20 |
0 |
True |
| HOUSE |
Address |
FAMNAM |
family name |
C |
20 |
0 |
True |
| HOUSE |
Address |
FAMSIZE |
# in household |
N |
2 |
0 |
True |
| HOUSE |
Address |
ID_HOUSE |
house id |
C |
8 |
0 |
True |
| HOUSE |
Address |
INCOME |
income |
N |
6 |
0 |
True |
| HOUSE |
Address |
LANGUAGE |
language at home |
C |
1 |
0 |
True |
| HOUSE |
Address |
LEGIS |
legislative district code |
C |
2 |
0 |
True |
| HOUSE |
Address |
NUMBER |
street number |
C |
9 |
0 |
True |
| HOUSE |
Address |
PHONE1 |
home phone |
C |
12 |
0 |
True |
| HOUSE |
Address |
PHONE2 |
work phone |
C |
12 |
0 |
False |
| HOUSE |
Address |
POBOX |
PO BOX / RDF # |
C |
15 |
0 |
True |
| HOUSE |
Address |
SCHL |
school district |
C |
3 |
0 |
True |
| HOUSE |
Address |
STATE |
state code |
C |
2 |
0 |
True |
| HOUSE |
Address |
STREET |
street name |
C |
20 |
0 |
True |
| HOUSE |
Address |
ZIP |
zip code |
C |
10 |
0 |
True |
| ICD9 |
ICD9 Code |
CAT_CODE |
category code |
C |
2 |
0 |
False |
| ICD9 |
ICD9 Code |
EARLYCARE |
E.I.P (not use) |
N |
1 |
0 |
False |
| ICD9 |
ICD9 Code |
ICD9_CODE |
icd9 code |
C |
6 |
0 |
False |
| ICD9 |
ICD9 Code |
ICD9_COND |
icd9 condition |
C |
40 |
0 |
False |
| ICD9 |
ICD9 Code |
IHAP |
ihap (not use) |
N |
1 |
0 |
False |
| ICD9 |
ICD9 Code |
KIND_QUEST |
kind_quest (not use) |
C |
2 |
0 |
False |
| ICD9 |
ICD9 Code |
PHCP |
phcp (not use) |
N |
1 |
0 |
False |
| ICD9 |
ICD9 Code |
QUESTION |
question (not use) |
N |
1 |
0 |
False |
| ICD9CAT |
ICD9 Category |
CAT_CODE |
category code |
C |
2 |
0 |
False |
| ICD9CAT |
ICD9 Category |
CAT_NAME |
category name |
C |
40 |
0 |
False |
| ICOMPANY |
Insurance company |
ADDR1 |
address part 1 |
C |
25 |
0 |
True |
| ICOMPANY |
Insurance company |
ADDR2 |
address part 2 |
C |
25 |
0 |
True |
| ICOMPANY |
Insurance company |
CITY |
city |
C |
17 |
0 |
True |
| ICOMPANY |
Insurance company |
COMPANY |
insurance company name |
C |
35 |
0 |
True |
| ICOMPANY |
Insurance company |
ID_INSURE |
Insurance company internal id |
C |
8 |
0 |
True |
| ICOMPANY |
Insurance company |
INS_CODE |
insurance company code (DSS) |
C |
2 |
0 |
True |
| ICOMPANY |
Insurance company |
NYS_LAW |
new york state law |
C |
1 |
0 |
True |
| ICOMPANY |
Insurance company |
PHONE |
phone |
C |
12 |
0 |
True |
| ICOMPANY |
Insurance company |
STATE |
state |
C |
2 |
0 |
True |
| ICOMPANY |
Insurance company |
ZIP |
Zip code |
C |
10 |
0 |
True |
| IDFILE |
System ID and Flags |
BATCHID |
batch id seed number |
N |
8 |
0 |
False |
| IDFILE |
System ID and Flags |
BILOGBOOK |
billing log book |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
CHK_SYSID |
checking duplicate system ID |
L |
1 |
0 |
True |
| IDFILE |
System ID and Flags |
ECLOGBOOK |
update E.I. logbook |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
HSID |
house seed number |
N |
8 |
0 |
False |
| IDFILE |
System ID and Flags |
IDFORMULAR |
id expression (formular) |
C |
120 |
0 |
False |
| IDFILE |
System ID and Flags |
IHLOGBOOK |
update I-CHAP logbook |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
IMLOGBOOK |
not book |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
INSID |
insurance seed id |
N |
8 |
0 |
True |
| IDFILE |
System ID and Flags |
NYC_DOCNO |
use NYC documentaion number |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
PHLOGBOOK |
update phcp logbook |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
PVID |
provider id seed number |
N |
8 |
0 |
False |
| IDFILE |
System ID and Flags |
SITEID |
project site id |
C |
6 |
0 |
True |
| IDFILE |
System ID and Flags |
SVCID |
service authorization number |
N |
8 |
0 |
True |
| IDFILE |
System ID and Flags |
SYSID |
system id |
N |
8 |
0 |
False |
| IDFILE |
System ID and Flags |
UD1MUST |
1st user defined required ? |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
UD1PIC |
1st user defined field picture |
C |
30 |
0 |
False |
| IDFILE |
System ID and Flags |
UD1PROMPT |
1st user defined field prompt |
C |
12 |
0 |
False |
| IDFILE |
System ID and Flags |
UD1SIZE |
1st user defined field size |
N |
2 |
0 |
False |
| IDFILE |
System ID and Flags |
UD2MUST |
2nd user defined required ? |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
UD2PIC |
2nd user defined field picture |
C |
30 |
0 |
False |
| IDFILE |
System ID and Flags |
UD2PROMPT |
2nd user defined field prompt |
C |
12 |
0 |
False |
| IDFILE |
System ID and Flags |
UD2SIZE |
2nd user defined field size |
N |
2 |
0 |
False |
| IDFILE |
System ID and Flags |
UDIDMUST |
LHU is required ? |
L |
1 |
0 |
False |
| IDFILE |
System ID and Flags |
UDIDPIC |
user defined id picture |
C |
15 |
0 |
False |
| IDFILE |
System ID and Flags |
UDIDSIZE |
user defined id size |
N |
2 |
0 |
False |
| IDFILE |
System ID and Flags |
UDPROPER |
system overwrite proper flag |
N |
1 |
0 |
True |
| IDFILE |
System ID and Flags |
WHO_DIDIT |
record who did it flag |
L |
1 |
0 |
False |
| IFBATCH |
IFMS batch file |
BATCH_DATE |
Batch date |
D |
8 |
0 |
True |
| IFBATCH |
IFMS batch file |
IF_BATCH |
IFMS batch number |
C |
6 |
0 |
True |
| IFBATCH |
IFMS batch file |
N_VOUCHER |
# of vouchers |
N |
3 |
0 |
True |
| IFBATCH |
IFMS batch file |
P_RECON |
percent of reconciled |
N |
8 |
2 |
True |
| IFBATCH |
IFMS batch file |
TOT_AMT |
total amount on batch |
N |
9 |
2 |
True |
| IFMS |
Suffolk IFMS voucher file |
BDATE |
Date on voucher |
D |
8 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
CK_BATCH |
KIDS pay provider batch # |
C |
5 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
CK_DATE |
Pay provider batch date |
D |
8 |
0 |
False |
| IFMS |
Suffolk IFMS voucher file |
CK_IDATE |
check issued date |
D |
8 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
CK_NUMBER |
Check # used to pay voucher |
C |
12 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
CK_PAID |
$ amount on pay provider check |
N |
9 |
2 |
True |
| IFMS |
Suffolk IFMS voucher file |
EIAGENCY |
E.I. authrization number |
C |
9 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
ID_DATE |
interface id date YYMMDD |
C |
6 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
IFMS_BATCH |
IFMS batch number |
C |
6 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
IFMS_RDATE |
IFMS return process date |
D |
8 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
IFMS_RST |
IFMS process result (P/R) |
C |
1 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
IFMS_SDATE |
Send to IFMS date |
D |
8 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
NUM_BILL |
# of bills |
N |
3 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
PV_INVOICE |
