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Global: ^IBCN(365.1

Package: Integrated Billing

Global: ^IBCN(365.1


Information

FileMan FileNo FileMan Filename Package
365.1 IIV TRANSMISSION QUEUE Integrated Billing

Description

Directly Accessed By Routines, Total: 31

Package Total Routines
Integrated Billing 31 HL7 MESSAGES    IB20P533    IBCNBAR    IBCNBLE    IBCNBLE1    IBCNEBF    IBCNEDE1    IBCNEDE7
IBCNEDEP    IBCNEDEQ    IBCNEDST    IBCNEHL3    IBCNEHL5    IBCNEHL6    IBCNEHLT    IBCNEKI2
IBCNERP4    IBCNERP8    ^IBE(399.6    IBCNEKIT    IBCNERP2    IBCNERP5    IBCNERPE    IBCNERTQ
IBCNEUT4    IBY602PO    ^IBCN(365.1    IBCNEUT5    IBCNEUT7    IBMFNHLI    IBY506PO    

Accessed By FileMan Db Calls, Total: 16

Package Total Routines
Integrated Billing 16 IB20P533    IBCNBAR    IBCNEBF    IBCNEDEQ    IBCNEDST    IBCNEHL1    IBCNEHL3    IBCNEHL5
IBCNEHLQ    IBCNEKIT    IBCNERP8    IBCNERTQ    IBCNETST    IBCNEUT2    IBCNEUT5    IBY602PO

Pointed To By FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 2 IIV RESPONSE(#365)[.05]    EIV EICD TRACKING(#365.18)[.01#365.185(1.01)]    

Pointer To FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 6 INSURANCE VERIFICATION PROCESSOR(#355.33)[.05]    IIV RESPONSE(#365)[#365.16(.03)]    SOURCE OF INFORMATION(#355.12)[3.02]    X12 271 SERVICE TYPE(#365.013)[.2]    PAYER(#365.12)[.03]    IIV TRANSMISSION STATUS(#365.14)[.04]    
Registration 1 PATIENT(#2)[.02]    

Fields, Total: 28

Field # Name Loc Type Details
.01 TRANSACTION NUMBER 0;1 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAY 17, 2002
  • HELP-PROMPT:  Type a Number between 1 and 999999999
  • DESCRIPTION:  
    This field is a sequential number used to uniquely identify a record when creating an entry in this file.
  • CROSS-REFERENCE:  365.1^B
    1)= S ^IBCN(365.1,"B",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"B",$E(X,1,30),DA)
.02 PATIENT 0;2 POINTER TO PATIENT FILE (#2) PATIENT(#2)

  • LAST EDITED:  OCT 23, 2002
  • DESCRIPTION:  
    This is the patient who needs to have insurance identification or verification performed.
  • CROSS-REFERENCE:  365.1^E
    1)= S ^IBCN(365.1,"E",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"E",$E(X,1,30),DA)
  • RECORD INDEXES:  AD (#276)
.03 PAYER 0;3 POINTER TO PAYER FILE (#365.12) PAYER(#365.12)

  • LAST EDITED:  OCT 23, 2002
  • DESCRIPTION:  
    This is the Payer to whom the insurance identification or verification is to be submitted to.
  • CROSS-REFERENCE:  365.1^F
    1)= S ^IBCN(365.1,"F",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"F",$E(X,1,30),DA)
    For testing purposes only
  • RECORD INDEXES:  AD (#276)
.04 TRANSMISSION STATUS 0;4 POINTER TO IIV TRANSMISSION STATUS FILE (#365.14) IIV TRANSMISSION STATUS(#365.14)

  • LAST EDITED:  APR 09, 2003
  • DESCRIPTION:  
    This is the current status of a transmission record.
  • CROSS-REFERENCE:  365.1^AC
    1)= S ^IBCN(365.1,"AC",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"AC",$E(X,1,30),DA)
    This is a standard cross-reference by the Transmission Status. It will be used to determined records being processed.
.05 BUFFER ENTRY 0;5 POINTER TO INSURANCE VERIFICATION PROCESSOR FILE (#355.33) INSURANCE VERIFICATION PROCESSOR(#355.33)

  • LAST EDITED:  JUL 10, 2002
  • DESCRIPTION:  
    This field will be populated if either the transmission record was created from a buffer entry or if a problem exists with the transmission record, a buffer entry will be created.
  • CROSS-REFERENCE:  365.1^D
    1)= S ^IBCN(365.1,"D",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"D",$E(X,1,30),DA)
.06 DATE/TIME CREATED 0;6 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  SEP 13, 2002
  • DESCRIPTION:  
    This is the date and time that the transmission record was created.
  • CROSS-REFERENCE:  365.1^AE
    1)= S ^IBCN(365.1,"AE",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"AE",$E(X,1,30),DA)
    This cross reference by the date/time created will be used during the purging process.
.07 NO. OF TRANSMISSIONS 0;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAY 17, 2002
  • HELP-PROMPT:  Type a Number between 1 and 99
  • DESCRIPTION:  
    This field is a count of how many HL7 messages have been generated and transmitted.
.08 NO. OF RETRIES 0;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAY 17, 2002
  • HELP-PROMPT:  Type a Number between 0 and 10
  • DESCRIPTION:  
    This field contains the number of retry messages that have been created an re-transmitted.
.09 DATE OF FUTURE TRANSMISSION 0;9 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  AUG 05, 2002
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This field contains the date that if the transmission record status is "hold" that the record should be resent.
.1 WHICH EXTRACT 0;10 SET
  • '1' FOR Buffer;
  • '2' FOR Appt;
  • '4' FOR EICD;
  • '5' FOR REQUEST ELECTRONIC;
  • '6' FOR ICB/VISTA;
  • '7' FOR MBI REQUEST;

