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CREATE TABLE edi_claims ( ID INT NOT NULL AUTO_INCREMENT KEY, ClaimNo varchar (50) NOT NULL , HIPAAsuiteID varchar (9) NULL , TradingPartnerIDType char (2) NULL , TradingPartnerID varchar (15) NOT NULL , SubmitterName varchar (35) NULL , SubmitterID varchar (30) NULL , SubmitterContact varchar (60) NULL , SubmitterTel varchar (20) NULL , SubmitterTelExt varchar (10) NULL , SubmitterFax varchar (20) NULL , SubmitterEmail varchar (80) NULL , ReceiverName varchar (35) NULL , BillProvIDType char (2) NULL , BillProvID varchar (80) NULL , BillProvLast varchar (35) NULL , BillProvFirst varchar (25) NULL , BillProvMiddle varchar (25) NULL , BillProvSuffix varchar (10) NULL , BillProvSpecialty varchar (10) NULL , BillProvAddress varchar (55) NULL , BillProvAddress2 varchar (55) NULL , BillProvCity varchar (30) NULL , BillProvState char (2) NULL , BillProvZip varchar (15) NULL , BillProvContact varchar (60) NULL , BillProvTel varchar (80) NULL , BillProvTelExt varchar (80) NULL , BillProvFax varchar (80) NULL , BillProvEmail varchar (80) NULL , PayToProvIDType char (2) NULL , PaytoProvID varchar (80) NULL , PaytoProvLast varchar (35) NULL , PaytoProvFirst varchar (25) NULL , PayToProvMiddle varchar (25) NULL , PayToProvSuffix varchar (10) NULL , PayToProvSpecialty varchar (10) NULL , PaytoProvAddress varchar (55) NULL , PayToProvAddress2 varchar (55) NULL , PaytoProvCity varchar (30) NULL , PaytoProvState char (2) NULL , PaytoProvZip varchar (15) NULL , RendProvIDType char (2) NULL , RendProvID varchar (80) NULL , RendProvLast varchar (35) NULL , RendProvFirst varchar (25) NULL , RendProvMiddle varchar (25) NULL , RendProvSuffix varchar (10) NULL , RendProvSpecialty varchar (10) NULL , AttendProvLast varchar (35) NULL , AttendProvFirst varchar (25) NULL , AttendProvMiddle varchar (25) NULL , AttendProvSuffix varchar (10) NULL , AttendProvIDType char (2) NULL , AttendProvID varchar (80) NULL , AttendProvSpecialty varchar (10) NULL , OperatingProvLast varchar (35) NULL , OperatingProvFirst varchar (25) NULL , OperatingProvMiddle varchar (25) NULL , OperatingProvSuffix varchar (10) NULL , OperatingProvIDType char (2) NULL , OperatingProvID varchar (80) NULL , OperatingProvSpecialty varchar (10) NULL , OtherProvLast varchar (35) NULL , OtherProvFirst varchar (25) NULL , OtherProvMiddle varchar (25) NULL , OtherProvSuffix varchar (10) NULL , OtherProvIDType varchar (100) NULL , OtherProvID varchar (100) NULL , OtherProvSpecialty varchar (100) NULL , FacilityType char (2) NULL , FacilityIDType char (2) NULL , FacilityID varchar (80) NULL , FacilityName varchar (80) NULL , FacilityAddress varchar (55) NULL , FacilityAddress2 varchar (55) NULL , FacilityCity varchar (30) NULL , FacilitySpecialty varchar (100) NULL , FacilityState char (2) NULL , FacilityZip varchar (15) NULL , OutsideLab char (1) NULL , LabCharge varchar (10) NULL , SubscriberLast varchar (35) NULL , SubscriberFirst varchar (25) NULL , SubscriberMiddle varchar (25) NULL , SubscriberSuffix varchar (10) NULL , SubscriberAddress varchar (55) NULL , SubscriberAddress2 varchar (55) NULL , SubscriberCity varchar (30) NULL , SubscriberState char (2) NULL , SubscriberZip varchar (15) NULL , SubscriberIDType char (2) NULL , SubscriberID varchar (80) NULL , SubscriberDOB varchar (10) NULL , SubscriberSex char (1) NULL , InsuranceType char (2) NULL , GroupNo