Claim line table

  • Release version: Australia
  • Updated March 12, 2026
  • 2 minutes to read

    • The Claim line [sn_hcls_claim_line] table stores the details of the items pertaining to a claim header.

    Key features

    • Stores the items pertaining to a claim header.
    • Includes the payer, provider control number, line title, line number, parent claim, line status, associated procedure, location, practitioner, service start and end dates, various amounts, and codes.

    Role required to configure the table: sn_hcls.admin.

    For more information, see Healthcare and Life Sciences data model.

    Table 1. Claim line table fields

    Field

    Data type

    Description

    Adjudicated amount

    Currency

    Adjusted amount paid for the service associated with the claim line.

    Claim

    Reference

    Original claim associated with the claim line.

    Code modifier

    String

    Modifier that helps further describe a procedure code without changing its definition.

    Comments

    String

    Additional information about the clam line.

    Days/Units

    String

    Number of days or units of the service provided.

    Exception codes

    String

    Exception codes associated with the claim line.

    Fee reduction

    Currency

    Difference between the original claim amount and the adjusted paid amount.

    Line number

    String

    Sequential number to distinguish the service submitted in a claim.

    Line status

    Choice list

    Status of the claim line rather than the entire claim.

    The following statuses are available by default:
    • Active
    • Cancelled
    • Denied
    • Draft
    • Entered in error
    • In hold
    • Paid
    • Suspended

    For more information about the available statuses, see claim statuses defined in the FHIR specifications.

    Line title

    String

    Name to identify the claim line.

    Location

    Reference

    Location where the service was performed.

    National drug code

    String

    Code of the drug included in the service as identified in the National Drug Code (NDC) billing guidelines.

    Number

    String

    Alpha-numeric profile identifier of the claim line.

    The value is auto-generated and is incremented every time you add a new claim line to an instance. The initial value for the Number field is CLAIMLN00001001.
    Note:
    To customize the number, define the auto-numbering format for the Claim line [sn_hcls_claim_line] table. For more information, see Add auto-numbering records in a table.

    Original transaction control number

    String

    Unique identifier of the original claim in the payer system.

    Paid amount

    Currency

    Total amount paid or the service associated with the claim line.

    Procedure code

    Reference

    Code to identify the specific procedure associated with the claim. Code is based on the Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) coding system.

    For more information about the available codes, see procedure codes defined in the FHIR specifications.

    Provider control number

    String

    Number assigned to the service by the service provider for tracking and billing purposes.

    Revenue code

    String

    Revenue grouping code associated with the claim line.

    Service end date

    Date

    Service end date for the claim line.

    Service price

    Currency

    Price of the service associated with the claim line.

    Service provider

    Reference

    Practitioner who provided the service to the patient.

    Service start date

    Date

    Service start date for the claim line.

    Source

    Reference

    Source system details of an external healthcare system in a ServiceNow instance.

    Tooth code

    String

    Code of the tooth on which service was performed.

    Applies to dental providers only.