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Global: ^IBA(368

Package: Integrated Billing

Global: ^IBA(368


Information

FileMan FileNo FileMan Filename Package
368 HEALTH CARE CLAIM RFAI (277) Integrated Billing

Description

Directly Accessed By Routines, Total: 14

Package Total Routines
Integrated Billing 14 IBRFIN    STC SEQ-SERVICE LINE    ^IBA(368    IBJTTC    IBRFIHL1    IBRFIWL    IBRFIWL1    IBRFIWLA
RFAI WORKLIST COMMENTS    STC SEQ    STC SEQ [D]    STC SEQ-SERVICE LINE [D]    STC-SVC LINE STAT INFO SEQ    STC-SVC LINE STAT INFO SEQ [D]    

Accessed By FileMan Db Calls, Total: 5

Package Total Routines
Integrated Billing 5 IBRFIHL1    IBRFIN    IBRFIWL    IBRFIWL1    IBRFIWLA    

Pointer To FileMan Files, Total: 14

Package Total FileMan Files
Integrated Billing 6 BILL/CLAIMS(#399)[111.01]    REVENUE CODE(#399.2)[#368.0121(.03)#368.0121(.09)]    INSURANCE COMPANY(#36)[101.01]    X12 271 CONTACT QUALIFIER(#365.021)[102.01102.02102.03116.01116.02116.03]    X12 277 CLAIM STATUS CATEGORY(#368.001)[#368.0113(1.01)#368.0113(10.01)#368.0113(11.01)#368.12199(1.01)#368.12199(10.01)#368.12199(11.01)]    X12 277 PRODUCT OR SERVICE ID QUAL(#368.002)[#368.0121(.02)]    
CPT HCPCS Codes 2 CPT MODIFIER(#81.3)[#368.0121(.04)#368.0121(.05)#368.0121(.06)#368.0121(.07)]    CPT(#81)[#368.0121(.03)]    
Kernel 2 STATE(#5)[120.04]    NEW PERSON(#200)[200.03200.06#368.0201(.02)]
Health Level Seven 1 COUNTRY CODE(#779.004)[120.06]    
National Drug File 1 NDC/UPN(#50.67)[#368.0121(.03)]    
Oncology 1 ZIP CODE(#5.11)[120.05]    
Registration 1 PATIENT(#2)[109.01]    

