BILLING ACCESS TO TREATMENT PLAN TRANSACTION/EXAM ICR (6871)

Name

Value

NUMBER

6871

IA #

6871

FILE NUMBER

228.2

GLOBAL ROOT

DENT(228.2,

DATE CREATED

2018/01/28

CUSTODIAL PACKAGE

DENTAL

USAGE

Private

TYPE

File

DBIC APPROVAL STATUS

APPROVED

NAME

BILLING ACCESS TO TREATMENT PLAN TRANSACTION/EXAM

GENERAL DESCRIPTION

The automated billing routines (IBCD*) need access to
TREATMENT PLAN TRANSACTION/EXAM (#228.2) file to get the necessary information
for billing non-service connected dental work to third party payers via EDI
X12 837D (Dental) transactions.

GLOBAL REFERENCE

FIELD NUMBER

DENT(228.2,D0,0)

FIELD NUMBER	ACCESS	FIELD NAME	LOCATION
.04	Read w/Fileman	ADA CODE	0;4
.09	Read w/Fileman	CONDITION	0;9
.15	Read w/Fileman	TOOTH NUMBER	0;15
.16	Read w/Fileman	SURFACES/ROOTS	0;16

DENT(228.2,D0,1)

FIELD NUMBER	ACCESS	FIELD DESCRIPTION	FIELD NAME	LOCATION
1.15	Read w/Fileman	Access 'AG' Cross-Reference with FileMan FIND^DIC	DENTAL ENCOUNTER	1;15

STATUS

Active

KEYWORDS

EDI
X12
DENTAL

DURATION

Till Otherwise Agreed

DENT(228.2,

SUBSCRIBING PACKAGE

INTEGRATED BILLING

DATE ACTIVATED

2018/02/21