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1 | OSCIF MCCF EDI TAS_Sept2018.zip\Remaining Doc.zip | ib_2_0_p608_tm.docx | Mon Jul 9 15:39:50 2018 UTC |
2 | OSCIF MCCF EDI TAS_Sept2018.zip\Remaining Doc.zip | ib_2_0_p608_tm.docx | Mon Sep 10 18:56:23 2018 UTC |
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1 | Integrated Billing ( IB) | |
2 | Technical Manual | |
3 | ||
4 | ||
5 | ||
6 | Software V ersion 2.0 | |
7 | September 1994 | |
8 | Revised Ma y 2018 | |
9 | ||
10 | ||
11 | Department of Vetera ns Affairs | |
12 | Office of Informatio n and Tech nology (OI &T) | |
13 | Product De velopment | |
14 | ||
15 | (This page included for two-si ded copyin g.) | |
16 | ||
17 | ||
18 | Revision H istory | |
19 | ||
20 | Initiated on 12/29/0 4 | |
21 | ||
22 | Date | |
23 | Descriptio n (Patch # if applic able) | |
24 | Project Ma nager | |
25 | Technical Writer | |
26 | June 2018 | |
27 | Updated fo r patch IB *2.0*608: | |
28 | Added IBCU 75, IBJPS7 and IBJPS 8 to Routi ne List. | |
29 | Added new file 399.6 (CMN FORM TYPES) to Files, Fi le Flowcha rt and Sec urity sect ions. | |
30 | Added List Templates ‘IBJP IB NON-MCCF R ATE TYPES’ and ‘IBJ PS CMN CPT S’. | |
31 | Added ‘CMN ’, ‘MCCF’ and ‘Non-M CCF’ to Gl ossary sec tion. | |
32 | FY18 eBill ing Develo pment Team | |
33 | May 2018 | |
34 | Updated fo r patch IB *2*568 | |
35 | Add new Se curity Key IB PARAME TER EDIT t o several menu optio ns | |
36 | Updated li st of opti ons | |
37 | PI I
|
|
38 | PIIPII | |
39 | January 20 18 | |
40 | Updated fo r patch IB *2.0*585: | |
41 | Updated fi le #355.1 descriptio n on page 67 to incl ude a new pointer fi eld named MASTER TYP E OF PLAN. | |
42 | Added a ne w file #35 5.99 named MASTER TY PE OF PLAN on page 7 1 to store relevant coding sys tem data t o be assoc iated to t erms in th e TYPE OF PLAN file #355.1. | |
43 | Updated th e File Flo wchart wit h the MAST ER TYPE OF PLAN file and point er on page 125. | |
44 | Updated th e Options Without Pa rents sect ion on pag e 144 with the new M aster Type of Plan A ssociation [IBMTOP A SSN] and M aster Type of Plan R eport [IB MASTER TYP E OF PLAN RPT]. | |
45 | CTT/DM NDS Developme nt Team | |
46 | ||
47 | October 20 17 | |
48 | Updated fo r patch IB *2.0*577 | |
49 | Added IBCE RP7 to Rou tine list | |
50 | Updated Li st of Opti ons | |
51 | Updated Ca llable Rou tines tabl e. | |
52 | File List with Descr iptions wi th the 277 EDI ID NUM BER Sub-Fi le [#36.01 7] | |
53 | FY16 MCCF eBilling D evelopment Team | |
54 | ||
55 | August 201 6 | |
56 | Updated fo r patch IB *2.0*549 | |
57 | Added IBCM DT*, IBCNC H*, IBCNIL K, IBCNSU4 to Routin e list | |
58 | Updated Li st Templat es table | |
59 | Updated Ex ported Opt ions tabl e | |
60 | Updated Ca llable Rou tines tabl e | |
61 | Added Regi stration i ntegration agreement in the Ex ternal Rel ations sec tion | |
62 | FY15 MCCF eInsurance Developme nt Team | |
63 | ||
64 | August 201 6 | |
65 | Updated fo r patch IB *2.0*517 ( FY15), HCS R Request for Review and Respo nse Transa ction (278 x217) (278 x215): | |
66 | Added rout ines to th e Routine List and D escription s section (p. 34, 48 , 49, 53-5 4) | |
67 | Added file s to the F ile List w ith Descri ptions sec tion (72-7 3, 84) | |
68 | Added temp lates to t he List Te mplates se ction (p. 99, 101-10 2) | |
69 | File Flow Chart (p. 118, 124,- 126, 133-1 34) | |
70 | Added new options to the Expor ted Option s section (p. 152, 1 83) | |
71 | Glossary ( p. 210) | |
72 | J.S | |
73 | Harris Tea m | |
74 | August 201 6 | |
75 | Updated th e followin g sections for patch IB*2.0*54 7: | |
76 | Callable R outines (p .19) | |
77 | Routine Li st Descrip tions (pp. 27,48,53) | |
78 | File List with Descr iptions (p p.70,91) | |
79 | List Templ ates (p.10 1-102) | |
80 | File Flow Charts (pp .123,137) | |
81 | Exported O ptions (pp 152,181) | |
82 | External R elations ( p.197) | |
83 | Security ( p.206) | |
84 | FY15 MCCF eBilling D evelopment Team. | |
85 | August 201 6 | |
86 | Updated fo r patch IB *2.0*562 | |
87 | Add new op tion IB MT FIX/DISCH SPECIAL C ASE (p. 14 6) | |
88 | T. D. | |
89 | T. D. | |
90 | August 201 6 | |
91 | Updated fo r patch IB #2.0*550 | |
92 | Added new routines I BNCPDRA | |
93 | and IBNCPD RB (p.48) | |
94 | Added to M enu Diagra m IBCNR RO I | |
95 | Expiration Report (p .152) | |
96 | Added to E xternal Re lations | |
97 | CMOP; DBIA 6243 & 62 44 (p.170) | |
98 | ECME; DBIA 6243 & 62 44 (p.171) | |
99 | O.P.; DBIA 6243, 624 4 & 6250 ( p.173) | |
100 | T.T. | |
101 | T.R. | |
102 | June 2016 | |
103 | Updated fo r patch IB *2.0*529 | |
104 | Add EDI TR ANSMISSION BATCH (#3 64.1) to t he File Pr otection s ection | |
105 | Updated fo r patch IB *2.0*530 | |
106 | Add new ro utines IBJ TAD, IBJTE P, IBJTEP1 , and IBJT PE | |
107 | Add new Li st Templat es IBJT 83 5 EEOB PRI NT, IBJT A DDITIONAL 835 DATA, and IBJT ERA 835 IN FORMATION | |
108 | T.T. | |
109 | V.D. | |
110 | February 2 016 | |
111 | Updated fo r patch IB *2.0*525 a nd IB*2.0* 528. | |
112 | Added new routines t o support SSVI, and screen upd ates for e IV. | |
113 | Add new fi le definit ions: | |
114 | IB SSVI PI N/HL7 PIVO T (#366) | |
115 | IB INSURAN CE INCONSI STENT DATA (#366.1) | |
116 | IB INSURAN CE CONSIST ENCY ELEME NTS (#366. 2) | |
117 | Added new reports IB CN GRP PLA N FILES RP T, IBCN HP ID CLAIM R PT, IBCN I NS RPTS, I BCN INTERF ACILITY IN S UPDATE, IBCN USER EDIT RPT, and IBCNE HL7 RESPON SE REPORT to Exporte d Options. | |
118 | T.T. | |
119 | J.P. | |
120 | February 2 016 | |
121 | Updated fo r patch IB *2.0*534 | |
122 | Add new ro utine IBNC PEV3 | |
123 | Add new da tabase def inition IB NCPDP NON -BILLABLE REASONS (# 366.17) | |
124 | T.T. | |
125 | V.D. | |
126 | January 20 16 | |
127 | Updated fo r patch IB *2.0*560: | |
128 | Added note to Global File Desc ription fo r ^DGRO(39 1.23 (p. 8 7). | |
129 | PII | |
130 | PII | |
131 | May 2015 | |
132 | Updated fo r patch IB *2.0*517 ( FY13), HCS R Request for Review and Respo nse Transa ctions (27 8x217) upd ates: | |
133 | Added rout ines to th e Routine List and D escription s section | |
134 | Added file s to the F ile List w ith Descri ptions sec tion | |
135 | Added temp lates to t he List Te mplates se ction | |
136 | Added temp lates to t he Input T emplates s ection | |
137 | Added file s to the F ile Flow C hart secti on | |
138 | Added new options to the Expor ted Option s section | |
139 | Added new entries to the Gloss ary sectio n | |
140 | ||
141 | M.H | |
142 | FirstView Team | |
143 | September 2015 | |
144 | Updated fo r patch IB *2.0*522, ICD-10 PTF Modificat ions: | |
145 | Updated Re gistration integrati on agreeme nt in the External R elations s ection (p. 174). | |
146 | T.B. | |
147 | K.R. | |
148 | April 2015 | |
149 | Updated fo r patch IB *2.0*516: | |
150 | Added IBVC B, IBVCB1, and IBVCB 2 to Routi ne List fo r View Can celled Bil l Report ( p.54). | |
151 | Updated Li st Templat es (p.95). | |
152 | Added IB V IEW CANCEL BILL to E xported Op tions (p.1 42). | |
153 | Deleted IB CN INS BIL L PROV FLA G RPT from Exported Options (p .148). | |
154 | M.H. | |
155 | FirstView Team | |
156 | November 2 014 | |
157 | Updated fo r patch IB *2.0*519: | |
158 | Added rout ines to Ro utine sect ion (pages 13, 19, 3 2) | |
159 | Updated Fi le List in Files sec tion to in clude new files (pag es 86) | |
160 | Updated Fi le Flow Ch art in Fil es section (pages 10 8, 112, 12 6) | |
161 | Updated Ex ported Opt ions secti on to incl ude new op tion (page 131) | |
162 | Updated Ex ternal Rel ations wit h new DBIA (page 170 ) | |
163 | Updated Se curity sec tion to in clude new files (pag es 182-183 ) | |
164 | Updated Gl ossary sec tion to in clude new acronyms ( pages 186- 187) | |
165 | M.H. | |
166 | FirstView Team | |
167 | September 2014 | |
168 | Patch IB*2 .0*461, IC D-10 Class 1 Remedia tion updat es: | |
169 | Updated fo r ICD-10: p. 179 | |
170 | Added ICD- 10 text to Glossary: p. 213 | |
171 | VA PMs: K. T. | |
172 | HP PM: M.K . | |
173 | C.H./B.T./ L.R. | |
174 | 5/22/2014 | |
175 | Updated fo r patch IB *2.0*506: | |
176 | Pages 64, 94, 111, 1 12, 121-12 4, and 181 | |
177 | M.H. | |
178 | FirstView Team | |
179 | 1/29/14 | |
180 | Updated fo r patch IB *2.0*497: | |
181 | Formatting changes ( pages 3, 1 8, 66,107) | |
182 | Updated fo oter | |
183 | Routines a dded to Ro utine Sect ion (pages 31-33, 46 ) | |
184 | Files adde d to Files section ( pages 79-8 2) | |
185 | Added Temp lates Sect ion (page 94) | |
186 | Files adde d to File Flow Chart section ( pages 121- 124) | |
187 | Options ad ded to Exp orted Opti ons sectio n (pages 1 49-150) | |
188 | DBIA added to Extern al relatio ns section (page 169 ) | |
189 | M.H. | |
190 | FirstView Team | |
191 | 3/26/2013 | |
192 | Updated co ver page. | |
193 | Added blan k page (p. 54) for do uble-sided copying. | |
194 | Corrected typo on p. 86. | |
195 | Updated fo r patch IB *2.0*458: Added new routines on pp. 37, 50, and 5 2/53; new file added to pp. 68 and 113; new option s added to pg. 133 a nd 148. | |
196 | K.N. | |
197 | K.V. | |
198 | 3/26/2013 | |
199 | Updated fo r patch IB *2.0*457: | |
200 | New routin es added t o p. 32 | |
201 | New files added to p p. 64 and 110 | |
202 | New input template a dded to p. 92 | |
203 | New option s added to pp. 125 a nd 146 | |
204 | ||
205 | K.N. | |
206 | K.V. | |
207 | July 2012 | |
208 | Updated fo r patch IB *2.0*476 | |
209 | M.R. | |
210 | S.R. | |
211 | March 2012 | |
212 | Updated to include e Pharmacy P hase 6 (IB *2*452) | |
213 | S.S. | |
214 | E.G./B.A. | |
215 | March 2012 | |
216 | Updated up to and in cluding eC laims 5010 changes a dded (IB*2 .0*447) | |
217 | S.S. | |
218 | B.I. | |
219 | Dec 2011 | |
220 | ePayments 5010 modul e changes added (IB* 2*431 and IB*2*451) | |
221 | S.S. | |
222 | P.H./B.A. | |
223 | Nov 2011 | |
224 | Updated fo r Patch IB *2*432 | |
225 | S.S. | |
226 | B.A. | |
227 | 8/19/2011 | |
228 | Updated fo r patch IB *2*449, re placed Men u Diagram with state ment. | |
229 | Technical writer rev iew—format ting and c onvert to Section 50 8 complian t PDF. | |
230 | C.M. | |
231 | E.Z./S.S | |
232 | June 2009 | |
233 | Updated fo r patch IB *2.0*399 | |
234 | A.S./T.H. | |
235 | M.E.G. | |
236 | June 2008 | |
237 | Updated fo r patch IB *2.0*389 | |
238 | A.S./T.H. | |
239 | M.E.G. | |
240 | 12/29/04 | |
241 | Updated to comply wi th SOP 192 -352 Displ aying Sens itive Data . | |
242 | M.E.G. | |
243 | 12/29/04 | |
244 | Pdf file c hecked for accessibi lity to re aders with disabilit ies. | |
245 | M.E.G | |
246 | ||
247 | (This page included for two-si ded copyin g.) | |
248 | ||
249 | ||
250 | ||
251 | Preface | |
252 | ||
253 | This is th e technica l manual f or the Int egrated Bi lling (IB) software package. It is desi gned to as sist IRM p ersonnel i n operatio n and main tenance of the packa ge. | |
254 | ||
255 | For inform ation rega rding use of this so ftware, pl ease refer to the In tegrated B illing Use r Manual. For furth er informa tion on in stallation and maint enance of this packa ge, Releas e Notes an d an Insta llation Gu ide are pr ovided. A Package Se curity Gui de is also provided which addr esses secu rity requi rements fo r the pack age. | |
256 | (This page included for two-si ded copyin g.) | |
257 | ||
258 | ||
259 | ||
260 | Table of C ontents | |
261 | Introducti on1 | |
262 | Orientatio n3 | |
263 | General In formation5 | |
264 | Namespace Convention s5 | |
265 | Integrity Checker5 | |
266 | SACC Exemp tions/Non- Standard C ode5 | |
267 | Resource R equirement s5 | |
268 | Implementa tion and M aintenance 7 | |
269 | Implementi ng Claims Tracking7 | |
270 | Implementi ng Encount er Forms7 | |
271 | Implementi ng Insuran ce Data Ca pture8 | |
272 | Implementi ng Patient Billing9 | |
273 | Implementi ng Third P arty Billi ng9 | |
274 | Routines13 | |
275 | Routines t o Map13 | |
276 | Obsolete R outines13 | |
277 | Callable R outine14 | |
278 | Routine Li st with De scriptions 19 | |
279 | DGCR* to I B* Namespa ce Map59 | |
280 | Files61 | |
281 | Globals to Journal61 | |
282 | File List with Descr iptions61 | |
283 | Templates1 04 | |
284 | List Templ ates104 | |
285 | Input Temp lates106 | |
286 | Sort Templ ates113 | |
287 | Print Temp lates115 | |
288 | File Flow Chart119 | |
289 | File Flow Chart119 | |
290 | Exported O ptions145 | |
291 | Menu Diagr am145 | |
292 | Options wi thout Pare nts145 | |
293 | Exported O ptions147 | |
294 | Archiving and Purgin g195 | |
295 | External R elations19 7 | |
296 | Internal R elations20 5 | |
297 | Package-wi de Variabl es207 | |
298 | How to Gen erate On-L ine Docume ntation209 | |
299 | Security21 1 | |
300 | File Prote ction211 | |
301 | Glossary21 3 | |
302 | ||
303 | (This page included for two-si ded copyin g.) | |
304 | ||
305 | Introducti on | |
306 | ||
307 | This relea se of Inte grated Bil ling versi on 2.0 wil l introduc e fundamen tal change s to the w ay MCCR-re lated task s are perf ormed. Th is softwar e introduc es three n ew modules . | |
308 | ||
309 | Claims Tra cking | |
310 | Encounter Form Utili ties | |
311 | Insurance Data Captu re | |
312 | ||
313 | There are also signi ficant enh ancements to the two previous modules, P atient Bil ling and T hird Party Billing. IB has mo ved from a package w ith the so le purpose of identi fying bill able episo des of car e and crea ting bills to a pack age which is respons ible for t he whole b illing pro cess throu gh the pas sing of ch arges to A ccounts Re ceivable ( AR). IB v 2.0 has ad ded functi onality to assist in | |
314 | ||
315 | Capturing patient da ta | |
316 | Tracking p otentially billable episodes o f care | |
317 | Completing utilizati on review (UR) tasks | |
318 | Capturing more compl ete insura nce inform ation. | |
319 | ||
320 | IB v2.0 ha s been tar geted for a much wid er audienc e than pre vious vers ions. | |
321 | ||
322 | The Encoun ter Form U tilities m odule is u sed by MAS ADPACs or clinic su pervisors to create and print clinic-spe cific form s. Physic ians use t he forms a nd consequ ently prov ide input into their creation. | |
323 | ||
324 | The Claims Tracking module wil l be used by UR pers onnel with in MCCR an d Quality Management (QM) to t rack episo des of car e, do pre- certificat ions, do c ontinued s tay review s, and com plete othe r UR tasks . | |
325 | ||
326 | Insurance verifiers use the In surance Da ta Capture module to collect a nd store p atient and insurance carrier-s pecific da ta. | |
327 | ||
328 | The billin g clerks s ee substan tial chang es to thei r jobs wit h the enha ncements p rovided in the Patie nt Billing and Third Party Bil ling modul es. | |
329 | ||
330 | IB version 2.0 is hi ghly integ rated with other DHC P packages . | |
331 | ||
332 | PIMS is a feeder of patient de mographic and eligib ility data to IB. P IMS also p rovides in formation to Claims Tracking, Third Part y Billing and Patien t Billing on each bi llable epi sode of ca re, both i npatient a nd outpati ent. | |
333 | ||
334 | IB passes bills and/ or charges to Accoun ts Receiva ble for th e purpose of follow- up and col lection. | |
335 | ||
336 | Prescripti on informa tion is pa ssed from Outpatient Pharmacy to Patient Billing f or the pur pose of bi lling Phar macy co-pa yments. | |
337 | ||
338 | Prescripti on refills are passe d through Claims Tra cking to T hird Party Billing t o be bille d using th e Automate d Biller. | |
339 | The Encoun ter Form U tilities p rint data on the for ms from th e Allergy, PIMS, and Problem L ist packag es. The P rint Manag er, includ ed with th e Encounte r Form Uti lities, wi ll also pr int out He alth Summa ries as we ll as docu ments from the Outpa tient Phar macy and P IMS packag es. | |
340 | ||
341 | Means Test billing d ata may be transmitt ed between facilitie s using th e PDX v1.5 package. This may assist sit es with th e preparat ion of bil ls for inp atients wh o transfer between f acilities. | |
342 | ||
343 | Prosthetic s informat ion is pas sed to Cla ims Tracki ng and Thi rd Party B illing. | |
344 | ||
345 | The new fu nctionalit y seen in this softw are is the direct re sult of in put and fe edback rec eived from field use rs. Task groups mad e up of re presentati ves from t he field w ere create d under th e auspices of the MC CR Systems Committee and MCCR EP. These groups ha d meetings and/or co nference c alls with the develo pers and V ACO Progra m Office ( MCCR, MAS, and MIRMO ) official s on a reg ular basis to develo p the init ial specif ications a nd answer questions that arose during th e developm ent cycle. The fiel d represen tatives in these gro ups includ ed physici ans, UR nu rses, MAS ADPACs, MC CR coordin ators, and billing c lerks. An additiona l group of users was assembled prior to alpha test ing to con duct full usability and functi onal testi ng of the software. The input from each of the in dividuals on these g roups was invaluable to the so ftware dev elopers. | |
346 | ||
347 | ||
348 | IB version 2.0 inclu des electr onic excha nge (EDI) of claim i nformation with thir d party pa yers and M edicare vi a Financia l Services Center (F SC) | |
349 | ||
350 | Claims are transmitt ed electro nically fr om VistA t o insuranc e provider s | |
351 | Remittance advice in formation for claims transmitt ed is rece ived as ma il message s | |
352 | ||
353 | ||
354 | Orientatio n | |
355 | ||
356 | The Integr ated Billi ng Technic al Manual is divided into majo r sections for gener al clarity and simpl ification of the mat erial bein g presente d. This m anual is i ntended fo r use as a reference document by technic al compute r personne l. | |
357 | ||
358 | The Implem entation a nd Mainten ance Secti on provide s informat ion on any aspect of the packa ge that is site conf igurable. The file flow chart found in the Files Section sh ows the re lationship s between the IB fil es and fil es externa l to the I B package. This sec tion also contains a listing o f each IB input, pri nt, and so rt templat e with des criptions. There ar e also sec tions on a rchiving a nd purging , how to g enerate on -line docu mentation, and packa ge-wide va riables. | |
359 | ||
360 | Informatio n concerni ng package security may be fou nd in the Integrated Billing v 2.0 Packag e Security Guide. | |
361 | ||
362 | ||
363 | Note to Us ers with Q ume Termin als | |
364 | ||
365 | It is very important that you set up you r Qume ter minal prop erly for t his releas e of Integ rated Bill ing. Afte r entering your acce ss and ver ify codes, you will see | |
366 | ||
367 | Select TER MINAL TYPE NAME: {ty pe}// | |
368 | ||
369 | Please mak e sure tha t <C-QUME> is entere d here. T his entry will becom e the defa ult. You can then p ress <RET> at this p rompt for all subseq uent log-i ns. If an y other te rminal typ e configur ation is s et, option s using th e List Man ager utili ty (such a s the Insu rance Comp any Entry/ Edit optio n under th e Patient Insurance Menu or th e Clinic S etup/Edit Forms opti on under t he Edit En counter Fo rms Menu) will neith er display nor funct ion proper ly on your terminal. | |
370 | ||
371 | Symbols | |
372 | ||
373 | The follow ing are ex planations of the sy mbols used throughou t this man ual. | |
374 | ||
375 | <RET>Press the RETUR N or ENTER key. | |
376 | ||
377 | <SP>Press the spaceb ar. | |
378 | ||
379 | <^>Up-arro w, which y ou enter b y pressing the SHIFT key and t he | |
380 | numeric 6 key simult aneously. | |
381 | ||
382 | <?> <??>E nter singl e, double, or triple question marks to a ctivate on -line help , | |
383 | ||
384 | <???>Depen ding on th e level of help you need. | |
385 | (This page included for two-si ded copyin g.) | |
386 | ||
387 | ||
388 | General In formation | |
389 | ||
390 | Namespace Convention s | |
391 | ||
392 | The namesp aces and f ile ranges assigned to the Int egrated Bi lling pack age are DI C, File #3 6; IB, Fil es # 350 - 389; DGCR , Files # 399 - 399. 5. Files #409.95 an d 409.96, under name space SD, are export ed with ve rsion 2.0 of IB. | |
393 | ||
394 | Integrity Checker | |
395 | ||
396 | The IBNTEG routine c hecks inte grity for other IB a nd DGCR ro utines. T his was bu ilt using the KERNEL utility r outine, XT SUMBLD. | |
397 | ||
398 | ||
399 | SACC Exemp tions/Non- Standard C ode | |
400 | ||
401 | One SACC e xemption w as granted for one t ime killin g of the f ollowing D D nodes fo r IB v2.0. | |
402 | ||
403 | ^DD(399,.0 1,21) | |
404 | ^DD(399,2, 21) | |
405 | ^DD(399,20 5,21) | |
406 | ^DD(399,21 3,23) | |
407 | ^DD(399,30 3,21) | |
408 | ||
409 | ||
410 | Resource R equirement s | |
411 | ||
412 | Resource r equirement s for Inte grated Bil ling versi on 1.0 wer e measured in great detail, an d VA Medic al Centers were dist ributed eq uipment fo r this pac kage. The resource consumptio n of exist ing module s of Integ rated Bill ing versio n 2.0 has not change d signific antly. Th e three ne w modules in Integra ted Billin g have som e addition al resourc e requirem ents. | |
413 | ||
414 | The instal lation of IB version 2.0 may r equire app roximately 5-15 mega bytes of a dditional disk capac ity. This includes up to 2.5 megabytes in the glo bal DPT, u p to 2.5 m egabytes i n the glob al DGCR, u p to 5 meg abytes in the global IBA, and up to 5 me gabytes in the new g lobal IBT. | |
415 | ||
416 | ||
417 | The Encoun ter Form U tilities r equire a s mall amoun t of addit ional capa city to ed it and sto re the for mat of the encounter forms. P lease note that the standard p artition s ize has be en increas ed to 40K. You will need to i ncrease yo ur partiti on size to the new s tandard in order to run the ut ilities. The printi ng of enco unter form s will req uire at le ast one de dicated pr inter that most site s have alr eady recei ved. The printing w ill requir e addition al CPU cap acity; how ever, this job may b e schedule d during n on-peak wo rkload hou rs. | |
418 | ||
419 | The Insura nce Data C apture mod ule has be en highly used durin g testing. This mod ule will i ncrease th e disk uti lization i n the DPT global by approximat ely 1k per every 10 insurance policies a nd in the IBA global by 1k per every 3 i nsurance p olicies. | |
420 | ||
421 | Based on t he experie nce of our test site s, the Cla ims Tracki ng module will use a pproximate ly 5k of d isk space for every pre-admiss ion entry (one for e very insur ance case plus 5 per week for UR). In a ddition, a pproximate ly 1k of d isk space for every 3 outpatie nt visits or prescri ption refi lls will b e used. | |
422 | ||
423 | ||
424 | Implementa tion and M aintenance | |
425 | ||
426 | The Integr ated Billi ng package may be ta ilored spe cifically to meet th e needs of the vario us sites. Instructi ons may be found in the Integr ated Billi ng User Ma nual under the MCCR System Def inition Me nu, which includes t he MCCR Si te Paramet er Display /Edit opti on and oth ers that m ay be used by each s ite to def ine their own config uration. The Ambula tory Surge ry Mainten ance Menu contains a ll of the options ne cessary to transfer BASC proce dures into the BILLA BLE AMBULA TORY SURGI CAL CODE f ile (#350. 4) annuall y, when ne w BASC pro cedures ar e provided . It also contains options to build and manage th e use of C PT Check-o ff Sheets and an opt ion to ent er or edit locality modifiers. This fun ctionality is curren tly obsole te but has been left in IB 2.0 pending p ossible fu ture requi rements. There are other opti ons in the MCCR Syst em Definit ion Menu t o enter or edit bill ing rates, update ra te types, activate r evenue cod es, enter/ edit autom ated billi ng paramet ers, and e dit insura nce compan y informat ion. The Enter/Edit IB Site P arameters option in the System Manager's Integrate d Billing Menu is us ed to modi fy the par ameters co ntrolling the Integr ated Billi ng backgro und filer. All conf igurations may be mo dified at any time a s the site 's needs c hange. | |
427 | ||
428 | Implementi ng Claims Tracking | |
429 | Prior to i nstalling IB v2.0, s ites shoul d review t he Claims Tracking s ite parame ters and d etermine h ow they pl an to use this modul e. The re commended settings a re shown i n the User Manual. The Claims Tracking module has the abili ty to use a great de al of disk space and capacity if turned on to trac k all epis odes. | |
430 | ||
431 | Because th is part of the packa ge contain s the data entry por tion of th e QM natio nal roll u p of data, and will determine the random sample ca ses for re view, most sites wil l be compe lled to ru n this par t of the i npatient t racking. If you pla n to use t he Automat ed Biller to do bill preparati on for out patient an d prescrip tion refil l billing, you will also want to turn on tracking of these p ortions of the Claim s Tracking module. There are ways to au tomaticall y back loa d cases in to Claims Tracking, so that if you don't currently have the capacity, or want to delay imp lementatio n, you can still tak e advantag e of this module at a later da te. | |
432 | ||
433 | The option Claims Tr acking Par ameter Edi t has a nu mber of fe atures tha t affect t he operati on of the software. There are parameter s that may greatly a ffect the kind and f requency o f records that are a dded to Cl aims Track ing and th e amount o f disk spa ce utilize d. Claims Tracking also conta ins a rand om sample generator for UR to randomly s elect whic h admissio ns are to be reviewe d. Settin g the para meters con cerning th e number o f weekly a dmissions by service affects w hich cases , if any, are select ed as the random cas e. If the numbers i n these fi elds are s et lower t han the nu mber of ad missions p er week, t he random sample cas e will be selected e arly in th e week. I f the numb ers in the se fields are set hi gher than the number of admiss ions per w eek, depen ding on th e random n umber sele cted for t hat week, there is a risk that no random sample wi ll be sele cted. | |
434 | ||
435 | Implementi ng Encount er Forms | |
436 | There are steps that the local site shou ld take be fore encou nter forms can be us ed. | |
437 | ||
438 | First, for ms must be designed and assign ed to the clinics. Forms can be shared between cl inics, but it is imp ortant to control wh o has resp onsibility for editi ng the sha red forms. One impo rtant aspe ct of desi gning enco unter form s is deter mining wha t codes sh ould go on the form. Many enc ounter for ms will ha ve lists o f CPT code s, diagnos is codes, or problem s. Becaus e space on an encoun ter form i s at a pre mium, care ful analys is is requ ired to de termine th e codes mo st commonl y used by the clinic before en tering cod es on the form. For CPT codes , the opti on Most Co mmonly Use d Outpatie nt CPT Cod es can be used to de termine a clinic's m ost common ly used co des. | |
439 | Procedures for print ing the en counter fo rms must b e determin ed. The f ollowing a re some of the quest ions that must be an swered. | |
440 | ||
441 | What print ers to use ? | |
442 | Can the pr inters be loaded wit h enough p aper? | |
443 | How many d ays in adv ance shoul d the form s be print ed? | |
444 | What time of day to run the pr int job? | |
445 | Should the printers be watched ? | |
446 | What to do if there are printe r problems ? | |
447 | ||
448 | It is expe cted that most print ing of for ms will be done in b atch at ni ght for en tire divis ions, and that forms will be p rinted sev eral days in advance with only the addit ions print ed the nig ht before. | |
449 | ||
450 | Then there are quest ions conce rning what to do wit h the enco unter form s. | |
451 | ||
452 | How will t he complet ed encount er forms b e routed? | |
453 | Who will i nput the d ata? | |
454 | It is expe cted that much of th e collecte d data wil l be input through c heckout wh ich is par t of PIMS 5.3. | |
455 | ||
456 | The Print Manager th at comes w ith the En counter Fo rm Utiliti es is expe cted to be very usef ul to the local site s. Sites must decid e which re ports shou ld be prin ted. The Print Mana ger allows these rep orts to be specified along wit h the enco unter form s. The fa stest way to define the report s is at th e division level, ra ther than at the cli nic level. Individu al clinics can overr ide report s defined to print a t the divi sion level . | |
457 | ||
458 | Implementi ng Insuran ce Data Ca pture | |
459 | There are a number o f tools in the Insur ance modul e to ident ify duplic ate insura nce compan y file (#3 6) entries and to re solve thes e problems . It may also be he lpful to r eview the process of how insur ance infor mation is collected at your fa cility. T his module was desig ned so tha t as littl e informat ion as pos sible woul d be colle cted durin g registra tion and t hat more c omplete in formation would be c ollected b y a separa te employe e who woul d contact the insura nce compan y. | |
460 | ||
461 | Prior to i nstallatio n | |
462 | ||
463 | You may wa nt to revi ew how the Group Num ber and Gr oup Name f ields in t he Insuran ce Type mu ltiple of the PATIEN T file (#2 ) are ente red. Thes e will be used to cr eate the n ew GROUP I NSURANCE P LAN file ( #355.3). A new grou p plan wil l be creat ed for eve ry unique group plan entry for each insu rance comp any. If p ossible, y ou may wan t to conso lidate sim ilar but u nique name s. | |
