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Global: ^IBCNH(367

Package: Integrated Billing

Global: ^IBCNH(367


Information

FileMan FileNo FileMan Filename Package
367 HPID/OEID RESPONSE Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 2

Package Total Routines
Integrated Billing 2 IBCNHUT1    IBCNHUT2    

Pointed To By FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 HPID/OEID TRANSMISSION QUEUE(#367.1)[.07]    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 2 HPID/OEID TRANSMISSION QUEUE(#367.1)[.02]    INSURANCE COMPANY ID TYPE(#367.11)[#367.01(.01)]    

Fields, Total: 11

Field # Name Loc Type Details
.01 MESSAGE CONTROL ID 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1)!'(X'?1P.E) X
  • LAST EDITED:  MAY 20, 2014
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    This is the message control ID number assigned by the HL7 package when a message is created.
  • CROSS-REFERENCE:  367^B
    1)= S ^IBCNH(367,"B",$E(X,1,30),DA)=""
    2)= K ^IBCNH(367,"B",$E(X,1,30),DA)
.02 TRANSMISSION QUEUE 0;2 POINTER TO HPID/OEID TRANSMISSION QUEUE FILE (#367.1) HPID/OEID TRANSMISSION QUEUE(#367.1)

  • LAST EDITED:  MAR 12, 2014
  • HELP-PROMPT:  Enter the HPID/OEID Transmission Queue entry for this response, if applicable.
  • DESCRIPTION:  
    This field is used to link the response with its corresponding entry in the HPID/OEID TRANSMISSION QUEUE file. It will not be populated for unsolicited messages.
  • CROSS-REFERENCE:  367^C
    1)= S ^IBCNH(367,"C",$E(X,1,30),DA)=""
    2)= K ^IBCNH(367,"C",$E(X,1,30),DA)
    This cross-reference is used to quickly find the transaction associated with a response (entry in file #367.1).
.03 RESPONSE TYPE 0;3 SET
************************REQUIRED FIELD************************
  • 'R' FOR REQUESTED;
  • 'U' FOR UNSOLICITED;

  • LAST EDITED:  MAR 19, 2014
  • HELP-PROMPT:  Enter whether this was an unsolicited or requested response.
  • DESCRIPTION:  
    This field indicates whether the response was requested by VISTA or was unsolicited from the NIF (National Insurance File).
.04 INSURANCE COMPANY 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  MAR 17, 2014
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the Insurance Company name in the received response.
.05 PROCESSING STATUS 0;5 SET
  • 'R' FOR RESPONSE PROCESSED;
  • 'X' FOR EXCEPTION REPORT;
  • 'EL' FOR ERROR WITH LEGACY IDS;
  • 'ED' FOR ERROR WITH DATA;
  • 'EXR' FOR ERROR - EXCEPTION REPORT REJECT;

