RCDPES10 ;ALB/DWA/PJH - ERA return file field captions ;08/19/2010
Source file <RCDPES10.m>
Name | Comments | DBIA/ICR reference |
---|---|---|
835 | ;;HEADER DATA
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01 | ;;PAYER CONTACT INFORMATION
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02 | ;;PAYER ADJUSTMENT RECORD
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03 | ;;PAYER ADJUSTMENT RECORD (2)
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05 | ;;CLAIM PATIENT ID
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06 | ;;CORRECT PATIENT DATA
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10 | ;;CLAIM STATUS DATA
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11 | ;;CLAIM STATUS RENDERING PROVIDER INFORMATION
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12 | ;;CLAIM STATUS CORRECTED PRIORITY PAYER
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13 | ;;CLAIM STATUS OTHER SUBSCRIBER
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15 | ;;CLAIM STATUS DATA
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17 | ;;CLAIM LEVEL PAYER CONTACT INFORMATION
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20 | ;;CLAIM LEVEL ADJUSTMENT DATA
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30 | ;;CLAIM LEVEL MEDICARE INPT ADJUDICATION DATA
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35 | ;;CLAIM LEVEL MEDICARE ADJUDICATION DATA
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37 | ;;CLAIM LEVEL MEDICARE ADJUDICATION DATA REMARKS
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40 | ;;SERVICE LINE DATA
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41 | ;;SERVICE LINE DATA
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42 | ;;SERVICE LINE DATA
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45 | ;;SERVICE LINE ADJUSTMENT DATA
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46 | ;;ADJUSTMENT POLICY REFERENCE
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FDT(X) | ; returns MM/DD/YYYY or MM/DD/YY from YYYYMMDD or YYMMDD in X
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ZERO(X,D,NULL) | ; Returns numeric value of X without leading 0's
; or null if no value wanted for 0 amount ; D = 1 if dollar amt |
|
YN(X) | ; Returns YES for X="Y" and NO for X="N"
|
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
D | ZERO~, ZERO+6, ZERO+7 |
NULL | ZERO~, ZERO+8 |
X | FDT~, FDT+1*, FDT+2*, FDT+3, ZERO~, ZERO+4*, ZERO+5, ZERO+6*, ZERO+7*, ZERO+8 , YN~, YN+1*, YN+2 |
Z | ZERO+3~, ZERO+4* |