464 | ||
465 | You may wa nt to prin t a list o f all acti ve and ina ctive insu rance comp anies alon g with the ir address es. There are a num ber of new insurance company a ddress fie lds. Dete rmine whic h insuranc e company entries ca n be inact ivated and merged in to another (active) insurance company en try. (Not e: Do not delete th e old entr ies. They must be i nactivated at this t ime.) | |
466 | ||
467 | Determine which user s should h ave access to the ne w Insuranc e options. There ar e options that allow for view- only acces s to both the insura nce compan y informat ion and pa tient insu rance info rmation as well as o ptions for data entr y. Limiti ng the abi lity of ce rtain indi viduals to add/edit/ delete inf ormation m ay improve the quali ty of your insurance informati on. Havin g accurate and detai led insura nce inform ation can improve yo ur collect ions by fo cusing you r efforts on cases t hat are po tentially reimbursab le. | |
468 | Many sites enter Med icare and Medicaid p olicy info rmation as an insura nce policy . If the entry in t he insuran ce company file (#36 ) for Medi care and M edicaid ex ist, we re commend th at the fie ld Will Re imburse? b e answered "NO". Th is will pr event the software f rom treati ng this as a billabl e insuranc e company entry. If this is a nswered ot her than " no", this could have a signifi cant impac t on the C laims Trac king modul e. | |
469 | ||
470 | After Inst allation | |
471 | ||
472 | First, run the optio n List Ina ctive Ins. Co. Cover ing Patien ts. This option wil l list com panies tha t are curr ently cove ring patie nts who ar e non-bill able due t o the insu rance comp any being inactive. In the In surance Co mpany Entr y/Edit opt ion, there is an act ion to act ivate and inactivate an insura nce compan y. Use th is action for the in active ins urance com panies and it will a llow you t o print a list of th e patients covered u nder these companies . If you wish to me rge the pa tients to another co mpany, you may do so at this o r a later time. | |
473 | ||
474 | If you fou nd in your list of i nsurance c ompanies t hat you ha ve many si milar entr ies to han dle differ ent inpati ent, outpa tient, or prescripti on address informati on, you ma y want to combine th ese entrie s into one . Choose the entry you wish t o update a nd enter t he complet e informat ion. Then go back a nd inactiv ate the co mpanies yo u no longe r wish to use and us e the feat ure that l ets you me rge (re-po int) the p atients to the updat ed company entry. I f you foun d many sim ilar entri es with th e same nam e but ente red slight ly differe ntly, you may want t o consider entering those name s as synon yms for th e updated company. | |
475 | ||
476 | The option List New not Verifi ed Policie s can be r un periodi cally to l ist new po licies tha t have bee n added si nce a spec ific date and have n ot been ve rified by your insur ance staff . Updatin g this inf ormation c an help yo u maintain the patie nt insuran ce informa tion and a llow your MCCR staff to concen trate on b illing for covered c are. This may foste r good com munication with your insurance carriers and ultima tely impro ve your ra tes of col lection. | |
477 | ||
478 | Implementi ng Patient Billing | |
479 | There is n o preparat ion requir ed by the facility t o use the Patient Bi lling modu le of Inte grated Bil ling versi on 2.0. H owever, th e followin g guidelin es are sug gested. | |
480 | ||
481 | Make a lis t of all s top codes, dispositi ons, and c linics whe re the bil ling of th e Means Te st outpati ent co-pay ment is no t desired. These va lues may e asily be e ntered int o the syst em (utiliz ing the op tion Flag Stop Codes /Dispositi ons/Clinic s) from th e list. | |
482 | ||
483 | Decide whe ther you w ould like to suppres s the gene ration of mail messa ges for in sured pati ents who h ave been b illed Mean s Test co- payments. If you wi sh to supp ress these mail mess ages, upda te the par ameter Sup press MT I ns Bulleti n using th e MCCR Sit e Paramete r Display/ Edit optio n. | |
484 | ||
485 | Implementi ng Third P arty Billi ng | |
486 | If your si te wishes to use the Automated Biller, e nter the v alues appr opriate to your site to contro l the exec ution of t he Automat ed Biller. Use the Enter/Edit Automated Billing P arameters [IB AUTO B ILLER PARA MS] option . Starting with IB p atch IB*2* 568, this option is locked wit h security key IB PA RAMETER ED IT. | |
487 | ||
488 | AUTO BILLE REnter the number of days betw een each e xecution o f the | |
489 | FREQUENCYA utomated B iller. (F or example , enter "7 " if you w ant bills created on ly once a week.) | |
490 | ||
491 | INPATIENTE nter the s tatus in w hich the P TF record should be before | |
492 | STATUS (AB )the Auto Biller can create a bill. No auto bill will be cr eated unle ss the PTF status is at least closed, re gardless o f how this parameter is set. | |
493 | ||
494 | The follow ing parame ters may b e entered for inpati ent admiss ions, outp atient vis its, and p rescriptio n refills. | |
495 | ||
496 | AUTOMATEEn ter "Yes" if bills s hould be a utomatical ly created for | |
497 | BILLINGpos sible bill able event s with no user inter action. L eave this blank if y our site p refers eac h event to be manual ly checked before a bill is cr eated by t he Auto Bi ller. | |
498 | ||
499 | BILLING CY CLEFor eac h type of event, ent er the max imum date range of a bill. If this is l eft blank, the date range will default t o the even t date thr ough the e nd of the month in w hich the e vent took place. Fo r inpatien t interim bills, thi s will be the next m onth after the last interim bi ll. | |
500 | ||
501 | DAYS DELAY Enter the number of days after the end o f the BILL ING CYCLE that the b ill should be create d. | |
502 | ||
503 | The follow ing parame ters may b e used by sites to c ontrol pre scription refill bil ling data and charge calculati on. If yo ur site pl ans to imp lement pre scription refill bil ling, ente r the appr opriate va lues using the MCCR Site Param eter Displ ay/Edit op tion [IBJ MCCR SITE PARAMETERS ]. Startin g with IB patch IB*2 *568, this option is locked wi th securit y key IB P ARAMETER E DIT. | |
504 | ||
505 | DEFAULT RX Enter the revenue c ode that s hould be u sed for | |
506 | REFILL REV CODEmost prescripti on refill bills. If this reve nue code i s defined, charges f or every p rescriptio n refill w ill automa tically be added to the bill w ith this R evenue Cod e. This s ite parame ter may be overridde n by the I nsurance C ompany fil e (#36) pa rameter PR ESCRIPTION REFILL RE V. CODE if left blan k. | |
507 | ||
508 | DEFAULT RX If applica ble, enter a diagnos is code th at should be | |
509 | REFILL DXa dded to ev ery prescr iption ref ill bill. | |
510 | ||
511 | DEFAULT RX If applica ble, enter a CPT cod e that sho uld be add ed | |
512 | REFILL CPT to every p rescriptio n refill b ill. | |
513 | ||
514 | The follow ing are ot her new si te paramet ers that m ay need to be set us ing the MC CR Site Pa rameter En ter/Edit o ption [IB MCCR PARAM ETER EDIT] . | |
515 | ||
516 | HCFA-1500 For the HC FA-1500, e nter the c olumn numb er in whic h | |
517 | ADDRESSthe mailing a ddress sho uld begin printing f or it to s how | |
518 | COLUMNin t he envelop e window ( if it does not alrea dy print i n the appr opriate pl ace). | |
519 | ||
520 | UB-92 ADDR ESSFor the UB-92, en ter the co lumn numbe r in which the | |
521 | COLUMNmail ing addres s should b egin print ing for it to show i n the enve lope windo w (if it d oes not al ready prin t in the a ppropriate place). | |
522 | ||
523 | If the Bil l Addendum Sheet sho uld automa tically pr int for ev ery HCFA-1 500 with p rescriptio n refills or prosthe tic items, set the D EFAULT PRI NTER (BILL ING) field for the B ILL ADDEND UM form ty pe to the appropriat e device. (Use the Select Def ault Devic e for Form s option [ IB SITE DE VICE SETUP ].) | |
524 | If certain insurance companies require a specific Revenue Co de to be u sed for Rx refills t hat is dif ferent tha n the DEFA ULT RX REF ILL REV CO DE field, use the op tion Insur ance Compa ny Entry/E dit [IBCN INSURANCE CO EDIT] t o enter th e required Revenue C ode in the PRESCRIPT ION REFILL REV. CODE field. | |
525 | (This page included for two-si ded copyin g.) | |
526 | ||
527 | ||
528 | Routines | |
529 | ||
530 | Per VHA Di rective 10 -93-142 re garding se curity of software t hat affect s financia l systems, most of t he IB rout ines may n ot be modi fied. The third lin e of routi nes that m ay not be modified w ill be so noted. Th e followin g routines are exemp t from thi s requirem ent. | |
531 | ||
532 | IBD* - Enc ounter For m Utilitie s | |
533 | IBO*, IBCO *, IBTO* - Non-criti cal Report s | |
534 | ||
535 | Routines t o Map | |
536 | It is reco mmended th at the fol lowing rou tines be m apped: IB A*, IBCNS, IBCNS1, I BCNSC*, IB CNSM*, IBC NSP*, IBCN SU*, IBEF* , IBR*, IB TRKR*, IBU TL*, IBX*, and IBCNH *. | |
537 | ||
538 | Obsolete R outines | |
539 | The follow ing routin es are obs olete for IB in vers ion 2.0 an d may be d eleted. | |
540 | ||
541 | IBACKINIBE HCF1 | |
542 | IBOHCPIBEH CFA | |
543 | IBOHCTPIBE P | |
544 | ||
545 | Please not e that the only rout ines in th e DGCR nam espace tha t are expo rted with IB 2.0 are DGCRAMS, DGCRNS, an d DGCRP3. All other routines in the DGC R namespac e may be d eleted. | |
546 | Callable R outine | |
547 | ||
548 | Callable R outines | |
549 | Tag^Routin e | |
550 | Descriptio n | |
551 | $$INSURED^ IBCNS1(DFN , DATE) | |
552 | This extri nsic funct ion will r eturn a "1 " if the p atient is insured fo r the spec ified date or a "0" if the pat ient is no t insured. Input of the date is optiona l. The de fault is " today". N o other da ta is retu rned. For billing p urposes, a patient i s only con sidered in sured if h e has an e ntry in th e INSURANC E TYPE sub -file that meets the following four cond itions. | |
553 | ||
554 | The insura nce compan y is activ e. | |
555 | The insura nce compan y will rei mburse the governmen t. (If yo ur site tr acks Medic are covera ge of pati ents, the entry in t he INSURAN CE COMPANY file (#36 ) should b e set to n ot reimbur se.) | |
556 | The effect ive date i s before t he date of care. | |
557 | The expira tion date is after t he date of care. (T reat no en try in the EFFECTIVE DATE and EXPIRATION DATE fiel ds as from the begin ning of ti me to the end of tim e.) | |
558 | ||
559 | You might find a ref erence som ething lik e the foll owing. | |
560 | ||
561 | I $$INSURE D^IBCNS1(D FN,+$G(^DG PM(+DGPMCA ,0))) D BI LL... | |
562 | ALL^IBCNS1 (dfn, vari able, acti ve, date) | |
563 | This funct ion will r eturn all insurance data in th e array of your choi ce. Input the patie nt interna l entry nu mber and t he variabl e in which you want the data r eturned. Optionally , you can ask for ac tive insur ance infor mation by putting a "1" or "2" in the th ird parame ter and a date for t he insuran ce to be a ctive on i n the four th paramet er (the de fault is " today"). If the val ue of the third para meter is " 2", then i nsurance c ompanies t hat do not reimburse VA will b e included . This is primarily to retrie ve Medicar e policies when it i s desirabl e to inclu de them in active po licies, e. g., when p rinting in surance in formation on encount er forms. | |
564 | ||
565 | It will re turn the 0 , 1, and 2 nodes for each entr y in the I NSURANCE T YPE sub-fi le and the 0 node fr om the GRO UP INSURAN CE PLAN fi le (#355.3 ) in a 2 d imensional array, Ar ray(x, nod e). The a rray eleme nt Array(0 ) will be defined to the count of entrie s. In Arr ay (x, nod e) x will be the int ernal entr y in the I NSURANCE T YPE sub-fi le and nod e will be 0, 1, 2 or 355.3. T he GROUP N AME and NU MBER field s have bee n moved to the GROUP INSURANCE PLAN file (#355.3), but since many prog rammers ar e used to looking fo r this dat a on the 0 th node fr om the INS URANCE TYP E sub-file , the curr ent value from 355.3 is put ba ck into th e respecti ve pieces of the 0th node. Th e code for this call looks som ething lik e the foll owing. | |
566 | ||
567 | K IBINS | |
568 | D ALL^IBCN S1(DFN,"IB INS",1,IBD T) I $G(IB INS(0)) D LIST | |
569 | DGCRAMS | |
570 | Supported call for A R to deter mine AMIS segments f or insuran ce bills. | |
571 | DGCRNS | |
572 | IB v1.5 in surance re trieval ca ll, to be replaced b y ALL^IBCN S1. | |
573 | DGCRP3 | |
574 | This call, available to Accoun ts Receiva ble, will print seco nd and thi rd notice UB-82s, UB -92s, and HCFA-1500s . | |
575 | DISP^IBAPD X1(in, spt r, out, of f) | |
576 | This extri nsic funct ion is als o used by the PDX pa ckage. Th is call wi ll transfo rm the dat a in the a rray gener ated by th e EXTR^IBA PDX call i nto an arr ay which i s in a dis play-ready format. | |
577 | DISP^IBCNS | |
578 | This tag c an be call ed to do t he standar d insuranc e display. This dis play is us ed extensi vely in re gistration and billi ng. The v ariable DF N must be defined to the curre nt patient . Using t his tag wi ll keep yo ur display s current when the p ackage dev elopers up date them or make ot her data d ictionary changes. | |
579 | DISP^IBARX EU(dfn, da te, number of lines, unknown a ction) | |
580 | This is a supported call for a ll develop ers. It w ill print the standa rd display of exempt ion status for the p atient's c urrent exe mption on or before the specif ied date. If no dat e is speci fied, "tod ay" is the default. It will p rint a max imum of th ree lines of text; t he current exemption status, t he exempti on reason, and the d ate of the last exem ption. Al l paramete rs are opt ional exce pt for DFN . The dis play can b e limited to a speci fied numbe r of lines . In addi tion, if a medicatio n co-payme nt exempti on status has never been deter mined for a patient, the displ ay can be set to not display o r display the unknow n informat ion. | |
581 | EPFBAPI^ I BCEP8C(Src Array, Ret Array) | |
582 | Integratio n agreemen t 5806. T his privat e agreemen t between FB and IB will allow Fee Basis to file F ee Vendor and 5010 P roviders t o the IB N ON/OTHER V A BILLING PROVIDER ( #355.93) f ile for pa id Fee cla ims that a re potenti ally billa ble by IB (For Futur e Use). T he call is made duri ng a night ly process (option F B PAID TO IB) within FB. | |
583 | EXTR^IBAPD X(tran, df n, arr) | |
584 | This extri nsic funct ion is use d by the P atient Dat a Exchange (PDX) ver sion 1.5 p ackage to transport Means Test billing d ata betwee n faciliti es. For a given pat ient, this routine w ill build a global a rray conta ining Cont inuous Pat ient, Acti ve Billing Clock, an d Means Te st Charge informatio n from the transmitt ing facili ty. | |
585 | IB^IBRUTL | |
586 | This call, available to Accoun ts Receiva ble, will determine if there a re Means T est charge s on hold associated with a gi ven bill n umber. An optional parameter will retur n the held charges i n an array . | |
587 | IBAMTD | |
588 | This routi ne is invo ked by the MAS Movem ent Event Driver. I t processe s final Me ans Test c harges for Category C veterans who are d ischarged. | |
589 | IBAMTED | |
590 | This routi ne is invo ked by the MAS Means Test Even t Driver. It sends a mail mes sage to th e IB CAT C mail grou p if a pat ient's Mea ns Test "b illable" s tatus chan ges (i.e., from Cate gory C to Category A or vice v ersa). | |
591 | IBAMTS | |
592 | This routi ne is invo ked by the Schedulin g Check-In Event Dri ver. It b ills the M eans Test outpatient co-paymen t charge t o Category C veteran s who are checked in for a cli nic visit. | |
593 | IBARX | |
594 | This routi ne has 4 c alls suppo rted for O utpatient Pharmacy o nly: XTYP E^IBARX (e ligibility determina tion), NEW ^IBARX (fi le new RX co-payment s), CANCEL ^IBARX (ca ncel), and UPDATE^IB ARX (updat e). | |
595 | IBOLK | |
596 | This routi ne has two supported entry poi nts for th e Accounts Receivabl e package to print a profile o f an AR Tr ansaction. The entr y point EN F is used to print a full prof ile. The entry poin t ENB is u sed to pri nt a brief profile. | |
597 | IBRFN | |
598 | This routi ne has sup ported cal ls to retu rn the tex t of an er ror messag e. | |
599 | IBRREL | |
600 | This routi ne has one supported call, AR^ IBRREL, fo r the Acco unts Recei vable pack age. If t here are M eans Test charges on hold that are assoc iated with the input bill numb er, these charges wi ll be disp layed and available for select ion to be "released" to AR. | |
601 | IBCAPP | |
602 | CLAIMS AUT O PROCESSI NG MAIN PR OCESSER. This routi ne is call ed by IBCN SBL2 (IB*2 .0*432) | |
603 | IBCAPP1 | |
604 | CLAIMS AUT O PROCESSI NG UTILITI ES. This routine is called by IBCAPP (I B*2.0*432) | |
605 | IBCAPP2 | |
606 | CLAIMS AUT O PROCESSI NG. This routine is called by IBCECOB1 (IB*2.0*43 2) | |
607 | IBCAPR | |
608 | PRINT EOB/ MRA. This routine i s called b y IBCAPR1 and IBCAPR 2 (IB*2.0* 432) | |
609 | IBCAPR1 | |
610 | CAPR PRINT FUNCTIONS . This ro utine is c alled by I BCAPP (IB* 2.0*432) | |
611 | IBCAPR2 | |
612 | PRINT EOB/ MRA (IB*2 .0*432) | |
613 | IBCAPU | |
614 | CLAIMS AUT O PROCESSI NG UTILITI ES (IB*2.0 *432) | |
615 | LNNDCCK^IB CBB11 | |
616 | Validate L ine Level for NDC – The Units and Units/ Basis of M easurement fields ar e required if the ND C field is populated (IB*2.0*5 77) | |
617 | IBCBB12 | |
618 | PROCEDURE AND LINE L EVEL PROVI DER EDITS. This rou tine is ca lled by IB CBB1 (IB*2 .0*432) | |
619 | IBCEF80 | |
620 | PROVIDER I D FUNCTION S. This r outine is called by IBCEF7 and IBCEFPL ( IB*2.0*432 ) | |
621 | IBCEF81 | |
622 | PROVIDER A DJUSTMENTS . This ro utine is c alled by I BCEF80, IB CEFP, and IBCEFPL (I B*2.0*432) | |
623 | IBCEF82 | |
624 | PROVIDER A DJUSTMENTS . This ro utine is c alled by I BCEF81 (IB *2.0*432) | |
625 | IBCEF83 | |
626 | GET PROVID ER FUNCTIO NS. CALLE D BY OUTPU T FORMATTE R (IB*2.0* 432) | |
627 | IBCEF84 | |
628 | GET PROVID ER FUNCTIO NS. CALLE D FROM DIC T 399, FIE LDS .21 & 101 TRIGGE RS FOR FIE LD 27. (IB *2.0*432) | |
629 | IBCEFP | |
630 | PROVIDER I D FUNCTION S. This r outine is called by IBCEF11, I BCEF74, IB CEF76, IBC EF79, and IBCEF83 IB *2.0*432) | |
631 | IBCEFP1 | |
632 | OUTPUT FOR MATTER PRO VIDER UTIL ITIES. Th is routine is called by IBCEF7 6 and IBCE FP (IB*2.0 *432) | |
633 | IBCEU7 | |
634 | EDI UTILIT IES. This routine i s called b y IBXS3, I BXS6, IBXS 7, IBXSC3, IBXSC6, I BXSC7, and IBXX17 (I B*2.0*432) | |
635 | FTF^IBCNEU T7 | |
636 | Returns an Insurance Company’s formatted Filing Ti me Frame | |
637 | FTFGP^IBCN EUT7 | |
638 | Returns a Group Plan ’s formatt ed Filing Time Frame | |
639 | IBCSC10 | |
640 | MCCR SCREE N 10 (UB-8 2 BILL SPE CIFIC INFO ). This r outine is called by BILLING SC REEN 10 (I B*2.0*432) | |
641 | IBCSC102 | |
642 | MCCR SCREE N 10 (UB-0 4 BILL SPE CIFIC INFO ). This r outine is called by BILLING SC REEN 10 (I B*2.0*432) | |
643 | IBCSC10A | |
644 | ADD/ENTER CHIROPRACT IC DATA. This routi ne is call ed by BILL ING SCREEN 10 (IB*2. 0*432) | |
645 | IBCSC10B | |
646 | ADD/ENTER PATIENT RE ASON FOR V ISIT DATA. This rou tine is ca lled by BI LLING SCRE EN 10 (IB* 2.0*432) | |
647 | IBCSC10H | |
648 | MCCR SCREE N 10 (BILL SPECIFIC INFO) CMS- 1500 . Thi s routine is called by BILLING SCREEN 10 IB*2.0*43 2) | |
649 | IBCU7B | |
650 | LINE LEVEL PROVIDER USER INPUT . This ro utine is c alled by I BCCPT (IB* 2.0*432) | |
651 | IBY432PO | |
652 | POST-INSTA LLATION FO R IB PATCH 432. Thi s routine is called by INSTALL PROCESS I B*2.0*432) | |
653 | IBY432PR | |
654 | PRE-INSTAL LATION FOR IB PATCH 432. This routine i s called b y INSTALL PROCESS (I B*2.0*432) | |
655 | MENU^IBECK | |
656 | This routi ne may be used on me nu entry a ctions to display wa rnings. | |
657 | RXST^IBARX EU(dfn, da te) | |
658 | This is a supported extrinsic variable f or all dev elopers th at returns the curre nt exempti on on or b efore the specified date. If no date is specified , "today" is the def ault. Thi s variable returns t he followi ng data in the respe ctive piec e position : exemptio n status, exemption status tex t, the exe mption rea son code, the exempt ion reason text, and the date of prior t est. | |
659 | STMT^IBRFN 1(tran) | |
660 | This routi ne call is used by t he Account s Receivab le package during th e printing of the pa tient stat ements. T he input t o this rou tine is th e AR trans action num ber. The output is a global a rray which contains the pharma cy, inpati ent, or ou tpatient c linical da ta which i s incorpor ated into the patien t statemen t. | |
661 | THRES^IBAR XEU1(date, type, dep endents) | |
662 | This suppo rted call will retur n the thre shold amou nt that a patient's income mus t not exce ed to be e xempt from the medic ation co-p ayment req uirement. Inputs ar e date of test, type of thresh old (curre ntly on ty pe=2 is su pported), and the nu mber of de pendents. The data is retriev ed from th e BILLING THRESHOLDS file (#35 4.3). | |
663 | ADD3611^IB CEOB | |
664 | Create EOB stub. Us ed by Acco unts Recei vable pack age, EDI L ockbox mod ule – Inte gration Ag reement 40 42. | |
665 | DUP^IBCEOB | |
666 | Check for duplicate EOB. Used by Accoun ts Receiva ble packag e, EDI Loc kbox modul e – Integr ation Agre ement 4042 . | |
667 | ERRUPD^IBC EOB | |
668 | Update EOB for error . Used by Accounts Receivable package, EDI Lockbo x module – Integrati on Agreeme nt 4042. | |
669 | UPD3611^IB CEOB | |
670 | Update EOB detail. Used by Ac counts Rec eivable pa ckage, EDI Lockbox m odule – In tegration Agreement 4042. | |
671 | SPL1^IBCEO BAR | |
672 | Allows AR AMOUNTS mu ltiple on an EOB to be changed . Used by Accounts R eceivable package, E DI Lockbox module wh en an ERA line is sp lit. Integ ration Agr eement 405 0 | |
673 | COPY^IBCEO B4 | |
674 | Allows an EOB to be copied. U sed by Acc ounts Rece ivable pac kage, EDI Lockbox mo dule – Int egration A greement 5 671. | |
675 | UNLOCK^IBC EOB4 | |
676 | Allows an EOB to be LOCKED. Us er by Acco unts Recei vable pack age, EDI L ockbox mod ule – Inte gration Ag reement 56 71. | |
677 | MOVE^IBCEO B4 | |
678 | Allows cla im number on an EOB to be chan ged. Used by Accoun ts Receiva ble packag e, EDI Loc kbox modul e – Integr ation Agre ement 5671 . | |
679 | UNLOCK^IBC EOB4 | |
680 | Allows an EOB to be UNLOCKED. Used by A ccounts Re ceivable p ackage, ED I Lockbox module – I ntegration Agreement 5671. | |
681 | IBDSP^IBJT U6 | |
682 | Build IB L ist Manage r display array scra tch global s. Used b y Accounts Receivabl e and by E lectronic Claims Man agement En gine (ECME ) – Integr ation Agre ement 5713 . | |
683 | RX^IBNCPDP | |
684 | IB Billing Determina tion. Use d by ECME to determi ne billing informati on for ePh armacy. I ntegration Agreement 4299. | |
685 | STORESP^IB NCPDP | |
686 | Create ePh armacy bil ls. Used by ECME to send the results of the ePhar macy respo nse from t he payers into billi ng to crea te bills. Integrati on Agreeme nt 4299. | |
687 | PRINT^IBNC PEV | |
688 | Print the IB NCPDP B illing Eve nts Report . Used by ECME. | |
689 | Integratio n Agreemen t 5712. | |
690 | ||
691 | COLLECT^IP NCPEV3 | |
692 | Entry poin t to extra ct report data from the IB NCP DP EVENT L OG based o n the inco ming crite ria. Used by the BPS RPT NON-B ILLABLE RE PORT in th e ECME app lication. Integratio n Agreemen t 6131. | |
693 | RT^IBNCPDP U | |
694 | Used inter nally by t he billing system to determine the prope r rate typ e for ePha rmacy bill ing situat ions. | |
695 | RXINS^IBNC PDPU | |
696 | Return an array of p harmacy in surance po licies in Coordinati on of Bene fits order . Used by ECME. IA 5714. | |
697 | HPD^IBCNHU T1(INS,V) | |
698 | This funct ion return s the HPID /OEID for an insuran ce company . The use r must pas s in the I nsurance C ompany ien in file 3 6 (INS). I f the user passes th e second v ariable as V=1, vali dation che cks will a lso be run on the HP ID. If th e HPID doe s not pass the valid ation chec ks (10 num eric chara cters, 1st character is a 6 or 7 and the 10th char acter is t he Luhn ch eck-digit) , the func tion will append a ‘ *’ to the end of the HPID to i ndicate it is not va lid. | |
699 | You might find a ref erence to something like the f ollowing. | |
700 | W !,"HPID/ OEID: ",$ $HPD^IBCNH UT1(INS,1) | |
701 | IBRFIHLU | |
702 | RFAI HL7 U tilities – Utilities used for the handli ng of Requ est For Ad ditional I nformation (RFAI) HL 7 messages . | |
703 | ||
704 | ||
705 | Routine Li st with De scriptions | |
706 | ||
707 | Routine Li st | |
708 | Routine | |
709 | Descriptio n | |
710 | DGCRAMS | |
711 | Bridge rou tine to IB CAMS routi ne which d etermines Accounts R eceivable AMIS categ ory for in surance bi lls. | |
712 | DGCRNS | |
713 | Utility ro utine to d etermine i f patient has active insurance and to do standard displays. | |
714 | DGCRP3 | |
715 | Bridge rou tine to IB CF13 routi ne which i s the call for Accou nts Receiv able to pr int bills. | |
716 | IB20428P, IB20P*, IB 20R244, IB 2P167C | |
717 | IB Individ ual Patch POST-INIT Routines | |
718 | IB20E253, IB20E295, IB20E362, IB20E379, IB20E410, IB20E425, IB20E441 | |
719 | IB Individ ual Patch Environmen t Check Ro utines | |
720 | IB20IN | |
721 | IB version 2.0 initi alization routine. | |
722 | IB20PRE | |
723 | IB version 2.0 pre-i nitializat ion routin e. | |
724 | IB20PT* | |
725 | IB version 2.0 post initializa tion routi nes. | |
726 | IB3PSOU | |
727 | Outpatient Pharmacy Administra tive Fee C hange Upda te | |
728 | IBACSV | |
729 | CODE SET V ERSIONING IB UTILITI ES | |
730 | IBACUS | |
731 | TRICARE BI LLING UTIL ITIES | |
732 | IBACUS1 | |
733 | TRICARE PA TIENT RX C O-PAY CHAR GES | |
734 | IBACUS2 | |
735 | TRICARE FI SCAL INTER MEDIARY RX CLAIMS | |
736 | IBACV | |
737 | COMBAT VET UTILITIES | |
738 | IBACVA, IB ACVA1, IBA CVA2 | |
739 | Routines f or the mai l message generation and autom atic charg e creation for the C HAMPVA sub sistence c harge. | |
740 | IBAECB | |
741 | LTC BILLIN G CLOCK IN QUIRY | |
742 | IBAECB1 | |
743 | LTC BILLIN G CLOCK IN QUIRY | |
744 | IBAECC | |
745 | LONG TERM CARE CLOCK MAINTANCE | |
746 | IBAECI | |
747 | LONG TERM CARE INPAT IENT TRACK ER | |
748 | IBAECM1 | |
749 | LTC PHASE 2 MONTHLY JOB | |
750 | IBAECM2 | |
751 | LTC PHASE 2 MONTHLY JOB | |
752 | IBAECM3 | |
753 | LTC PHASE 2 MONTHLY JOB PART 3 | |
754 | IBAECN1 | |
755 | LTC PHASE 2 NIGHTLY JOB | |
756 | IBAECO | |
757 | LONG TERM CARE OUTPA TIENT TRAC KER | |
758 | IBAECP | |
759 | LTC SINGLE PATIENT P ROFILE | |
760 | IBAECP1 | |
761 | LTC SINGLE PATIENT P ROFILE | |
762 | IBAECU | |
763 | LTC UTILIT IES DETERM INE LTC EL IG | |
764 | IBAECU1 | |
765 | LONG TERM IDENTIFICA TION UTILI TIES | |
766 | IBAECU2 | |
767 | LTC PHASE 2 UTILITIE S | |
768 | IBAECU3 | |
769 | LTC PHASE 2 UTILITIE S | |
770 | IBAECU4 | |
771 | LTC PHASE 2 UTILITIE S | |
772 | IBAECU5 | |
773 | LTC PHASE 2 UTILITIE S | |
774 | IBAERR | |
775 | Converts p harmacy co -pay error codes to text and s ends a mai l message if error o ccurs in a tasked jo b. | |
776 | IBAERR1 | |
777 | Creates ma il message s when err ors occur during the compilati on of Mean s Test cha rges. | |
778 | IBAERR2 | |
779 | Processes error mess ages and s ends mail messages f or the Med ication Co -payment E xemption p rocess. | |
780 | IBAERR3 | |
781 | Sends and processes alerts for the Medic ation Co-p ayment Exe mption pro cess if th e site cho oses to us e alerts r ather than mail mess ages for e lectronic notificati on. | |
782 | IBAFIL | |
783 | Posts task s to the b ackground filer. St arts filer if it is not runnin g. | |
784 | IBAGMM | |
785 | GMT MONTHL Y TOTALS R EPORT | |
786 | IBAGMM1 | |
787 | GMT MONTHL Y TOTALS R EPORT | |
788 | IBAGMR | |
789 | GMT SINGLE PATIENT R EPORT | |
790 | IBAGMR1 | |
791 | GMT SINGLE PATIENT R EPORT | |
792 | IBAGMT | |
793 | GEOGRAPHIC MEANS TES T UTILITIE S | |
794 | IBAHVE3 | |
795 | CV EXPIRAT ION REPORT | |
796 | IBAKAT | |
797 | CANCEL CO- PAY CHARGE S FOR KATR INA VETS | |
798 | IBAMTBU | |
799 | Creates ma il message s when Cat egory C pa tient move ments chan ge, and wh en continu ous patien ts are dis charged. | |
800 | IBAMTBU1 | |
801 | Creates a mail messa ge when ch arges are created in error for patients admitted f or observa tion and e xamination . | |
802 | IBAMTBU2 | |
803 | Generates a mail mes sage if a change in the Means Test affec ts the pat ient's Mea ns Test ch arges. | |
804 | IBAMTC | |
805 | Means Test Billing N ightly Com pilation J ob. Creat es charges and updat es billing clocks fo r all Cate gory C inp atients. | |
806 | IBAMTC1 | |
807 | Sends mail message w hen the Ni ghtly Comp ilation Jo b has comp leted. | |
808 | IBAMTC2, I BAMTC3 | |
809 | Ensures in patient ev ents are c losed on d ischarge a nd Categor y C charge s are pass ed. Sends mail mess age if not accomplis hed. | |
810 | IBAMTD | |
