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Global: ^PRCA(436.1

Package: Accounts Receivable

Global: ^PRCA(436.1


Information

FileMan FileNo FileMan Filename Package
436.1 AR MEDICARE DEDUCTIBLE ALERTS PART A Accounts Receivable

Description

Accessed By FileMan Db Calls, Total: 2

Package Total Routines
Accounts Receivable 2 PRCAMDA1    PRCAMDS    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Accounts Receivable 1 ACCOUNTS RECEIVABLE(#430)[1.01]    
Kernel 1 NEW PERSON(#200)[#436.12(.02)]    
Registration 1 MEDICAL CENTER DIVISION(#40.8)[1.03]    

Fields, Total: 14

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

  • INPUT TRANSFORM:  K:$L(X)>11!($L(X)<1)!'(X'?1P.E) X
  • LAST EDITED:  AUG 11, 2011
  • HELP-PROMPT:  Answer must be 1-11 characters in length.
  • DESCRIPTION:  
    The PATIENT ACCOUNT NUMBER will be used as a look up to the BILL NO. field (#.01) in the ACCOUNTS RECEIVABLE file (#430). It is loaded as it is received from the Financial Services Center, FSC.
  • CROSS-REFERENCE:  436.1^B
    1)= S ^PRCA(436.1,"B",$E(X,1,30),DA)=""
    2)= K ^PRCA(436.1,"B",$E(X,1,30),DA)
.02 MEDICARE TYPE 0;2 SET
  • 'A' FOR PART A;

  • LAST EDITED:  AUG 10, 2011
  • HELP-PROMPT:  Enter the type of Medicare to which this deductible applies.
  • DESCRIPTION:  
    Medicare type to which the deductible applied. Currently only supporting Medicare Part A. It is loaded as it is received from the Financial Services Center, FSC.
.03 SUBSCRIBER ID (HICN) 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>19!($L(X)<1) X
  • LAST EDITED:  AUG 10, 2011
  • HELP-PROMPT:  Answer must be 1-19 characters in length.
  • DESCRIPTION:  
    This is the Medicare Assigned Member ID number. It is loaded as it is received from the Financial Services Center, FSC.
.04 CLAIM YEAR 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>4!($L(X)<4) X
  • LAST EDITED:  AUG 22, 2011
  • HELP-PROMPT:  Answer must be 4 characters in length.
  • DESCRIPTION:  
    This is the 4 character year the deductible is applied against. It is loaded as it is received from the Financial Services Center, FSC.
.05 DCN 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  AUG 10, 2011
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the Document Control Number for this claim. It is loaded as it is received from the Financial Services Center, FSC.
.06 CASH DEDUCTIBLE SUBMITTED 0;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>6!($L(X)<6) X
  • LAST EDITED:  AUG 22, 2011
  • HELP-PROMPT:  Answer must be 6 characters in length.
  • DESCRIPTION:  
    This is the Cash Deductible Submitted amount (DDDDCC) as it is received from the Financial Services Center, FSC.
.07 CASH DEDUCTIBLE AVAILABLE 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>6!($L(X)<6) X
  • LAST EDITED:  AUG 22, 2011
  • HELP-PROMPT:  Answer must be 6 characters in length.
  • DESCRIPTION:  
    This is the Cash Deductible Available amount (DDDDCC) as it is received from the Financial Services Center, FSC.
.08 SERVICE START DATE 0;8 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  OCT 13, 2011
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This is the Service Start Date. It is received from the Financial Services Center (FSC) in the format CCYYMMDD, but converted and filed as a FileMan date.
.09 SERVICE END DATE 0;9 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  OCT 13, 2011
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This is the Service End Date. It is received from the Financial Services Center (FSC) in the format CCYYMMDD, but converted and filed as a FileMan date.
.1 REPORT DATE 0;10 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  OCT 13, 2011
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This is the Report Date. It is received from the Financial Services Center (FSC) in the format CCYYMMDD, but converted and filed as a FileMan date.
1.01 BILL NO. 1;1 POINTER TO ACCOUNTS RECEIVABLE FILE (#430) ACCOUNTS RECEIVABLE(#430)

  • LAST EDITED:  AUG 11, 2011
  • HELP-PROMPT:  Enter the Bill Number for this Medicare Deductible Alert.
  • DESCRIPTION:  
    The PATIENT ACCOUNT NUMBER will be used as a look up to the BILL NO. field (#.01) in the ACCOUNTS RECEIVABLE file (#430).
  • CROSS-REFERENCE:  436.1^C
    1)= S ^PRCA(436.1,"C",$E(X,1,30),DA)=""
    2)= K ^PRCA(436.1,"C",$E(X,1,30),DA)
1.02 MDA REVIEW STATUS 1;2 SET
  • '0' FOR NOT REVIEWED;
  • '1' FOR REVIEW IN PROCESS;
  • '2' FOR REVIEW COMPLETE;
  • '3' FOR REVIEW COMPLETE/REMOVE ENTRY;

  • LAST EDITED:  AUG 11, 2011
  • HELP-PROMPT:  Enter the status of this item on the MDA worklist.
  • FIELD INDEX:  AMDA (#986) REGULAR IR SORTING ONLY
    Short Descr: MDA worklist entry
    Description: This is the cross reference used to display the entries on the MDA worklist. There are 4 values for the MDA REVIEW STATUS field, 3 of which are on the worklist and only one is not. While there are 3 values that are on
    the worklist, the worklist is not sorted by this value.
    Set Logic: S ^PRCA(436.1,"AMDA",$E(X,1,1),DA)=""
    Kill Logic: K ^PRCA(436.1,"AMDA",$E(X,1,1),DA)
    Whole Kill: K ^PRCA(436.1,"AMDA")
    X(1): MDA REVIEW STATUS (436.1,1.02) (Subscr 1) (Len 1) (forwards)
    Transform (Storage): S X=$S(X=3:0,1:1)
1.03 DIVISION 1;3 POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) MEDICAL CENTER DIVISION(#40.8)

  • LAST EDITED:  AUG 10, 2011
  • HELP-PROMPT:  Enter the Division to which this deductible was applied.
  • DESCRIPTION:  
    This is the Medical Center Division to which this deductible was applied. It is retrieved using the Bill Number.
2 COMMENT DATE TIME 2;0 DATE Multiple #436.12 436.12

  • DESCRIPTION:  
    This multiple contains comments pertaining to the Medicare Deductible Alert received from the Financial Services Center, FSC.
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