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Global: ^IBE(350.1

Package: Integrated Billing

Global: ^IBE(350.1


Information

FileMan FileNo FileMan Filename Package
350.1 IB ACTION TYPE Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 30

Package Total Routines
Integrated Billing 27 IB20P132    IB20P459    IB20P524    IB20P645    IB20P646    IB20P656    IB20P660    IB20P663
IB20PT3    IB20PT31    IB20PT32    IBAMTC    IBECEA33    IBECEA3A    IBECEA4    IBECEAU6
IBEFSMUT    IBINRPT    IBOHLSE    IBOMHC    IBOMTP1    IBP618A    IBP618B    IBRFN1
IBY721PO    IBYBPT    IBYPPOST    
Accounts Receivable 3 RCDMCR4B    RCDMCR5B    RCDMCUT1    

Pointed To By FileMan Files, Total: 9

Package Total FileMan Files
Integrated Billing 7 MCCR UTILITY(#399.1)[.14, .15]    INTEGRATED BILLING ACTION(#350)[.03]    IB COPAY TRANSACTIONS(#354.71)[.18]    IB ACTION TYPE(#350.1)[.06, .07, .09]
IB ACTION CHARGE(#350.2)[.03]    BILLABLE AMBULATORY SURGICAL CODE(#350.4)[.03]    UPDATE BILLABLE AMBULATORY SURGICAL CODE(#350.41)[.03, .04]    
Accounts Receivable 1 AR SITE PARAMETER(#342)[#342.014(.01)]    
Outpatient Pharmacy 1 PRESCRIPTION(#52)[105]    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Accounts Receivable 1 ACCOUNTS RECEIVABLE CATEGORY(#430.2)[.03]    
Integrated Billing 1 IB ACTION TYPE(#350.1)[.06, .07, .09]
Kernel 1 SERVICE/SECTION(#49)[.04]    

Fields, Total: 16

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

  • INPUT TRANSFORM:  K:$L(X)>30!(X?.N)!($L(X)<3)!'(X'?1P.E) X
  • HELP-PROMPT:  NAME MUST BE 3-30 CHARACTERS, NOT NUMERIC OR STARTING WITH PUNCTUATION
  • DESCRIPTION:  
    Enter the unique name of this action type. The name should begin with the namespace of the application that will use this action type and should describe the function being billed.
  • DELETE TEST:  1,0)= I 1 W !,"Deleting entries not allowed"
  • CROSS-REFERENCE:  350.1^B
    1)= S ^IBE(350.1,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"B",$E(X,1,30),DA)
.02 ABBREVIATION 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>8!($L(X)<2) X
  • LAST EDITED:  AUG 30, 1991
  • HELP-PROMPT:  Answer must be 2-8 characters in length.
  • DESCRIPTION:  
    Enter a short description that can be output on space limited reports.
  • CROSS-REFERENCE:  350.1^D
    1)= S ^IBE(350.1,"D",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"D",$E(X,1,30),DA)
.03 CHARGE CATEGORY 0;3 POINTER TO ACCOUNTS RECEIVABLE CATEGORY FILE (#430.2) ACCOUNTS RECEIVABLE CATEGORY(#430.2)

  • DESCRIPTION:  
    This is the pointer to the ACCOUNT RECEIVABLE CATEGORY file. This data will get passed to AR when an IB ACTION for this ACTION type gets passed to AR.
.04 SERVICE 0;4 POINTER TO SERVICE/SECTION FILE (#49) SERVICE/SECTION(#49)

  • LAST EDITED:  FEB 14, 1991
  • DESCRIPTION:  
    Enter the name of the Service/Section that will be using this action type. This is required by Accounts Receivable.
  • CROSS-REFERENCE:  350.1^C
    1)= S ^IBE(350.1,"C",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"C",$E(X,1,30),DA)
  • CROSS-REFERENCE:  350.1^ANEW^MUMPS
    1)= I $P(^IBE(350.1,DA,0),U,5) S ^IBE(350.1,"ANEW",X,$P(^(0),U,5),DA)=""
    2)= I $P(^IBE(350.1,DA,0),U,5) K ^IBE(350.1,"ANEW",X,$P(^(0),U,5),DA)
.05 SEQUENCE NUMBER 0;5 SET
  • '1' FOR NEW;
  • '2' FOR CANCEL;
  • '3' FOR UPDATE;
  • '81' FOR MEDICARE DEDUCTIBLE;
  • '82' FOR CHAMPVA LIMIT;
  • '91' FOR HOSPITAL ADMISSION;
  • '92' FOR NHCU ADMISSION;
  • '93' FOR LTC ADMISSION;

