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Sub-Field: 356.2316

Package: Integrated Billing

HCS REVIEW TRANSMISSION(#356.22)-->356.2216-->356.2316

Sub-Field: 356.2316


Information

Parent File Name Number Package
356.2216 HI SEGMENTS 356.2316 Integrated Billing

Details

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

  • INPUT TRANSFORM:  K:+X'=X!(X>12)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  DEC 31, 2014
  • HELP-PROMPT:  Enter a number between 1 and 12, 0 decimal digits.
  • DESCRIPTION:  
    The sequential number of the HI segment.
  • CROSS-REFERENCE:  356.2316^B
    1)= S ^IBT(356.22,DA(2),16,DA(1),10,"B",$E(X,1,30),DA)=""
    2)= K ^IBT(356.22,DA(2),16,DA(1),10,"B",$E(X,1,30),DA)
.02 CODE LIST QUALIFIER CODE 0;2 POINTER TO X12 278 DIAGNOSIS TYPE FILE (#356.006) X12 278 DIAGNOSIS TYPE(#356.006)

  • LAST EDITED:  DEC 31, 2014
  • HELP-PROMPT:  Enter the code for the Diagnosis Type.
  • DESCRIPTION:  
    The code identifying a specific industry code list.
.03 INDUSTRY CODE 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  DEC 31, 2014
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    The code indicating a code from a specific industry code list.
  • TECHNICAL DESCR:  
    The UMO can use each occurrence of the Health Care Code Information composite (C022) to specify codes that identify the specific information that the UMO requires from the provider to complete the medical review.
.04 DATE 0;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  DEC 31, 2014
  • HELP-PROMPT:  Enter the a valid date.
  • DESCRIPTION:  
    The Diagnosis Date for HI segment.
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