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Global: ^DGCR(399.3

Package: Integrated Billing

Global: ^DGCR(399.3


Information

FileMan FileNo FileMan Filename Package
399.3 RATE TYPE Integrated Billing

Description

Directly Accessed By Routines, Total: 102

Package Total Routines
Integrated Billing 97 IB CLK PROD    IB20P154    IB20P424    IB20P501    IB20P503    IB20P538    IB20P554    IB20P558
IB20PT7    IBACUS2    IBCA    IBCB    IBCBB1    IBCBB7    IBCEF2    IBCEF21
IBCEF4    IBCF31    IBCF34    IBCNQ    IBCNSBL2    IBCONS1    IBCRBE    IBCRLS
IBCRLT    IBCRTN    IBCSC3    IBCU    IBCU61    IBCU64    IBFBWL3    IBJD
IBJTCA1    IBJTLA1    IBNCPDP1    IBNCPDP6    IBNCPDPU    IBOA31    IBOBL    IBOCPDS
IBOMTP1    IBPUDEL    IBRSUTL    IBTOECT    IBXSC3    IBYPPC1    ^DGCR(399    ^DGCR(399.3
IB20P383    IB20P460    IB20P510    IB20P541    IB20P569    IB20P578    IB20P610    IB20P632
IB3PSOU    IB488PRE    IBCA1    IBCBB    IBCBB11    IBCD2    IBCD5    IBCEMSR6
IBCEST    IBCEU3    IBCF    IBCF10    IBCF11    IBCF12    IBCF32    IBCNQ1
IBCNSMR    IBCOPV    IBCU1    IBCU3    IBCU41    IBEFUNC    IBJDB21    IBJTLB1
IBOAMS    IBOLK1    IBOMBL    IBORT    IBORT1    IBOSTUS1    IBTUBO    IBTUBOA
IBXS3    IBXX19    IBY137PO    IBY473PO    IBY547PR    IBY568PO    IBYBPRE    IBYPSA1
INPUT VARIABLE    
Accounts Receivable 5 PRCABJ2    PRCAUDT1    RCDPEARL    RCXVDC3    RCXVUTIL    

Accessed By FileMan Db Calls, Total: 19

Package Total Routines
Integrated Billing 15 IB20P154    IB20P554    IB20PT7    IB488PRE    IBCA    IBCMENU    IBCREE    IBCROR
IBJPS7    IBOAMS    IBOTR    IBY137PO    IBY547PR    IBY568PO    IBYBPT    
Accounts Receivable 2 PRCAUDT1    RCDPENR2    
E Claims Management Engine 2 BPSPRRX2    BPSPRRX3    

Pointed To By FileMan Files, Total: 8

Package Total FileMan Files
Integrated Billing 5 BILL/CLAIMS(#399)[.07]    IB NCPDP EVENT LOG(#366.14)[#366.141(7.04)]    IB NCPDP PRESCRIPTION(#366.15)[.03]    IB SITE PARAMETERS(#350.9)[#350.928(.01)]    RATE SCHEDULE(#363)[.02]    
E Claims Management Engine 3 BPS REQUESTS(#9002313.77)[1.08]    BPS TRANSACTION(#9002313.59)[#9002313.59902(902.29)]    BPS LOG OF TRANSACTIONS(#9002313.57)[#9002313.57902(902.29)]    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Accounts Receivable 2 ACCOUNTS RECEIVABLE CATEGORY(#430.2)[.06]    AR DEBT LIST(#430.6)[.11]    

Fields, Total: 12

Field # Name Loc Type Details
.001 NUMBER NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
  • HELP-PROMPT:  Enter the internal file number of this entry.
  • DESCRIPTION:  
    This is the internal file number of this entry.
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1)!'(X'?1P.E) X
  • HELP-PROMPT:  Enter the 1-30 character name/description of this rate type.
  • DESCRIPTION:  
    This is the name/description of this rate type.
  • DELETE TEST:  .01,0)= I 1 W !,"Deletion of Rate Types not allowed. Use the Inactive field."
  • CROSS-REFERENCE:  399.3^B
    1)= S ^DGCR(399.3,"B",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.3,"B",$E(X,1,30),DA)
.02 BILL NAME 0;2 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1)!'(X'?1P.E) X
  • HELP-PROMPT:  Enter the 1-30 character text which you want to appear on the UB form each time a bill of this rate type is printed.
  • DESCRIPTION:  
    This is the text which will appear on the UB claim form each time a bill of this rate type is printed.
.03 INACTIVE 0;3 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  APR 05, 1989
  • HELP-PROMPT:  Enter the code which indicates whether or not you would like to inactivate this rate type.
  • DESCRIPTION:  
    This indicates whether or not this code has been inactivated.
.04 ABBREVIATION 0;4 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<2)!'(X?1A.ANP) X
  • HELP-PROMPT:  Enter the 2-8 character abbreviation of the name of this rate type which will appear on all of the billing outputs.
  • DESCRIPTION:  
    This defines the abbreviation of the name of this rate type which will appear on all of the billing outputs.
.05 IS THIS A THIRD PARTY BILL? 0;5 SET
************************REQUIRED FIELD************************
  • '0' FOR NO;
  • '1' FOR YES;

