ReferralService

	Field	Type	Length	Description
1	Record Type ID	String		Indicates the record type. For this record it will always be “ReferralService”.
2	ID	ID		Surrogate Key
3	Sequence	Int
4	Start Date	Date
5	End Date	Date
6	Units	Int
7	Units Used	Int
8	Service Code Term	Term		code\|name\|namespace\|family\|ns desc
9	Status Code Term	Term		code\|name\|namespace\|family\|ns desc
10	Provider Caregiver ID	REF		Surrogate Key to a CaregiverCorresponds to a (Caregiver line in the same file set)’s ID value
11	Provider Caregiver Identifier	String	64	Used to look up existing caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver
12	Provider Caregiver Record Authority ID	REF		Surrogate Key to a Record Authority.
13	Modifier 1 Term	Term		code\|name\|namespace\|family\|ns desc
14	Modifier 2 Term	Term		code\|name\|namespace\|family\|ns desc
15	Modifier 3 Term	Term		code\|name\|namespace\|family\|ns desc
16	Modifier 4 Term	Term		code\|name\|namespace\|family\|ns desc
17	Code Type Term	Term		code\|name\|namespace\|family\|ns desc
18	Comment	String	Max
19	Referral ID	String		Surrogate Key to a ReferralCorresponds to a (Referral line in the same file set)’s ID value
20	Referral Patient ID	REF		Surrogate key to a patientCorresponds to a (Patient line in the same file set)’s ID value
21	Referral Identifier	String	50	Referral identifier
22	Referral Patient Identifier	String	128	Used to look up existing patient. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a patient
23	Referral Patient Record Authority ID	REF		Surrogate Key to a Record Authority.
24	Referral Start Date	Date
25	Referring Caregiver ID	REF		Surrogate Key to a CaregiverCorresponds to a (Caregiver line in the same file set)’s ID value
26	Referring Caregiver Identifier	String	64	Used to look up existing caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver
27	Referring Caregiver Record Authority ID	REF		Surrogate Key to a Record Authority.
28	Inserted Audit Data	Audit		Audit data for when the record was inserted/created
29	Last Modified Audit Data	Audit		Audit data for when the record was last modified
30	Requested Start Date	Date
31	Requested End Date	Date
32	Authorized Start Date	Date
33	Authorized End Date	Date
34	Unit Requested	Int
35	Total Units Approved	Int
36	Provider In Network	Bool	5
37	Provider In Network Overridden	Bool	5
38	Late Precert Penalty	Bool	5
39	Late Precert Penalty Waved	Bool	5
40	Approved Date	Date
41	Referring Caregiver Facility ID	REF		Surrogate Key to a CaregiverCorresponds to a (Caregiver line in the same file set)’s ID value
42	Referring Caregiver Facility Identifier	String	64	Used to look up existing caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver
43	Referring Caregiver Facility Record Authority ID	REF		Surrogate Key to a Record Authority.
44	Provider Facility Caregiver ID	REF
45	Provider Caregiver Facility Identifier	String	64	Used to look up existing caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver
46	Provider Caregiver Facility Record Authority ID	REF		Surrogate Key to a Record Authority.
47	Unit Type Term	Term
48	Requesting Place Of Service Term	Term
49	Authorized Place Of Service Term	Term
50	Status Reason Term	Term
51	Provider Facility In Network	Bool	5
52	Provider Facility In Network Overridden	Bool	5
53	Total Units Requested	Int
54	Units Approved	Int