  • LAST EDITED:  MAR 05, 2002
  • HELP-PROMPT:  Enter the appropriate entry to indicate the sequencing that this action type should be filed with AR, or the appropriate code for the non-billable action type.
  • DESCRIPTION:  This field tells the IB filer the order in which to file entries with AR. A new entry must be filed before it can be cancelled. An update action type will generate two actions, a cancel of previous entry, and an updated
    entry containing the correct data. The update will be filed after the cancel. The ordering must be maintained so that the last full entry in the INTEGRATED BILLING ACTION file for a parent is the most current entry. (an
    inverse date x-ref on the parent field will indicate the most recent entry to the updated parent) Additional numbering series are also available for IB ACTION TYPES which do not explicitly represent billable charges.
    These series are set so that they do not conflict with the ordering required for correct processing of IB ACTION charges in AR.
  • CROSS-REFERENCE:  350.1^ANEW1^MUMPS
    1)= I $P(^IBE(350.1,DA,0),U,4) S ^IBE(350.1,"ANEW",$P(^(0),U,4),X,DA)=""
    2)= I $P(^IBE(350.1,DA,0),U,4) K ^IBE(350.1,"ANEW",$P(^(0),U,4),X,DA)
.06 CANCELLATION ACTION TYPE 0;6 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  FEB 13, 1991
  • DESCRIPTION:  This is the IB ACTION TYPE entry that will be the 'CANCEL' type for this entry. If this is a 'CANCEL' type entry, then this will be itself. Every 'NEW' type entry should have an associated 'CANCEL' and 'UPDATE' type
    entry.
.07 UPDATE ACTION TYPE 0;7 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  FEB 13, 1991
  • DESCRIPTION:  This is the IB ACTION TYPE entry that will be the 'UPDATE' type for this entry. If this entry is an UPDATE type then it will be itself. For every 'NEW' type of entry, there should be an associated 'CANCEL' and 'UPDATE'
    type.
.08 USER LOOKUP NAME 0;8 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>22!($L(X)<3) X
  • LAST EDITED:  FEB 27, 1992
  • HELP-PROMPT:  Answer must be 3-22 characters in length.
  • DESCRIPTION:  
    This is the name of the action that may be used for look-up and printing on reports. The name will only exist for IB ACTION TYPE entries whose SEQUENCE NUMBER is "1" for NEW.
  • CROSS-REFERENCE:  350.1^E
    1)= S ^IBE(350.1,"E",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"E",$E(X,1,30),DA)
.09 NEW ACTION TYPE 0;9 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  FEB 27, 1992
  • DESCRIPTION:  
    This is the IB ACTION TYPE entry that is the 'NEW' type for this entry.
.1 PLACE ON HOLD 0;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  FEB 27, 1992
  • DESCRIPTION:  This field is used to flag those IB Actions (as identified by the IB Action Type) which may be 'held up' in Integrated Billing until reimbursement from an Insurance company for the billing of the same event has been
    received.
    The field will be set to 'YES' if the Action Type is one which represents a billable action which may be billed to a patient's insurance company as well as to the patient.
.11 BILLING GROUP 0;11 SET
  • '1' FOR INPT/NHCU FEE SERVICE;
  • '2' FOR INPT/NHCU COPAY;
  • '3' FOR INPT/NHCU PER DIEM;
  • '4' FOR OPT COPAY;
  • '5' FOR RX COPAY;
  • '6' FOR CHAMPVA;
  • '7' FOR TRICARE;
  • '8' FOR LTC OPT;
  • '9' FOR LTC INPT;

  • LAST EDITED:  MAR 16, 2004
  • HELP-PROMPT:  Enter Group for manual charge processing.
  • DESCRIPTION:  
    This field is a set of codes used to enter the group for manual charge processing.
.12 INACTIVE 0;12 SET (BOOLEAN Data Type)
  • This field indicates whether or not this Action Type has been inactivated.

