IBCBB0 ;ALB/ESG - IB edit check routine continuation ;12-Mar-2008
Source file <IBCBB0.m>
| action | A | extended action | Ea | event driver | Ed | subscriber | Su | protocol | O | limited protocol | LP | run routine | RR | broker | B | edit | E | server | Se | P | screenman | SM | inquire | I |
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| BP(IBIFN) | ; make sure the claim has a valid Billing Provider w/address
|
|
| BPX | ;
|
|
| PAYTO(IBIFN) | ; check for missing Pay-to Provider information
|
|
| PAYTOX | ;
|
|
| PAYERADD(IBIFN) | ; check to make sure payer address is present for all payers on the claim
; Address line 1, city, state, and zip must be present for all non-Medicare payers on the claim |
|
| PAYERAX | ;
|
|
| ICD10V(IBIFN) | ; ICD-10 Edit Check:
; Check that all bill Diagnosis and Procedures match the ICD Coding Version determined by the Statement To Date |
|
| ICD10VX |
| Name | Field # of Occurrence |
|---|---|
| $$GET1^DIQ | PAYTO+18 |
| $$ICD0SYS^IBACSV | ICD10V+15 |
| $$ICD0VER^IBACSV | ICD10V+18 |
| $$ICD9SYS^IBACSV | ICD10V+8 |
| $$ICD9VER^IBACSV | ICD10V+11, ICD10V+12, ICD10V+13 |
| WARN^IBCBB11 | BP+5, PAYTO+27 |
| $$FT^IBCEF | BP+11 |
| F^IBCEF | PAYERADD+7, PAYERADD+14 |
| $$TXMT^IBCEF4 | BP+11 |
| $$B^IBCEF79 | BP+2 |
| GETBP^IBCEF79 | BP+19 |
| $$GETFAC^IBCEP8 | BP+12, BP+13, BP+14, BP+15 |
| $$ADD^IBCNADD | PAYERADD+19 |
| SET^IBCSC4D | ICD10V+10 |
| $$WNRBILL^IBEFUNC | PAYERADD+6, PAYERADD+18 |
| $$PRVDATA^IBJPS3 | PAYTO+10 |
| $$WHAT^XUAF4 | PAYTO+19 |
| FileNo | Call Tags |
|---|---|
| ^DIC(4 - [#4] | GET1^DIQ |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^DGCR(399 - [#399] | ICD10V+4, ICD10V+5, ICD10V+6, ICD10V+17, ICD10V+18 |
| ^IBE(350.9 - [#350.9] | PAYTO+23, PAYTO+24 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| ADDR | PAYERADD+3~, PAYERADD+19*, PAYERADD+21 |
| BPAD1 | BP+1~, BP+12*, BP+20*, BP+26 |
| BPCITY | BP+1~, BP+13*, BP+21*, BP+26 |
| BPST | BP+1~, BP+14*, BP+22*, BP+26 |
| BPZ | BP+1~, BP+2*, BP+3, BP+5, BP+12, BP+13, BP+14, BP+15, BP+19 |
| BPZIP | BP+1~, BP+15*, BP+23*, BP+26 |
| IB0 | ICD10V+2~, ICD10V+4* |
| IBCL | ICD10V+2~, ICD10V+4*, ICD10V+12, ICD10V+13 |
| IBDX | ICD10V+2~, ICD10V+11*, ICD10V+12*, ICD10V+13* |
| IBDXA | ICD10V+2~, ICD10V+10 |
| IBDXA( | ICD10V+11 |
| >> IBER | BP+4*, BP+26*, PAYTO+12*, PAYTO+14, PAYERADD+10*, PAYERADD+22*, ICD10VX* |
| IBERROR | ICD10V+2~*, ICD10V+11*, ICD10V+12*, ICD10V+13*, ICD10V+18*, ICD10VX |
| IBFT | ICD10V+2~, ICD10V+4*, ICD10V+13 |
| IBI | ICD10V+2~, ICD10V+13* |
| IBICD10 | ICD10V+2~, ICD10V+8*, ICD10V+11, ICD10V+12, ICD10V+13, ICD10V+15*, ICD10V+18 |
| IBIFN | BP~, BP+2, BP+11, BP+19, PAYTO~, PAYTO+10, PAYERADD~, PAYERADD+6, PAYERADD+7, PAYERADD+14 , PAYERADD+18, PAYERADD+19, ICD10V~, ICD10V+2, ICD10V+4, ICD10V+5, ICD10V+6, ICD10V+10, ICD10V+17, ICD10V+18 |
| IBL | PAYERADD+3~ |
| IBP0 | ICD10V+2~, ICD10V+18* |
| IBPR | ICD10V+2~, ICD10V+17*, ICD10V+18 |
| IBTDT | ICD10V+2~, ICD10V+6*, ICD10V+8, ICD10V+15 |
| IBU2 | ICD10V+2~, ICD10V+5*, ICD10V+12 |
| IBU3 | ICD10V+2~, ICD10V+5*, ICD10V+13 |
| IBXARRAY | PAYERADD+3~ |
| IBXARRY | PAYERADD+3~ |
| IBXDATA | PAYERADD+3~ |
| IBXERR | PAYERADD+3~ |
| IBXSAVE | PAYERADD+3~ |
| IBXSAVE(1 | PAYERADD+15, PAYERADD+16, PAYERADD+17 |
| IBZ | BP+1~, BP+19, PAYERADD+3~ |
| IBZ( | PAYERADD+9 |
| IBZ("IBCBB0" | BP+20, BP+21, BP+22, BP+23 |
| N | PAYERADD+3~, PAYERADD+16*, PAYERADD+17 |
| OK | PAYERADD+3~, PAYERADD+8*, PAYERADD+9*, PAYERADD+10, PAYERADD+20*, PAYERADD+21*, PAYERADD+22 |
| PTPERR | PAYTO+9~, PAYTO+11*, PAYTO+12 |
| PTPFLAG | PAYTO+9~, PAYTO+22*, PAYTO+24*, PAYTO+27 |
| PTPFT | PAYTO+9~, PAYTO+18*, PAYTO+23 |
| PTPFTN | PAYTO+9~, PAYTO+19*, PAYTO+20*, PAYTO+27 |
| PTPINST | PAYTO+9~, PAYTO+17*, PAYTO+18, PAYTO+19 |
| SEQ | PAYERADD+3~, PAYERADD+17*, PAYERADD+18, PAYERADD+19 |
| U | BP+5, PAYTO+11, PAYTO+17, PAYTO+24, PAYTO+27, PAYERADD+21, ICD10V+4, ICD10V+6, ICD10V+12, ICD10V+13 |
| Z | PAYTO+9~, PAYTO+10*, PAYTO+11, PAYTO+17, PAYTO+27, PAYERADD+3~, PAYERADD+9*, PAYERADD+21* |
| Z1 | PAYTO+9~, PAYTO+22*, PAYTO+23*, PAYTO+24 |