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Global: ^IBCN(365.1

Package: Integrated Billing

Global: ^IBCN(365.1


Information

FileMan FileNo FileMan Filename Package
365.1 IIV TRANSMISSION QUEUE Integrated Billing

Description

Directly Accessed By Routines, Total: 33

Package Total Routines
Integrated Billing 33 HL7 MESSAGES    IB20P533    IBCNBLE    IBCNBLE1    IBCNEBF    IBCNEDE1    IBCNEDE7    IBCNEDEP
IBCNEDEQ    IBCNEDST    IBCNEHL1    IBCNEHL3    IBCNEHL5    IBCNEHL6    IBCNEHLT    IBCNEKI2
IBCNEKIT    IBCNEQU    IBCNERP2    IBCNERP4    IBCNERP5    IBCNERP8    IBCNERPE    IBCNERTQ
IBCNES    IBCNETST    IBCNEUT4    IBCNEUT5    IBCNEUT7    ^IBCN(365.1    IBMFNHLI    IBY506PO
IBY602PO    

Accessed By FileMan Db Calls, Total: 13

Package Total Routines
Integrated Billing 13 IB20P533    IBCNEBF    IBCNEDEQ    IBCNEHL1    IBCNEHL3    IBCNEHLQ    IBCNEKIT    IBCNERP8
IBCNERTQ    IBCNETST    IBCNEUT2    IBCNEUT5    IBY602PO    

Pointed To By FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 2 IIV RESPONSE(#365)[.05]    EIV EICD TRACKING(#365.18)[.01#365.185(1.01)]    

Pointer To FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 6 INSURANCE VERIFICATION PROCESSOR(#355.33)[.05]    IIV RESPONSE(#365)[#365.16(.03)]    SOURCE OF INFORMATION(#355.12)[3.02]    X12 271 SERVICE TYPE(#365.013)[.2]    PAYER(#365.12)[.03]    IIV TRANSMISSION STATUS(#365.14)[.04]    
Registration 1 PATIENT(#2)[.02]    

Fields, Total: 28

Field # Name Loc Type Details
.01 TRANSACTION NUMBER 0;1 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAY 17, 2002
  • HELP-PROMPT:  Type a Number between 1 and 999999999
  • DESCRIPTION:  
    This field is a sequential number used to uniquely identify a record when creating an entry in this file.
  • CROSS-REFERENCE:  365.1^B
    1)= S ^IBCN(365.1,"B",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"B",$E(X,1,30),DA)
.02 PATIENT 0;2 POINTER TO PATIENT FILE (#2) PATIENT(#2)

  • LAST EDITED:  OCT 23, 2002
  • DESCRIPTION:  
    This is the patient who needs to have insurance identification or verification performed.
  • CROSS-REFERENCE:  365.1^E
    1)= S ^IBCN(365.1,"E",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"E",$E(X,1,30),DA)
  • RECORD INDEXES:  AD (#276)
.03 PAYER 0;3 POINTER TO PAYER FILE (#365.12) PAYER(#365.12)

  • LAST EDITED:  OCT 23, 2002
  • DESCRIPTION:  
    This is the Payer to whom the insurance identification or verification is to be submitted to.
  • CROSS-REFERENCE:  365.1^F
    1)= S ^IBCN(365.1,"F",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"F",$E(X,1,30),DA)
    For testing purposes only
  • RECORD INDEXES:  AD (#276)
.04 TRANSMISSION STATUS 0;4 POINTER TO IIV TRANSMISSION STATUS FILE (#365.14) IIV TRANSMISSION STATUS(#365.14)

  • LAST EDITED:  APR 09, 2003
  • DESCRIPTION:  
    This is the current status of a transmission record.
  • CROSS-REFERENCE:  365.1^AC
    1)= S ^IBCN(365.1,"AC",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"AC",$E(X,1,30),DA)
    This is a standard cross-reference by the Transmission Status.  It will be used to determined records being processed.
.05 BUFFER ENTRY 0;5 POINTER TO INSURANCE VERIFICATION PROCESSOR FILE (#355.33) INSURANCE VERIFICATION PROCESSOR(#355.33)