Provider voucher number |
C |
12 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
PV_NAME |
Provider name |
C |
35 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
PV_TAX_ID |
Provider tax id |
C |
9 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
RECONCILE |
Voucher reconciliation status |
C |
1 |
0 |
True |
| IFMS |
Suffolk IFMS voucher file |
VOCH_TOTAL |
Voucher payment amount |
N |
9 |
2 |
True |
| IFSP |
Early Care IFSP |
AGREE1 |
agree with IFSP |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE2 |
agree with IFSP |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE3 |
agree with IFSP |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE4 |
agree with IFSP |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE5 |
agree with IFSP |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE6 |
agree with IFSP |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE7 |
agree 7 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE8 |
agree 8 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AGREE9 |
agree 9 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
AMEND |
amend ifsp |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
CHILDCARE |
child care service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
DELAY |
reason of IFSP delay |
C |
2 |
0 |
True |
| IFSP |
Early Care IFSP |
ECDAYS1 |
# of days (1st) |
N |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
ECDAYS2 |
# of days (2nd) |
N |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
ECDAYS3 |
# of days (3th) |
N |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
ECDAYS4 |
# of days (4th) |
N |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
ECDAYS5 |
# of days (5th) |
N |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
ECDAYS6 |
# of days (6th) |
N |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
ECHRS1 |
# of hours (1st) |
N |
4 |
1 |
False |
| IFSP |
Early Care IFSP |
ECHRS2 |
# of hours (2nd) |
N |
4 |
1 |
False |
| IFSP |
Early Care IFSP |
ECHRS3 |
# of hours (3th) |
N |
4 |
1 |
False |
| IFSP |
Early Care IFSP |
ECHRS4 |
# of hours (4th) |
N |
4 |
1 |
False |
| IFSP |
Early Care IFSP |
ECHRS5 |
# of hours (5th) |
N |
4 |
1 |
False |
| IFSP |
Early Care IFSP |
ECHRS6 |
# of hours (6th) |
N |
4 |
1 |
False |
| IFSP |
Early Care IFSP |
ECTYPE1 |
service type (1st) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE2 |
service type (2nd) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE3 |
service type (3th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE4 |
service type (4th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE5 |
service type (5th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE6 |
service type (6th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE7 |
type 7 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE8 |
type 8 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECTYPE9 |
type 9 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ECWKS1 |
# of weeks (1st) |
N |
2 |
0 |
False |
| IFSP |
Early Care IFSP |
ECWKS2 |
# of weeks (2nd) |
N |
2 |
0 |
False |
| IFSP |
Early Care IFSP |
ECWKS3 |
# of weeks (3th) |
N |
2 |
0 |
False |
| IFSP |
Early Care IFSP |
ECWKS4 |
# of weeks (4th) |
N |
2 |
0 |
False |
| IFSP |
Early Care IFSP |
ECWKS5 |
# of weeks (5th) |
N |
2 |
0 |
False |
| IFSP |
Early Care IFSP |
ECWKS6 |
# of weeks (6th) |
N |
2 |
0 |
False |
| IFSP |
Early Care IFSP |
EFF_EDATE |
ifsp effective end date |
D |
8 |
0 |
True |
| IFSP |
Early Care IFSP |
EFF_SDATE |
ifsp effective start date |
D |
8 |
0 |
True |
| IFSP |
Early Care IFSP |
ETDATE |
effective through datE |
D |
8 |
0 |
True |
| IFSP |
Early Care IFSP |
FOOD |
food supplements service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
GENETICS |
genetics service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
HOMEMAKE |
homemaking service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
HOUSING |
housing service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
ID |
system id |
C |
8 |
0 |
True |
| IFSP |
Early Care IFSP |
INCOME |
income assistance service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC1 |
location (1st) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC2 |
location (2nd) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC3 |
location (3th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC4 |
location (4th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC5 |
location (5th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC6 |
location (6th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC7 |
location 7 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC8 |
loc 8 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
LOC9 |
loc 9 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
MEDICAL |
medical care service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH1 |
method (1st) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH2 |
method (2nd) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH3 |
method (3th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH4 |
method (4th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH5 |
method (5th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH6 |
method (6th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH7 |
method 7 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH8 |
method 8 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
METH9 |
method 9 |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
NUM |
# of ifsp (system) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
OTHSVC |
other service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
PAY1 |
payment source (1st) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
PAY2 |
payment source (2nd) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
PAY3 |
payment source (3th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
PAY4 |
payment source (4th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
PAY5 |
payment source (5th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
PAY6 |
payment source (6th) |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
SPDATE |
ifsp date |
D |
8 |
0 |
True |
| IFSP |
Early Care IFSP |
SPMEMO |
memo |
M |
10 |
0 |
False |
| IFSP |
Early Care IFSP |
SPSTAT |
ifsp type |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
SUPRTGRP |
support group service |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
TECHNO |
assistive technology device |
C |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
TRANSPORT |
transport (not use) |
L |
1 |
0 |
True |
| IFSP |