Fields, Total: 104

Field # Name Loc Type Details
.01 MESSAGE CONTROL ID 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the Message Control ID field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) message.  The value is received via the MSH-10 segment of the 277 HL message.
  • CROSS-REFERENCE:  368^B
    1)= S ^IBA(368,"B",$E(X,1,30),DA)=""
    2)= K ^IBA(368,"B",$E(X,1,30),DA)
.02 REQUEST DATE/TIME 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>24!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-24 characters in length.
  • DESCRIPTION:  
    This is the Request Date/Time field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) message.  The value is received via the RFI-1 segment of the 277 HL message.
.03 TRANSACTION DATE/TIME 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>14!($L(X)<14) X
  • LAST EDITED:  JAN 11, 2016
  • HELP-PROMPT:  Answer must be 14 characters in length.
  • DESCRIPTION:  
    This is the Transaction Date/Time field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) message.  The value is received via the MSH-7 segment of the 277 HL message.
  • CROSS-REFERENCE:  368^C
    1)= S ^IBA(368,"C",$E(X,1,30),DA)=""
    2)= K ^IBA(368,"C",$E(X,1,30),DA)
    This index will sort the data by the Transaction Date/Time field (#.03).
1.01 PAYER NAME 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    This is the Payer Name field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-11.1 segment of the 277 HL message.
1.02 PAYER IDENTIFIER 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    This is the Payer Identifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-11.3 segment of the 277 HL7 message.
1.03 PAYER CONTACT NAME 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    This is the Payer Contact Name field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the CTD-2.1 & CTD-2.2 segments of the 277 HL7 message.
2.01 PAYER CONTACT COMM TYPE 1 2;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  MAR 02, 2016
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  This is the Payer Contact Communication Type 1 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.1 & 5.2 segment of the 277 HL7
    message.
2.02 PAYER CONTACT COMM TYPE 2 2;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Payer Contact Communication Type 2 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.1 & 5.2 segments of the 277 HL7
    message.
2.03 PAYER CONTACT COMM TYPE 3 2;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Payer Contact Communication Type 3 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.1 & 5.2 segments of the 277 HL7
    message.
3.01 PAYER CONTACT COMMUNICATION 1 3;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  
    This is the Payer Contact Communication 1 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the 277 HL7 message.
4.01 PAYER CONTACT COMMUNICATION 2 4;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  
    This is the Payer Contact Communication 2 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the 277 HL7 message.
5.01 PAYER CONTACT COMMUNICATION 3 5;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  
    This is the Payer Contact Communication 3 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segments of the 277 HL7 message.
6.01 INFORMATION RECEIVER NAME 6;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>120!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-120 characters in length.
  • DESCRIPTION:  This is the Information Receiver Name field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the PYE-4.1, 5.1, 5.2, 5.3 & 5.4 segments of the 277
    HL7 message.
6.02 INFORMATION RECEIVER ID 6;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    This is the Information Receiver ID field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the PYE-4 segment of the 277 HL7 message.
7.01 SERVICE PROVIDER NAME 7;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>130!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-130 characters in length.
  • DESCRIPTION:  
    This is the Service Provider Name field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-10.1 segment of the 277 HL7 message.
7.02 SERVICE PROV FED TAXPAYER CODE 7;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Service Provider Federal Taxpayer Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-26 segment of the 277 HL7
    message.
8.01 SERVICE PROVIDER ID 8;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    This is the Service Provider ID field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-10.3 segment of the 277 HL7 message.
9.01 PATIENT NAME 9;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>130!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-130 characters in length.
  • DESCRIPTION:  
    This is the Patient Name field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the PID-5.1. 5.2, 5,3, 5,4 & 5.5 segments of the 277 HL7 message.
10.01 PATIENT PRIMARY IDENTIFIER 10;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
  • LAST EDITED:  JUN 02, 2015
  • HELP-PROMPT:  Answer must be 1-80 characters in length.
  • DESCRIPTION:  
    This is the Patient Primary Identifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the PID-3.1 segment of the 277 HL7 message.
11.01 PATIENT CONTROL NUMBER 11;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  JUN 03, 2015
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the Patient Control Number field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the PID-3.1 segment of the 277 HL7 message.
11.02 PAYER CLAIM CONTROL NUMBER 11;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  JUN 03, 2015
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the Payer Claim Control Number field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-2 segment of the 277 HL7 message.
11.03 MEDICAL RECORD NUMBER 11;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  JUN 03, 2015
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the Medical Record Number field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the PID-3.1 segment of the 277 HL7 message.
11.04 CLEARINGHOUSE TRACE NUMBER 11;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the Clearinghouse Trace Number field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-3.1 segment of the 277 HL message.
12.01 RESPONSE DUE DATE 12;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
  • LAST EDITED:  JUN 03, 2015
  • HELP-PROMPT:  Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the Response Due Date field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the RFI-2 segment of the 277 HL7 message.
12.02 REPORT TRANSMISSION CODE 12;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This field will contain the Report Transmission Code.
13 STC SEQ 13;0 Multiple #368.013 368.013