  • LAST EDITED:  JUL 10, 2002
  • DESCRIPTION:  
    This field will be populated if either the transmission record was created from a buffer entry or if a problem exists with the transmission record, a buffer entry will be created.
  • CROSS-REFERENCE:  365.1^D
    1)= S ^IBCN(365.1,"D",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"D",$E(X,1,30),DA)
.06 DATE/TIME CREATED 0;6 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  SEP 13, 2002
  • DESCRIPTION:  
    This is the date and time that the transmission record was created.
  • CROSS-REFERENCE:  365.1^AE
    1)= S ^IBCN(365.1,"AE",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.1,"AE",$E(X,1,30),DA)
    This cross reference by the date/time created will be used during the purging process.
.07 NO. OF TRANSMISSIONS 0;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAY 17, 2002
  • HELP-PROMPT:  Type a Number between 1 and 99
  • DESCRIPTION:  
    This field is a count of how many HL7 messages have been generated and transmitted.
.08 NO. OF RETRIES 0;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAY 17, 2002
  • HELP-PROMPT:  Type a Number between 0 and 10
  • DESCRIPTION:  
    This field contains the number of retry messages that have been created an re-transmitted.
.09 DATE OF FUTURE TRANSMISSION 0;9 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  AUG 05, 2002
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This field contains the date that if the transmission record status is "hold" that the record should be resent.
.1 WHICH EXTRACT 0;10 SET
  • '1' FOR Buffer;
  • '2' FOR Appt;
  • '3' FOR Non-verified;
  • '4' FOR EICD;

  • LAST EDITED:  MAY 15, 2018
  • HELP-PROMPT:  Enter a code from the list.
  • DESCRIPTION:  
    This field identifies which data extract that the transmission record was generated from.
  • TECHNICAL DESCR:  
    Patch IB*2*621 renamed data extract (#4) from "No Insurance" to "EICD".
.11 QUERY FLAG 0;11 SET
  • 'I' FOR Identification;
  • 'V' FOR Verification;

  • LAST EDITED:  MAY 17, 2002
  • DESCRIPTION:  
    This field identifies whether the transmission record is an identification or a verification record.  Identification records will be checked against the National Insurance Cache to identify any insurance.
.12 SERVICE DATE 0;12 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 23, 2002
  • DESCRIPTION:  
    This is the date that was determined by the system to submit to the Payer as the date that service was performed.
  • RECORD INDEXES:  AD (#276)
.13 INSUR RECORD IEN 0;13 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Type a number between 1 and 999, 0 Decimal Digits
  • DESCRIPTION:  This field is the IEN of the insurance record which the data extract used to determine that a valid payer record was to be placed in the Transmission Queue file. This is used to help retrieve important information for the
    HL7 message.
.14 OVERRIDE FRESHNESS FLAG 0;14 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Enter Yes to force an electronic transmission of this entry.
  • DESCRIPTION:  The presence of this flag will alert the process that electronically transmits the insurance verification request, that this entry should get transmitted to the Payer - bypassing the National Insurance Cache. This is
    regardless of the freshness date or of any other data elements.
.15 STATUS DATE 0;15 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  AUG 05, 2002
  • HELP-PROMPT:  (No range limit on date)
  • DESCRIPTION:  
    This is the date/time that the status field was changed.
.16 HL7 SUBSCRIBER ID FIELD 0;16 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  MAR 25, 2014
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    This is the data that will be used to populate the Subscriber ID field in the HL7 message for the electronic Insurance Identification and Verification project.
.17 FRESHNESS DATE 0;17 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 10, 2002
  • HELP-PROMPT:  Enter valid date.
.18 PASS BUFFER? 0;18 SET
  • '1' FOR Yes;
  • '0' FOR No;

  • LAST EDITED:  OCT 25, 2002
  • DESCRIPTION:  
    This field is a flag on whether to pass the Buffer IEN on to the Response file.
.19 HL7 PATIENT ID FIELD 0;19 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  JUL 31, 2009
  • HELP-PROMPT:  Answer must be 1-30 characters in length
  • DESCRIPTION:  
    This is the data that will be used to populate the Patient ID field in the HL7 message for the outbound 270 inquiry to Austin.
.2 SERVICE TYPE CODE 0;20 POINTER TO X12 271 SERVICE TYPE FILE (#365.013) X12 271 SERVICE TYPE(#365.013)