Early Care IFSP |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| IFSP |
Early Care IFSP |
TR_FLAG |
transfer tracking flag |
L |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
TR_STATUS |
used for re-transfer |
C |
1 |
0 |
False |
| IFSP |
Early Care IFSP |
VISIT1 |
number of visits |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT2 |
number of visits |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT3 |
number of visits |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT4 |
number of visits |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT5 |
number of visits |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT6 |
number of visits |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT7 |
# of visit 7 |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT8 |
# of visit 8 |
N |
3 |
0 |
True |
| IFSP |
Early Care IFSP |
VISIT9 |
# of visit 9 |
N |
3 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
APT |
apt score (Denver test) |
N |
6 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
CLDCARE |
child care concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
COM |
com score (Denver test) |
N |
6 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
DEVDATE |
date of ihap evaluation |
D |
8 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
FINAN |
financial concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
FM |
fm score (Denver test) |
N |
6 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
GM |
gm score (Denver test) |
N |
6 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HEADCM |
head circum in cm |
N |
4 |
1 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HEADIN |
head circum in inches |
N |
5 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HEADPCNT |
head circum in percentile |
N |
2 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HLTHCARE |
halth care concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HOUSING |
housing concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HTCM |
height in cm |
N |
4 |
1 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HTIN |
height in inches |
N |
5 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
HTPCNT |
height in percentile |
N |
2 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
ID |
system generated id |
C |
8 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
MEASDATE |
assessment date (adj/gest/age) |
D |
8 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
NUM |
1,2,3,or 4->6,12,20,30 months |
C |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
NUTRI |
nutrition concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
OTHER |
other concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
PARENT |
parenting concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
PS |
ps score (Denver test) |
N |
6 |
2 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
RESULT |
developmental screen result |
C |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
SOCSUP |
social support concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
STATUS |
status of growth patterns |
C |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
TEST |
test used for develop. screen |
C |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
TRANSP |
transportation concern (T/F) |
L |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| IHAPEVAL |
I-CHAP Evaluation |
TR_FLAG |
transfer tracking |
L |
1 |
0 |
False |
| IHAPEVAL |
I-CHAP Evaluation |
TR_STATUS |
used for re-transfer |
C |
1 |
0 |
False |
| IHAPEVAL |
I-CHAP Evaluation |
WHO |
who administered screen |
C |
1 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
WTGM |
weight in gm |
N |
5 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
WTLB |
weight in lb (partial) |
N |
2 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
WTOZ |
weight in oz (partial) |
N |
2 |
0 |
True |
| IHAPEVAL |
I-CHAP Evaluation |
WTPCNT |
weight in percentile |
N |
2 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
CLOSEDATE |
date of closure |
D |
8 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
COND1 |
ihap condition 1 |
C |
6 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
COND2 |
ihap condition 2 |
C |
6 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
CREASON |
reason for closure |
C |
1 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
DOANTIHBC |
date of anti-HBc |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOANTIHBS |
date of anti-HBs |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DODOSE1 |
date of 1st hepb dose |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DODOSE2 |
date of 2nd hepb dose |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DODOSE3 |
date of 3th hepb dose |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOHBIG |
hbig date |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOHBSAG |
HBsAG date |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOLOSTHEPB |
lost to follow-up date |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOSE1LOC |
dose-1 location |
C |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOSE2LOC |
dose-2 location |
C |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
DOSE3LOC |
dose-3 location |
C |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
HBIGLOC |
HBIG location |
C |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
HEPBSOURCE |
source of identification |
N |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
ID |
system generated id |
C |
8 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
ID_PROV |
provider id (internal use) |
C |
8 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
IHAPDATE |
ihap referral date |
D |
8 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
IHAPNOTE |
I-CHAP notes |
M |
10 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
IHAP_REF |
ihap referral source |
C |
1 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
IHCOMMENT |
comment |
M |
10 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
NEWBORNID |
newborn screen program id |
C |
20 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
RISK1 |
1st risk factor |
C |
1 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
RISK2 |
2nd risk factor |
C |
1 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
RISK3 |
3th risk factor |
C |
1 |
0 |
True |
| IHAPREF |
I-CHAP Referral |
RSANTIHBC |
Anti-HBc 1-pos/2-neg/3-titer |
N |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
RSANTIHBS |
Anti-HBs 1-pos/2-neg/3-titer |
N |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
RSHBSAG |
HBsAG result 1-pos/2-neg/3-Not |
N |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