811 | Means Test Billing D ischarge C ompilation Job. Cal culates fi nal Means Test charg es when a Category C patient i s discharg ed. Invok ed by the MAS Moveme nt Event D river. Th e bundling and unbun dling of M eans Test billing da ta which i s transmit ted, recei ved, and d isplayed b y the PDX package. | |
812 | IBAMTD1 | |
813 | Computes M eans Test charges fo r single d ay admissi ons. | |
814 | IBAMTD2 | |
815 | Determines whether a change in patient m ovements w ill affect a patient 's Means T est charge s. | |
816 | IBAMTED | |
817 | Invoked by the MAS M eans Test Event Driv er. Deter mines whet her a chan ge in the Means Test should re sult in th e generati on of a ma il message . | |
818 | IBAMTED1 | |
819 | Creates ne w or updat ed exempti ons whenev er a chang e occurs i n a patien t's demogr aphic data , eligibil ity, Means Test, or Co-pay Tes t that wou ld affect his/her ex emption st atus. | |
820 | IBAMTED2 | |
821 | RX CO-PAY TEST EVENT DRIVER, Z 06 EXEMPTI ON PROCESS ING | |
822 | IBAMTEDU | |
823 | Determines whether a change in the Means Test will affect pa tient’s Me ans Test c harges. C reates a l ist of cha rges or pa tient care episodes which woul d be inclu ded in the mail mess age. | |
824 | IBAMTEL | |
825 | Contains t he various locations where an error may occur in t he process ing of Mea ns Test ch arges for inpatients . | |
826 | IBAMTI, IB AMTI1, IBA MTI2 | |
827 | These rout ines handl e all mail message g eneration, processin g, and out puts for s pecial inp atient bil ling cases . | |
828 | IBAMTS, IB AMTS1, IBA MTS2 | |
829 | Bills/Cred its Catego ry C outpa tient co-p ayments vi a Scheduli ng Event D river. | |
830 | IBAMTV | |
831 | BACK-BILLI NG SUPPORT FOR IVM | |
832 | IBAMTV1 | |
833 | BUILD ARRA Y OF BILLA BLE EPISOD ES | |
834 | IBAMTV2 | |
835 | CREATE CHA RGES FOR B ILLABLE EP ISODES | |
836 | IBAMTV3 | |
837 | RELEASE CH ARGES PEND ING REVIEW | |
838 | IBAMTV31 | |
839 | LIST CHARG ES PENDING REVIEW | |
840 | IBAMTV32 | |
841 | RELEASE PE NDING CHAR GES ACTION S | |
842 | IBAMTV4 | |
843 | FIND CHARG ES FOR IVM PATIENTS | |
844 | IBAPDX, IB APDX0, IBA PDX1 | |
845 | These rout ines are i nvoked by the PDX pa ckage and handle the bundling and unbund ling of Me ans Test b illing dat a which is transmitt ed, receiv ed, and di splayed by the PDX p ackage. | |
846 | IBAREP | |
847 | Routine to repost IB Actions t o Accounts Receivabl e. | |
848 | IBARX, IBA RX1 | |
849 | Routine ha s supporte d calls fo r Pharmacy Co-pay fo r eligibil ity, new c harges, ca ncelled ch arges, and updated c harges. | |
850 | IBARXDOC | |
851 | Documentat ion of var iable pass ing for IB ARX. | |
852 | IBARXEB | |
853 | Sends elec tronic not ification of changes in the pa tient's ex emption st atus that require no tification . Specifi cally, eac h time a p atient eit her receiv es or lose s a hardsh ip exempti on, a mail message o r alert is generated . | |
854 | IBARXEC, I BARXEC0, I BARXEC2, I BARXEC3 | |
855 | These rout ines are t he main co mponents o f the Medi cation Co- payment Ex emption Co nversion r outines. | |
856 | IBARXEC1, IBARXEC4, | |
857 | IBARXEC5 | |
858 | Print the report fro m the Medi cation Co- payment Ex emption Co nversion a nd the rel ated optio n. | |
859 | IBARXECA | |
860 | Contains t he logic t o cancel c harges dur ing the Me dication C o-payment Exemption process. | |
861 | IBARXEI | |
862 | Produces t he full an d brief in quiry opti ons for th e Medicati on Co-paym ent Exempt ion proces s. | |
863 | IBARXEL | |
864 | RX CO-PAY EXEMPTION INCOME TES T REMINDER S | |
865 | IBARXEL1 | |
866 | RX CO-PAY EXEMPTION REMINDER R EPRINT | |
867 | IBARXEP | |
868 | Produces r eports fro m the BILL ING PATIEN T file (#3 54) on the number an d kinds of exemption s currentl y held by patients. | |
869 | IBARXEPE | |
870 | Edit pharm acy co-pay exemption letter. | |
871 | IBARXEPL | |
872 | Print phar macy co-pa y exemptio n letters. | |
873 | IBARXEPS | |
874 | ALB/RM/PHH ,EG - RX C O-PAY EXEM PTION UPDA TE STATUS | |
875 | IBARXEPV | |
876 | Has the ab ility to t est the ac curacy of patient ex emptions f or a date range and to update the exempt ions of in correct en tries. | |
877 | IBARXET | |
878 | Allows add ing and ed iting of B illing Thr esholds. | |
879 | IBARXEU | |
880 | Contains t wo support ed calls t o retrieve a patient 's Medicat ion Co-pay ment Exemp tion statu s. | |
881 | IBARXEU0 | |
882 | Routine us ed to retr ieve and/o r update a patient's Medicatio n Co-payme nt Exempti on status. This rou tine shoul d not be u sed by app lications outside of IB. | |
883 | IBARXEU1 | |
884 | Contains t he logic t o actually calculate a patient 's Medicat ion Co-pay ment Exemp tion statu s. | |
885 | IBARXEU3, IBARXEU4 | |
886 | Contain th e logic to cancel pa st Medicat ion Co-pay ment charg es in both IB and AR . | |
887 | IBARXEU5 | |
888 | Contains t he logic f or dealing with net worth as p art of inc ome. | |
889 | IBARXEVT | |
890 | Medication Co-paymen t Exemptio n event dr iver. Inv oked each time a Med ication Co -payment E xemption i s created. | |
891 | IBARXEX, I BARXEX1 | |
892 | Contain th e logic fo r adding h ardship ex emptions f or patient s. | |
893 | IBARXMA | |
894 | PHARMCAY C O-PAY BACK GROUND PRO CESSES | |
895 | IBARXMB | |
896 | PHARMCAY C O-PAY CAP BILLING FU NCTIONS | |
897 | IBARXMC | |
898 | PHARMACY C O-PAY CAP FUNCTIONS | |
899 | IBARXMI | |
900 | HL7 RECEIV ER FOR PFS S WORKING ROUTINE | |
901 | IBARXMN | |
902 | PHARMCAY C O-PAY CAP RX PROCESS ING | |
903 | IBARXMO | |
904 | PHARMACY C O-PAY CAP REPORTS | |
905 | IBARXMO1 | |
906 | PHARMACY C O-PAY CAP | |
907 | IBARXMP | |
908 | PHARMCAY C O-PAY CAP PUSH TRANS ACTION | |
909 | IBARXMQ | |
910 | RX CO-PAY RPC QUERY ROUTINE (M ILL BILL) | |
911 | IBARXMR | |
912 | PHARMCAY C O-PAY CAP RPC STUFF | |
913 | IBARXMU | |
914 | PHARMACY C O-PAY CAP UTILITIES | |
915 | IBARXPFS | |
916 | PFSS ROUTI NE FOR INT ER-FACILIT Y RX CO-PA Y | |
917 | IBATCM | |
918 | TRANSFER P RICING TRA NSACTION C HARGES | |
919 | IBATEI | |
920 | TRANSFER P RICING INP ATIENT TRA CKER | |
921 | IBATEI1 | |
922 | TRANSFER P RICING BAC KGROUND JO B | |
923 | IBATEO | |
924 | TRANSFER P RICING OUT PATIENT TR ACKER | |
925 | IBATEP | |
926 | TRANSFER P RICING RX TRACKER | |
927 | IBATER | |
928 | Background job routi ne that se arches for Transfer Pricing tr ansactions in the Pr osthetics file (#660 ). | |
929 | IBATFILE | |
930 | Utility ca lls for fi ling Trans fer Pricin g transact ions. | |
931 | IBATLM0 | |
932 | TRANSFER P RICING PT LIST LIST MANAGER | |
933 | IBATLM0A | |
934 | TRANSFER P RICING PT LIST LIST MANAGER | |
935 | IBATLM1, I BATLM1A, I BATLM1B | |
936 | Routines u sed to cre ate a list ing of Tra nsfer Pric ing transa ctions. | |
937 | IBATLM2, I BATLM2A, I BATLM2B | |
938 | Routines u sed to dis play Trans fer Pricin g patient transactio ns. | |
939 | IBATLM3 | |
940 | TRANSFER P RICING PAT IENT INFO SCREEN | |
941 | IBATLM3A | |
942 | TRANSFER P RICING PT INFO SCREE N BUILD | |
943 | IBATO, IBA TO1 | |
944 | Routines u sed to pro duce vario us Transfe r Pricing reports. | |
945 | IBATOP | |
946 | TRANSFER P RICING PAT IENT LISTI NG | |
947 | IBATRX | |
948 | TRANSFER P RICING RX ROUTINE | |
949 | IBATUTL | |
950 | Utility ca lls for va rious Tran sfer Prici ng functio ns. | |
951 | IBAUTL | |
952 | Utility ca lls for IB applicati on interfa ce routine s. | |
953 | IBAUTL1 | |
954 | Utility ro utine to d etermine B ASC billin g rates. | |
955 | IBAUTL2 | |
956 | Means Test billing u tilities - retrieve billing ra tes; add/e dit charge s for a pa tient. | |
957 | IBAUTL3 | |
958 | Means Test billing u tilities - retrieve/ update bil ling event and billi ng clock d ata. | |
959 | IBAUTL4 | |
960 | Means Test billing u tilities - calculate inpatient charges. | |
961 | IBAUTL5 | |
962 | Means Test billing u tilities - pass char ges to Acc ounts Rece ivable; mi scellaneou s function s. | |
963 | IBAUTL6, I BAUTL7 | |
964 | Contain th e logic us ed to add entries to the BILLI NG PATIENT file (#35 4) and the BILLING E XEMPTIONS file (#354 .1). | |
965 | IBAXDR | |
966 | ROUTINE TO MERGE ENT RIES IN IB FILE FOR PATIENT ME RGE | |
967 | IBBAACCT | |
968 | PFSS ACCOU NT API | |
969 | IBBAADD | |
970 | PFSS FILE INDEXING | |
971 | IBBAADTI | |
972 | PFSS INBOU ND FILER | |
973 | IBBACDM | |
974 | PFSS SERVI CE MASTER API | |
975 | IBBACHRG | |
976 | PFSS CHARG E API | |
977 | IBBADFTO | |
978 | PFSS DFT B ATCH MESSA GING | |
979 | IBBAPI | |
980 | APIS FOR O THER PACKA GES FOR PF SS | |
981 | IBBASCI | |
982 | CIDC SWITC H UTILITIE S | |
983 | IBBASWCH | |
984 | PFSS MASTE R SWITCH F UNCTIONS | |
985 | IBBDOC | |
986 | APIS FOR O THER PACKA GES FOR PF SS - DOCUM ENT | |
987 | IBBFAPI | |
988 | FOR OTHER PACKAGES T O QUERY IN SURANCE IN FO | |
989 | IBBSHDWN | |
990 | IB Sunset for PFSS | |
991 | IBCA, IBCA 0, IBCA1, IBCA2 | |
992 | MCCR add n ew billing record. (Routines formerly n amed | |
993 | DGCRA, DGC RA0, DGCRA 1, DGCRA2. ) | |
994 | IBCA3 | |
995 | Displays a ll bills f or episode of care. (Formerly named DGC RA3.) | |
996 | IBCAMS | |
997 | Determines Accounts Receivable AMIS cate gory for i nsurance b ills. (Ro utine form erly named DGCRAMS.) | |
998 | IBCAPP | |
999 | CLAIMS AUT O PROCESSI NG MAIN PR OCESSER | |
1000 | IBCAPP1 | |
1001 | CLAIMS AUT O PROCESSI NG UTILITI ES | |
1002 | IBCAPP2 | |
1003 | CLAIMS AUT O PROCESSI NG | |
1004 | IBCAPR | |
1005 | PRINT EOB/ MRA | |
1006 | IBCAPR1 | |
1007 | CAPR PRINT FUNCTIONS | |
1008 | IBCAPR2 | |
1009 | PRINT EOB/ MRA | |
1010 | IBCAPU | |
1011 | CLAIMS AUT O PROCESSI NG UTILITI ES | |
1012 | IBCB, IBCB 1, IBCB2 | |
1013 | MCCR bill processing . (Routin es formerl y named DG CRB, DGCRB 1, and DGC RB2.) | |
1014 | IBCB11 | |
1015 | Process bi ll after e nter/edite d | |
1016 | IBCBB, IBC BB1, IBCBB 2 | |
1017 | Checks bil ls for com pleteness. (Routine s formerly named DGC RBB, DGCRB B1, and DG CRBB2.) | |
1018 | IBCBB0 | |
1019 | IB edit ch eck routin e continua tion | |
1020 | IBCBB11 | |
1021 | CONTINUATI ON OF EDIT CHECK ROU TINE | |
1022 | IBCBB12 | |
1023 | PROCEDURE AND LINE L EVEL PROVI DER EDITS | |
1024 | IBCBB13 | |
1025 | PROCEDURE AND LINE L EVEL PROVI DER EDITS | |
1026 | IBCBB21 | |
1027 | CONTINUATI ON OF EDIT CHECK ROU TINE FOR U B | |
1028 | IBCBB3 | |
1029 | CONTINUATI ON OF EDIT CHECKS RO UTINE (MED ICARE) | |
1030 | IBCBB4 | |
1031 | CONT OF ME DICARE EDI T CHECKS | |
1032 | IBCBB5 | |
1033 | CONT OF ME DICARE EDI T CHECKS | |
1034 | IBCBB6 | |
1035 | CONT. OF M EDICARE ED IT CHECKS | |
1036 | IBCBB7 | |
1037 | CONT. OF M EDICARE ED IT CHECKS | |
1038 | IBCBB7A | |
1039 | CON'T MEDI CARE EDIT CHECKS | |
1040 | IBCBB8 | |
1041 | CON'T MEDI CARE EDIT CHECKS | |
1042 | IBCBB9 | |
1043 | MEDICARE P ART B EDIT CHECKS | |
1044 | IBCBR | |
1045 | Enter/Edit Billing R ates. (Ro utine form erly named DGCRBR.) | |
1046 | IBCBULL | |
1047 | MCCR mail messages. (Routine formerly n amed DGCRB ULL.) | |
1048 | IBCC, IBCC 1 | |
1049 | Cancel a T hird Party Bill. (R outine for merly name d DGCRC.) | |
1050 | IBCCC, IBC CC1, IBCCC 2 | |
1051 | Cancel and copy bill . (Routin es formerl y named DG CRCC, DGCR CC1, and D GCRCC2.) | |
1052 | IBCCC3 | |
1053 | Continuati on of Copy and Cance l. | |
1054 | IBCCCB | |
1055 | COPY BILL FOR COB | |
1056 | IBCCCB0 | |
1057 | COPY BILL FOR COB (O VERFLOW) | |
1058 | IBCCPT | |
1059 | Display CP T codes fr om Ambulat ory Surger ies screen . (Routin e formerly named DGC RCPT) | |
1060 | IBCCPT1 | |
1061 | MCCR OUTPA TIENT VISI TS LISTING CONT.(2) | |
1062 | IBCCR | |
1063 | CLAIM CANC EL AND RES UBMIT INFO RMATION | |
1064 | IBCD, IBCD 1, IBCD2, IBCD3, IBC D4, IBCD5 | |
1065 | Automated Biller bac kground jo b. | |
1066 | IBCDC | |
1067 | Automated Biller uti lity routi ne. | |
1068 | IBCDE | |
1069 | Automated Biller com ments file managemen t. | |
1070 | IBCDP | |
1071 | AUTOMATED BILLER PRI NT | |
1072 | IBCE | |
1073 | 837 EDI TR ANSMISSION UTILITIES /NIGHTLY J OB | |
1074 | IBCE277 | |
1075 | 277 EDI CL AIM STATUS MESSAGE P ROCESSING | |
1076 | IBCE835 | |
1077 | 835 EDI EX PLANATION OF BENEFIT S MSG PROC ESSING | |
1078 | IBCE835A | |
1079 | 835 EDI EO B PROCESSI NG CONTINU ED | |
1080 | IBCE837 | |
1081 | OUTPUT FOR 837 TRANS MISSION | |
1082 | IBCE837A | |
1083 | OUTPUT FOR 837 TRANS MISSION - CONTINUED | |
1084 | IBCE837B | |
1085 | OUTPUT FOR 837 TRANS MISSION (c ont) | |
1086 | IBCEBUL | |
1087 | 837 EDI SP ECIAL BULL ETINS PROC ESSING | |
1088 | IBCECOB | |
1089 | IB COB MAN AGEMENT SC REEN | |
1090 | IBCECOB1 | |
1091 | IB COB MAN AGEMENT SC REEN/REPOR T | |
1092 | IBCECOB2 | |
1093 | IB COB MAN AGEMENT SC REEN | |
1094 | IBCECOB3 | |
1095 | COB MANAGE MENT REPOR T | |
1096 | IBCECOB4 | |
1097 | IB EM MANA GEMENT - R EVIEW STAT US SCREEN | |
1098 | IBCECOB5 | |
1099 | IB COB MAN AGEMENT SC REEN | |
1100 | IBCECOB6 | |
1101 | IB COB MAN AGEMENT SC REEN | |
1102 | IBCECSA | |
1103 | IB CLAIMS STATUS AWA ITING RESO LUTION SCR EEN | |
1104 | IBCECSA1 | |
1105 | IB STATUS AWAITING R ESOLUTION SCREEN | |
1106 | IBCECSA2 | |
1107 | IB CLAIMS STATUS AWA ITING RESO LUTION SCR EEN | |
1108 | IBCECSA3 | |
1109 | CLAIMS STA TUS AWAITI NG RESOLUT ION REPORT | |
1110 | IBCECSA4 | |
1111 | IB CLAIMS STATUS AWA ITING RESO LUTION SCR EEN | |
1112 | IBCECSA5 | |
1113 | VIEW EOB S CREEN | |
1114 | IBCECSA6 | |
1115 | VIEW EOB S CREEN | |
1116 | IBCECSA6 | |
1117 | VIEW EOB S CREEN | |
1118 | IBCECSA7 | |
1119 | VIEW EOB S CREEN CONT INUED | |
1120 | IBCEDC | |
1121 | EDI CLAIM STATUS REP ORT COMPIL E | |
1122 | IBCEDP | |
1123 | EDI CLAIM STATUS REP ORT PRINT | |
1124 | IBCEDS | |
1125 | EDI CLAIM STATUS REP ORT - SELE CTION | |
1126 | IBCEDS1 | |
1127 | EDI CLAIM STATUS REP ORT - SELE CTION CONT | |
1128 | IBCEF, IBC EF1, IBCE F11, IBCEF 2, IBCEF21 , IBCEF22, | |
1129 | IBCEF3, IB CEF31 | |
1130 | Routines u sed for fo rmatting U B-92/HCFA 1500 forms . | |
1131 | IBCEF4 | |
1132 | MRA/EDI AC TIVATED UT ILITIES | |
1133 | IBCEF5 | |
1134 | MRA/EDI AC TIVATED UT ILITIES | |
1135 | IBCEF51 | |
1136 | MRA/EDI AC TIVATED UT ILITIES CO NTINUED | |
1137 | IBCEF6 | |
1138 | EDI TRANSM ISSION RUL ES DISPLAY | |
1139 | IBCEF61 | |
1140 | EDI TRANSM ISSION RUL ES DEFINIT ION | |
1141 | IBCEF62 | |
1142 | EDI TRANSM ISSION RUL ES BT REST RICTIONS D ISPLAY | |
1143 | IBCEF7 | |
1144 | FORMATTER AND EXTRAC TOR SPECIF IC BILL FU NCTIONS | |
1145 | IBCEF71 | |
1146 | FORMATTER AND EXTRAC TOR SPECIF IC BILL FU NCTIONS | |
1147 | IBCEF72 | |
1148 | FORMATTER AND EXTRAC TOR SPECIF IC BILL FU NCTIONS | |
1149 | IBCEF73 | |
1150 | FORMATTER AND EXTRAC TOR SPECIF IC BILL FU NCTIONS | |
1151 | IBCEF73A | |
1152 | FORMATTER AND EXTRAC TOR SPECIF IC (NPI) B ILL FUNCTI ONS | |
1153 | IBCEF74 | |
1154 | FORMATTER/ EXTRACT BI LL FUNCTIO NS | |
1155 | IBCEF74A | |
1156 | PROVIDER I D MAINT ?I D CONTINUA TION | |
1157 | IBCEF75 | |
1158 | PROVIDER I D FUNCTION S | |
1159 | IBCEF76 | |
1160 | PROVIDER I D FUNCTION S | |
1161 | IBCEF77 | |
1162 | FORMATTER/ EXTRACT BI LL FUNCTIO NS | |
1163 | IBCEF78 | |
1164 | Provider I D function s | |
1165 | IBCEF79 | |
1166 | BILLING PR OVIDER FUN CTIONS | |
1167 | IBCEF80 | |
1168 | PROVIDER I D FUNCTION S | |
1169 | IBCEF81 | |
1170 | PROVIDER A DJUSTMENTS | |
1171 | IBCEF82 | |
1172 | PROVIDER A DJUSTMENTS | |
1173 | IBCEF83 | |
1174 | GET PROVID ER FUNCTIO NS | |
1175 | IBCEF84 | |
1176 | GET PROVID ER FUNCTIO NS | |
1177 | IBCEFG | |
1178 | OUTPUT FOR MATTER EXT RACT | |
1179 | IBCEFG0 | |
1180 | FORMS GENE RATOR EXTR ACT (CONT) | |
1181 | IBCEFG1 | |
1182 | OUTPUT FOR MATTER DAT A DEFINITI ON UTILITI ES | |
1183 | IBCEFG3 | |
1184 | OUTPUT FOR MATTER MAI NT - SCREE N BLD UTIL ITIES | |
1185 | IBCEFG4 | |
1186 | OUTPUT FOR MATTER MAI NTENANCE - FORM ACTI ON PROCESS ING | |
1187 | IBCEFG41 | |
1188 | OUTPUT FOR MATTER MAI NT - ACT P ROC (CONT) | |
1189 | IBCEFG5 | |
1190 | OUTPUT FOR MATTER MAI NT -FLD SC REEN BLD U TILITIES | |
1191 | IBCEFG6 | |
1192 | OUTPUT FOR MATTER MAI NT-FORM FL D ACTION P ROCESSING | |
1193 | IBCEFG60 | |
1194 | OUTPUT FOR MATTER-FOR M FLD ACTI ON PROCESS ING (CONT) | |
1195 | IBCEFG61 | |
1196 | OUTPUT FOR MATTER MAI NT-FORM FL D ACTION P ROCESSING (CONT) | |
1197 | IBCEFG7 | |
1198 | OUTPUT FOR MATTER GEN ERIC FORM PROCESSING | |
1199 | IBCEFG70 | |
1200 | OUTPUT FOR MATTER GEN ERIC SCREE N PROCESSI NG | |
1201 | IBCEFG8 | |
1202 | OUTPUT FOR MATTER GEN ERIC FORM TEST PROCE SSING | |
1203 | IBCEFP | |
1204 | PROVIDER I D FUNCTION S | |
1205 | IBCEFP1 | |
1206 | OUTPUT FOR MATTER PRO VIDER UTIL ITIES | |
1207 | IBCEM | |
1208 | 837 EDI RE TURN MESSA GE PROCESS ING | |
1209 | IBCEM01 | |
1210 | BATCH BILL S LIST TEM PLATE | |
1211 | IBCEM02 | |
1212 | 837 EDI RE SUBMIT BAT CH PROCESS ING | |
1213 | IBCEM03 | |
1214 | 837 EDI RE SUBMIT IND IVIDUAL BI LL PROCESS ING | |
1215 | IBCEM1 | |
1216 | 837 EDI RE TURN MESSA GE MAIN LI ST TEMPLAT E | |
1217 | IBCEM2 | |
1218 | 837 EDI RE TURN MSG E XTRACT MAI N LIST TEM PLATE | |
1219 | IBCEM3 | |
1220 | IB ELECTRO NIC MESSAG E MGMNT AC TIONS | |
1221 | IBCEM4 | |
1222 | IB ELECTRO NIC MESSAG E SCREEN T EXT MAINT | |
1223 | IBCEMCA | |
1224 | Multiple C SA Message Managemen t | |
1225 | IBCEMCA1 | |
1226 | Multiple C SA Message Managemen t - Action s | |
1227 | IBCEMCA2 | |
1228 | Multiple C SA Message Managemen t - Action s | |
1229 | IBCEMCA3 | |
1230 | Multiple C SA Message Managemen t - Action s | |
1231 | IBCEMCL | |
1232 | Multiple C SA Message Managemen t | |
1233 | IBCEMMR | |
1234 | IB MRA Rep ort of Pat ients w/o Medicare W NR | |
1235 | IBCEMPRG | |
1236 | Purge Stat us Message s | |
1237 | IBCEMQA | |
1238 | MRA QUIET BILL AUTHO RIZATION | |
1239 | IBCEMQC | |
1240 | MRA EOB CR ITERIA FOR AUTO-AUTH ORIZE | |
1241 | IBCEMRA | |
1242 | 837 MEDICA RE MRA UTI LITIES | |
1243 | IBCEMRAA | |
1244 | MEDICARE R EMITTANCE ADVICE DET AIL-PART A | |
1245 | IBCEMRAB | |
1246 | MEDICARE R EMITTANCE ADVICE DET AIL-PART B | |
1247 | IBCEMRAX | |
1248 | MEDICARE R EMITTANCE ADVICE DET AIL-PART A Cont’d | |
1249 | IBCEMSG | |
1250 | EDI PURGE STATUS MES SAGES | |
1251 | IBCEMSG1 | |
1252 | EDI PURGE STATUS MES SAGES CONT . | |
1253 | IBCEMSG2 | |
1254 | EDI PURGE STATUS MES SAGES CONT . | |
1255 | IBCEMSR | |
1256 | MRA STATIS TICS REPOR T | |
1257 | IBCEMSR1 | |
1258 | MRA STATIS TICS REPOR T CONT. | |
1259 | IBCEMSR2 | |
1260 | non-MRA PR ODUCTIVITY REPORT | |
1261 | IBCEMSR3 | |
1262 | non-MRA PR ODUCTIVITY REPORT | |
1263 | IBCEMSR6 | |
1264 | IB PRINTED CLAIMS RE PORT - Sor t | |
1265 | IBCEMSR7 | |
1266 | IB PRINTED CLAIMS RE PORT - Pri nt | |
1267 | IBCEMSRP | |
1268 | IB PRINTED CLAIMS RE PORT | |
1269 | IBCEMU1 | |
1270 | IB MRA UTI LITY | |
1271 | IBCEMU2 | |
1272 | IB MRA Uti lity | |
1273 | IBCEMU3 | |
1274 | MRA UTILIT Y - INS CO CHECKER | |
1275 | IBCEMU4 | |
1276 | MRA UTILIT IES | |
1277 | IBCEMVU | |
1278 | STAND-ALON E VIEW MRA EOB | |
1279 | IBCEOB | |
1280 | 835 EDI EO B MESSAGE PROCESSING (record t ypes 5,6, 10, 12, 1 3 and 17) | |
1281 | IBCEOB | |
1282 | 835 EDI EO B MESSAGE PROCESSING | |
1283 | IBCEOB0 | |
1284 | 835 EDI EO B MESSAGE PROCESSING (record t ypes 30, 4 0, 41, 42, 45 and 46 ) | |
1285 | IBCEOB00 | |
1286 | 835 EDI EO B MESSAGE PROCESSING (record t ypes 15, 2 0, 35, 37) | |
1287 | IBCEOB01 | |
1288 | 835 EDI EO B MESSAGE PROCESSING (patient and insura nce inform ation) | |
1289 | IBCEOB1 | |
1290 | 835 EDI EO B MESSAGE PROCESSING (record t ype HDR) | |
1291 | IBCEOB2 | |
1292 | EOB LIST F OR MANUAL MAINTENANC E | |
1293 | IBCEOB21 | |
1294 | EOB MAINTE NANCE ACTI ONS | |
1295 | IBCEOB3 | |
1296 | 835 EDI EO B BULLETIN S | |
1297 | IBCEOB4 | |
1298 | EPAYMENTS MOVE/COPY EEOB TO NE W CLAIM | |
1299 | IBCEOBAR | |
1300 | EOB FUNCTI ONS FOR A/ R | |
1301 | IBCEP | |
1302 | Functions for PROVID ER ID MAIN T - INS CO PARAMS | |
1303 | IBCEP0 | |
1304 | Functions for PROVID ER ID MAIN TENANCE | |
1305 | IBCEP0A | |
1306 | EDI UTILIT IES for in surance as signed pro vider ID | |
1307 | IBCEP0B | |
1308 | Functions for PROVID ER ID MAIN TENANCE | |
1309 | IBCEP1 | |
1310 | EDI UTILIT IES for pr ovider ID | |
1311 | IBCEP2 | |
1312 | EDI UTILIT IES FOR PR OVIDER ID | |
1313 | IBCEP2A | |
1314 | EDI UTILIT IES for pr ovider ID | |
1315 | IBCEP2B | |
1316 | EDI UTILIT IES FOR PR OVIDER ID | |
1317 | IBCEP3 | |
1318 | EDI UTILIT IES for pr ovider ID | |
1319 | IBCEP4 | |
1320 | EDI UTILIT IES for pr ovider ID | |
1321 | IBCEP4A | |
1322 | EDI UTILIT IES for pr ovider ID | |
1323 | IBCEP5 | |
1324 | EDI UTILIT IES for pr ovider ID | |
1325 | IBCEP5A | |
1326 | EDI UTILIT IES for pr ovider ID | |
1327 | IBCEP5B | |
1328 | EDI UTILIT IES for pr ovider ID | |
1329 | IBCEP5C | |
1330 | EDI UTILIT IES for pr ovider ID | |
1331 | IBCEP5D | |
1332 | EDI UTILIT IES - for State Lice nse | |
1333 | IBCEP6 | |
1334 | PROVIDER I D MAINT me nu and INS CO EDIT h ook | |
1335 | IBCEP7 | |
1336 | Functions for facili ty level P ROVIDER ID MAINT | |
1337 | IBCEP7A | |
1338 | Functions for facili ty level P ROVIDER ID MAINT | |
1339 | IBCEP7B | |
1340 | Functions for PROVID ER ID | |
1341 | IBCEP7C | |
1342 | Functions for facili ty level P ROVIDER ID MAINT | |
1343 | IBCEP8 | |
1344 | FUNCTIONS FOR NON-VA PROVIDER | |
1345 | IBCEP81 | |
1346 | NPI and Ta xonomy Fun ctions | |
1347 | IBCEP82 | |
1348 | Special cr oss refere nces and d ata entry for fields in file 3 55.93 | |
1349 | IBCEP8A | |
1350 | Functions for provid er ID main tenance | |
1351 | IBCEP8B | |
1352 | FUNCTIONS FOR NON-VA PROVIDER cont’d | |
1353 | IBCEP8C | |
1354 | Functions for IB SIL ENT INTERF ACE FROM F B | |
1355 | IBCEP8C1 | |
1356 | Functions for IB SIL ENT INTERF ACE FROM F B | |
1357 | IBCEP9 | |
1358 | MASS UPDAT E OF PROVI DER ID FRO M FILE OR MANUAL | |
1359 | IBCEP9A | |
1360 | PROVIDER E XTRACT | |
1361 | IBCEP9B | |
1362 | UPDATE OF PROVIDER I D FROM FIL E UTILITIE S | |
1363 | IBCEPA | |
1364 | Provider I D function s - Care U nits | |
1365 | IBCEPB | |
1366 | Insurance company ID parameter s | |
1367 | IBCEPC | |
1368 | Insurance company pl an type li st | |
1369 | IBCEPCID | |
1370 | Provider I D function s | |
1371 | IBCEPTC | |
1372 | EDI PREVIO USLY TRANS MITTED CLA IMS | |
1373 | IBCEPTC0 | |
1374 | EDI PREVIO USLY TRANS MITTED CLA IMS CONT | |
1375 | IBCEPTC1 | |
1376 | EDI PREV T RANSMITTED CLAIMS RE PORT OUTPU T | |
1377 | IBCEPTC2 | |
1378 | EDI PREVIO USLY TRANS MITTED CLA IMS LIST M GR | |
1379 | IBCEPTC3 | |
1380 | EDI PREVIO USLY TRANS MITTED CLA IMS ACTION S | |
1381 | IBCEPTM | |
1382 | FILE EDI C LAIMS TEST MESSAGES | |
1383 | IBCEPTR | |
1384 | Test Claim Messages Report | |
1385 | IBCEPTU | |
1386 | TEST TRANS MIT CLAIMS UTILITIES | |
1387 | IBCEPU | |
1388 | Functions for PROVID ER ID MAIN TENANCE | |
1389 | IBCEQ1 | |
1390 | BSL,PROVID ER ID QUER Y | |
1391 | IBCEQ1A | |
1392 | PROVIDER I D QUERY RE PORT | |
1393 | IBCEQ2 | |
1394 | PROVIDER/B ILLING ID WORKSHEET | |
1395 | IBCEQ2A | |
1396 | PROVIDER/B ILLING ID WORKSHEET SOLUTIONS | |
1397 | IBCEQBS | |
1398 | 837 EDI QU ERY BATCH STATUS REP ORTS | |
1399 | IBCERP1 | |
1400 | BILL AWAIT ING RESUBM ISSION REP ORT | |
1401 | IBCERP2 | |
1402 | ELECTRONIC ERROR REP ORT | |
1403 | IBCERP3 | |
1404 | EDI BATCHE S WAITING MORE THAN 1 DAY REPO RT | |
1405 | IBCERP4 | |
1406 | EDI RECEIP T/REJECTIO N MSGS STI LL PENDING /UPDATNG | |
1407 | IBCERP5 | |
1408 | BATCH LIST | |
1409 | IBCERP6 | |
1410 | MRA/EDI CL AIMS READY FOR EXTRA CT | |
1411 | IBCERP6A | |
1412 | READY FOR EXTRACT LI ST MANAGER REPORT | |
1413 | IBCERP7 | |
1414 | HCCH PAYER ID REPORT (IB*2.0*5 77) | |
1415 | IBCERPT | |
1416 | 277 EDI EN VOY REPORT MESSAGE P ROCESSING | |
1417 | IBCERPT1 | |
1418 | ELECTRONIC REPORT DI SPOSITION | |
1419 | IBCESRV | |
1420 | Server int erface to IB from Au stin | |
1421 | IBCESRV1 | |
1422 | Server int erface to IB from Au stin | |
1423 | IBCESRV2 | |
1424 | Server bas ed Auto-up date utili ties - IB EDI | |
1425 | IBCESRV3 | |
1426 | Server bas ed Auto-up date utili ties - IB EDI | |
1427 | IBCEST | |
1428 | 837 EDI ST ATUS MESSA GE PROCESS ING | |
1429 | IBCEST1 | |
1430 | IB 837 EDI Status Me ssage Proc essing Con t | |
1431 | IBCEU | |
1432 | EDI UTILIT IES | |
1433 | IBCEU0 | |
1434 | EDI UTILIT IES | |
1435 | IBCEU1 | |
1436 | EDI UTILIT IES FOR EO B PROCESSI NG | |
1437 | IBCEU2 | |
1438 | EDI UTILIT IES FOR AU TO ADD OF CODES ON B ILL | |
1439 | IBCEU3 | |
1440 | EDI UTILIT IES FOR 15 00 CLAIM F ORM | |
1441 | IBCEU4 | |
1442 | EDI UTILIT IES | |
1443 | IBCEU5 | |
1444 | EDI UTILIT IES (CONTI NUED) FOR CMS-1500 | |
1445 | IBCEU6 | |
1446 | EDI UTILIT IES FOR EO B PROCESSI NG | |
1447 | IBCEU7 | |
1448 | EDI UTILIT IES | |
1449 | IBCEXTR | |
1450 | CLAIMS REA DY FOR EXT RACT MANAG EMENT SCRE EN | |
1451 | IBCEXTR1 | |
1452 | IB READY F OR EXTRACT STATUS SC REEN | |
1453 | IBCEXTR2 | |
1454 | IB EXTRACT STATUS MA NAGEMENT | |
1455 | IBCEXTRP | |
1456 | VIEW/PRINT EDI EXTRA CT DATA | |
1457 | IBCF | |
1458 | Dispatch t o print cl aim forms. | |
1459 | IBCF1, IBC F10, IBCF1 1, IBCF12, IBCF14 | |
1460 | Print UB-8 2. (Routi nes former ly named D GCRP, DGCR P0, DGCRP1 , DGCRP2, and DGCRP4 .) | |
1461 | IBCF13 | |
1462 | Call for A ccounts Re ceivable t o print bi lls. (Rou tine forme rly named DGCRP3.) | |
1463 | IBCF1TP | |
1464 | UB-82 Test Pattern P rint. (Ro utine form erly named DGCRTP.) | |
1465 | IBCF2, IBC F21, IBCF2 2, IBCF23, IBCF2P | |
1466 | Print HCFA 1500. | |
1467 | IBCF23A | |
1468 | HCFA 1500 19-90 DATA - SPLIT F ROM IBCF23 | |
1469 | IBCF2TP | |
1470 | Print HCFA 1500 Test Pattern P rint. | |
1471 | IBCF3, IBC F31, IBCF3 2, IBCF33, IBCF331, IBCF34, IB CF3P | |
1472 | Print UB-9 2. | |
1473 | IBCF3TP | |
1474 | UB-92 Test Pattern P rint. | |
1475 | IBCF4 | |
1476 | Print Bill Addendum. | |
1477 | IBCFP | |
1478 | Print all authorized bills in order. | |
1479 | IBCFP1 | |
1480 | PRINT AUTH ORIZED BIL LS IN ORDE R | |
1481 | IBCIADD1 | |
1482 | ADD ENTRY TO FILE 35 1.9 | |
1483 | IBCIASN | |
1484 | STANDALONE OPTION TO RE-ASSIGN CLAIMS | |
1485 | IBCIBW | |
1486 | IBCI CLAIM S MANAGER MGR WORKSH EET | |
1487 | IBCICL | |
1488 | IBCI CLAIM S MANAGER CLERK WORK SHEET | |
1489 | IBCICME | |
1490 | IBCI CLAIM SMANAGER E RROR REPOR T | |
1491 | IBCICME1 | |
1492 | IBCI CLAIM SMANAGER E RROR REPOR T | |
1493 | IBCICMEP | |
1494 | ClaimsMana ger ERROR REPORT | |
1495 | IBCICMS | |
1496 | IBCI CLAIM SMANAGER S TATUS REPO RT | |
1497 | IBCICMSP | |
1498 | ClaimsMana ger STATUS REPORT | |
1499 | IBCICMW | |
1500 | CLAIMSMANA GER WORKSH EET REPORT | |
1501 | IBCIL0 | |
1502 | CLAIMSMANA GER SKIP L IST | |
1503 | IBCIMG | |
1504 | IBCI CLAIM S MANAGER MGR WORKSH EET | |
1505 | IBCIMSG | |
1506 | BUILD MESS AGE FOR CL AIMSMANAGE R | |
1507 | IBCIMSG1 | |
1508 | BUILD MESS AGE FOR CL AIMSMANAGE R CONT'D | |
1509 | IBCINPT | |
1510 | Extract da ta and cre ate NPT fi le | |
1511 | IBCIPAY | |
1512 | Extract da ta and cre ate Ingeni x Payer Fi le | |
1513 | IBCIPOST | |
1514 | CLAIMSMANA GER POST I NSTALL | |
1515 | IBCISC | |
1516 | IB EDIT SC REENS ?CLA FUNCTIONA LITY | |
1517 | IBCIST | |
1518 | ENTRY POIN TS FOR CLA IMSMANAGER INTERFACE | |
1519 | IBCIUDF | |
1520 | CLAIMSMANA GER USER D EFINED FIE LDS | |
1521 | IBCIUT1 | |
1522 | MISC UTILI TIES FOR C LAIMSMANAG ER INTERFA CE | |
1523 | IBCIUT2 | |
1524 | CLAIMSMANA GER MESSAG E UTILITIE S | |
1525 | IBCIUT3 | |
1526 | TCP/IP UTI LITIES FOR CLAIMSMAN AGER INTER FACE | |
1527 | IBCIUT4 | |
1528 | MISC UTILI TIES | |
1529 | IBCIUT5 | |
1530 | UTILITIES FOR CLAIMS MANAGER IN TERFACE | |
1531 | IBCIUT6 | |
1532 | MAILMAN UT ILITIES | |
1533 | IBCIUT7 | |
1534 | COMMENTS F IELD UTILI TIES | |
1535 | IBCIWK | |
1536 | WORKSHEET UTILITY | |
1537 | IBCMENU | |
1538 | Main menu driver. ( Routine fo rmerly nam ed DGCRMEN U.) | |
1539 | IBCMDT | |
1540 | IBCN INS P LANS MISSI NG DATA In surance Mi ssing Data Report (D river) | |
1541 | IBCMDT1 | |
1542 | IBCN INS P LANS MISSI NG DATA In surance Mi ssing Data Report (D river 1) | |
1543 | IBCMDT2 | |
1544 | IBCN INS P LANS MISSI NG DATA In surance Mi ssing Data Report (C ompile) | |
1545 | IBCMDT3 | |
1546 | IBCN INS P LANS MISSI NG DATA In surance Mi ssing Data Report (P rint) | |
1547 | IBCN118 | |
1548 | Data Dicti onary trig ger logic for commen ts | |
1549 | IBCNADD | |
1550 | Address Re trieval En gine for B ILL/CLAIMS file (#39 9). | |
1551 | IBCNAU | |
1552 | User Edit Report | |
1553 | IBCNAU1 | |
1554 | User Edit Report | |
1555 | IBCNAU2 | |
1556 | User Edit Report | |
1557 | IBCNAU3 | |
1558 | User Edit Report | |
1559 | IBCNBAA | |
1560 | This progr am display s subscrib er registr ation info rmation fr om the Ins urance Buf fer, IIV R esponse Re port file, and Annua l Benefits file (#35 5.4). | |
1561 | IBCNBAC | |
1562 | Ins Buffer : Individu ally Accep t Insuranc e Buffer F ields | |
1563 | IBCNBAR | |
1564 | Ins Buffer : process Accept and Reject | |
1565 | IBCNBCD | |
1566 | Ins Buffer : display/ compare bu ffer and e xisting in s | |
1567 | IBCNBCD1 | |
1568 | This progr am edits s ubscriber informatio n in the P atient Ins urance sub file (File #2.312). | |
1569 | IBCNBCD2 | |
1570 | This progr am sets up the Insur ance Buffe r to proce ss Accepts . | |
1571 | IBCNBCD3 | |
1572 | This progr am display s IB Annua l Benefits /Coverage Limitation s Display Screens. | |
1573 | IBCNBCD4 | |
1574 | This progr am is part of Subscr iber Displ ay Screens . | |
1575 | IBCNBCD5 | |
1576 | This progr am is part of Subscr iber Displ ay Screens . | |
1577 | IBCNBCD6 | |