  • LAST EDITED:  OCT 16, 2015
  • DESCRIPTION:  
    This multiple will contain Claim Level Status Information from the STC segment received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
14.03 CLAIM SERVICE START DATE 14;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<8) X
  • LAST EDITED:  JAN 15, 2016
  • HELP-PROMPT:  Answer must be 8 characters in length.
  • DESCRIPTION:  
    This is the CLAIM SERVICE START DATE which is the first date from the CLAIM SERVICE PERIOD.
14.04 CLAIM SERVICE END DATE 14;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<8) X
  • LAST EDITED:  JAN 15, 2016
  • HELP-PROMPT:  Answer must be 8 characters in length.
  • DESCRIPTION:  
    This is the CLAIM SERVICE END DATE which is the last date from the CLAIM SERVICE PERIOD.
14.05 CLAIM SERVICE PERIOD 14;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
  • LAST EDITED:  OCT 20, 2015
  • HELP-PROMPT:  Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the Claim Status Period field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-7 segment of the 277 HL7 message.
15.01 PAYER RESPONSE CONTACT NAME 15;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    This is the Payer Response Contact Name field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-2.1 & 2.2 segments of the 277 HL7 message.
16.01 PAYER RESP CONTACT COMM TYPE 1 16;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication Type 1 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.1 & 5.2 segments of the
    277 HL7 message.
16.02 PAYER RESP CONTACT COMM TYPE 2 16;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication Type 2 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.1 & 5.2 segments of the
    277 HL7 message.
16.03 PAYER RESP CONTACT COMM TYPE 3 16;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication Type 3 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.1 & 5.2 segments of the
    277 HL7 message.
17.01 PAYER RESPONSE CONTACT COMM 1 17;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication 1 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the 277 HL7
    message.
18.01 PAYER RESPONSE CONTACT COMM 2 18;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication 2 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the 277 HL7
    message.
19.01 PAYER RESPONSE CONTACT COMM 3 19;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication 3 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the 277 HL7
    message.
20.01 PAYER RESP CONTACT ADDR LINE 1 20;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-55 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Address Line 1 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-3.1 segment of the 277 HL7
    message.
20.02 PAYER RESP CONTACT ADDR LINE 2 20;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-55 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Address Line 2 field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-3.2 segment of the 277 HL7
    message.
20.03 PAYER RESP CONTACT CITY 20;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the Payer Response Contact City field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-3.3 segment of the 277 HL7 message.
20.04 PAYER RESP CONTACT STATE 20;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Payer Response Contact State field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-3.4 segment of the 277 HL7 message.
20.05 PAYER RESP CONTACT ZIP CODE 20;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    This is the Payer Response Contact Zip Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the CTD-3.5 segment of the 277 HL7 message.
20.06 PAYER RESP CONTACT COUNTRY 20;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  JUN 04, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This is the Payer Response Contact Country field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the CTD-3.6 segment of the 277 HL7 message.
20.07 PAYER RESP CONT CNTRY SUBDIV 20;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Country Subdivision field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-3.8 segment of the 277 HL7
    message.
21 STC-SVC LINE STAT INFO SEQ 21;0 Multiple #368.021 368.021