RSLOSTHEPB |
1-can't locate/2-refuse/3-oth. |
N |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
TR_DATE |
date of transfer |
D |
8 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
TR_FLAG |
transfer tracking |
L |
1 |
0 |
False |
| IHAPREF |
I-CHAP Referral |
TR_STATUS |
used for re-transfer |
C |
1 |
0 |
False |
| INSBILL |
Insurance billing file |
AMT_FLAG |
credit/debit (Code : C or D) |
C |
1 |
0 |
True |
| INSBILL |
Insurance billing file |
AMT_PAID |
amount collect from insurance |
N |
8 |
2 |
True |
| INSBILL |
Insurance billing file |
ID |
child internal id |
C |
8 |
0 |
True |
| INSBILL |
Insurance billing file |
ID_SVC |
service auth number |
C |
8 |
0 |
True |
| INSBILL |
Insurance billing file |
INS_BATCH |
kids insurance batch number |
C |
5 |
0 |
True |
| INSBILL |
Insurance billing file |
MED_ADJ |
medicaid adjust |
C |
1 |
0 |
True |
| INSBILL |
Insurance billing file |
NYS_ADJ |
nys adjustment |
C |
1 |
0 |
True |
| INSBILL |
Insurance billing file |
SBDATE |
service beginning date |
D |
8 |
0 |
True |
| INSBILL |
Insurance billing file |
SEDATE |
service ending date |
D |
8 |
0 |
True |
| INSBILL |
Insurance billing file |
VEN_BATCH |
vendor batch number |
C |
5 |
0 |
True |
| INSBILL |
Insurance billing file |
VEN_CODE |
vendor code |
C |
2 |
0 |
True |
| INSBILL |
Insurance billing file |
VEN_DATE |
vendor insurance run date |
D |
8 |
0 |
True |
| INSBILL |
Insurance billing file |
VEN_DOC |
insurance process doc number |
C |
10 |
0 |
True |
| INSTLSTA |
INSTALATION FILE |
DATEENTER |
|
D |
8 |
0 |
False |
| INSTLSTA |
INSTALATION FILE |
RESULT |
|
C |
60 |
0 |
False |
| INSTLSTA |
INSTALATION FILE |
TIMEENTER |
|
C |
8 |
0 |
False |
| INSURE |
Person insured |
BILINSID |
INSURANCE COMPANY BILLED TO |
C |
8 |
0 |
False |
| INSURE |
Person insured |
CO_PAY |
co_pay (yes/no) |
C |
1 |
0 |
False |
| INSURE |
Person insured |
DIAG_CODE |
bill insurance diagnosis code |
C |
6 |
0 |
False |
| INSURE |
Person insured |
EICOVERAGE |
e.i. coverage |
C |
1 |
0 |
False |
| INSURE |
Person insured |
EMP_ADDR1 |
address 1 |
C |
20 |
0 |
False |
| INSURE |
Person insured |
EMP_ADDR2 |
address 2 |
C |
20 |
0 |
False |
| INSURE |
Person insured |
EMP_CITY |
city |
C |
20 |
0 |
False |
| INSURE |
Person insured |
EMP_NAME |
employer name |
C |
30 |
0 |
False |
| INSURE |
Person insured |
EMP_PHONE |
telephone |
C |
12 |
0 |
False |
| INSURE |
Person insured |
EMP_STATE |
state |
C |
2 |
0 |
False |
| INSURE |
Person insured |
EMP_ZIP |
zip code |
C |
10 |
0 |
False |
| INSURE |
Person insured |
FROMDATE |
policy period from date |
D |
8 |
0 |
True |
| INSURE |
Person insured |
GROUP_NUM |
group number |
C |
20 |
0 |
False |
| INSURE |
Person insured |
ICOMMENT |
|
M |
10 |
0 |
False |
| INSURE |
Person insured |
ID |
ID |
C |
8 |
0 |
True |
| INSURE |
Person insured |
ID_INSURE |
insurance company internal id |
C |
8 |
0 |
True |
| INSURE |
Person insured |
LCHPB |
Child Heatlh Plus B indicator |
L |
1 |
0 |
False |
| INSURE |
Person insured |
LFHP |
Family Health Plus indicator |
L |
1 |
0 |
False |
| INSURE |
Person insured |
NAME |
named insured |
C |
35 |
0 |
True |
| INSURE |
Person insured |
PH_ADDR1 |
addrass 1 |
C |
20 |
0 |
False |
| INSURE |
Person insured |
PH_ADDR2 |
address 2 |
C |
20 |
0 |
False |
| INSURE |
Person insured |
PH_CITY |
city |
C |
20 |
0 |
False |
| INSURE |
Person insured |
PH_DOB |
date of birth |
D |
8 |
0 |
False |
| INSURE |
Person insured |
PH_FIRST |
policy holder first name |
C |
20 |
0 |
False |
| INSURE |
Person insured |
PH_LAST |
polocy holder last name |
C |
20 |
0 |
False |
| INSURE |
Person insured |
PH_PHONE |
telephone |
C |
12 |
0 |
False |
| INSURE |
Person insured |
PH_RELA |
relation to child |
C |
1 |
0 |
False |
| INSURE |
Person insured |
PH_SSN |
social security # |
C |
11 |
0 |
False |
| INSURE |
Person insured |
PH_STATE |
state |
C |
2 |
0 |
False |
| INSURE |
Person insured |
PH_ZIP |
zip code |
C |
10 |
0 |
True |
| INSURE |
Person insured |
POLICY_NUM |
policy number |
C |
20 |
0 |
True |
| INSURE |
Person insured |
STOP_USE |
stop using for e.i. billing |
L |
1 |
0 |
True |
| INSURE |
Person insured |
TODATE |
policy period to date |
D |
8 |
0 |
True |
| KH2MED |
Generate 837i in 80 columns |
FULTEXT |
|
C |
80 |
0 |
False |
| KHMED |
Generate hipaa 837i output |
CCHILDID |
|
C |
8 |
0 |
True |
| KHMED |
Generate hipaa 837i output |
FULTEXT |
|
C |
200 |
0 |
False |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CBATCH |
BATCH NUMBER |
C |
8 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CCHARS |
BAD CHARACTERS |
C |
25 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CFIELDNAME |
FIELD NAME |
C |
10 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CFIRSTNAME |
CHILD FIRST NAME |
C |
20 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CID |
CHILD ID |
C |
8 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CIS |
WHAT THE NEW VALUE IS |
C |
50 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CLASTNAME |
CHILD LAST NAME |
C |
20 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CTABLE |
TABLE |
C |
8 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CTIME |
TIME OF RUN |
C |
8 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
CWAS |
WHAT THE OLD VALUE WAS |
C |
50 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
DRUN |
DATE OF RUN |
D |
8 |
0 |
True |
| KIDSELOG |
KIDS ERROR LOG FOR ASCII CHAR. |
NRECNO |
RECORD NUMBER OF BAD RECORD |
N |
10 |
0 |
True |
| KIDSMED |
MEDICAID STAGING FILE |
CHK_EXIST |
|
L |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
CODED_FLAG |
|
L |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
CODED_NAME |
|
C |
12 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
CODE_VALID |
|
C |
50 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
DBF_CALL |
|
C |
30 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
DBF_NAME |
|
C |
8 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
FIELD_CALL |
|
C |
30 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
FIELD_DEC |
|
N |
3 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
FIELD_LEN |
|
N |
3 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
FIELD_NAME |
|
C |
10 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
FIELD_TYPE |
|
C |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
FILE_TYPE |
|
C |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
NET_FILE |
|
L |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
NOTES |
|
C |
30 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
PACK_YES |
|
