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Global: ^BPS(9002313.15

Package: E Claims Management Engine

Global: ^BPS(9002313.15


Information

FileMan FileNo FileMan Filename Package
9002313.15 BPS ASLEEP PAYERS E Claims Management Engine

Description

Accessed By FileMan Db Calls, Total: 2

Package Total Routines
E Claims Management Engine 2 BPSOSQ4    BPSOSQF    

Pointed To By FileMan Files, Total: 2

Package Total FileMan Files
E Claims Management Engine 2 BPS TRANSACTION(#9002313.59)[801]    BPS LOG OF TRANSACTIONS(#9002313.57)[801]    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
E Claims Management Engine 1 BPS TRANSACTION(#9002313.59)[.04]    
Integrated Billing 1 GROUP INSURANCE PLAN(#355.3)[.01]    

Fields, Total: 5

Field # Name Loc Type Details
.01 PAYER PLAN 0;1 POINTER TO GROUP INSURANCE PLAN FILE (#355.3)
************************REQUIRED FIELD************************
GROUP INSURANCE PLAN(#355.3)

  • LAST EDITED:  DEC 07, 2007
  • HELP-PROMPT:  Enter the group insurance plan for this asleep payer.
  • DESCRIPTION:  
    This is the Group Insurance Plan for this asleep payer.
  • CROSS-REFERENCE:  9002313.15^B
    1)= S ^BPS(9002313.15,"B",$E(X,1,30),DA)=""
    2)= K ^BPS(9002313.15,"B",$E(X,1,30),DA)
.02 RETRY COUNT 0;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  JUN 19, 2008
  • HELP-PROMPT:  Enter the number (0-99) of times this payer has been retried.
  • DESCRIPTION:  
    This is a counter for the number of times the payer has been retried for processing prober claims.
.03 IGNORE ASLEEP 0;3 SET
  • '0' FOR DON'T IGNORE;
  • '1' FOR IGNORE;

  • LAST EDITED:  JUN 19, 2008
  • HELP-PROMPT:  Enter 1 (one) to Ignore Asleep reject codes for this payer.
  • DESCRIPTION:  
    This is a flag indicating the payer should be ignored as being asleep. This is set to ignore if the payer's maximum retries has been reached.
.04 PROBER CLAIM 0;4 POINTER TO BPS TRANSACTION FILE (#9002313.59) BPS TRANSACTION(#9002313.59)

  • LAST EDITED:  MAR 18, 2011
  • HELP-PROMPT:  Enter the prober transaction to use for the retry.
  • DESCRIPTION:  
    This is the transaction in the BPS TRANSACTION file that will be used to probe the payer to see if they are no longer asleep.
.05 RETRY TIME 0;5 DATE

  • INPUT TRANSFORM:  S %DT="ESTR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  JUN 13, 2008
  • HELP-PROMPT:  Enter a date/time to retry asleep payer.
  • DESCRIPTION:  
    This is the date/time that the system should retry the asleep payer.
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