  • DESCRIPTION:  
    This multiple field will contain Service Line Status Information received from the FSC ASC X12N HEALTH Care Claim Request For Additional Information (277) HL message.
22.03 PRIMARY LOINC 22;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  NOV 23, 2015
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  This is the Primary LYNC field received from the FSC ASC X12N Health Care Claim Request for Additional Information (277) message. The value will be populated with the LOINC code from the claim level if available,
    otherwise the LOINC code from the line level.
25.01 REFERENCE ID-INST TYPE OF BILL 25;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  This is the Reference ID-Institutional Type of Bill field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-20.1 segment of the 277 HL7
    message.
26.01 PAYER CONTACT COMM 1 EXTENSION 26;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Contact Communication 1 Extension field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.7 segment of the 277 HL7
    message.
27.01 PAYER CONTACT COMM 2 EXTENSION 27;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Contact Communication 2 Extension field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.7 segment of the 277 HL7
    message.
28.01 PAYER CONTACT COMM 3 EXTENSION 28;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Contact Communication 3 Extension field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.7 segment of the 277 HL7
    message.
29.01 PAYER RESP CONTACT COMM 1 EXT 29;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication 1 Extension field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the
    277 HL7 message.
30.01 PAYER RESP CONTACT COMM 2 EXT 30;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication 2 Extension field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the
    277 HL7 message.
31.01 PAYER RESP CONTACT COMM 3 EXT 31;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>250!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-250 characters in length.
  • DESCRIPTION:  This is the Payer Response Contact Communication 3 Extension field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the CTD-5.8 segment of the
    277 HL7 message.
80.01 PAYER ENTITY IDENTIFIER CODE 80;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This is the Payer Entity Identifier Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-11.10 segment of the 277 HL7 message.
80.02 PAYER ENTITY TYPE QUALIFIER 80;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1 character in length.
  • DESCRIPTION:  
    This is the Payer Entity Type Qualifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-11.2 segment of the 277 HL7 message.
80.03 PAYER ID CODE QUALIFIER 80;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Payer ID Code Qualifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-11.7 segment of the 277 HL7 message.
80.04 PAYER CONTACT FUNCTION CODE 80;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Payer Contact Function Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the CTD-2 segment of the 277 HL7 message.
80.05 INFORMATION RECEIVER ENTITY ID 80;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This is the Payer Contact Function Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the PYE-2 segment of the 277 HL7 message.
80.06 INFO RECEIVER ENTITY TYPE 80;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1 character in length.
  • DESCRIPTION:  
    This field will contain the Information Receiver Entity Type field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message
80.07 INFO RECEIVER ID QUALIFIER 80;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Information Receiver ID Qualifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the PYE-4.7 segment of the 277 HL7 message.
80.08 SERVICE PROV ENTITY ID CODE 80;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Service Provider Entity ID Code received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.09 SERVICE PROV ENTITY TYPE QUAL 80;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  JAN 14, 2016
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  This is the Service Provider Entity Type Qualifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-10.2 segment of the 277 HL7
    message.
80.1 SERVICE PROVIDER ID QUALIFIER 80;10 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Service Provider ID Qualifier field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-28 segment of the 277 HL7 message.
80.11 PATIENT ENTITY IDENTIFIER CODE 80;11 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Patient Entity Identifier Code received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.12 PATIENT ENTITY TYPE QUALIFIER 80;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1 character in length.
  • DESCRIPTION:  
    This field will contain the Patient Entity Type Qualifier received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.13 PATIENT ID CODE QUALIFIER 80;13 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This field will contain the Patient ID Code Qualifier received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.14 PAYER CLAIM TRACE TYPE CODE 80;14 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Payer Claim Trace Type Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-2.4 segment of the 277 HL7 message.
80.18 REFERENCE ID QUALIFIER-PT CRTL 80;18 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  NOV 09, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  This is the Reference ID Qualifier-Patient Control field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-1.4 segment of the 277 HL7
    message.
80.19 REFERENCE ID QUALIFIER-INST 80;19 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  This is the Reference ID Qualifier-Institution field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-20.5 segment of the 277 HL7
    message.
80.2 REFERENCE ID QUALIFIER-MRN 80;20 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Reference ID Qualifier - MRN received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.21 REFERENCE ID QUALIFIER-CTN 80;21 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  NOV 10, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This is the Reference ID Qualifier-CTN field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the IVC-3.4 segment of the 277 HL7 message.
80.22 CLAIM SERVICE DT/TM QUALIFIER 80;22 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Claim Service Date/Time Qualifier received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.23 CLAIM SERV DT/TM PERIOD QUAL 80;23 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Claim Service Date/Time Period Qualifier received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.24 RESPONSE DUE DT/TM QUALIFIER 80;24 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Response Due Date/Time Qualifier received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.25 RESPONSE DUE DT/TM PERIOD QUAL 80;25 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Response Due Date/Time Period Qualifier received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.26 CLAIM SUPP INFO REPORT TYPE 80;26 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  This is the Claim Supplemental Information Report Type field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message. The value is received via the IVC-5 segment of the 277 HL7
    message.
80.27 PAYER RESP CONTACT FUNC CODE 80;27 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  NOV 10, 2015
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the Payer Response Contact Function Code field received from the FSC ASC X12N Health Care Claim Request For Additional Information (277) message.  The value is received via the CTD-2 segment of the 277 HL7 message.
80.29 SERVICE LINE DT/TM QUALIFIER 80;29 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Service Line Date/Time Qualifier field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
80.3 SERVICE LINE DT/TM PERIOD QUAL 80;30 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    This field will contain the Service Line Date/Time Period Qualifier field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
100.02 REQUEST DATE/TIME [D] 100;2 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Enter the Request Date/Time.
  • DESCRIPTION:  
    This field is derived from the REQUEST DATE/TIME field (#.02).
100.03 MESSAGE DATE/TIME [D] 100;3 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Enter the Message Date/Time.
  • DESCRIPTION:  
    This field is derived from the MESSAGE DATE/TIME field (#.03).
101.01 PAYER NAME [D] 101;1 POINTER TO INSURANCE COMPANY FILE (#36) INSURANCE COMPANY(#36)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the entries available.
  • DESCRIPTION:  
    This field is derived from the PAYER NAME field (#1.01).
102.01 PAYER CONTACT COMM TYPE 1 [D] 102;1 POINTER TO X12 271 CONTACT QUALIFIER FILE (#365.021) X12 271 CONTACT QUALIFIER(#365.021)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the entries available.
  • DESCRIPTION:  
    This field is derived from the PAYER CONTACT COMMUNICATION TYPE 1 field (#2.01).
102.02 PAYER CONTACT COMM TYPE 2 [D] 102;2 POINTER TO X12 271 CONTACT QUALIFIER FILE (#365.021) X12 271 CONTACT QUALIFIER(#365.021)

