EHI Export Data Dictionary

HC_BlngStmtSummaryForm

Healthcare Billing Statement Summary Form Details

37 columns Original: HC_BlngStmtSummaryForm Data Dictionary.html Checked Nov 11, 2026, 7:22 PM CST

ColumnExpanded nameDescription
BlngStmtSummaryFormID Billing Statement Summary Form Details Unique identifier details for the billing statement summary form.
AcctHldrID Account Holder Details Unique identifier details for the holder of the account.
Adj Adjustments Total adjustments made to the account.
AdjIns Adjustments Insurance Adjustments made by the insurance to the charges.
AdjPt Adjustments Patient Adjustments made by or for the patient to the charges.
Bal Balance Current total balance on the account.
BalIns Balance Insurance Current balance owed by the insurance.
BalPt Balance Patient Current balance owed by the patient.
BlngStmtMainID Billing Statement Main Details Unique identifier details for the main billing statement.
Charges Charges Total charges incurred for services rendered.
ChargesIns Charges Insurance Total charges submitted to the insurance.
ChargesPt Charges Patient Total charges that are the responsibility of the patient.
DateDue Date Due The date by which payment is expected to be received.
DateRun Date Run The date on which the statement was generated or processed.
DateStmtBegin Date Statement Begin The starting date of the period covered by the statement.
DateStmtEnd Date Statement End The ending date of the period covered by the statement.
MostRecentInsPmt Most Recent Insurance Payment The most recent payment received from the insurance.
MostRecentInsPmtDate Most Recent Insurance Payment Date The date of the most recent payment received from the insurance.
MostRecentPtPmt Most Recent Patient Payment The most recent payment received from the patient.
MostRecentPtPmtDate Most Recent Patient Payment Date The date of the most recent payment received from the patient.
NoteAging Note Aging Notes related to the aging of the account's balance, indicating overdue payments.
NoteGen Note General General notes regarding the billing statement or patient account.
Pmt Payment Total payments received on the account.
PmtIns Payment Insurance Total payments received from the insurance.
PmtPt Payment Patient Total payments received from the patient.
PrevBal Previous Balance Balance on the account before the current statement period.
PrevBalIns Previous Balance Insurance Previous balance owed by the insurance before the current statement period.
PrevBalPt Previous Balance Patient Previous balance owed by the patient before the current statement period.
PtID Patient Details Unique identifier details for the patient.
PtNmFirst Patient Name First The first name of the patient.
PtNmFullFstSuf Patient Name Full First Suffix The full first name and suffix of the patient, if applicable.
Undistrib Undistributed Amount yet to be distributed or allocated to specific charges.
UndistribIns Undistributed Insurance Amount from the insurance yet to be allocated to specific charges.
UndistribPt Undistributed Patient Amount from the patient yet to be allocated to specific charges.
ZUChkSum Audit Check Sum Check sum used for verifying the integrity of data for audit purposes.
ZUDate Audit Date Date when the data entry or transaction was audited.
ZULogonHisID Audit Logon History Details Unique identifier details for the logon history used in auditing.