  • LAST EDITED:  JUL 20, 2022
  • HELP-PROMPT:  Enter a code from the list.
  • DESCRIPTION:  
    This field identifies which data extract that the transmission record was generated from.
  • TECHNICAL DESCR:  
    Patch IB*2*621 renamed data extract (#4) from "No Insurance" to "EICD". Patch IB*2*631 adds the following codes: 5 = REQUEST ELECTRONIC 6 = ICB/VISTA 7 = MBI REQUEST Patch IB*2.0*737 removed code 3 for Non-Verified.
.11 QUERY FLAG 0;11 SET
  • 'I' FOR Identification;
  • 'V' FOR Verification;

  • LAST EDITED:  MAY 17, 2002
  • DESCRIPTION:  
    This field identifies whether the transmission record is an identification or a verification record. Identification records will be checked against the National Insurance Cache to identify any insurance.
.12 SERVICE DATE 0;12 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 23, 2002
  • DESCRIPTION:  
    This is the date that was determined by the system to submit to the Payer as the date that service was performed.
  • RECORD INDEXES:  AD (#276)
.13 INSUR RECORD IEN 0;13 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Type a number between 1 and 999, 0 Decimal Digits
  • DESCRIPTION:  This field is the IEN of the insurance record which the data extract used to determine that a valid payer record was to be placed in the Transmission Queue file. This is used to help retrieve important information for the
    HL7 message.
.14 OVERRIDE FRESHNESS FLAG 0;14 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Enter Yes to force an electronic transmission of this entry.
  • DESCRIPTION:  The presence of this flag will alert the process that electronically transmits the insurance verification request, that this entry should get transmitted to the Payer - bypassing the National Insurance Cache. This is
    regardless of the freshness date or of any other data elements.
.15 STATUS DATE 0;15 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  AUG 05, 2002
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This is the date/time that the status field was changed.
.16 HL7 SUBSCRIBER ID FIELD 0;16 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  MAR 25, 2014
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    This is the data that will be used to populate the Subscriber ID field in the HL7 message for the electronic Insurance Identification and Verification project.
.17 FRESHNESS DATE 0;17 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 10, 2002
  • HELP-PROMPT:  Enter valid date.
.18 PASS BUFFER? 0;18 SET
  • '1' FOR Yes;
  • '0' FOR No;

  • LAST EDITED:  OCT 25, 2002
  • DESCRIPTION:  
    This field is a flag on whether to pass the Buffer IEN on to the Response file.
.19 HL7 PATIENT ID FIELD 0;19 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  JUL 31, 2009
  • HELP-PROMPT:  Answer must be 1-30 characters in length
  • DESCRIPTION:  
    This is the data that will be used to populate the Patient ID field in the HL7 message for the outbound 270 inquiry to Austin.
.2 SERVICE TYPE CODE 0;20 POINTER TO X12 271 SERVICE TYPE FILE (#365.013) X12 271 SERVICE TYPE(#365.013)

  • LAST EDITED:  MAY 12, 2013
  • HELP-PROMPT:  Enter service type code to be sent with eIV insurance inquiry.
  • DESCRIPTION:  
    Service Type code to be sent with eIV insurance inquiry.
.21 EICD INS-FND IEN 0;21 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  OCT 05, 2018
  • HELP-PROMPT:  Type a number between 1 and 99 (0 Decimal) which represents an EICD data record returned from an Identification response.
  • DESCRIPTION:  
    This field points to discovered insurance returned from an EICD Identification response. The data will be used to track an EICD Verification inquiry and response.
  • TECHNICAL DESCR:  
    This field represents the "INS-FND" IEN multiple contained in EIV EICD TRACKING (#365.18) FILE.
1.02 ORIGINAL INSUR CO NAME 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
1.03 ORIGINAL GROUP NUMBER 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>17!($L(X)<1) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Answer must be 1-17 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
1.04 ORIGINAL GROUP NAME 1;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
1.05 ORIGINAL SUBSCRIBER ID 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  MAR 24, 2014
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
2 HL7 MESSAGES 2;0 DATE Multiple #365.16 365.16

  • DESCRIPTION:  
    This is a record of all HL7 messages generated for a transmission record.
3.01 MANUAL REQUEST DATE/TIME 3;1 DATE

  • INPUT TRANSFORM:  S %DT="EST" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  SEP 13, 2010
  • HELP-PROMPT:  Enter the Date and Time that the Electronic Inquiry Request was queued.
  • DESCRIPTION:  
    The date and time a service type inquiry was triggered from the option, Request Electronic Inquiry.
  • TECHNICAL DESCR:  
    This field will be set to the current date/time whenever a service type inquiry was triggered from the option, Request Electronic Inquiry.
3.02 SOURCE OF INFORMATION 3;2 POINTER TO SOURCE OF INFORMATION FILE (#355.12) SOURCE OF INFORMATION(#355.12)

  • LAST EDITED:  DEC 28, 2017
  • HELP-PROMPT:  Enter source of information code to be sent with eIV insurance inquiry.
  • DESCRIPTION:  
    This is the source of information for when the transmission record was created.
  • TECHNICAL DESCR:  
    This field will be set to the source of information whenever a inquiry was triggered from the option that requests Electronic Inquiry.

External References

Name Field # of Occurrence
^%DT .06+1, .09+1, .12+1, .15+1, .17+1, 3.01+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBCN(365.1 - [#365.1] IXADSL+1*, IXADKL+1!, IXADKEIC+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)

Local Variables

Legend:

>> 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
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