HC_BlngStmtDOS_Form Data Dictionary

Detailed Descriptions for Health Charge Billing Statement Date of Service Form

Original Column Name Expanded Column Name Description
BlngStmtDOS_FormID Billing Statement Date Of Service Form Details A unique identifier for the details of the billing statement corresponding to a specific date of service form.
AcctHldrID Account Holder Details Identifies the details of the account holder responsible for the payment or charged for the services rendered.
AgingPeriod Aging Period Time elapsed since the charge was posted, typically used to categorize overdue payments.
Amt Amount The total amount charged for the services before any adjustments or payments.
AmtIns Amount Insurance The portion of the total amount that is expected to be paid by the patient's insurance.
AmtPt Amount Patient The portion of the total amount that is expected to be paid out-of-pocket by the patient.
AmtAdj Amount Adjustment Any adjustments made to the total amount charged, which could include discounts or corrections.
AmtAdjIns Amount Adjustment Insurance Adjustments made to the insurance portion of the charge, often due to negotiated payment rates or claim denials.
AmtAdjPt Amount Adjustment Patient Adjustments made to the patient's portion of the charge, possibly including discounts or financial assistance.
AmtBal Amount Balance The remaining balance of the total charge after payments and adjustments have been applied.
AmtBalIns Amount Balance Insurance The remaining balance from the insurance portion of the charge after their payments and adjustments.
AmtBalPt Amount Balance Patient The remaining balance from the patient's portion of the charge after their payments and adjustments.
AmtPmt Amount Payment The total payments made towards the charge by all parties.
AmtPmtIns Amount Payment Insurance Payments made by the insurance towards the charge.
AmtPmtPt Amount Payment Patient Payments made by the patient towards the charge.
BlngStmtMainID Billing Statement Main Details The main identifier for the billing statement that may include multiple services or date of service forms.
BlngStmtMbrID Billing Statement Member Details The identifier for the member or patient to whom the billing statement is related.
DateOfService Date Of Service The specific date when the medical service was provided to the patient.
IsDisplayDetails Is Display Details A flag indicating whether the detailed information of the billing statement is to be displayed or not.
PtID Patient Details A unique identifier for the patient's account or record within the healthcare system.
PtNmFirst Patient Name First The first name of the patient as stored in the healthcare records.
ZUChkSum Audit Checksum A checksum value used for auditing purposes to ensure data integrity.
ZUDate Audit Date The date when the data was last audited or modified for record-keeping.
ZULogonHisID Audit Logon History Details Identifier of the audit log entry that records the details of user logon history for security and tracking.