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Global: ^RCY(344.6

Package: Accounts Receivable

Global: ^RCY(344.6


Information

FileMan FileNo FileMan Filename Package
344.6 RCDPE AUTO-PAY EXCLUSION Accounts Receivable

Description

Accessed By FileMan Db Calls, Total: 17

Package Total Routines
Accounts Receivable 17 RCDPEAD    RCDPEAP1    RCDPENR2    RCDPEP    RCDPESP    RCDPESP1    RCDPESP2    RCDPESP3
RCDPESP6    RCDPESPA    RCDPESPB    RCDPEU1    RCDPEWL7    RCDPRU    RCDPRU2    RCP321
RCP326    

Pointer To FileMan Files, Total: 1

Package Total FileMan Files
Kernel 1 NEW PERSON(#200)[.04]    

Fields, Total: 21

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

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  JUL 06, 2018
  • HELP-PROMPT:  Answer must be 3 to 60 characters. This field should only be populated programmatically.
  • DESCRIPTION:  
    This is the payer name whose settings are defined by this entry. This field is programmatically generated and should never be updated by a user.
  • FIELD INDEX:  B (#1520) REGULAR IR LOOKUP & SORTING
    Short Descr: Index by Name (full 60)
    Description: This index allows lookup using the full 60 character long PAYER NAME field.
    Set Logic: S ^RCY(344.6,"B",$E(X,1,60),DA)=""
    Kill Logic: K ^RCY(344.6,"B",$E(X,1,60),DA)
    Whole Kill: K ^RCY(344.6,"B")
    X(1): PAYER NAME (344.6,.01) (Subscr 1) (Len 60) (forwards)
  • RECORD INDEXES:  CPID (#1214)
.02 PAYER ID 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  AUG 27, 2014
  • HELP-PROMPT:  Answer must be 1 to 30 characters. This field should only be updated programmatically.
  • DESCRIPTION:  
    The PAYER ID contained here along with the PAYER NAME provide a unique identifier for this entry. This field is programmatically updated. It should never be edited by a user.
  • FIELD INDEX:  C (#1213) MUMPS IR LOOKUP & SORTING
    Short Descr: Used to find entry by PAYER ID.
    Description: This cross-reference is used for looking up an entry by the PAYER ID. This field is free text and a PAYER ID may be just numbers. This cross-reference appends a space as a suffix to the PAYER ID and this allows for a
    lookup by a partial PAYER ID in all cases, that is, whether or not the PAYER ID is just numbers or numbers and letters.
    Set Logic: Q:X="" S ^RCY(344.6,"C",$E(X,1,30)_" ",DA)=""
    Kill Logic: Q:X="" K ^RCY(344.6,"C",$E(X,1,30)_" ",DA)
    Whole Kill: K ^RCY(344.6,"C")
    X(1): PAYER ID (344.6,.02) (Subscr 1) (Len 31) (forwards)
  • RECORD INDEXES:  CPID (#1214)
.03 DATE ADDED 0;3 DATE

  • INPUT TRANSFORM:  S %DT="EST" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAY 05, 2014
  • HELP-PROMPT:  Answer must be a date with optional time, imprecise dates allowed. This field should only be updated programmatically.
  • DESCRIPTION:  
    This is the date the payer first sent an ERA into the system. This field date will be programmatically updated. It should never be modified by a user.
.04 UPDATED BY 0;4 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 08, 2014
  • HELP-PROMPT:  Enter the user who last modified the parameters.
  • DESCRIPTION:  
    This is the last user to modify this record. If the value is POSTMASTER, then the last modification was performed by the nightly batch job, or by post-installation processing when the file was initially populated.
  • TECHNICAL DESCR:  
    This field has a trigger from two fields.
    WRITE AUTHORITY: ^
  • NOTES:  TRIGGERED by the EXCLUDE MED CLAIMS DECREASE field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE MED CLAIMS POSTING field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE PHARM CLAIMS DECREASE field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE TRICARE CLAIM POSTING field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE TRICARE CLAIM DECREASE field of the RCDPE AUTO-PAY EXCLUSION File
.05 DATE LAST UPDATED 0;5 DATE

