claim_coordination_of_benefits_adjustment
Lists the adjustments that have been performed on a claim during the process of adjudication. Only used for Coordination of Benefits according to the EDI spec, but may be used for repricing with the primary payer (from 2320 loop)
Foreign Keys:claim_id
=>claim_coordination_of_benefits.claim_id
,coordination_of_benefits_index
=>claim_coordination_of_benefits.coordination_of_benefits_index
claim_coordination_of_benefits_claim_id_cob_index_idx
-claim_id
,coordination_of_benefits_index
Column | Data Type | Nullable | Indexed | Description |
---|---|---|---|---|
adjustment_group | text | No | No | - |
adjustment_reason | text | No | No | - |
adjustment_amount | numeric | Yes | No | - |
adjustment_quantity | numeric | Yes | No | - |
claim_id | bigint | No | Yes | - |
coordination_of_benefits_index | smallint | Yes | Yes | represents coordination of benefits member order in the claim. |