L |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
REQUIRED |
|
L |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
TAG_CALL |
|
C |
30 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
TAG_EXPR |
|
C |
80 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
TAG_FIELD |
|
L |
1 |
0 |
False |
| KIDSMED |
MEDICAID STAGING FILE |
ZAP_YES |
|
L |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ABORTCODE |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ACDNTCODE |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ADJCODE |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
BATCH |
|
C |
5 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
BDATE |
|
C |
6 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
BILINSID |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
CHAPREF |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
CHILDID |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
CLMREFN |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
CPTCODE |
|
C |
5 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
CTYLOC |
|
C |
3 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
CTY_MEDI |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
DENTLLAB |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
DENYCODE |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
DIAGNOSIS |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
DISABILITY |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
EMRGNCYC |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
FAMPLAN |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
GROUPID |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
HANDICAP |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ICD9CM |
|
C |
6 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ICD9PRCSUF |
|
C |
5 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ICD9PRIM |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ICD9PROC |
|
C |
6 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ICD9SUFX |
|
C |
3 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ID_SVC |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
INSCOV |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
INS_EDATE |
|
D |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
INS_PAID |
|
N |
8 |
2 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
INS_YN |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
INVOICE |
|
C |
9 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MEDACTAMT |
|
C |
7 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MEDACTPAID |
|
C |
7 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MEDAPPAMT |
|
C |
7 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MEDICAID_N |
|
C |
11 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MED_BDATE |
|
D |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MODIFIR1 |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MODIFIR2 |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MODIFIR3 |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
MODIFIR4 |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
NYSPRICBAL |
|
C |
7 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
NYS_PRICE |
|
N |
8 |
2 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
NYS_RATE |
|
N |
8 |
2 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
ORIGCLMR |
|
C |
14 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
OTHINSPD |
|
C |
7 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
PATSTAT |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
PC_CODE |
|
C |
4 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
PLACESEV |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
PRIORAPP |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
PROCRCODE |
|
C |
7 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
PROVTYPE |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
REFPROVNO |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SBDATE |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEDATE |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SETEI_CODE |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEVAUTH |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEVPRO |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEVPRONO |
|
C |
8 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEVPROTYP |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEV_COD |
|
C |
4 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SEX |
|
C |
1 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SVC |
|
C |
4 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SVC_CAT |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
SVC_SUFF |
|
C |
2 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
UNITS |
|
N |
3 |
0 |
False |
| KIDSMEDI |
FINAL MEDICAID STAGING FILE |
YOB |
|
C |
2 |
0 |
False |
| KIDSPC |
printer control codes |
P_10CPI |
printer 10 cpi codes - normal |
C |
60 |
0 |
False |
| KIDSPC |
printer control codes |
P_COMPRESS |
printer compress mode codes |
C |
60 |
0 |
False |
| KIDSPC |
printer control codes |
P_NAME |
printer's name |
C |
40 |
0 |
False |
| KIDSPC |
printer control codes |
P_OUTPORT |
printer output port |
C |
4 |
0 |
False |
| KIDSPC |
printer control codes |
P_RESET |
printer reset codes |
C |
60 |
0 |
False |
| KIDSPC |
printer control codes |
P_SETUP |
printer setup codes |
C |
60 |
0 |
False |
| LOOKUP |
Code Lookup Table |
LK_CODE |
lookup code and description |
C |
45 |
0 |
False |
| LOOKUP |
Code Lookup Table |
LK_CODESIZ |
lookup code size |
N |
1 |
0 |
False |
| LOOKUP |
Code Lookup Table |
LK_DISPSIZ |
description display size |
N |
2 |
0 |
False |
| LOOKUP |
Code Lookup Table |
LK_NAME |
lookup code name |
C |
12 |
0 |
False |
| LOOKUP |
Code Lookup Table |
LK_TITLE |
title of lookup code set |
C |
12 |
0 |
False |
| MDPRTADJ |
Medicaid Partial RePayment |
DATESUB |
Date bill placed in 837 file |
D |
8 |
0 |
False |
| MDPRTADJ |
Medicaid Partial RePayment |
INVOICE |
Old Invoice number from Bill |
C |
9 |
0 |
False |
| MDPRTADJ |
Medicaid Partial RePayment |
MD_BATCH |
Old Batch number from Bill |
C |
5 |
0 |
False |
| MDPRTADJ |
Medicaid Partial RePayment |
NEWBATCH |
New batch number for 837 file |
C |
5 |
0 |
False |
| MDPRTADJ |
Medicaid Partial RePayment |
SUBMITTED |
logical indicator if in 837 |
L |
1 |
0 |
False |
| MDPRTADJ |
Medicaid Partial RePayment |
TCN |
TCN from Medicaid report |
C |
19 |
0 |
False |
| MEDERROR |
HIPAA 837 ERROR FILE |
CHILDID |
|
C |
8 |
0 |
True |
| MEDERROR |
HIPAA 837 ERROR FILE |
ERRDESC |
|
C |
50 |
0 |
True |
| MEDERROR |
HIPAA 837 ERROR FILE |
FNAME |
|
C |
12 |
0 |
