Cubes: Activity Code, Daily Activity, APR, Employee Pay, Funding Block, Intake, Invoice, Offer Response, Premium visit, Service Recurrence, Requisition, Visit, Budget, Claims.
These fields contain information about created services, found in the service profile of the client or facility profile.
- Service ID
- Visit By: form context field
- Service Description: the name of the service
- Service Status
- Service Status Reason
- Service Episode Number
- Service Creation Date
- Service Revision Date
- Service Projected End Date
- Service Original Start Date
- Service Status Date
- Service Effective Date
- Service Creation Time
- Service Start Date Year
- Service Start Date Month
- Service Start Date
- Service Client Diagnosis
- Service Client Care Plan
- Service Required First Visit Date
- Service Original Required First Visit Date
- Service Date Service Required By
- Service Original Date Service Required By
- Service BRN
- Service ERL: form context field
- Service Payment Method Type
- Service Payment Method Name
- Service Type Code
- Service Type Code Number
- Service Referral Frequency Start Date
- Service Referral Frequency End Date
- Service Referral Frequency First Start Date
- Service Referral Frequency First End Date
- Service Referral Transmission Date
- Service Reason Code
- Service Reason Code Date
- Service Patient Available Date: form context field
- Treatment Firstname
- Treatment Lastname
- Treatment State/Province
- Treatment City
- Treatment Postal Code
- Treatment Phone
- Treatment Address
- Treatment Address 2
- Treatment Address 3
- Service Notes
- Service Priority Rating: form context field
- Service Emergency Reponse Level: form context field
- Service Fluency Stuttering Discharge: form context field
- Service Voice Resonance Discharge: form context field
- Service Pathway Description: form context field
- Service Referral Caseload: form context field
- Service Care Coordinator: form context field
- Service Preferred Language: form context field
- Service Workflow Status
- Service Assignment ID: in Referral Info
- Service Offer ID: in Referral Info
- Service Delivery Type: in Referral Info
- Service Recertification Start Day
- Service Recertification Period
- Service Medicaid Prior Authorization Number: form context field
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