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Global: ^DGCR(399.4

Package: Integrated Billing

Global: ^DGCR(399.4


Information

FileMan FileNo FileMan Filename Package
399.4 MCCR INCONSISTENT DATA ELEMENTS Integrated Billing

Description

Pointed To By FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 BILL/CLAIMS(#399)[#399.044(.01), #399.045(.01)]    

Fields, Total: 2

Field # Name Loc Type Details
.001 NUMBER NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
  • HELP-PROMPT:  Enter form locator number which corresponds to this entry on the UB-82 form.
  • DESCRIPTION:  
    This number corresponds to the form locator number of this entry on the UB-82 form.
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>55!($L(X)<3)!'(X'?1P.E) X
  • HELP-PROMPT:  Enter the 3-55 character reason for disapproval.
  • DESCRIPTION:  
    This defines a reason why a bill may be disapproved during the review phase of the billing process.
  • CROSS-REFERENCE:  399.4^B
    1)= S ^DGCR(399.4,"B",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.4,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  399.4^C^KWIC
    1)= S %1=1 F %=1:1:$L(X)+1 S I=$E(X,%) I "(,.?! '-/&:;)"[I S I=$E($E(X,%1,%-1),1,30),%1=%+1 I $L(I)>2,^DD("KWIC")'[I S ^DGCR(399.4,"C",I,DA)=""
    2)= S %1=1 F %=1:1:$L(X)+1 S I=$E(X,%) I "(,.?! '-/&:;)"[I S I=$E($E(X,%1,%-1),1,30),%1=%+1 I $L(I)>2 K ^DGCR(399.4,"C",I,DA)

Found Entries, Total: 50

NAME: PROVIDER NAME,ADDRESS,PHONE UNSPECIFIED/INCORRECT    NAME: PATIENT CONTROL NUMBER (SSN) UNSPECIFIED/INCORRECT    NAME: TYPE OF BILL UNSPECIFIED/INCORRECT    NAME: BC/BS PROVIDER NUMBER UNSPECIFIED/INCORRECT    NAME: FEDERAL TAX NUMBER (EIN) UNSPECIFIED/INCORRECT    NAME: PATIENT NAME UNSPECIFIED/INCORRECT    NAME: PATIENT ADDRESS UNSPECIFIED/INCORRECT    NAME: PATIENT DATE OF BIRTH UNSPECIFIED/INCORRECT    
NAME: PATIENT SEX UNSPECIFIED/INCORRECT    NAME: PATIENT MARITAL STATUS UNSPECIFIED/INCORRECT    NAME: ADMISSION DATE UNSPECIFIED/INCORRECT    NAME: ADMISSION HOUR UNSPECIFIED/INCORRECT    NAME: ADMISSION TYPE UNSPECIFIED/INCORRECT    NAME: ADMISSION SOURCE UNSPECIFIED/INCORRECT    NAME: ACCIDENT HOUR UNSPECIFIED/INCORRECT    NAME: DISCHARGE HOUR UNSPECIFIED/INCORRECT    
NAME: PATIENT (DISCHARGE) STATUS UNSPECIFIED/INCORRECT    NAME: STATEMENT COVERS PERIOD UNSPECIFIED/INCORRECT    NAME: OCCURRENCE CODE(S)/DATE(S) UNSPECIFIED/INCORRECT    NAME: OCCURRENCE SPAN CODE/DATES UNSPECIFIED/INCORRECT    NAME: RESPONSIBLE PARTY NAME/ADDRESS UNSPECIFIED/INCORRECT    NAME: CONDITION CODE(S) UNSPECIFIED/INCORRECT    NAME: REVENUE DESCRIPTION UNSPECIFIED/INCORRECT    NAME: REVENUE CODE(S) UNSPECIFIED/INCORRECT    
NAME: UNITS OF SERVICE UNSPECIFIED/INCORRECT    NAME: TOTAL CHARGES UNSPECIFIED/INCORRECT    NAME: PAYER IDENTIFICATION UNSPECIFIED/INCORRECT    NAME: R.O.I. CERTIFICATION UNSPECIFIED/INCORRECT    NAME: ASSIGNMENT OF BENEFITS UNSPECIFIED/INCORRECT    NAME: INSURED'S NAME UNSPECIFIED/INCORRECT    NAME: INSURED'S SEX UNSPECIFIED/INCORRECT    NAME: PT. RELATIONSHIP TO INSURED UNSPECIFIED/INCORRECT    
NAME: INSURANCE POLICY NUMBER UNSPECIFIED/INCORRECT    NAME: INSURANCE GROUP NAME UNSPECIFIED/INCORRECT    NAME: INSURANCE GROUP NUMBER UNSPECIFIED/INCORRECT    NAME: EMPLOYMENT INFORMATION UNSPECIFIED/INCORRECT    NAME: EMPLOYMENT STATUS CODE UNSPECIFIED/INCORRECT    NAME: EMPLOYER NAME UNSPECIFIED/INCORRECT    NAME: EMPLOYEE ID NUMBER UNSPECIFIED/INCORRECT    NAME: EMPLOYER LOCATION UNSPECIFIED/INCORRECT    
NAME: DIAGNOSIS DESCRIPTION UNSPECIFIED/INCORRECT    NAME: PRINCIPAL DIAGNOSIS CODE UNSPECIFIED/INCORRECT    NAME: OTHER DIAGNOSES CODES UNSPECIFIED/INCORRECT    NAME: PROCEDURE CODING METHOD UNSPECIFIED/INCORRECT    NAME: PROCEDURE DESCRIPTIONS UNSPECIFIED/INCORRECT    NAME: PRINCIPAL PROCEDURE CODE/DATE UNSPECIFIED/INCORRECT    NAME: OTHER PROCEDURE CODE(S)/DATE(S) UNSPECIFIED/INCORRECT    NAME: ATTENDING PHYSICIAN UNSPECIFIED/INCORRECT    
NAME: BILL NUMBER UNSPECIFIED/INCORRECT    NAME: OTHER    
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