  • INPUT TRANSFORM:  S %DT="EST" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAY 05, 2014
  • HELP-PROMPT:  Enter the date and optional time of the last update. This field is populated automatically and should not be edited.
  • DESCRIPTION:  
    The date this record was last updated or created.
  • TECHNICAL DESCR:  
    This field is populated by a trigger.
    WRITE AUTHORITY: ^
  • NOTES:  TRIGGERED by the EXCLUDE MED CLAIMS POSTING field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE MED CLAIMS DECREASE field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE PHARM CLAIMS DECREASE field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE TRICARE CLAIM POSTING field of the RCDPE AUTO-PAY EXCLUSION File
    TRIGGERED by the EXCLUDE TRICARE CLAIM DECREASE field of the RCDPE AUTO-PAY EXCLUSION File
.06 EXCLUDE MED CLAIMS POSTING 0;6 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  FEB 24, 2014
  • HELP-PROMPT:  Enter Yes to disable auto-posting of medical claims for this payer. Otherwise enter No.
  • DESCRIPTION:  
    This field is used to enable or disable auto-posting of medical claims for a specified payer. When set to Yes (1) auto-posting is disabled. When No (0) auto-posting is enabled.
  • CROSS-REFERENCE:  344.6^EXMDPOST
    1)= S ^RCY(344.6,"EXMDPOST",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"EXMDPOST",$E(X,1,30),DA)
    Used to locate entries by the auto-posting status.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.05
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=344.6,DIG=.05 D ^D
    ICR
    2)= Q
    CREATE VALUE)= NOW
    DELETE VALUE)= NO EFFECT
    FIELD)= DATE LAST UPDATED
    Sets the DATE LAST UPDATED to NOW.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.04
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S DIU=X K Y S X=DIV S X=DUZ S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=344.6,DIG=.04 D ^DICR
    2)= Q
    CREATE VALUE)= S X=DUZ
    DELETE VALUE)= NO EFFECT
    FIELD)= UPDATED BY
    Used to set UPDATED BY to the User who changed the status.
.07 EXCLUDE MED CLAIMS DECREASE 0;7 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  JAN 09, 2014
  • HELP-PROMPT:  Enter Yes to disable auto-decreasing of medical claims for this payer. Otherwise enter No.
  • DESCRIPTION:  
    This field is used to enable or disable auto-decreasing of medical claims for a specified payer. When set to Yes (1) auto-decreasing is disabled. When No (0) auto-decreasing is enabled.
  • CROSS-REFERENCE:  344.6^EXMDDECR
    1)= S ^RCY(344.6,"EXMDDECR",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"EXMDDECR",$E(X,1,30),DA)
    Used to locate entries by the EXCLUDE MED CLAIMS DECREASE status.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.05
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=344.6,DIG=.05 D ^D
    ICR
    2)= Q
    CREATE VALUE)= NOW
    DELETE VALUE)= NO EFFECT
    FIELD)= DATE LAST
    Sets DATE LAST UPDATED to NOW.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.04
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S DIU=X K Y S X=DIV S X=DUZ S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=344.6,DIG=.04 D ^DICR
    2)= Q
    CREATE VALUE)= S X=DUZ
    DELETE VALUE)= NO EFFECT
    FIELD)= UPDATED BY
    Sets UPDATED BY to the User who edited the status.
.08 EXCLUDE RX CLAIM POSTING 0;8 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  APR 03, 2015
  • HELP-PROMPT:  Enter Yes to disable auto-posting of pharmacy claims for this payer. Otherwise, enter No.
  • DESCRIPTION:  
    This field is used to enable or disable auto-posting for Pharmacy claims for a specified payer. When set to Yes (1), auto-posting is disabled. When No (0), auto-posting is enabled.
  • CROSS-REFERENCE:  344.6^EXRXPOST
    1)= S ^RCY(344.6,"EXRXPOST",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"EXRXPOST",$E(X,1,30),DA)
    Used to locate entries by Pharmacy auto-posting status.
.09 PHARMACY PAYER 0;9 SET (BOOLEAN Data Type)
  • This field is used to flag a specified payer as a pharmacy payer.

