| Name | Description | Type | Additional information |
|---|---|---|---|
| ID | integer |
None. |
|
| BILLING_NPI | integer |
None. |
|
| SERVC_NPI | integer |
None. |
|
| PRVDR_REC_ID | integer |
None. |
|
| BILLING_PRVDR_NAME | string |
None. |
|
| SERVC_PRVDR_NAME | string |
None. |
|
| PP_PRVDR_REC_ID | integer |
None. |
|
| PP_BillingNPI | integer |
None. |
|
| PP_ServicingNPI | integer |
None. |
|
| RECIP_ID | string |
None. |
|
| Recip_LName | string |
None. |
|
| Recip_FName | string |
None. |
|
| CLAIM_ID | integer |
None. |
|
| Claim_Type | string |
None. |
|
| DOS_FROM | date |
None. |
|
| DOS_TO | date |
None. |
|
| PAID_DATE | date |
None. |
|
| DIAG_CODE | string |
None. |
|
| PROC_CODE | string |
None. |
|
| DRUG_CODE | string |
None. |
|
| DRUG_NAME | string |
None. |
|
| DRUG_QUANTITY | string |
None. |
|
| DRUG_STRENGTH | string |
None. |
|
| OPRTNL_FLAG | string |
None. |
|
| ROW_NUMBER | integer |
None. |