IBCE837Q ;EDE/JWS - POST EXECUTE OUTPUT FOR 837 TRANSMISSION - CONTINUED ;
Source file <IBCE837Q.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 |
|---|---|---|
| 11 | ;IB*2.0*742;JWS;11/3/22:EBILL-2517;VistA will perform edits done by FSC's PayerIDSwitches.exe
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| CHKTEST(ID,FT) | ;
; function returns the first test entry that meets our critia |
|
| UP11(IEN,EXSV) | ;update file 364.8 record for use
|
|
| 12 | ;IB*2.0*742;JWS;12/5/22:EBILL-2321;VistA will perform edits done by FSC's SvcFacilityAddress.exe
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| 13 | ;IB*2.0*742;JWS;12/5/22:EBILL-2852;VistA will perform edits done by FSC's RemoveLoopsForPayerSDMEV.exe
|
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| 14 | ;IB*2.0*759;JWS;4/8/23;EBILL-2323;VistA will perform edits done by FSC's RemoveOtherPayerProviderInfromation.exe
; remove the following segments from the 837 Output Formatter results ; seq 170 - OP1: Other Payer Rendering Prov Data ; seq 170.5 - OP1A: Other Payer Attending Physician Data ; seq 171 - OP2: Other Payer Operating Physician Data ; seq 172 - OP3: Other Payer Service Fac Data ; seq 173 - OP4: Other Payer Referring Prov Data ; seq 176 - OP7: Other Payer Service Fac Data ; seq 177 - OP8: Other Payer Supervising Prov Data ; seq 178 - OP9: Other Payer Other Operating Prov Data |
|
| 15 | ;IB*2.0*759;JWS;4/24/23;EBILL-2324;VistA will perform edits done by FSC's RemoveSecondaryIDsFromClaims.exe
; remove the following values if CI5-3 Payer Primary ID = 12B60, 12B53, 12B45, SB890, SB891, SB892 ; remove CI1A-6, CI1A-7, CI1A-8, CI1A-9 Billing Prov Secondary IDs ; do not remove CI1A-2, CI1A-3 (2 and 3 are non-HIPAA CHC requirement, Site ID) ; do not remove CI1A-4, CI1A-5 (4 and 5 are 'EI' and EIN (Tax ID) for entity) |
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| 16 | ;JWS;IB*2.0*759;EBILL-3312; ClearOI14whenEqualOI23.exe
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| SW(IBIEN) | ; check file 364.8
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| 17 | ;JWS;IB*2.0*770;EBILL-3440-OP1 segment - don't pass qualifier unless it's valid for Other Payer Rendering Secondary ID qualifier 0B, 1G, G2, LU
; below is for re-sequencing OP1 secondary IDs if 1st or 2nd one is cleared out due to being TR3 non-compliant ; don't know if this is necessary but assumed FSC would/could choke on the 1st one being blank and the 2nd or 3rd one existing. |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^DGCR(399 - [#399] | 11+3 |
| ^IBA(364.8 - [#364.8] | 11+17, 11+19, 11+20, 11+22, 11+32, 11+39, 11+49, CHKTEST+3, CHKTEST+6, CHKTEST+9 , CHKTEST+12, UP11+4, SW+10, SW+12, SW+13, SW+15, SW+21 |
| ^TMP("IBXDATA" | 11+8, 11+11, 11+34*, 11+41*, 11+43, 11+44*, 11+48, 11+51*, 12+3, 12+7* , 12+14*, 12+21*, 12+22*, 12+25*, 12+27*, 13+19!, 13+20!, 14+11!, 15+6!, 15+8! , 15+10!, 15+12!, 15+14!, 15+16!, 15+18!, 15+20!, 15+22!, 15+24, 15+26, 15+28 , 15+30, 15+32, 15+34, 15+36, 16+2, 16+3!, 17+5, 17+6, 17+7, 17+8! , 17+9* |
