FBFHLD5 ;OIFO/SAB-GET DATA FOR PHARMACY INVOICE ;10/9/2003
Source file <FBFHLD5.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| EN | ;
; input ; FBAAIN - invoice number ; output ; If transaction type = "X" then only * items are output ; Claim Level Data ; FBD(0,"AMT") = Amount Disbursed^Amount Interest ; *FBD(0,"CAN") = Cancel Date^Cancel Reason^Cancel Activity ; FBD(0,"DT") = Invoice Date ; *FBD(0,"FPPS") = FPPS Claim ID ; *FBD(0,"INV") = Invoice #^Transaction Type^Station # |
|
| INVOICE | ; determine invoice data from 1st line item
; FBD(0,"AMT") = Amount Disbursed^Amount Interest ; FBD(0,"CAN") = Cancel Date^Cancel Reason^Cancel Activity ; FBD(0,"DT") = Invoice Date ; FBD(0,"FPPS") = FPPS Claim ID ; FBD(0,"INV") = Invoice #^Transaction Type^Station # ; FBSTA = station number ; FBTTYP = transaction type (L or X) |
|
| LINE | ; FBC
; FBD(#,"ADJ") = AdjReason1^AdjGrp1^AdjAmt1^AdjReason2^AdjGrp2^AdjAmt2 ; FBD(#,"AMT") = Amount Claimed^Amount Paid ; FBD(#,"CK") = Check Number^Check Date^Payment Method ; FBD(#,"DT") = Date of Service ; FBD(#,"FPPS") = FPPS Line Item ; FBD(#,"RMK") = Remittance Remark1^Remittance Remark2 ; FBD(#,"SVC") = Service Code^Qualifier^Mod1,Mod2,Mod3,Mod4^Units |
|
| CKLNST() | ; check line status extrinsic function
; result (0 or 1) ; 0 when line should not be sent to FPPS ; 1 when line should be sent to FPPS |
|
| RXSTA(FBAAIN,FBBATCH) | ; determine station number for pharmacy
; input ; FBAAIN - invoice number in FEE BASIS PHARMACY INVOICE file ; FBBATCH - ien of entry in FEE BASIS BATCH (#161.7) file ; returns station number or NULL value |
| FileNo | Call Tags |
|---|---|
| ^FBAA(161.4 - [#161.4] | GET1^DIQ |
| 162.11 | GET1^DIQ |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^FBAA(161.7 - [#161.7] | INVOICE+35 |
| ^FBAA(162.1 - [#162.1] | EN+31, EN+33, EN+35, RXSTA+10, RXSTA+11 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| DA | EN+26~, EN+33*, EN+34, EN+35, RXSTA+8~, RXSTA+10*, RXSTA+11 |
| DA(1 | EN+30*, EN+31, EN+33, EN+34, EN+35, RXSTA+9*, RXSTA+10, RXSTA+11 |
| FBAAIN | EN+30, INVOICE+14, INVOICE+17, LINE+11, RXSTA~, RXSTA+9 |
| FBADJ | LINE+9~, LINE+23, LINE+24 |
| FBBATCH | RXSTA~, RXSTA+7, RXSTA+10, RXSTA+11*, RXSTA+14, RXSTA+16 |
| FBC | EN+26~, EN+28*, EN+37*, EN+39, LINE+14, LINE+17, LINE+20, LINE+24, LINE+27, LINE+30 |
| FBD | EN+27! |
| FBD( | LINE+14*, LINE+17*, LINE+20*, LINE+24*, LINE+27*, LINE+30* |
| FBD(0 | INVOICE+17*, INVOICE+20*, INVOICE+25*, INVOICE+28*, INVOICE+36*, LINE+35*, LINE+36* |
| FBDT | INVOICE+9~, INVOICE+33*, INVOICE+34*, INVOICE+35*, INVOICE+36 |
| FBI | EN+26~, EN+35* |
| FBIENS | EN+26~, EN+34*, INVOICE+25, LINE+23, LINE+27 |
| FBOB | INVOICE+9~ |
| FBRET | CKLNST+4~, CKLNST+5*, CKLNST+8*, CKLNST+10, RXSTA+5~, RXSTA+14*, RXSTA+16*, RXSTA+18 |
| FBRXY | EN+26~ |
| FBRXY( | EN+35* |
| FBRXY("FBREJ" | CKLNST+8 |
| FBRXY(0 | INVOICE+14, INVOICE+33, INVOICE+35, LINE+17, LINE+20 |
| FBRXY(2 | INVOICE+11, INVOICE+25, INVOICE+34, LINE+11, LINE+30, LINE+35, LINE+36 |
| FBRXY(3 | LINE+14 |
| FBSTA | EN+26~, INVOICE+14*, INVOICE+17 |
| FBTTYP | EN+26~, EN+40, INVOICE+11*, INVOICE+17, INVOICE+24, LINE+11 |
| FBX | INVOICE+9~ |
| FBY | EN+26~ |
| FBY(0 | EN+31*, INVOICE+20 |
| U | INVOICE+11, INVOICE+14, INVOICE+17, INVOICE+20, INVOICE+25, INVOICE+33, INVOICE+34, INVOICE+35, LINE+11, LINE+14 , LINE+17, LINE+20, LINE+30, LINE+35, LINE+36, CKLNST+8, RXSTA+11 |