1578 | This progr am is part of Subscr iber Displ ay Screens . | |
1579 | IBCNBCD7 | |
1580 | This progr am is part of Subscr iber Displ ay Screens . | |
1581 | IBCNBCD8 | |
1582 | This progr am is part of Subscr iber Displ ay Screen Fields. | |
1583 | IBCNBED | |
1584 | Ins Buffer : delete e xisting en tries in b uffer | |
1585 | IBCNBEE | |
1586 | Ins Buffer : add/edit existing entries in buffer | |
1587 | IBCNBES | |
1588 | Ins Buffer : stuff ne w entries/ data into buffer | |
1589 | IBCNBES1 | |
1590 | Ins Buffer : stuff ne w entries/ data into buffer | |
1591 | IBCNBLA | |
1592 | Ins Buffer : LM actio n calls | |
1593 | IBCNBLA1 | |
1594 | Ins Buffer : LM actio n calls (c ont) | |
1595 | IBCNBLA2 | |
1596 | Ins Buffer , Multiple Selection | |
1597 | IBCNBLB | |
1598 | Ins Buffer : Eligibil ity/Benefi t screen | |
1599 | IBCNBLE | |
1600 | Ins Buffer : LM buffe r entry sc reen | |
1601 | IBCNBLE1 | |
1602 | Ins Buffer , Expand E ntry, cont inued | |
1603 | IBCNBLL | |
1604 | Ins Buffer : LM main screen, li st buffer entries | |
1605 | IBCNBLP | |
1606 | Ins Buffer : LM buffe r process screen | |
1607 | IBCNBLP1 | |
1608 | Ins Buffer : LM buffe r process build | |
1609 | IBCNBME | |
1610 | Ins Buffer : external entry poi nts, add/e dit buffer | |
1611 | IBCNBMI | |
1612 | Ins Buffer : move buf fer data t o insuranc e files | |
1613 | IBCNBMN | |
1614 | Ins Buffer : add new insurance file entri es | |
1615 | IBCNBOA | |
1616 | Ins Buffer : Activity Report | |
1617 | IBCNBOE | |
1618 | Ins Buffer : Employee Report | |
1619 | IBCNBOF | |
1620 | Ins Buffer : Employee Report (E ntered) | |
1621 | IBCNBPG | |
1622 | Ins Buffer : Option P urge stub entries | |
1623 | IBCNBU1 | |
1624 | Ins Buffer : Utilitie s | |
1625 | IBCNBUH | |
1626 | Ins Buffer : Help Tex t | |
1627 | IBCNCH | |
1628 | Patient Po licy Subsc riber Comm ents (Driv er) | |
1629 | IBCNCH2 | |
1630 | Patient Po licy Subsc riber Comm ents (Driv er 1, Comm ent Search ) | |
1631 | IBCNCH3 | |
1632 | Patient Po licy Subsc riber Comm ents (Comm ent Search ) | |
1633 | IBCNEAMC | |
1634 | IIV AUTO M ATCH BUFFE R LISTING | |
1635 | IBCNEAME | |
1636 | IIV AUTO M ATCH ENTRY /EDIT | |
1637 | IBCNEAMI | |
1638 | IIV AUTO M ATCH INPUT TRANSFORM | |
1639 | IBCNEBF | |
1640 | Create an Entry in t he Buffer File | |
1641 | IBCNEDE | |
1642 | eIV DATA E XTRACTS | |
1643 | IBCNEDE1 | |
1644 | eIV INSURA NCE BUFFER EXTRACT | |
1645 | IBCNEDE2 | |
1646 | eIV PRE RE G EXTRACT (APPTS) | |
1647 | IBCNEDE3 | |
1648 | DAOU/DJW - NONVERINS DATA EXTR ACT | |
1649 | IBCNEDE4 | |
1650 | NO INSURAN CE DATA EX TRACT | |
1651 | IBCNEDE5 | |
1652 | eIV DATA E XTRACTS | |
1653 | IBCNEDE6 | |
1654 | eIV DATA E XTRACTS | |
1655 | IBCNEDE7 | |
1656 | eIV DATA E XTRACTS | |
1657 | IBCNEDEP | |
1658 | Process Tr ansaction Records | |
1659 | IBCNEDEQ | |
1660 | Process eI V Transact ions conti nued | |
1661 | IBCNEDST | |
1662 | HL7 Regist ration Mes sage Stati stics | |
1663 | IBCNEHL1 | |
1664 | HL7 Proces s Incoming RPI Messa ges | |
1665 | IBCNEHL2 | |
1666 | HL7 Proces s Incoming RPI Messa ges (cont. ) | |
1667 | IBCNEHL3 | |
1668 | HL7 Proces s Incoming RPI Conti nued | |
1669 | IBCNEHL4 | |
1670 | HL7 Proces s Incoming RPI Messa ges (cont. ) | |
1671 | IBCNEHL5 | |
1672 | HL7 Proces s Incoming RPI Messa ges | |
1673 | IBCNEHLD | |
1674 | IIV Deacti vate MFN M essage | |
1675 | IBCNEHLI | |
1676 | Incoming H L7 message s | |
1677 | IBCNEHLK | |
1678 | HL7 Acknow ledgement Messages | |
1679 | IBCNEHLM | |
1680 | HL7 Regist ration MFN Message | |
1681 | IBCNEHLO | |
1682 | Outgoing H L7 message s | |
1683 | IBCNEHLQ | |
1684 | HL7 RQI Me ssage | |
1685 | IBCNEHLT | |
1686 | HL7 Proces s Incoming MFN Messa ges | |
1687 | IBCNEHLU | |
1688 | HL7 Utilit ies | |
1689 | IBCNEKI2 | |
1690 | PURGE eIV DATA FILES CONT'D | |
1691 | IBCNEKIT | |
1692 | PURGE eIV DATA FILES | |
1693 | IBCNEML | |
1694 | MAILMAN NO TIFICATION TO LINK P AYERS | |
1695 | IBCNEPM | |
1696 | PAYER MAIN TENANCE PA YER LIST S CREEN | |
1697 | IBCNEPM1 | |
1698 | PAYER MAIN T/INS COMP ANY LIST F OR PAYER | |
1699 | IBCNEPM2 | |
1700 | PAYER MAIN TENANCE EN TRY POINT | |
1701 | IBCNEPY | |
1702 | eIV PAYER EDIT OPTIO N | |
1703 | IBCNEQU | |
1704 | eIV REQUES T ELECTRON IC INSURAN CE INQUIRY | |
1705 | IBCNERP0 | |
1706 | IBCNE eIV STATISTICA L REPORT ( cont'd) | |
1707 | IBCNERP1 | |
1708 | IBCNE USER IF eIV RE SPONSE REP ORT | |
1709 | IBCNERP2 | |
1710 | IBCNE eIV RESPONSE R EPORT COMP ILE | |
1711 | IBCNERP3 | |
1712 | IBCNE eIV RESPONSE R EPORT PRIN T | |
1713 | IBCNERP4 | |
1714 | IBCNE USER INTERFACE eIV PAYER REPORT | |
1715 | IBCNERP5 | |
1716 | IBCNE eIV PAYER REPO RT COMPILE | |
1717 | IBCNERP6 | |
1718 | eIV PAYER REPORT PRI NT | |
1719 | IBCNERP7 | |
1720 | eIV STATIS TICAL REPO RT | |
1721 | IBCNERP8 | |
1722 | IBCNE eIV STATISTICA L REPORT C OMPILE | |
1723 | IBCNERP9 | |
1724 | eIV STATIS TICAL REPO RT PRINT | |
1725 | IBCNERPA | |
1726 | IBCNE eIV RESPONSE R EPORT (con t'd) | |
1727 | IBCNERPB | |
1728 | eIV PAYER LINK REPOR T | |
1729 | IBCNERPC | |
1730 | eIV PAYER LINK REPOR T COMPILE | |
1731 | IBCNERPD | |
1732 | eIV PAYER LINK REPOR T PRINT | |
1733 | IBCNERPE | |
1734 | IBCNE eIV RESPONSE R EPORT (con t'd) | |
1735 | IBCNERPF | |
1736 | IBCNE USER INTERFACE EIV INSUR ANCE UPDAT E REPORT | |
1737 | IBCNERPG | |
1738 | IBCNE EIV INSURANCE UPDATE REP ORT COMPIL E | |
1739 | IBCNERPH | |
1740 | IBCNE EIV INSURANCE UPDATE REP ORT PRINT | |
1741 | IBCNERPI | |
1742 | IBCNE eIV Secondary Insurance Report Pri nt | |
1743 | IBCNERPJ | |
1744 | HL7 Respon se Report | |
1745 | IBCNERPK | |
1746 | HL7 Respon se Report | |
1747 | IBCNERPL | |
1748 | HL7 Respon se Report | |
1749 | IBCNERTQ | |
1750 | Real-time Insurance Verificati on | |
1751 | IBCNES | |
1752 | eIV eligib ility/Bene fit screen | |
1753 | IBCNES1 | |
1754 | eIV eligib ility/bene fit utilit ies | |
1755 | IBCNES2 | |
1756 | eIV eligib ility/Bene fit action protocols | |
1757 | IBCNES3 | |
1758 | Eligibilit y/Benefits screen ac tion proto cols, con' t | |
1759 | IBCNESI | |
1760 | Potential Medicare C OB Prompts | |
1761 | IBCNESI1 | |
1762 | MEDICARE P OTENTIAL C OB Patient Selection | |
1763 | IBCNESI2 | |
1764 | MEDICARE P ATIENTS WI TH SUBSEQU ENT INSURA NCE | |
1765 | IBCNEUT1 | |
1766 | IIV MISC. UTILITIES | |
1767 | IBCNEUT2 | |
1768 | eIV MISC. UTILITIES | |
1769 | IBCNEUT3 | |
1770 | eIV MISC. UTILITIES | |
1771 | IBCNEUT4 | |
1772 | eIV MISC. UTILITIES | |
1773 | IBCNEUT5 | |
1774 | eIV MISC. UTILITIES | |
1775 | IBCNEUT6 | |
1776 | IIV MISC. UTILITIES | |
1777 | IBCNEUT7 | |
1778 | IIV MISC. UTILITIES | |
1779 | IBCNEUT8 | |
1780 | eIV MISC. UTILITIES | |
1781 | IBCNFCON | |
1782 | This routi ne is call ed for eII Configura tion Edit option to change eII configura tion param eters. | |
1783 | IBCNFRD | |
1784 | Gets the R esult file messages and Extrac t file’s c onfirmatio n messages from AITC DMI Queue , and then it create s the Resu lt file. | |
1785 | IBCNFRD2 | |
1786 | Builds the XML file from Resul t file mes sages. | |
1787 | IBCNFSND | |
1788 | Sends Extr act files as MailMan messages to AITC DM I Queue. Notifies I BCNF EII I RM mail gr oup if con firmation messages a re not rec eived from AITC DMI queue for given Extr act file m essages wi thin given time fram e and re-s ends those messages to AITC DM I Queue. Checks to make sure the Extrac t files an d Result f iles are c reated on time; if n ot, sends warning me ssage to I BCNF EII I RM mail gr oup. Also purges th e Activity logs of H MS EXTRACT FILE STAT US and HMS RESULT FI LE STATUS that are o lder than 180 days. | |
1789 | IBCNGPF | |
1790 | List Group Plans wit hout Annua l Benefits Report | |
1791 | IBCNGPF1 | |
1792 | List Group Plans wit hout Annua l Benefits Report | |
1793 | IBCNGPF2 | |
1794 | List Group Plans wit hout Annua l Benefits Report | |
1795 | IBCNGPF3 | |
1796 | List Group Plans wit hout Annua l Benefits Report | |
1797 | IBCNHHLI | |
1798 | Processes incoming H L7 message s from the National Insurance File (NIF) . | |
1799 | IBCNHHLO | |
1800 | Generates outgoing H L7 message to the Na tional Ins urance Fil e (NIF). | |
1801 | IBCNHSRV | |
1802 | Used by th e IBCNH HP ID NIF BAT CH QUERY m enu option (triggere d by the N IFQRY mail group) to enable HL 7 communic ation with the Natio nal Insura nce File ( NIF) and s end a batc h query to catch the system up to the da ta in the NIF. | |
1803 | IBCNHUT1 | |
1804 | Utility fu nctions fo r working with Healt h Plan Ide ntifiers ( HPID) and Other Enti ty Identif iers (OEID ). | |
1805 | IBCNHUT2 | |
1806 | Utility fu nctions fo r working with Healt h Plan Ide ntifiers ( HPID) and Other Enti ty Identif iers (OEID ). | |
1807 | IBCNHPR | |
1808 | This progr am is part of the Ma nually Add ed HPIDs t o Billing Claim Repo rt. | |
1809 | IBCNHPR1 | |
1810 | This progr am is part of the Ma nually Add ed HPIDs t o Billing Claim Repo rt. | |
1811 | IBCNHPR2 | |
1812 | This progr am is part of the Ma nually Add ed HPIDs t o Billing Claim Repo rt. | |
1813 | IBCNICB | |
1814 | Update uti lities for the ICB i nterface | |
1815 | IBCNILK | |
1816 | This routi ne contain s the new Insurance Company Lo ok-up Util ity which is invoked from many points wi thin the I nsurance D ata Captur e module. | |
1817 | IBCNQ | |
1818 | Patient Bi lling Inqu iry. (Rou tine forme rly named DGCRNQ.) | |
1819 | IBCNQ1 | |
1820 | Outpatient Visit Dat e Inquiry. (Routine formerly named DGCR NQ1.) | |
1821 | IBCNRDV | |
1822 | INSURANCE INFORMATIO N EXCHANGE VIA RDV | |
1823 | IBCNRE1 | |
1824 | Edit PAYER APPLICATI ON Sub-fil e | |
1825 | IBCNRE2 | |
1826 | Edit NCPDP PROCESSOR APPLICATI ON Sub-fil e | |
1827 | IBCNRE3 | |
1828 | Edit PHARM ACY BENEFI TS MANAGER (PBM) APP LICATION S ub-file | |
1829 | IBCNRE4 | |
1830 | Edit PLAN APPLICATIO N Sub-file | |
1831 | IBCNRE5 | |
1832 | Edit HIPAA NCPDP ACT IVE FLAG | |
1833 | IBCNRFM1 | |
1834 | Perform Fi leMan API Calls | |
1835 | IBCNRHLT | |
1836 | Receive HL 7 e-Pharma cy MFN Mes sage | |
1837 | IBCNRHLU | |
1838 | e-Pharmacy HL7 Utili ties | |
1839 | IBCNRMFE | |
1840 | Receive HL 7 e-Pharma cy MFE Seg ment | |
1841 | IBCNRMFK | |
1842 | Send HL7 e -Pharmacy MFK Messag e | |
1843 | IBCNRP | |
1844 | Plan Match ListMan | |
1845 | IBCNRP5 | |
1846 | Group Plan Status Re port | |
1847 | IBCNRP5P | |
1848 | Group Plan Status Re port | |
1849 | IBCNRPM1 | |
1850 | Match Mult iple Group Plans to a Pharmacy Plan | |
1851 | IBCNRPM2 | |
1852 | Match Mult iple Group Plans to a Pharmacy Plan | |
1853 | IBCNRPMT | |
1854 | Match Grou p Plan to Pharmacy P lan | |
1855 | IBCNRPS | |
1856 | Match Test Payer She et to a Ph armacy Pla n | |
1857 | IBCNRPS2 | |
1858 | Plan Match ListMan | |
1859 | IBCNRPSI | |
1860 | Group Plan Status In quiry | |
1861 | IBCNRPSM | |
1862 | Match Test Payer She et to a Ph armacy Pla n | |
1863 | IBCNRRP1 | |
1864 | Group Plan Worksheet Report | |
1865 | IBCNRRP2 | |
1866 | IBCNR GROU P PLAN WOR KSHEET COM PILE | |
1867 | IBCNRRP3 | |
1868 | GROUP PLAN WORKSHEET REPORT PR INT | |
1869 | IBCNRRP4 | |
1870 | Pharmacy P lan Report | |
1871 | IBCNRSM | |
1872 | Shared Pla n Matches Report | |
1873 | IBCNRU1 | |
1874 | IB Utiliti es | |
1875 | IBCNRXI1 | |
1876 | Post-Insta llation pr ocedure | |
1877 | IBCNRXI2 | |
1878 | BHAM ISC/D MB - Post- Installati on procedu re | |
1879 | IBCNRZCM | |
1880 | Receive HL 7 e-Pharma cy ZCM Seg ment | |
1881 | IBCNRZP0 | |
1882 | Receive HL 7 e-Pharma cy ZP0 Seg ment | |
1883 | IBCNRZPB | |
1884 | Receive HL 7 e-Pharma cy ZPB Seg ment | |
1885 | IBCNRZPL | |
1886 | Receive HL 7 e-Pharma cy ZPL Seg ment | |
1887 | IBCNRZPT | |
1888 | Receive HL 7 e-Pharma cy ZPT Seg ment | |
1889 | IBCNRZRX | |
1890 | Receive HL 7 e-Pharma cy ZRX Seg ment | |
1891 | IBCNS, IBC NS1 | |
1892 | These rout ines conta in the sup ported cal ls to dete rmine if a patient h as any ins urance or active ins urance, to retrieve the data, and to do standard d isplays. | |
1893 | IBCNS2 | |
1894 | This routi ne contain s a number of utilit ies called by data d ictionary for the BI LL/CLAIMS file (#399 ). | |
1895 | IBCNS3 | |
1896 | DISPLAY EX TENDED INS URANCE | |
1897 | IBCNS4 | |
1898 | This routi ne contain s the trig ger logic to obtain the author ization nu mber/refer ral number from the 278 transa ction file (#356.22) . | |
1899 | IBCNSA, IB CNSA0, IBC NSA1, IBCN SA2 | |
1900 | These rout ines allow for the d isplay and editing o f the Annu al Benefit s availabl e for an i nsurance p lan. | |
1901 | IBCNSBL, I BCNSBL1 | |
1902 | This routi ne creates the new i nsurance p olicy mail message. It is cal led by the event dri ver whenev er a new i nsurance p olicy is a dded. | |
1903 | IBCNSBL2 | |
1904 | 'BILL NEXT PAYOR' BU LLETIN | |
1905 | IBCNSC, IB CNSC0, IBC NSC01, IBC NSC1 | |
1906 | These rout ines allow for the d isplay and editing o f insuranc e company data. | |
1907 | IBCNSC02 | |
1908 | Insurance Company pa rent/child managemen t | |
1909 | IBCNSC2 | |
1910 | INACTIVATE AND REPOI NT INS STU FF | |
1911 | IBCNSC3 | |
1912 | INACTIVATE AND REPOI NT INS STU FF1 | |
1913 | IBCNSC4 | |
1914 | INSURANCE PLAN DETAI L SCREEN U TILITIES | |
1915 | IBCNSC41 | |
1916 | INSURANCE PLAN SCREE N UTILITIE S (CONT) | |
1917 | IBCNSCD | |
1918 | DELETE INS URANCE COM PANY | |
1919 | IBCNSCD1 | |
1920 | DELETE INS URANCE COM PANY (CON' T) | |
1921 | IBCNSCD2 | |
1922 | DELETE INS URANCE COM PANY (CON' T) | |
1923 | IBCNSCD3 | |
1924 | DELETE INS URANCE COM PANY (CON' T) | |
1925 | IBCNSD, IB CNSD1 | |
1926 | These rout ines allow for the d isplay and editing o f the bene fits a pat ient has u sed for a year for a specific plan. | |
1927 | IBCNSEH | |
1928 | This routi ne prints the extend ed help fo r insuranc e policy a nd plan in formation. | |
1929 | IBCNSEVT | |
1930 | This routi ne invokes the New I nsurance P olicy Adde d Event Dr iver every time a ne w insuranc e policy i s added. | |
1931 | IBCNSGE | |
1932 | Insurance Company ED I Paramete r Report | |
1933 | IBCNSGM | |
1934 | Insurance Company Bi lling Prov ider Flag Report/Mes sage | |
1935 | IBCNSJ | |
1936 | INSURANCE PLAN UTILI TIES | |
1937 | IBCNSJ1 | |
1938 | INACTIVATE AN INSURA NCE PLAN | |
1939 | IBCNSJ11 | |
1940 | INACTIVATE AN INSURA NCE PLAN ( CON'T) | |
1941 | IBCNSJ12 | |
1942 | INACTIVATE AN INSURA NCE PLAN ( CON'T) | |
1943 | IBCNSJ13 | |
1944 | INACTIVATE AN INSURA NCE PLAN ( CON'T) | |
1945 | IBCNSJ14 | |
1946 | INACTIVATE AN INSURA NCE PLAN ( CON'T) | |
1947 | IBCNSJ2 | |
1948 | CHANGE POL ICY PLAN | |
1949 | IBCNSJ21 | |
1950 | CHANGE POL ICY PLAN ( CON'T) | |
1951 | IBCNSJ3 | |
1952 | ADD NEW IN SURANCE PL AN | |
1953 | IBCNSJ4 | |
1954 | INACTIVATE MULTIPLE INSURANCE PLANS | |
1955 | IBCNSJ5 | |
1956 | INSURANCE PLAN MAINT ENANCE ACT ION PROCES SING | |
1957 | IBCNSJ51 | |
1958 | INSURANCE PLAN MAINT ENANCE ACT ION PROCES SING (cont inued) | |
1959 | IBCNSJ52 | |
1960 | INSURANCE PLAN MAINT ENANCE ACT ION PROCES SING (cont inued) | |
1961 | IBCNSM, IB CNSM1, IBC NSM2, IBCN SM31, IBCN SM32, IBCN SM4 | |
1962 | These rout ines displ ay in list format on e patient' s policies , and allo w for edit ing of the se policie s. | |
1963 | IBCNSM3 | |
1964 | INSURANCE MANAGEMENT - OUTPUTS | |
1965 | IBCNSM5, I BCNSM6, IB CNSM7, IBC NSM8, IBCN SM9 | |
1966 | These rout ines print the insur ance plan worksheets and polic y coverage reports. | |
1967 | IBCNSMM | |
1968 | MEDICARE I NSURANCE I NTAKE | |
1969 | IBCNSMM1 | |
1970 | MEDICARE I NSURANCE I NTAKE (CON T) | |
1971 | IBCNSMM2 | |
1972 | MEDICARE I NSURANCE I NTAKE (CON T) | |
1973 | IBCNSMR | |
1974 | MEDICARE B ILLS | |
1975 | IBCNSMR0 | |
1976 | MEDICARE B ILLS | |
1977 | IBCNSMR1 | |
1978 | MEDICARE B ILLS | |
1979 | IBCNSMR6 | |
1980 | MRA EXTRAC T | |
1981 | IBCNSMR7 | |
1982 | MRA EXTRAC T | |
1983 | IBCNSMR8 | |
1984 | MRA EXTRAC T | |
1985 | IBCNSMRA | |
1986 | MEDICARE B ILLS | |
1987 | IBCNSMRE | |
1988 | MRA EXTRAC T | |
1989 | IBCNSOK, I BCNSOK1 | |
1990 | These rout ines check , fix, and print rep orts on in tegrity of group pla ns in the PATIENT fi le [#2]. | |
1991 | IBCNSP, IB CNSP0, IBC NSP01, IBC NSP11, IBC NSP3, IBCN SV | |
1992 | These rout ines displ ay policy data for a patient i n expanded format an d allow fo r editing of the dat a. | |
1993 | IBCNSP02 | |
1994 | INSURANCE MANAGEMENT - EXPANDE D POLICY | |
1995 | IBCNSP1 | |
1996 | INSURANCE MANAGEMENT - policy actions | |
1997 | IBCNSP2 | |
1998 | This routi ne is the supported call to al low for ed iting of a patient's insurance policy an d plan inf ormation f rom regist ration and billing. | |
1999 | IBCNSU, IB CNSU1 | |
2000 | Insurance utility ro utines to add entrie s to the G ROUP INSUR ANCE PLAN (#355.3), ANNUAL BEN EFITS (#35 5.4), and INSURANCE CLAIMS YEA R TO DATE (#355.5) f iles. | |
2001 | IBCNSU2 | |
2002 | This routi ne contain s the new Plan Look- up Utility which is invoked fr om many po ints withi n the Insu rance Data Capture m odule. | |
2003 | IBCNSU3 | |
2004 | Functions for billin g decision s to deter mine plan coverage l imitations . | |
2005 | IBCNSU31 | |
2006 | Functions for billin g decision s to deter mine Insur ance Filin g Timefram e. | |
2007 | IBCNSU4 | |
2008 | SPONSOR UT ILITIES | |
2009 | IBCNSU41 | |
2010 | SPONSOR UT ILITIES (C ON'T) | |
2011 | IBCNSUR | |
2012 | MOVE SUBSC RIBERS TO DIFFERENT PLAN | |
2013 | IBCNSUR1 | |
2014 | MOVE SUBSC RIBERS TO DIFFERENT PLAN (CON' T) | |
2015 | IBCNSUR2 | |
2016 | MOVE SUBSC RIBERS TO DIFFERENT PLAN (CON' T) | |
2017 | IBCNSUR3 | |
2018 | MOVE SUBSC RIBERS (BU LLETIN) | |
2019 | IBCNSUR4 | |
2020 | This routi ne contain s the new Subscriber Look-up U tility whi ch is invo ked from t he IBCN MO VE SUBSCRI BER TO PLA N option w ithin the Integrated Billing M odule. | |
2021 | IBCNSUX | |
2022 | SPLIT MEDI CARE COMBI NATION PLA NS | |
2023 | IBCNSUX1 | |
2024 | SPLIT COMB INATION PL ANS CONT. | |
2025 | IBCNUPD | |
2026 | UPDATE SUB CRIBER INF O FOR SELE CTED PATIE NTS | |
2027 | IBCNVCC | |
2028 | Patient In surance Co nsistency Checker fo r System S haring Ver ified Insu rance | |
2029 | IBCNVCC1 | |
2030 | Patient In surance Co nsistency Checker fo r System S haring Ver ified Insu rance | |
2031 | IBCNVPU0 | |
2032 | This progr am is the PIN/HL7 Ut ility Func tions for HL7 System Sharing V erified In surance | |
2033 | IBCNVRD0 | |
2034 | System Sha ring Verif ied Insura nce | |
2035 | IBCNVRD1 | |
2036 | System Sha ring Verif ied Insura nce | |
2037 | IBCNVRP0 | |
2038 | Interfacil ity Ins Up date Activ ity Report | |
2039 | IBCNVRP1 | |
2040 | Interfacil ity Ins Up date Activ ity Report | |
2041 | IBCNVRP2 | |
2042 | Interfacil ity Ins Up date Activ ity Report | |
2043 | IBCNVUT0 | |
2044 | System Sha ring Verif ied Insura nce | |
2045 | IBCOC | |
2046 | Prints a l ist of ina ctive insu rance comp anies stil l listed a s insuring patients. | |
2047 | IBCOC1 | |
2048 | Prints a l ist of new but not v erified in surance. | |
2049 | IBCOIVM | |
2050 | IVM BILLIN G ACTIVITY | |
2051 | IBCOIVM1 | |
2052 | IB BILLING ACTIVITY (COMPILE/P RINT) | |
2053 | IBCOIVM2 | |
2054 | IB BILLING ACTIVITY (BULLETIN) | |
2055 | IBCOMA | |
2056 | IDENTIFY A CTIVE POLI CIES W/NO EFFECTIVE DATE | |
2057 | IBCOMA1 | |
2058 | IDENTIFY A CTIVE POLI CIES W/NO EFFECTIVE DATE (CON' T) | |
2059 | IBCOMC | |
2060 | IDENTIFY P T BY AGE W ITH OR WIT HOUT INSUR ANCE | |
2061 | IBCOMC1 | |
2062 | ALB/CMS-ID ENTIFY PT BY AGE WIT H OR WITHO UT INSURAN CE (CON'T) | |
2063 | IBCOMC2 | |
2064 | IDENTIFY P T BY AGE W ITH OR WIT HOUT INSUR ANCE (CON' T) | |
2065 | IBCOMD | |
2066 | GENERATE I NSURANCE C OMPANY LIS TINGS | |
2067 | IBCOMD1 | |
2068 | GENERATE I NSURANCE C OMPANY LIS TINGS | |
2069 | IBCOMN | |
2070 | PATIENTS N O COVERAGE VERIFIED REPORT | |
2071 | IBCOMN1 | |
2072 | PATIENTS N O COVERAGE VERIFIED REPORT (CO N'T) | |
2073 | IBCONS1, I BCONS2, I BCONSC | |
2074 | Veterans w ith insura nce output s. (Routi nes former ly named D GCRONS1, D GCRONS2, D GCRONSC.) | |
2075 | IBCONS3 | |
2076 | Veterans w ith insura nce output s interfac e with Cla ims Tracki ng. | |
2077 | ||
2078 | IBCONS4 | |
2079 | NSC W/INSU RANCE OUTP UT (SETUP) | |
2080 | IBCOPP | |
2081 | LIST INS. PLANS BY C O. (DRIVER ) | |
2082 | IBCOPP1 | |
2083 | LIST INS. PLANS BY C O. (DRIVER 1) | |
2084 | IBCOPP2 | |
2085 | LIST INS. PLANS BY C O. (COMPIL E) | |
2086 | IBCOPP3 | |
2087 | LIST INS. PLANS BY C O. (PRINT) | |
2088 | IBCOPR | |
2089 | print doll ar amts fo r pre-regi stration | |
2090 | IBCOPR1 | |
2091 | print doll ar amts fo r pre-regi stration | |
2092 | IBCOPV, IB COPV1, IBC OPV2 | |
2093 | Display ou tpatient v isits scre en. (Rout ines forme rly named DGCROPV, D GCROPV1, D GCROPV2.) | |
2094 | IBCORC, IB CORC1, IBC ORC2 | |
2095 | Rank Insur ance Carri ers. | |
2096 | IBCORC3 | |
2097 | RANK INSUR ANCE CARRI ERS (NEW B ULLETIN) | |
2098 | IBCRBC | |
2099 | RATES: BIL L CALCULAT ION OF CHA RGES | |
2100 | IBCRBC1 | |
2101 | RATES: BIL L CALCULAT ION BILLAB LE EVENTS | |
2102 | IBCRBC11 | |
2103 | RATES: BIL L CALCULAT ION BILLAB LE EVENTS | |
2104 | IBCRBC2 | |
2105 | RATES: BIL L CALCULAT ION OF ITE M CHARGE | |
2106 | IBCRBC3 | |
2107 | RATES: BIL L CALCULAT ION SORT/S TORE | |
2108 | IBCRBE | |
2109 | RATES: BIL L ENTER/ED IT (RS/CS) SCREEN | |
2110 | IBCRBEI | |
2111 | RATES: BIL L ENTER/ED IT (RS/CS) SCREEN - BI | |
2112 | IBCRBF | |
2113 | RATES: BIL L FILE CHA RGES | |
2114 | IBCRBG, IB CRBG1, IBC RBG2 | |
2115 | Contains u tility cal ls for var ious inpat ient/PTF/o utpatient/ CPT functi ons. | |
2116 | IBCRBH1 | |
2117 | RATES: BIL L HELP DIS PLAYS - CH ARGES | |
2118 | IBCRBH2 | |
2119 | RATES: BIL L HELP DIS PLAYS - CP T CHARGES | |
2120 | IBCRCC | |
2121 | RATES: CAL CULATION O F ITEM CHA RGE | |
2122 | IBCRCI | |
2123 | RATES: CAL CULATION I TEM/EVENT COST FNCTN S | |
2124 | IBCRCU1 | |
2125 | RATES: CAL CULATION U TILITIES | |
2126 | IBCREC | |
2127 | RATES: CM INACTIVATE CPT CHARG E OPTION | |
2128 | IBCRED | |
2129 | RATES: CM DELETE CHA RGE ITEMS OPTION | |
2130 | IBCREE | |
2131 | RATES: CM ENTER/EDIT | |
2132 | IBCREE1 | |
2133 | RATES: CM ENTER/EDIT (CI) | |
2134 | IBCREE2 | |
2135 | RATES: CM ENTER/EDIT (SG,RL,PD ,DV) | |
2136 | IBCREF | |
2137 | RATES: CM FILE ENTRI ES (CI,BI) | |
2138 | IBCREQ | |
2139 | RATES: CM FAST ENTER /EDIT OPTI ON | |
2140 | IBCRER | |
2141 | RATES: CM RC NATIONA L ENTER/ED IT OPTION | |
2142 | IBCRER1 | |
2143 | RATES: CM RC NATIONA L ENTER/ED IT OPTION (CONT) | |
2144 | IBCRETP | |
2145 | RATES: TRA NSFER PRIC ING CM FAS T ENTER/ED IT | |
2146 | IBCREU1 | |
2147 | RATES: CM ENTER/EDIT UTILITIES | |
2148 | IBCRHBA | |
2149 | RATES: UPL OAD HOST F ILES (AWP) | |
2150 | IBCRHBC | |
2151 | RATES: UPL OAD HOST F ILES (CMAC DRIVER) | |
2152 | IBCRHBC1 | |
2153 | RATES: UPL OAD HOST F ILES (CMAC <2000) | |
2154 | IBCRHBC2 | |
2155 | RATES: UPL OAD HOST F ILES (CMAC 2000+) | |
2156 | IBCRHBC3 | |
2157 | RATES: UPL OAD HOST F ILES (CMAC 2005+) | |
2158 | IBCRHBR | |
2159 | RATES: UPL OAD HOST F ILES (RC) DRIVER | |
2160 | IBCRHBR1 | |
2161 | RATES: UPL OAD HOST F ILES (RC) SETUP | |
2162 | IBCRHBR2 | |
2163 | RATES: UPL OAD HOST F ILES (RC) READ | |
2164 | IBCRHBR3 | |
2165 | RATES: UPL OAD HOST F ILES (RC) PARSE | |
2166 | IBCRHBR4 | |
2167 | RATES: UPL OAD (RC) S ELECT SITE S | |
2168 | IBCRHBR5 | |
2169 | RATES: UPL OAD (RC) C ALCULATION S SETUP | |
2170 | IBCRHBR6 | |
2171 | RATES: UPL OAD (RC) S ITE CALCUL ATIONS | |
2172 | IBCRHBRA | |
2173 | RATES: UPL OAD RC V1 CPT 2000 C HARGES | |
2174 | IBCRHBRB | |
2175 | RATES: UPL OAD RC V1. 4 MOVE LAB CODES | |
2176 | IBCRHBRV | |
2177 | RATES: UPL OAD (RC) V ERSION FUN CTIONS | |
2178 | IBCRHBS | |
2179 | RATES: UPL OAD HOST F ILES (RC 2 +) DRIVER | |
2180 | IBCRHBS1 | |
2181 | RATES: UPL OAD HOST F ILES (RC 2 +) SETUP | |
2182 | IBCRHBS2 | |
2183 | RATES: UPL OAD HOST F ILES (RC 2 +) READ | |
2184 | IBCRHBS3 | |
2185 | RATES: UPL OAD HOST F ILES (RC 2 +) PARSE | |
2186 | IBCRHBS4 | |
2187 | RATES: UPL OAD (RC 2+ ) SELECT S ITES | |
2188 | IBCRHBS5 | |
2189 | RATES: UPL OAD (RC 2+ ) CALCULAT IONS DRIVE R | |
2190 | IBCRHBS6 | |
2191 | RATES: UPL OAD (RC 2+ ) CALCULAT IONS SETUP | |
2192 | IBCRHBS7 | |
2193 | RATES: UPL OAD (RC 2+ ) CALCULAT IONS SITE | |
2194 | IBCRHBS8 | |
2195 | RATES: UPL OAD (RC 2+ ) CALCULAT IONS CHARG E | |
2196 | IBCRHBSZ | |
2197 | RATES: UPL OAD (RC 2+ ) DIVISION FUNCTIONS | |
2198 | IBCRHBT | |
2199 | RATES: UPL OAD HOST F ILES (TP) | |
2200 | IBCRHD | |
2201 | RATES: UPL OAD ASSIGN & DELETE | |
2202 | IBCRHL | |
2203 | RATES: UPL OAD CHECK & ADD TO C M SEARCH | |
2204 | IBCRHO | |
2205 | RATES: UPL OAD CHECK & ADD TO C M REPORT | |
2206 | IBCRHRS | |
2207 | RATES: UPL OAD (RC) C HANGE SITE TYPE OPTI ON | |
2208 | IBCRHU1 | |
2209 | RATES: UPL OAD UTILIT IES | |
2210 | IBCRHU2 | |
2211 | RATES: UPL OAD UTILIT IES (ADD C M ELEMENTS ) | |
2212 | IBCRLA1 | |
2213 | RATES: DIS PLAY ACTIO N PROTOCOL S | |
2214 | IBCRLC | |
2215 | RATES: DIS PLAY CHARG E SETS | |
2216 | IBCRLD | |
2217 | RATES: DIS PLAY INTRO | |
2218 | IBCRLG | |
2219 | RATES: DIS PLAY BILLI NG REGIONS | |
2220 | IBCRLI | |
2221 | RATES: DIS PLAY CHARG E ITEMS | |
2222 | IBCRLL | |
2223 | RATES: DIS PLAY SPECI AL GROUPS | |
2224 | IBCRLM | |
2225 | RATES: DIS PLAY REVEN UE CODE LI NKS | |
2226 | IBCRLN | |
2227 | RATES: DIS PLAY PROVI DER DISCOU NT | |
2228 | IBCRLR | |
2229 | RATES: DIS PLAY BILLI NG RATES | |
2230 | IBCRLS | |
2231 | RATES: DIS PLAY SCHED ULES | |
2232 | IBCRLT | |
2233 | RATES: DIS PLAY RATE TYPES | |
2234 | IBCROE | |
2235 | CHARGE MAS TER TO EXC EL OUTPUT | |
2236 | IBCROI | |
2237 | RATES: REP ORTS CHARG E ITEM | |
2238 | IBCROI1 | |
2239 | RATES: REP ORTS CHARG E ITEM (SR CH) | |
2240 | IBCROIP | |
2241 | RATES: REP ORTS CHARG E ITEM: PR OCEDURES | |
2242 | IBCRON | |
2243 | RATES: REP ORTS PROVI DER DISCOU NT | |
2244 | IBCROR | |
2245 | RATES: REP ORTS | |
2246 | IBCRTN | |
2247 | Edit bills returned from Accou nts Receiv able. (Ro utine form erly named DGCRTN.) | |
2248 | IBCRU1 | |
2249 | RATES: UTI LITIES | |
2250 | IBCRU2 | |
2251 | RATES: UTI LITIES (CI DEFINITIO NS) | |
2252 | IBCRU3 | |
2253 | RATES: UTI LITIES (CS /BR) | |
2254 | IBCRU4 | |
2255 | RATES: UTI LITIES (RG /BILL/CI) | |
2256 | IBCRU5 | |
2257 | RATES: UTI LITIES (DI SPLAYS) | |
2258 | IBCRU6 | |
2259 | RATES: UTI LITIES (SP ECIAL GROU PS) | |
2260 | IBCRU7 | |
2261 | TRANSFER P RICING CHA RGE MASTER UTILITIES | |
2262 | IBCRU8 | |
2263 | RATES: UTI LITIES (RC ) | |
2264 | IBCSC1 | |
2265 | Enter/Edit a Bill Sc reen 1 (De mographics ). (Routi ne formerl y named DG CRSC1.) | |
2266 | IBCSC10 | |
2267 | MCCR SCREE N 10 (UB-8 2 BILL SPE CIFIC INFO ) | |
2268 | IBCSC102 | |
2269 | MCCR SCREE N 10 (UB-0 4 BILL SPE CIFIC INFO ) | |
2270 | IBCSC10A | |
2271 | ADD/ENTER CHIROPRACT IC DATA | |
2272 | IBCSC10B | |
2273 | ADD/ENTER PATIENT RE ASON FOR V ISIT DATA | |
2274 | IBCSC10H | |
2275 | MCCR SCREE N 10 (BILL SPECIFIC INFO) CMS- 1500 | |
2276 | IBCSC11 | |
2277 | MCCR SCREE N 11 (LOCA L SCREEN 1 1 SPECIFIC INFO) | |
2278 | IBCSC2 | |
2279 | Enter/Edit a Bill Sc reen 2 (Em ployment). (Routine formerly named DGCR SC2.) | |
2280 | IBCSC3 | |
2281 | Enter/Edit a Bill Sc reen 3 (Pa yer/Mailin g Address) . (Routin e formerly named DGC RSC3.) | |
2282 | IBCSC4 | |
2283 | Enter/Edit a Bill Sc reen 4 (In patient EO C). (Rout ine former ly named D GCRSC4.) | |
2284 | IBCSC4A, I BCSC4B, IB CSC4C | |
2285 | Enter/Edit a Bill PT F Screens. (Routine s formerly named DGC RSC4A, DGC RSC4B, and DGCRSC4C. ) | |
2286 | IBCSC4D, I BCSC4E | |
2287 | Enter/Edit a bill's diagnoses. | |
2288 | IBCSC4F | |
2289 | GET PTF DI AGNOSIS | |
2290 | IBCSC5 | |
2291 | Enter/Edit a Bill Sc reen 5 (Op t. EOC). (Routine f ormerly na med DGCRSC 5.) | |
2292 | IBCSC5A, I BCSC5C | |
2293 | Enter/Edit a bill's prescripti on refills . | |
2294 | IBCSC5B | |
2295 | Enter/Edit a bill's prosthetic items. | |
2296 | IBCSC6 | |
2297 | Enter/Edit a Bill Sc reen 6 (In patient Bi lling Info ). (Routi ne formerl y named DG CRSC6.) | |
2298 | IBCSC61 | |
2299 | Enter/Edit a Bill sc reen utili ty. (Rout ine former ly named D GCRSC61.) | |
2300 | IBCSC7 | |
2301 | Enter/Edit a Bill Sc reen 7 (Op t. Billing Info). ( Routine fo rmerly nam ed DGCRSC7 .) | |
2302 | IBCSC8 | |
2303 | Enter/Edit a Bill Sc reen 8 (Bi ll Specifi c Info). (Routine f ormerly na med DGCRSC 8.) | |
2304 | IBCSC82 | |
2305 | Enter/Edit a Bill Sc reen 8 for UB-92. | |
2306 | IBCSC8H | |
2307 | Enter/Edit a Bill Sc reen 8, if HCFA-1500 . (Routin e formerly named DGC RSC8H.) | |
2308 | IBCSC9 | |
2309 | MCCR SCREE N 9 (AMBUL ANCE INFO) | |
2310 | IBCSCE, IB CSCE1 | |
2311 | Enter/Edit a Bill sc reen edits . (Routin es formerl y named DG CRSCE, DGC RSCE1.) | |
2312 | IBCSCH, IB CSCH1 | |
2313 | Enter/Edit a Bill he lp screens . (Routin es formerl y named DG CRSCH, DGC RSCH1.) | |
2314 | IBCSCH2 | |
2315 | ALB/DLS - Continuati on of rout ine IBCSCH | |
2316 | IBCSCP | |
2317 | Enter/Edit a Bill sc reen proce ssor. (Ro utine form erly named DGCRSCP.) | |
2318 | IBCSCU | |
2319 | Enter/Edit a Bill sc reen utili ty. (Rout ine former ly named D GCRSCU.) | |
2320 | IBCU, IBCU 1, IBCU2, IBCU3, IBC U4, IBCU5 | |
2321 | Enter/Edit a Bill bi lling util ity. (Rou tines form erly named | |
2322 | DGCRU, DGC RU1, DGCRU 2, DGCRU3, DGCRU4, D GCRU5.) | |
2323 | IBCU41, IB CU64 | |