True |
| MEDERROR |
HIPAA 837 ERROR FILE |
ID_SVC |
|
C |
8 |
0 |
True |
| MEDERROR |
HIPAA 837 ERROR FILE |
LNAME |
|
C |
12 |
0 |
True |
| MEDERROR |
HIPAA 837 ERROR FILE |
SBDATE |
|
D |
8 |
0 |
True |
| MEMFILE |
St dt and End dt of Process |
ENDDATE |
|
D |
8 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
ENDTIME |
|
C |
10 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
RCOMPLET |
|
C |
1 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
REVAL |
|
C |
1 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
STDATE |
|
D |
8 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
STTIME |
|
C |
10 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
TRYDATE |
|
D |
8 |
0 |
False |
| MEMFILE |
St dt and End dt of Process |
TRYTIME |
|
C |
10 |
0 |
False |
| NUBATCH |
numis batch file |
BATCH_DATE |
batch date |
D |
8 |
0 |
True |
| NUBATCH |
numis batch file |
NU_BATCH |
numis batch # |
C |
6 |
0 |
True |
| NUBATCH |
numis batch file |
N_RECON |
# of vouchers have reconciled |
N |
3 |
0 |
True |
| NUBATCH |
numis batch file |
N_VOUCHER |
# of voucher |
N |
3 |
0 |
True |
| NUBATCH |
numis batch file |
RECONCILE |
reconciliation completed 'Y' |
C |
1 |
0 |
True |
| NUBATCH |
numis batch file |
TOT_AMT |
total amount |
N |
9 |
2 |
True |
| NUBATCH |
numis batch file |
TRANS_CODE |
1-VOCE or 2-VMSE |
N |
1 |
0 |
True |
| NUMIS |
Numis billing system |
ADDR_CODE |
address code (from E.I. auth) |
C |
2 |
0 |
True |
| NUMIS |
Numis billing system |
AMT_1 |
amount charge (1st patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_2 |
amount charge (2nd patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_3 |
amount charge (3th patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_4 |
amount charge (4th patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_5 |
amount charge (5th patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_6 |
amount charge (6th patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_7 |
amount charge (7th patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
AMT_8 |
amount charge (8th patient) |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
BDATE |
voucher date |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_1 |
# of bills (1st patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_2 |
# of bills (2nd patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_3 |
# of bills (3th patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_4 |
# of bills (4th patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_5 |
# of bills (5th patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_6 |
# of bills (6th patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_7 |
# of bills (7th patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
BILL_8 |
# of bills (8th patient) |
N |
3 |
0 |
True |
| NUMIS |
Numis billing system |
CK_BATCH |
pay provider batch # |
C |
5 |
0 |
True |
| NUMIS |
Numis billing system |
CK_DATE |
start process date |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
CK_IDATE |
check issued date |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
CK_NUMBER |
check # |
C |
12 |
0 |
True |
| NUMIS |
Numis billing system |
CK_PAID |
check amount |
N |
9 |
2 |
True |
| NUMIS |
Numis billing system |
CONTRACT |
contract # (from E.I. auth) |
C |
12 |
0 |
True |
| NUMIS |
Numis billing system |
DES_1 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_2 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_3 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_4 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_5 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_6 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_7 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
DES_8 |
description |
C |
30 |
0 |
True |
| NUMIS |
Numis billing system |
EIAGENCY |
e.i. auth code |
C |
9 |
0 |
True |
| NUMIS |
Numis billing system |
ID_1 |
patient kids id (1st) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_2 |
patient kids id (2nd) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_3 |
patient kids id (3th) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_4 |
patient kids id (4th) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_5 |
patient kids id (5th) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_6 |
patient kids id (6th) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_7 |
patient kids id (7th) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
ID_8 |
patient kids id (8th) |
C |
8 |
0 |
True |
| NUMIS |
Numis billing system |
LASTSVDATE |
last service date (receipt) |
D |
8 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_1 |
patienT name (1st) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_2 |
patienT name (2nd) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_3 |
patienT name (3th) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_4 |
patienT name (4th) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_5 |
patienT name (5th) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_6 |
patienT name (6th) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_7 |
patienT name (7th) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NAME_8 |
patienT name (8th) |
C |
10 |
0 |
False |
| NUMIS |
Numis billing system |
NU_BATCH |
numis batch number |
C |
6 |
0 |
True |
| NUMIS |
Numis billing system |
NU_DATE |
numis batch date |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
OPERATOR |
who start this voucher |
C |
5 |
0 |
True |
| NUMIS |
Numis billing system |
PV_ADDR1 |
provider address line 1 |
C |
25 |
0 |
True |
| NUMIS |
Numis billing system |
PV_ADDR2 |
provider address line 2 |
C |
25 |
0 |
True |
| NUMIS |
Numis billing system |
PV_ADDR3 |
provider address line 3 |
C |
25 |
0 |
True |
| NUMIS |
Numis billing system |
PV_INVOICE |
voucher # |
C |
12 |
0 |
False |
| NUMIS |
Numis billing system |
PV_NAME |
provider name |
C |
35 |
0 |
True |
| NUMIS |
Numis billing system |
PV_TAX_ID |
provider tax id |
C |
9 |
0 |
False |
| NUMIS |
Numis billing system |
P_PATIENT |
# of patients |
N |
1 |
0 |
True |
| NUMIS |
Numis billing system |
RECONCILE |
reconciliation flag |
C |
1 |
0 |
True |
| NUMIS |
Numis billing system |
REF_LINE |
ref. line no. (from E.I. auth) |
C |
4 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_1 |
last service date (1st pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_2 |
last service date (2nd pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_3 |
last service date (3th pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_4 |
last service date (4th pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_5 |
