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Global: ^IBCN(365.3

Package: Integrated Billing

Global: ^IBCN(365.3


Information

FileMan FileNo FileMan Filename Package
365.3 EIV E1 TRANSACTION RESPONSE LOG Integrated Billing

Description

Pointer To FileMan Files, Total: 4

Package Total FileMan Files
Integrated Billing 2 INSURANCE COMPANY(#36)[1.2]    GROUP INSURANCE PLAN(#355.3)[1.4]    
E Claims Management Engine 1 BPS RESPONSES(#9002313.03)[.03]    
Registration 1 PATIENT(#2)[.01]    

Fields, Total: 12

Field # Name Loc Type Details
.01 PATIENT NAME 0;1 POINTER TO PATIENT FILE (#2)
************************REQUIRED FIELD************************
PATIENT(#2)

  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the patient that is associated with this entry.
  • DESCRIPTION:  
    This field identifies the patient associated with this record.
  • CROSS-REFERENCE:  365.3^B
    1)= S ^IBCN(365.3,"B",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.3,"B",$E(X,1,30),DA)
.02 RECEIVED DATE/TIME 0;2 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the Date/Time that this entry was received.
  • DESCRIPTION:  
    This field is the Date/Time the E1 Pharmacy transaction was received.
.03 BPS RESPONSE 0;3 POINTER TO BPS RESPONSES FILE (#9002313.03) BPS RESPONSES(#9002313.03)

  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the BPS CLAIM (#9002313.03, .01) associated with this entry.
  • DESCRIPTION:  
    This field is the corresponding response in the BPS RESPONSES (#9002313.03) file.
.04 TRANSACTION STATUS 0;4 SET
  • 'A' FOR APPROVED;
  • 'R' FOR REJECTED;

  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the status of the response from the payer.
  • DESCRIPTION:  
    This field indicates the TRANSACTION RESPONSE STATUS (#9002313.0301, 112) field of the corresponding response in the BPS RESPONSES (#9002313.03) file.
.05 BUFFER ENTRY 0;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the corresponding buffer record for this entry. This will be a number between 1 and 9999999999, 0 decimal digits.
  • DESCRIPTION:  
    This field identifies the corresponding buffer record in the INSURANCE VERIFICATION PROCESSOR (#355.33) file for this entry.
  • TECHNICAL DESCR:  This is the IEN of the INSURANCE VERIFICATION PROCESSOR (#355.33) file. It is not a pointer since the INSURANCE VERIFICATION PROCESSOR file can be purged and this information needs to remain in the database for historical
    purposes.
.06 DO NOT PURGE 0;6 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  APR 07, 2025
  • HELP-PROMPT:  Enter 'YES' to prevent the entry from being purged. Otherwise, enter 'NO'.
  • DESCRIPTION:  
    This is not to be edited by a user. If the value is 1, then this record may not be purged.
1.1 INSURANCE SUB IEN 1;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the corresponding record of the INSURANCE TYPE (#2.312) subfile for this entry. This will be a number between 1 and 999, 0 decimal digits.
  • DESCRIPTION:  
    This field identifies the corresponding entry in the INSURANCE TYPE (#2.312) subfile.
  • TECHNICAL DESCR:  This is the IEN of the INSURANCE TYPE (#2.312) subfile. It is not a pointer since the entries in the INSURANCE TYPE subfile can be deleted (if no bills/claims are associated with it) and this information needs to remain in
    the database for historical purposes.
1.2 INSURANCE IEN 1;2 POINTER TO INSURANCE COMPANY FILE (#36) INSURANCE COMPANY(#36)

  • LAST EDITED:  APR 07, 2025
  • HELP-PROMPT:  Enter the insurance company that is associated to this entry.
  • DESCRIPTION:  
    Select the appropriate Insurance Company for this entry.
1.3 INSURANCE COMPANY NAME 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the name of the associated insurance company. Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the name of the insurance company associated with this entry.
1.4 GROUP PLAN IEN 1;4 POINTER TO GROUP INSURANCE PLAN FILE (#355.3) GROUP INSURANCE PLAN(#355.3)

  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the name of the group plan that is associated with this entry.
  • DESCRIPTION:  
    This is the group plan associated with this entry.
1.5 GROUP NUMBER 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<2) X
    MAXIMUM LENGTH: 55
  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the group number associated with this entry. Answer must be 2-55 characters in length.
  • DESCRIPTION:  
    This is the group number associated with this entry.
1.6 SUBSCRIBER ID 1;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
    MAXIMUM LENGTH: 20
  • LAST EDITED:  JUN 05, 2025
  • HELP-PROMPT:  Enter the Subscriber ID that is associated with this entry. Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the Subscriber ID associated with this entry.
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