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Global: ^IBA(351.9

Package: Integrated Billing

Global: ^IBA(351.9


Information

FileMan FileNo FileMan Filename Package
351.9 CLAIMSMANAGER BILLS Integrated Billing

Description

Directly Accessed By Routines, Total: 27

Package Total Routines
Integrated Billing 27 ^IBE(399.6    ERROR CODE    IB20P203    IBCB2    IBCIADD1    IBCICME    IBCICME1    IBCICMEP
IBCICMS    IBCICMSP    IBCIL0    IBCIMG    IBCIMSG    IBCIMSG1    IBCISC    IBCIST
IBCIUT1    IBCIUT2    IBCIUT4    IBCIUT5    IBCIUT6    IBCIUT7    IBCIWK    IBCSCP
^IBA(351.9    IBOSTUS1    LINE SEGMENT    

Accessed By FileMan Db Calls, Total: 9

Package Total Routines
Integrated Billing 9 IBCIADD1    IBCIASN    IBCICMW    IBCISC    IBCIUT1    IBCIUT2    IBCIUT4    IBCIUT5
IBCIUT7    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Integrated Billing 2 BILL/CLAIMS(#399)[.01]    CLAIMSMANAGER STATUS(#351.91)[.02]    
Kernel 1 NEW PERSON(#200)[.05.07.09.11.12.14]    

Fields, Total: 34

Field # Name Loc Type Details
.01 CLAIM 0;1 POINTER TO BILL/CLAIMS FILE (#399)
************************REQUIRED FIELD************************
BILL/CLAIMS(#399)

  • INPUT TRANSFORM:  S DINUM=X
  • LAST EDITED:  DEC 28, 2000
  • DESCRIPTION:  
    This is a pointer to the BILL/CLAIMS file (#399).
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
  • CROSS-REFERENCE:  351.9^B
    1)= S ^IBA(351.9,"B",$E(X,1,30),DA)=""
    2)= K ^IBA(351.9,"B",$E(X,1,30),DA)
.02 STATUS 0;2 POINTER TO CLAIMSMANAGER STATUS FILE (#351.91) CLAIMSMANAGER STATUS(#351.91)

  • LAST EDITED:  JAN 11, 2001
  • DESCRIPTION:  
    This is a pointer to the CLAIMSMANAGER STATUS file (#351.91)
  • CROSS-REFERENCE:  351.9^AST
    1)= S ^IBA(351.9,"AST",$E(X,1,30),DA)=""
    2)= K ^IBA(351.9,"AST",$E(X,1,30),DA)
    Cross reference of the Status field for lookup and reports.
.03 LAST SENT TO CLAIMSMANAGER 0;3 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 19, 2001
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This is the Date/time that the claim was last sent to ClaimsManager.
.04 TIMES SENT TO CLAIMSMANAGER 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<1) X
  • LAST EDITED:  MAR 19, 2001
  • HELP-PROMPT:  Answer will be a numeric value from 0 to 9999.
  • DESCRIPTION:  
    This will be a numeric value to track the number of times the claim was sent to ClaimsManager.
.05 SENT BY 0;5 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  DEC 20, 2000
  • DESCRIPTION:  
    This is a pointer to the New Person file (#200) to recored the identity of the last person to send the claim to ClaimsManager.
.06 DATE/TIME ENTERED 0;6 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  DEC 20, 2000
  • DESCRIPTION:  
    This is the date and time that the claim was originally entered into the CLAIMSMANAGER file (351.9).
.07 ENTERED BY 0;7 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  DEC 20, 2000
  • DESCRIPTION:  
    This will point to the New Person file (#200) and will identify the person who originally entered/edited the bill causing an entry in the CLAIMSMANAGER file (351.9).
.08 DATE/TIME LAST EDITED 0;8 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 11, 2001
  • DESCRIPTION:  
    This is the date/time that the claim was last edited.
  • CROSS-REFERENCE:  351.9^ADE
    1)= S ^IBA(351.9,"ADE",$E(X,1,30),DA)=""
    2)= K ^IBA(351.9,"ADE",$E(X,1,30),DA)
    Cross reference of the DATE/TIME LAST EDITED for reports and to be used with list manager.
.09 LAST EDITED BY 0;9 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 11, 2001
  • DESCRIPTION:  
    This is a pointer to the New Person file (#200) to identify the person who last edited this claim.
  • CROSS-REFERENCE:  351.9^AEB
    1)= S ^IBA(351.9,"AEB",$E(X,1,30),DA)=""
    2)= K ^IBA(351.9,"AEB",$E(X,1,30),DA)
    Cross reference of the LAST EDITED BY field for reports and list manager.
.1 OVERRIDDEN? 0;10 SET
  • '1' FOR YES;