last service date (5th pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_6 |
last service date (6th pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_7 |
last service date (7th pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVCD_8 |
last service date (8th pat) |
D |
8 |
0 |
True |
| NUMIS |
Numis billing system |
SVC_DESCRI |
service description |
C |
30 |
0 |
False |
| NUMIS |
Numis billing system |
TAX_NT |
taxable (N-VMSE or T-VOCE) |
C |
1 |
0 |
True |
| NUMIS |
Numis billing system |
TRANS_CODE |
trans code 1-VOCE or 2-VMSE |
N |
1 |
0 |
True |
| NUMIS |
Numis billing system |
VOCH_TOTAL |
voucher total amount |
N |
9 |
2 |
True |
| NURSE |
NYC Home Visits (HHA) |
ID |
system id |
C |
8 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
ID_PROV |
provider id |
C |
8 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
KEPT |
appointment kept ? |
C |
1 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
ORDERBY |
ordered by |
C |
1 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
SCHDATE |
date of scheduled visit |
D |
8 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
TODAY |
today's date |
D |
8 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
VISITTYPE |
type of visit |
C |
1 |
0 |
False |
| NURSE |
NYC Home Visits (HHA) |
WHYNOT |
if not kept, why ? |
C |
1 |
0 |
False |
| OUTCOMES |
Cohort Outcomes tracking |
COHOYEAR |
Cohort year |
N |
4 |
0 |
True |
| OUTCOMES |
Cohort Outcomes tracking |
CTYRES |
Child's county of residence |
C |
2 |
0 |
True |
| OUTCOMES |
Cohort Outcomes tracking |
EIELIG |
EI eligibility |
C |
1 |
0 |
True |
| OUTCOMES |
Cohort Outcomes tracking |
ENTRYFORM |
Entry Summary form complete? |
L |
1 |
0 |
True |
| OUTCOMES |
Cohort Outcomes tracking |
EXITFORM |
Exit summary form completed? |
L |
1 |
0 |
True |
| OUTCOMES |
Cohort Outcomes tracking |
ID |
Child ID |
C |
8 |
0 |
True |
| PHCPDE |
phcp D & E |
DEGRP1 |
authorized service 1 |
C |
1 |
0 |
True |
| PHCPDE |
phcp D & E |
DEGRP2 |
authorized service 2 |
C |
1 |
0 |
True |
| PHCPDE |
phcp D & E |
DEGRP3 |
authorized service 3 |
C |
1 |
0 |
True |
| PHCPDE |
phcp D & E |
DEGRP4 |
authorized service 4 |
C |
1 |
0 |
True |
| PHCPDE |
phcp D & E |
DEGRP5 |
authorized service 5 |
C |
1 |
0 |
True |
| PHCPDE |
phcp D & E |
DE_DATE |
authorization date |
D |
8 |
0 |
True |
| PHCPDE |
phcp D & E |
FORMDATE |
date produce auth form |
D |
8 |
0 |
True |
| PHCPDE |
phcp D & E |
ID |
child id |
C |
8 |
0 |
True |
| PHCPDE |
phcp D & E |
ID_PHCPDE |
D&E authorization # |
C |
8 |
0 |
True |
| PHCPDE |
phcp D & E |
ID_PROV |
provider id |
C |
8 |
0 |
True |
| PHCPREF |
PHCP referral source |
ADM_DATE |
admission date |
D |
8 |
0 |
False |
| PHCPREF |
PHCP referral source |
CLOSEDATE |
closing date |
D |
8 |
0 |
True |
| PHCPREF |
PHCP referral source |
COND1 |
chronic condition 1 |
C |
6 |
0 |
True |
| PHCPREF |
PHCP referral source |
COND2 |
chronic condition 2 |
C |
6 |
0 |
True |
| PHCPREF |
PHCP referral source |
CREASON |
reason for closing |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
HCC |
health care coverage |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
HCC2 |
health care coverage 2 |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
HCC3 |
health care coverage 3 |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
ID |
system generated id |
C |
8 |
0 |
True |
| PHCPREF |
PHCP referral source |
ID_PROV |
provider id (internal use) |
C |
8 |
0 |
True |
| PHCPREF |
PHCP referral source |
INCOME |
income (1000) |
N |
4 |
0 |
False |
| PHCPREF |
PHCP referral source |
PHCOMMENT |
comment |
M |
10 |
0 |
False |
| PHCPREF |
PHCP referral source |
PHCPDATE |
PHCP referral date |
D |
8 |
0 |
True |
| PHCPREF |
PHCP referral source |
PHCPNOTE |
note pad |
M |
10 |
0 |
False |
| PHCPREF |
PHCP referral source |
PHCP_REF |
phcp referral source |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
SSI |
receiving SSI |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
TIER1 |
initial tier |
C |
1 |
0 |
True |
| PHCPREF |
PHCP referral source |
TIER2 |
current tier |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
CHARTNUM |
NYC chart number |
C |
10 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
COND1 |
additional condition |
C |
6 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
COND2 |
additional condition 2 |
C |
6 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
DOLEAD |
date of last lead screen |
D |
8 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
DTPD |
dtp doses |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
DTPS |
dtp status |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
HEPBD |
hepb doses |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
HEPBS |
hepb status |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
HIBD |
hib doses |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
HIBS |
hib status |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
ID |
system id |
C |
8 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
ID_PROV |
provider's id |
C |
8 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
LEADRSL |
lead screen result (ug/dl) |
N |
2 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
MMPD |
mmp doses |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
MMPS |
mmp status |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
POLIOD |
polio doses |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
POLIOS |
polio status |
C |
1 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
PRDATE |
date of last check up |
D |
8 |
0 |
True |
| PRIMEVAL |
Primary Care Evaluation |
WELLCHILD |
regular child check up (y/n) |
C |
1 |
0 |
True |
| PROCODE |
procode |
CHARGE1 |
rate |
N |
7 |
2 |
False |
| PROCODE |
procode |
DEND |
rate effective end date |
D |
8 |
0 |
False |
| PROCODE |
procode |
DESCRIP |
description |
C |
35 |
0 |
False |
| PROCODE |
procode |
DSTART |
rate effective start date |
D |
8 |
0 |
False |
| PROCODE |
procode |
HOUR_RATE |
is hour rate (not used) |
L |
1 |
0 |
False |
| PROCODE |
procode |
PROC_CODE |
medicaid assign procedure code |
C |
7 |
0 |
False |
| PROCODE |
procode |
REGION |
region |
N |
2 |
0 |
False |
| PROVIDER |
Provider |
ADDR1 |
address - 1st line |
C |
25 |
0 |
True |
| PROVIDER |
Provider |
ADDR2 |
address - 2nd line |
C |
25 |
0 |
True |
| PROVIDER |
Provider |
AGENCY |
agency name |
C |
35 |
0 |
True |
| PROVIDER |
Provider |
AGENCYCODE |
agency code |
C |
7 |
0 |
True |
| PROVIDER |
Provider |
CITY |
city |
C |
17 |
0 |
True |
| PROVIDER |
Provider |
DEGREE |
