| DESCRIPTION OF ENHANCEMENTS |
Routines: IBCE837, IBCE837A
Allows selection of existing batches or individual claims to be
#1006 (changed data element, ins type OI1-17)
#1015 (changed data element, version info GEN-7)
#1039 (new entry for current payer sequence CI1-14)
#1040 (new entry for MRA secondary indicator CI1-15)
Entries modified in file 364.6:
#1321 (new entry for current payer sequence CI1-14)
#1322 (new entry for MRA secondary indicator CI1-15)
New File: 361.4 EDI TEST CLAIM STATUS MESSAGE
re-submitted as test claims from the original EDI resubmit bill/batch
Holds the test transmission and all test status messages received in
the test queue (MCT) for claims resubmitted as test.
NOIS ENTRIES INCLUDED:
UNY-0205-10041 SYNTAX ERROR 1/31 -MISSING LCOB-02
LEX-0205-40005 SYNTAX ERROR 1/27 - LCOB/LCAS Prob.
options.
Routine: IBCNSGE
Insurance Company EDI Parameter Report
Routine: IBCEF2
Pull the id from the insurance company file if the claim is an MRA
secondary and the id exists. If there is no id, force PPRNT or IPRNT.
Changes to allow test claims to be resubmitted from previously
Routine IBCEF21
Two procedures moved out of IBCEF2 and into IBCEF21 for space.
Routine: IBCEF31
Ensure that the electronic insurance type field for the Medicare (WNR)
entry is always 3:MEDICARE. This is the 3.09 field in file 36.
Routine: IBCEF4
Change to return a true value if the claim is being resubmitted as a
transmitted claims.
test claim.
Routine: IBCEF
Bug fix to the $$NOPUNCT function. Allow the exclusions parameter to
function properly.
Routine: IBCBB2
Change to allow 8 diagnoses codes.
Routine: IBY296PR (new) (pre-install)
Pre-install changes the data element for entry #1015 in file 364.7
Routine: IBCERPT
Changed to output " * * TEST RESULTS * * " on reports from the MCT queue
Routine: IBCEPTU (new)
Utility code added to allow lookup of last transmitted date when a
transmission entry is deleted for an entry in file 361.4
Routine: IBCEPTR
Routines: IBCESRV
Report of data stored in file 361.4.
Routine: IBCESRV, IBCESRV2
Changed to capture the MCT messages for claims resubmitted for test and
send them to be stored in the new test claim message file
Routine: IBCEPTM (new)
Stores the transmission and test status message data in file 361.4
Routines: IBCEPTC, IBCEPTC1, IBCEPTC2 (new)
Changes server logic for reports to send test message flag if msg
New routines for the list manager display and resubmission of
previously transmitted claims as test claims.
Routine IBCE
Modify the IB nightly job section to call the Purge routine for file
361.4.
Routines IBCEU0, IBCEU1
Fix LCOB segment pieces (modifiers and payer id)
received in test queue.
Routine IBCEOB1
Fix split MRA filing problem. Keep track of VistA line numbers across
multiple split MRAs in file 361.1.
Routine IBCCC2
Remove the code which deletes the BILL COPIED FROM field when
processing an MRA claim into a secondary MRA claim.
Routine IBCEP0B
Added a new parameter to the call PARAMS^IBCNSC1 to fix an undefined
variable error that was occuring as a result of Patch 291.
Routine IBCERP3
Report of bill batches waiting Austin receipt more than 1 day.
Modification to routine to make it more similar to routine IBCEBUL by
checking to see if there are any bills in the batch before including it
on this report.
Routine IBCERP5
Modify the batch status detail report to show claims from test batches
Routines: IBCEM01, IBCEM02, IBCEM03
stored in file 361.4.
New field FILE 364.2:
.14 CLAIM RESUBMITTED TEST
Entries modified in file 364.7:
#136 (changed entry for group #/group name exclusion CI3-3)
#137 (changed entry for group #/group name exclusion CI3-4)
#830 (changed to fix problem with LCOB records)
#985 (changed to fix problem with LCOB records)
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