  • LAST EDITED:  NOV 23, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER CONTACT COMMUNICATION TYPE 2 field (#2.02).
102.03 PAYER CONTACT COMM TYPE 3 [D] 102;3 POINTER TO X12 271 CONTACT QUALIFIER FILE (#365.021) X12 271 CONTACT QUALIFIER(#365.021)

  • LAST EDITED:  NOV 23, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER CONTACT COMMUNICATION TYPE 3 field (#2.03).
109.01 PATIENT NAME [D] 109;1 POINTER TO PATIENT FILE (#2) PATIENT(#2)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PATIENT NAME field (#9.01).
111.01 PATIENT CONTROL NUMBER [D] 111;1 POINTER TO BILL/CLAIMS FILE (#399) BILL/CLAIMS(#399)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PATIENT CONTROL NUMBER field (#11.01).
  • CROSS-REFERENCE:  368^D
    1)= S ^IBA(368,"D",$E(X,1,30),DA)=""
    2)= K ^IBA(368,"D",$E(X,1,30),DA)
112.01 RESPONSE DUE DATE [D] 112;1 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Enter the Response Due Date.
  • DESCRIPTION:  
    This field is derived from the RESPONSE DUE DATE field (#12.01).
113 STC SEQ [D] 113;0 Multiple #368.0113 368.0113

  • DESCRIPTION:  
    This field will contain the STC SEQ field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
114.03 CLAIM SERVICE START DATE [D] 114;3 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  JUN 01, 2016
  • HELP-PROMPT:  Enter the Claim Service Start Date
  • DESCRIPTION:  
    This is the CLAIM SERVICE START DATE which is the first date from the CLAIM SERVICE PERIOD.
114.04 CLAIM SERVICE END DATE [D] 114;4 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  JUN 01, 2016
  • HELP-PROMPT:  Enter the Claim Service End Date
  • DESCRIPTION:  
    This is the CLAIM SERVICE END DATE which is the last date from the CLAIM SERVICE PERIOD.
116.01 PAYER RESP CONT COM TYPE 1 [D] 116;1 POINTER TO X12 271 CONTACT QUALIFIER FILE (#365.021) X12 271 CONTACT QUALIFIER(#365.021)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER RESP CONTACT COMM TYPE 1 field (#16.01).
116.02 PAYER RESP CONT COM TYPE 2 [D] 116;2 POINTER TO X12 271 CONTACT QUALIFIER FILE (#365.021) X12 271 CONTACT QUALIFIER(#365.021)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER RESP CONTACT COMM TYPE 2 field (#16.02).
116.03 PAYER RESP CONT COM TYPE 3 [D] 116;3 POINTER TO X12 271 CONTACT QUALIFIER FILE (#365.021) X12 271 CONTACT QUALIFIER(#365.021)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER RESP CONTACT COMM TYPE 3 field (#16.03).
120.04 PAYER RESP CONTACT ADDR ST [D] 120;4 POINTER TO STATE FILE (#5) STATE(#5)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER RESPONSE CONTACT ADDRESS STREET field (#20.04).
120.05 PAYER RESP CONT POSTAL/ZIP [D] 120;5 POINTER TO ZIP CODE FILE (#5.11) ZIP CODE(#5.11)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER RESPONSE CONTACT POSTAL/ZIP field (#20.05).
120.06 PAYER RESP CONTACT COUNTRY [D] 120;6 POINTER TO COUNTRY CODE FILE (#779.004) COUNTRY CODE(#779.004)

