FileMan FileNo | FileMan Filename | Package |
---|---|---|
364 | EDI TRANSMIT BILL | Integrated Billing |
Package | Total | FileMan Files |
---|---|---|
Integrated Billing | 3 | EDI MESSAGES(#364.2)[.05] BILL STATUS MESSAGE(#361)[.11] EXPLANATION OF BENEFITS(#361.1)[.19] |
Package | Total | FileMan Files |
---|---|---|
Integrated Billing | 2 | BILL/CLAIMS(#399)[.01] EDI TRANSMISSION BATCH(#364.1)[.02, .06] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | BILL NUMBER | 0;1 | POINTER TO BILL/CLAIMS FILE (#399) | ************************REQUIRED FIELD************************ BILL/CLAIMS(#399)
|
.02 | BATCH NUMBER | 0;2 | POINTER TO EDI TRANSMISSION BATCH FILE (#364.1) | EDI TRANSMISSION BATCH(#364.1)
|
.03 | TRANSMISSION STATUS | 0;3 | SET | ************************REQUIRED FIELD************************
|
.04 | STATUS DATE | 0;4 | DATE |
|
.06 | RESUBMIT BATCH NUMBER | 0;6 | POINTER TO EDI TRANSMISSION BATCH FILE (#364.1) | EDI TRANSMISSION BATCH(#364.1)
|
.07 | TEST BILL | 0;7 | SET |
|
.08 | COB SEQUENCE | 0;8 | SET |
|
.09 | 837 FHIR TRANS REQUEST | 0;9 | SET |
|
.1 | RESUBMISSION | 0;10 | SET |
|
.11 | FHIR BUNDLE VALIDATION | 0;11 | SET |
|
.12 | OLD STATUS | 0;12 | FREE TEXT |
|
ICR LINK | Subscribing Package(s) | Fields Referenced | Description |
---|---|---|---|
ICR #6208 | BILL NUMBER (.01). Access: Read w/Fileman BATCH NUMBER (.02). Access: Read w/Fileman |