IBCE835 ;ALB/TMP/PJH - 835 EDI EXPLANATION OF BENEFITS MSG PROCESSING ; 7/15/10 4:40pm
Source file <IBCE835.m>
| Name | Comments | DBIA/ICR reference | 
|---|---|---|
| HDR(IBCLNO,IBD) | ;Process header data
 ; INPUT: ; IBCLNO = claim #  | 
|
| 5(IBD) | ; Process claim patient ID data
 ; INPUT: ; IBD must be passed by reference = entire message line  | 
|
| 6(IBD) | ; Process 06 record type for corrected name and/or ID# - IB*2*377 - 1/14/08
 | 
|
| 10(IBD) | ; Process claim status data
 ; INPUT: ; IBD must be passed by reference = entire message line  | 
|
| 15(IBD) | ; Process claim status data
 ; INPUT: ; IBD must be passed by reference = entire message line  | 
|
| 20(IBD) | ; Process claim level adjustment data
 ; Claim must have been referenced by a previous '05' level  | 
|
| 37(IBD) | ; Process claim level adjustment data for Inpatient MEDICARE
 | 
|
| 40(IBD) | ; Process service line data
 | 
|
| 45(IBD) | ; Process service line adjustment data
 | 
|
| 11(IBD) | ; Process claim status rendering provider data segment
 | 
|
| 12(IBD) | ; Process claim status corrected priority payer data segment
 | 
|
| 13(IBD) | ; Process claim status other subscriber data segment
 | 
|
| 17(IBD) | ; Process claim contact data segment
 | 
|
| 30(IBD) | ; Process MEDICARE inpatient adjudication data (part 1)
 | 
|
| 35(IBD) | ; Process MEDICARE inpatient adjudication data (part 2)
 | 
|
| 41(IBD) | ; Process service line data (part 2)
 | 
|
| 42(IBD) | ; Process service line data (part 3)
 | 
|
| 46(IBD) | ; Process Adjustment Policy Reference segment
 | 
|
| 99(IBD) | ; Process trailer record for non-MRA EOB
 | 
|
| XX(IBD,IBID) | ; Store non-displayed data nodes in TMP array
 | 
|
| GETHCT(IBCLNO) | ;
 | 
|
| CHCT(IBCLNO) | ;
 |