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Facility Credentialing Workflows Export

Data dictionary for the facility credentialing-workflows Excel export. Every column produced by the export, grouped by the Excel tab (section) it appears on. All unnested tabs carry workflow_id and entity_npi (the facility NPI) as join keys back to Main_Workflow_Data.

Schema
18 tabs184 fields

Showing 184 of 184 fields · 18 tabs

Main_Workflow_Data 27 fields

FieldTypeDescription
organization_nameSTRINGName of the client tenant/organization the workflow belongs to (e.g. a health plan name).
entity_npiSTRINGFacility's National Provider Identifier. Join key used across every other tab.
entity_created_atDATEDate the facility record was created in the tenant's network.
entity_full_nameSTRINGFacility's name.
facility_dbaSTRINGFacility's "doing business as" (DBA) trade name.
facility_primary_emailSTRINGFacility's primary email address.
facility_external_idSTRINGExternal/client-supplied identifier for the facility.
facility_facility_typeSTRINGFacility type classification (e.g. hospital, clinic, laboratory).
facility_deceased_dateDATEDate the facility was marked inactive/closed, if recorded.
facility_last_credentialing_dateDATEDate the facility was most recently credentialed.
facility_next_credentialing_dateDATEDate the facility's next (re)credentialing is due.
facility_initial_credentialing_dateDATEDate of the facility's first (initial) credentialing.
facility_attestation_dateDATEDate of the facility's most recent attestation.
line_of_businessSTRINGComma-separated, alphabetically sorted list of the facility's lines of business.
workflow_idSTRINGUnique identifier of the credentialing workflow. Primary join key linking this tab to every unnested tab below.
workflow_created_atDATEDate the credentialing workflow was created.
workflow_latest_statusSTRINGMost recent credentialing status/step name for the workflow (e.g. PSV_READY, CRED_APPROVED, WITHDRAWN_CANCELLED), derived from the latest timeline event.
workflow_latest_status_dateDATEDate the workflow entered its most recent (latest) status.
workflow_latest_status_change_reasonSTRINGReason recorded for the workflow's most recent status change, if any.
credentialing_cycleSTRINGCredentialing cycle type (e.g. Initial, Annual/Recredentialing).
previous_credentialed_dateDATEDate of the facility's prior credentialing cycle.
credentialing_due_dateDATEDate by which credentialing/recredentialing is due.
file_typeSTRINGMost recent file-type classification for the facility (e.g. Clean, Dirty); defaults to "Unassigned" if never set.
file_type_reasonSTRINGReason associated with the most recent file_type change; defaults to "Unassigned".
workflow_typeSTRINGAlways "FACILITY" for this export; distinguishes facility workflows from practitioner workflows.
application_received_dateDATEDate the credentialing application was received (workflow creation date).
application_completion_dateDATEComputed date the application was completed; resolves DATA_MISSING / file-incomplete outreach blockers first, falling back to workflow creation date; NULL while the workflow is still in DATA_MISSING status. Always NULL in Open Workflow report files (report_type=open), since the application cannot be complete while the workflow is still open.

Emails 5 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
emailSTRINGEmail address on file for the facility.
email_typeSTRINGCategory of the email address (e.g. work, billing).
email_sourceSTRINGSystem/process that sourced or verified this email record.

Phone_Numbers 5 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
phone_numberSTRINGFacility's phone number.
phone_typeSTRINGCategory of the phone number (e.g. office, billing).
phone_sourceSTRINGSystem/process that sourced this phone record.

Addresses 10 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
address1STRINGStreet address line 1.
address2STRINGStreet address line 2.
citySTRINGCity.
stateSTRINGState/territory abbreviation.
countrySTRINGCountry.
zipcodeSTRINGPostal/ZIP code.
sourceSTRINGSystem/process that sourced this address record.
address_typeSTRINGType of address (e.g. mailing, practice, billing).

Licenses 15 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
typeSTRINGType/category of the license record.
license_numberSTRINGState license number.
stateSTRINGState that issued the license.
license_typeSTRINGType/category of license.
license_statusSTRINGCurrent status of the license (e.g. Active, Inactive).
license_sourceSTRINGPrimary-source system used to verify the license.
expiration_dateDATELicense expiration date.
issue_dateDATEDate the license was issued.
verified_dateDATEDate the license was last primary-source verified.
report_dateDATEDate the license was reported by the primary source.
license_number_variationsSTRINGAlternate/historical spellings or formats of the license number.
flagged_dateDATEDate the license was flagged for review, if applicable.
expiration_statusSTRINGComputed status derived from expiration_date: "No Expiration", "EXPIRED", "Expiring Soon" (<=60 days), or "Active".

Certifications 16 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
certificate_idSTRINGIdentifier of the certificate.
certificate_typeSTRINGType of certificate.
duration_typeSTRINGCertification duration classification (e.g. time-limited vs. lifetime).
expiration_dateDATECertification expiration date.
issue_dateDATEDate the certification was issued.
verified_dateDATEDate the certification was last primary-source verified.
specialitySTRINGCertified specialty (source field name, note UK spelling).
subspecialitySTRINGCertified subspecialty (source field name, note UK spelling).
mocSTRINGMaintenance of Certification (MOC) status/indicator.
cert_statusSTRINGCurrent status of the certification.
occurrence_typeSTRINGOccurrence/record type classification.
record_typeSTRINGType of certification record.
numberSTRINGCertificate number.
sourceSTRINGSystem/process that sourced this certification record.

