| FILE |
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- DD NUMBER:
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- INSURANCE TYPE (sub-file)
- FIELD NUMBER:
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- INSURED'S DOB
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- INSURED'S BRANCH
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- INSURED'S RANK
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- POLICY NOT BILLABLE
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- INSURED'S SSN
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- INSURED'S STREET 1
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- INSURED'S STREET 2
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- INSURED'S CITY
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- INSURED'S STATE
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- INSURED'S ZIP
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- INSURED'S PHONE
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
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- DD NUMBER:
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-
- IB ACTION TYPE (File-top level)
- FIELD NUMBER:
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- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
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- DD NUMBER:
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-
- IB SITE PARAMETERS (File-top level)
- FIELD NUMBER:
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- *DEFAULT AMB SURG REV CODE
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- *DEFAULT RX REFILL REV CODE
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- BILLING PORT
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- AWP PORT
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- TCP/IP ADDRESS
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- PRIMARY BILLING TASK
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- SECONDARY BILLING TASK
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- PRIMARY AWP TASK
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- SECONDARY AWP TASK
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- DATE PRIMARY TASK STARTED
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- DATE PRIMARY TASK LAST RAN
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- SHUTDOWN BACKGROUND JOBS
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- TASK UCI,VOL
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- AWP CHARGE SET
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- PRESCRIBER ID
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
-
- DD NUMBER:
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-
- SPECIAL INPATIENT BILLING CASES (File-top level)
- FIELD NUMBER:
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- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
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- DD NUMBER:
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- BILL FORM TYPE (File-top level)
- FIELD NUMBER:
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- NAME
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- BASE FILE
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- FORMAT TYPE
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- FORM LENGTH
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- NATIONAL FORM
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- PARENT FORM
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- SHORT DESCRIPTION
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- FIELD DELIMITER
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- PRINT FORM NAME
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- LOCAL SCREEN 9
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- ENTRY PRE-PROCESSOR
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- ENTRY POST-PROCESSOR
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- OUTPUT CODE
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- EXTRACT CODE
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- FORM PRE-PROCESSOR
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- FORM POST-PROCESSOR
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: NO
- SITE'S DATA: MERGE
- MAY USER OVERRIDE DATA UPDATE: NO
- SCREEN TO SELECT DATA: I Y=2!(Y=3)
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- DD NUMBER:
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-
- INSURANCE COMPANY (File-top level)
- FIELD NUMBER:
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-
- DIFFERENT REVENUE CODES TO USE
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- FORM TYPE
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- BIN NUMBER
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: YES
- DATA COMES WITH FILE: YES
- SITE'S DATA: REPLACE
- MAY USER OVERRIDE DATA UPDATE: NO
- SCREEN TO SELECT DATA: I $P($G(^(0)),U,2)="N"
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: YES
- DATA COMES WITH FILE: YES
- SITE'S DATA: REPLACE
- MAY USER OVERRIDE DATA UPDATE: NO
- SCREEN TO SELECT DATA: I $P($G(^(0)),U,2)="N"
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: YES
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: YES
- DATA COMES WITH FILE: YES
- SITE'S DATA: REPLACE
- MAY USER OVERRIDE DATA UPDATE: NO
- SCREEN TO SELECT DATA: I $P($G(^IBA(364.7,+Y,0)),U,2)="N"
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- DD NUMBER:
-
-
- BILL/CLAIMS (File-top level)
- FIELD NUMBER:
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- PATIENT NAME
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- WHO'S RESPONSIBLE FOR BILL?
-
- CURRENT BILL PAYER SEQUENCE
-
- DEFAULT DIVISION
-
- PRIMARY PRIOR PAYMENT
-
- SECONDARY PRIOR PAYMENT
-
- TERTIARY PRIOR PAYMENT
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- PROCEDURES (sub-file)
- FIELD NUMBER:
-
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- REVENUE CODE (sub-file)
- FIELD NUMBER:
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- DIVISION
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- NON-COVERED CHARGE
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- TYPE
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- ITEM
-
- COMPONENT
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: PARTIAL
- DATA COMES WITH FILE: NO
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: FULL
- RESOLVE POINTERS: NO
- DATA COMES WITH FILE: YES
- SITE'S DATA: OVERWRITE
- MAY USER OVERRIDE DATA UPDATE: NO
- SCREEN TO SELECT DATA: I +Y'<57,+Y'>104
-
- UPDATE THE DATA DICTIONARY: YES
- SEND SECURITY CODE: NO
- SEND FULL OR PARTIAL DD: FULL
- DATA COMES WITH FILE: NO
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