| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 355.92 | FACILITY BILLING ID | Integrated Billing |
| Package | Total | FileMan Files |
|---|---|---|
| Integrated Billing | 3 | INSURANCE COMPANY(#36)[.01] IB PROVIDER ID CARE UNIT(#355.95)[.03] IB PROVIDER ID # TYPE(#355.97)[.06] |
| Registration | 1 | MEDICAL CENTER DIVISION(#40.8)[.05] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | INSURANCE COMPANY | 0;1 | POINTER TO INSURANCE COMPANY FILE (#36) | ************************REQUIRED FIELD************************ INSURANCE COMPANY(#36)
|
| .03 | CARE UNITS | 0;3 | POINTER TO IB PROVIDER ID CARE UNIT FILE (#355.95) | IB PROVIDER ID CARE UNIT(#355.95)
|
| .04 | FORM TYPE APPLIED TO | 0;4 | SET | ************************REQUIRED FIELD************************
|
| .05 | DIVISION | 0;5 | POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) | MEDICAL CENTER DIVISION(#40.8)
|
| .06 | PROVIDER ID TYPE | 0;6 | POINTER TO IB PROVIDER ID # TYPE FILE (#355.97) | ************************REQUIRED FIELD************************ IB PROVIDER ID # TYPE(#355.97)
|
| .07 | PROVIDER ID | 0;7 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .08 | ID TYPE FLAG | 0;8 | SET |
|
| .1 | INDEX VALUE CARE UNIT | 0;10 | FREE TEXT |
|
| .11 | INDEX VALUE DIVISION | 0;11 | FREE TEXT |
|
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^DD(355.92 | .01(XREF 2S), .01(XREF 3S), .03(XREF 1S), .05(XREF 1S) |
| ^IBA(355.92 - [#355.92] | IXAIDSL+1*, IXAIDKL+1!, IXAIDKEIC+1!, IXAUNIQSL+1*, IXAUNIQSCC+1, IXAUNIQKL+1!, IXAUNIQKEIC+1!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S) , .01(XREF 2n1.4), .01(XREF 3S), .01(XREF 3n1.4), .03(XREF 1S), .03(XREF 1n1.4), .03(XREF 1K), .03(XREF 2S), .03(XREF 2K), .05(XREF 1S), .05(XREF 1n1.4) , .05(XREF 1K) |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| >> D0 | .01(XREF 2S), .01(XREF 3S), .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K) |
| >> DA | IXAIDSL+1, IXAIDKL+1, IXAUNIQSL+1, IXAUNIQSCC+1, IXAUNIQKL+1, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 3S), .03(XREF 1S) , .03(XREF 1K), .03(XREF 2S), .03(XREF 2K), .05(XREF 1S), .05(XREF 1K) |
| DIC | .06+1!* |
| DIC("S" | .06+1*, .06SCR+1* |
| >> DIE | .06+1 |
| >> DIG | .01(XREF 2n1.4), .01(XREF 3n1.4), .03(XREF 1n1.4), .03(XREF 1K), .05(XREF 1n1.4), .05(XREF 1K) |
| >> DIH | .01(XREF 2n1.4), .01(XREF 3n1.4), .03(XREF 1n1.4), .03(XREF 1K), .05(XREF 1n1.4), .05(XREF 1K) |
| >> DIU | .01(XREF 2S), .01(XREF 3S), .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K) |
| DIV | .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 3S), .01(XREF 3n1.4), .03(XREF 1S), .03(XREF 1n1.4), .03(XREF 1K), .05(XREF 1S), .05(XREF 1n1.4), .05(XREF 1K) |
| DIV(0 | .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 3S), .01(XREF 3n1.4), .03(XREF 1S), .03(XREF 1n1.4), .03(XREF 1K), .05(XREF 1S), .05(XREF 1n1.4), .05(XREF 1K) |
| U | IXAUNIQSCC+1, .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 3S), .01(XREF 3n1.4), .03(XREF 1S), .03(XREF 1n1.4), .03(XREF 1K), .05(XREF 1S), .05(XREF 1n1.4) , .05(XREF 1K) |
| X | IXAUNIQSCC+1*, IXAUNIQKCC+1*, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 3S), .01(XREF 3n1.4), .03(XREF 1S), .03(XREF 1n1.4) , .03(XREF 1K), .03(XREF 2S), .03(XREF 2K), .05(XREF 1S), .05(XREF 1n1.4), .05(XREF 1K), .06+1*!, .07+1!, .1+1!, .11+1! |
| X(1 | IXAIDSL+1, IXAIDKL+1, IXAUNIQSL+1, IXAUNIQSCC+1, IXAUNIQKL+1, IXAUNIQKCC+1 |
| X(2 | IXAIDSL+1, IXAIDKL+1, IXAUNIQSL+1, IXAUNIQSCC+1, IXAUNIQKL+1, IXAUNIQKCC+1 |
| X(3 | IXAUNIQSL+1, IXAUNIQSCC+1, IXAUNIQKL+1, IXAUNIQKCC+1 |
| X(4 | IXAUNIQSL+1, IXAUNIQSCC+1, IXAUNIQKL+1, IXAUNIQKCC+1 |
| X(5 | IXAUNIQSL+1, IXAUNIQSCC+1, IXAUNIQKL+1, IXAUNIQKCC+1 |
| Y | .01(XREF 2S), .01(XREF 3S), .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K), .06+1 |
| Y(0 | .01(XREF 2S), .01(XREF 3S), .03(XREF 1S), .05(XREF 1S) |
| Y(1 | .01(XREF 2S), .01(XREF 3S), .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K) |