  • LAST EDITED:  JUN 25, 2024
  • HELP-PROMPT:  Enter 'Yes' to flag this payer as a pharmacy payer.
  • DESCRIPTION:  
    This field is used to flag a specified payer as a pharmacy payer.
  • CROSS-REFERENCE:  344.6^ARX
    1)= S ^RCY(344.6,"ARX",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"ARX",$E(X,1,30),DA)
  • RECORD INDEXES:  AC (#1322)
.1 TRICARE PAYER 0;10 SET (BOOLEAN Data Type)
  • This field is used to flag a specified payer as a Tricare payer.

  • LAST EDITED:  JUN 25, 2024
  • HELP-PROMPT:  Enter 'Yes' to flag this payer as a Tricare payer.
  • DESCRIPTION:  
    This field is used to flag a specified payer as a Tricare payer.
  • CROSS-REFERENCE:  344.6^ATR
    1)= S ^RCY(344.6,"ATR",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"ATR",$E(X,1,30),DA)
  • RECORD INDEXES:  AC (#1322)
.11 PAYER ADDED FROM EFT 0;11 SET
  • '1' FOR YES;

  • LAST EDITED:  AUG 06, 2018
  • HELP-PROMPT:  Enter 'YES' if this payer was added from payer/TIN on an EFT
.12 EXCLUDE PHARM CLAIMS DECREASE 0;12 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Enter 'Yes' to disable auto-decreasing of pharmacy claims for this payer. Enter 'No' to enable.
  • DESCRIPTION:  
    This field is used to enable or disable auto-decreasing of pharmacy claims for a specified payer. When set to Yes (1) auto-decreasing is disabled. When No (0) auto-decreasing is enabled.
  • CROSS-REFERENCE:  344.6^EXRXDECR
    1)= S ^RCY(344.6,"EXRXDECR",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"EXRXDECR",$E(X,1,30),DA)
    Used to locate entries by the EXCLUDE PHARM CLAIMS DECREASE status.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.05
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=344.6,DIG=.05 D ^D
    ICR
    2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=344.6,DIG=.05 D ^D
    ICR
    CREATE VALUE)= NOW
    DELETE VALUE)= NOW
    FIELD)= DATE LAST UPDATED
    Sets DATE LAST UPDATED to NOW.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.04
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S DIU=X K Y S X=DIV S X=DUZ S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=344.6,DIG=.04 D ^DICR
    2)= Q
    CREATE VALUE)= S X=DUZ
    DELETE VALUE)= NO EFFECT
    FIELD)= UPDATED BY
    Sets UPDATED BY to the User who edited the status.
.13 EXCLUDE TRICARE CLAIM POSTING 0;13 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  MAR 12, 2019
  • HELP-PROMPT:  Enter Yes to disable auto-posting of pharmacy claims for this payer. Otherwise, enter No.
  • DESCRIPTION:  
    This field is used to enable or disable auto-posting of TRICARE claims for a specified payer. When set to Yes (1), auto-posting is disabled. When No (0), auto-posting is enabled.
  • CROSS-REFERENCE:  344.6^EXTRPOST
    1)= S ^RCY(344.6,"EXTRPOST",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"EXTRPOST",$E(X,1,30),DA)
    Used to locate entries by TRICARE auto-posting status.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.05
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=344.6,DIG=.05 D ^D
    ICR
    2)= Q
    CREATE VALUE)= NOW
    DELETE VALUE)= NO EFFECT
    FIELD)= DATE LAST UPDATED
    Sets DATE LAST UPDATED to NOW.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.04
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S DIU=X K Y S X=DIV S X=DUZ S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=344.6,DIG=.04 D ^DICR
    2)= Q
    CREATE VALUE)= S X=DUZ
    DELETE VALUE)= NO EFFECT
    FIELD)= UPDATED BY
    Sets UPDATED BY to the User who edited the status.
.14 EXCLUDE TRICARE CLAIM DECREASE 0;14 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  MAR 12, 2019
  • HELP-PROMPT:  Enter Yes to disable auto-decreasing of TRICARE claims for this payer. Otherwise enter No.
  • DESCRIPTION:  
    This field is used to enable or disable auto-decreasing of TRICARE claims for a specified payer. When set to Yes (1) auto-decreasing is disabled. When No (0) auto-decreasing is enabled.
  • CROSS-REFERENCE:  344.6^EXTRDECR
    1)= S ^RCY(344.6,"EXTRDECR",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"EXTRDECR",$E(X,1,30),DA)
    Used to locate entries by the EXCLUDE TRICARE CLAIMS DECREASE status.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.05
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=344.6,DIG=.05 D ^D
    ICR
    2)= Q
    CREATE VALUE)= NOW
    DELETE VALUE)= NO EFFECT
    FIELD)= DATE LAST UPDATED
    Sets DATE LAST UPDATED to NOW.
  • CROSS-REFERENCE:  ^^TRIGGER^344.6^.04
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^RCY(344.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S DIU=X K Y S X=DIV S X=DUZ S DIH=$G(^RCY(344.6,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=344.6,DIG=.04 D ^DICR
    2)= Q
    CREATE VALUE)= S X=DUZ
    DELETE VALUE)= NO EFFECT
    FIELD)= UPDATED BY
    Sets UPDATED BY to the User who edited the status.
.15 CHAMPVA PAYER 0;15 SET (BOOLEAN Data Type)
  • This field is used to flag a specified payer as a CHAMPVA payer.

