RCDPEAP1 ;ALB/KML - AUTO POST MATCHING EFT ERA PAIR - CONT. ;Jun 06, 2014@19:11:19
Source file <RCDPEAP1.m>
| 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 |
|
| 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 |
|
| 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 |
|
| 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) |
|
| 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 ; be autoposted. ; ERA gets sent to the standard worklist for manual receipt processing ; note: a payment pair represents 2 EEOB sequences with the same claim ; RCSCR - 344.49 ien ; X - returns 1 or 0 ; |
|
| 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 |
|
| 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 |
|
| 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 |
|
| MATCHED(IEN) | ; Check if ERA is matched
; Input IEN - Internal entry number of ERA #344.4 ; Returns 1 if ERA is matched, otherwise 0 |
|
| ISZERO(IEN) | ; Check is ERA is zero balance (EP)
; Input IEN - Internal entry number of ERA #344.4 ; Returns 1 if ERA is zero balance, otherwise 0 |
| 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 |