  • LAST EDITED:  JUN 26, 2014
  • HELP-PROMPT:  Enter the processing status of the response received.
  • DESCRIPTION:  
    This field tracks the processing status of the response received. Changes to this field will update the STATUS DATE/TIME field and the TRANSMISSION STATUS in the HPID/OEID TRANSMISSION QUEUE file.
  • TECHNICAL DESCR:  
    This is the processing status of the response received. Triggers the setting of the STATUS DATE/TIME field (.06). Also triggers the TRANSMISSION STATUS (.04) field of file 367.1.
  • CROSS-REFERENCE:  ^^TRIGGER^367.1^.04
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 X ^DD(367,.05,1,1,89.2) S Y(101)=$S($D(^IBCNH(367.1,D0,0)):^(0),1:"") S X=$P($P(Y(102),$C(59)_$P(Y(101),U,4)_":",2),$C(59)) S D0=I(0,0) S DIU=X K Y S X=DIV S X=DIV,X=X X ^DD(367,.05,1,1,1.
    4)
    1.4)= S DIH=$G(^IBCNH(367.1,DIV(0),0)),DIV=X I $D(^(0)) S $P(^(0),U,4)=DIV,DIH=367.1,DIG=.04 D ^DICR
    2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 X ^DD(367,.05,1,1,89.2) S Y(101)=$S($D(^IBCNH(367.1,D0,0)):^(0),1:"") S X=$P($P(Y(102),$C(59)_$P(Y(101),U,4)_":",2),$C(59)) S D0=I(0,0) S DIU=X K Y X ^DD(367,.05,1,1,2.1) X ^DD(367,.05,1,1
    ,2.4)
    2.1)= S X=DIV S Y(1)=$S($D(^IBCNH(367,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X
    2.4)= S DIH=$G(^IBCNH(367.1,DIV(0),0)),DIV=X I $D(^(0)) S $P(^(0),U,4)=DIV,DIH=367.1,DIG=.04 D ^DICR
    89.2)= S I(0,0)=$G(D0),Y(1)=$S($D(^IBCNH(367,D0,0)):^(0),1:""),D0=$P(Y(1),U,2) S:'D0!'$D(^IBCNH(367.1,+D0,0)) D0=-1 S DIV(0)=D0 S Y(102)=$C(59)_$P($G(^DD(367.1,.04,0)),U,3)
    CREATE VALUE)= INTERNAL(PROCESSING STATUS)
    DELETE VALUE)= INTERNAL(PROCESSING STATUS)
    FIELD)= TRANSMISSION QUEUE:TRANSMISSION STATUS
    Updates the Transmission Queue status (file 367.1, field #.04) whenever the Response status is updated.
  • CROSS-REFERENCE:  ^^TRIGGER^367^.06
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBCNH(367,DIV(0),0)),DIV=X S $P(^(0),U,6)=DIV,DIH=367,DIG=.06 D ^DIC
    R
    2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBCNH(367,DIV(0),0)),DIV=X S $P(^(0),U,6)=DIV,DIH=367,DIG=.06 D ^DIC
    R
    CREATE VALUE)= NOW
    DELETE VALUE)= NOW
    FIELD)= STATUS DATE/TIME
    Sets the status date/time to equal NOW whenever the PROCESSING STATUS field changes.
  • CROSS-REFERENCE:  ^^TRIGGER^367^.1
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367,D0,0)):^(0),1:"") S X=$P(Y(1),U,10),X=X S DIU=X K Y S X=DIV S X=$$TRG1^IBCNHUT1(DA,X) S DIH=$G(^IBCNH(367,DIV(0),0)),DIV=X S $P(^(0),U,10)=DIV,DIH=367,DIG=.1 D ^DIC
    R
    2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367,D0,0)):^(0),1:"") S X=$P(Y(1),U,10),X=X S DIU=X K Y S X=DIV S X=$$TRG1^IBCNHUT1(DA,X) S DIH=$G(^IBCNH(367,DIV(0),0)),DIV=X S $P(^(0),U,10)=DIV,DIH=367,DIG=.1 D ^DIC
    R
    CREATE VALUE)= S X=$$TRG1^IBCNHUT1(DA,X)
    DELETE VALUE)= S X=$$TRG1^IBCNHUT1(DA,X)
    FIELD)= DATE OF FUTURE PURGE
    When the processing status is set to R for Response Processed or EXR for Exception Report Reject and the response contains a NIF ID, the future purge date will be set to T+14. If this was an unsolicited response, the
    future purge date is set to T+14 even if it does not have a NIF ID.
.06 STATUS DATE/TIME 0;6 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 06, 2014
  • HELP-PROMPT:  Enter the date and time that the response record was received.
  • DESCRIPTION:  
    This is the date and time that the response record was received.
  • NOTES:  TRIGGERED by the PROCESSING STATUS field of the HPID/OEID RESPONSE File
.07 VISTA UNIQUE ID 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  MAR 24, 2014
  • HELP-PROMPT:  Answer must be 1-30 characters in length in the following format: Station#.IEN.
  • DESCRIPTION:  
    This is the VAMC Station number and Internal Entry Number of the Insurance Company in this site's INSURANCE COMPANY file in the following format: STATION#.IEN in INSURANCE COMPANY file
  • CROSS-REFERENCE:  367^UID
    1)= S ^IBCNH(367,"UID",$E(X,1,30),DA)=""
    2)= K ^IBCNH(367,"UID",$E(X,1,30),DA)
    This cross-reference allows the user to find all responses for a site's particular Insurance Company entry.
.08 PARENT CHP (HPID) 0;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<10) X
  • LAST EDITED:  MAR 19, 2014
  • HELP-PROMPT:  Enter the 10 digit HPID/OEID number for the Parent CHP, if applicable.
  • DESCRIPTION:  
    This is the HPID of the Parent CHP, if applicable.
.09 CHP/SHP 0;9 SET
  • 'C' FOR CHP;
  • 'S' FOR SHP;

  • LAST EDITED:  MAR 17, 2014
  • HELP-PROMPT:  Enter a C if this is a Controlling Health Plan or an S if this is a sub-health plan.
  • DESCRIPTION:  Defines whether this health plan is a Controlling Health Plan (CHP) or a
    Sub-health Plan (SHP). CHP is a health plan that controls its own business
    activities, actions or policies. A plan can have 0 to many sub-health plans
    associated to it. SHP is a health plan whose business activities, actions
    or policies are directed by a CHP. This field does NOT apply to OEIDs, only insurance companies with HPIDs can be designated as CHPs or SHPs.
.1 DATE OF FUTURE PURGE 0;10 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 14, 2014
  • HELP-PROMPT:  Enter the date this record can be purged.
  • DESCRIPTION:  
    This field contains the date that the response and, if applicable, its corresponding HPID/OEID TRANSMISSION QUEUE entry may be purged.
  • TECHNICAL DESCR:  This field contains the date that the response and, if applicable, its
    transaction queue entry (#367.1)may be purged. This is triggered to be
    set ONLY when the PROCESSING STATUS field (.05) is set to R for RESPONSE
    PROCESSED and only if the solicited response included a NIF ID.
    Unsolicited responses will be purged regardless of whether they have a
    NIF ID or not. The date is set to response receipt date +14 days. The purge process runs nightly via routine PUR^IBCNHUT2.
  • NOTES:  TRIGGERED by the PROCESSING STATUS field of the HPID/OEID RESPONSE File
  • CROSS-REFERENCE:  367^E
    1)= S ^IBCNH(367,"E",$E(X,1,30),DA)=""
    2)= K ^IBCNH(367,"E",$E(X,1,30),DA)
    This cross-reference is used by the nightly routine PUR^IBCNHUT2 to purge all applicable entries in file 367 and file 367.1.
1 IDENTIFIERS 1;0 POINTER Multiple #367.01 367.01

  • DESCRIPTION:  
    This is a record of all INSURANCE COMPANY IDs received in the response from the NIF (National Insurance File).
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