  • LAST EDITED:  JUN 25, 2024
  • HELP-PROMPT:  Enter 'Yes' to flag this payer as a CHAMPVA payer.
  • DESCRIPTION:  
    This field is used to flag a specified payer as a CHAMPVA payer.
  • CROSS-REFERENCE:  344.6^ACH
    1)= S ^RCY(344.6,"ACH",$E(X,1,30),DA)=""
    2)= K ^RCY(344.6,"ACH",$E(X,1,30),DA)
  • RECORD INDEXES:  AC (#1322)
1 AUTO-POST COMMENT 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>72!($L(X)<3) X
  • LAST EDITED:  MAY 05, 2014
  • HELP-PROMPT:  Comment must be 3-72 characters in length.
  • DESCRIPTION:  
    Required comment when payer is excluded from auto-posting. This is cleared when the auto-post exclusion is reset.
2 AUTO-DECREASE COMMENT 2;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>72!($L(X)<3) X
  • LAST EDITED:  MAY 05, 2014
  • HELP-PROMPT:  Comment must be 3-72 characters in length.
  • DESCRIPTION:  
    Required comment when payer is excluded from auto-decreasing. This is cleared when the auto-decreasing exclusion is reset.
3 PHARMACY AUTO-POST COMMENT 3;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>72!($L(X)<3) X
  • LAST EDITED:  MAR 18, 2015
  • HELP-PROMPT:  Comment must be 3-72 characters in length
  • DESCRIPTION:  
    Required comment when payer is excluded from auto-posting. This is cleared when the auto-post exclusion is reset.
4 PHARMACY AUTO-DECREASE COMMENT 3;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>72!($L(X)<3) X
    MAXIMUM LENGTH: 72
  • LAST EDITED:  FEB 12, 2019
  • HELP-PROMPT:  Answer must be 3-72 characters in length.
  • DESCRIPTION:  
    Required comment when payer is excluded from pharmacy auto-decrease. This comment is cleared when the auto-post exclusion is reset.
5 TRICARE AUTO-POST COMMENT 4;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>72!($L(X)<3) X
    MAXIMUM LENGTH: 72
  • LAST EDITED:  MAR 18, 2019
  • HELP-PROMPT:  Answer must be 3-72 characters in length.
  • DESCRIPTION:  
    Required comment when payer is excluded from auto-posting. This is cleared when the auto-post exclusion is reset.
6 TRICARE AUTO-DECREASE COMMENT 4;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>72!($L(X)<3) X
    MAXIMUM LENGTH: 72
  • LAST EDITED:  MAR 18, 2019
  • HELP-PROMPT:  Answer must be 3-72 characters in length.
  • DESCRIPTION:  
    Required comment when payer is excluded from auto-decrease. This is cleared when the auto-decrease exclusion is reset.
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