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Global: ^IBAM(354.71

Package: Integrated Billing

Global: ^IBAM(354.71


Information

FileMan FileNo FileMan Filename Package
354.71 IB COPAY TRANSACTIONS Integrated Billing

Description

Directly Accessed By Routines, Total: 16

Package Total Routines
Integrated Billing 16 IBARX    IBARXMA    IBARXMB    IBARXMC    IBARXMI    IBARXMN    IBARXMO    IBARXMO1
IBARXMP    IBARXMQ    IBARXMR    IBARXMU    IBECEAU3    ^IBAM(354.71    IBNCPDP3    TRANSMISSION RECORD

Accessed By FileMan Db Calls, Total: 6

Package Total Routines
Integrated Billing 6 IBARXMA    IBARXMI    IBARXMN    IBARXMP    IBNCPDP3    IBOHLSE    

Pointed To By FileMan Files, Total: 3

Package Total FileMan Files
Integrated Billing 2 INTEGRATED BILLING ACTION(#350)[.19]    IB COPAY TRANSACTIONS(#354.71)[.1]    
Outpatient Pharmacy 1 PRESCRIPTION(#52)[106.6#52.07(14)#52.1(9.1)]

Pointer To FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 5 INTEGRATED BILLING ACTION(#350)[.04]    IB PATIENT COPAY ACCOUNT(#354.7)[.02]    IB COPAY TRANSACTIONS(#354.71)[.1]    IB ACTION TYPE(#350.1)[.18]    IB CHARGE REMOVE REASONS(#350.3)[.19]    
Kernel 2 INSTITUTION(#4)[.13#354.711(.01)]    NEW PERSON(#200)[.14.16]    

Fields, Total: 21

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

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  FEB 06, 2001
  • HELP-PROMPT:  Answer with the transaction number.
  • DESCRIPTION:  This is the transaction number. The format is:
    Station number (3 digits) - Sequential Number
  • CROSS-REFERENCE:  354.71^B
    1)= S ^IBAM(354.71,"B",$E(X,1,30),DA)=""
    2)= K ^IBAM(354.71,"B",$E(X,1,30),DA)
.02 PATIENT 0;2 POINTER TO IB PATIENT COPAY ACCOUNT FILE (#354.7)
************************REQUIRED FIELD************************
IB PATIENT COPAY ACCOUNT(#354.7)

  • LAST EDITED:  FEB 16, 2001
  • HELP-PROMPT:  Enter the patient's name
  • DESCRIPTION:  
    This is the pointer to the patient copay account. The ien stored here is the same as the patient's dfn.
  • RECORD INDEXES:  AD (#65)
.03 TRANS EFFECTIVE DATE 0;3 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 21, 2001
  • HELP-PROMPT:  Enter the effective date of this transaction
  • DESCRIPTION:  
    This is the effective date of the transaction that is used to determine the month/year in which to count the transaction amount towards the patient's cap.
  • CROSS-REFERENCE:  354.71^AE
    1)= S ^IBAM(354.71,"AE",$E(X,1,30),DA)=""
    2)= K ^IBAM(354.71,"AE",$E(X,1,30),DA)
    This index is used to sort by the effective date of the transaction.
  • RECORD INDEXES:  AD (#65)
.04 IB ACTION POINTER 0;4 POINTER TO INTEGRATED BILLING ACTION FILE (#350) INTEGRATED BILLING ACTION(#350)

  • LAST EDITED:  NOV 16, 2000
  • HELP-PROMPT:  Answer with an entry in the Integrated Billing Action file.
  • DESCRIPTION:  
    This is a pointer to the INTEGRATED BILLING ACTION (#350) file. This will only be filled in for entries that have been billed.
.05 STATUS 0;5 SET
************************REQUIRED FIELD************************
  • 'P' FOR PENDING TRANSMISSION;
  • 'C' FOR COMPLETE;
  • 'Y' FOR CANCELLED PENDING TRANSMISSION;
  • 'X' FOR CANCELLED COMPLETE;

  • LAST EDITED:  APR 20, 2001
  • HELP-PROMPT:  Enter the status of this transaction.
  • DESCRIPTION:  
    This is the status of this transaction.
  • CROSS-REFERENCE:  354.71^AC
    1)= S ^IBAM(354.71,"AC",$E(X,1,30),DA)=""
    2)= K ^IBAM(354.71,"AC",$E(X,1,30),DA)
    This cross reference is used to find transactions based upon their status. The nightly background job uses this to find transactions that have not completed their transmissions to other facilities.
.06 RESULTING FROM 0;6 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  APR 20, 2001
  • HELP-PROMPT:  Enter the internal pointer information indicating the event source.
  • DESCRIPTION:  This is a soft link pointer to indicate where this transaction came from. The information should be in the following format:
    Station Number:File Number:IEN;refill number (if any)
.07 UNITS 0;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JAN 30, 2001
  • HELP-PROMPT:  Enter the number of units for this transaction.
  • DESCRIPTION:  
    This is the number of units for this transaction.
.08 TOTAL CHARGE 0;8 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<.01)!(X?.E1"."3.N) X
  • LAST EDITED:  NOV 17, 2000
  • HELP-PROMPT:  Enter the total charge for this account transaction.
  • DESCRIPTION:  
    This is the total charge for this transaction.
.09 BRIEF DESCRIPTION 0;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  NOV 17, 2000
  • HELP-PROMPT:  Answer with a description of this transaction.
  • DESCRIPTION:  
    This is descriptive information regarding this transaction.
.1 PARENT TRANSACTION ENTRY 0;10 POINTER TO IB COPAY TRANSACTIONS FILE (#354.71) IB COPAY TRANSACTIONS(#354.71)

