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 |
