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Sub-Field: 36.016

Package: Integrated Billing

INSURANCE COMPANY(#36)-->36.016

Sub-Field: 36.016


Information

Parent File Name Number Package
INSURANCE COMPANY(#36) ALTERNATE PROF PAYER ID TYPE 36.016 Integrated Billing

Details

Field # Name Loc Type Details
.01 ALTERNATE PROF PAYER ID TYPE 0;1 POINTER TO IB ALTERNATE PRIMARY ID TYPE FILE (#355.98) IB ALTERNATE PRIMARY ID TYPE(#355.98)

  • INPUT TRANSFORM:  S DIC("S")="I $$ALLOWED^IBCNSC(Y)" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X
  • LAST EDITED:  JAN 21, 2016
  • HELP-PROMPT:  Enter an Alternate Institutional Payer ID Type.
  • DESCRIPTION:  
    This ID Type designates the type of claims which are processed by a different Administration Contractor than normal claims. It determines which Alternate Professional Payer Primary ID will be transmitted.
  • SCREEN:  S DIC("S")="I $$ALLOWED^IBCNSC(Y)"
  • EXPLANATION:  Only allow entries defined in the IB Site Parameters.
  • CROSS-REFERENCE:  36.016^B
    1)= S ^DIC(36,DA(1),16,"B",$E(X,1,30),DA)=""
    2)= K ^DIC(36,DA(1),16,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  36^AD
    1)= S ^DIC(36,"AD",$E(X,1,30),DA(1),DA)=""
    2)= K ^DIC(36,"AD",$E(X,1,30),DA(1),DA)
    This cross reference is used to determine if any insurance company is using a specific Payer ID Type. If a Payer ID Type is in use by an Insurance Company, it cannot be deleted from the IB SITE PARAMETERS (#350.9) file.
.02 ALTERNATE PROF PAYER ID 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1)!($$UP^XLFSTR(X)["PRNT") X I $D(X) K:'$$EDIKEY^IBCNSC X
  • LAST EDITED:  NOV 18, 2015
  • HELP-PROMPT:  Answer must be 1-30 characters in length and not contain PRNT.
  • DESCRIPTION:  
    Enter an alternate professional primary payer ID number.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
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