| GENERAL DESCRIPTION |
File 361.1 EXPLANATION OF BENEFITS is used by
Integrated Billing to store Electronic Remittance Advices (ERA) that are
received electronically from MEDICARE (MRAs). The Accounts Receivable system
will be receiving Electronic Remittance Advices from payers other than
MEDICARE via the Third Party Lockbox system. The file is currently structured
to allow both types of ERAs to be stored, so it was decided to use the same
file to store the data, since the data for both is derived from an X12 835
message and is delivered to VistA using the same file format. As a result of
this decision, this IA is requested to allow Accounts Receivable to have full
direct read access and the ability to use Fileman to define a field as a
pointer to this file so it can access the data for functions specific to AR
needs.
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