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Answer must be one of the existing entries.
  • DESCRIPTION:  
    This field is derived from the PAYER RESPONSE CONTACT COUNTRY field (#20.06).
121 STC-SVC LINE STAT INFO SEQ [D] 121;0 Multiple #368.0121 368.0121

  • DESCRIPTION:  
    This field will contain the STC-SVC Line Status Information Seq field received from the FSC ASC X12N health Care Claim Request For Additional Information (277) HL7 message.
200.01 DELETED FLAG 200;1 SET
  • '0' FOR Not Deleted;
  • '1' FOR Deleted;

  • LAST EDITED:  DEC 01, 2015
  • HELP-PROMPT:  Enter 1 to indicate the Message was manually deleted. Otherwise enter 0.
  • DESCRIPTION:  
    Used to flag the Message as being manually deleted (1) or still active (0).
  • CROSS-REFERENCE:  368^E
    1)= S ^IBA(368,"E",$E(X,1,30),DA)=""
    2)= K ^IBA(368,"E",$E(X,1,30),DA)
200.02 DELETED DATE/TIME 200;2 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  SEP 03, 2015
  • HELP-PROMPT:  Enter date/time the Message was deleted.
  • DESCRIPTION:  
    Used to record the date/time the message was manually deleted.
200.03 DELETED BY 200;3 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  SEP 03, 2015
  • HELP-PROMPT:  Enter the user who deleted the message.
  • DESCRIPTION:  
    The user who manually deleted the message.
200.04 REVIEW STATUS 200;4 SET
  • '0' FOR NOT BEING REVIEWED;
  • '1' FOR REVIEW IN PROCESS;

  • LAST EDITED:  JAN 25, 2016
  • HELP-PROMPT:  Enter code indicating whether this MRA claim is being reviewed.
  • DESCRIPTION:  
    Select code that indicates whether this claim is under review.
  • CROSS-REFERENCE:  ^^TRIGGER^368^200.05
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(368,D0,200)):^(200),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBA(368,DIV(0),200)),DIV=X S $P(^(200),U,5)=DIV,DIH=368,DIG=200.05
    D ^DICR
    2)= Q
    CREATE VALUE)= NOW
    DELETE VALUE)= NO EFFECT
    FIELD)= #200.05
  • CROSS-REFERENCE:  ^^TRIGGER^368^200.06
    1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(368,D0,200)):^(200),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X=DIV S X=DUZ S DIH=$G(^IBA(368,DIV(0),200)),DIV=X S $P(^(200),U,6)=DIV,DIH=368,DIG=200.06 D ^DICR
    2)= Q
    CREATE VALUE)= S X=DUZ
    DELETE VALUE)= NO EFFECT
    FIELD)= #200.06
200.05 REVIEW STATUS DATE/TIME 200;5 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  SEP 03, 2015
  • HELP-PROMPT:  Enter the date/time the message was marked in progress.
  • DESCRIPTION:  
    Used to indicate the date/time the message was marked in progress.
    WRITE AUTHORITY:  ^
  • NOTES:  TRIGGERED by the REVIEW STATUS field of the HEALTH CARE CLAIM RFAI (277) File
200.06 REVIEW STATUS BY 200;6 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  SEP 03, 2015
  • HELP-PROMPT:  Enter the user who marked the message as in progress.
  • DESCRIPTION:  
    Used to indicated the user who marked the message as in progress.
    WRITE AUTHORITY:  ^
  • NOTES:  TRIGGERED by the REVIEW STATUS field of the HEALTH CARE CLAIM RFAI (277) File
201 RFAI WORKLIST COMMENTS 201;0 DATE Multiple #368.0201 368.0201

  • DESCRIPTION:  
    This multiple is used to store notes by date entered that explain what work needs to done before the message can be manually deleted.