| Name | Field # of Occurrence |
|---|---|
| ^( | 11+48, 15+24!, 15+26!, 15+28!, 15+30!, 15+32!, 15+34!, 15+36!, 16+2, 16+3 |
| ^(0 | UP11+4* |
| ^(101 | 13+19! |
| ^(103 | 13+19! |
| ^(104 | 13+19! |
| ^(104.2 | 13+19! |
| ^(104.4 | 13+19! |
| ^(11 | 15+24!, 15+26!, 15+28!, 15+32!, 15+34! |
| ^(12 | 15+24!, 15+26!, 15+28!, 15+32!, 15+34! |
| ^(13 | 15+24!, 15+26!, 15+28!, 15+32!, 15+34! |
| ^(14 | 13+20!, 15+24!, 15+26!, 15+28!, 15+32!, 15+34! |
| ^(15 | 15+24!, 15+26!, 15+28!, 15+32!, 15+34! |
| ^(170 | 13+19! |
| ^(170.5 | 14+11! |
| ^(171 | 14+11! |
| ^(172 | 14+11! |
| ^(173 | 13+19!, 14+11! |
| ^(176 | 13+19!, 14+11! |
| ^(177 | 13+19!, 14+11! |
| ^(178 | 14+11! |
| ^(193.3 | 13+19! |
| ^(193.6 | 13+19! |
| ^(194 | 13+19! |
| ^(194.3 | 13+19! |
| ^(2 | 11+34*, 12+7*, 16+2 |
| ^(3 | 12+7*, 16+3 |
| ^(4 | 11+43*, 15+36!, 16+2 |
| ^(5 | 11+43*, 15+36! |
| ^(6 | 12+25*, 15+36! |
| ^(7 | 11+44*, 15+30!, 15+36!, 17+6 |
| ^(8 | 15+36! |
| ^(9 | 17+6 |
| ^(97 | 13+19! |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| >> %DT | UP11+2* |
| COB | 11+1~, 11+4*, 11+6 |
| EXSV | UP11~, UP11+3 |
| F1 | UP11+1~, UP11+3*, UP11+4 |
| FT | 11+1~, 11+15*, 11+21, 11+26, 11+34, 11+50, CHKTEST~, CHKTEST+12, SW+2~, SW+8* , SW+14, SW+23 |
| I | 12+1~, 12+14*, 12+22*, 15+5~, 15+6*, 15+8*, 17+3~, 17+9* |
| IB3648 | 11+1~, 11+17*, 11+19, 11+20, 11+22, 11+26*, 11+29, 11+32, 11+35, 11+39 , 11+46, 11+49, 11+52, SW+2~, SW+10*, SW+12, SW+13, SW+15, SW+20, SW+21 |
| IB3648FT | 11+1~, 11+20*, 11+21, SW+2~, SW+13*, SW+14 |
| IB3648TF | 11+1~, 11+22*, 11+23, SW+2~, SW+15*, SW+16 |
| IBCLM | 11+1~, 11+3*, UP11+4 |
| IBCWS | SW+2~ |
| IBEXSV | 11+1~, 11+49*, 11+50, SW+2~, SW+21*, SW+23 |
| IBIEN | SW~, SW+4, SW+8, SW+16 |
| IBOI12 | 16+1~, 16+2*, 16+3 |
| IBOI14 | 16+1~, 16+2*, 16+3 |
| IBOPID | 11+1~, 11+8*, 11+10 |
| IBPID | SW+2~, SW+4*, SW+6, SW+10 |
| IBPPID | 11+1~, 11+11*, 11+13, 11+17, 11+26 |
| IBTPAID | 11+1~, 11+32*, 11+33, 11+41, SW+2~ |
| IBTPAOID | 11+1~, 11+39*, 11+42, 11+43, 11+44, SW+2~ |
| >> IBXIEN | 11+2, 11+3, 11+4, 11+15, 11+23, 11+26 |
| ID | CHKTEST~, CHKTEST+3 |
| IEN | UP11~, UP11+4 |
| LOOP | CHKTEST+2~, CHKTEST+3*, CHKTEST+6, CHKTEST+9, CHKTEST+12, CHKTEST+15 |
| OK | 11+1~, 11+17*, 11+26*, 11+27*, CHKTEST+2~, CHKTEST+3*, CHKTEST+13*, SW+2~, SW+10*, SW+17* |
| TABFT | CHKTEST+2~, CHKTEST+12* |
| U | CHKTEST+6, CHKTEST+9, CHKTEST+12 |
| X | UP11+1~, UP11+2*, UP11+4*, 12+1~, 12+14*, 12+22*, 12+25*, 12+27*, 13+1~, 13+20* , 15+5~, 15+24*, 15+26*, 15+28*, 15+30*, 15+32*, 15+34*, 15+36* |
| X1 | 11+1~, 11+48*, 16+1~, 16+2*, 16+3, 17+3~, 17+4*, 17+5*, 17+6, 17+7 , 17+8, 17+9 |
| X2 | 16+1~, 16+3*, 17+3~, 17+4*, 17+9* |
| XD | 17+3~, 17+7* |
| XD( | 17+9 |
| Y | UP11+1~, UP11+4 |
