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Sub-Field: 365.09

Package: Integrated Billing

IIV RESPONSE(#365)-->365.09

Sub-Field: 365.09


Information

Parent File Name Number Package
IIV RESPONSE(#365) GROUP REFERENCE INFORMATION 365.09 Integrated Billing

Details

Field # Name Loc Type Details
.01 SEQUENCE 0;1 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUN 10, 2013
  • HELP-PROMPT:  Type a number between 1 and 99999, 0 decimal digits.
  • DESCRIPTION:  
    This field contains a sequential number generated at the time a record is stored in the subfile.
  • TECHNICAL DESCR:  
    Sequential number 1..N, assigned automatically.
  • CROSS-REFERENCE:  365.09^B
    1)= S ^IBCN(365,DA(1),9,"B",$E(X,1,30),DA)=""
    2)= K ^IBCN(365,DA(1),9,"B",$E(X,1,30),DA)
.02 REFERENCE ID (GROUP) 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  MAY 22, 2013
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    Subscriber Supplemental Identifier.
  • TECHNICAL DESCR:  
    X12: 271, 2100C/2100D, REF02 Reference Identification. Source: 271 HL7 message, ZRF.3
.03 REF ID QUALIFIER (GROUP) 0;3 POINTER TO X12 271 REFERENCE IDENTIFICATION FILE (#365.028) X12 271 REFERENCE IDENTIFICATION(#365.028)

  • LAST EDITED:  MAY 22, 2013
  • HELP-PROMPT:  Select the reference ID qualifier.
  • DESCRIPTION:  
    Describes the type of reference ID at the REFERENCE ID (GROUP) (#.02) field.
  • TECHNICAL DESCR:  
    X12: 271, 2100C/2100D, REF01 Reference Identification Qualifier. Source: 271 HL7 message, ZRF.2.1
.04 DESCRIPTION 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  MAY 22, 2013
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    A free-form description to clarify the Reference ID in the REFERENCE ID (GROUP) (#.02) field. It will be populated with the Plan, Group or Plan Network Name.
  • TECHNICAL DESCR:  
    X12: 271, 2100C/2100D, REF03 DESCRIPTION. 271 HL7 message, ZRF.4
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