Specialties 7 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
typeSTRINGType of specialty record.
specialtySTRINGFacility's specialty.
subspecialtySTRINGFacility's subspecialty.
primary_specialtyBOOLEANWhether this is the facility's primary specialty.
sourceSTRINGSystem/process that sourced this record.

Insurances 14 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
carrier_nameSTRINGName of the malpractice/liability insurance carrier.
expiration_dateDATEDate the policy expires.
effective_dateDATEDate the policy became effective.
sourceSTRINGSystem/process that sourced this record.
statusSTRINGCurrent status of the policy.
policy_numberSTRINGInsurance policy number.
aggregate_coverage_amountFLOATAggregate (annual total) coverage amount, in dollars.
occurrence_coverage_amountFLOATPer-occurrence coverage amount, in dollars.
verified_dateDATEDate the policy was last primary-source verified.
insurance_typeSTRINGType of coverage (e.g. occurrence, claims-made).
unlimited_coverageBOOLEANWhether the policy provides unlimited coverage.
expiration_statusSTRINGComputed status derived from expiration_date: "EXPIRED", "Expiring Soon" (<=60 days), or "Active" (also "Active" when no expiration date is set).

Accreditations 9 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
id_numberSTRINGAccreditation identification number.
accreditation_bodySTRINGName of the accrediting body (e.g. Joint Commission, CAP).
accreditation_statusSTRINGCurrent status of the accreditation.
effective_dateDATEDate the accreditation became effective.
expiration_dateDATEAccreditation expiration date.
verified_dateDATEDate the accreditation was last primary-source verified.
sourceSTRINGSystem/process that sourced this record.

NPDB_Reports 9 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
report_dateDATEDate the National Practitioner Data Bank report was filed.
process_dateDATEDate the report was processed.
type_of_actionSTRINGType of action reported.
report_typeSTRINGNational Practitioner Data Bank report type.
payment_amountFLOATAmount of any associated payment, in dollars.
payment_dateDATEDate of any associated payment.
sourceSTRINGSystem/process that sourced this record.

Sanctions 8 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
date_of_reportDATEDate the sanction was reported.
sanction_typeSTRINGType of sanction (e.g. exclusion, suspension).
type_of_actionSTRINGType of action taken.
flagged_dateDATEDate the sanction was flagged for review, if applicable.
verified_dateDATEDate the sanction was last primary-source verified.
sourceSTRINGSystem/process that sourced this record (e.g. OIG, SAM.gov).

Site_Visits 5 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
gradeSTRINGGrade/result assigned at the site visit.
dateDATEDate the site visit was conducted.
sourceSTRINGSystem/process that sourced this record.

Medicare_Star_Ratings 5 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
star_ratingFLOATMedicare star rating assigned to the facility.
report_dateDATEDate the star rating was reported.
sourceSTRINGSystem/process that sourced this record.

Performance_Indicators 9 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
total_complaintsINTEGERTotal number of complaints recorded.
clinical_complaintsINTEGERNumber of clinical-quality complaints.
service_complaintsINTEGERNumber of service-related complaints.
benefits_complaintsINTEGERNumber of benefits-related complaints.
claim_complaintsINTEGERNumber of claims-related complaints.
access_issue_complaintsINTEGERNumber of access-to-care complaints.
report_dateDATEDate the performance indicators were reported.

App_Verifications 6 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
verification_typeSTRINGType of application verification performed.
explanationSTRINGFree-text explanation/notes for the verification.
verified_dateDATEDate the verification was completed.
sourceSTRINGSystem/process that sourced this record.

NPPES 8 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
npiSTRINGNPI recorded on the NPPES registry record.
enumeration_typeSTRINGNPPES enumeration type (e.g. NPI-2 for organizations).
enumeration_dateDATEDate the NPI was enumerated in NPPES.
last_updated_atDATEDate the NPPES record was last updated.
nppes_statusSTRINGStatus of the NPPES registry record.
organization_idSTRINGNPPES organization identifier.

Outreach 19 fields

FieldTypeDescription
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
entity_npiSTRINGFacility NPI; joins to Main_Workflow_Data.entity_npi.
entity_full_nameSTRINGFacility's full name.
outreach_idSTRINGUnique identifier of the outreach record.
outreach_typeSTRINGType of outreach (e.g. facility).
outreach_sent_by_emailSTRINGEmail of the internal user/system that initiated the outreach.
outreach_created_atDATEDate the outreach record was created.
credentialing_cycleSTRINGCredentialing cycle the outreach relates to.
outreach_reasonsSTRINGReason(s) the outreach was initiated (e.g. missing documents).
email_idSTRINGUnique identifier of the associated email.
email_directionSTRINGDirection of the email: INBOUND or OUTBOUND.
email_subjectSTRINGSubject line of the email.
email_bodySTRINGRaw body content of the email (may contain HTML).
email_sent_atDATEDate the email was sent.
email_sent_by_emailSTRINGEmail address of the sender.
email_to_addressesSTRINGRecipient (To) email address(es).
email_from_addressSTRINGSender (From) email address.
email_cc_addressesSTRINGCC email address(es).
email_bcc_addressesSTRINGBCC email address(es).

Activity_Timeline 7 fields

FieldTypeDescription
event_idSTRINGUnique identifier of the timeline event.
workflow_idSTRINGJoin key linking this row to Main_Workflow_Data.workflow_id.
created_atDATEDate the timeline event occurred.
created_by_emailSTRINGEmail of the user who triggered the event, if any.
previous_event_idSTRINGIdentifier of the timeline event immediately preceding this one.
credentialing_statusSTRINGCredentialing status/step name recorded by this event.
change_reasonSTRINGReason recorded for the status change, if any.