  • LAST EDITED:  DEC 20, 2000
  • DESCRIPTION:  
    If the user chooses to override the ClaimsManager errors and send the claim "as is" this field will be set to '1'.
.11 OVERRIDDEN BY 0;11 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  DEC 20, 2000
  • DESCRIPTION:  
    If OVERRIDDEN? is set to YES, then this field will contain the IEN for the NEW PERSON file (#200) of the person who overrode the ClaimsManager errors.
.12 ASSIGNED TO 0;12 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  MAR 07, 2001
  • DESCRIPTION:  
    This field will point to the person that the biller assigns the bill to. The default will be the biller.
  • CROSS-REFERENCE:  351.9^ASN
    1)= S ^IBA(351.9,"ASN",$E(X,1,30),DA)=""
    2)= K ^IBA(351.9,"ASN",$E(X,1,30),DA)
    Cross reference of the ASSIGNED TO field for reports and lookups on who the claim is assigned to.
.13 COMMENT DATE/TIME 0;13 DATE

  • INPUT TRANSFORM:  S %DT="EST" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 14, 2001
  • DESCRIPTION:  
    This will be the Date/Time stamp for when the comments were entered.
.14 COMMENT ENTERED BY 0;14 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  MAR 14, 2001
  • DESCRIPTION:  
    This a pointer to the New Person file of the person who entered the comments.
.15 RECEIVED BY CLAIMSMANAGER 0;15 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 22, 2001
  • DESCRIPTION:  
    This field is used as a check to ensure that ClaimsManager received the bill without a comm error. This is needed for the cancellation process.
1.01 ERROR CODE 1;0 Multiple #351.9001 351.9001
2.01 COMMENTS 2;0 WORD-PROCESSING #351.9002

  • LAST EDITED:  DEC 20, 2000
  • DESCRIPTION:  
    This field will contain the comments entered when exiting or overriding.
3.01 PATIENT ID 3;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<9) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Patient SSN must be 9-10 characters in length.
  • DESCRIPTION:  
    The patient's SSN will be the Patient ID for ClaimsManager. It may be 9 or 10 characters.
3.02 PT LAST NAME 3;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    This field will contain the last name of the patient.
3.03 PT MIDDLE NAME 3;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This field will contain the middle name of the patient, if one exists.
3.04 PT FIRST NAME 3;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This field contains the first name of the patient.
3.05 PT DOB 3;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>16!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-16 characters in length.
  • DESCRIPTION:  
    This field contains the patient's Date of Birth.
3.06 PT GENDER 3;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1 character in length.
  • DESCRIPTION:  
    This is a one character abbreviation to identify the patient's gender.
3.07 ENTRY DATE/TIME 3;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>16!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-16 characters in length.
  • DESCRIPTION:  
    This is the Date/time that the claim was entered into Vista.
3.08 REF PHYS ID 3;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's ID in the format expected by ClaimsManager.
3.09 REF PHYS LAST NAME 3;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's last name.
3.1 REF PHYS MIDDLE NAME 3;10 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's middle name, if one exists.
3.11 REF PHYS FIRST NAME 3;11 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's first name.
3.12 REF PHYS TITLE 3;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    This is the Referring Physicians Title.
4.01 REF PHYS DEPT 4;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This will identify the department for the Referring Physician.
4.02 REF PHYS SPEC 4;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's Specialty
4.03 REF PHYS DEGREE ID 4;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's Degree ID.
4.04 REF PHYS UPIN 4;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  DEC 20, 2000
  • HELP-PROMPT:  Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    This is the Referring Physician's UPIN number.
5.01 LINE SEGMENT 5;0 Multiple #351.9003 351.9003

  • DESCRIPTION:  
    This is the number assigned to a specific line segment for transmission to ClaimsManager.

External References

Name Field # of Occurrence
^%DT .03+1, .06+1, .08+1, .13+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBA(351.9 - [#351.9] .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .08(XREF 1S), .08(XREF 1K), .09(XREF 1S), .09(XREF 1K), .12(XREF 1S), .12(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> %DT .03+1*, .06+1*, .08+1*, .13+1*
>> DA .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .08(XREF 1S), .08(XREF 1K), .09(XREF 1S), .09(XREF 1K), .12(XREF 1S), .12(XREF 1K)
>> DINUM .01+1*
X .01+1, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03+1*!, .04+1!, .06+1*!, .08+1*!, .08(XREF 1S)
.08(XREF 1K), .09(XREF 1S), .09(XREF 1K), .12(XREF 1S), .12(XREF 1K), .13+1*!, 3.01+1!, 3.02+1!, 3.03+1!, 3.04+1!
, 3.05+1!, 3.06+1!, 3.07+1!, 3.08+1!, 3.09+1!, 3.1+1!, 3.11+1!, 3.12+1!, 4.01+1!, 4.02+1!
, 4.03+1!, 4.04+1!
>> Y .03+1, .06+1, .08+1, .13+1
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