Class: Patient_billing_account

Description of: Patient_billing_account

Class steward is Patient Administration
A financial account established for a patient to track the billable amount for services received by the patient and payment made for those services.

Attribute definitions for: Patient_billing_account

account_id ::

The unique identifier of a patient account.

|BLG^3^00236^Account ID| |MRG^3^00213^Prior Patient Account Number| |PID^18^00121^Patient Account Number|

adjustment_cd ::

A code depicting the type of adjustment applied to the patient billing account.

OpenIssue: Need example values.

|PV2^30^00731^Patient Charge Adjustment Code|

authorization_information_txt ::

The authorization number or code received from the insurance company.

|IN1^14^00439^Authorization Information|

billing_status_cd ::

A code indicating the status of billing.

|IN1^32^00457^Billing Status| |PV1^41^00171^Account Status|

certification_required_ind ::

A indicator as to whether a certification is required.

|IN3^4^00505^Certification Required|

current_unpaid_balance_qty ::

The current unpaid balance of a patient account.

|PV1^46^00176^Current Patient Balance|

delete_dttm ::

The date the patient billing account was deleted.

|PV1^35^00165^Delete Account Date|

deleted_account_reason_cd ::

A code depicting the reason a patient billing account has been deleted.

OpenIssue: Need example values.

|PV1^34^00164^Delete Account Indicator|

expected_insurance_plan_qty ::

A count of the number of insurance plans expected to provide insurance coverage for this patient account.

expected_payment_source_cd ::

A code indicating the expected payment source.

notice_of_admission_dttm ::

The date a notice of admission was sent.

|IN1^24^00449^Notice of Admission Date|

notice_of_admission_ind ::

A indicator documenting whether the insurance company requires a written notice of admission.

|IN1^23^00448^Notice of Admission Flag|

patient_financial_class_cd ::

A code depicting a category for the source of payment.

OpenIssue: Need examples values.

|PV1^20^00150^Financial Class|

price_schedule_id ::

A reference to the unique identifier of the price schedule to be used for charges in the patient billing account.

|PV1^21^00151^Charge Price Indicator|

purge_status_cd ::

A code depicting the purge status of the patient billing account.

OpenIssue: Need example codes.

|PV2^16^00717^Purge Status Code|

purge_status_dttm ::

The date the patient billing account was purged.

|PV2^17^00718^Purge Status Date|

report_of_eligibility_dttm ::

The date a report of eligibility was received.

retention_ind ::

A indicator to control the purge of the patient billing account and related data.

separate_bill_ind ::

An indication as to whether the baby in a delivery patient stay should be billed separately.

Rationale: The attribute description (an indication as to whether the baby in a delivery patient stay should be billed directly) indicates the correct class.

|PD1^9^00761^Separate Bill|

signature_on_file_dttm ::

The date authorization to bill was obtained.

|PV2^28^00729^Signature on File Date|

special_program_cd ::

A code indicating a special program governing the billing account.

OpenIssue: Need example codes.

|PV2^18^00719^Special Program Code|

stoploss_limit_ind ::

A indicator identifying whether the patient has reached the stoploss limit established in the contract master.

|IN2^68^00808^Stoploss Limit Flag|

suspend_charges_ind ::

An indicator as to whether charges should be suspended for a patient.

|IN2^66^00806^Suspend Flag|

total_adjustment_qty ::

The total amount of the adjustment made to the patient billing account.

|PV1^48^00178^Total Adjustments|

total_charge_qty ::

The total charge amount of the patient billing account.

|PV1^47^00177^Total Charges|

total_payment_qty ::

The total of the payments made on a patient billing account.

|PV1^49^00179^Total Payments|

Association definitions for: Patient_billing_account

belongs_to (1,1) :: Patient :: has (0,n)

has_as_a_prior_account (0,1) :: Patient_billing_account :: is_the_prior_account_for (0,1)

has_payment_guaranteed_by (0,n) :: Guarantor_contract :: provides_payment_guarantee_for (0,n)

OpenIssue: This many-to-many association should be resolved with an association class.

has (0,n) :: Billing_information_item :: pertains_to (1,1)

has (0,n) :: Financial_transaction :: is_associated_with (1,1)

has_charges_for (0,n) :: Service :: is_charged_to (0,1)

OpenIssue: This association and the one between Service and Financial Transaction both come from Service_event. Why is it that they both existed for Service_event? Does the Financial Transaction for the service need to be associated with the same account as the service? Isn't Financial Transaction an associative class between an Account and a billable item (e.g. Service)? How does one distinguish charges to be billed to an account from charges actually billed?

is_the_prior_account_for (0,1) :: Patient_billing_account :: has_as_a_prior_account (0,1)