RCDPEAP1 ;ALB/KML - AUTO POST MATCHING EFT ERA PAIR - CONT. ;Jun 06, 2014@19:11:19
Source file <RCDPEAP1.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 |
---|---|---|
AUTOCHK(RCERA) | ;Verify if ERA can be auto-posted - PRE-CHECK USED IN RCDPEM0
; Input: RCERA - IEN for file 344.4 ; Returns: 1 - Auto-Post candidate, 0 - Not an Auto-Post candidate ; Many checks done by this are also done AUTOCHK2 below so if these are changed, ; may also need to be changed |
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AUTOCHK2(RCERA,RCTYP) | ; RCTYP added PRCA*4.5*321
; Check if this entry is an auto-post candidate ; This has the same/similar checks as MATCH^RCDPEM0 and AUTOCHK above. If those procedures are ; changed, this may need to updated as well. ; ; Input: RCERA - IEN for file 344.4 ; RCTYP - 0 - Called from Worklist/Mark for autopost ; 1 - Called from Manual match ; Returns: 1 - Auto-Post candidate ; 0^Reason - Not an auto-post candidate and reason ; Validate Parameter |
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EXCLUDE(RCERA) | ; Verify if auto-posting is allowed for this Payer - PRECHECK USED IN RCDPEM0
; Not allowed if medical auto-posting is switched off ; Input: RCERA - IEN for file 344.4 ; Returns: 1 - Exclude ERA becaus Payer is in exclusion table, 0 otherwise ; PRCA*4.5*345 - changed to $$GET1^DIQ calls below |
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PHARM(RCERA) | ;Check if ERA is for Pharmacy only (ECME number on first line) - CALLED FROM RCDPEM0
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ERADET(RCERA,RCRCPTDA,RCLINES) | ; called on subsequent attempts of auto-post for a given ERA (DAY 2, DAY 3, ex.)
; update ERA with receipt or if not posted then update the AUTO-POST REJECTION REASON (#5) |
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ZEROBAL(RCSCR) | ;
; per requirements, only positive/negative payment pairs where payment ; calculates to zero are allowed for auto-post ; if payment ends up less than zero or greater than zero then ERA cannot |
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EXCLDRX(RCERA) | ; Verify if auto-posting is allowed for Pharmacy claims
; and for the Payer - PRECHECK USED IN RCDPEM0. Not allowed if pharmacy ; auto-posting is switched off ; Input: RCERA - IEN for file 344.4 ; Returns: 1 - ERA is excluded from Auto-Posting, 0 otherwise |
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EXCLDTR(RCERA) | ; Verify if auto-posting is allowed for TRICARE claims
; and for the Payer - PRECHECK USED IN RCDPEM0. Not allowed if TRICARE ; auto-posting is switched off ; PRCA*4.5*349 - Added function ; Input: RCERA - IEN for file 344.4 ; Returns: 1 - ERA is excluded from Auto-Posting, 0 otherwise |
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VALID(RCERA,RCLINES) | ;
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UNBAL(RCERA) | ; PRCA*4.5*318 added method
; Determine if the ERA total matches the EFT total for the selected ERA ; Input: RCERA - Internal IEN of the selected ERA ; Returns: 1 - ERA is unbalanced, 0 otherwise |
Name | Field # of Occurrence |
---|---|