degree - Dr. DDS. |
C |
10 |
0 |
False |
| PROVIDER |
Provider |
EIAGENCY |
E.I. agency code |
C |
9 |
0 |
True |
| PROVIDER |
Provider |
EINAME |
e.i. authorization name |
C |
35 |
0 |
True |
| PROVIDER |
Provider |
EI_AUTH |
e.i authorized provider |
C |
1 |
0 |
True |
| PROVIDER |
Provider |
FIRST |
first name |
C |
20 |
0 |
True |
| PROVIDER |
Provider |
ID_PROV |
provider id |
C |
8 |
0 |
True |
| PROVIDER |
Provider |
LAST |
last name |
C |
20 |
0 |
True |
| PROVIDER |
Provider |
MEDICAID |
medicaid number |
C |
8 |
0 |
True |
| PROVIDER |
Provider |
NAME |
provider's name |
C |
35 |
0 |
True |
| PROVIDER |
Provider |
NPI |
National Provider Identifier |
C |
10 |
0 |
False |
| PROVIDER |
Provider |
PHONE |
phone |
C |
12 |
0 |
True |
| PROVIDER |
Provider |
PROGRAM |
program |
C |
35 |
0 |
True |
| PROVIDER |
Provider |
PVCOMMENT |
comment |
M |
10 |
0 |
False |
| PROVIDER |
Provider |
SPEC |
provider's specialty |
C |
1 |
0 |
True |
| PROVIDER |
Provider |
STATE |
state |
C |
2 |
0 |
True |
| PROVIDER |
Provider |
TITLE |
mr. mrs. |
C |
12 |
0 |
False |
| PROVIDER |
Provider |
ZIP |
zip |
C |
10 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
COUNTY |
county - not used |
C |
2 |
0 |
False |
| REFERRAL |
Non Early Care Referral |
END1 |
1st service end date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
END2 |
2nd service end date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
END3 |
3th service end date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
END4 |
4th service end date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
ID |
system id |
C |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
ID_PROV |
provider's id |
C |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
INIT |
initiation (referral in) |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPC1 |
1st phcp cost |
N |
10 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPC2 |
2nd phcp cost |
N |
10 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPC3 |
3th phcp cost |
N |
10 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPC4 |
4th phcp cost |
N |
10 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPQ1 |
1st phcp program (y/n) |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPQ2 |
2nd phcp program (y/n) |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPQ3 |
3th phcp program (y/n) |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
PHCPQ4 |
4th phcp program (y/n) |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
REFDATE |
referral date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
RFCOMMENT |
comment |
M |
10 |
0 |
False |
| REFERRAL |
Non Early Care Referral |
START1 |
1st service start date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
START2 |
2nd service start date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
START3 |
3th service start date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
START4 |
4th service start date |
D |
8 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
SVC1 |
1st service type |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
SVC2 |
2nd service type |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
SVC3 |
3th service type |
C |
1 |
0 |
True |
| REFERRAL |
Non Early Care Referral |
SVC4 |
4th service type |
C |
1 |
0 |
True |
| SEEDFILE |
Internal ID seed number |
SEED_NAME |
seed number's name |
C |
8 |
0 |
False |
| SEEDFILE |
Internal ID seed number |
SEED_NUM |
seed number |
N |
8 |
0 |
False |
| STAFF |
Program Staff |
AGENCY |
agency |
C |
35 |
0 |
False |
| STAFF |
Program Staff |
CODE |
user's code |
C |
5 |
0 |
False |
| STAFF |
Program Staff |
NAME |
name |
C |
35 |
0 |
False |
| STAFF |
Program Staff |
PHONE |
phone |
C |
12 |
0 |
False |
| STAFF |
Program Staff |
PROGRAM |
program |
C |
35 |
0 |
False |
| STAFF |
Program Staff |
STATUS |
hours working |
N |
4 |
1 |
False |
| USER |
User |
BILL_PRIV |
privilege of e.i. billing |
C |
1 |
0 |
False |
| USER |
User |
BROW_AGID |
browse provider by agency code |
L |
1 |
0 |
False |
| USER |
User |
CHECK_SUM |
security check sum |
N |
6 |
0 |
False |
| USER |
User |
CLOCK_ON |
clock set on / off |
L |
1 |
0 |
False |
| USER |
User |
CODE_END |
display code at end of lookup |
L |
1 |
0 |
False |
| USER |
User |
EC_PRIV |
eip program privilege |
C |
1 |
0 |
False |
| USER |
User |
IHAP_PRIV |
ihap program privilege |
C |
1 |
0 |
False |
| USER |
User |
IMMUALL |
display all immunization dates |
L |
1 |
0 |
False |
| USER |
User |
IMMU_PRIV |
immunization privilege |
C |
1 |
0 |
False |
| USER |
User |
LIGHTEN |
optimize browse / less feature |
L |
1 |
0 |
False |
| USER |
User |
NAME |
user's name |
C |
35 |
0 |
False |
| USER |
User |
NO_TBROWSE |
don't use browser |
L |
1 |
0 |
False |
| USER |
User |
NQCOMPRESS |
network compress print queue |
C |
50 |
0 |
False |
| USER |
User |
NQNORMAL |
network normal print queue |
C |
50 |
0 |
False |
| USER |
User |
PAGE_LEFT |
page is on the left side |
L |
1 |
0 |
False |
| USER |
User |
PASSWORD |
password |
C |
6 |
0 |
False |
| USER |
User |
PDCOMPRESS |
compress printer driver code |
C |
50 |
0 |
False |
| USER |
User |
PDNAME |
printer driver name |
C |
50 |
0 |
False |
| USER |
User |
PDNORMAL |
normal printer driver codes |
C |
50 |
0 |
False |
| USER |
User |
PHCP_PRIV |
phcp privilege (not use) |
C |
1 |
0 |
False |
| USER |
User |
PROPER |
cap first letter of each word |
L |
1 |
0 |
False |
| USER |
User |
STICK_MENU |
sticky menu set on/off |
L |
1 |
0 |
False |
| USER |
User |
UDSPEED |
user type speed (0-enter key) |
N |
3 |
1 |
False |
| USER |
User |
UDTIME1 |
set refresh to time1,xx |
N |
5 |
0 |
False |
| USER |
User |
UDTIME2 |
set refresh to xx,time2 (sec) |
N |
5 |
0 |
False |
| USER |
User |
USERCODE |
usercode |
C |
5 |
0 |
False |
| USER |
User |
USE_NPRINT |
use network printing |
L |
1 |
0 |
False |
| USER |
User |
USE_PDRIVE |
use printer driver |
L |
1 |
0 |
False |
| ECSVC |
Early Care Service |
FIRST_SBDT |
1st pd svc - (file xfer only) |
D |
8 |
0 |
True |
| VERSION |
KIDS Version information |
VNUMBER |
KIDS version number |
N |
4 |
0 |
True |
| VERSION |
KIDS Version information |
COMPLETED |
Installation completed |
L |
1 |
0 |
True |
| VERSION |
KIDS Version information |
VDATE |
Installation Date |
D |
8 |
0 |
True |
| VERSION |
KIDS Version information |
STIME |
Installation Start Time |
C |
5 |
0 |
True |
| VERSION |
KIDS Version information |
ETIME |
Installation End Time |
C |
5 |
0 |
True |
| BILL |
Billing |
NPI_REND |
Rendering NPI |
C |
10 |
0 |
True |
| CHILD |
Child |
RACE1 |
child.race prior to 9495 |
C |
1 |
0 |
True |