2324 | Third Part y billing utilities. | |
2325 | IBCU6, IBC U61, IBCU6 2, IBCU63 | |
2326 | Automatic calculatio n of charg es utility routines. (Routine s formerly named DGC RU6, DGCRU 61, DGCRU6 2, and DGC RU63.) | |
2327 | IBCU65 | |
2328 | BILL CHARG E UTILITY: COMBINE E &M | |
2329 | IBCU7, IBC U7 | |
2330 | Procedures enter/edi t utility routines. (Routines formerly named DGCR U7, DGCRU7 1.) | |
2331 | IBCU71 | |
2332 | INTERCEPT SCREEN INP UT OF PROC EDURE CODE S | |
2333 | IBCU72 | |
2334 | ADD/EDIT/D ELETE PROC EDURE DIAG NOSES | |
2335 | IBCU73 | |
2336 | ADD/DELETE MODIFIER 26 TO SPEC IFIED CPTS | |
2337 | IBCU74 | |
2338 | INTERCEPT SCREEN INP UT OF PROC EDURE CODE S (CONT) | |
2339 | IBCU75 | |
2340 | INTERCEPT SCREEN INP UT OF PROC EDURE CODE S (ENTER C MN INFO) | |
2341 | IBCU7A | |
2342 | BILL PROCE DURE MANIP ULATIONS | |
2343 | IBCU7A1 | |
2344 | BILL PROCE DURE MANIP ULATIONS ( BUNDLED) | |
2345 | IBCU7B | |
2346 | LINE LEVEL PROVIDER USER INPUT | |
2347 | IBCU7U | |
2348 | BILL PROCE DURE UTILI TIES | |
2349 | IBCU8, IBC U81, IBCU8 2 | |
2350 | Third Part y Billing Utilities. | |
2351 | IBCU83 | |
2352 | THIRD PART Y BILLING UTILITES ( BILL-CT) | |
2353 | IBCU9 | |
2354 | BILLING UT ILITY ROUT INE (CONTI NUED) | |
2355 | IBCVA, IBC VA0, IBCVA 1 | |
2356 | Third Part y Billing set variab les. (Rou tines form erly named DGCRVA, D GCRVA0, an d DGCRVA1. ) | |
2357 | IBCVC | |
2358 | VALUE CODE FUNCTIONA LITY | |
2359 | IBD21P4 | |
2360 | POST INIT - 6/11/96 | |
2361 | IBD3KENV | |
2362 | AICS 3.0 E nvironment Checker | |
2363 | IBD3KPT | |
2364 | Post Init routine fo r AICS v 3 .0 - 11 NO V 96 | |
2365 | IBDE, IBDE 1, IBDE1A, IBDE1B, I BDE2, IBDE 3, IBDEHEL P | |
2366 | The import /export ut ility for the encoun ter form. | |
2367 | ||
2368 | IBDE4 | |
2369 | PUT FORMS AND BLOCKS INTO IMPO RT/EXPORT UTILTIY | |
2370 | IBDECLN | |
2371 | Clean up D ata Qualif iers and P ackage int erfaces | |
2372 | IBDECLN1 | |
2373 | Clean up D ata Qualif iers and P ackage int erfaces | |
2374 | IBDECLN2 | |
2375 | Clean up D ata Qualif iers and P ackage int erfaces | |
2376 | IBDEI* | |
2377 | IB ENCOUNT ER FORM IM P/EXP Rout ines | |
2378 | IBDEPRE | |
2379 | PREINIT FO R USE BY I MP/EXP UTI LITY | |
2380 | IBDEPT | |
2381 | ENCOUNTER FORM - ins tallation routine fo r AICS 2.1 | |
2382 | IBDF10, IB DF10A, IBD F10B | |
2383 | Shifting b locks and the conten ts of bloc ks. | |
2384 | IBDF10C | |
2385 | ENCOUNTER FORM - (sh ift block contents - continued ) | |
2386 | IBDF11, IB DF11A | |
2387 | Print Mana ger setup for the en counter fo rm. | |
2388 | IBDF12 | |
2389 | Editing To ol Kit for ms. | |
2390 | IBDF13 | |
2391 | Editing To ol Kit blo cks. | |
2392 | IBDF14 | |
2393 | Clinic Set ups Report . | |
2394 | IBDF14A | |
2395 | AICS LIST CLINIC SET UP | |
2396 | IBDF15 | |
2397 | List Clini cs Using F orms Repor t. | |
2398 | IBDF15A | |
2399 | AICS FORM USE BY DIV ISION/CLIN IC | |
2400 | IBDF16 | |
2401 | Edit packa ge interfa ces, marki ng areas. | |
2402 | IBDF17 | |
2403 | Copy Check -off Sheet s to encou nter forms . | |
2404 | IBDF18 | |
2405 | Utility fo r providin g the Prob lem List p ackage wit h a list o f clinic c ommon prob lems from an encount er form. | |
2406 | IBDF18A | |
2407 | ENCOUNTER FORM - uti lities for PCE | |
2408 | IBDF18A1 | |
2409 | ENCOUNTER FORM - uti lities for PCE | |
2410 | IBDF18A2 | |
2411 | WISC/TN - ENCOUNTER FORM - uti lities for PCE | |
2412 | IBDF18B | |
2413 | ENCOUNTER FORM - uti lities for PCE | |
2414 | IBDF18C | |
2415 | ENCOUNTER FORM - for m ID utili ties | |
2416 | IBDF18D | |
2417 | ENCOUNTER FORM - for m type uti lities | |
2418 | IBDF18E | |
2419 | ENCOUNTER FORM - PCE DEVICE IN TERFACE ut ilities | |
2420 | IBDF18E0 | |
2421 | ENCOUNTER FORM - PCE DEVICE IN TERFACE ut ilities | |
2422 | IBDF18E1 | |
2423 | ENCOUNTER FORM - PCE DEVICE IN TERFACE ut ilities | |
2424 | IBDF18E2 | |
2425 | AICS Error Logging R outine | |
2426 | IBDF18E3 | |
2427 | ENCOUNTER FORM - PCE DEVICE IN TERFACE ut ilities | |
2428 | IBDF18E4 | |
2429 | ENCOUNTER FORM - MIS C INTERFAC ES utiliti es | |
2430 | IBDF19 | |
2431 | Routine fo r deleting garbage, compiling forms. | |
2432 | IBDF1A | |
2433 | Printing a single en counter fo rm, along with other reports d efined via the Print Manager. | |
2434 | IBDF1B, IB DF1B1, IBD F1B1A, IBD F1B1B, IBD F1B2, IBDF 1B3, IBDF1 B5, IBDF1B A | |
2435 | Printing b atches of encounter forms for appointmen ts, along with other reports d efined via the Print Manager. | |
2436 | IBDF1C | |
2437 | Print a bl ank encoun ter form w ithin the List Manag er. | |
2438 | IBDF2A | |
2439 | Prints a f orm - devi ce must be open, var iables def ined. | |
2440 | IBDF2A1 | |
2441 | ENCOUNTER FORM (IBDF 2A continu ed) | |
2442 | IBDF2A2 | |
2443 | ENCOUNTER FORM (IBDF 2A continu ed) | |
2444 | IBDF2B, IB DF2B1 | |
2445 | Writes a d ata field to the for m. | |
2446 | IBDF2D, IB DF2D1 | |
2447 | Writes a s election l ist to the form. | |
2448 | IBDF2D2 | |
2449 | ENCOUNTER FORM - PRI NT SELECTI ON LIST (c ont'd) | |
2450 | IBDF2D3 | |
2451 | ENCOUNTER FORM - WRI TE SELECTI ON LIST (c ont'd) | |
2452 | IBDF2E | |
2453 | Writes lin es and tex t areas to the form. | |
2454 | IBDF2F | |
2455 | Prints the form - th e form ima ge must be in an arr ay. | |
2456 | IBDF2F1 | |
2457 | ENCOUNTER FORM - PRI NT FORM(se nds to pri nter) | |
2458 | IBDF2F2 | |
2459 | PRINT VA L OGO AS ANC HORS ON EN COUNTER FO RMS | |
2460 | IBDF2G | |
2461 | ENCOUNTER FORM - (pr ints input field) | |
2462 | IBDF2H | |
2463 | ENCOUNTER FORM - (pr ints hand print fiel d) | |
2464 | IBDF3 | |
2465 | Edit selec tion group s. | |
2466 | IBDF4, IBD F4A | |
2467 | Edit selec tions. | |
2468 | IBDF4C | |
2469 | CPT MODIFI ER SELECTI ON | |
2470 | IBDF5, IBD F5A, | |
2471 | IBDF5B, IB DF5C | |
2472 | Creating a n array th at contain s the form for displ ay via the List Mana ger; editi ng the for m; creatin g new bloc ks on the form; movi ng and re- sizing blo cks. | |
2473 | IBDF5D | |
2474 | ENCOUNTER FORM - (co py page) | |
2475 | IBDF6, IBD F6A, IBDFC | |
2476 | Adding and deleting forms to a clinic se tup; creat ing and de leting for ms. | |
2477 | IBDF7 | |
2478 | Creating a list of T ool Kit bl ocks for t he List Ma nager; cre ating a ne w Tool Kit block. | |
2479 | IBDF8 | |
2480 | Displaying a Tool Ki t block. | |
2481 | IBDF9, IBD F9A, IBDF9 A1, | |
2482 | IBDF9B, IB DF9B1, IBD F9C, IBDF9 D, IBDF9E | |
2483 | Displaying a block, resizing i t, editing its attri butes and contents. | |
2484 | IBDF9A3 | |
2485 | ENCOUNTER FORM - (cr eate, edit , delete s election l ist - cont inued) | |
2486 | IBDF9B2 | |
2487 | ENCOUNTER FORM - (ed it, delete , add mult iple choic e fields) | |
2488 | IBDF9B3 | |
2489 | ENCOUNTER FORM - (ed it, delete , add data fields) | |
2490 | IBDF9B4 | |
2491 | ENCOUNTER FORM - (ed it, delete , add Hand Print fie lds) | |
2492 | IBDFBK1 | |
2493 | AICS broke r Utilitie s | |
2494 | IBDFBK2 | |
2495 | AICS broke r Utilitie s | |
2496 | IBDFBK3 | |
2497 | AICS broke r Utilitie s | |
2498 | IBDFBKR | |
2499 | EF utility , receive and format data for PCE | |
2500 | IBDFBKS | |
2501 | Create for m spec fil e for scan ning | |
2502 | IBDFBKS1 | |
2503 | ENCOUNTER FORM - cre ate form s pec for sc anning (Br oker Versi on CONTINU ATION) | |
2504 | IBDFBKS2 | |
2505 | Create for m spec for scanning | |
2506 | IBDFBKS3 | |
2507 | ENCOUNTER FORM - cre ate form s pec for sc anning (Br oker Versi on) | |
2508 | IBDFBKS4 | |
2509 | Create for m spec fil e for scan ning | |
2510 | IBDFC | |
2511 | ENCOUNTER FORM - CON VERSION UT ILTY | |
2512 | IBDFC1 | |
2513 | ENCOUNTER FORM - CON VERTED FOR MS LIST | |
2514 | IBDFC2 | |
2515 | ENCOUNTER FORM - con verts a fo rm for sca nning | |
2516 | IBDFC2A | |
2517 | ENCOUNTER FORM - con verts a fo rm for sca nning (con t'd) | |
2518 | IBDFC2B | |
2519 | ENCOUNTER FORM - con verts a fo rm for sca nning | |
2520 | IBDFC3 | |
2521 | ENCOUNTER FORM - rep lace origi nal form w ith conver ted form | |
2522 | IBDFC4 | |
2523 | ENCOUNTER FORM - pri nt scannin g form def inition | |
2524 | IBDFCG | |
2525 | CLINIC GRO UP FORMS S CREEN | |
2526 | IBDFCG1 | |
2527 | CONT. of C linic Grou p Enter Ed it Screen - 1 1 95 | |
2528 | IBDFCMP | |
2529 | AICS list of compone nts on a f orm | |
2530 | IBDFCMP1 | |
2531 | AICS list of compone nts on a f orm (cont. ) | |
2532 | IBDFCNOF | |
2533 | AICS clini cs with no forms | |
2534 | IBDFDBS | |
2535 | Database S erver Util ities | |
2536 | IBDFDE | |
2537 | AICS Data Entry, Ent ry point b y form | |
2538 | IBDFDE0 | |
2539 | AICS Data Entry, Che ck out int erview | |
2540 | IBDFDE1 | |
2541 | AICS Data Entry, Fin al check | |
2542 | IBDFDE10 | |
2543 | AICS Data entry util ity | |
2544 | IBDFDE2 | |
2545 | AICS Data Entry, pro cess selec tion lists | |
2546 | IBDFDE21 | |
2547 | AICS Data Entry, pro cess selec tion lists | |
2548 | IBDFDE22 | |
2549 | AICS Data Entry, che ck selecti on rules | |
2550 | IBDFDE23 | |
2551 | Select CPT Modifiers during Ma nual Data Entry | |
2552 | IBDFDE3 | |
2553 | AICS Manua l Data Ent ry, proces s handprin t fields | |
2554 | IBDFDE4 | |
2555 | AICS Manua l Data Ent ry, proces s multiple choice fi elds | |
2556 | IBDFDE41 | |
2557 | AICS Data Entry, pro cess selec tion lists | |
2558 | IBDFDE42 | |
2559 | AICS Data Entry, che ck selecti on rules | |
2560 | IBDFDE5 | |
2561 | AICS Manua l Data Ent ry, Loader routine f or 357.6 | |
2562 | IBDFDE6 | |
2563 | AICS Manua l Data Ent ry, Entry point by c linic | |
2564 | IBDFDE61 | |
2565 | AICS Manua l Data Ent ry, proces s selectio n lists | |
2566 | IBDFDE7 | |
2567 | AICS Manua l Data Ent ry, Entry point for Group Clin ics | |
2568 | IBDFDE8 | |
2569 | AICS Manua l Data Ent ry, Entry for no for m no appt | |
2570 | IBDFDE9 | |
2571 | AICS Manua l Data Ent ry, Report of inputs by form | |
2572 | IBDFDEA | |
2573 | AICS Data Entry API | |
2574 | IBDFDVE | |
2575 | AICS edit printers f ile | |
2576 | IBDFESP | |
2577 | AICS EDIT SITE PARAM S | |
2578 | IBDFFRFT | |
2579 | AICS Free Forms Trac king Entry | |
2580 | IBDFFSMP | |
2581 | Print a sa mple of al l encounte r forms. - Dec 12 19 95@800 | |
2582 | IBDFFT | |
2583 | FORMS TRAC KING | |
2584 | IBDFFT1 | |
2585 | FORMS TRAC KING CONTI NUED - JUL 6 1995 | |
2586 | IBDFFT2 | |
2587 | FORMS TRAC KING | |
2588 | IBDFFT3 | |
2589 | ROUTINE TO QUEUE FOR MS TRACKIN G REPORT - 13 NOV 96 | |
2590 | IBDFFT4 | |
2591 | FORMS TRAC KING | |
2592 | IBDFFV | |
2593 | AICS FORM VALIDATION | |
2594 | IBDFFV1 | |
2595 | AICS FORM VALIDATION | |
2596 | IBDFFV2 | |
2597 | AICS FORM VALIDATION | |
2598 | IBDFFV3 | |
2599 | AICS FORM VALIDATION | |
2600 | IBDFGRP | |
2601 | GROUP COPY - 7/25/95 | |
2602 | IBDFHLP | |
2603 | HELP CODE FOR SPECIA L INSTRUCT IONS | |
2604 | IBDFLST | |
2605 | Maintenanc e Utility Invalid Co des List - MAY 17 19 95 | |
2606 | IBDFLST1 | |
2607 | Maintenanc e Utility Invalid Co des List - MAY 17 19 95 | |
2608 | IBDFM1 | |
2609 | Compiling bubbles an d hand pri nt fields | |
2610 | IBDFN, IBD FN1, IBDFN 2, IBDFN3, IBDFN4, I BDFN5, IBD FN6 | |
2611 | Entry poin ts used by the PACKA GE INTERFA CE file #3 57.6) for interfacin g with oth er package s. | |
2612 | IBDFN10 | |
2613 | ENCOUNTER FORM - (se lection ro utines - m ostly for PCE files) | |
2614 | IBDFN11 | |
2615 | ENCOUNTER FORM - (en try points for repri nt of dyna mic data) | |
2616 | IBDFN12 | |
2617 | ENCOUNTER FORM - SEL ECTORS | |
2618 | IBDFN13 | |
2619 | ENCOUNTER FORM - (in put transf orms for A ICS Data T ypes) | |
2620 | IBDFN14 | |
2621 | ENCOUNTER FORM - OUT PUTS | |
2622 | IBDFN15 | |
2623 | ENCOUNTER FORM - OUT PUTS | |
2624 | IBDFN16 | |
2625 | ENCOUNTER FORM - (en try points for gaf p roject) | |
2626 | IBDFN7 | |
2627 | ENCOUNTER FORM - val idate logi c for data | |
2628 | IBDFN8 | |
2629 | ENCOUNTER FORM - PCE GDI INPUT TRANSFORM S | |
2630 | IBDFN9 | |
2631 | ENCOUNTER FORM - out put transf orms for d ata | |
2632 | IBDFOSG | |
2633 | SCANNED EF FOR OUTPA TIENTS WIT H BILLS GE NERATED RE PORT | |
2634 | IBDFOSG1 | |
2635 | SCANNED EN COUNTERS W ITH BILLIN G DATA CON T. | |
2636 | IBDFOSG2 | |
2637 | ENCOUNTERS WITH BILL ING DATA C ONT. - SEP 11, 1995 | |
2638 | IBDFPCE | |
2639 | AICS UPDAT E FROM PCE | |
2640 | IBDFPE | |
2641 | ENCOUNTER FORMS QUEU EING PARAM ETERS DISP LAY 1 31 9 4 | |
2642 | IBDFPE1 | |
2643 | ENCOUNTER FORMS QUEU EING PARAM ETERS DISP LAY CONT. | |
2644 | IBDFPRG | |
2645 | AICS PURGE UTILITY | |
2646 | IBDFPRG1 | |
2647 | AICS PURGE UTILITY | |
2648 | IBDFQB | |
2649 | MAIN QUEUE JOB FOR E NCOUNTER F ORM PRINTI NG - FEB 2 1995 | |
2650 | IBDFQEA | |
2651 | ENCOUNTER FORM - BUI LD FORM(ed iting acti on for gro up's selec tions list ) | |
2652 | IBDFQEA1 | |
2653 | ENCOUNTER FORM - BUI LD FORM(ed iting acti on for gro up's selec tions list ) cont. | |
2654 | IBDFQS | |
2655 | REQUEUE OF PRINT JOB FOR A SIN GLE PARAME TER GROUP - FEB 9 19 95 | |
2656 | IBDFQSL | |
2657 | ENCOUNTER FORM - Qui ck selecti on edit | |
2658 | IBDFQSL1 | |
2659 | ENCOUNTER FORM - Qui ck selecti on edit (c ont.) | |
2660 | IBDFQSL2 | |
2661 | ENCOUNTER FORM - Qui ck selecti on edit (c ont.) | |
2662 | IBDFREG | |
2663 | ENCOUNTER FORM (prin ts for a s ingle pati ent) | |
2664 | IBDFRPC | |
2665 | AICS Retur n list of interfaces | |
2666 | IBDFRPC1 | |
2667 | Return lis t of selec tions | |
2668 | IBDFRPC2 | |
2669 | Return lis t of selec tions, bro ker call | |
2670 | IBDFRPC3 | |
2671 | AICS Ident ify patien t form id | |
2672 | IBDFRPC4 | |
2673 | AICS Pass data to PC E, Broker Call | |
2674 | IBDFRPC5 | |
2675 | AICS Pass data to PC E, Broker Call | |
2676 | IBDFRPC6 | |
2677 | AICS Pass data to PC E, Broker Call | |
2678 | IBDFSS | |
2679 | STATUS SEL ECT ROUTIN E (FORMS T RACKING) | |
2680 | IBDFSS1 | |
2681 | FORMS TRAC KING SELEC TED STATUS - JUL 6 1 995 | |
2682 | IBDFST | |
2683 | FORMS TRAC KING STATI STICS - JU L 6 1995 | |
2684 | IBDFST1 | |
2685 | FORMS TRAC KING STATI STICS - JU L 6 1995 | |
2686 | IBDFU, IBD FU1, IBDFU 10, IBDFU1 A, IBDFU1B , IBDFU2, | |
2687 | IBDFU2A, I BDFU2B, IB DFU2C, | |
2688 | IBDFU3, IB DFU4, IBDF U5, | |
2689 | IBDFU5A, I BDFU6, IBD FU7, | |
2690 | IBDFU8, IB DFU9, IBDF UA | |
2691 | Utilities used for e ncounter f orms. | |
2692 | ||
2693 | IBDFU1C | |
2694 | ENCOUNTER FORM (sets various p arameters) | |
2695 | IBDFU91 | |
2696 | ENCOUNTER FORM - tra nsforms ne eded to va lidate, di splay and pass data | |
2697 | IBDFUTI | |
2698 | Installati on utiliti es Re-Comp ile Templa tes/x-refs | |
2699 | IBDFUTL | |
2700 | Maintenanc e Utility Routine - APR 20 199 5 | |
2701 | IBDFUTL1 | |
2702 | Maintenanc e Utility cont. - 4 20 95 | |
2703 | IBDFUTL2 | |
2704 | MAINTENANC E UTILITY CONT. - 4/ 24/95 | |
2705 | IBDFUTL3 | |
2706 | MAINTENANC E UTILITY CONT. - 4/ 24/95 | |
2707 | IBDNTEG | |
2708 | ISC/XTSUMB LD KERNEL - Package checksum c hecker | |
2709 | IBDNTEG0 | |
2710 | ISC/XTSUMB LD KERNEL - Package checksum c hecker | |
2711 | IBDX* | |
2712 | Generated or Compile d Routines for XREFS , PRINT TE MPLATES, I NPUT TEMPL ATES | |
2713 | IBDY* | |
2714 | Mixed Post -Init, Pre -Init, and Environme nt Routine s for rele ased patch es. | |
2715 | IBEBR | |
2716 | Enter/Edit Billing R ates. | |
2717 | IBEBRH | |
2718 | Help routi ne for Ent er/Edit Bi lling Rate s. | |
2719 | IBECEA, IB ECEA0 | |
2720 | Cancel/Edi t/Add Char ges - buil d charges array for list proce ssor. | |
2721 | IBECEA1 | |
2722 | Cancel/Edi t/Add Char ges - logi c for the Pass a Cha rge action . | |
2723 | IBECEA2, I BECEA21, I BECEA22 | |
2724 | Cancel/Edi t/Add Char ges - logi c for the Edit a Cha rge action . | |
2725 | IBECEA3, I BECEA31, I BECEA32, I BECEA33 | |
2726 | Cancel/Edi t/Add Char ges - logi c for the Add a Char ge action. | |
2727 | IBECEA34 | |
2728 | Cancel/Edi t/Add... F ee Support | |
2729 | IBECEA35 | |
2730 | Cancel/Edi t/Add... T RICARE Sup port | |
2731 | IBECEA4 | |
2732 | Cancel/Edi t/Add Char ges - logi c for the Cancel a C harge acti on. | |
2733 | IBECEA5, I BECEA51 | |
2734 | Cancel/Edi t/Add Char ges - logi c for the Update Eve nts action , and subs equent act ions on th e Update E vents list . | |
2735 | IBECEAU, I BECEAU1, I BECEAU2, I BECEAU3, I BECEAU4 | |
2736 | Cancel/Edi t/Add Char ges - util ities used by all ac tions. | |
2737 | IBECEAU5 | |
2738 | Cancel/Edi t/Add CALC Observati on CO-PAY | |
2739 | IBECK | |
2740 | Checks sta tus of fil er. | |
2741 | IBECPF | |
2742 | Continuous Patient f lag/un-fla g. | |
2743 | IBECPTE | |
2744 | Enter and/ or edit BA SC table r eference d ata. | |
2745 | IBECPTT | |
2746 | Transfers BASC rate group and status upd ates from the UPDATE BILLABLE AMBULATORY SURGICAL CODE file (#350.41) to the BIL LABLE AMBU LATORY SUR GICAL CODE file (#35 0.4). | |
2747 | IBECPTT | |
2748 | TRANSFERS CPT RATE U PDATES TO 350.4 | |
2749 | IBECPTZ | |
2750 | BASC trans fer utilit y. | |
2751 | IBECUS | |
2752 | TRICARE PH ARMACY ENG INE OPTION S | |
2753 | IBECUS1 | |
2754 | TRICARE PH ARMACY BIL LING ENGIN ES | |
2755 | IBECUS2 | |
2756 | TRICARE PH ARMACY BIL L TRANSACT ION | |
2757 | IBECUS21 | |
2758 | FILE TRICA RE PHARMAC Y TRANSACT IONS | |
2759 | IBECUS22 | |
2760 | TRICARE PH ARMACY BIL LING UTILI TIES | |
2761 | IBECUS3 | |
2762 | CANCEL TRI CARE PHARM ACY TRANSA CTION | |
2763 | IBECUSM | |
2764 | TRICARE PH ARMACY BIL LING OPTIO NS | |
2765 | IBECUSMU | |
2766 | PHARMACY B ILLING OPT ION UTILIT IES | |
2767 | IBECUSO | |
2768 | TRICARE PH ARMACY BIL LING OUTPU TS | |
2769 | IBEF | |
2770 | The Integr ated Billi ng backgro und filer. | |
2771 | IBEFCOP | |
2772 | Background filer, Rx co-paymen t processo r. | |
2773 | IBEFUNC | |
2774 | Set of ext rinsic fun ctions. | |
2775 | IBEFUNC1, IBEFUNC2 | |
2776 | Set of ext rinsic fun ctions use d in BASC billing. | |
2777 | IBEFUNC3 | |
2778 | EXTRINSIC FUNCTIONS | |
2779 | IBEFUR | |
2780 | UTILITY: F IND RELATE D FIRST AN D THIRD PA RTY BILLS | |
2781 | IBEFURF | |
2782 | UTILITY: F IND RELATE D FIRST PA RTY BILLS | |
2783 | IBEFURT | |
2784 | UTILITY: F IND RELATE D THIRD PA RTY BILLS | |
2785 | IBEFUTL | |
2786 | Utility pr ogram for filer opti ons. | |
2787 | IBEFUTL1 | |
2788 | Recompiles and cross reference s all IB t emplates. | |
2789 | IBEMTBC | |
2790 | Category C billing c lock maint enance. | |
2791 | IBEMTF, IB EMTF1 | |
2792 | Flag Stop Codes/Disp ositions/C linics. | |
2793 | IBEMTF2 | |
2794 | List Non-B illable St op Codes/D isposition s/Clinics. | |
2795 | IBEMTO | |
2796 | Bills all Means Test Outpatien t co-payme nt charges which are on hold a waiting th e new co-p ay rate. | |
2797 | IBEMTO1 | |
2798 | Lists all Means Test Outpatien t co-payme nt charges which are on hold a waiting th e new co-p ay rate. | |
2799 | IBEMTSCR | |
2800 | print bill able types for visit co-pay | |
2801 | IBEMTSCU | |
2802 | print bill able types for visit co-pay | |
2803 | IBEPAR, IB EPAR1 | |
2804 | IB Site Pa rameter en try and ed it. (Rout ines forme rly named DGCRPAR, D GCRPAR1.) | |
2805 | IBEPTC | |
2806 | TP FLAG ST OP CODES A ND CLINICS | |
2807 | IBEPTC1 | |
2808 | TP FLAG ST OP CODES A ND CLINICS (CON'T.) | |
2809 | IBEPTC2 | |
2810 | TP LIST NO N-BILLABLE STOP CODE S AND CLIN ICS | |
2811 | IBEPTC3 | |
2812 | TP FLAG AL L CLINICS | |
2813 | IBERS | |
2814 | User inter face for t he Appoint ment Check -off Sheet . | |
2815 | IBERS1 | |
2816 | Search, so rt, and pr int Appoin tment Chec k-off Shee ts chosen by the use r. | |
2817 | IBERS2 | |
2818 | Gather and store ind ividual pa tient data for a Che ck-off She et. | |
2819 | IBERS3 | |
2820 | Gather and store ind ividual pa tient PTF and billin g diagnose s for a Ch eck-off Sh eet. | |
2821 | IBERSE | |
2822 | Build and edit the C PT lists f or the Che ck-off She ets. | |
2823 | IBERSI | |
2824 | List and/o r delete p rocedures on Check-o ff Sheets that are A MA inactiv e and/or n ationally, locally, and billin g inactive . | |
2825 | IBERSP | |
2826 | Prints the formatted CPT list for the Ch eck-off Sh eets. | |
2827 | IBERSP1 | |
2828 | Creates th e formatte d CPT list for the C heck-off S heets. | |
2829 | IBESTAT | |
2830 | Status dis play of IB site para meters and filer sta tus. | |
2831 | IBETIME | |
2832 | Capacity m anagement utility. | |
2833 | IBJD | |
2834 | DIAGNOSTIC MEASURES UTILITIES | |
2835 | IBJD1 | |
2836 | DIAGNOSTIC MEASURES UTILITIES | |
2837 | IBJDB1 | |
2838 | BILLING LA G TIME REP ORT | |
2839 | IBJDB11 | |
2840 | BILLING LA G TIME REP ORT (COMPI LE) | |
2841 | IBJDB12 | |
2842 | BILLING LA G TIME REP ORT (OPT P RINT/SUMMA RIES) | |
2843 | IBJDB13 | |
2844 | BILLING LA G TIME REP ORT (INPT PRINT) | |
2845 | IBJDB2 | |
2846 | REASONS NO T BILLABLE REPORT (I NPUT) | |
2847 | IBJDB21 | |
2848 | REASONS NO T BILLABLE REPORT (C OMPILE) | |
2849 | IBJDB22 | |
2850 | REASONS NO T BILLABLE REPORT (P RINT) | |
2851 | IBJDE | |
2852 | DM DATA EX TRACTION ( MAIN ROUTI NE) | |
2853 | IBJDE1 | |
2854 | DM DATA EX TRACTION ( MENU OPTIO NS/TRANSMI T E-MAIL) | |
2855 | IBJDF1 | |
2856 | THIRD PART Y FOLLOW-U P REPORT | |
2857 | IBJDF11 | |
2858 | THIRD PART Y FOLLOW-U P REPORT ( COMPILE) | |
2859 | IBJDF12 | |
2860 | THIRD PART Y FOLLOW-U P REPORT ( PRINT) | |
2861 | IBJDF1H | |
2862 | THIRD PART Y FOLLOW-U P REPORT ( HELP) | |
2863 | IBJDF2 | |
2864 | THIRD PART Y FOLLOW-U P SUMMARY REPORT | |
2865 | IBJDF4 | |
2866 | FIRST PART Y FOLLOW-U P REPORT | |
2867 | IBJDF41 | |
2868 | FIRST PART Y FOLLOW-U P REPORT ( COMPILE) | |
2869 | IBJDF42 | |
2870 | FIRST PART Y FOLLOW-U P REPORT ( PRINT) | |
2871 | IBJDF43 | |
2872 | FIRST PART Y FOLLOW-U P REPORT ( COMPILE/PR INT SUMMAR Y) | |
2873 | IBJDF4H | |
2874 | FIRST PART Y FOLLOW-U P REPORT ( HELP) | |
2875 | IBJDF5 | |
2876 | CHAMPVA/TR ICARE FOLL OW-UP REPO RT | |
2877 | IBJDF51 | |
2878 | CHAMPVA/TR ICARE FOLL OW-UP REPO RT (COMPIL E) | |
2879 | IBJDF52 | |
2880 | CHAMPVA/TR ICARE FOLL OW-UP REPO RT (PRINT) | |
2881 | IBJDF53 | |
2882 | CHAMPVA/TR ICARE FOLL OW-UP REPO RT (SUMMAR Y) | |
2883 | IBJDF5H | |
2884 | CHAMPVA/TR ICARE FOLL OW-UP REPO RT (HELP) | |
2885 | IBJDF6 | |
2886 | MISCELLANE OUS BILLS FOLLOW-UP REPORT | |
2887 | IBJDF61 | |
2888 | MISC. BILL S FOLLOW-U P REPORT ( COMPILE) | |
2889 | IBJDF62 | |
2890 | MISC. BILL S FOLLOW-U P REPORT ( PRINT) | |
2891 | IBJDF63 | |
2892 | MISC. BILL S FOLLOW-U P REPORT ( COMPILE/PR INT SUMMAR Y) | |
2893 | IBJDF6H | |
2894 | MISCELLANE OUS BILLS FOLLOW-UP REPORT (HE LP) | |
2895 | IBJDF7 | |
2896 | REPAYMENT PLAN REPOR T | |
2897 | IBJDF71 | |
2898 | REPAYMENT PLAN REPOR T (COMPILE ) | |
2899 | IBJDF72 | |
2900 | REPAYMENT PLAN REPOR T (PRINT) | |
2901 | IBJDF7H | |
2902 | REPAYMENT PLAN REPOR T (HELP) | |
2903 | IBJDF8 | |
2904 | AR PRODUCT IVITY REPO RT | |
2905 | IBJDF81 | |
2906 | AR PRODUCT IVITY REPO RT (COMPIL E) | |
2907 | IBJDF811 | |
2908 | AR PRODUCT IVITY REPO RT (COMPIL E-cont.) | |
2909 | IBJDF82 | |
2910 | AR PRODUCT IVITY REPO RT (PRINT) | |
2911 | IBJDF8H | |
2912 | AR PRODUCT IVITY REPO RT (HELP) | |
2913 | IBJDF8I | |
2914 | ADD/EDIT I B DM WORKL OAD PARAME TERS | |
2915 | IBJDF8I1 | |
2916 | ADD/EDIT I B DM WORKL OAD PARAME TERS-(CONT .) | |
2917 | IBJDF8R | |
2918 | AR WORKLOA D ASSIGNME NTS (PRINT ) | |
2919 | IBJDI1 | |
2920 | PERCENTAGE OF COMPLE TED REGIST RATIONS | |
2921 | IBJDI11 | |
2922 | PERCENTAGE OF COMPLE TED REGIST RATIONS (C ONT'D) | |
2923 | IBJDI2 | |
2924 | VETERANS W ITH UNVERI FIED ELIGI BILITY | |
2925 | IBJDI21 | |
2926 | VETERANS W ITH UNVERI FIED ELIGI BILITY (CO NT'D) | |
2927 | IBJDI3 | |
2928 | NO EMPLOYE R LISTING | |
2929 | IBJDI4 | |
2930 | PATIENTS W ITH UNIDEN TIFIED INS URANCE | |
2931 | IBJDI41 | |
2932 | PATIENTS W ITH UNIDEN TIFIED INS URANCE (CO NT'D) | |
2933 | IBJDI5 | |
2934 | INSURANCE POLICIES N OT VERIFIE D | |
2935 | IBJDI6 | |
2936 | SC VETS W/ NSC EPISO DES OF INP T CARE | |
2937 | IBJDI7 | |
2938 | OUTPATIENT WORKLOAD REPORT | |
2939 | IBJDIPR | |
2940 | PERCENTAGE OF PATIEN TS PREREGI STERED REP ORT | |
2941 | IBJDNTEG | |
2942 | ISC/XTSUMB LD KERNEL - Package checksum c hecker | |
2943 | IBJDU1 | |
2944 | UTILIZATIO N WORKLOAD REPORT | |
2945 | IBJPB | |
2946 | IBSP AUTOM ATED BILLI NG SCREEN | |
2947 | IBJPC | |
2948 | IBSP CLAIM S TRACKING PARAMETER SCREEN | |
2949 | IBJPC1 | |
2950 | Routine fo r Site Par ameter HCS R screen ( nodes 63-6 6) | |
2951 | IBJPC2 | |
2952 | Routine fo r HCSR War d Paramete r screen | |
2953 | IBJPC3 | |
2954 | Clinic and Ward Incl usion list by payer for Site P arameter H CSR screen | |
2955 | IBJPI | |
2956 | IBJP eIV S ITE PARAME TERS SCREE N | |
2957 | IBJPI2 | |
2958 | eIV SITE P ARAMETERS SCREEN ACT IONS | |
2959 | IBJPI3 | |
2960 | IBJP IIV M OST POPULA R PAYER LI ST SCREEN | |
2961 | IBJPI4 | |
2962 | IBJP IIV M OST POPULA R PAYER LI ST SCREEN | |
2963 | IBJPI5 | |
2964 | eIV SITE P ARAMETERS SCREEN | |
2965 | IBJPM | |
2966 | IBSP MCCR PARAMETERS SCREEN | |
2967 | IBJPS | |
2968 | IBSP IB SI TE PARAMET ER SCREEN | |
2969 | IBJPS1 | |
2970 | IBSP IB SI TE PARAMET ER BUILD | |
2971 | IBJPS2 | |
2972 | IBSP IB SI TE PARAMET ER BUILD ( CONT.) | |
2973 | IBJPS3 | |
2974 | IB SITE PA RAMETERS, PAY-TO PRO VIDER | |
2975 | IBJPS4 | |
2976 | IB Site Pa rameters, Pay-To Pro vider Asso ciations | |
2977 | IBJPS5 | |
2978 | IB Site Pa rameters, Revenue Co des | |
2979 | IBJPS6 | |
2980 | IB Site Pa rameters, Administra tive Contr actors | |
2981 | IBJPS7 | |
2982 | IB Site Pa rameters, Pay-To Pro vider Rate Types | |
2983 | IBJPS8 | |
2984 | IB Site Pa rameters, CMN CPT In clusions C PT Codes | |
2985 | IBJTA1 | |
2986 | TPI ACTION S | |
2987 | IBJTAD | |
2988 | Third Part y Joint In quiry (TPJ I) Electro nic Remitt ance Advic e (ERA)/83 5 ADDITION AL INFORMA TION SCREE N | |
2989 | IBJTBA, IB JTBA1 | |
2990 | Used to di splay TPJI bill char ge informa tion. | |
2991 | IBJTBB | |
2992 | TPI BILL D IAGNOSIS S CREEN | |
2993 | IBJTBC | |
2994 | TPI BILL P ROCEDURES SCREEN | |
2995 | IBJTCA | |
2996 | TPI CLAIMS INFO BUIL D | |
2997 | IBJTCA1 | |
2998 | TPI CLAIMS INFO BUIL D | |
2999 | IBJTCA2 | |
3000 | TPI CLAIMS INFO BUIL D (CONT) | |
3001 | IBJTEA | |
3002 | TPI PATIEN T ELIGIBLI TY SCREEN | |
3003 | IBJTED | |
3004 | TPJI EDI S TATUS SCRE EN | |
3005 | IBJTEP | |
3006 | TPJI ERA/8 35 INFORMA TION SCREE N | |
3007 | IBJTEP1 | |
3008 | TPJI utili ty Routine for the I BJTEP & IB JTPE routi nes | |
3009 | IBJTLA | |
3010 | TPI ACTIVE BILLS LIS T SCREEN | |
3011 | IBJTLA1 | |
3012 | TPI ACTIVE BILLS LIS T BUILD | |
3013 | IBJTLB | |
3014 | TPI INACTI VE LIST SC REEN | |
3015 | IBJTLB1 | |
3016 | TPI INACTI VE LIST BU ILD | |
3017 | IBJTNA | |
3018 | TPI INSURA NCE SCREEN S/ACTIONS | |
3019 | IBJTNB | |
3020 | TPI INSURA NCE POLICY /AB SCREEN S/ACTIONS | |
3021 | IBJTPE | |
3022 | TPJI ERA/8 35 PRINT E EOB INFORM ATION SCRE EN | |
3023 | IBJTNC | |
3024 | TPI INSURA NCE PATIEN T POLICIES | |
3025 | IBJTRA, IB JTRA1 | |
3026 | Used to di splay Clai ms Trackin g insuranc e communic ations. | |
3027 | IBJTRX | |
3028 | TPJI scree n for ECME response informatio n. | |
3029 | IBJTTA | |
3030 | TPI AR ACC OUNT/CLAIM PROFILE | |
3031 | IBJTTA1 | |
3032 | TPI AR ACC OUNT/CLAIM PROFILE B UILD | |
3033 | IBJTTB | |
3034 | TPI AR TRA NSACTION P ROFILE | |
3035 | IBJTTB1 | |
3036 | TPI AR TRA NSACTION P ROFILE BUI LD | |
3037 | IBJTTB2 | |
3038 | TPI AR TRA NSACTION P ROFILE (CO NT) | |
3039 | IBJTTC | |
3040 | TPI AR COM MENT HISTO RY | |
3041 | IBJTU1 | |
3042 | TPI UTILIT IES | |
3043 | IBJTU2 | |
3044 | TPI UTILIT IES | |
3045 | IBJTU3 | |
3046 | TPI UTILIT IES - INS ADDRESS | |
3047 | IBJTU31 | |
3048 | TPI UTILIT IES - INS | |
3049 | IBJTU4 | |
3050 | TPI UTILIT IES - AR C ALLS | |
3051 | IBJTU5 | |
3052 | TPI UTILIT IES - BILL S/CLAIMS T RACKING | |
3053 | IBJTU6 | |
3054 | IB List Ma nager API. See Inte gration Ag reement 57 13. | |
3055 | IBJU1 | |
3056 | JBI UTILIT IES | |
3057 | IBJVDEQ | |
3058 | CBO Data E xtract Que ue Trigger | |
3059 | IBJYL | |
3060 | List Templ ate Export er | |
3061 | IBJYL1 | |
3062 | List Templ ate Export er | |
3063 | IBJYL2 | |
3064 | List Templ ate Export er | |
3065 | IBJYL3 | |
3066 | List Templ ate Export er | |
3067 | IBJYL4 | |
3068 | List Templ ate Export er | |
3069 | IBJYPT | |
3070 | IBJ V2.0 P OST-INITIA LIZATION R OUTINE | |
3071 | IBMFNHLI | |
3072 | Process in coming MFN Messages for table updates re lated to X 12 278 mes sages. | |
3073 | IBNCDNC | |
3074 | DRUGS NON COVERED | |
3075 | IBNCDNC1 | |
3076 | DRUGS NON COVERED | |
3077 | IBNCP* | |
3078 | IB routine s related to ePharma cy/ECME pr ocessing a nd billing of electr onic real- time presc riptions. | |
3079 | IBNCPBB | |
3080 | ECME BACKB ILLING | |
3081 | IBNCPBB1 | |
3082 | CONTINUATI ON OF ECME BACKBILLI NG | |
3083 | IBNCPDP | |
3084 | APIS FOR N CPCP/ECME | |
3085 | IBNCPDP1 | |
3086 | PROCESSING FOR NEW R X REQUESTS | |
3087 | IBNCPDP2 | |
3088 | PROCESSING FOR ECME RESP | |
3089 | IBNCPDP3 | |
3090 | STORES NDC /AWP UPDAT ES | |
3091 | IBNCPDP4 | |
3092 | HANDLE ECM E EVENTS | |
3093 | IBNCPDP5 | |
3094 | PROCESSING FOR ECME RESP FOR S ECONDARY | |
3095 | IBNCPDP6 | |
3096 | TRICARE NC PDP TOOLS | |
3097 | IBNCPDPC | |
3098 | CLAIMS TRA CKING EDIT OR for ECM E | |
3099 | IBNCPDPE | |
3100 | NCPDP BILL ING EVENTS REPORT | |
3101 | IBNCPDPH | |
3102 | ECME REPOR T OF ON HO LD CHARGES FOR A PAT IENT | |
3103 | IBNCPDPI | |
3104 | ECME SCREE N INSURANC E VIEW AND UTILITIES | |
