FSA_CLAIMDTL_VW

(SQL View)
Index Back

Vw - Submited FSA Claims

FSA_CLAIMDTL_VW is a full view of FSA_CLAIM, a record that contains information about claims that have been submitted by an employee. Service type, service dates, service providers, and amounts approved or denied with reasons and status are some of the items stored here.

SELECT EMPLID ,EMPL_RCD ,PLAN_TYPE ,BENEFIT_NBR ,BENEFIT_PLAN ,SVC_FROM_DT ,SVC_TO_DT ,SVC_TYPE ,FSA_CLAIM_SUB_AMT ,FSA_CLAIM_SUB_DT ,CLAIMID ,SVC_PROVIDER ,PATIENT_CD ,NAME ,FSA_CLAIM_DENY_AMT ,FSA_CLAIM_DENY_DT ,FSA_CLAIM_DENY_RSN ,FSA_CLAIM_APR_AMT ,FSA_CLAIM_PD_TO_DT ,FSA_CLAIM_COMMENT ,FSA_CLAIM_STATUS ,ACTION_DT ,SETID ,VENDOR_ID FROM PS_FSA_CLAIM

# PeopleSoft Field Name PeopleSoft Field Type Database Column Type Description
1 EMPLID Character(11) VARCHAR2(11) NOT NULL Employee ID

Prompt Table: PERS_SRCH_GBL

2 EMPL_RCD Number(3,0) SMALLINT NOT NULL Empl Rcd Nbr
3 PLAN_TYPE Character(2) VARCHAR2(2) NOT NULL Identifies a category of benefit plan, such as Medical, Dental, and Life (Insurance). A set of plan type codes, as well as rules for creating new codes, is provided by PeopleSoft. Plan Type codes determine how the system processes and defines eligibility for the various benefit plans.
4 BENEFIT_NBR Number(3,0) SMALLINT NOT NULL Note! Although this field is part of the index schema for most Base Benefits enrollment-related records, it was in fact never functionally implemented. As such, it is CRITICAL that this field always be set to zero 0.
5 BENEFIT_PLAN Character(6) VARCHAR2(6) NOT NULL Benefit Plan
6 SVC_FROM_DT Date(10) DATE NOT NULL Service From Date
7 SVC_TO_DT Date(10) DATE NOT NULL Service To Date
8 SVC_TYPE Character(1) VARCHAR2(1) NOT NULL Service Type
C=Dependent Day Care
D=Dental
H=Hearing
M=Medical
O=Orthodontia
P=Prescription Drugs
R=Retirement Counselling
V=Vision
Y=Carryforward
9 FSA_CLAIM_SUB_AMT Number(8,2) DECIMAL(7,2) NOT NULL Claim Submitted Amount
10 FSA_CLAIM_SUB_DT Date(10) DATE NOT NULL Claim Submitted Date
11 CLAIMID Character(8) VARCHAR2(8) NOT NULL Claim ID
12 SVC_PROVIDER Character(15) VARCHAR2(15) NOT NULL Service Provider
13 PATIENT_CD Character(1) VARCHAR2(1) NOT NULL Patient Code
D=Dependent
E=Employee
S=Spouse
14 NAME Character(50) VARCHAR2(50) NOT NULL Name
15 FSA_CLAIM_DENY_AMT Number(8,2) DECIMAL(7,2) NOT NULL Claim Denied Amount
16 FSA_CLAIM_DENY_DT Date(10) DATE Claim Denied Date
17 FSA_CLAIM_DENY_RSN Character(1) VARCHAR2(1) NOT NULL Claim Denied Reason
A=Alredy Paid
N=Not a Covered Expense
P=Claim Pended-Exceeds Avail Bal
X=Submitted Amt Exceeds Balance
18 FSA_CLAIM_APR_AMT Number(8,2) DECIMAL(7,2) NOT NULL Claim Approved Amount
19 FSA_CLAIM_PD_TO_DT Number(8,2) DECIMAL(7,2) NOT NULL FSA Claim Paid To Date
20 FSA_CLAIM_COMMENT Long Character CLOB Claim Comments
21 FSA_CLAIM_STATUS Character(1) VARCHAR2(1) NOT NULL FSA Claim Status
F=Fully Processed
J=Rejected
P=Pended
R=Ready To Pay
S=Submitted
X=Reversed Claim
22 ACTION_DT Date(10) DATE Action Date
23 SETID Character(5) VARCHAR2(5) NOT NULL SetID
24 VENDOR_ID Character(10) VARCHAR2(10) NOT NULL Vendor Identifier