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
|
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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
|
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13(IBD) | ; Process claim status other subscriber data segment
|
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17(IBD) | ; Process claim contact data segment
|
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30(IBD) | ; Process MEDICARE inpatient adjudication data (part 1)
|
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35(IBD) | ; Process MEDICARE inpatient adjudication data (part 2)
|
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41(IBD) | ; Process service line data (part 2)
|
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42(IBD) | ; Process service line data (part 3)
|
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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
|
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GETHCT(IBCLNO) | ;
|
|
CHCT(IBCLNO) | ;
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