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Global: ^IBA(355.36

Package: Integrated Billing

Global: ^IBA(355.36


Information

FileMan FileNo FileMan Filename Package
355.36 CREATION TO PROCESSING TRACKING Integrated Billing

Description

Pointer To FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 SOURCE OF INFORMATION(#355.12)[.03]    

Fields, Total: 8

Field # Name Loc Type Details
.01 DATE PROCESSED 0;1 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  APR 29, 2019
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This field is the date and time that the insurance record was processed.
  • CROSS-REFERENCE:  355.36^B
    1)= S ^IBA(355.36,"B",$E(X,1,30),DA)=""
    2)= K ^IBA(355.36,"B",$E(X,1,30),DA)
.02 TYPE OF PROCESSING 0;2 SET
  • '1' FOR No Touch to No Touch;
  • '2' FOR No Touch to Human;
  • '3' FOR Human to No Touch;
  • '4' FOR Human to Human;

  • LAST EDITED:  MAR 27, 2019
  • HELP-PROMPT:  Enter the type of processing.
  • DESCRIPTION:  
    This field is the type of processing from creation until processed.
  • TECHNICAL DESCR:  
    This field will be updated when the response is processed. It is based on how the insurance information was entered and validated.
  • CROSS-REFERENCE:  355.36^C
    1)= S ^IBA(355.36,"C",$E(X,1,30),DA)=""
    2)= K ^IBA(355.36,"C",$E(X,1,30),DA)
    3)= DO NOT DELETE
    This cross reference sorts the entries by the Type of Processing for easier reporting.
.03 SOURCE OF INFORMATION 0;3 POINTER TO SOURCE OF INFORMATION FILE (#355.12) SOURCE OF INFORMATION(#355.12)

  • LAST EDITED:  MAR 28, 2019
  • HELP-PROMPT:  Enter the source of the information
  • DESCRIPTION:  
    This field is the source of the original data input.
.04 EIV AUTO-UPDATE 0;4 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  MAR 27, 2019
  • HELP-PROMPT:  Set to "YES" to indicate that this response resulted in an auto-update of the patient policy.
  • DESCRIPTION:  
    This field indicates whether the transaction was auto-updated.
  • TECHNICAL DESCR:  
    This field is set to match the EIV AUTO UPDATE field of the IIV RESPONSE File (#365,.13).
.05 EIV INQUIRY 0;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  AUG 23, 2019
  • HELP-PROMPT:  Type a number between 1 and 9999999999, 0 decimal digits.
  • DESCRIPTION:  
    This is the IEN of the inquiry record.
  • TECHNICAL DESCR:  
    This is the IEN of the IIV TRANSMISSION QUEUE File (#365.1). It is not a pointer since the IIV TRANSMISSION QUEUE File is purged and this information needs to remain in the database for historical purposes.
.06 EIV RESPONSE 0;6 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  MAR 27, 2019
  • HELP-PROMPT:  Type a number between 1 and 9999999999, 0 decimal digits.
  • DESCRIPTION:  
    This is the IEN of the response record.
  • TECHNICAL DESCR:  
    This is the IEN of the IIV RESPONSE File (#365). It is not a pointer since the IIV RESPONSE File is purged and this information needs to remain in the database for historical purposes.
.07 BUFFER 0;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  MAR 27, 2019
  • HELP-PROMPT:  Type a number between 1 and 9999999999, 0 decimal digits.
  • DESCRIPTION:  
    This is the IEN of the transaction in the INSURANCE VERIFICATION PROCESSOR File (#355.33).
  • TECHNICAL DESCR:  This is the IEN of the INSURANCE VERIFICATION PROCESSOR File (#355.33). 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.
.08 WHICH EXTRACT 0;8 SET
  • '1' FOR BUFFER;
  • '2' FOR APPT;
  • '3' FOR NON-VERIFIED;
  • '4' FOR EICD;
  • '5' FOR REQUEST ELECTRONIC;
  • '6' FOR ICB/VISTA;
  • '7' FOR MBI;

  • LAST EDITED:  MAR 27, 2019
  • HELP-PROMPT:  Enter the code corresponding to the source of the Request
  • DESCRIPTION:  
    This field identifies which data extract that the transmission record was generated from.
  • TECHNICAL DESCR:  This is a copy of the WHICH EXTRACT Field of the IIV TRANSMISSION QUEUE File (365.1,.1). It is not a pointer since the IIV TRANSMISSION QUEUE File is purged and this information needs to remain in the database for
    historical purposes.
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