3105 | IBNCPDPL | |
3106 | for ECME R ESEARCH SC REEN ELIGI BILITY VIE W | |
3107 | IBNCPDPR | |
3108 | ECME RELEA SE CHARGES ON HOLD | |
3109 | IBNCPDPU | |
3110 | UTILITIES FOR NCPCP | |
3111 | IBNCPDPV | |
3112 | for ECME S CREEN VIEW PATIENT I NSURANCE | |
3113 | IBNCPDR | |
3114 | ROI MANAGE MENT, LIST MANAGER | |
3115 | IBNCPDR1 | |
3116 | ROI MANAGE MENT | |
3117 | IBNCPDR2 | |
3118 | ROI MANAGE MENT, ADD ROI | |
3119 | IBNCPDR4 | |
3120 | ROI MANAGE MENT, ROI CHECK | |
3121 | IBNCPDR5 | |
3122 | ROI MANAGE MENT, EXPA ND ROI | |
3123 | IBNCPDRA | |
3124 | ROI EXPIRA TION REPOR T USER SEL ECTION CRI TERIA | |
3125 | IBNCPDRB | |
3126 | ROI EXPIRA TION REPOR T DISPLAY | |
3127 | IBNCPDS1 | |
3128 | DISPLAY RX COB DETER MINATION | |
3129 | IBNCPEB | |
3130 | BULLETINS FOR NCPDP | |
3131 | IBNCPEV | |
3132 | NCPDP BILL ING EVENTS REPORT | |
3133 | IBNCPEV1 | |
3134 | NCPDP BILL ING EVENTS REPORT | |
3135 | IBNCPEV3 | |
3136 | NCPDP BILL ING EVENTS REPORT-AP Is for new BPS RPT N ON-BILLABL E REPORT i n the ECME applicati on. | |
3137 | IBNCPLOG | |
3138 | IB ECME EV NT REPORT | |
3139 | IBNCPNB | |
3140 | UTILITIES FOR NCPCP | |
3141 | IBNCPRR | |
3142 | Prescripti on Report for 3rd Pa rty Billin g cross ch eck | |
3143 | IBNCPRR1 | |
3144 | Prescripti on Report for 3rd Pa rty Billin g (Extrins ic Functio ns) | |
3145 | IBNCPUT1 | |
3146 | IB NCPDP U TILITIES | |
3147 | IBNCPUT2 | |
3148 | IB NCPDP U TILITIES | |
3149 | IBNCPUT3 | |
3150 | ePharmacy secondary billing | |
3151 | IBNTEG* | |
3152 | IB integri ty routine s. | |
3153 | IBOA31 | |
3154 | List All B ills For a Patient R eport. (R outine for merly name d DGCRA31. ) | |
3155 | IBOA32 | |
3156 | Continuati on of List All Bills For a Pat ient Repor t. Retrie ves and di splays Int egrated Bi lling Acti ons. (Rou tine forme rly named DGCRA32.) | |
3157 | IBOAMS | |
3158 | Revenue Co de Totals by Rate Ty pe Report. (Routine formerly named DGCR AMS1.) | |
3159 | IBOBCC, IB OBCC1 | |
3160 | Search, so rt, and pr int the Un billed BAS C for Insu red Patien t Appointm ent Report . | |
3161 | IBOBCR6 | |
3162 | Continuous Pt. Repor t - displa ys a listi ng of pati ents who h ave been c ontinuousl y hospital ized since July 1, 1 986. | |
3163 | IBOBCRT | |
3164 | Billing Cy cle Inquir y - displa ys 90 day billing cl ocks, prim ary eligib ility code , status, etc. | |
3165 | IBOBL | |
3166 | List bills for an ep isode of c are. (Rou tine forme rly named DGCROBL.) | |
3167 | IBOCDRPT | |
3168 | Lists char ges that m ay need to be cancel led becaus e the pati ent is ide ntified as Catastrop hically Di sabled. | |
3169 | IBOCHK | |
3170 | Verifies l inks from IB to Phar macy. | |
3171 | IBOCNC | |
3172 | Determine Clinic CPT Usage Rep ort search parameter s from use r input. | |
3173 | IBOCNC1 | |
3174 | Search and sort the Clinic CPT Usage Rep ort. | |
3175 | IBOCNC2 | |
3176 | Print the Clinic CPT Usage Rep ort. | |
3177 | IBOCOSI | |
3178 | Search, so rt, and pr int the in active CPT codes on Check-off Sheets Rep ort. | |
3179 | IBOCPD | |
3180 | Option for printing the full o r summary Clerk Prod uctivity R eport. | |
3181 | IBOCPDS | |
3182 | Search, so rt, and pr int the Cl erk Produc tivity Sum mary Repor t. | |
3183 | IBODISP | |
3184 | Brief and full inqui ry to Inte grated Bil ling Actio ns. | |
3185 | IBODIV | |
3186 | Select div ision or c linic. | |
3187 | IBOEMP, IB OEMP1, IBO EMP2 | |
3188 | List of em ployed pat ients with no insura nce covera ge. | |
3189 | IBOHCK | |
3190 | CHECK FOR IB CHARGES ON HOLD | |
3191 | IBOHCR | |
3192 | RELEASE/UP DATE A PAT IENTS CHAR GES ON HOL D | |
3193 | IBOHCT | |
3194 | CHECK FOR IB CHARGES ON HOLD | |
3195 | IBOHDT* | |
3196 | REPORT OF CHARGES ON HOLD > 60 DAYS | |
3197 | IBOHDT1 | |
3198 | REPORT OF CHARGES ON HOLD > 60 DAYS-CONT | |
3199 | IBOHFIX | |
3200 | CLEAN UP R OUTINE FOR PATCH IB* 2*95 | |
3201 | IBOHIST | |
3202 | HISTORY OF CHARGES O N HOLD REP ORT | |
3203 | IBOHLD1, I BOHLD2 | |
3204 | Report of Category C Charges O n Hold. | |
3205 | IBOHPT* | |
3206 | Report of Charges On Hold for a Patient. | |
3207 | IBOHPT1 | |
3208 | REPORT OF ON HOLD CH ARGES FOR A PATIENT | |
3209 | IBOHPT2 | |
3210 | ON HOLD CH ARGE INFO/ PT CONT. | |
3211 | IBOHRAR | |
3212 | RELEASED C HARGES REP ORT | |
3213 | IBOHRL | |
3214 | AUTO-RELEA SE CHARGES ON HOLD > 90 DAYS | |
3215 | IBOHTOT | |
3216 | COUNT/AMT OF CHARGES ON HOLD R EPORT | |
3217 | IBOLK | |
3218 | Patient Bi lling Inqu iry - user interface , prints I B Actions. | |
3219 | IBOLK1 | |
3220 | Address In quiry. | |
3221 | IBOMBL | |
3222 | MCCR MAS B illing Log . (Routin e formerly named DGC ROMBL.) | |
3223 | IBOMTC | |
3224 | Category C Activity Listing - user inter face. | |
3225 | IBOMTC1 | |
3226 | Category C Activity Listing - compilatio n and outp ut. | |
3227 | IBOMTE | |
3228 | Estimate C ategory C Charges - user inter face. | |
3229 | IBOMTE1 | |
3230 | Estimate C ategory C Charges - output. | |
3231 | IBOMTE2 | |
3232 | Estimate C ategory C Charges - compile ch arges. | |
3233 | IBOMTLTC | |
3234 | MT/LTC CO- PAY REMOTE QUERY | |
3235 | IBOMTP | |
3236 | Single Pat ient Cat C Profile - user inte rface. | |
3237 | IBOMTP1 | |
3238 | Single Pat ient Cat C Profile - compilati on and out put. | |
3239 | IBORAT | |
3240 | Top level routine fo r Billing Rates List ing. | |
3241 | IBORAT1A | |
3242 | Builds a t emp file o f data fro m the IB A CTION CHAR GE file (# 350.2). | |
3243 | IBORAT1B | |
3244 | Parses the temp file built by IBORAT1A a nd calcula tes effect ive dates for IB ACT ION CHARGE S. | |
3245 | IBORAT1C | |
3246 | Writes the IB ACTION CHARGES t o the sele cted devic e. | |
3247 | IBORAT2A | |
3248 | Filters th e BILLING RATES file (#399.5) to build a temp file of billin g rates. | |
3249 | IBORAT2B | |
3250 | Parses the temp file built by IBORAT2A a nd calcula tes effect ive dates for BILLIN G RATES. | |
3251 | IBORAT2C | |
3252 | Writes the BILLING R ATES to th e selected device. | |
3253 | IBORT, IBO RT1 | |
3254 | MCCR MAS B illing Tot als Report . (Routin es formerl y named DG CRORT, DGC RORT1.) | |
3255 | IBOSCDC | |
3256 | SERVICE CO NNECTED DE TERMINATIO N CHANGE R EPORT | |
3257 | IBOSCDC1 | |
3258 | SERVICE CO NNECTED DE TERMINATIO N CHANGE R EPORT UTIL ITIES | |
3259 | IBOSRX | |
3260 | POTENTIAL SECONDARY RX CLAIMS REPORT | |
3261 | IBOST | |
3262 | Statistics report ro utine. | |
3263 | IBOSTUS, I BOSTUS1 | |
3264 | Bill Statu s Report. (Routines formerly named DGCR OST, DGCRO ST1.) | |
3265 | IBOTR, IBO TR1, IBOTR 11 | |
3266 | Insurance Payment Tr end Report user inte rface. (R outines IB OTR and IB OTR1 were formerly n amed DGCRO TR, DGCROT R1.) | |
3267 | IBOTR2 | |
3268 | Insurance Payment Tr end Report data comp ilation. (Routine f ormerly na med DGCROT R2.) | |
3269 | IBOTR3, IB OTR4 | |
3270 | Insurance Payment Tr end Report output. (Routines formerly n amed DGCRO TR3, DGCRO TR4.) | |
3271 | IBOTRR | |
3272 | ROI Expire d Consent Report | |
3273 | IBOUNP1, I BOUNP2, IB OUNP3 | |
3274 | Inpatients w/Unknown or Expire d Insuranc e Report. | |
3275 | IBOUNP4, I BOUNP5, IB OUNP6 | |
3276 | Outpatient s’ w/Unkno wn or Expi red Insura nce Report . | |
3277 | IBOUTL | |
3278 | Utility pr ogram for output rep orts. | |
3279 | IBOVOP, IB OVOP1, IBO VOP2 | |
3280 | Category C Outpatien t/Events R eport. | |
3281 | IBP | |
3282 | Archive/Pu rge - opti on driver. | |
3283 | IBP431 | |
3284 | POST INSTA LL FOR IB* 2.0*431 | |
3285 | Reformats data in ^I BM(361.1 f or HIPA 50 10 changes . | |
3286 | IBPA | |
3287 | Archive/Pu rge - Arch ive billin g data. | |
3288 | IBPEX | |
3289 | Contains t he logic t o purge en tries from the BILLI NG EXEMPTI ONS file ( #354.1). This routi ne will no t purge en tries for approximat ely two ye ars from i ts release date. | |
3290 | IBPF, IBPF 1 | |
3291 | Archive/Pu rge - Find Billing D ata to Arc hive. | |
3292 | IBPFU | |
3293 | Archive/Pu rge - Find Billing D ata to Arc hive utili ties. | |
3294 | IBPO | |
3295 | Archive/Pu rge - Outp uts - List Archive/P urge Log E ntries; Ar chive/Purg e Log Inqu iry; List Search Tem plate Entr ies. | |
3296 | IBPP | |
3297 | Archive/Pu rge - purg e billing data. | |
3298 | IBPU, IBPU 1, IBPU2 | |
3299 | Archive/Pu rge - gene ral utilit ies. | |
3300 | IBPUBUL | |
3301 | Archive/Pu rge - gene rate mail message af ter archiv e/purge op eration. | |
3302 | IBPUDEL | |
3303 | Archive/Pu rge - dele te entries from a se arch templ ate. | |
3304 | IBQL356 | |
3305 | UM ROLLUP - IBT DATA EXTRACTS | |
3306 | IBQL356A | |
3307 | UM ROLLUP - IBT DATA EXTRACTS CONT. | |
3308 | IBQL538 | |
3309 | IBQ EXTRAC T DATA | |
3310 | IBQLCHK | |
3311 | UM ROLLUP - CHECK IN FO. IN IB( array) | |
3312 | IBQLD1 | |
3313 | ACUTE/NON- ACUTE DOWN LOAD | |
3314 | IBQLD1A | |
3315 | ACUTE/NON- ACUTE DOWN LOAD | |
3316 | IBQLD2 | |
3317 | PATIENT DO WNLOAD TO SPREADSHEE T | |
3318 | IBQLD2A | |
3319 | PATIENT DO WNLOAD TO SPREADSHEE T | |
3320 | IBQLD3 | |
3321 | PATIENT/PR OVIDER REV IEW DOWNLO AD | |
3322 | IBQLD3A | |
3323 | PROVIDER/P ATIENT DOW NLOAD | |
3324 | IBQLD4 | |
3325 | ACUTE/NON- ACUTE REPO RT | |
3326 | IBQLD4A | |
3327 | ACUTE/NON- ACUTE DOWN LOAD | |
3328 | IBQLLD | |
3329 | LOAD UMR F ILE | |
3330 | IBQLLD1 | |
3331 | LOAD UMR F ILE | |
3332 | IBQLLD2 | |
3333 | LOAD UMR F ILE/EDIT C HECK ORDER | |
3334 | IBQLPL | |
3335 | PATIENTS Q UALIFY/MIS SING INFO LIST | |
3336 | IBQLPL1 | |
3337 | PATIENTS Q UALIFY/MIS SING INFO LIST | |
3338 | IBQLPL2 | |
3339 | PRINT PATI ENTS QUALI FY/MISSING LIST | |
3340 | IBQLPL3 | |
3341 | PATIENTS Q UALIFY/MIS SING LIST | |
3342 | IBQLPOST | |
3343 | CREATE IBQ ROLLUP MA ILGROUP PO ST INT | |
3344 | IBQLPRE | |
3345 | PRE INSTAL L INIT | |
3346 | IBQLPRG | |
3347 | PURGE UMR FILE AFTER ROLLUP | |
3348 | IBQLR1 | |
3349 | ACUTE/NON- ACUTE REPO RT | |
3350 | IBQLR1A | |
3351 | ACUTE/NON- ACUTE REPO RT | |
3352 | IBQLR1B | |
3353 | ACUTE/NON- ACUTE REPO RT | |
3354 | IBQLR2 | |
3355 | PATIENT RE PORT | |
3356 | IBQLR2A | |
3357 | PATIENT RE PORT | |
3358 | IBQLR3 | |
3359 | PATIENT/PR OVIDER REV IEW REPORT | |
3360 | IBQLR3A | |
3361 | PROVIDER/P ATIENT REP ORT | |
3362 | IBQLR4 | |
3363 | ACUTE/NON- ACUTE REPO RT | |
3364 | IBQLR4A | |
3365 | ACUTE/NON- ACUTE REPO RT | |
3366 | IBQLSCR | |
3367 | SCREEN DUM P OF RAW D ATA FOR DO WNLOAD SPR EADSHEET | |
3368 | IBQLT | |
3369 | TRANSMIT D ATA | |
3370 | IBQLT5 | |
3371 | TRANSMIT P REVIOUS RO LLUPS | |
3372 | IBQLT5A | |
3373 | TRANSMIT P REVIOUS RO LLUPS | |
3374 | IBQYIN | |
3375 | INITIALIZA TION ROUTI NE FOR PAT CH IBQ*1*1 | |
3376 | IBQYPT | |
3377 | POST-INITI ALIZATION FOR PATCH IBQ*1*1 | |
3378 | IBR | |
3379 | Totals cha rges, pass es to Acco unts Recei vable, and subsequen tly update s IB actio ns. | |
3380 | IBRBUL | |
3381 | Sends a ma il message to the IB Category C mail gro up informi ng it that Category C charges have been determined for a vet eran with insurance. | |
3382 | IBRCON1 | |
3383 | Allows the user to d o a lookup on a cros s-referenc e of patie nts with c onverted c harges and then sele ct one for processin g. | |
3384 | IBRCON2 | |
3385 | Passes all outpatien t converte d charges prior to a user-sele cted date to Account s Receivab le by call ing routin e ^IBR. | |
3386 | IBRCON3 | |
3387 | Top level routine fo r the IBRC ON1 and IB RCON2. | |
3388 | IBRFIHL1 | |
3389 | HL7 Proces s Incoming EHC_E12 M essages | |
3390 | IBRFIHL2 | |
3391 | HL7 Proces s Incoming EHC_E12 M essages (c ont.) | |
3392 | IBRFIHLI | |
3393 | Incoming H L7 message s | |
3394 | IBRFIHLU | |
3395 | HL7 Utilit ies | |
3396 | IBRFIN | |
3397 | RFAI Messa ge Detail Worklist | |
3398 | IBRFIWL | |
3399 | LIST OF Re quest For Additional Informati on (RFAI) SCREEN | |
3400 | IBRFIWL1 | |
3401 | RFAI Messa ge Detail Worklist | |
3402 | IBRFIWLA | |
3403 | LIST OF Re quest For Additional Informati on (RFAI) SCREEN | |
3404 | IBRFN, IBR FN1, IBRFN 2 | |
3405 | Routine co ntains sup ported cal ls for Acc ounts Rece ivable. | |
3406 | IBRFN3 | |
3407 | Passes bil l/claims i nfo to Acc ounts Rece ivable. | |
3408 | IBRFN4 | |
3409 | Contains u tility cal ls for IB/ AR Extract . | |
3410 | IBRREL | |
3411 | Release Me ans Test c harges pla ced on hol d. | |
3412 | IBRSUTL | |
3413 | ASCD INTER FACE UTILI TIES | |
3414 | IBRUTL | |
3415 | Utilities for the IB /Accounts Receivable interface . | |
3416 | IBRXUTL | |
3417 | PHARMACY A PI CALLS | |
3418 | IBRXUTL1 | |
3419 | BP/BDM - P HARMACY AP I CALLS | |
3420 | IBSDU | |
3421 | ACRP API U TILITIES | |
3422 | IBTOAT, IB TOAT1, IBT OAT2 | |
3423 | These rout ines print the Admis sion Sheet . | |
3424 | IBTOBI, IB TOBI1, IBT OBI2, | |
3425 | IBTOBI3, I BTOBI4 | |
3426 | These rout ines print the Claim s Tracking summary f or billing . | |
3427 | IBTODD, IB TODD1 | |
3428 | These rout ines print the Days Denied Rep ort for Cl aims Track ing. | |
3429 | IBTODD2 | |
3430 | CLAIMS TRA CKING DENI ED DAYS RE PORT | |
3431 | IBTOECT | |
3432 | ENHANCED C LAIMS TRAC KING REPOR TS | |
3433 | IBTOLR | |
3434 | This routi ne prints the list o f cases in Claims Tr acking req uiring Ran dom Sample . | |
3435 | IBTONB | |
3436 | This routi ne prints unbilled c are that i s billable in Claims Tracking. | |
3437 | IBTOPW | |
3438 | This routi ne prints the Pendin g Reviews Report. | |
3439 | IBTOSA | |
3440 | This routi ne prints the Schedu led Admiss ions with Insurance Report. | |
3441 | IBTOSUM, I BTOSUM1, I BTOSUM2 | |
3442 | These rout ines print the MCCR/ UR Summary Report. | |
3443 | IBTOTR | |
3444 | This routi ne prints the Claims Tracking Inquiry. | |
3445 | IBTOUA | |
3446 | This routi ne prints the Unsche duled Admi ssions wit h Insuranc e Report. | |
3447 | IBTOUR, IB TOUR1, IBT OUR2, IBTO UR3, IBTOU R4, IBTOUR 5 | |
3448 | These rout ines print the Claim s Tracking UR Activi ty Report. | |
3449 | IBTOVS | |
3450 | This routi ne prints a list of billable v isits from Claims Tr acking by visit type . | |
3451 | IBTRC, IBT RC1, IBTRC 2, IBTRC3 , IBTRC4 | |
3452 | These rout ines displ ay the lis t of Insur ance Revie ws for a v isit and a llow for e diting of the data o n one or m ore review s, as well as adding or deleti ng reviews . | |
3453 | IBTRCD, IB TRCD0, IBT RCD1 | |
3454 | These rout ines creat e the expa nded displ ay of a si ngle Insur ance Revie w and allo w for edit ing of the review. | |
3455 | IBTRD, IBT RD1 | |
3456 | These rout ines displ ay the lis t of denia ls and app eals and a llow for a dding, edi ting, and deleting o f the data on one or more of t he listed items. | |
3457 | IBTRDD, IB TRDD1 | |
3458 | These rout ines creat e the expa nded displ ay of a si ngle denia l or appea l and for editing of the entry . | |
3459 | IBTRE, IBT RE0, IBTRE 1, IBTRE2, IBTRE20, IBTRE3 | |
3460 | These rout ines displ ay the lis t of Claim s Tracking entries ( inpatient visits, ou tpatient v isits, pre scription refills) f or a patie nt, and al low for ad ding, edit ing, and d eleting of visits on the list. | |
3461 | IBTRE4 | |
3462 | This routi ne allows for editin g of inpat ient proce dures in C laims Trac king. | |
3463 | IBTRE5 | |
3464 | This routi ne allows for the ed iting of i npatient p roviders i n Claims T racking. | |
3465 | IBTRE6 | |
3466 | This routi ne allows for the ed iting of i npatient p rocedures in Claims Tracking. | |
3467 | IBTRED, IB TRED0, IBT RED01, BTR ED1, IBTRE D2 | |
3468 | These rout ines creat e the expa nded displ ay of a si ngle entry in Claims Tracking and editin g on the d isplayed d ata. | |
3469 | IBTRH1 | |
3470 | Contains t he main En try Points for the H CSR Workli st. | |
3471 | IBTRH1A | |
3472 | Contains E ntry Point s and Func tions used in filter ing/displa ying the H CSR Workli st. | |
3473 | IBTRH1B | |
3474 | Contains E ntry Point s and Func tions used in filter ing/displa ying the H CSR Workli st. | |
3475 | IBTRH2 | |
3476 | HCSR Workl ist Expand Entry | |
3477 | IBTRH2A | |
3478 | HCSR Workl ist Expand Entry con tinued | |
3479 | IBTRH2B | |
3480 | HCSR Workl ist Expand Entry - S end | |
3481 | IBTRH3 | |
3482 | IBT HCSR R esponse Vi ew | |
3483 | IBTRH3A | |
3484 | IBT HCSR R esponse Vi ew – Displ ay set up | |
3485 | IBTRH3B | |
3486 | IBT HCSR R esponse Vi ew – Displ ay set up | |
3487 | IBTRH5 | |
3488 | HCSR Respo nse Workli st | |
3489 | IBTRH5A | |
3490 | HCSR Creat e 278 Requ est | |
3491 | IBTRH5B | |
3492 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3493 | IBTRH5C | |
3494 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3495 | IBTRH5D | |
3496 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3497 | IBTRH5E | |
3498 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3499 | IBTRH5F | |
3500 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3501 | IBTRH5G | |
3502 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3503 | IBTRH5H | |
3504 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3505 | IBTRH5I | |
3506 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3507 | IBTRH5J | |
3508 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3509 | IBTRH5K | |
3510 | Contains E ntry Point s and Func tions used in creati ng a 278 r equest fro m a select ed entry i n the HCSR Response Worklist. | |
3511 | IBTRH6 | |
3512 | HCSR Send 278 Short Worklist | |
3513 | IBTRH7 | |
3514 | Entry Poin t for IBT HCSR MANUA L 278 ADD Protocol | |
3515 | IBTRH8 | |
3516 | Entry Poin t to displ ay X12 278 message i n X12 form at. | |
3517 | IBTRH8A | |
3518 | Additional routine t o display X12 278 me ssage in X 12 format. | |
3519 | IBTRHDE | |
3520 | HCSR Patie nt Events Search | |
3521 | IBTRHDE1 | |
3522 | HCSR Auto Trigger of 278X215 I nquiry | |
3523 | IBTRHLI | |
3524 | Receive an d store 27 8 Response message. | |
3525 | IBTRHLI1 | |
3526 | Receive an d store 27 8 Response message. | |
3527 | IBTRHLI2 | |
3528 | Receive an d store 27 8 Response message. | |
3529 | IBTRHLI3 | |
3530 | Receive an d store 27 8 Response message. | |
3531 | IBTRHLO | |
3532 | Create and send 278 Inquiry. | |
3533 | IBTRHLO1 | |
3534 | Create and send 278 Inquiry co nt. | |
3535 | IBTRHLO2 | |
3536 | Create and send 278 Inquiry co nt. | |
3537 | IBTRHLU | |
3538 | Utilities used to re ceive and store 278 Response m essage. | |
3539 | IBTRHRC | |
3540 | CLAIMS TRA CKING 278 CERTIFICAT ION REPORT | |
3541 | IBTRHRD | |
3542 | CLAIMS TRA CKING 278 DELETION D ISPOSITION REPORT | |
3543 | IBTRHRS | |
3544 | CLAIMS TRA CKING 278 STATISTICA L VOLUME R EPORT | |
3545 | IBTRKR | |
3546 | Invoked by the inpat ient event driver an d automati cally crea tes an inp atient Cla ims Tracki ng entry f or specifi c admissio ns. | |
3547 | IBTRKR0 | |
3548 | CLAIMS TRA CKING - RA NDOM SELEC TION BULLE TIN | |
3549 | IBTRKR1 | |
3550 | The random sample ge nerator fo r determin ing which admissions will be p art of the QM mandat ed random sample. | |
3551 | IBTRKR2 | |
3552 | This routi ne is invo ked by the nightly b ackground job and ad ds schedul ed admissi ons to Cla ims Tracki ng. | |
3553 | IBTRKR3, I BTRKR31 | |
3554 | Adds presc ription re fill infor mation to Claims Tra cking. | |
3555 | IBTRKR4, I BTRKR41 | |
3556 | Add outpat ient encou nters to C laims Trac king. | |
3557 | IBTRKR5 | |
3558 | This routi ne adds pr osthetics to Claims Tracking. | |
3559 | IBTRKRBA | |
3560 | claims tra cking - ra ndom selec tion bulle tin | |
3561 | IBTRKRBD | |
3562 | claims tra cking - de leted admi ssion bull etin | |
3563 | IBTRKRBR | |
3564 | claims tra cking - re linker bul letin | |
3565 | IBTRKRU | |
3566 | claims tra cking file utilities | |
3567 | IBTRP | |
3568 | Displays a nd allows editing of Claims Tr acking par ameters. | |
3569 | IBTRPR, IB TRPR0, IBT RPR01, IBT RPR1, IBTR PR2 | |
3570 | These rout ines displ ay pending hospital insurance reviews an d perform necessary actions on these rev iews. | |
3571 | IBTRR | |
3572 | ROI consen t records display an d editing in Claims Tracking | |
3573 | IBTRR1 | |
3574 | ROI consen t records display an d editing in Claims Tracking | |
3575 | IBTRV, IBT RV1, IBTRV 2, IBTRV3, IBTRV31 | |
3576 | These rout ines displ ay the lis t of hospi tal review s for a vi sit and al low for ad ding, edit ing, and d eleting of the entri es listed. | |
3577 | IBTRVD, IB TRVD0, IBT RVD1 | |
3578 | These rout ines creat e the expa nded displ ay of a si ngle hospi tal review and allow editing o f the disp layed data . | |
3579 | IBTUB | |
3580 | UNBILLED A MOUNTS MEN U | |
3581 | IBTUBAV | |
3582 | UNBILLED A MOUNTS - A VERAGE BIL L AMOUNT L OGIC | |
3583 | IBTUBAV1 | |
3584 | UNBILLED A MOUNTS - A VERAGE BIL L AMOUNT L OGIC | |
3585 | IBTUBO | |
3586 | UNBILLED A MOUNTS - G ENERATE UN BILLED REP ORTS | |
3587 | IBTUBO1 | |
3588 | UNBILLED A MOUNTS - G ENERATE UN BILLED REP ORTS | |
3589 | IBTUBO2 | |
3590 | UNBILLED A MOUNTS - G ENERATE UN BILLED REP ORTS | |
3591 | IBTUBO3 | |
3592 | UNBILLED A MOUNTS - G ENERATE UN BILLED REP ORTS | |
3593 | IBTUBOA | |
3594 | UNBILLED A MOUNTS - G ENERATE UN BILLED REP ORTS | |
3595 | IBTUBOU | |
3596 | UNBILLED A MOUNTS (UT ILITIES) | |
3597 | IBTUBUL | |
3598 | UNBILLED A MOUNTS | |
3599 | IBTUBV | |
3600 | UNBILLED A MOUNTS - V IEW UNBILL ED DATA | |
3601 | IBTUTL, IB TUTL1, IBT UTL2, IBTU TL3, IBTUT L4, IBTUTL 5 | |
3602 | These util ity routin es perform the creat ion of new entries i n Claims T racking, i nsurance r eviews, an d hospital reviews. | |
3603 | IBVCB, IBV CB1, IBVCB 2 | |
3604 | View Cance lled Bill Report | |
3605 | IBX* | |
3606 | Generated or Compile d Routines for XREFS , PRINT TE MPLATES, I NPUT TEMPL ATES | |
3607 | IBY528 | |
3608 | Pre-Instal l for IB*2 *528 | |
3609 | IBY528PO | |
3610 | Post-Insta ll for IB* 2*528. | |
3611 | IBY***EN | |
3612 | ENVIRONMEN T CHECKS F OR IB PATC H | |
3613 | IBY***PO | |
3614 | POST-INSTA LLATION FO R IB PATCH | |
3615 | IBY***PR | |
3616 | PRE- INSTA LLATION FO R IB PATCH | |
3617 | (This page included for two-si ded copyin g.) | |
3618 | DGCR* to I B* Namespa ce Map | |
3619 | ||
3620 | The follow ing is a l ist of DGC R routines that chan ged to the IB namesp ace in thi s version. | |
3621 | ||
3622 | DGCR Name | |
3623 | IB Name | |
3624 | DGCR Name | |
3625 | IB Name | |
3626 | DGCRA | |
3627 | IBCA | |
3628 | DGCRP0 | |
3629 | IBCF10 | |
3630 | DGCRA0 | |
3631 | IBCA0 | |
3632 | DGCRP1 | |
3633 | IBCF11 | |
3634 | DGCRA1 | |
3635 | IBCA1 | |
3636 | DGCRP2 | |
3637 | IBCF12 | |
3638 | DGCRA2 | |
3639 | IBCA2 | |
3640 | DGCRP4 | |
3641 | IBCF14 | |
3642 | DGCRA3 | |
3643 | IBCA3 | |
3644 | DGCRPAR | |
3645 | IBEPAR | |
3646 | DGCRA31 | |
3647 | IBOA31 | |
3648 | DGCRPAR1 | |
3649 | IBEPAR1 | |
3650 | DGCRA32 | |
3651 | IBOA32 | |
3652 | DGCRSC1 | |
3653 | IBCSC1 | |
3654 | DGCRAMS1 | |
3655 | IBOAMS | |
3656 | DGCRSC2 | |
3657 | IBCSC2 | |
3658 | DGCRAMS2 | |
3659 | OBSOLETE | |
3660 | DGCRSC3 | |
3661 | IBCSC3 | |
3662 | DGCRB | |
3663 | IBCB | |
3664 | DGCRSC4 | |
3665 | IBCSC4 | |
3666 | DGCRB1 | |
3667 | IBCB1 | |
3668 | DGCRSC4A | |
3669 | IBCSC4A | |
3670 | DGCRB2 | |
3671 | IBCB2 | |
3672 | DGCRSC4B | |
3673 | IBCSC4B | |
3674 | DGCRBB | |
3675 | IBCBB | |
3676 | DGCRSC4C | |
3677 | IBCSC4C | |
3678 | DGCRBB1 | |
3679 | IBCBB1 | |
3680 | DGCRSC5 | |
3681 | IBCSC5 | |
3682 | DGCRBB2 | |
3683 | IBCBB2 | |
3684 | DGCRSC6 | |
3685 | IBCSC6 | |
3686 | DGCRBR | |
3687 | IBCBR | |
3688 | DGCRSC61 | |
3689 | IBCSC61 | |
3690 | DGCRBULL | |
3691 | IBCBULL | |
3692 | DGCRSC7 | |
3693 | IBCSC7 | |
3694 | DGCRC | |
3695 | IBCC | |
3696 | DGCRSC8 | |
3697 | IBCSC8 | |
3698 | DGCRCC | |
3699 | IBCCC | |
3700 | DGCRSC8H | |
3701 | IBCSC8H | |
3702 | DGCRCC1 | |
3703 | IBCCC1 | |
3704 | DGCRSCE | |
3705 | IBCSCE | |
3706 | DGCRCC2 | |
3707 | IBCCC2 | |
3708 | DGCRSCE1 | |
3709 | IBCSCE1 | |
3710 | DGCRCPT | |
3711 | IBCCPT | |
3712 | DGCRSCH | |
3713 | IBCSCH | |
3714 | DGCRMENU | |
3715 | IBCMENU | |
3716 | DGCRSCH1 | |
3717 | IBCSCH1 | |
3718 | DGCRNQ | |
3719 | IBCNQ | |
3720 | DGCRSCP | |
3721 | IBCSCP | |
3722 | DGCRNQ1 | |
3723 | IBCNQ1 | |
3724 | DGCRSCU | |
3725 | IBCSCU | |
3726 | DGCROBL | |
3727 | IBOBL | |
3728 | DGCRTN | |
3729 | IBCRTN | |
3730 | DGCROMBL | |
3731 | IBOMBL | |
3732 | DGCRTP | |
3733 | IBCF1TP | |
3734 | DGCRONS1 | |
3735 | IBCONS1 | |
3736 | DGCRU | |
3737 | IBCU | |
3738 | DGCRONS2 | |
3739 | IBCONS2 | |
3740 | DGCRU1 | |
3741 | IBCU1 | |
3742 | DGCRONSC | |
3743 | IBCONSC | |
3744 | DGCRU2 | |
3745 | IBCU2 | |
3746 | DGCROPV | |
3747 | IBCOPV | |
3748 | DGCRU3 | |
3749 | IBCU3 | |
3750 | DGCROPV1 | |
3751 | IBCOPV1 | |
3752 | DGCRU4 | |
3753 | IBCU4 | |
3754 | DGCROPV2 | |
3755 | IBCOPV2 | |
3756 | DGCRU5 | |
3757 | IBCU5 | |
3758 | DGCRORT | |
3759 | IBORT | |
3760 | DGCRU6 | |
3761 | IBCU6 | |
3762 | DGCRORT1 | |
3763 | IBORT1 | |
3764 | DGCRU61 | |
3765 | IBCU61 | |
3766 | DGCROST | |
3767 | IBOSTUS | |
3768 | DGCRU62 | |
3769 | IBCU62 | |
3770 | DGCROST1 | |
3771 | IBOSTUS1 | |
3772 | DGCRU63 | |
3773 | IBCU63 | |
3774 | DGCROTR | |
3775 | IBOTR | |
3776 | DGCRU7 | |
3777 | IBCU7 | |
3778 | DGCROTR1 | |
3779 | IBOTR1 | |
3780 | DGCRU71 | |
3781 | IBCU71 | |
3782 | DGCROTR2 | |
3783 | IBOTR2 | |
3784 | DGCRVA | |
3785 | IBCVA | |
3786 | DGCROTR3 | |
3787 | IBOTR3 | |
3788 | DGCRVA0 | |
3789 | IBCVA0 | |
3790 | DGCROTR4 | |
3791 | IBOTR4 | |
3792 | DGCRVA1 | |
3793 | IBCVA1 | |
3794 | DGCRP | |
3795 | IBCF1 | |
3796 | ||
3797 | ||
3798 | ||
3799 | (This page included for two-si ded copyin g.) | |
3800 | ||
3801 | ||
3802 | Files | |
3803 | ||
3804 | Per VHA Di rective 10 -93-142 re garding se curity of software t hat affect s financia l systems, most of t he IB Data Dictionar ies may no t be modif ied. The file descr iptions of these fil es will be so noted. The file s which ma y be modif ied are En counter Fo rm files # 357 throug h #358.91. | |
3805 | ||
3806 | ||
3807 | Globals to Journal | |
3808 | ||
3809 | The IB, IB A, IBAM, I BE, and IB T globals must be jo urnaled. In a futur e release, we intend to move a ll dynamic files fro m IBE to I BA so that it will n ot be nece ssary to j ournal IBE . Journal ing of the IBAT glob al is opti onal. | |
3810 | ||
3811 | File List with Descr iptions | |
3812 | ||
3813 | File # | |
3814 | File Name | |
3815 | Global | |
3816 | File Descr iption | |
3817 | 36 | |
3818 | INSURANCE COMPANY | |
3819 | ^DIC(36, | |
3820 | This file contains t he names a nd address es of insu rance comp anies as n eeded by t he local f acility. The data i n this fil e is not e ditable us ing VA Fil e Manager. | |
3821 | 335.93 IB NON/OTHER VA BILLING PROVIDER FILE | |
3822 | ^IBA(355.9 3, | |
3823 | This file contains d ata for no n-VA facil ities that provide s ervices fo r VA patie nts who ha ve reimbur sable insu rance for these serv ices. VA pays for t he service s and in t urn submit s the char ges to the insurance company f or reimbur sement. | |
3824 | 350 | |
3825 | INTEGRATED BILLING A CTION | |
3826 | ^IB(350, | |
3827 | Entries in this file are creat ed by othe r applicat ions calli ng approve d interfac e routines . | |
3828 | 350.1** | |
3829 | IB ACTION TYPE | |
3830 | ^IBE(350.1 , | |
3831 | This file contains t he types o f actions that a ser vice can u se with In tegrated B illing and the relat ed logic t o tell IB how this e ntry is to be proces sed. | |
3832 | 350.2** | |
3833 | IB ACTION CHARGE | |
3834 | ^IBE(350.2 , | |
3835 | This file contains t he charge informatio n for an I B ACTION T YPE by eff ective dat e of the c harge. | |
3836 | 350.21 | |
3837 | IB ACTION STATUS | |
3838 | ^IBE(350.2 1, | |
3839 | The file h olds new s tatuses wh ich are in troduced i n v2.0, di splay and abbreviate d names fo r the stat uses, and classifica tion-type fields for each stat us which a re used fo r processi ng in the Integrated Billing m odule. | |
3840 | 350.3** | |
3841 | IB CHARGE REMOVAL RE ASONS | |
3842 | ^IBE(350.3 , | |
3843 | Data in th is file co mes pre-lo aded with reasons wh y a charge may be ca ncelled or removed. Sites are asked not to edit o r add entr ies to thi s file. | |
3844 | 350.4 | |
3845 | BILLABLE A MBULATORY SURGICAL CODES | |
3846 | ^IBE(350.4 , | |
3847 | This file contains t he CPT pro cedure and the assoc iated HCFA rate grou ps for amb ulatory su rgeries th at may be billed. | |
3848 | 350.41 | |
3849 | UPDATE BIL LABLE AMBU LATORY SUR GICAL CODE | |
3850 | ^IBE(350.4 1, | |
3851 | This file contains u pdates to the ambula tory surge ry procedu res which can be bil led. | |
3852 | 350.5 | |
3853 | BASC LOCAL ITY MODIFI ER | |
3854 | ^IBE(350.5 , | |
3855 | This file is used in the calcu lation of the charge for an am bulatory s urgery per formed on any given date. | |
3856 | 350.6 | |
3857 | IB ARCHIVE /PURGE LOG | |
3858 | ^IBE(350.6 , | |
3859 | This file is used to track the archiving and purgi ng operati ons of the following files use d in Integ rated Bill ing List A rchive/Pur ge Log ent ries: INT EGRATED BI LLING ACTI ON file (# 350), CATE GORY C BIL LING CLOCK file (#35 1), and BI LL/CLAIMS file (#399 ). | |
3860 | 350.7 | |
3861 | AMBULATORY CHECK-OFF SHEET | |
3862 | ^IBE(350.7 , | |
3863 | This file defines th e Ambulato ry Surgery Check-off Sheets us ed by outp atient cli nics. It contains t he CPT pri nt format to be used on the Am bulatory S urgeries C heck-off L ist. | |
3864 | 350.71 | |
3865 | AMBULATORY SURGERY C HECK-OFF SHEET PRIN T FIELDS | |
3866 | ^IBE(350.7 1, | |
