| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 365.1 | IIV TRANSMISSION QUEUE | Integrated Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 2 | IIV RESPONSE(#365)[.05] EIV EICD TRACKING(#365.18)[.01, #365.185(1.01)] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | TRANSACTION NUMBER | 0;1 | NUMBER | ************************REQUIRED FIELD************************
|
| .02 | PATIENT | 0;2 | POINTER TO PATIENT FILE (#2) | PATIENT(#2)
|
| .03 | PAYER | 0;3 | POINTER TO PAYER FILE (#365.12) | PAYER(#365.12)
|
| .04 | TRANSMISSION STATUS | 0;4 | POINTER TO IIV TRANSMISSION STATUS FILE (#365.14) | IIV TRANSMISSION STATUS(#365.14)
|
| .05 | BUFFER ENTRY | 0;5 | POINTER TO INSURANCE VERIFICATION PROCESSOR FILE (#355.33) | INSURANCE VERIFICATION PROCESSOR(#355.33)
|
| .06 | DATE/TIME CREATED | 0;6 | DATE |
|
| .07 | NO. OF TRANSMISSIONS | 0;7 | NUMBER |
|
| .08 | NO. OF RETRIES | 0;8 | NUMBER |
|
| .09 | DATE OF FUTURE TRANSMISSION | 0;9 | DATE |
|
| .1 | WHICH EXTRACT | 0;10 | SET |
|
| .11 | QUERY FLAG | 0;11 | SET |
|
| .12 | SERVICE DATE | 0;12 | DATE |
|
| .13 | INSUR RECORD IEN | 0;13 | NUMBER |
|
| .14 | OVERRIDE FRESHNESS FLAG | 0;14 | SET |
|
| .15 | STATUS DATE | 0;15 | DATE |
|
| .16 | HL7 SUBSCRIBER ID FIELD | 0;16 | FREE TEXT |
|
| .17 | FRESHNESS DATE | 0;17 | DATE |
|
| .18 | PASS BUFFER? | 0;18 | SET |
|
| .19 | HL7 PATIENT ID FIELD | 0;19 | FREE TEXT |
|
| .2 | SERVICE TYPE CODE | 0;20 | POINTER TO X12 271 SERVICE TYPE FILE (#365.013) | X12 271 SERVICE TYPE(#365.013)
|
| .21 | EICD INS-FND IEN | 0;21 | NUMBER |
|
| 1.02 | ORIGINAL INSUR CO NAME | 1;2 | FREE TEXT |
|
| 1.03 | GROUP NUMBER | 1;3 | FREE TEXT |
|
| 1.04 | GROUP NAME | 1;4 | FREE TEXT |
|
| 1.05 | ORIGINAL SUBSCRIBER ID | 1;5 | FREE TEXT |
|
| 2 | HL7 MESSAGES | 2;0 | DATE Multiple #365.16 | 365.16
|
| 3.01 | MANUAL REQUEST DATE/TIME | 3;1 | DATE |
|
| 3.02 | SOURCE OF INFORMATION | 3;2 | POINTER TO SOURCE OF INFORMATION FILE (#355.12) | SOURCE OF INFORMATION(#355.12)
|
| Name | Field # of Occurrence |
|---|---|
| ^%DT | .06+1, .09+1, .12+1, .15+1, .17+1, 3.01+1 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| >> %DT | .06+1*, .09+1*, .12+1*, .15+1*, .17+1*, 3.01+1* |
| >> DA | IXADSL+1, IXADKL+1, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K), .04(XREF 1S), .04(XREF 1K) , .05(XREF 1S), .05(XREF 1K), .06(XREF 1S), .06(XREF 1K) |
| X | .01+1!, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K), .04(XREF 1S), .04(XREF 1K), .05(XREF 1S) , .05(XREF 1K), .06+1*!, .06(XREF 1S), .06(XREF 1K), .07+1!, .08+1!, .09+1*!, .12+1*!, .13+1!, .15+1*! , .16+1!, .17+1*!, .19+1!, .21+1!, 1.02+1!, 1.03+1!, 1.04+1!, 1.05+1!, 3.01+1*! |
| X(1 | IXADSL+1, IXADKL+1 |
| X(2 | IXADSL+1, IXADKL+1 |
| X(3 | IXADSL+1, IXADKL+1 |
| >> Y | .06+1, .09+1, .12+1, .15+1, .17+1, 3.01+1 |