IBNCPUT3 ;ALB/SS - ePharmacy secondary billing ;12-DEC-08
Source file <IBNCPUT3.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 |
|---|---|---|
| ISBILL(IBBIL) | ;
|
|
| BILINF(IB399,IBINFO) | ;
|
|
| GETPLAN(IB399) | ;
|
|
| RXBILL(IBRXIEN,IBRXREF,IBRXCOB,IBDOS,IBARR) | ;
|
|
| COSTTYP(IBRATYP,IBDT) | ; calculate the basis of cost determination for manual claims processing
; IBRATYP - rate type (ien of file #399.3) ; IBDT - date of service ; This is to update only piece [2] of the IBRT rate type string |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^DGCR(399 - [#399] | ISBILL+2, BILINF+4, BILINF+5, BILINF+7, BILINF+9, BILINF+10, BILINF+12, GETPLAN+3, GETPLAN+4 |
| ^DIC(36 - [#36] | BILINF+8 |
| ^IBA(362.4 - [#362.4] | BILINF+16, BILINF+18, RXBILL+7, RXBILL+8 |
| Name | Line Occurrences |
|---|---|
| $$BILINF | RXBILL+14 |
| $$GETPLAN | BILINF+13 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| IB3624 | BILINF+2~, BILINF+15*, BILINF+16*, BILINF+17, BILINF+18, RXBILL+1~, RXBILL+3*, RXBILL+7*, RXBILL+8 |
| IB3624V | RXBILL+1~, RXBILL+8*, RXBILL+9, RXBILL+10, RXBILL+11 |
| IB399 | ISBILL+1~, ISBILL+2*, ISBILL+3, BILINF~, BILINF+1, BILINF+4, BILINF+5, BILINF+7, BILINF+9, BILINF+10 , BILINF+11, BILINF+12, BILINF+13, BILINF+16, GETPLAN~, GETPLAN+3, GETPLAN+4, RXBILL+1~, RXBILL+11*, RXBILL+12 , RXBILL+14, RXBILL+17, RXBILL+18 |
| IB399ACT | RXBILL+1~, RXBILL+4*, RXBILL+18*, RXBILL+20 |
| IBARR | RXBILL~ |
| IBARR( | RXBILL+17* |
| IBBIL | ISBILL~, ISBILL+2 |
| IBCNT | RXBILL+1~, RXBILL+2*, RXBILL+19*, RXBILL+20 |
| IBDFN | BILINF+2~, BILINF+4*, BILINF+23 |
| IBDOS | RXBILL~, RXBILL+10 |
| IBDT | COSTTYP~, COSTTYP+6 |
| IBFIL | BILINF+2~ |
| IBINFARR | RXBILL+13~, RXBILL+14 |
| IBINFARR("AR | STATUS" , RXBILL+17, RXBILL+18 |
| IBINFARR("BIL | L #" , RXBILL+17 |
| IBINFARR("DOS" | RXBILL+17 |
| IBINFARR("FIL | L NUMBER" , RXBILL+17 |
| IBINFARR("IB | STATUS" , RXBILL+17 |
| IBINFARR("INS | NAME" , RXBILL+17 |
| IBINFARR("PRESCRIPTION" | RXBILL+17 |
| IBINFO | BILINF~ |
| IBINFO("AR ST | ATUS" , BILINF+11* |
| IBINFO("BILL | #" , BILINF+9* |
| IBINFO("DOS" | BILINF+12*, BILINF+19* |
| IBINFO("FILL | NUMBER" , BILINF+19*, BILINF+21 |
| IBINFO("IB ST | ATUS" , BILINF+10* |
| IBINFO("INS I | EN" , BILINF+7*, BILINF+8 |
| IBINFO("INS N | AME" , BILINF+8* |
| IBINFO("PLAN" | BILINF+13* |
| IBINFO("PRESCRIPTION" | BILINF+19*, BILINF+20 |
| IBNODE | GETPLAN+1~, GETPLAN+3*, GETPLAN+4 |
| IBPLN | GETPLAN+1~, GETPLAN+2*, GETPLAN+4*, GETPLAN+5 |
| IBPSEQ | BILINF+2~, BILINF+5*, BILINF+6, BILINF+23 |
| IBRATYP | COSTTYP~, COSTTYP+6 |
| IBRET | RXBILL+1~, RXBILL+14*, RXBILL+15, RXBILL+16, RXBILL+17, COSTTYP+5~, COSTTYP+6*, COSTTYP+7 |
| IBRXCOB | RXBILL~, RXBILL+16 |
| IBRXIEN | RXBILL~, RXBILL+5 |
| IBRXN | BILINF+2~ |
| IBRXNUM | RXBILL+1~, RXBILL+5*, RXBILL+6, RXBILL+7 |
| IBRXREF | RXBILL~, RXBILL+9 |
| IBZZ | BILINF+2~, BILINF+18*, BILINF+19 |
| U | BILINF+4, BILINF+5, BILINF+7, BILINF+8, BILINF+9, BILINF+10, BILINF+11, BILINF+12, BILINF+19, BILINF+23 , GETPLAN+4, RXBILL+9, RXBILL+10, RXBILL+11, RXBILL+16, RXBILL+17, RXBILL+20 |