| Name | Description | Type | Additional information |
|---|---|---|---|
| RefNo | globally unique identifier |
None. |
|
| Id | integer |
None. |
|
| pHospitalTransmittalNo | string |
None. |
|
| pUserName | string |
None. |
|
| pHospitalCode | string |
None. |
|
| pPIN | string |
None. |
|
| pClaimNumber | string |
None. |
|
| EligibilityTrackingNo | string |
None. |
|
| CaseNo | string |
None. |
|
| pClaimSeriesLhio | string |
None. |
|
| pStatus | string |
None. |
|
| pProcessStage | string |
None. |
|
| pProcessDate | string |
None. |
|
| pDeniedReason | string |
None. |
|
| pStatusXml | string |
None. |
|
| pVoucherDetailsXml | string |
None. |
|
| pMemberLastName | string |
None. |
|
| pMemberFirstName | string |
None. |
|
| pMemberMiddleName | string |
None. |
|
| pMemberSuffix | string |
None. |
|
| pMemberSex | string |
None. |
|
| pMemberBirthDate | date |
None. |
|
| pMailingAddress | string |
None. |
|
| pZipCode | string |
None. |
|
| pLandlineNo | string |
None. |
|
| pMobileNo | string |
None. |
|
| pEmailAddress | string |
None. |
|
| pPatientIs | string |
None. |
|
| pAdmissionDate | date |
None. |
|
| pDischargeDate | date |
None. |
|
| pPatientLastName | string |
None. |
|
| pPatientFirstName | string |
None. |
|
| pPatientMiddleName | string |
None. |
|
| pPatientSuffix | string |
None. |
|
| pPatientPIN | string |
None. |
|
| pPatientBirthDate | date |
None. |
|
| pPatientSex | string |
None. |
|
| pMemberShipType | string |
None. |
|
| pPEN | string |
None. |
|
| pEmployerName | string |
None. |
|
| pForm3 | string |
None. |
|
| pRVS | string |
None. |
|
| pTotalAmountActual | string |
None. |
|
| pTotalAmountClaimed | string |
None. |
|
| pIsFinal | string |
None. |
|
| isok | string |
None. |
|
| with3over6 | string |
None. |
|
| with9over12 | string |
None. |
|
| remainingdays | string |
None. |
|
| asof | string |
None. |
|
| reason | string |
None. |
|
| docneeded | string |
None. |
|
| SubmitResultEnc | string |
None. |
|
| SubmitResult | string |
None. |
|
| SubmitResultError | string |
None. |
|
| pReceiptTicketNumber | string |
None. |
|
| pTransmissionDateTime | date |
None. |
|
| CreatedBy | string |
None. |
|
| DateCreated | date |
None. |
|
| UpdatedBy | string |
None. |
|
| DateUpdated | date |
None. |
|
| Deleted | boolean |
None. |
|
| DeletedBy | string |
None. |
|
| DateDeleted | date |
None. |
|
| LastDateTransmitted | date |
None. |
|
| pVoucherNo | string |
None. |
|
| pVoucherDate | string |
None. |
|
| pCheckNo | string |
None. |
|
| pCheckDate | string |
None. |
|
| pCheckAmount | string |
None. |
|
| pClaimAmount | string |
None. |
|
| pClaimPayeeName | string |
None. |
|
| pDeficiency | string |
None. |
|
| pRequirement | string |
None. |
|
| SubmittedBy | string |
None. |
|
| DateSubmitted | date |
None. |
|
| SendToHims | boolean |
None. |
|
| SendToHimsErrorDesc | string |
None. |
|
| SentToHims | boolean |
None. |
|
| SentToHimsDate | date |
None. |
|
| pCivilStatus | string |
None. |
|
| RefiledBy | string |
None. |
|
| DateRefiled | string |
None. |
|
| Captured | boolean |
None. |
|
| MEMBER_CATEGORY_ID | string |
None. |
|
| MEMBER_CATEGORY_DESC | string |
None. |
|
| LastDateCheckStatus | date |
None. |
|
| PatientType | string |
None. |
|
| pPatientName | string |
None. |
|
| pAdmissionDateStr | string |
None. |
|
| pDischargeDateStr | string |
None. |
|
| isMember | boolean |
None. |
|
| pChiefComplaint | string |
None. |
|
| isForOPDHemodialysisClaim | string |
None. |
|
| v2 | boolean |
None. |
|
| referenceno | string |
None. |
|
| FKtblClaimsRefNo | globally unique identifier |
None. |
|
| pPatientReferred | string |
None. |
|
| pReferredIHCPAccreCode | string |
None. |
|
| pIsEmergency | string |
None. |
|
| pPatientType | string |
None. |
|
| pDisposition | string |
None. |
|
| pExpiredDateTime | string |
None. |
|
| pReferralIHCPAccreCode | string |
None. |
|
| pReferralReasons | string |
None. |
|
| pAccommodationType | string |
None. |
|
| pAdmissionDiagnosis | string |
None. |
|
| pHemodialysis | string |
None. |
|
| pPeritoneal | string |
None. |
|
| pLinac | string |
None. |
|
| pCobalt | string |
None. |
|
| pTransfusion | string |
None. |
|
| pBrachytheraphy | string |
None. |
|
| pChemotherapy | string |
None. |
|
| pDebridement | string |
None. |
|
| pImrt | string |
None. |
|
| pCheckUpDate1 | string |
None. |
|
| pCheckUpDate2 | string |
None. |
|
| pCheckUpDate3 | string |
None. |
|
| pCheckUpDate4 | string |
None. |
|
| pTBType | string |
None. |
|
| pNTPCardNo | string |
None. |
|
| pDay0ARV | string |