3867 | This file contains t he sub-hea ders and p rocedures associated with each check-off sheet def ined for t he CPT cli nic list. | |
3868 | 350.8* | |
3869 | IB ERROR | |
3870 | ^IBE(350.8 , | |
3871 | If a poten tial error is detect ed during a billing process, t he full te xt descrip tion of th e error wi ll be repo rted from this file. | |
3872 | 350.9 | |
3873 | IB SITE PA RAMETERS | |
3874 | ^IBE(350.9 , | |
3875 | This file contains t he necessa ry site-sp ecific dat a to run a nd manage the Integr ated Billi ng package and the I B Backgrou nd Filer. Only one entry per facility i s allowed. | |
3876 | 351 | |
3877 | CATEGORY C BILLING C LOCK | |
3878 | ^IBE(351, | |
3879 | This file is used to create an d maintain billing c locks in w hich Categ ory C pati ents may b e charged for co-pay ment and p er diem ch arges for hospital o r nursing home care, as well a s outpatie nt visits. It will initially be populat ed by the Means Test data conv ersion and subsequen tly create d and upda ted by Int egrated Bi lling. En tries in t his file s hould not be deleted or edited through V A FileMan. | |
3880 | 351.1 | |
3881 | IB CONTINU OUS PATIEN T | |
3882 | ^IBE(351.1 , | |
3883 | This file contains a list of a ll hospita l or nursi ng home ca re patient s receivin g continuo us institu tional car e from pri or to 7/1/ 86 who may be subjec t to Categ ory C bill ing. | |
3884 | 351.2 | |
3885 | SPECIAL IN PATIENT BI LLING CASE S | |
3886 | ^IBE(351.2 , | |
3887 | This file is used to track inp atient epi sodes for Category C veterans who have c laimed exp osure to A gent Orang e, Ionizin g Radiatio n, and Env ironmental Contamina nts. | |
3888 | 351.5 | |
3889 | TRICARE PH ARMACY TRA NSACTIONS | |
3890 | ^IBA(351.5 , | |
3891 | This file is used to store dat a related to each Ph armacy bil ling trans action wit h the Tric are fiscal intermedi ary. Each transacti on is subm itted to t he RNA/Tri ad Pharmac y ClaimGua rd System, which is a commerci al point o f sale pha rmacy bill ing softwa re package , where it is forwar ded to the intermedi ary throug h an elect ronic swit ch company . All of the inform ation whic h is retur ned from t he interme diary is s tored in t his file. | |
3892 | 351.51 | |
3893 | TRICARE PH ARMACY ERR ORS | |
3894 | ^IBE(351.5 1, | |
3895 | This table file is u sed to sto re the var ious error s which ma y occur wh en TRICARE prescript ions are b illed usin g the comm ercial poi nt-of-sale pharmacy billing so ftware pac kage. | |
3896 | 351.52 | |
3897 | TRICARE PH ARMACY REJ ECTS | |
3898 | ^IBA(351.5 2, | |
3899 | This file is used to store all of the re asons that were used by the Tr icare fisc al interme diary to r eject a ph armacy bil ling trans action. E ntries in this file are automa tically de leted if a prescript ion is re- submitted a subseque ntly accep ted. The option Del ete Reject Entry [IB TRICARE D EL REJECT] may be us ed to dele te entries from this file. | |
3900 | 351.53 | |
3901 | PRODUCT SE LECTION RE ASON | |
3902 | ^IBA(351.5 3, | |
3903 | ||
3904 | 351.6 | |
3905 | TRANSFER P RICING PAT IENT | |
3906 | ^IBAT(351. 6, | |
3907 | This file is used to store Tra nsfer Pric ing patien t specific informati on. | |
3908 | 351.61 | |
3909 | TRANSFER P RICING TRA NSACTIONS | |
3910 | ^IBAT(351. 61, | |
3911 | This file holds all transfer p ricing tra nsactions. | |
3912 | 351.62 | |
3913 | TRANSFER P RICING FIE LD DEFINIT ION | |
3914 | ^IBAT(351. 62, | |
3915 | This file comes popu lated with national entries. These entr ies should never be deleted or edited. It is not recommende d that fac ilities ad d entries to this fi le. The e ntries are used to e xtract and format da ta for all the trans fer pricin g reports. DO NOT d elete entr ies in thi s file. D O NOT edit data in t his file w ith VA Fil e Manager. | |
3916 | 351.67 | |
3917 | TRANSFER P RICING INP T PROSTHET IC ITEMS | |
3918 | ^IBAT(351. 67, | |
3919 | This file stores the prostheti c devices that shoul d be autom atically b illed for inpatient devices is sued. Unl ess a devi ce is in t his file, it will on ly be bill ed for out patient se rvices (au tomaticall y). | |
3920 | 351.7 | |
3921 | IB DM EXTR ACT REPORT S | |
3922 | ^IBE(351.7 , | |
3923 | This file contains t he necessa ry DM repo rts which will have their summ ary data c ollected v ia the Dia gnostic Me asures Ext raction pr ocess. | |
3924 | 351.701 | |
3925 | IB DM EXTR ACT DATA E LEMENTS | |
3926 | ^IBE(351.7 01, | |
3927 | This file contains v arious rep ort data e lements/li ne items. One or mo re of thes e file ent ries is re lated to a correspon ding entry in the IB DM EXTRAC T | |
3928 | REPORTS fi le (#351.7 ). | |
3929 | 351.71 | |
3930 | IB DM EXTR ACT DATA | |
3931 | ^IBE(351.7 1, | |
3932 | This file contains d ata collec ted via th e Diagnost ic Measure s Extracti on process . Within each entry is a seri es of DM r eports fro m which su mmary data has been collected on a month ly basis. | |
3933 | 351.73 | |
3934 | IB DM WORK LOAD PARAM ETERS | |
3935 | ^IBE(351.7 3, | |
3936 | This file contains I nput param eters used to produc e AR Workl oad To-Do Lists. It also cont ains the f lag that d etermines if a clerk is to ONL Y be inclu ded on pro ductivity reports. The Worklo ad To-Do l ists are m ailman mes sages sent to the su pervisors and clerks . The Pro ductivity reports ar e sent to a printer. | |
3937 | 351.81 | |
3938 | LTC CO-PAY CLOCK | |
3939 | ^IBA(351.8 1, | |
3940 | DO NOT del ete entrie s in this file. DO NOT edit d ata in thi s file wit h VA File Manager. | |
3941 | ||
3942 | Entries in this file will be a dded and u pdated my menu optio ns, event triggers, and a nigh tly backgr ound job. Entries i n this fil e will not be delete d. | |
3943 | ||
3944 | This file stores Lon g Term Car e billing informatio n that is used to ma ke a billi ng determi nation for LTC rates . | |
3945 | 351.9 | |
3946 | CLAIMSMANA GER BILLS | |
3947 | ^IBA(351.9 , | |
3948 | This file contains i nformation on bills that have been sent to the Ing enix Claim sManager. | |
3949 | ||
3950 | The entrie s in this file have matching e ntries in the BILL/C LAIMS file (399). T he interna l number i n file 399 is the sa me as the internal n umber in t he CLAIMSM ANAGER BIL LS file. | |
3951 | 351.91 | |
3952 | CLAIMSMANA GER STATUS | |
3953 | ^IBA(351.9 1, | |
3954 | This file contains t he status entries th at are uti lized by t he ClaimsM anager int erface. | |
3955 | 352.1** | |
3956 | BILLABLE A PPOINTMENT TYPE | |
3957 | ^IBE(352.1 , | |
3958 | This is a time-sensi tive file that maint ains recor ds for eac h appointm ent type w ith indica tors for I GNORE MEAN S TEST, PR INT ON INS URANCE REP ORT, and D ISPLAY ON INPUT SCRE EN. | |
3959 | 352.2 | |
3960 | NON-BILLAB LE DISPOSI TIONS | |
3961 | ^IBE(352.2 , | |
3962 | This file is used to flag disp ositions i n the DISP OSITION fi le (#37) a s either b illable or non-billa ble for Me ans Test b illing. | |
3963 | 352.3 | |
3964 | NON-BILLAB LE CLINIC STOP CODES | |
3965 | ^IBE(352.3 , | |
3966 | This file is used to flag clin ic stop co des in the CLINIC ST OP file (# 40.7) as e ither bill able or no n-billable for Means Test bill ing. | |
3967 | 352.4 | |
3968 | NON-BILLAB LE CLINICS | |
3969 | ^IBE(352.4 , | |
3970 | This file is used to flag clin ics in the HOSPITAL LOCATION f ile (#44) as either billable o r non-bill able for M eans Test billing. | |
3971 | 352.5 | |
3972 | IB CLINIC STOP CODE BILLABLE T YPES | |
3973 | ^IBE(352.5 , | |
3974 | This file is used to store the outpatien t clinic s top code a nd billabl e type bas ed on an e ffective d ate. An i nternal lo okup on th e AEFFDT c ross refer ence for a clinic st op code an d visit da te will pr ovide the billable t ype. The billable t ype determ ines the b illable ra te for eac h outpatie nt visit. | |
3975 | 353** | |
3976 | BILL FORM TYPE | |
3977 | ^IBE(353, | |
3978 | This is a reference file conta ining the types of h ealth insu rance clai m forms us ed in bill ing. Site s may add local form s to this file; howe ver, the i nternal en try number for local ly added f orms shoul d be in th e stations number ra nge of sta tion numbe r times 10 00. | |
3979 | 353.1* | |
3980 | PLACE OF S ERVICE | |
3981 | ^IBE(353.1 , | |
3982 | This file contains t he Place o f Service codes that may be as sociated w ith a proc edure on t he HCFA-15 00. These codes wer e develope d specific ally for t he HCFA-15 00 and sho uld not be changed b y the site . | |
3983 | 353.2* | |
3984 | TYPE OF SE RVICE | |
3985 | ^IBE(353.2 , | |
3986 | This file contains t he Type of Service c odes that may be ass ociated wi th a proce dure on th e HCFA-150 0. These c odes were developed specifical ly for the HCFA-1500 and shoul d not be c hanged by the site. | |
3987 | 353.3 | |
3988 | IB ATTACHM ENT REPORT TYPE | |
3989 | ^IBE(353.3 , | |
3990 | This file contains e ntries tha t describe the type of supplem ental info rmation av ailable to support a claim for reimburse ment for h ealth care services. Attachme nt Report Type Code is at both the claim level and line leve l. | |
3991 | 353.4 | |
3992 | TRANSPORT REASON COD E | |
3993 | ^IBE(353.4 , | |
3994 | This file contains A mbulance T ransport R eason Code s and Ambu lance Tran sport Reas ons used t o identify why ambul ance trans portation was requir ed. This file comes pre-popul ated and s hould not be edited. | |
3995 | 353.5 | |
3996 | AMBULANCE CONDITION INDICATORS | |
3997 | ^IBE(353.5 , | |
3998 | This file contains p atient con ditions in relation (pickup, d uring, and drop-off) to ambula nce transp ortation. This file comes pre -populated and shoul d not be e dited. | |
3999 | 354 | |
4000 | BILLING PA TIENT | |
4001 | ^IBA(354, | |
4002 | Do not edi t this fil e. Under normal ope ration, it is not ne cessary to edit the fields in this file directly. The optio n Manual C hange Co-p ay Exempti on (Hardsh ips) can b e used to update and correct t his entry by creatin g a new ex emption. If many pa tient reco rds have p roblems, t he option Print/Veri fy Patient Exemption Status ca n be used to correct the entri es. The d ata in thi s file is updated ea ch time a new (curre nt) exempt ion is cre ated for a patient. Exemption s are auto matically created wh en changes in patien t informat ion change the exemp tion statu s or when an expired (older th an one yea r) exempti on is enco untered wh en determi ning the e xemption s tatus for Pharmacy. This file will cont ain specif ic informa tion relat ed to bill ing about individual patients. Current status of the Medica tion Co-pa yment Exem ption will be kept i n this fil e. Concep tually, th is is diff erent than the BILLI NG EXEMPTI ONS file ( #354.1), w hich maint ains the a udit log a nd histori cal data r elated to billing ex emptions. | |
4003 | 354.1 | |
4004 | BILLING EX EMPTIONS | |
4005 | ^IBA(354.1 , | |
4006 | Do not edi t this fil e. Under normal ope ration, it is not ne cessary to edit the fields in this file directly. The optio n Manual C hange Co-p ay Exempti on (Hardsh ips) can b e used to update and correct e ntries by creating a new exemp tion. If many patie nt records have prob lems, the option Pri nt/Verify Patient Ex emption St atus can b e used to correct th e entries. | |
4007 | 354.2** | |
4008 | EXEMPTION REASON | |
4009 | ^IBE(354.2 , | |
4010 | This file contains t he set of reasons th at exempti ons can be given and their ass ociated st atus and d escription . | |
4011 | 354.3** | |
4012 | BILLING TH RESHOLDS | |
4013 | ^IBE(354.3 , | |
4014 | This file contains t he income threshold amounts us ed by the Medication Co-paymen t Exemptio n process. | |
4015 | 354.4 | |
4016 | BILLING AL ERTS | |
4017 | ^IBA(354.4 , | |
4018 | This file will only be populat ed if a si te chooses to use th e "Alert" functional ity availa ble in Ker nel v7 ins tead of re ceiving ma il message s. This i s determin ed by the field USE ALERTS (#. 14) in the IB SITE P ARAMETERS file (#350 .9). | |
4019 | 354.5** | |
4020 | BILLING AL ERT DEFINI TION | |
4021 | ^IBE(354.5 , | |
4022 | This file contains t he necessa ry informa tion to pr ocess elec tronic not ifications sent by t he Medicat ion Co-pay ment Exemp tion proce ss. | |
4023 | 354.6** | |
4024 | IB FORM LE TTER | |
4025 | ^IBE(354.6 , | |
4026 | This file contains t he header and main b ody of let ters that are genera ted by the IB packag e. Each s ite should edit the header of the letter to reflec t its own address. Sites may edit the m ain body o f the lett er to chan ge the sig ner of the letter or add conta ct persons and phone numbers. The text of the let ters has b een approv ed by MCCR VACO. | |
4027 | 354.7 | |
4028 | IB PATIENT CO-PAY AC COUNT | |
4029 | ^IBAM(354. 7, | |
4030 | This file stores sum mary infor mation abo ut a patie nt's co-pa y account. The info rmation wi ll be used to determ ine if a p atient has reached h is co-pay cap for th e month or year. | |
4031 | 354.71 | |
4032 | IB CO-PAY TRANSACTIO NS | |
4033 | ^IBAM(354. 71, | |
4034 | This file stores ind ividual tr ansactions for outpa tient medi cation co- payments. The trans actions in this file will be u sed to sto re detaile d informat ion about a patient' s prescrip tion co-pa yments, in cluding am ounts bill ed and not billed. There shou ld be tran sactions s tored in t his file f or both th is facilit y and othe r treating facilitie s througho ut the VA system. | |
4035 | 354.75 | |
4036 | IB CO-PAY CAPS | |
4037 | ^IBAM(354. 75, | |
4038 | This file comes popu lated with data. Th e data in this file should not be edited , added, o r deleted locally. The inform ation stor ed here is the cap a mounts for outpatien t medicati on co-paym ent. Once a patient has reach ed his cap , billing will stop for the re mainder of the perio d indicate d. | |
4039 | 355.1* | |
4040 | TYPE OF PL AN | |
4041 | ^IBE(355.1 , | |
4042 | This file contains t he standar d types of plans tha t an insur ance compa ny may pro vide. The type of pl an may be dependent on the typ e of cover age provid ed by the insurance company an d may affe ct the typ e of benef its that a re availab le for the plan. Th e file is capable of being sta ndardized, via the M ASTER TYPE OF PLAN f ield, to p rovide ind ustry-wide interoper ability. | |
4043 | 355.12 | |
4044 | SOURCE OF INFORMATIO N | |
4045 | ^IBE(355.1 2, | |
4046 | This file contains a list of v alid Sourc e of Infor mation cod es. These codes can be used t o track wh ere the in surance in formation originated from. | |
4047 | 355.13 | |
4048 | INSURANCE FILING TIM E FRAME | |
4049 | ^IBE(355.1 3, | |
4050 | This file contains t he list of valid Sta ndard Insu rance Fili ng Time Fr ames that may be aut omatically applied. This file comes pop ulated wit h the stan dard entri es and sho uld not be modified locally. | |
4051 | 355.2* | |
4052 | TYPE OF IN SURANCE CO VERAGE | |
4053 | ^IBE(355.2 , | |
4054 | This file contains t he types o f coverage with whic h an insur ance compa ny is gene rally asso ciated. I f an insur er is iden tified wit h more tha n one type of covera ge, it sho uld be ide ntified as HEALTH IN SURANCE as this enco mpasses al l. | |
4055 | 355.3 | |
4056 | GROUP INSU RANCE PLAN | |
4057 | ^IBA(355.3 , | |
4058 | This file contains t he relevan t data for group ins urance pla ns. The d ata in thi s file is specific t o the plan itself. This is in contrast to the PAT IENT file (#2) which contains data about patients' policies and where the policy may be fo r a group or health insurance plan. | |
4059 | 355.31 | |
4060 | PLAN LIMIT ATION CATE GORY | |
4061 | ^IBE(355.3 1, | |
4062 | This table file cont ains eleme nts that c an be chec ked for an insurance company p olicy to d etermine i f third pa rty billin g is valid . For exa mple, the general ca tegories o f coverage the polic y may excl ude. | |
4063 | 355.32 | |
4064 | PLAN COVER AGE LIMITA TIONS | |
4065 | ^IBA(355.3 2, | |
4066 | This file contains t he detail by plan an d effectiv e date of the catego ries that may be res tricted fo r insuranc e coverage . | |
4067 | 355.33 | |
4068 | INSURANCE VERIFICATI ON PROCESS OR | |
4069 | ^IBA(355.3 3, | |
4070 | This file contains i nsurance i nformation accumulat ed by vari ous source s. The da ta is held in this f ile until an authori zed person processes the infor mation by either rej ecting it or moving it to the Insurance files. | |
4071 | ||
4072 | Once an en try is pro cessed mos t of the d ata is del eted leavi ng a stub entry in t his file w hich can b e used for reporting and track ing purpos es. | |
4073 | 355.34 | |
4074 | INSURANCE REMOTE QUE RY RESULTS | |
4075 | ^IBA(355.3 4, | |
4076 | This is a log file f or the ins urance que ries that were done during a g iven month /year. Th ere will b e one entr y for each month/yea r with sum mary resul ts only st ored in th e file. | |
4077 | 355.35 | |
4078 | HMS EXTRAC T FILE STA TUS FILE | |
4079 | This file keeps trac k of the E xtract fil es message s sent to AITC DMI Q ueue and t he confirm ation mess ages that are receiv ed from AI TC. | |
4080 | 355.351 | |
4081 | HMS RESULT FILE STAT US FILE | |
4082 | ||
4083 | This file keeps trac k of the R esult file messages received f rom AITC. | |
4084 | 355.4 | |
4085 | ANNUAL BEN EFITS | |
4086 | ^IBA(355.4 , | |
4087 | This file contains t he fields to maintai n the annu al benefit s by year for an ins urance pol icy. | |
4088 | 355.5 | |
4089 | INSURANCE CLAIMS YEA R TO DATE | |
4090 | ^IBA(355.5 , | |
4091 | This file contains t he CLAIM T O DATE inf ormation a bout a pat ient's hea lth insura nce claims to a spec ific carri er for a s pecific ye ar. This will allow estimate receivable s based on whether c laims exce ed deducti bles or ot her maximu m benefits . | |
4092 | 355.6** | |
4093 | INSURANCE RIDERS | |
4094 | ^IBE(355.6 , | |
4095 | This file contains a listing o f insuranc e riders t hat can be purchased as add-on coverage to a group plan. Th e software does noth ing specia l with the se riders. The list ing may be added to locally an d be assig ned to pat ients as p olicy ride rs. This informatio n is stric tly for di splay and tracking p urposes on ly. | |
4096 | 355.7 | |
4097 | PERSONAL P OLICY | |
4098 | ^IBA(355.7 , | |
4099 | This file contains t he insuran ce riders that have been purch ased as ad d-on cover age to a g roup plan. This inf ormation i s used int ernally fo r display purposes o nly. | |
4100 | 355.8 | |
4101 | SPONSOR | |
4102 | ^IBA(355.8 , | |
4103 | The SPONSO R file con tains a li st of peop le who are the spons ors for pa tients who have Tric are insura nce covera ge. These people, w ho are typ ically act ive duty p ersonnel o r military retirees, are store d as eithe r patients (in file #2) or non -patients in the SPO NSOR PERSO N (#355.82 ) file. A variable pointer is used to p oint to th e person i n either o f those tw o files. | |
4104 | ||
4105 | This file is used as a list of sponsors who may be the spons or of more than one patient. The SPONSO R RELATION SHIP (#355 .81) file relates a sponsor to a specifi c patient. | |
4106 | 355.81 | |
4107 | SPONSOR RE LATIONSHIP | |
4108 | ^IBA(355.8 1, | |
4109 | The Sponso r Relation ship file is used to associate a sponsor in file # 355.8 with a patient . The att ributes as sociated w ith that s ponsor/pat ient relat ionship ar e stored i n this fil e. | |
4110 | 355.82 | |
4111 | SPONSOR PE RSON | |
4112 | ^IBA(355.8 2, | |
4113 | This file is pointed to by the SPONSOR ( #355.8) an d contains all spons ors who ar e not pati ents. Thi s file con tains the non-patien t sponsor' s name, da te of birt h, and soc ial securi ty number, all of wh ich are re trieved fr om the PAT IENT (#2) file for s ponsors wh o are pati ents. Oth er pertine nt sponsor informati on is stor ed in the SPONSOR (# 355.8) fil e. | |
4114 | 355.9 | |
4115 | IB BILLING PRACTITIO NER ID | |
4116 | ^IBA(355.9 , | |
4117 | This file contains o ne record for each u nique bill ing provid er id numb er that an individua l provider (practiti oner) is a ssigned by an insura nce compan y or by a licensing or governm ent entity . Entries without a n insuranc e company indicate t he number is assigne d to the p ractitione r by a lic ensing or government entity an d will app ly to all insurance companies. | |
4118 | 355.91 | |
4119 | IB INSURAN CE CO LEVE L BILLING PROV ID | |
4120 | ^IBA(355.9 1, | |
4121 | This file contains o ne record for each p rovider id that an i nsurance c ompany ass igns to a facility f or ALL bil ling provi ders at th e facility . Each re cord can b e for an i nsurance c ompany and any combi nation of the patien t status, form type and care u nit. Ther e must be only one r ecord for each combi nation. | |
4122 | 355.92 | |
4123 | FACILITY B ILLING ID | |
4124 | ^IBA(355.9 2, | |
4125 | This file contains o ne record for each f acility id that an i nsurance c ompany ass igns to a facility. Each reco rd can be for an ins urance com pany and a ny combina tion of th e patient status and form type . There m ust be onl y one reco rd for eac h combinat ion. | |
4126 | 355.93 | |
4127 | IB NON/OTH ER VA BILL ING PROVID ER | |
4128 | ^IBA(355.9 3, | |
4129 | This file contains d ata for no n-VA facil ities that provide s ervices fo r VA patie nts who ha ve reimbur sable insu rance for these serv ices. | |
4130 | 355.95 | |
4131 | IB PROVIDE R ID CARE UNIT | |
4132 | ^IBA(355.9 5, | |
4133 | This file contains t he data va lues (refe rred to as care unit s) to be u sed to mat ch a provi der on a c laim to th e correct provider i d #. The entries in this file are speci fic to an insurance company. | |
4134 | 355.96 | |
4135 | IB INS CO PROVIDER I D CARE UNI T | |
4136 | ^IBA(355.9 6, | |
4137 | This file defines th e 'list' o f care uni ts that an insurance company u ses to ass ign provid er ids. E ach record must have an insura nce compan y, a provi der type a nd a care unit entry . The sum total of all the re cords in t his file f or a given insurance company c omprises t he complet e list of care units the insur ance compa ny require s the V.A. to use wh en determi ning provi der id's f or any cla ims sent t o them. | |
4138 | 355.97 | |
4139 | IB PROVIDE R ID # TYP E | |
4140 | ^IBE(355.9 7, | |
4141 | There can be many di fferent ki nds of pro vider id n umbers tha t may need to be rep orted when billing f or hospita l and prof essional s ervices. This file contains e ntries tha t will be used to cl assify or identify t he valid k inds of pr ovider ids that the V.A. will use. This is needed specifica lly for th e transmis sion of bi lls so the proper in terpretati on of the ID's can b e made ele ctronicall y. | |
4142 | 355.98 | |
4143 | IB ALTERNA TE PRIMARY ID TYPES | |
4144 | ^IBA(355.9 8, | |
4145 | This file contains t he Alterna te Primary Payer ID Types, whi ch are use d to ident ify an Alt ernate Pri mary Payer ID for a payer to b e sent on the outgoi ng electro nic claim (837). | |
4146 | 355.99 | |
4147 | MASTER TYP E OF PLAN | |
4148 | ^IBEMTOP(3 55.99, | |
4149 | This file contains c oding syst em and cod e data use d for asso ciation to the MASTE R TYPE OF PLAN field within th e TYPE OF PLAN file #355.1 for the purpo ses of nat ive standa rdization between th e VA and t he users o f its data . | |
4150 | 356 | |
4151 | CLAIMS TRA CKING | |
4152 | ^IBT(356, | |
4153 | This file may contai n entries of all typ es of bill able event s that nee d to be tr acked by M CCR. The informatio n in this file is us ed for MCC R and/or U R purposes . It is i nformation about the event its elf not ot herwise st ored or pe rtinent fo r MCCR pur poses. | |
4154 | 356.001 | |
4155 | X12 278 RE QUEST CATE GORY | |
4156 | ^IBT(356.0 01, | |
4157 | This file contains a ll the cor responding X.12 code s for requ est catego ries. | |
4158 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4159 | 356.002 | |
4160 | X12 278 CE RTIFICATIO N TYPE COD E | |
4161 | ^IBT(356.0 02, | |
4162 | This file contains a ll the cor responding X.12 code s for cert ification type codes . | |
4163 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4164 | 356.003 | |
4165 | X12 278 CU RRENT HEAL TH CONDITI ON CODE | |
4166 | ^IBT(356.0 03, | |
4167 | This file contains a ll the cor responding X.12 code s for curr ent health condition . | |
4168 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4169 | 356.004 | |
4170 | X12 278 PR OGNOSIS CO DE | |
4171 | ^IBT(356.0 04, | |
4172 | This file contains a ll the cor responding X.12 code s for prog nosis. | |
4173 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4174 | 356.005 | |
4175 | X12 278 DE LAY REASON CODE | |
4176 | ^IBT(356.0 05, | |
4177 | This file contains a ll the cor responding X.12 code s for dela y reasons. | |
4178 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4179 | 356.006 | |
4180 | X12 278 DI AGNOSIS TY PE | |
4181 | ^IBT(356.0 06, | |
4182 | This file contains a ll the cor responding X.12 code s for diag nosis type s. | |
4183 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4184 | 356.007 | |
4185 | X12 278 DE LIVERY PAT TERN TIME CODE | |
4186 | ^IBT(356.0 07, | |
4187 | This file contains a ll the cor responding X.12 code s for deli very time pattern. | |
4188 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4189 | 356.008 | |
4190 | X12 278 CO NDITION CO DE | |
4191 | ^IBT(356.0 08, | |
4192 | This file contains a ll the cor responding X.12 code s for cond ition. | |
4193 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4194 | 356.009 | |
4195 | X12 278 AD MISSION SO URCE | |
4196 | ^IBT(356.0 09, | |
4197 | This file contains a ll the cor responding X.12 code s for admi ssion sour ce. | |
4198 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4199 | 356.01 | |
4200 | X12 278 PA TIENT STAT US | |
4201 | ^IBT(356.0 1, | |
4202 | This file contains a ll the cor responding X.12 code s for pati ent status . | |
4203 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4204 | 356.011 | |
4205 | X12 278 NU RSING HOME RESIDENTI AL STATUS | |
4206 | ^IBT(356.0 11, | |
4207 | This file contains a ll the cor responding X.12 code s for nurs ing home r esidential status. | |
4208 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4209 | 356.012 | |
4210 | X12 278 SU BLUXATION LEVEL CODE | |
4211 | ^IBT(356.0 12, | |
4212 | This file contains a ll the cor responding X.12 code s for subl uxation le vel. | |
4213 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4214 | 356.013 | |
4215 | X12 278 OX YGEN EQUIP MENT TYPE | |
4216 | ^IBT(356.0 13, | |
4217 | This file contains a ll the cor responding X.12 code s for oxyg en equipme nt types. | |
4218 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4219 | 356.014 | |
4220 | X12 278 OX YGEN TEST CONDITION | |
4221 | ^IBT(356.0 14, | |
4222 | This file contains a ll the cor responding X.12 code s for oxyg en test co nditions. | |
4223 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4224 | 356.015 | |
4225 | X12 278 OX YGEN TEST FINDINGS | |
4226 | ^IBT(356.0 15, | |
4227 | This file contains a ll the cor responding X.12 code s for oxyg en test fi ndings. | |
4228 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4229 | 356.016 | |
4230 | X12 278 OX YGEN DELIV ERY SYSTEM CODE | |
4231 | ^IBT(356.0 16, | |
4232 | This file contains a ll the cor responding X.12 code s for oxyg en deliver y systems. | |
4233 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4234 | 356.017 | |
4235 | X12 278 PA TIENT LOCA TION | |
4236 | ^IBT(356.0 17, | |
4237 | This file contains a ll the cor responding X.12 code s for pati ent locati ons. | |
4238 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4239 | 356.018 | |
4240 | X12 278 RE PORT TYPE CODE | |
4241 | ^IBT(356.0 18, | |
4242 | This file contains a ll the cor responding X.12 code s for repo rt types. | |
4243 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4244 | 356.019 | |
4245 | X12 278 NU RSING HOME LEVEL OF CARE | |
4246 | ^IBT(356.0 19, | |
4247 | This file contains a ll the cor responding X.12 code s for nurs ing home l evel of ca re. | |
4248 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4249 | 356.02 | |
4250 | X12 278 CE RTIFICATIO N ACTION C ODES | |
4251 | ^IBT(356.0 2, | |
4252 | This file contains a ll of the correspond ing X.12 c odes for t he Certifi cation Act ion Codes. | |
4253 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4254 | 356.021 | |
4255 | X12 278 HC S DECISION REASON CO DES | |
4256 | ^IBT(356.0 21, | |
4257 | This file contains a ll of the correspond ing X.12 c odes for t he Health Care Servi ces Decisi on Reason Codes acco rding to t he ASC X12 External Code Sourc e 886. | |
4258 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4259 | 356.022 UN IVERSAL DE NTAL NUMBE RING SYSTE M | |
4260 | ||
4261 | ^IBT(356.0 22, | |
4262 | This file contains a ll of the correspond ing X.12 T ooth codes - Externa l Code Sou rce 135: A merican De ntal Assoc iation. | |
4263 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4264 | 356.023 HC SR WORKLIS T DELETE R EASON CODE | |
4265 | ^IBT(356.0 23, | |
4266 | This file contains a ll of the Delete Rea son Codes that can b e added to an HCSR 2 78 Worklis t entry wh en removin g the entr y from the worklist. | |
4267 | 356.1 | |
4268 | HOSPITAL R EVIEW | |
4269 | ^IBT(356.1 , | |