External References

Name Field # of Occurrence
^%DT 100.02+1, 100.03+1, 112.01+1, 114.03+1, 114.04+1, 200.02+1, 200.05+1
NOW^%DTC 200.04(XREF 1S)
^DICR 200.04(XREF 1S), 200.04(XREF 2S)

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBA(368 - [#368] .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K), 111.01(XREF 1S), 111.01(XREF 1K), 200.01(XREF 1S), 200.01(XREF 1K), 200.04(XREF 1S), 200.04(XREF 2S)

Naked Globals

Name Field # of Occurrence
^(200 200.04(XREF 1S), 200.04(XREF 2S)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
% 200.04(XREF 1S)
>> %DT 100.02+1*, 100.03+1*, 112.01+1*, 114.03+1*, 114.04+1*, 200.02+1*, 200.05+1*
%H 200.04(XREF 1S)
%I 200.04(XREF 1S)
>> D0 200.04(XREF 1S), 200.04(XREF 2S)
>> DA .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K), 111.01(XREF 1S), 111.01(XREF 1K), 200.01(XREF 1S), 200.01(XREF 1K), 200.04(XREF 1S), 200.04(XREF 2S)
>> DIG 200.04(XREF 1S), 200.04(XREF 2S)
>> DIH 200.04(XREF 1S), 200.04(XREF 2S)
>> DIU 200.04(XREF 1S), 200.04(XREF 2S)
DIV 200.04(XREF 1S), 200.04(XREF 2S)
DIV(0 200.04(XREF 1S), 200.04(XREF 2S)
DUZ 200.04(XREF 2S)
U 200.04(XREF 1S), 200.04(XREF 2S)
X .01+1!, .01(XREF 1S), .01(XREF 1K), .02+1!, .03+1!, .03(XREF 1S), .03(XREF 1K), 1.01+1!, 1.02+1!, 1.03+1!
, 2.01+1!, 2.02+1!, 2.03+1!, 3.01+1!, 4.01+1!, 5.01+1!, 6.01+1!, 6.02+1!, 7.01+1!, 7.02+1!
, 8.01+1!, 9.01+1!, 10.01+1!, 11.01+1!, 11.02+1!, 11.03+1!, 11.04+1!, 12.01+1!, 12.02+1!, 14.03+1!
, 14.04+1!, 14.05+1!, 15.01+1!, 16.01+1!, 16.02+1!, 16.03+1!, 17.01+1!, 18.01+1!, 19.01+1!, 20.01+1!
, 20.02+1!, 20.03+1!, 20.04+1!, 20.05+1!, 20.06+1!, 20.07+1!, 22.03+1!, 25.01+1!, 26.01+1!, 27.01+1!
, 28.01+1!, 29.01+1!, 30.01+1!, 31.01+1!, 80.01+1!, 80.02+1!, 80.03+1!, 80.04+1!, 80.05+1!, 80.06+1!
, 80.07+1!, 80.08+1!, 80.09+1!, 80.1+1!, 80.11+1!, 80.12+1!, 80.13+1!, 80.14+1!, 80.18+1!, 80.19+1!
, 80.2+1!, 80.21+1!, 80.22+1!, 80.23+1!, 80.24+1!, 80.25+1!, 80.26+1!, 80.27+1!, 80.29+1!, 80.3+1!
, 100.02+1*!, 100.03+1*!, 111.01(XREF 1S), 111.01(XREF 1K), 112.01+1*!, 114.03+1*!, 114.04+1*!, 200.01(XREF 1S), 200.01(XREF 1K), 200.02+1*!
200.04(XREF 1S), 200.04(XREF 2S), 200.05+1*!
Y 100.02+1, 100.03+1, 112.01+1, 114.03+1, 114.04+1, 200.02+1, 200.04(XREF 1S), 200.04(XREF 2S), 200.05+1
Y(1 200.04(XREF 1S), 200.04(XREF 2S)
Info |  Desc |  Directly Accessed By Routines |  Accessed By FileMan Db Calls |  Pointer To FileMan Files |  Fields |  Found Entries |  External References |  Global Variables Directly Accessed |  Naked Globals |  Local Variables |  All