  • LAST EDITED:  MAR 12, 2018
  • HELP-PROMPT:  Enter the code which indicates whether or not you would like to inactivate this action type.
  • DESCRIPTION:  
    This field indicates whether or not this Action Type has been inactivated.
10 PARENT TRACE LOGIC 10;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  This is the executable code that will expand the field RESULTING FROM in the INTEGRATED BILLING ACTION File to return in Y(n) the zeroth node of the entry creating this entry. If the entry is caused by a top level entry
    then Y(0) will equal the zeroth node of the file. If an entry is caused by a lower level entry then in addition to Y(0), Y(1) will be the zeroth node of the next lower level, Y(2) will be the zeroth node of the third
    level, etc. If a node described in the RESULTING FROM field in file 350 is not present then Y=-1^error code.
20 SET LOGIC 20;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  This is the executable MUMPS code that will calculate the BRIEF DESCRIPTION stored in file 350. This is used by the IB application interface routines. This may execute the PARENT TRACE LOGIC to return data from the
    application.
30 FULL PROFILE LOGIC 30;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  
    This is the standard MUMPS code that will calculate the full profile of an IB ACTION entry as approved by the DBA agreements between integrating applications.
40 ELIGIBILITY LOGIC 40;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • LAST EDITED:  FEB 06, 1991
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  
    This field the standard mumps code to determine eligibility to use the IB ACTION TYPE for the desired debtor.