varchar (50) NULL , GroupName varchar (60) NULL , FilingIndicator char (2) NULL , PatientLast varchar (35) NULL , PatientFirst varchar (25) NULL , PatientMiddle varchar (25) NULL , PatientSuffix varchar (10) NULL , PatientAddress varchar (55) NULL , PatientAddress2 varchar (55) NULL , PatientCity varchar (30) NULL , PatientState char (2) NULL , PatientZip varchar (15) NULL , PatientIDType char (2) NULL , PatientID varchar (80) NULL , PatientDOB varchar (50) NULL , PatientSex char (1) NULL , PatientRelationship char (2) NULL , PatientPaid varchar (10) NULL , PregnancyIndicator char (1) NULL , OtherInsuredLast varchar (35) NULL , OtherInsuredFirst varchar (25) NULL , OtherInsuredMiddle varchar (25) NULL , OtherInsuredSuffix varchar (10) NULL , OtherInsuredPolicy varchar (50) NULL , OtherInsuredDOB varchar (10) NULL , OtherInsuredSex char (1) NULL , OtherInsuredRelationship char (2) NULL , OtherPayerName varchar (35) NULL , OtherPayerID varchar (80) NULL , OtherPayerPaid varchar (10) NULL , OtherPayerGroupName varchar (100) NULL , OtherPayerGroupNo varchar (100) NULL , PayerName varchar (35) NULL , PayerIDType char (2) NULL , PayerID varchar (80) NULL , PayerAddress varchar (55) NULL , PayerAddress2 varchar (55) NULL , PayerCity varchar (30) NULL , PayerState char (2) NULL , PayerZip varchar (15) NULL , Amount varchar (50) NULL , EstimatedAmountDue varchar (10) NULL , PlaceOfService char (2) NULL , SubmitReason char (1) NULL , ProviderSignature char (1) NULL , ProviderAcceptsAssignment char (1) NULL , BenefitAssignment char (1) NULL , InfoReleaseCode char (1) NULL , PatientSignatureCode char (1) NULL , RelatedCauses char (2) NULL , RelatedCausesState char (2) NULL , SpecialProgramCode char (3) NULL , ProviderParticipation char (1) NULL , ServiceDateFrom varchar (15) NULL , ServiceDateTo varchar (15) NULL , OnsetDate varchar (15) NULL , SimilarSymptomsDate varchar (10) NULL , DisabilityBegin varchar (10) NULL , DisabilityEnd varchar (10) NULL , HospitalizationBegin varchar (20) NULL , HospitalizationEnd varchar (10) NULL , AccidentDate varchar (20) NULL , AdmissionDate varchar (15) NULL , AdmissionHour varchar (10) NULL , AdmissionType char (1) NULL , AdmissionSource char (1) NULL , DischargeHour varchar (10) NULL , PatientStatus char (2) NULL , MedicalRecordNumber varchar (50) NULL , CoveredDays varchar (4) NULL , NonCoveredDays varchar (4) NULL , COBDays varchar (4) NULL , LifeTimeReserveDays varchar (4) NULL , PriorAuthorization varchar (50) NULL , OrigRefNo varchar (50) NULL , RefProvLast varchar (35) NULL , RefProvFirst varchar (25) NULL , RefProvMiddle varchar (25) NULL , RefProvSuffix varchar (10) NULL , RefProvIDType char (2) NULL , RefProvID varchar (80) NULL , RefProvSpecialty varchar (10) NULL , AdmitDiagnosis varchar (10) NULL , ECode varchar (100) NULL , PrincipalDiagnosis varchar (10) NULL , Diag2 varchar (10) NULL , Diag3 varchar (10) NULL , Diag4 varchar (10) NULL , Diag5 varchar (10) NULL , Diag6 varchar (10) NULL , Diag7 varchar (10) NULL , Diag8 varchar (10) NULL , Diag9 varchar (10) NULL , PrincipalProcedure varchar (10) NULL , PrincipalProcedureDate varchar (10) NULL , Proc2 varchar (50) NULL , Proc2Date varchar (10) NULL , Proc3 varchar (10) NULL , Proc3Date varchar (10) NULL , Proc4 varchar (10) NULL , Proc4Date varchar (10) NULL , Proc5 varchar (10) NULL , Proc5Date varchar (10) NULL , Proc6 varchar (10) NULL , Proc6Date varchar (10) NULL , DRG varchar (15) NULL , ValueCode1 char (3) NULL , ValueAmount1 varchar (10) NULL , ValueCode2 char (3) NULL , ValueAmount2 varchar (10) NULL , ValueCode3 char (3) NULL , ValueAmount3 varchar (10) NULL , ValueCode4 char (3) NULL , ValueAmount4 varchar (10) NULL , ValueCode5 char (3) NULL , ValueAmount5 varchar (10) NULL , ValueCode6 char (3) NULL , ValueAmount6 varchar (10) NULL , ValueCode7 varchar (10) NULL , ValueAmount7 varchar (10) NULL , ValueCode8 char (3) NULL , ValueAmount8 varchar (10) NULL , ValueCode9 char (3) NULL , ValueAmount9 varchar (10) NULL , ValueCode10 char (3) NULL , ValueAmount10 varchar (10) NULL , ValueCode11 char (3) NULL , ValueAmount11 varchar (10) NULL , ValueCode12 char (3) NULL , ValueAmount12 varchar (10) NULL , ConditionCode1 varchar (30) NULL , ConditionCode2 varchar (30) NULL , ConditionCode3 varchar (30) NULL , ConditionCode4 varchar (30) NULL , ConditionCode5 varchar (30) NULL , ConditionCode6 varchar (30) NULL , ConditionCode7 varchar (30) NULL , ConditionCode8 varchar (30) NULL , FileName varchar (100) NULL , OccurranceCode1 char (3) NULL , OccurranceDate1 varchar (10) NULL , OccurranceCode2 char (3) NULL , OccurranceDate2 varchar (10) NULL , OccurranceCode3 char (3) NULL , OccurranceDate3 varchar (10) NULL , OccurranceCode4 char (3) NULL , OccurranceDate4 varchar (10) NULL , OccurranceCode5 char (3) NULL , OccurranceDate5 varchar (10) NULL , OccurranceCode6 char (3) NULL , OccurranceDate6 varchar (10) NULL , OccurranceCode7 char (3) NULL , OccurranceDate7 varchar (10) NULL , OccurranceCode8 char (3) NULL , OccurranceDate8 varchar (10) NULL , OccurranceSpanCode1 char (3) NULL , OccurranceSpanFrom1 varchar (10) NULL , OccurranceSpanTo1 varchar (10) NULL , OccurranceSpanCode2 char (3) NULL , OccurranceSpanFrom2 varchar (10) NULL , OccurranceSpanTo2 varchar (10) NULL , Test_Prod char (1) NULL , ClaimType char (1) NULL , TypeofBill varchar (20) NULL , Remark1 varchar (90) NULL , Remark2 varchar (90) NULL , Remark3 varchar (90) NULL , Remark4 varchar (90) NULL , Claim_status char (1) NULL , TargetTP varchar (30) NULL , ClearingHouseID varchar (100) NULL, RepricedClaimNumber varchar (100) NULL, RepricingMethodology varchar (3) NULL, RepricedAmount varchar (15) NULL, SavingsAmount varchar (15) NULL, RepricerID varchar (30) NULL, RejectReason varchar (3) NULL ) ;
CREATE TABLE edi_claimdetail ( ID INT NOT NULL AUTO_INCREMENT KEY, ClaimID varchar (50) NOT NULL , HIPAAsuiteID varchar (10) NULL , LineNumber decimal(18, 0) NOT NULL , LineID varchar (50) NULL , ServiceDateFrom varchar (50) NULL , ServiceDateTo varchar (50) NULL , FacilityCode varchar (50) NULL , RevenueCode varchar (50) NULL , ProcedureCode varchar (50) NULL , Description varchar (100) NULL, Amount varchar (50) NULL , Unit varchar (50) NULL , Quantity varchar (50) NULL , UnitRate varchar (50) NULL , NonCovered varchar (50) NULL , Paid varchar (50) NULL , PlaceOfService char (3) NULL , Modifier1 char (3) NULL , Modifier2 char (3) NULL , Modifier3 char (3) NULL , Modifier4 char (3) NULL , DiagPointer1 char (1) NULL , DiagPointer2 char (1) NULL , DiagPointer3 char (1) NULL , DiagPointer4 char (1) NULL , ToothNumber char (2) NULL , Surface varchar (10) NULL , EmergencyIndicator char (1) NULL, RepricingMethodology varchar (3) NULL, RepricedAmount varchar (15) NULL, SavingsAmount varchar (15) NULL, RepricerID varchar (30) NULL, RejectReason varchar (3) NULL ) ; |