FileMan FileNo | FileMan Filename | Package |
---|---|---|
9002313.92 | BPS NCPDP FORMATS | E Claims Management Engine |
Package | Total | Routines |
---|---|---|
E Claims Management Engine | 2 | BPS10PST BPSECA8 |
Integrated Billing | 1 | IBCNRPSM |
Package | Total | FileMan Files |
---|---|---|
E Claims Management Engine | 5 | BPS CERTIFICATION(#9002313.31)[.04, .05, .08] BPS INSURER DATA(#9002313.78)[.02, .03, .04, .1] BPS CLAIMS(#9002313.02)[.02] BPS TRANSACTION(#9002313.59)[#9002313.59902(902.02), #9002313.59902(902.19), #9002313.59902(902.21), #9002313.59902(902.34)] BPS LOG OF TRANSACTIONS(#9002313.57)[#9002313.57902(902.02), #9002313.57902(902.19), #9002313.57902(902.21), #9002313.57902(902.34)] |
Integrated Billing | 1 | PLAN(#366.03)[10.07, 10.08, 10.09, 10.11, 10.12, 10.13, 10.14, 10.15] |
Package | Total | FileMan Files |
---|---|---|
E Claims Management Engine | 2 | BPS NCPDP FIELD DEFS(#9002313.91)[#9002313.9205(.02), #9002313.9206(.02), #9002313.9207(.02), #9002313.9208(.02), #9002313.9209(.02), #9002313.921(.02), #9002313.9213(.02), #9002313.9214(.02), #9002313.9215(.02), #9002313.9216(.02), #9002313.9217(.02), #9002313.9218(.02), #9002313.9219(.02), #9002313.922(.02), #9002313.9223(.02), #9002313.9224(.02), #9002313.9225(.02), #9002313.9227(.02), #9002313.9228(.02), #9002313.9229(.02), #9002313.923(.02)] BPS TRANSACTION(#9002313.59)[1.11] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | RECORD FORMAT NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
1.02 | VERSION | 1;2 | SET |
|
1.06 | PRODUCTION STATUS | 1;6 | SET |
|
1.1 | TOTAL EXCLUSIVE PATIENT AMOUNT | 1;10 | SET |
|
1.11 | ASLEEP PROBER | 1;11 | POINTER TO BPS TRANSACTION FILE (#9002313.59) | BPS TRANSACTION(#9002313.59)
|
1.12 | ASLEEP RETRY TIME | 1;12 | DATE |
|
1.14 | PAYER SHEET VERSION | 1;14 | NUMBER | ************************REQUIRED FIELD************************
|
100 | TRANSACTION HEADER SEGMENT | 100;0 | Multiple #9002313.9205 | 9002313.9205
|
110 | PATIENT SEGMENT | 110;0 | Multiple #9002313.9206 | 9002313.9206
|
120 | INSURANCE SEGMENT | 120;0 | Multiple #9002313.9207 | 9002313.9207
|
130 | CLAIM SEGMENT | 130;0 | Multiple #9002313.9208 | 9002313.9208
|
140 | PHARMACY PROVIDER SEGMENT | 140;0 | Multiple #9002313.9209 | 9002313.9209
|
150 | PRESCRIBER SEGMENT | 150;0 | Multiple #9002313.921 | 9002313.921
|
160 | COB OTHER PAYMENTS SEGMENT | 160;0 | Multiple #9002313.9213 | 9002313.9213
|
170 | WORKERS COMP SEGMENT | 170;0 | Multiple #9002313.9214 | 9002313.9214
|
180 | DUR PPS SEGMENT | 180;0 | Multiple #9002313.9215 | 9002313.9215
|
190 | PRICING SEGMENT | 190;0 | Multiple #9002313.9216 | 9002313.9216
|
200 | COUPON SEGMENT | 200;0 | Multiple #9002313.9217 | 9002313.9217
|
210 | COMPOUND SEGMENT | 210;0 | Multiple #9002313.9218 | 9002313.9218
|
220 | PRIOR AUTH SEGMENT | 220;0 | Multiple #9002313.9219 | 9002313.9219
|
230 | CLINICAL SEGMENT | 230;0 | Multiple #9002313.922 | 9002313.922
|
240 | ADDL DOC SEGMENT | 240;0 | Multiple #9002313.9223 | 9002313.9223
|
250 | FACILITY SEGMENT | 250;0 | Multiple #9002313.9224 | 9002313.9224
|
260 | NARRATIVE SEGMENT | 260;0 | Multiple #9002313.9225 | 9002313.9225
|
270 | PURCHASER SEGMENT | 270;0 | Multiple #9002313.9227 | 9002313.9227
|
280 | SERVICE PROVIDER SEGMENT | 280;0 | Multiple #9002313.9228 | 9002313.9228
|
290 | INTERMEDIARY SEGMENT | 290;0 | Multiple #9002313.9229 | 9002313.9229
|
300 | LAST KNOWN 4RX SEGMENT | 300;0 | Multiple #9002313.923 | 9002313.923
|
1901 | DEVELOPMENT REMARKS DEVELOPER'S | REMARKS;0 | WORD-PROCESSING #9002313.921901 |
|
Name | Field # of Occurrence |
---|---|
^%DT | 1.12+1 |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^BPSF(9002313.92 - [#9002313.92] | .01(XREF 1S), .01(XREF 1K) |