FILE^DICN | ERADET+13 |
^DIE | ERADET+14, ERADET+29, VALID+55 |
$$GET1^DIQ | AUTOCHK+24, AUTOCHK2+22, AUTOCHK2+28, AUTOCHK2+35, AUTOCHK2+36, AUTOCHK2+42, AUTOCHK2+46, AUTOCHK2+50, EXCLUDE+5, EXCLUDE+9 , EXCLUDE+11, EXCLUDE+19, EXCLDRX+5, EXCLDRX+9, EXCLDRX+11, EXCLDRX+18, EXCLDTR+6, EXCLDTR+10, EXCLDTR+12, EXCLDTR+19 , VALID+26, UNBAL+6, UNBAL+10, UNBAL+14 |
$$CHECKPAY^RCDPEAP | VALID+44 |
$$SCRPAD^RCDPEAP | AUTOCHK+31, AUTOCHK2+88 |
CLEAR^RCDPEAP | AUTOCHK+38, AUTOCHK+42, AUTOCHK+45, AUTOCHK2+96, AUTOCHK2+99, AUTOCHK2+102 |
$$PHARM^RCDPEAP1 | AUTOCHK2+39 |
$$CHKTYPE^RCDPEU1 | AUTOCHK2+38 |
$$GETPAY^RCDPEU1 | AUTOCHK2+37 |
FileNo | Call Tags |
---|---|
^RCY(344.4 - [#344.4] | Classic Fileman Calls, GET1^DIQ |
344.41 | GET1^DIQ |
344.42 | GET1^DIQ |
^RCY(344.6 - [#344.6] | GET1^DIQ |
^RCY(344.61 - [#344.61] | GET1^DIQ |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^PRCA(430 - [#430] | VALID+35, VALID+38 |
^RCY(344.31 - [#344.31] | AUTOCHK+27, AUTOCHK2+82 |
^RCY(344.4 - [#344.4] | AUTOCHK+10, AUTOCHK+13, AUTOCHK+19, AUTOCHK2+19, AUTOCHK2+31, AUTOCHK2+62, AUTOCHK2+63, AUTOCHK2+68, PHARM+1, PHARM+2 , ERADET+13, VALID+28, UNBAL+9, UNBAL+13 |
^RCY(344.49 - [#344.49] | AUTOCHK2+87, ZEROBAL+12, ZEROBAL+14, VALID+11, VALID+15, VALID+17, VALID+19 |
^RCY(344.6 - [#344.6] | EXCLUDE+15, EXCLDRX+15, EXCLDTR+16 |
^TMP($J | AUTOCHK+6!, AUTOCHK+38, AUTOCHK2+16!, AUTOCHK2+96 |
Name | Line Occurrences |
---|---|
$$EXCLDRX | AUTOCHK2+56 |
$$EXCLDTR | AUTOCHK2+57 |
$$EXCLUDE | AUTOCHK2+55 |
$$ZEROBAL | AUTOCHK+42, AUTOCHK2+99 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
AUTOPOST | VALID+14~, VALID+27*, VALID+28*, VALID+30 |
CLAIM | VALID+14~, VALID+32*, VALID+33, VALID+35, VALID+38, VALID+43, VALID+44 |
CLARRAY | VALID+14~, VALID+44 |
CLARRAY( | VALID+43*, VALID+44* |
DA | ERADET+10~, ERADET+14*, ERADET+25*, VALID+49~, VALID+53* |
DA(1 | ERADET+13*, ERADET+25*, VALID+53* |
DIC | ERADET+10~, ERADET+13* |
DIC(0 | ERADET+13* |
DIE | ERADET+10~, ERADET+14*, ERADET+25*, VALID+49~, VALID+53* |
DLAYGO | ERADET+10~ |
DO | ERADET+10~ |
DR | ERADET+10~, ERADET+14*, ERADET+27*, ERADET+28*, VALID+49~, VALID+54* |
DT | ERADET+28 |
ERALINE | ZEROBAL+10~, ZEROBAL+11*, ZEROBAL+16*, ZEROBAL+19, VALID+14~, VALID+22*, VALID+24, VALID+26, VALID+28, VALID+33 , VALID+36, VALID+38, VALID+40, VALID+44, VALID+46 |
NOTOK | AUTOCHK+5~, AUTOCHK+9*, AUTOCHK+10, AUTOCHK+13*, AUTOCHK+16, AUTOCHK2+15~, AUTOCHK2+61*, AUTOCHK2+62, AUTOCHK2+64*, AUTOCHK2+65 |
PIECE | VALID+14~, VALID+28* |
PNAM | AUTOCHK2+15~, AUTOCHK2+35*, AUTOCHK2+37 |
PTIN | AUTOCHK2+15~, AUTOCHK2+36*, AUTOCHK2+37 |
RC0 | AUTOCHK2+15~, AUTOCHK2+31*, AUTOCHK2+32, AUTOCHK2+71, AUTOCHK2+77, AUTOCHK2+82 |
RCCREATE | AUTOCHK2+15~, AUTOCHK2+86*, AUTOCHK2+88*, AUTOCHK2+96, AUTOCHK2+99, AUTOCHK2+102 |
RCD0 | AUTOCHK+5~, AUTOCHK+13*, AUTOCHK2+63*, AUTOCHK2+64 |
RCDSUB | AUTOCHK+5~, AUTOCHK+9*, AUTOCHK+10*, AUTOCHK+13, AUTOCHK2+15~, AUTOCHK2+61*, AUTOCHK2+62*, AUTOCHK2+63 |
