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Sub-Field: 344.4911

Package: Accounts Receivable

EDI LOCKBOX EOB WORKLIST(#344.49)-->344.491-->344.4911

Sub-Field: 344.4911


Information

Parent File Name Number Package
344.491 ADJUSTMENT LOG 344.4911 Accounts Receivable

Details

Field # Name Loc Type Details
.01 ADJUSTMENT # 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  FEB 04, 2003
  • HELP-PROMPT:  Type a Number between 1 and 99, 0 Decimal Digits
  • DESCRIPTION:  
    This is a sequential # used to enumerate the adjustments made as a result of or to this line item.
  • CROSS-REFERENCE:  344.4911^B
    1)= S ^RCY(344.49,DA(2),1,DA(1),1,"B",$E(X,1,30),DA)=""
    2)= K ^RCY(344.49,DA(2),1,DA(1),1,"B",$E(X,1,30),DA)
.02 ADJUSTMENT CAUSE 0;2 SET
************************REQUIRED FIELD************************
  • '0' FOR ADJUSTED DUE TO ANOTHER CLAIM;
  • '1' FOR CAUSED ANOTHER CLAIM TO BE ADJUSTED;
  • '2' FOR RETRACTION - SPECIFIC CLAIM;
  • '3' FOR RETRACTION - NO SPECIFIC CLAIM;
  • '4' FOR ADDITIONAL PAYMENT - SPECIFIC CLAIM;
  • '5' FOR ADDITIONAL PAYMENT - NO SPECIFIC CLAIM;

  • LAST EDITED:  FEB 14, 2003
  • HELP-PROMPT:  Enter the code that corresponds to the reason the adjustment record is being added.
  • DESCRIPTION:  This is a flag that indicates if the adjustment was caused by this line item, if the adjustment is a result of another line item needing to decrease the amount of money being applied for this ERA or if the adjustment
    is a result of a reversal or additional payment on the ERA for a specific or non-specific claim.
.03 ADJUSTMENT AMOUNT 0;3 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>9999999999999)!(X<-9999999999999) X
  • LAST EDITED:  FEB 04, 2003
  • HELP-PROMPT:  Type a Dollar Amount between -9999999999999 and 9999999999999, 2 Decimal Digits
  • DESCRIPTION:  
    This is the amount that will be used to either reduce or increase the net amount of payment for the line item.
.04 REFERENCE # 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  FEB 04, 2003
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the reference # or claim # that was provided to identify the cause of the adjustment.
.05 BACKGROUND ACTION 0;5 SET
  • '0' FOR NONE;
  • '1' FOR DECREASE ADJUSTMENT;
  • '2' FOR COMMENT;
  • '3' FOR ADD LINE TO RECEIPT;

  • LAST EDITED:  FEB 14, 2003
  • HELP-PROMPT:  Enter the code that corresponds to the action that should be applied to this record as a result of this adjustment.
  • DESCRIPTION:  
    This indicates the action that should be taken to apply this adjustment to the claim referenced when the receipt is ready to be created.
.06 USER OFFSET ACTION NEEDED 0;6 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  FEB 14, 2003
  • HELP-PROMPT:  Enter a 1 (YES) if the user needs to offset this adjustment with a dec adj on another claim.
  • DESCRIPTION:  
    This indicates what action the user is expected to take to reconcile the adjustment so the ERA is ready for receipt creation.
.07 ERA SEQUENCE REF 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  FEB 14, 2003
  • HELP-PROMPT:  Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    This is the reference to the actual seq or ERA adjustment record that this adjustment was received in.
.08 BACKGROUND ACTION COMPLETED 0;8 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  FEB 14, 2003
  • HELP-PROMPT:  Enter a 1 (YES) if the background action has been completed.
  • DESCRIPTION:  
    This field keeps track of whther or not the background action that has been assigned to this adjustment has been completed or not. This prevents decrease adjustments from being performed more than once.
.09 ADJUSTMENT COMMENT 0;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  FEB 25, 2003
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    This is the comment that will be placed in the bill record as a result of this adjustment.
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