None. |
|
| pDay3ARV | string |
None. |
|
| pDay7ARV | string |
None. |
|
| pRIG | string |
None. |
|
| pABPOthers | string |
None. |
|
| pABPSpecify | string |
None. |
|
| pNewBorn | string |
None. |
|
| pEssentialNewbornCare | string |
None. |
|
| pNewbornHearingScreeningTest | string |
None. |
|
| pNewbornScreeningTest | string |
None. |
|
| pFilterCardNo | string |
None. |
|
| pDrying | string |
None. |
|
| pSkinToSkin | string |
None. |
|
| pCordClamping | string |
None. |
|
| pProphylaxis | string |
None. |
|
| pWeighing | string |
None. |
|
| pVitaminK | string |
None. |
|
| pBCG | string |
None. |
|
| pNonSeparation | string |
None. |
|
| pHepatitisB | string |
None. |
|
| pLaboratoryNumber | string |
None. |
|
| pCataractPreAuth | string |
None. |
|
| pLeftEyeIOLStickerNumber | string |
None. |
|
| pLeftEyeIOLExpiryDate | string |
None. |
|
| pRightEyeIOLStickerNumber | string |
None. |
|
| pRightEyeIOLExpiryDate | string |
None. |
|
| pCaseRate1Type | string |
None. |
|
| pItemCode1 | string |
None. |
|
| pCaseRateCode1 | string |
None. |
|
| pCaseRateAmount1 | string |
None. |
|
| pCaseRate2Type | string |
None. |
|
| pItemCode2 | string |
None. |
|
| pCaseRateCode2 | string |
None. |
|
| pCaseRateAmount2 | string |
None. |
|
| pEnoughBenefits | string |
None. |
|
| pTotalHCIFees | string |
None. |
|
| pTotalProfFees | string |
None. |
|
| pGrandTotal | string |
None. |
|
| pTotalActualCharges | string |
None. |
|
| pDiscount | string |
None. |
|
| pPhilhealthBenefit | string |
None. |
|
| pTotalAmount | string |
None. |
|
| pMemberPatient | string |
None. |
|
| pHMO | string |
None. |
|
| pOthers | string |
None. |
|
| pTotalActualChargesPf | string |
None. |
|
| pDiscountPf | string |
None. |
|
| pPhilhealthBenefitPf | string |
None. |
|
| pTotalAmountPf | string |
None. |
|
| pMemberPatientPf | string |
None. |
|
| pHMOPf | string |
None. |
|
| pOthersPf | string |
None. |
|
| pDrugsMedicinesSupplies | string |
None. |
|
| pDMSTotalAmount | string |
None. |
|
| pExaminations | string |
None. |
|
| pExamTotalAmount | string |
None. |
|
| pHasAttachedSOA | string |
None. |
|
| pDateSigned | string |
None. |
|
| pAprConsentToAccess | string |
None. |
|
| pThumbmarkedBy | string |
None. |
|
| pRelCode | string |
None. |
|
| pRelDesc | string |
None. |
|
| pReasonCode | string |
None. |
|
| pReasonDesc | string |
None. |
|
| AddedBy | string |
None. |
|
| DateAdded | date |
None. |
|
| FktblClaimsRefNo | globally unique identifier |
None. |
|
| pIllnessHistory | string |
None. |
|
| pSpecificDesc | string |
None. |
|
| pLastMensPeriod | string |
None. |
|
| pPregCnt | string |
None. |
|
| pDeliveryCnt | string |
None. |
|
| pOtherComplaint | string |
None. |
|
| pGenSurveyId | string |
None. |
|
| pGenSurveyRem | string |
None. |
|
| pPainSite | string |
None. |
|
| pSystolic | string |
None. |
|
| pDiastolic | string |
None. |
|
| pHr | string |
None. |
|
| pRr | string |
None. |
|
| pTemp | string |
None. |
|
| Symptoms | string |
None. |
|
| Heent | string |
None. |
|
| Chest | string |
None. |
|
| Cvs | string |
None. |
|
| Abdomen | string |
None. |
|
| GuIe | string |
None. |
|
| Skin | string |
None. |
|
| Neuro | string |
None. |
|
| pHeentRem | string |
None. |
|
| pChestRem | string |
None. |
|
| pHeartRem | string |
None. |
|
| pAbdomenRem | string |
None. |
|
| pGuRem | string |
None. |
|
| pSkinRem | string |
None. |
|
| pNeuroRem | string |
None. |
|
| pFullTermCnt | string |
None. |
|
| pPrematureCnt | string |
None. |
|
| pAbortionCnt | string |
None. |
|
| pLivChildrenCnt | string |
None. |
|
| pHeight | string |
None. |
|
| pWeight | string |
None. |
|
| AgeYears | string |
None. |
|
| AgeMonths | string |
None. |
|
| AgeDays | string |
None. |
|
| Age | string |
None. |
|
| PatientName | string |
None. |
|
| CaseRate1Amount | decimal number |
None. |
|
| CaseRate2Amount | decimal number |
None. |
|
| CaseRate1PfAmount | decimal number |
None. |
|
| CaseRate2PfAmount | decimal number |
None. |
|
| OtherFundSourcePfAmount | decimal number |
None. |
|
| OtherFundSourcePfDescription | string |
None. |
|
| pPatientReferredStreet | string |
None. |
|
| pPatientReferredCity | string |
None. |
|
| pPatientReferredProvince | string |
None. |
|
| pPatientReferredZipCode | string |
None. |
|
| HospitalBenefit | decimal number |
None. |
|
| PfBenefit | decimal number |
None. |
|
| Doctors | string |
None. |
|
| Diagnosis | string |
None. |
|
| WithCF4 | string |
None. |
|
| CR1Amount | decimal number |
None. |
|
| CR2Amount | decimal number |
None. |