IBCE837Q ;EDE/JWS - POST EXECUTE OUTPUT FOR 837 TRANSMISSION - CONTINUED ;
Source file <IBCE837Q.m>
| 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
|
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| 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) |
|
| 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. |
