Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Desc |  Fields
Print Page as PDF
Global: ^BPSECX("S"

Package: E Claims Management Engine

Global: ^BPSECX("S"


Information

FileMan FileNo FileMan Filename Package
9002313.58 BPS STATISTICS E Claims Management Engine

Description

Fields, Total: 17

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  DEC 17, 2003
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    Name of the Statistical group.
  • CROSS-REFERENCE:  9002313.58^B
    1)= S ^BPSECX("S","B",$E(X,1,30),DA)=""
    2)= K ^BPSECX("S","B",$E(X,1,30),DA)
2 Date/Time Cleared 0;2 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 11, 1999
  • DESCRIPTION:  
    Date and time that the claim cleared the queue.
101 Submissions - Total S;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of submissions to ECME.
102 Submissions - Unique S;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of unique claim submissions to ECME.
103 Submissions - Repeat S;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of repeat claim submissions to ECME.
200 Result - Count COMPUTED

  • MUMPS CODE:  S X=$G(^BPSECX("S",D0,"R")),X=$P(X,U,2)+$P(X,U,3)+$P(X,U,4)+$P(X,U,5)
  • ALGORITHM:  S X=$G(^BPSECX("S",D0,"R")),X=$P(X,U,2)+$P(X,U,3)+$P(X,U,4)+$P(X,U,5)
  • LAST EDITED:  MAR 31, 2004
  • DESCRIPTION:  
    Total number of claims for which a response was received.
201 Result - Unbillable R;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of claims that were unbillable.
202 Result - Rejected R;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of claims that were rejected by the payer.
203 Result - Paid R;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of claims that were paid by the payer.
204 Result - Duplicate R;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of claims for which a duplicate result was received.
205 Result - Captured R;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of claims that was captured by the payer but has not been adjudicated by the payer yet.
206 Result - Accepted Reversal R;6 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  NOV 01, 2006
  • HELP-PROMPT:  Enter the number of accepted reversals (0-999,999,999)
  • DESCRIPTION:  
    This field holds the number of reversals that are accepted
207 Result - Rejected Reversal R;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  NOV 01, 2006
  • HELP-PROMPT:  Enter the number of rejected reversals (0-999,999,999)
  • DESCRIPTION:  
    This field holds the number of rejected reversals
208 Result - Dropped to Paper R;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  NOV 01, 2006
  • HELP-PROMPT:  Enter the number of claims dropped to paper (0-999,999,999)
  • DESCRIPTION:  
    This field stores the number of claims that were dropped to paper
209 RESULT - ELIGIBILITY ACCEPTED R;9 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  OCT 13, 2010
  • HELP-PROMPT:  Enter the number of eligibility requests that are accepted (1-999999999).
  • DESCRIPTION:  
    This field stores the number of eligibility verification requests that were accepted by the third-party payer.
210 RESULT - ELIGIBILITY REJECTED R;10 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  OCT 13, 2010
  • HELP-PROMPT:  Enter the number of eligibility requests that were rejected (1-999999999).
  • DESCRIPTION:  
    This field stores the number of eligibility verification requests that were rejected by the third-party payer.
219 Result - Other R;19 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 11, 1999
  • HELP-PROMPT:  Type a Number between 0 and 999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Total number of claims that did not fall into the other categories.
Info |  Desc |  Fields