  • LAST EDITED:  AUG 22, 2001
  • HELP-PROMPT:  Answer with the parent of this transaction entry.
  • DESCRIPTION:  
    This is a pointer to the parent transaction entry. If this is the same as this entry, then this is the parent.
  • CROSS-REFERENCE:  354.71^AF
    1)= S ^IBAM(354.71,"AF",$E(X,1,30),DA)=""
    2)= K ^IBAM(354.71,"AF",$E(X,1,30),DA)
    Used to look up the parents of a transaction.
.11 BILLED AMOUNT 0;11 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<0)!(X?.E1"."3.N) X
  • LAST EDITED:  FEB 01, 2006
  • HELP-PROMPT:  Type a Dollar amount between 0 and 9999999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the amount that was billed for this transaction.
.12 NON-BILLABLE AMOUNT 0;12 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<0)!(X?.E1"."3.N) X
  • LAST EDITED:  FEB 01, 2006
  • HELP-PROMPT:  Type a Dollar amount between 0 and 9999999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the non-billable amount for this transaction.
.13 INSTITUTION 0;13 POINTER TO INSTITUTION FILE (#4) INSTITUTION(#4)

  • LAST EDITED:  NOV 17, 2000
  • HELP-PROMPT:  Answer with an institution name.
  • DESCRIPTION:  
    This pointer indicates where this account transaction came from.
.14 USER ADDING ENTRY 0;14 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  NOV 17, 2000
  • HELP-PROMPT:  Answer with the person's name who added this entry.
  • DESCRIPTION:  
    This is the person who added this entry. This may be a remote person since they are also stored in the New Person file.
.15 DATE ENTRY ADDED 0;15 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  NOV 17, 2000
  • HELP-PROMPT:  Enter the date when this entry was added.
  • DESCRIPTION:  
    This indicates when this entry was added.
.16 USER LAST UPDATING 0;16 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  NOV 17, 2000
  • HELP-PROMPT:  Answer with the person who last updated this transaction.
  • DESCRIPTION:  
    This is the person who last updated this transaction.
.17 DATE LAST UPDATED 0;17 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  APR 20, 2001
  • HELP-PROMPT:  Answer with the last date/time there was an update to this transaction.
  • DESCRIPTION:  
    This is the last date/time this transaction was updated.
.18 ACTION TYPE 0;18 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  JUN 08, 2001
  • HELP-PROMPT:  Answer with the appropriate action type.
  • DESCRIPTION:  
    This pointer to the action type identifies what action type this transaction was created with.
.19 CANCELLATION REASON 0;19 POINTER TO IB CHARGE REMOVE REASONS FILE (#350.3) IB CHARGE REMOVE REASONS(#350.3)

  • LAST EDITED:  SEP 12, 2001
  • HELP-PROMPT:  Answer with the reason to cancel this charge.
  • DESCRIPTION:  
    This is the reason this transaction is cancelled.
.2 COPAYMENT TIER 0;20 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  MAR 17, 2016
  • HELP-PROMPT:  Enter the tier this copayment was charged, whole number between 1 and 999.
  • DESCRIPTION:  
    This is the tier used to determine this charge rate for this copayment. It should be a numeric value between 1 and 999, 0 decimal digits.
1 TRANSMISSION RECORD 1;0 POINTER Multiple #354.711 354.711

  • DESCRIPTION:  
    This is a record of transmission(s) to each facility that is a treating facility for the patient. This record will indicate if a transmission has been accepted or not at the individual facilities.

External References

Name Field # of Occurrence
^%DT .03+1, .15+1, .17+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBAM(354.71 - [#354.71] IXADSL+1*, IXADKL+1!, IXADKEIC+1!, .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K), .1(XREF 1S)
.1(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> %DT .03+1*, .15+1*, .17+1*
>> DA IXADSL+1, IXADKL+1, .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K), .1(XREF 1S), .1(XREF 1K)
X IXADP2TS+1*, .01+1!, .01(XREF 1S), .01(XREF 1K), .03+1*!, .03(XREF 1S), .03(XREF 1K), .05(XREF 1S), .05(XREF 1K), .06+1!
, .07+1!, .08+1*!, .09+1!, .1(XREF 1S), .1(XREF 1K), .11+1*!, .12+1*!, .15+1*!, .17+1*!, .2+1!
X(1 IXADSL+1, IXADKL+1
X(2 IXADSL+1, IXADKL+1
>> Y .03+1, .15+1, .17+1
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