Found Entries, Total: 206

NAME: PSO NSC RX COPAY NEW    NAME: PSO SC RX COPAY NEW    NAME: PSO NSC RX COPAY CANCEL    NAME: PSO NSC RX COPAY UPDATE    NAME: PSO SC RX COPAY CANCEL    NAME: PSO SC RX COPAY UPDATE    NAME: IB OPT MEDICARE RATE 1    NAME: IB OPT MEDICARE RATE 2    
NAME: IB OPT MEDICARE RATE 3    NAME: IB OPT MEDICARE RATE 4    NAME: IB OPT MEDICARE RATE 5    NAME: IB OPT MEDICARE RATE 6    NAME: IB OPT MEDICARE RATE 7    NAME: IB OPT MEDICARE RATE 8    NAME: DG INPT COPAY (MED) NEW    NAME: DG INPT COPAY (SUR) NEW    
NAME: DG INPT COPAY (SPI) NEW    NAME: DG INPT COPAY (PSY) NEW    NAME: DG INPT COPAY (INT) NEW    NAME: DG INPT COPAY (REH) NEW    NAME: DG INPT COPAY (BLI) NEW    NAME: DG INPT COPAY (NEU) NEW    NAME: DG INPT COPAY (ALC) NEW    NAME: DG NHCU COPAY NEW    
NAME: DG INPT COPAY (MED) CANCEL    NAME: DG INPT COPAY (SUR) CANCEL    NAME: DG INPT COPAY (SPI) CANCEL    NAME: DG INPT COPAY (PSY) CANCEL    NAME: DG INPT COPAY (INT) CANCEL    NAME: DG INPT COPAY (REH) CANCEL    NAME: DG INPT COPAY (BLI) CANCEL    NAME: DG INPT COPAY (NEU) CANCEL    
NAME: DG INPT COPAY (ALC) CANCEL    NAME: DG NHCU COPAY CANCEL    NAME: DG INPT COPAY (MED) UPDATE    NAME: DG INPT COPAY (SUR) UPDATE    NAME: DG INPT COPAY (SPI) UPDATE    NAME: DG INPT COPAY (PSY) UPDATE    NAME: DG INPT COPAY (INT) UPDATE    NAME: DG INPT COPAY (REH) UPDATE    
NAME: DG INPT COPAY (BLI) UPDATE    NAME: DG INPT COPAY (NEU) UPDATE    NAME: DG INPT COPAY (ALC) UPDATE    NAME: DG NHCU COPAY UPDATE    NAME: DG INPT PER DIEM NEW    NAME: DG INPT PER DIEM CANCEL    NAME: DG INPT PER DIEM UPDATE    NAME: DG NHCU PER DIEM NEW    
NAME: DG NHCU PER DIEM CANCEL    NAME: DG NHCU PER DIEM UPDATE    NAME: DG OPT COPAY NEW    NAME: DG OPT COPAY CANCEL    NAME: DG OPT COPAY UPDATE    NAME: MEDICARE DEDUCTIBLE    NAME: HOSPITAL ADMISSION    NAME: NHCU ADMISSION    
NAME: DG FEE SERVICE (OPT) NEW    NAME: DG FEE SERVICE (OPT) CANCEL    NAME: DG FEE SERVICE (OPT) UPDATE    NAME: DG FEE SERVICE (INPT) NEW    NAME: DG FEE SERVICE (INPT) CANCEL    NAME: DG FEE SERVICE (INPT) UPDATE    NAME: IB OPT MEDICARE RATE 9    NAME: CHAMPVA SUBSISTENCE LIMIT    
NAME: DG CHAMPVA PER DIEM NEW    NAME: DG CHAMPVA PER DIEM CANCEL    NAME: DG CHAMPVA PER DIEM UPDATE    NAME: DG TRICARE RX COPAY NEW    NAME: DG TRICARE OPT COPAY NEW    NAME: DG TRICARE INPT COPAY NEW    NAME: DG TRICARE RX COPAY CANCEL    NAME: DG TRICARE OPT COPAY CANCEL    
NAME: DG TRICARE INPT COPAY CANCEL    NAME: DG OBSERVATION COPAY NEW    NAME: DG OBSERVATION COPAY CANCEL    NAME: DG OBSERVATION COPAY UPDATE    NAME: DG LTC INPT NHCU NEW    NAME: DG LTC INPT NHCU CANCEL    NAME: DG LTC INPT NHCU UPDATE    NAME: DG LTC INPT GEM NEW    
NAME: DG LTC INPT GEM CANCEL    NAME: DG LTC INPT GEM UPDATE    NAME: DG LTC INPT RESPITE NEW    NAME: DG LTC INPT RESPITE CANCEL    NAME: DG LTC INPT RESPITE UPDATE    NAME: DG LTC INPT DOM NEW    NAME: DG LTC INPT DOM CANCEL    NAME: DG LTC INPT DOM UPDATE    
NAME: DG LTC OPT ADHC NEW    NAME: DG LTC OPT ADHC CANCEL    NAME: DG LTC OPT ADHC UPDATE    NAME: DG LTC OPT GEM NEW    NAME: DG LTC OPT GEM CANCEL    NAME: DG LTC OPT GEM UPDATE    NAME: DG LTC OPT RESPITE NEW    NAME: DG LTC OPT RESPITE CANCEL    
NAME: DG LTC OPT RESPITE UPDATE    NAME: LTC ADMISSION    NAME: DG LTC FEE INPT CNH NEW    NAME: DG LTC FEE INPT CNH CANCEL    NAME: DG LTC FEE INPT CNH UPDATE    NAME: DG LTC FEE INPT RESPITE NEW    NAME: DG LTC FEE INPT RESPITE CANCEL    NAME: DG LTC FEE INPT RESPITE UPDATE    
