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Account

PiMS stores one set of account tables for each financial encounter. The account information is used for billing and revenue classification. In the physician office, there is typically one account per visit.

Account information includes summary data regarding the financial status of the encounter. Balances such as billed balance forward, net balance forward, guarantor responsible amount are kept for each encounter. Additional information on the classification of the account such as financial class, account category and attending physician are stored in the account tables.

AACSTATS - Account Information

Description of Join

Join to Table

Keys

Notes

Retrieve patient demographics

APTSTATS

AACSPKEY = APTSPKEY


Retrieve guarantor demographics


AACSGKEY = AGUSGKEY


Retrieve additional account information

AACXEXTN

AACSAKEY = AACXXKEY


Retrieve additional account information - attending physician

AACUB82S

AACUB82S.AACSAKEY = AACSTATS.AACSAKEY


Retrieve additional information such as description for the special handling code

ATSCCOD

'A' + SUBSTRING(AACSAKEY,01,06) + AACSSPHD = ATSCSKEY


Retrieve additional information such as description for the financial class


AACSAFNC = ATFCFKEY


Retrieve additional information such as description for the account category

ATCTCAT

AACSACAT =ATCTCKEY


Retrieve additional information such as description for the primary payor classification

ATPYPYR

SUBSTRING(AACSPKEY,01,06) + AACSPYCB = ATPYPKEY


Retrieve additional information such as description for the primary insurance

ATTHIRD

AACSATID = ATTHTKEY




Field Name

Data Type

Field Leght

Description

Notes

AACSAKEY

char

18

Key


AACSBFNC

char

4

Financial Class

Defined in Financial Class profile

AACSACID

char

8

Collection Agency ID

Defined in Collection Agency profile

AACSIBDB

char

1

Indicator - Bad Debt

Y/N

AACSBPDT

datetime

8

Date – Account Billed


AACSZBDT

datetime

8

Date - Zero Balance Or Write-Off


AACSPDDM

datetime

12

Date/Time - Patient Discharge


AACSPRDM

datetime

12

Date/Time - Admitted


AACSABAM

numeric

10

Amount -Billed Balance Forward


AACSAJAM

numeric

10

Amount – Total Guar Adjustment


AACSTBAM

numeric

10

Amount - Third Party Billed Balance


AACSTPAM

numeric

10

Amount - Total Third Party Payments


AACSRGAM

numeric

10

Amount - Guarantor Resp.


AACSBDAM

numeric

10

Amount - Transferred To Bad Debt


AACSRCAM

numeric

10

Amount - Recovery Amount Bad Debt


AACSPKEY

char

18

Patient Database Key


AACSGKEY

char

18

Guarantor Database Key


AACSPSTA

char

2

Patient Status Exclude Cancelled Status


AACSGPAM

numeric

10

Amount - Total Guarantor Payment


AACSSPHD

char

4

Special Handling Field

Defined in Special Handling profile

AACSLPDT

datetime

8

Date - Last Payment


AACSTJAM

numeric

10

Amount – Third Party Adjustments


AACSBAAM

numeric

10

Amount - Bad Debt Adjustments


AACSGUPT

char

2

Guarantor Relationship To Patient

Defined in Patient Relationship profile

AACSACAT

char

2

Account Category

Defined in Account Category profile

AACSOPDT

datetime

8

Open Date Used For Rules


AACSCLDT

datetime

8

Close Date Used For Rules


AACSPYCB

char

4

Payor Classification

Defined in Payor Classification profile

AACSATID

char

4

Primary Third Party

Defined in Third Party profile

Description of Join

Join to Table


Notes

Retrieve additional account information

AACSTATS

AACXXKEY = AACSAKEY


Retrieve diagnosis and procedures

AVSDIAGP

AACXRVST = AVSVVKEY


Retrieve additional information such as description for the primary payor classification

ATPYPYR

SUBSTRING(AACXXKEY,01,06) + AACXPYC1 = ATPYPKEY


Retrieve additional information such as description for the secondary payor classification

ATPYPYR

SUBSTRING(AACXXKEY,01,06) + AACXPYC2 = ATPYPKEY


Retrieve additional information such as description for the additional payor classification

ATPYPYR

SUBSTRING(AACXXKEY,01,06) + AACXPYC3 = ATPYPKEY


Retrieve additional information such as description for the additional payor classification

ATPYPYR

SUBSTRING(AACXXKEY,01,06) + AACXPYC4 = ATPYPKEY


Retrieve additional information such as description for the additional payor classification

ATPYPYR

SUBSTRING(AACXXKEY,01,06) + AACXPYC5 = ATPYPKEY


Field Name

Data Type

Field Lenght

Description

Notes

AACXXKEY

char

18

Key


AACXICLH

char

1

Ind - Claim Hold


AACXHCDT

datetime

8

Date - Hold At Claim Level


AACXHCRS

char

8

Held - Reason Code


AACXPYG1

char

4

Payor Group 1


AACXPYG2

char

4

Payor Group 2


AACXPYG3

char

4

Payor Group 3


AACXPYG4

char

4

Payor Group 4


AACXPYG5

char

4

Payor Group 5


AACXAAAM

numeric

10

Net Balance Forwarded Amount


AACXANAM

numeric

10

Unbilled Charges Amount


AACXAMAM

numeric

10

Billed Charges Amount

AACXRVST

binary

14

Ruling Visit


ACUB82S - UB92 Information

Description of Join<

Join to Table

Notes>

Retrieve additional account information

AACSAKEY

AACSTATS.AACSAKEY = AACUB82S.AACSAKEY


Retrieve additional account information

AACXEXTN>

AACSAKEY = AACXXKEY


Field Name

Data Type

Field Length

Description

Notes

AACSAKEY

char

18

Key To The Account


AACUCAPH

char

8

Attending Physician Code





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