IBACCWLVE3 ;EDE/TAZ - ACC (Automated Community Care) Claims - VIEW ENCOUNTER (cont'd); 12-SEP-2023 ; 12-SEP-2023
Source file <IBACCWLVE3.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| SV1 | ; Professional Service
|
|
| SV2 | ;Institutional Service Line
|
|
| SV3 | ;Dental Service
|
|
| SV5 | ;DME Service
|
|
| SVD | ;Line Adjudication Information
|
|
| CPTMOD(CODE) | ;CPT Code Modifier lookup v12
|
|
| CPTMODQ | ||
| DATE(DATE,TYPE) | ;Format Date/Time
|
|
| DATEQ | ;
|
|
| DOL(DATA) | ;Format Dollars
|
|
| HCPCS(CODE) | ;CPT Code lookup v12
|
|
| HCPCSQ | ||
| NAME(DATA) | ;Format Person Name
|
|
| PHONE(NUM) | ;Format phone number
|
|
| YN(YN) | ;Translate Yes/No element
|
|
| ZIP(ZIP) | ;Format Zip Code
|
|
| SET(TITLE,VALUE,BLANK,HEADER) | ;
|
| Name | Line Occurrences |
|---|---|
| $$CPTMOD | SV1+10, SV2+11, SV2+12, SV3+7, SV3+8, SVD+13, SVD+14 |
| $$DOL | SV1+12, SV2+13, SV3+9, SV5+7, SV5+8 |
| $$HCPCS | SV1+5, SV2+6, SV5+4, SVD+8 |
| $$YN | SV1+17, SV1+18, SV1+19 |
| CPTMODQ | CPTMOD+3 |
| DATEQ | DATE+3, DATE+4 |
| HCPCSQ | HCPCS+3 |
| SET | SV1+3, SV1+9, SV1+10, SV1+11, SV1+12, SV1+13, SV1+14, SV1+16, SV1+17, SV1+18 , SV1+19, SV1+20, SV2+2, SV2+4, SV2+10, SV2+11, SV2+12, SV2+13, SV2+14, SV2+15 , SV3+3, SV3+6, SV3+7, SV3+8, SV3+9, SV3+10, SV3+11, SV3+12, SV3+15, SV3+16 , SV5+3, SV5+5, SV5+6, SV5+7, SV5+8, SV5+9, SVD+2, SVD+3, SVD+5, SVD+12 , SVD+13, SVD+14, SVD+15, SVD+16, SVD+17 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| BLANK | SET~, SET+1 |
| CNT | SV1+1~, SV1+10*, SV1+16*, SV2+1~, SV2+11*, SV3+1~, SV3+7*, SV3+11*, SV3+16*, SVD+1~ , SVD+13* |
| CODE | SV1+3*, SV1+4*, SV1+5*, SV1+6*, SV1+7*, SV1+8*, SV1+10*, SV1+11*, SV1+14*, SV1+16* , SV1+17*, SV1+18*, SV1+19*, SV1+20*, SV2+4*, SV2+5*, SV2+6*, SV2+7*, SV2+8*, SV2+9* , SV2+11*, SV2+12*, SV2+15*, SV3+3*, SV3+4*, SV3+5*, SV3+7*, SV3+8*, SV3+11*, SV3+12* , SV3+13*, SV3+14*, SV3+15*, SV3+16*, SV5+3*, SV5+4*, SV5+9*, SV5+10*, SV5+11*, SV5+12* , SVD+5*, SVD+6*, SVD+7*, SVD+8*, SVD+9*, SVD+10*, SVD+11*, SVD+13*, SVD+14*, SVD+15* , SVD+17*, CPTMOD~, CPTMOD+2, CPTMOD+3*, CPTMOD+4*, CPTMODQ, HCPCS~, HCPCS+2, HCPCS+3*, HCPCS+4* , HCPCSQ |
| CPTARY | CPTMOD+1~, CPTMOD+2, HCPCS+1~, HCPCS+2 |
| >> D | SV1+2, SV1+12, SV1+13, SV1+14, SV1+16, SV1+17, SV1+18, SV1+19, SV1+20, SV2+2 , SV2+3, SV2+13, SV2+14, SV2+15, SV3+2, SV3+9, SV3+10, SV3+11, SV3+12, SV3+15 , SV3+16, SV5+2, SV5+6, SV5+7, SV5+8, SV5+9, SVD+2, SVD+3, SVD+4, SVD+15 , SVD+16, SVD+17, NAME+2 |
| D1 | SV1+3, SV1+5, SV1+9, SV1+10, SV1+11, SV1+16, SV2+4, SV2+6, SV2+10, SV2+11 , SV2+12, SV3+3, SV3+6, SV3+7, SV3+8, SV3+11, SV3+16, SV5+3, SV5+4, SV5+5 , SVD+5, SVD+8, SVD+12, SVD+13, SVD+14, DATE+1~, DATE+3*, DATE+5*, DATE+6*, DATE+7* , DATEQ+1 |
| DATA | SV1+2, SV1+12, SV1+13, SV1+14, SV1+16, SV1+17, SV1+18, SV1+19, SV1+20, SV2+2 , SV2+3, SV2+13, SV2+14, SV2+15, SV3+2, SV3+9, SV3+10, SV3+11, SV3+12, SV3+15 , SV3+16, SV5+2, SV5+6, SV5+7, SV5+8, SV5+9, SVD+2, SVD+3, SVD+4, SVD+15 , SVD+16, SVD+17, DOL~, DOL+1*, DOL+2, NAME~, NAME+2 |
| DATE | DATE~, DATE+3, DATE+5, DATE+6, DATE+7 |
| >> DIAGPTRARR( | SV1+16 |
| FIRST | NAME+1~, NAME+2*, NAME+3 |
| HEADER | SET~, SET+1 |
| INFO | SV1+1~, SV1+2*, SV1+3, SV1+5*, SV1+9, SV1+10, SV1+11, SV1+16*, SV2+1~, SV2+3* , SV2+4, SV2+6*, SV2+10, SV2+11, SV2+12, SV3+2*, SV3+3, SV3+6, SV3+7, SV3+8 , SV5+1~, SV5+2*, SV5+3, SV5+4*, SV5+5, SVD+4*, SVD+5, SVD+8*, SVD+12, SVD+13 , SVD+14 |
| LAST | NAME+1~, NAME+2*, NAME+3 |
| MI | NAME+1~, NAME+2*, NAME+3 |
| NUM | PHONE~, PHONE+1 |
| RSLT | CPTMOD+1~, CPTMOD+2*, CPTMOD+3, CPTMOD+4, HCPCS+1~, HCPCS+2*, HCPCS+3, HCPCS+4 |
| SUF | NAME+1~, NAME+2*, NAME+3 |
| TITLE | SV1+10*, SV1+16*, SV2+11*, SV3+7*, SVD+13*, SET~, SET+1 |
| TYPE | DATE~, DATE+2*, DATE+3, DATE+4, DATE+6 |
| U | CPTMOD+4, HCPCS+4 |
| VALUE | SET~, SET+1 |
| YN | YN~, YN+1 |
| ZIP | ZIP~, ZIP+1 |
