Sub-Field: 364.96

Parent File	Name	Number	Package
ACC X12 ENCOUNTERS(#364.9)	SERVICE LINE NUMBER	364.96	Integrated Billing

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	SERVICE LINE NUMBER	0;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `DEC 19, 2024` HELP-PROMPT: `Enter the service line number from the community care X12 837 claim encounter.` DESCRIPTION: `This is the line number of the service found on the incoming community care encounter.` TECHNICAL DESCR: `This field is not intended for end user entering or editing. It will only be populated by the remote procedure that is handling the incoming automated community care X12 837 encounters VistA receives from Payer EDI.` CROSS-REFERENCE: `364.96^B` `1)= S ^IBA(364.9,DA(1),6,"B",$E(X,1,30),DA)=""` `2)= K ^IBA(364.9,DA(1),6,"B",$E(X,1,30),DA)` `This cross reference provides service line number searching within the SERVICE LINE NUMBER multiple.`
.02	LINE PAYMENT AMOUNT	0;2	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X` LAST EDITED: `DEC 19, 2024` HELP-PROMPT: `Enter the line level payment amount the VA paid on this community care service.` DESCRIPTION: `This is the service line level payment amount that was found in the community care X12 837 claim encounter data.` TECHNICAL DESCR: `This field is not intended for end user entering or editing. It will only be populated by the remote procedure that is handling the incoming automated community care X12 837 encounters VistA receives from Payer EDI.`

SERVICE LINE NUMBER

0;1

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: DEC 19, 2024
HELP-PROMPT: Enter the service line number from the community care X12 837 claim encounter.
DESCRIPTION:
This is the line number of the service found on the incoming community care encounter.
TECHNICAL DESCR:
This field is not intended for end user entering or editing. It will only be populated by the remote procedure that is handling the incoming automated community care X12 837 encounters VistA receives from Payer EDI.
CROSS-REFERENCE: 364.96^B
1)= S ^IBA(364.9,DA(1),6,"B",$E(X,1,30),DA)=""
2)= K ^IBA(364.9,DA(1),6,"B",$E(X,1,30),DA)
This cross reference provides service line number searching within the SERVICE LINE NUMBER multiple.

LINE PAYMENT AMOUNT

0;2

NUMBER

INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
LAST EDITED: DEC 19, 2024
HELP-PROMPT: Enter the line level payment amount the VA paid on this community care service.
DESCRIPTION:
This is the service line level payment amount that was found in the community care X12 837 claim encounter data.
TECHNICAL DESCR:
This field is not intended for end user entering or editing. It will only be populated by the remote procedure that is handling the incoming automated community care X12 837 encounters VistA receives from Payer EDI.