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Sub-Field: 351.31

Package: Integrated Billing

MEANS TEST BILLING CLOCK VERIFY(#351.3)-->351.31

Sub-Field: 351.31


Information

Parent File Name Number Package
MEANS TEST BILLING CLOCK VERIFY(#351.3) QUERY REFERENCE NUMBER 351.31 Integrated Billing

Details

Field # Name Loc Type Details
.01 QUERY REFERENCE NUMBER 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
    MAXIMUM LENGTH: 20
  • LAST EDITED:  DEC 02, 2022
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This field contains the DAS response message ID.
  • CROSS-REFERENCE:  351.31^B
    1)= S ^IBE(351.3,DA(1),1,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(351.3,DA(1),1,"B",$E(X,1,30),DA)
.02 CLOCK BEGIN DATE 0;2 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:3500101X) X
  • LAST EDITED:  JUN 29, 2022
  • HELP-PROMPT:  Type a date between 1/1/1901 and 1/1/2050.
  • DESCRIPTION:  
    This field contains the begin date for the clock in the response to the original query.
.03 STATUS 0;3 SET
  • 'CL' FOR CLOSED;
  • 'CU' FOR CURRENT;
  • 'CX' FOR CANCELLED;

  • LAST EDITED:  NOV 16, 2022
  • HELP-PROMPT:  Enter the status of the responding message 'CU' for CURRENT, 'CL' for CLOSED, 'CX' for CANCELLED.
  • DESCRIPTION:  
    This field contains the status of the responding message. CU = 'CURRENT' CL = 'CLOSED CX = 'CANCELLED'
.04 1ST 90 DAY INPATIENT AMOUNT 0;4 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>600)!(X<0) X
  • LAST EDITED:  NOV 16, 2022
  • HELP-PROMPT:  Type a dollar amount between 0 and 600, 2 decimal digits.
  • DESCRIPTION:  
    This field is the 1st 90 day inpatient amount billed to the patient.
.05 2ND 90 DAY INPATIENT AMOUNT 0;5 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • LAST EDITED:  NOV 28, 2022
  • HELP-PROMPT:  Type a dollar amount between 0 and 9999.99, 2 decimal digits.
  • DESCRIPTION:  
    This field contains the copay amount for the 2nd 90 day period.
.06 3RD 90 DAY INPATIENT AMOUNT 0;6 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • LAST EDITED:  NOV 16, 2022
  • HELP-PROMPT:  Type a dollar amount between 0 and 9999.99, 2 decimal digits.
  • DESCRIPTION:  
    This field contains the copay amount for the 3rd 90 day period.
.07 4TH 90 DAY INPATIENT AMOUNT 0;7 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • LAST EDITED:  NOV 28, 2022
  • HELP-PROMPT:  Type a dollar amount between 0 and 9999.99, 2 decimal digits.
  • DESCRIPTION:  
    This field contains the copay amount for the 4th 90 day period.
.08 NUMBER OF INPATIENT DAYS 0;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 08, 2022
  • HELP-PROMPT:  Type a number between 0 and 365, 0 decimal digits.
  • DESCRIPTION:  
    Total number of inpatient days, 0 - 365
.09 DATE CLOCK CLOSED 0;9 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUL 08, 2022
  • HELP-PROMPT:  Enter the date that this clock was closed.
  • DESCRIPTION:  
    Date Means Test Billing Clock is closed
10 FACILITY NUMBER 0;10 POINTER TO INSTITUTION FILE (#4) INSTITUTION(#4)

  • LAST EDITED:  JUL 08, 2022
  • HELP-PROMPT:  Enter the facility number for this entry.
  • DESCRIPTION:  
    The facility number from the INSTITUTION file (#4) that is associated with this entry.
11 CLOCK VERSION 0;11 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<5) X
    MAXIMUM LENGTH: 20
  • LAST EDITED:  APR 03, 2024
  • HELP-PROMPT:  Enter the Clock Version for the Means Test Billing Clock in the format of Station ID Version number. Example "500 1"
  • DESCRIPTION:  
    This is the clock version returned by the remote site as part of the Query Deferred Response (DSR).
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