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Sub-Field: 368.12199

Package: Integrated Billing

HEALTH CARE CLAIM RFAI (277)(#368)-->368.0121-->368.12199

Sub-Field: 368.12199


Information

Parent File Name Number Package
368.0121 STC SEQ-SERVICE LINE [D] 368.12199 Integrated Billing

Details

Field # Name Loc Type Details
.01 STC SEQ-SERVICE LINE [D] 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  OCT 29, 2015
  • HELP-PROMPT:  Type a number between 1 and 9999999999, 0 decimal digits.
  • CROSS-REFERENCE:  368.12199^B
    1)= S ^IBA(368,DA(2),121,DA(1),99,"B",$E(X,1,30),DA)=""
    2)= K ^IBA(368,DA(2),121,DA(1),99,"B",$E(X,1,30),DA)
.02 STATUS INFO EFFECTIVE DATE [D] 0;2 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  DEC 02, 2015
  • HELP-PROMPT:  Enter the Status Information Effective Date
  • DESCRIPTION:  
    This field is derived from the STATUS INFORMATION EFFECTIVE DATE field (#.02) within the STC-SVC LINE STAT INFO SEQ multiple field (#21), within the STC SEQ-SERVICE LINE multiple field (#99).
1.01 HEALTH CARE CLAIM STAT CAT-1 1;1 POINTER TO X12 277 CLAIM STATUS CATEGORY FILE (#368.001) X12 277 CLAIM STATUS CATEGORY(#368.001)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the HEALTH CARE CLAIM STATUS CATEGORY-1 field (#1.01) within the STC-SVC LINE STAT INFO SEQ multiple field (#21), within the STC SEQ-SERVICE LINE multiple field (#99).
10.01 HEALTH CARE CLAIM STAT CAT-10 10;1 POINTER TO X12 277 CLAIM STATUS CATEGORY FILE (#368.001) X12 277 CLAIM STATUS CATEGORY(#368.001)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the HEALTH CARE CLAIM STATUS CATEGORY-10 field (#10.01) within the STC-SVC LINE STAT INFO SEQ multiple field (#21), within the STC SEQ-SERVICE LINE multiple field (#99).
11.01 HEALTH CARE CLAIM STAT CAT-11 11;1 POINTER TO X12 277 CLAIM STATUS CATEGORY FILE (#368.001) X12 277 CLAIM STATUS CATEGORY(#368.001)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the HEALTH CARE CLAIM STATUS CATEGORY-11 field (#11.01) within the STC-SVC LINE STAT INFO SEQ multiple field (#21), within the STC SEQ-SERVICE LINE multiple field (#99).
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