RCERA | AUTOCHK~, AUTOCHK+10, AUTOCHK+13, AUTOCHK+19, AUTOCHK+24, AUTOCHK+27, AUTOCHK+31, AUTOCHK2~, AUTOCHK2+10, AUTOCHK2+19 , AUTOCHK2+22, AUTOCHK2+28, AUTOCHK2+31, AUTOCHK2+35, AUTOCHK2+36, AUTOCHK2+39, AUTOCHK2+55, AUTOCHK2+56, AUTOCHK2+57, AUTOCHK2+62 , AUTOCHK2+63, AUTOCHK2+68, AUTOCHK2+82, AUTOCHK2+87, AUTOCHK2+88, EXCLUDE~, EXCLUDE+9, EXCLUDE+11, PHARM~, PHARM+1 , PHARM+2, ERADET~, ERADET+7, ERADET+13, ERADET+14, ERADET+25, EXCLDRX~, EXCLDRX+9, EXCLDRX+11, EXCLDTR~ , EXCLDTR+10, EXCLDTR+12, VALID~, VALID+11, VALID+26, VALID+28, VALID+53, UNBAL~, UNBAL+6, UNBAL+9 , UNBAL+10, UNBAL+13, UNBAL+14 |
RCERATYP | AUTOCHK2+15~, AUTOCHK2+38*, AUTOCHK2+39*, AUTOCHK2+43, AUTOCHK2+47, AUTOCHK2+51, AUTOCHK2+55, AUTOCHK2+56, AUTOCHK2+57, AUTOCHK2+58 |
RCI | VALID+49~ |
RCLIN | ERADET+18~, ERADET+19*, ERADET+20*, ERADET+22, ERADET+25, ERADET+27, VALID+49~, VALID+50*, VALID+51, VALID+53 |
RCLINES | ERADET~, VALID~, VALID+12*, VALID+50*, VALID+51* |
RCLINES( | ERADET+20, ERADET+22, ERADET+27, VALID+33*, VALID+36*, VALID+38*, VALID+40*, VALID+44*, VALID+46*, VALID+50 , VALID+51 |
RCLTOT | UNBAL+4~, UNBAL+8*, UNBAL+10*, UNBAL+14*, UNBAL+16 |
RCPID | EXCLUDE+8~, EXCLUDE+11*, EXCLUDE+12, EXCLUDE+15, EXCLDRX+6~, EXCLDRX+11*, EXCLDRX+12, EXCLDRX+15, EXCLDTR+7~, EXCLDTR+12* , EXCLDTR+13, EXCLDTR+16 |
RCPNM | EXCLUDE+8~, EXCLUDE+9*, EXCLUDE+10, EXCLUDE+15, EXCLDRX+6~, EXCLDRX+9*, EXCLDRX+10, EXCLDRX+15, EXCLDTR+7~, EXCLDTR+10* , EXCLDTR+11, EXCLDTR+16 |
RCPXDA | EXCLUDE+8~, EXCLUDE+15*, EXCLUDE+16, EXCLUDE+19, EXCLDRX+6~, EXCLDRX+15*, EXCLDRX+18, EXCLDTR+7~, EXCLDTR+16*, EXCLDTR+19 |
RCRCPTDA | ERADET~, ERADET+8*, ERADET+12, ERADET+13, ERADET+14, ERADET+26, ERADET+28 |
RCSCR | AUTOCHK+5~, AUTOCHK+31*, AUTOCHK+38, AUTOCHK+42, AUTOCHK+45, AUTOCHK2+15~, AUTOCHK2+87*, AUTOCHK2+88*, AUTOCHK2+89, AUTOCHK2+96 , AUTOCHK2+99, AUTOCHK2+102, ZEROBAL~, ZEROBAL+12, ZEROBAL+14, VALID+10~, VALID+11*, VALID+12, VALID+15, VALID+17 , VALID+19 |
RCSUB | UNBAL+4~, UNBAL+8*, UNBAL+9*, UNBAL+10, UNBAL+12*, UNBAL+13*, UNBAL+14 |
RCTOT | UNBAL+4~, UNBAL+6*, UNBAL+16 |
RCTYP | AUTOCHK2~, AUTOCHK2+11, AUTOCHK2+12 |
RCXCLDE | AUTOCHK2+15~, AUTOCHK2+54*, AUTOCHK2+55*, AUTOCHK2+56*, AUTOCHK2+57*, AUTOCHK2+58 |
REJECT | ERADET+18~, ERADET+22*, ERADET+26, ERADET+27 |
SEQ | VALID+14~, VALID+28* |
STATUS | AUTOCHK2+15~, AUTOCHK2+22*, AUTOCHK2+23, AUTOCHK2+24, AUTOCHK2+25, VALID+14~, VALID+35*, VALID+36 |
SUB | PHARM+1~*, PHARM+2, ZEROBAL+10~, ZEROBAL+11*, ZEROBAL+12*, ZEROBAL+14, VALID+14~, VALID+15*, VALID+17, VALID+24* , VALID+26*, VALID+30*, VALID+36*, VALID+38*, VALID+40*, VALID+44* |
SUB1 | ZEROBAL+10~, ZEROBAL+14*, VALID+14~, VALID+17*, VALID+18, VALID+19 |
U | AUTOCHK+13, AUTOCHK+24, AUTOCHK2+32, AUTOCHK2+64, AUTOCHK2+71, AUTOCHK2+77, AUTOCHK2+82, PHARM+2, ERADET+13, ERADET+22 , ERADET+27, ZEROBAL+16, ZEROBAL+19, ZEROBAL+21, VALID+21, VALID+22, VALID+28, VALID+32, VALID+38, VALID+40 , VALID+43, VALID+44 |
WLINE | ZEROBAL+10~, ZEROBAL+14*, ZEROBAL+16, ZEROBAL+19, ZEROBAL+21, VALID+14~, VALID+19*, VALID+21, VALID+22, VALID+32 , VALID+40, VALID+43, VALID+44 |
X | ERADET+10~, ERADET+13*, ZEROBAL+10~, ZEROBAL+11*, ZEROBAL+19*, ZEROBAL+21*, ZEROBAL+22 |
XX | AUTOCHK2+15~, AUTOCHK2+37*, AUTOCHK2+38, AUTOCHK2+42*, AUTOCHK2+43, AUTOCHK2+46*, AUTOCHK2+47, AUTOCHK2+50*, AUTOCHK2+51 |