  • HELP-PROMPT:  Enter '1' or 'Yes' if this is a third party bill or '0' or 'No' if a bill of this rate type is not a third party bill.
  • DESCRIPTION:  
    This allows the user to determine whether or not a bill of this rate type is a third party bill.
.06 ACCOUNTS RECEIVABLE CATEGORY 0;6 POINTER TO ACCOUNTS RECEIVABLE CATEGORY FILE (#430.2)
************************REQUIRED FIELD************************
ACCOUNTS RECEIVABLE CATEGORY(#430.2)

  • INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,7)>9" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  DEC 17, 1993
  • HELP-PROMPT:  Select the 'Accounts Receivable Category' which corresponds to this rate type.
  • DESCRIPTION:  
    This points to the corresponding Accounts Receivable category.
  • SCREEN:  S DIC("S")="I $P(^(0),U,7)>9"
  • EXPLANATION:  Only Accounts Receivable categories may be selected
  • CROSS-REFERENCE:  ^^TRIGGER^399.3^.07
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^DGCR(399.3,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X=DIV D ARCAT^IBCU X ^DD(399.3,.06,1,1,1.4)
    1.4)= S DIH=$S($D(^DGCR(399.3,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,7)=DIV,DIH=399.3,DIG=.07 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
    2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^DGCR(399.3,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" X ^DD(399.3,.06,1,1,2.4)
    2.4)= S DIH=$S($D(^DGCR(399.3,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,7)=DIV,DIH=399.3,DIG=.07 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
    CREATE VALUE)= D ARCAT^IBCU
    DELETE VALUE)= S X=""
    FIELD)= #.07
    This triggers the correct value for WHO's RESPONSIBLE for any AR Category that is entered.
.07 WHO'S RESPONSIBLE 0;7 SET
  • 'p' FOR PATIENT;
  • 'i' FOR INSURER;
  • 'o' FOR OTHER (INSTITUTION);

  • LAST EDITED:  FEB 14, 1990
  • HELP-PROMPT:  Enter the Expected debtor for this rate type.
  • DESCRIPTION:  This field is triggered when an Accounts Receivable Category is entered. It is used to provide consistency between packages so the the debtor for the bill is from the correct file. Debtors can be from the Patient file,
    the Insurance Company file, or the Institution file.
    UNEDITABLE
  • NOTES:  TRIGGERED by the ACCOUNTS RECEIVABLE CATEGORY field of the RATE TYPE File
.08 REIMBURSABLE INSURANCE? 0;8 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  APR 06, 1992
  • HELP-PROMPT:  Answer '1' or 'YES' if you want the Medicare statement to print on all UB bills of this Rate Type.
  • DESCRIPTION:  This field should be answered 'YES' if this is a Reimbursable Insurance rate type, all other rate types should be answered 'NO'. This field will be used to determine if a bill is reimbursable Insurance.
    Primarily, this field will be used by the bill print option to determine if the 7 line statement that begins "For your information..." should be printed on the UB claim form. (Only applies to the UB form types.)
.09 NSC STATEMENT ON UB BILLS 0;9 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JAN 20, 1994
  • HELP-PROMPT:  Enter '1' or 'YES' if you want the statement "The undersigned certifies that treatment rendered is not for a service connected disablility." to print on UB bills of this rate type.
  • DESCRIPTION:  The statement "The undersigned certifies that treatment rendered is not for a service connected disablity." will be printed on UB claim forms of this Rate Type if this field is answered 'YES'.
    This field should be answered 'YES' for all rate types where the bill can only be for NSC care.
.1 ELECTRONIC TRANSMIT 0;10 SET
  • '0' FOR NOT ALLOWED;
  • '1' FOR ALLOWED;

  • LAST EDITED:  MAR 02, 1999
  • HELP-PROMPT:  Enter the type of electronic transmission (or none) for bills of this rate type.
  • DESCRIPTION:  
    The type of transmission allowed, if any, for bills of this rate type.
.11 BILL RESULTING FROM 0;11 POINTER TO AR DEBT LIST FILE (#430.6) AR DEBT LIST(#430.6)

