| IBIFN |
Input |
IEN of Bill/Claims file (#399) entry.
|
ARRAY |
Both |
Input: Array name preceeded by a period (Example: .BI
for BI array).
Output: 0 = No billing information, 1 = Billing information exists
If ARRAY=1, output will also be ARRAY() containing the following:
ARRAY("BN") = BILL NUMBER ARRAY("SR") = SENSITIVE RECORD? (Y/N) ARRAY("STF") =
STATEMENT COVERS FROM DATE - first date covered by bill ARRAY("STT") =
STATEMENT COVERS TO DATE - last date covered by bill ARRAY("TCG") = TOTAL
CHARGES ARRAY("TOC") = BILL TYPE (INPATIENT OR OUTPATIENT) ARRAY("TCF") = BILL
FORM TYPE ARRAY("PIN") = PRIMARY INSURANCE CARRIER NAME ^ HOSPITAL PROVIDER
NUMBER ^
GROUP NAME ^ GROUP NUMBER ^ NAME OF INSURED ^ SUBSCRIBER ID ^
RELATIONSHIP TO INSURED ARRAY("PIN","MMA") = PRIMARY INSURANCE
CARRIER MAIN STREET ADDDRESS #1 ^
STREET ADDRESS #2 ^ STREET ADDRESS #3 ^ CITY ^ STATE ^
ZIP ^ PHONE NUMBER ARRAY("RVC") = NUMBER OF REVENUE CODES
ON BILL (multiple) ARRAY("RVC",X) = REVENUE CODE ^ REVENUE CODE DESCRIPTION ^
CHARGE PER UNIT ^
NUMBER OF UNITS ^ TOTAL CHARGE FOR REV CODE ARRAY("OPV") =
NUMBER OF OUTPATIENT VISIT DATES ON BILL (multiple) ARRAY("OPV",X) =
OUTPATIENT VISIT DATE ARRAY("PRC") = NUMBER OF PROCEDURES ON BILL (multiple)
ARRAY("PRC",X) = PROCEDURE CODE ^ PROCEDURE DESCRIPTION ^ PROCEDURE DATE ^
PLACE OF SERVICE CODE ^ PLACE OF SERVICE ^
TYPE OF SERVICE CODE ^ TYPE OF SERVICE ARRAY("DXS") = NUMBER
OF DIAGNOSIS ON BILL (multiple) ARRAY("DXS,X) = DIAGNOSIS CODE ^ DIAGNOSIS
ARRAY("RXF") = NUMBER OF PRESCRIPTION REFILLS ON BILL (multiple)
ARRAY("RXF",X) = PRESCRIPTION # ^ REFILL DATE ^ DRUG NAME ^ DAYS SUPPLY ^
QUANTITY ^ NDC # ARRAY("PRD") = NUMBER OF PROSTHETIC ITEMS ON
BILL (multiple) ARRAY("PRD",X) = PROSTHETIC DEVICE ^ DELIVERY DATE IF
CONDITION RELATED TO:
EMPLOYMENT: ARRAY("CRE") = "EMPLOYMENT"
AUTO ACCIDENT: ARRAY("CRA") = "AUTO ACCIDENT/STATE"
OTHER ACCIDENT: ARRAY("CRO") = "OTHER ACCIDENT"
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