NAME: DG LTC FEE OPT ADHC NEW    NAME: DG LTC FEE OPT ADHC CANCEL    NAME: DG LTC FEE OPT ADHC UPDATE    NAME: DG LTC FEE OPT RESPITE NEW    NAME: DG LTC FEE OPT RESPITE CANCEL    NAME: DG LTC FEE OPT RESPITE UPDATE    NAME: FEE SERV INPT PER DIEM NEW    NAME: FEE SERV INPT PER DIEM CANCEL    
NAME: FEE SERV INPT PER DIEM UPDATE    NAME: FEE SERV NSC RX COPAY NEW    NAME: FEE SERV NSC RX COPAY CANCEL    NAME: FEE SERV NSC RX COPAY UPDATE    NAME: CHOICE (INPT) CANCEL    NAME: CHOICE (INPT) NEW    NAME: CHOICE (INPT) UPDATE    NAME: CHOICE (PER DIEM) CANCEL    
NAME: CHOICE (PER DIEM) NEW    NAME: CHOICE (PER DIEM) UPDATE    NAME: CHOICE (OPT) CANCEL    NAME: CHOICE (OPT) NEW    NAME: CHOICE (OPT) UPDATE    NAME: CHOICE (RX) CANCEL    NAME: CHOICE (RX) NEW    NAME: CHOICE (RX) UPDATE    
NAME: CC (INPT) CANCEL    NAME: CC (INPT) NEW    NAME: CC (INPT) UPDATE    NAME: CC (PER DIEM) CANCEL    NAME: CC (PER DIEM) NEW    NAME: CC (PER DIEM) UPDATE    NAME: CC (OPT) CANCEL    NAME: CC (OPT) NEW    
NAME: CC (OPT) UPDATE    NAME: CC (RX) CANCEL    NAME: CC (RX) NEW    NAME: CC (RX) UPDATE    NAME: CCN (INPT) CANCEL    NAME: CCN (INPT) NEW    NAME: CCN (INPT) UPDATE    NAME: CCN (PER DIEM) CANCEL    
NAME: CCN (PER DIEM) NEW    NAME: CCN (PER DIEM) UPDATE    NAME: CCN (OPT) CANCEL    NAME: CCN (OPT) NEW    NAME: CCN (OPT) UPDATE    NAME: CCN (RX) CANCEL    NAME: CCN (RX) NEW    NAME: CCN (RX) UPDATE    
NAME: CC MTF (INPT) CANCEL    NAME: CC MTF (INPT) NEW    NAME: CC MTF (INPT) UPDATE    NAME: CC MTF (PER DIEM) CANCEL    NAME: CC MTF (PER DIEM) NEW    NAME: CC MTF (PER DIEM) UPDATE    NAME: CC MTF (OPT) CANCEL    NAME: CC MTF (OPT) NEW    
NAME: CC MTF (OPT) UPDATE    NAME: CC MTF (RX) CANCEL    NAME: CC MTF (RX) NEW    NAME: CC MTF (RX) UPDATE    NAME: LTC CC INPT CNH CANCEL    NAME: LTC CC INPT CNH NEW    NAME: LTC CC INPT CNH UPDATE    NAME: LTC CC INPT RESPITE CANCEL    
NAME: LTC CC INPT RESPITE NEW    NAME: LTC CC INPT RESPITE UPDATE    NAME: LTC CC OPT ADHC CANCEL    NAME: LTC CC OPT ADHC NEW    NAME: LTC CC OPT ADHC UPDATE    NAME: LTC CC OPT RESPITE CANCEL    NAME: LTC CC OPT RESPITE NEW    NAME: LTC CC OPT RESPITE UPDATE    
NAME: LTC CCN INPT CNH CANCEL    NAME: LTC CCN INPT CNH NEW    NAME: LTC CCN INPT CNH UPDATE    NAME: LTC CCN INPT RESPITE CANCEL    NAME: LTC CCN INPT RESPITE NEW    NAME: LTC CCN INPT RESPITE UPDATE    NAME: LTC CCN OPT ADHC CANCEL    NAME: LTC CCN OPT ADHC NEW    
NAME: LTC CCN OPT ADHC UPDATE    NAME: LTC CCN OPT RESPITE CANCEL    NAME: LTC CCN OPT RESPITE NEW    NAME: LTC CCN OPT RESPITE UPDATE    NAME: LTC CHOICE INPT CNH CANCEL    NAME: LTC CHOICE INPT CNH NEW    NAME: LTC CHOICE INPT CNH UPDATE    NAME: LTC CHOICE INPT RESPITE CANCEL    
NAME: LTC CHOICE INPT RESPITE NEW    NAME: LTC CHOICE INPT RESPITE UPDATE    NAME: LTC CHOICE OPT ADHC CANCEL    NAME: LTC CHOICE OPT ADHC NEW    NAME: LTC CHOICE OPT ADHC UPDATE    NAME: LTC CHOICE OPT RESPITE CANCEL    NAME: LTC CHOICE OPT RESPITE NEW    NAME: LTC CHOICE OPT RESPITE UPDATE    
NAME: CC URGENT CARE (OPT) CANCEL    NAME: CC URGENT CARE (OPT) UPDATE    NAME: CC URGENT CARE (OPT) NEW    NAME: CC MH (OPT) NEW    NAME: CC MH (OPT) UPDATE    NAME: CC MH (OPT) CANCEL    

ICR, Total: 2

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #592
  • Outpatient Pharmacy
    		•  SEQUENCE (.05).
    Access: Direct Global Read & w/Fileman
    ICR #4538
  • Accounts Receivable
    		•  NAME (.01).
    Access: Direct Global Read & w/Fileman

    BILLING GROUP (.11).
    Access: Direct Global Read & w/Fileman

    		 Cross reference to lookup entry IEN by NAME.
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