  • INPUT TRANSFORM:  S DIC("S")="N Z0 S Z0=$P($G(^DGCR(399.3,DA,0)),U,6) Q:+Z0'>0 S Z0=$P(^PRCA(430.2,Z0,0),U,6) I ($P(^PRCA(430.6,Y,0),U,4)[Z0)!($P(^(0),U,4)[""X"")" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  DEC 17, 2002
  • HELP-PROMPT:  Enter the default that will be used for the BILL RESULTING FROM field when auto-audit is invoked
  • DESCRIPTION:  
    This is the default value for the BILL RESULTING FROM (#4.5) field in the ACCOUNTS RECEIVABLE file (#430) that will be used during auto-audit for all bills with this rate type.
  • SCREEN:  S DIC("S")="N Z0 S Z0=$P($G(^DGCR(399.3,DA,0)),U,6) Q:+Z0'>0 S Z0=$P(^PRCA(430.2,Z0,0),U,6) I ($P(^PRCA(430.6,Y,0),U,4)[Z0)!($P(^(0),U,4)[""X"")"
  • EXPLANATION:  Type for the entry must be compatible with Rate Type/AR Category's Type

Found Entries, Total: 20

NAME: CHAMPVA    NAME: CHAMPVA REIMB. INS.    NAME: CRIME VICTIM    NAME: DENTAL    NAME: DENTAL REIMB. INS.    NAME: FEE REIMB INS    NAME: HUMANITARIAN    NAME: HUMANITARIAN REIMB. INS.    
NAME: INELIGIBLE    NAME: INELIGIBLE REIMB. INS.    NAME: INTERAGENCY    NAME: MEANS TEST    NAME: MEDICARE ESRD    NAME: NO FAULT INS.    NAME: REIMBURSABLE INS.    NAME: SHARING AGREEMENT    
NAME: TORT FEASOR    NAME: TRICARE    NAME: TRICARE REIMB. INS.    NAME: WORKERS' COMP.    

ICR, Total: 2

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #3822
  • ACCOUNTS RECEIVABLE
  • E Claims Management Engine
  • NAME (.01).
    Access: Direct Global Read & w/Fileman

    ICR #4118
  • ACCOUNTS RECEIVABLE
  • BILL RESULTING FROM (.11).
    Access: Write w/Fileman

    External References

    Name Field # of Occurrence
    ^DIC .06+1, .11+1
    ^DICR .06(XREF 1n1.4), .06(XREF 1n2.4)
    ARCAT^IBCU .06(XREF 1S)

    Global Variables Directly Accessed

    Name Line Occurrences  (* Changed,  ! Killed)
    ^DD( .06(XREF 1n1.4), .06(XREF 1n2.4)
    ^DD(399.3 .06(XREF 1S), .06(XREF 1K)
    ^DGCR(399.3 - [#399.3] .01(XREF 1S), .01(XREF 1K), .06(XREF 1S), .06(XREF 1n1.4), .06(XREF 1K), .06(XREF 1n2.4)

    Naked Globals

    Name Field # of Occurrence
    ^(0 .06(XREF 1S), .06(XREF 1n1.4), .06(XREF 1K), .06(XREF 1n2.4)

    Local Variables

    Legend:

    >> Not killed explicitly
    * Changed
    ! Killed
    ~ Newed

    Name Field # of Occurrence
    >> D0 .06(XREF 1S), .06(XREF 1K)
    >> DA .01(XREF 1S), .01(XREF 1K), .06(XREF 1S), .06(XREF 1K)
    DIC ID.07+1, .06+1!*, .11+1!*
    DIC("S" .06+1*, .06SCR+1*, .11+1*, .11SCR+1*
    >> DIE .06+1, .11+1
    >> DIG .06(XREF 1n1.4), .06(XREF 1n2.4)
    >> DIH .06(XREF 1n1.4), .06(XREF 1n2.4)
    >> DIU .06(XREF 1S), .06(XREF 1K)
    DIV .06(XREF 1S), .06(XREF 1n1.4), .06(XREF 1K), .06(XREF 1n2.4)
    DIV(0 .06(XREF 1S), .06(XREF 1n1.4), .06(XREF 1K), .06(XREF 1n2.4)
    U .06(XREF 1S), .06(XREF 1n1.4), .06(XREF 1K), .06(XREF 1n2.4)
    X .001+1!, .01+1!, .01(XREF 1S), .01(XREF 1K), .02+1!, .04+1!, .06+1*!, .06(XREF 1S), .06(XREF 1n1.4), .06(XREF 1K)
    .06(XREF 1n2.4), .11+1*!
    Y .06+1, .06(XREF 1S), .06(XREF 1K), .11+1
    Y(1 .06(XREF 1S), .06(XREF 1K)
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