  • LAST EDITED:  MAY 12, 2013
  • HELP-PROMPT:  Enter service type code to be sent with eIV insurance inquiry.
  • DESCRIPTION:  
    Service Type code to be sent with eIV insurance inquiry.
.21 EICD INS-FND IEN 0;21 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  OCT 05, 2018
  • HELP-PROMPT:  Type a number between 1 and 99 (0 Decimal) which represents an EICD data record returned from an Identification response.
  • DESCRIPTION:  
    This field points to discovered insurance returned from an EICD Identification response. The data will be used to track an EICD Verification inquiry and response.
  • TECHNICAL DESCR:  
    This field represents the "INS-FND" IEN multiple contained in EIV EICD TRACKING (#365.18) FILE.
1.02 ORIGINAL INSUR CO NAME 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
1.03 ORIGINAL GROUP NUMBER 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>17!($L(X)<1) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Answer must be 1-17 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
1.04 ORIGINAL GROUP NAME 1;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUL 02, 2002
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
1.05 ORIGINAL SUBSCRIBER ID 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  MAR 24, 2014
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    If the transmission record is created from an Insurance Buffer entry, this is the data value of the equivalent field at time of creation.
2 HL7 MESSAGES 2;0 DATE Multiple #365.16 365.16

  • DESCRIPTION:  
    This is a record of all HL7 messages generated for a transmission record.
3.01 MANUAL REQUEST DATE/TIME 3;1 DATE

  • INPUT TRANSFORM:  S %DT="EST" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  SEP 13, 2010
  • HELP-PROMPT:  Enter the Date and Time that the Electronic Inquiry Request was queued.
  • DESCRIPTION:  
    The date and time a service type inquiry was triggered from the option, Request Electronic Inquiry.
  • TECHNICAL DESCR:  
    This field will be set to the current date/time whenever a service type inquiry was triggered from the option, Request Electronic Inquiry.
3.02 SOURCE OF INFORMATION 3;2 POINTER TO SOURCE OF INFORMATION FILE (#355.12) SOURCE OF INFORMATION(#355.12)

  • LAST EDITED:  DEC 28, 2017
  • HELP-PROMPT:  Enter source of information code to be sent with eIV insurance inquiry.
  • DESCRIPTION:  
    This is the source of information for when the transmission record was created.
  • TECHNICAL DESCR:  
    This field will be set to the source of information whenever a inquiry was triggered from the option that requests Electronic Inquiry.

External References

Name Field # of Occurrence
^%DT .06+1, .09+1, .12+1, .15+1, .17+1, 3.01+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBCN(365.1 - [#365.1] IXADSL+1*, IXADKL+1!, IXADKEIC+1!, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K), .04(XREF 1S)
.04(XREF 1K), .05(XREF 1S), .05(XREF 1K), .06(XREF 1S), .06(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> %DT .06+1*, .09+1*, .12+1*, .15+1*, .17+1*, 3.01+1*
>> DA IXADSL+1, IXADKL+1, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K), .04(XREF 1S), .04(XREF 1K)
.05(XREF 1S), .05(XREF 1K), .06(XREF 1S), .06(XREF 1K)
X .01+1!, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K), .04(XREF 1S), .04(XREF 1K), .05(XREF 1S)
.05(XREF 1K), .06+1*!, .06(XREF 1S), .06(XREF 1K), .07+1!, .08+1!, .09+1*!, .12+1*!, .13+1!, .15+1*!
, .16+1!, .17+1*!, .19+1!, .21+1!, 1.02+1!, 1.03+1!, 1.04+1!, 1.05+1!, 3.01+1*!
X(1 IXADSL+1, IXADKL+1
X(2 IXADSL+1, IXADKL+1
X(3 IXADSL+1, IXADKL+1
>> Y .06+1, .09+1, .12+1, .15+1, .17+1, 3.01+1
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