Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Desc |  Fields
Print Page as PDF
Global: ^IBA(364.8

Package: Integrated Billing

Global: ^IBA(364.8


Information

FileMan FileNo FileMan Filename Package
364.8 PAYER ID - COB SWITCH Integrated Billing

Description

Fields, Total: 14

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

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<5)!'(X'?1P.E) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  FEB 21, 2023
  • HELP-PROMPT:  Enter the Payer ID that is enabled for Medicare Supplemental EDI claims submission. ID must be 5 characters in length.
  • DESCRIPTION:  
    This is the Payer ID that is enabled for COB EDI submission on a Medicare Supplemental claim.
  • AUDIT:  YES, ALWAYS
  • CROSS-REFERENCE:  364.8^B
    1)= S ^IBA(364.8,"B",$E(X,1,30),DA)=""
    2)= K ^IBA(364.8,"B",$E(X,1,30),DA)
  • RECORD INDEXES:  IBATSDB (#1719), IBTASDB (#1720)
.02 TPA ID 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<5) X
    MAXIMUM LENGTH: 5
  • LAST EDITED:  FEB 21, 2023
  • HELP-PROMPT:  Enter the Third Party Administrator Payer ID for the Primary Payer ID selected. ID must be 5 characters in length.
  • DESCRIPTION:  
    This is the Third Party Administrator Payer ID for the Primary Payer ID.
  • AUDIT:  YES, ALWAYS
  • CROSS-REFERENCE:  364.8^C
    1)= S ^IBA(364.8,"C",$E(X,1,30),DA)=""
    2)= K ^IBA(364.8,"C",$E(X,1,30),DA)
    This index will be used to lookup the Third Party Administrator payer ID for a given Medicare Supplemental payer.
.03 CLAIM OFFICE ID 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<4) X
    MAXIMUM LENGTH: 4
  • LAST EDITED:  FEB 21, 2023
  • HELP-PROMPT:  Enter the Claim Office ID for the Payer ID selected. ID must be 4 characters in length.
  • DESCRIPTION:  
    This is the Claim Office ID to be used for this Primary Payer ID.
  • AUDIT:  YES, ALWAYS
.04 CLAIM TYPE 0;4 SET
************************REQUIRED FIELD************************
  • '1' FOR ALL CLAIM TYPES;
  • '2' FOR PROFESSIONAL CLAIMS;
  • '3' FOR INSTITUTIONAL CLAIMS;

  • LAST EDITED:  JAN 24, 2023
  • HELP-PROMPT:  Please enter the claim type for which this payer ID map applies to.
  • DESCRIPTION:  
    This is the Claim Type for which this Payer ID map applies to.
  • AUDIT:  YES, ALWAYS
  • RECORD INDEXES:  IBATSDB (#1719), IBTASDB (#1720)
.05 DATE/TIME LAST MODIFIED 0;5 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 21, 2023
  • HELP-PROMPT:  Please enter the date and time this entry was last modified.
  • DESCRIPTION:  
    This is the date and time this entry was last modified.
.06 LAST USED 0;6 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 03, 2022
  • HELP-PROMPT:  Please enter the last date and time this Payer ID map was used for an 837 processing.
  • DESCRIPTION:  
    This is the last date/time this Payer ID Switch map was used for 837 processing.
.07 NUMBER OF TIMES USED 0;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 01, 2022
  • HELP-PROMPT:  Enter the number of times this Payer ID switch map has been used.
  • DESCRIPTION:  
    This is a count of the number of times the 837 process has used this Payer ID switch map.
.08 TEST or PRODUCTION 0;8 SET (BOOLEAN Data Type)
  • This value identifies if this Payer ID switch map is in 'test' mode or is live for production. A value of 0 indicates 'live for production' and a value of 1 indicates this entry is in 'test' status.

  • LAST EDITED:  NOV 09, 2022
  • HELP-PROMPT:  Please enter a zero (0) for 'live' status, a one (1) for 'test' status.
  • DESCRIPTION:  
    This value identifies if this Payer ID switch map is in 'test' mode or is live for production. A value of 0 indicates 'live for production' and a value of 1 indicates this entry is in 'test' status.
  • AUDIT:  YES, ALWAYS
.09 DELETED / INACTIVE 0;9 SET (BOOLEAN Data Type)
  • A value of 1 found in this field indicates that this Payer ID switch map has been inactivated or deleted.

  • LAST EDITED:  NOV 09, 2022
  • HELP-PROMPT:  Please enter a one (1) to inactivate this Payer ID switch map.
  • DESCRIPTION:  
    A value of 1 found in this field indicates that this Payer ID switch map has been inactivated or deleted.
  • AUDIT:  YES, ALWAYS
.11 EXCLUDED SERVICE CLAIM TYPE 0;11 SET
  • '1' FOR ALL CLAIM TYPES;
  • '2' FOR PROFESSIONAL CLAIMS;
  • '3' FOR INSTITUTIONAL CLAIMS;

  • LAST EDITED:  DEC 19, 2022
  • HELP-PROMPT:  Please enter the claim form type for which this Payer ID is enabled for Excluded Service processing.
  • DESCRIPTION:  
    This value indicates what claim form types are to be allowed for Excluded Service processing.
  • AUDIT:  YES, ALWAYS
.12 EXCLUDED SERVICE LAST UPDATED 0;12 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 03, 2022
  • HELP-PROMPT:  Please enter the date and time the Excluded Service information was last updated.
  • DESCRIPTION:  
    This field represents the last date/time the Excluded Service info (fields .10 and .11) were modified.
.13 EXCLUDED SERVICE LAST USED 0;13 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 03, 2022
  • HELP-PROMPT:  Please enter the last date and time this Excluded Service exception entry was used.
  • DESCRIPTION:  
    This date/time represents the last time this Payer ID was checked for this Excluded Service exception.
.14 EXCLUDED SERVICE # TIMES USED 0;14 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 01, 2022
  • HELP-PROMPT:  Enter the number of times this Payer ID has been used for Excluded Service processing.
  • DESCRIPTION:  
    This field represents the number of times this Payer ID has been used for Excluded Service processing.
.15 LAST CLAIM NUMBER 0;15 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<7) X
    MAXIMUM LENGTH: 10
  • LAST EDITED:  FEB 21, 2023
  • HELP-PROMPT:  Enter the last Claim number that used this Payer ID map. Claim Number must be between 7 and 10 characters in length.
  • DESCRIPTION:  
    This is the last Claim number that used this Payer ID switch map.
Info |  Desc |  Fields