4270 | This file contains U tilization Review in formation about appr opriatenes s of admis sion and c ontinued s tay in an acute medi cal settin g. It use s the Inte gral crite ria for ap propriaten ess. An e ntry for e ach day of care for cases bein g tracked is require d by the Q M office i n VACO. T he informa tion in th is file wi ll be roll ed up into a nationa l database . Only re views that have a st atus of CO MPLETE sho uld be rol led up. T he informa tion in th is file is clinical in nature and should be treate d with the same conf identialit y as requi red of all clinical data. | |
4271 | 356.11** | |
4272 | CLAIMS TRA CKING REVI EW TYPE | |
4273 | ^IBE(356.1 1, | |
4274 | This is th e type of review tha t is being performed by MCCR o r UR. Thi s file may contain t he logic t o determin e which qu estions an d/or scree ns can be presented to the use r in the f uture. Do not add, edit, or d elete entr ies in thi s file wit hout instr uctions fr om your IS C. | |
4275 | 356.19 | |
4276 | CLAIMS TRA CKING UNBI LLED AMOUN TS DATA | |
4277 | ^IBE(356.1 9, | |
4278 | This file contains t he data us ed in the compilatio n of the a verage inp atient bil l totals a nd the mon thly unbil led amount s bulletin and repor t. | |
4279 | 356.2 | |
4280 | INSURANCE REVIEW | |
4281 | ^IBT(356.2 , | |
4282 | This file contains i nformation about the MCCR/UR p ortion of Utilizatio n Review a nd the ass ociated co ntacts wit h insuranc e carriers . Appropr iateness o f care is inferred f rom the ap proval and denial of billing d ays by the insurance carriers UR section . While t his inform ation appe ars to be primarily administra tive in na ture, it m ay contain sensitive clinical informatio n and shou ld be trea ted with t he same co nfidential ity as req uired of a ll clinica l data. | |
4283 | 356.21** | |
4284 | CLAIMS TRA CKING DENI AL REASONS | |
4285 | ^IBE(356.2 1, | |
4286 | This file is a list of the sta ndard reas ons for de nial of a claim. Ed iting this file may have signi ficant imp act on the results o f the MCCR NDB roll up of Clai ms Trackin g informat ion. Do n ot add, ed it, or del ete entrie s in this file witho ut instruc tions from your ISC. | |
4287 | 356.22 | |
4288 | HCS REVIEW TRANSMISS ION FILE | |
4289 | ^IBT(356.2 2, | |
4290 | This file contains i nformation related t o Healthca re Service s Review w orklist an d correspo nding HL7 messages ( message ty pe 278). | |
4291 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4292 | 356.25 | |
4293 | CLAIMS TRA CKING ROI | |
4294 | ^IBT(356.2 5, | |
4295 | This file stores Rel ease of In formation (ROI) data collected that rela tes to a s pecific pa tient/drug /insurance combinati on for the effective dates. A claim tha t includes a sensiti ve drug is checked a gainst thi s file for a billing determina tion. Cla ims that d o not pass the check are deter mined to b e not ECME billable. Bills th at do not pass the c heck canno t be autho rized. | |
4296 | ||
4297 | Per VHA Di rective 20 04-038, th is file sh ould not b e modified or edited with VA F ileman. | |
4298 | 356.26 | |
4299 | CLAIMS TRA CKING ROI CONSENT | |
4300 | ^IBT(356.2 6, | |
4301 | This file stores Rel ease of In formation (ROI) data obtained from a pat ient. Eac h sensitiv e | |
4302 | condition will have its own re cord. Dat a includes patient, sensitive condition, effective date of c onsent, ex piration d ate when t he consent ends, a r evoked fla g, and com ments inte nded for e ntry of th e Insuranc e the rele ase consen t covers. | |
4303 | This file should not be modifi ed or edit ed with VA Fileman | |
4304 | 356.3** | |
4305 | CLAIMS TRA CKING SI/I S CATEGORI ES | |
4306 | ^IBE(356.3 , | |
4307 | This file contains t he major c ategories that are u sed to add ress the s everity of illness a nd intensi ty of serv ice. Spec ific crite ria for ea ch categor y must be met to add ress appro priateness of admiss ion to con tinued sta y in and d ischarge f rom specia lized unit s and gene ral units. Editing this file may have s ignificant impact on the QM na tional rol l up of Ut ilization Review inf ormation. The conte nts of thi s file are the gener al categor ies for In tensity of Service a nd Severit y of Illne ss from In terqual. Do not add , edit, or delete en tries in t his file w ithout ins tructions from your ISC. | |
4308 | 356.399 | |
4309 | CLAIMS TRA CKING/BILL | |
4310 | ^IBT(356.3 99, | |
4311 | This file serves as a bridge b etween Cla ims Tracki ng and the Bill/Clai ms file (# 399). An entry is c reated aut omatically by the bi lling modu le to link the event s being bi lled to th e Claims T racking en try. It s erves as a cross-ref erence in a many to many relat ionship fo r the entr ies in the se two fil es. It sh ould be ma intained b y the Bill ing module . | |
4312 | 356.4** | |
4313 | CLAIMS TRA CKING NON- ACUTE CLAS SIFICATION S | |
4314 | ^IBE(356.4 , | |
4315 | This file contains t he list of approved non-acute classifica tions prov ided by th e UM offic e in VACO. The code s are used in roll u p of natio nal data. Do not a dd, edit, or delete entries in this file without i nstruction s from you r ISC. | |
4316 | 356.5** | |
4317 | CLAIMS TRA CKING ALOS | |
4318 | ^IBE(356.5 , | |
4319 | This file contains t he DRGs an d average length of stays (ALO S) year th at is the most commo n ALOS app roved by i nsurance c ompanies. This gene rally is m uch shorte r than the ALOS for VA. | |
4320 | 356.6** | |
4321 | CLAIMS TRA CKING TYPE | |
4322 | ^IBE(356.6 , | |
4323 | This file contains t he types o f events t hat can be stored in Claims Tr acking. I t also con tains data on how th e Automate d Biller i s to handl e each typ e of event . Do not add, edit, or delete entries i n this fil e without instructio ns from yo ur ISC. | |
4324 | 356.7** | |
4325 | CLAIMS TRA CKING ACTI ON | |
4326 | ^IBE(356.7 , | |
4327 | This file contains a list of t he types o f actions that may b e taken on a review or a conta ct by an i nsurance c ompany. D o not add, edit, or delete ent ries in th is file wi thout inst ructions f rom your I SC. | |
4328 | 356.8** | |
4329 | CLAIMS TRA CKING NON- BILLABLE R EASONS | |
4330 | ^IBE(356.8 , | |
4331 | This is a file of re asons that may be en tered into the Claim s Tracking module to specify w hy a poten tial claim is not bi llable. D o not add, edit, or delete ent ries in th is file wi thout inst ructions f rom your I SC. | |
4332 | 356.85 | |
4333 | CLAIMS TRA CKING BILL ABLE FINDI NGS | |
4334 | ^IBT(356.8 5, | |
4335 | This file stores the Billable Findings c odes for t he Claims Tracking m odule of I B. Entrie s in this file are n ationally distribute d and shou ld not be changed lo cally. | |
4336 | 356.9 | |
4337 | INPATIENT DIAGNOSIS | |
4338 | ^IBT(356.9 , | |
4339 | This file is designe d to hold all inpati ent diagno ses. | |
4340 | 356.91 | |
4341 | INPATIENT PROCEDURE | |
4342 | ^IBT(356.9 1, | |
4343 | This file is designe d to hold all inpati ent proced ures. | |
4344 | 356.93 | |
4345 | INPATIENT INTERIM DR G | |
4346 | ^IBT(356.9 3, | |
4347 | This file holds inte rim DRGs c omputed by the Claim s Tracking module fo r display in Claims Tracking a nd on repo rts. The computed A LOS is bas ed upon 19 92 HCFA av erage leng ths of sta y (ALOS), not VA ave rages. Th e purpose is to help utilizati on review personnel determine if the ALO S approved by an ins urance com pany is wi thin indus try standa rds. | |
4348 | 356.94 | |
4349 | INPATIENT PROVIDERS | |
4350 | ^IBT(356.9 4, | |
4351 | This file allows the Claims Tr acking mod ule to sto re the adm itting phy sician. I n addition , the atte nding and resident p roviders c an be iden tified in this file. If atten ding and r esident pr oviders ar e entered, they are assumed to be entere d complete ly for an episode of care bein g tracked. If no pr ovider oth er than ad mitting ph ysician is entered, the provid ers and at tending fr om MAS wil l be consi dered to b e the corr ect provid ers. Beca use QM dat a may be e xtracting this data on the nat ional roll up, it is necessary to correc tly identi fy the att ending phy sician. | |
4352 | 357 | |
4353 | ENCOUNTER FORM | |
4354 | ^IBE(357, | |
4355 | This file contains e ncounter f orm descri ptions use d by the E ncounter F orm utilit ies to pri nt encount er forms. | |
4356 | 357.08 | |
4357 | AICS PURGE LOG | |
4358 | ^IBD(357.0 8, | |
4359 | This file will conta in one ent ry for eac h time the AICS purg e options are run. Both the a utomatic a nd manual options ca use entrie s. The pu rpose of t his file i s to provi de a histo rical log of the num ber of ent ries that are purged at each s ite. | |
4360 | 357.09 | |
4361 | ENCOUNTER FORM PARAM ETERS | |
4362 | ^IBD(357.0 9, | |
4363 | This file contains t he AICS pa rameters t hat contro l the oper ation of t he package . Include d are para meters to manage the automatic purge and those nec essary to create pri nt manager jobs that automatic ally queue encounter forms to print. | |
4364 | 357.1 | |
4365 | ENCOUNTER FORM BLOCK | |
4366 | ^IBE(357.1 , | |
4367 | This file contains d escription s of block s, which a re rectang ular areas on an enc ounter for m. | |
4368 | 357.2 | |
4369 | SELECTION LIST | |
4370 | ^IBE(357.2 , | |
4371 | A selectio n list is composed o f one or m ore rectan gular area (s) in a b lock, call ed columns , which co ntain a li st. The c olumn(s) w ill have o ne or more sub colum ns, each s ub column containing either te xt or an i nput symbo l. The in put symbol s are for the user t o mark to indicate a choice fr om the lis t. | |
4372 | 357.3 | |
4373 | SELECTION | |
4374 | ^IBE(357.3 , | |
4375 | This file contains t he items a ppearing o n the SELE CTION LIST S. A sele ction can be compose d of sever al fields; therefore , they can occupy se veral sub columns. Only the t ext is sto red here, not the MA RKING SYMB OLS. | |
4376 | 357.4 | |
4377 | SELECTION GROUP | |
4378 | ^IBE(357.4 , | |
4379 | A Selectio n Group is a set of items on a list and the header under whi ch those i tems shoul d appear. | |
4380 | 357.5 | |
4381 | DATA FIELD | |
4382 | ^IBE(357.5 , | |
4383 | A data fie ld can be composed o f a label (determine d at the t ime the fo rm descrip tion is cr eated) and data, com ing from t he DHCP da tabase (de termined a t the time the form prints). The label and data a re printed to the en counter fo rm. A dat a field ca n be compo sed of sub fields, ea ch subfiel d containi ng possibl y its own label and data. | |
4384 | 357.6* | |
4385 | PACKAGE IN TERFACE | |
4386 | ^IBE(357.6 , | |
4387 | This file is used in the form design pro cess and t o print da ta to the form. It contains a descripti on of all of the int erfaces wi th other p ackages. | |
4388 | 357.69 | |
4389 | TYPE OF VI SIT | |
4390 | ^IBE(357.6 9, | |
4391 | This file contains t he Evaluat ion and Ma nagement c odes. They consist o f a subset of CPT co des used t o describe the level of care f or an outp atient vis it. | |
4392 | 357.7 | |
4393 | FORM LINE | |
4394 | ^IBE(357.7 , | |
4395 | This file contains e ither a ho rizontal o r vertical line appe aring on t he form. | |
4396 | 357.8 | |
4397 | TEXT AREA | |
4398 | ^IBE(357.8 , | |
4399 | A TEXT ARE A is a rec tangular a rea on the form that displays a word pro cessing fi eld. The text is au tomaticall y formatte d to fit w ithin this area. | |
4400 | 357.91** | |
4401 | MARKING AR EA TYPE | |
4402 | ^IBE(357.9 1, | |
4403 | This file contains t he differe nt types o f marking areas in w hich the u ser can wr ite that c an be prin ted to a f orm. The following are exampl es: ( ), __,. Thes e are for the person completin g the form to enter a mark to indicate a choice. | |
4404 | 357.92** | |
4405 | PRINT COND ITIONS | |
4406 | ^IBE(357.9 2, | |
4407 | This file contains a table con taining a list of co nditions r ecognized by the Pri nt Manager . They ar e used to specify th e conditio ns under w hich repor ts should be printed . The Pri nt Manager is a prog ram that s cans the a ppointment s for sele cted clini cs for a s elected da te and pri nts specif ied report s under sp ecified co nditions. | |
4408 | 357.93 | |
4409 | MULTIPLE C HOICE FIEL D | |
4410 | ^IBE(357.9 3, | |
4411 | This file allows mul tiple choi ce fields to be defi ned for fo rms. | |
4412 | 357.94 | |
4413 | ENCOUNTER FORM PRINT ERS | |
4414 | ^IBE(357.9 4, | |
4415 | This file contains a list of t erminal ty pes that c an support either du plex print ing or the printer c ontrol lan guage PCL5 . Enterin g the corr ect inform ation in t his file w ill allow encounter forms prin ted to the se termina l types to utilize t hese featu res. | |
4416 | 357.95 | |
4417 | FORM DEFIN ITION | |
4418 | ^IBD(357.9 5, | |
4419 | Contains i nformation about the form need ed to proc ess the in put. | |
4420 | 357.96 | |
4421 | ENCOUNTER FORM TRACK ING | |
4422 | ^IBD(357.9 6, | |
4423 | This file is used to track the data capt ure effort s associat ed with ea ch appoint ment. | |
4424 | 357.97 | |
4425 | ENCOUNTER FORM COUNT ERS | |
4426 | ^IBD(357.9 7, | |
4427 | This file contains t he counter s needed b y the enco unter form utilities . | |
4428 | 357.98 | |
4429 | AICS DATA QUALIFIERS | |
4430 | ^IBD(357.9 8, | |
4431 | A table of qualifier s used by the PCE Ge neric Devi ce Interfa ce. | |
4432 | 357.99 | |
4433 | PRINT MANA GER CLINIC GROUPS | |
4434 | ^IBD(357.9 9, | |
4435 | This file is used to create gr oups of cl inics for use by the Print Man ager. | |
4436 | 358 | |
4437 | IMP/EXP EN COUNTER FO RM | |
4438 | ^IBE(358, | |
4439 | This file is nearly identical to File #3 57. It is used by t he Import/ Export Uti lity as a workspace for import ing or exp orting for ms. | |
4440 | 358.1 | |
4441 | IMP/EXP EN COUNTER FO RM BLOCK | |
4442 | ^IBE(358.1 , | |
4443 | This file is nearly identical to File #3 57.1. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4444 | 358.2 | |
4445 | IMP/EXP SE LECTION LI ST | |
4446 | ^IBE(358.2 , | |
4447 | This file is nearly identical to File #3 57.2. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4448 | 358.3 | |
4449 | IMP/EXP SE LECTION | |
4450 | ^IBE(358.3 , | |
4451 | This file is nearly identical to File #3 57.3. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4452 | 358.4 | |
4453 | IMP/EXP SE LECTION GR OUP | |
4454 | ^IBE(358.4 , | |
4455 | Nearly ide ntical to File #357. 4. It is used by th e Import/ Export Uti lity as a workspace to import/ export for ms. | |
4456 | 358.5 | |
4457 | IMP/EXP DA TA FIELD | |
4458 | ^IBE(358.5 , | |
4459 | This file is nearly identical to File #3 57.5. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4460 | 358.6 | |
4461 | IMP/EXP PA CKAGE INTE RFACE | |
4462 | ^IBE(358.6 , | |
4463 | This file is nearly identical to File #3 57.6. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4464 | 358.7 | |
4465 | IMP/EXP FO RM LINE | |
4466 | ^IBE(358.7 , | |
4467 | This file is nearly identical to File #3 57.7. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4468 | 358.8 | |
4469 | IMP/EXP TE XT AREA | |
4470 | ^IBE(358.8 , | |
4471 | This file is nearly identical to File #3 57.8. It is used by the Impor t/Export U tility as a workspac e for impo rting or e xporting f orms. | |
4472 | 358.91 | |
4473 | IMP/EXP MA RKING AREA | |
4474 | ^IBE(358.9 1, | |
4475 | This file is nearly identical to File #3 57.91. It is used b y the Impo rt/Export Utility as a workspa ce for imp orting or exporting forms. | |
4476 | 358.93 | |
4477 | IMP/EXP MU LTIPLE CHO ICE FIELD | |
4478 | ^IBE(358.9 3, | |
4479 | This file is used as a work sp ace for th e import/e xport util ity of the encounter form util ities. | |
4480 | 358.94 | |
4481 | IMP/EXP HA ND PRINT F IELD | |
4482 | ^IBE(358.9 4, | |
4483 | Used by th e Import/E xport util ity as a w orkspace. | |
4484 | 358.98 | |
4485 | IMP/EXP AI CS DATA QU ALIFIERS | |
4486 | ^IBD(358.9 8, | |
4487 | Used by th e import/e xport util ity of the encounter forms as a workspac e. | |
4488 | 358.99 | |
4489 | IMP/EXP AI CS DATA EL EMENTS | |
4490 | ^IBE(358.9 9, | |
4491 | Used as a workspace for the im port/expor t utility. | |
4492 | 359 | |
4493 | CONVERTED FORMS | |
4494 | ^IBD(359, | |
4495 | This file contains a list of f orms creat ed with th e IB 2.0 v ersion of the encoun ter form u tilities t hat have b een conver ted under AICS for s canning. | |
4496 | 359.1 | |
4497 | AICS DATA ELEMENTS | |
4498 | ^IBE(359.1 , | |
4499 | Used to de scribe a s imple data element, one that w ould appea r as a sin gle field on a form. The desc ription in cludes ins tructions on how to print the field and how the sc anning sof tware shou ld recogni ze it. | |
4500 | 359.2 | |
4501 | FORM SPECS | |
4502 | ^IBD(359.2 , | |
4503 | This file contains t he descrip tion of th e form use d by the s canning so ftware. T he descrip tion, for example, m ust contai n the loca tions of a ll the fie lds to be read. | |
4504 | 359.3 | |
4505 | AICS ERROR AND WARNI NG LOG | |
4506 | ^IBD(359.3 , | |
4507 | This file is used to log error s that occ ur in the DHCP Serve r side of AICS. | |
4508 | ||
4509 | Currently this occur s while ro lling up t he data fr om the sca nner in a format tha t is then passed to the PCE De vice Inter face. Und er normal circumstan ces very f ew errors should occ ur, howeve r, if they do occur, the works tation sof tware (cli ent side) will be no tified and the error can be fo und in thi s file and if possib le resolve d. Normal ly each er ror repres ents one p iece of da ta that wa s ignored by the ser ver softwa re and can easily be entered i nto PCE us ing one of the data entry meth odologies. | |
4510 | ||
4511 | Entries in this file may be de leted afte r any corr ective act ion that n eeds to be taken is complete. | |
4512 | 359.94 | |
4513 | HAND PRINT FIELD | |
4514 | ^IBE(359.9 4, | |
4515 | This file allows fie lds to be defined to print on forms for hand print . | |
4516 | 361 | |
4517 | BILL STATU S MESSAGE | |
4518 | ^IBM(361, | |
4519 | This file contains t he data fr om the ret urn status messages for IB bil ls returne d via EDI from Austi n FSC and AAC. | |
4520 | 361.1 | |
4521 | EXPLANATIO N OF BENEF ITS | |
4522 | ^IBM(361.1 | |
4523 | This file contains t he explana tion of be nefits res ults (EOB) for bills as well a s MEDICARE remittanc e advice d ata. The data in th is file ma y be appen ded to any subsequen t claims i n the COB process. | |
4524 | ||
4525 | This file is also us ed by the Accounts R eceivable package ED I LOCKBOX module to store 3rd Party remi ttance adv ice inform ation. | |
4526 | ||
4527 | Write acce ss by EDI LOCKBOX is allowed o nly throug h API – se e Integrat ion Agreem ent - 4042 | |
4528 | Read acces s by EDI L OCKBOX is allowed – see Integr ation Agre ement - 40 51 | |
4529 | 361.2 | |
4530 | IB ELECTRO NIC REPORT DISPOSITI ON | |
4531 | ^IBE(361.2 , | |
4532 | This file contains a record fo r each ele ctronic re port that can be ret urned to t he site by the V.A's clearingh ouse. The purpose o f the file is to all ow the sit es to dete rmine whic h of these reports s hould be f orwarded t o the appr opriate ma il group a nd which o nes should be ignore d. | |
4533 | 361.3 | |
4534 | IB MESSAGE SCREEN TE XT | |
4535 | ^IBE(361.3 , | |
4536 | This file contains a list of w ords or ph rases that , if found in the te xt of an e lectronic returned m essage for billing, will cause the messa ge to be h andled in one of two ways, bas ed on a fl ag on each entry: | |
4537 | ||
4538 | If the tex t is prese nt, always file the message wi thout requ iring a re view or if the text is found i n the mess age, regar dless of a ny text fo und in the rest of t he message , always f orce it to be review ed. | |
4539 | 361.4 | |
4540 | EDI TEST C LAIM STATU S MESSAGE | |
4541 | ^IBM(361.4 , | |
4542 | This file contains t he transmi ssion hist ory and re turn messa ges that w ere receiv ed via the test queu e for clai ms that we re sent in itially as EDI claim s and have been retr ansmitted as test cl aims. | |
4543 | 362.1 | |
4544 | IB AUTOMA TED BILLIN G COMMENTS | |
4545 | ^IBA(362.1 , | |
4546 | This file contains e ntries cre ated by th e Third Pa rty Automa ted Biller . As the Auto Bille r attempts to create bills bas ed on even ts in Clai ms Trackin g, it sets entries i n this fil e indicati ng the act ion taken by the Aut o Biller f or the eve nt. The o nly way en tries are added to t his file i s by the A uto Biller . There i s no user entry. | |
4547 | 362.3 | |
4548 | IB BILL/CL AIMS DIAGN OSIS | |
4549 | ^IBA(362.3 , | |
4550 | This file contains a ll diagnos es for bil ls in the Bill/Claim s file (#3 99). | |
4551 | 362.4 | |
4552 | IB BILL/CL AIMS PRESC RIPTION RE FILL | |
4553 | ^IBA(362.4 , | |
4554 | This file contains a ll prescri ption refi lls for bi lls in the BILL/CLAI MS file (# 399). | |
4555 | 362.5 | |
4556 | IB BILL/CL AIMS PROST HETICS | |
4557 | ^IBA(362.5 , | |
4558 | This file contains a ll prosthe tic items associated with bill s in the B ILL/CLAIMS file (#39 9). | |
4559 | 363 | |
4560 | RATE SCHED ULE | |
4561 | ^IBE(363, | |
4562 | A Rate Sch edule defi nes a spec ific type of service that may be billed to a speci fic payer. This lin ks all ele ments nece ssary to d efine exac tly what e vents are billed (Ch arge Set) to which p ayers (Rat e Type). | |
4563 | ||
4564 | There shou ld be a un ique Rate Schedule f or each ty pe of serv ice billab le to a pa yer. | |
4565 | 363.1 | |
4566 | CHARGE SET | |
4567 | ^IBE(363.1 , | |
4568 | This file contains t he definit ions of al l Charge S ets. A Ch arge Set d efines a c harge rate for a sin gle type o f billable event. | |
4569 | ||
4570 | DO NOT edi t data in this file with VA Fi le Manager . | |
4571 | 363.2 | |
4572 | CHARGE ITE M | |
4573 | ^IBA(363.2 , | |
4574 | Individual billable items and their char ges. Each item that may be bi lled shoul d have an entry. Fo r the item to be aut omatically charged i t must be an item de fined on a bill. | |
4575 | ||
4576 | The items are groupe d into Cha rge Sets w hich corre spond to r ates. | |
4577 | 363.21 | |
4578 | BILLING IT EMS | |
4579 | ^IBA(363.2 1, | |
4580 | This file is part of the Rates process a nd contain s billable items tha t may be f ound on a bill but d o not have a source file of th eir own. | |
4581 | ||
4582 | Entries sh ould only be added o r deleted through th e option p rovided. | |
4583 | 363.3 | |
4584 | BILLING RA TE | |
4585 | ^IBE(363.3 , | |
4586 | This file defines th e types of rates ava ilable to bill third parties f or reimbur sement. | |
4587 | ||
4588 | Nationally distribut ed Billing Rates sho uld not be modified. DO NOT e dit data i n this fil e with VA File Manag er. | |
4589 | 363.31 | |
4590 | BILLING RE GION | |
4591 | ^IBE(363.3 1, | |
4592 | A Billing Region is an area de fined by a Billing R ate as hav ing a uniq ue set of charges. This may c orrespond to one or more divis ions. | |
4593 | ||
4594 | Each Billi ng Rate ma y have mul tiple regi ons and ea ch region may cover one or mor e division s. | |
4595 | 363.32 | |
4596 | BILLING SP ECIAL GROU PS | |
4597 | ^IBE(363.3 2, | |
4598 | This file contains t he names o f special cases that should be applied t o certain bill types . This in cludes the Revenue C ode Link g roup names and the P rovider Di scount gro up names. | |
4599 | 363.33 | |
4600 | BILLING RE VENUE CODE LINKS | |
4601 | ^IBE(363.3 3, | |
4602 | Certain ty pes of bil ls require specific revenue co des to be used to bi ll certain types of care. Thi s file all ows linkin g of reven ue codes a nd the car e they sho uld be use d for. | |
4603 | 363.34 | |
4604 | BILLING PR OVIDER DIS COUNT | |
4605 | ^IBE(363.3 4, | |
4606 | This file contains a discount associated with a pr ovider per son class. This dis count is g enerally u sed to adj ust physic ian based provider c harges for a non-phy sician pro vider. Th e discount will be a pplied to care bille d to a | |
4607 | Billing Ra te for pro viders of the listed person cl ass's. | |
4608 | 364 | |
4609 | EDI TRANSM IT BILL | |
4610 | ^IBA(364, | |
4611 | This file contains a record fo r each bil l for each time it i s included in a batc h for EDI transmissi ons. This file allo ws a bill to be trac ked throug hout its t ransmissio n life and gives the bill's cu rrent EDI status. | |
4612 | 364.1 | |
4613 | EDI TRANSM ISSION BAT CH | |
4614 | ^IBA(364.1 , | |
4615 | This file contains a record fo r each 'ba tch' creat ed for EDI transmiss ion. It i s used to track batc h activity and to re cord stati stics on n umber of b ills in | |
4616 | a batch th at were re jected and accepted and to rec ord the me ssage numb er in Mail man that t he batch i s stored i n for inqu iry access . | |
4617 | 364.2 | |
4618 | EDI MESSAG ES | |
4619 | ^IBA(364.2 , | |
4620 | This file contains t he message s that are sent elec tronically back to t he site re lating to EDI proces sing. The se include , but are not limite d to, stat us message s, error a nd warning messages found in t he EDI tra nsmission cycle, ins urance com pany updat es, batch summaries and statis tics. The se message s are stor ed by mess age type a nd options exist tha t scan thi s file and display t he message s to the a ppropriate users and allow eac h one to b e dealt wi th and res olved if n ecessary. | |
4621 | 364.3 | |
4622 | IB MESSAGE ROUTER | |
4623 | ^IBE(364.3 , | |
4624 | This file contains a listing o f the tran sactions t hat can be handled b y the IB m essage ser ver. This file also contains the mail g roup that will recei ve any tra nsaction p rocessing error mess age and th e entry po int (TAG^R OUTINE) fo r each dif ferent tra nsaction p rocessing. | |
4625 | 364.4 | |
4626 | IB EDI TRA NSMISSION RULE | |
4627 | ^IBE(364.4 , | |
4628 | This file contains t he rules t o be appli ed to a bi ll to dete rmine if i t is eligi ble for tr ansmission via natio nal EDI. | |
4629 | 364.5 | |
4630 | IB DATA EL EMENT DEFI NITION | |
4631 | ^IBA(364.5 , | |
4632 | This file contains t he definit ion of all data elem ents that are needed for vario us forms t hroughout the MCCR D HCP system . It cont ains the ' blueprint' for how t o extract the data f or each da ta element entry. | |
4633 | 364.6 | |
4634 | IB FORM SK ELETON DEF INITION | |
4635 | ^IBA(364.6 , | |
4636 | This file contains r ecords tha t define t he skeleto n makeup o f forms fo r the IB s ystem. Th is definit ion includ es the abs olute posi tion of ev ery field that can b e output o n the form , the leng th each fi eld must b e limited to, and so me descrip tive infor mation. This inclu des printe d forms, t ransmittab le output files, and special l ocal billi ng screens . | |
4637 | 364.7 | |
4638 | IB FORM FI ELD CONTEN T | |
4639 | ^IBA(364.7 , | |
4640 | This is th e file tha t contains the speci fic fields to be use d to produ ce the ass ociated fo rm or scre en. If th ere is no insurance company or bill type specified for an en try, this is assumed to be the default d efinition of the fie ld. | |
4641 | 365 | |
4642 | IIV RESPON SE | |
4643 | ^IBCN(365, | |
4644 | This file holds all responses to HL7 mes sages gene rated from the IIV T ransmissio n Queue Fi le for Ins urance Ide ntificatio n and Veri fication. | |
4645 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4646 | 365.011 | |
4647 | X12 271 EL IGIBILITY/ BENEFIT | |
4648 | ^IBE(365.0 11, | |
4649 | This file contains a ll the cor responding X.12 271 EB01 codes (Eligibil ity/Benefi ts). | |
4650 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4651 | 365.012 | |
4652 | X12 271 CO VERAGE LEV EL | |
4653 | ^IBE(365.0 12, | |
4654 | This file contains a ll the cor responding X.12 271 EB02 codes (Coverage Level). | |
4655 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4656 | 365.013 | |
4657 | X12 271 SE RVICE TYPE | |
4658 | ^IBE(365.0 13, | |
4659 | This file contains a ll the cor responding X.12 271 EB03 codes (Service Type). | |
4660 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4661 | 365.014 | |
4662 | X12 271 IN SURANCE TY PE | |
4663 | ^IBE(365.0 14, | |
4664 | This file contains a ll the cor responding X.12 271 EB04 codes (Insuranc e Type). | |
4665 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4666 | 365.015 | |
4667 | X12 271 TI ME PERIOD QUALIFIER | |
4668 | ^IBE(365.0 15, | |
4669 | This file contains a ll the cor responding X.12 271 EB06 codes (Time Per iod Qualif ier). | |
4670 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4671 | 365.016 | |
4672 | X12 271 QU ANTITY QUA LIFIER | |
4673 | ^IBE(365.0 16, | |
4674 | This file contains a ll the cor responding X.12 271 EB09 codes (Quantity Qualifier ). | |
4675 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4676 | 365.017 | |
4677 | X12 271 ER ROR CONDIT ION | |
4678 | ^IBE(365.0 17, | |
4679 | This file contains a ll the cor responding X.12 271 AAA03 code s (Error C onditions) . These v alues are returned b ecause of an error i n processi ng. | |
4680 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4681 | 365.018 | |
4682 | X12 271 ER ROR ACTION | |
4683 | ^IBE(365.0 18, | |
4684 | This file contains a ll the cor responding X.12 271 AAA04 code s (Error A ctions). Certain re try action s are prog rammed bas ed upon th e current values in this table . | |
4685 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4686 | 365.021 | |
4687 | X12 271 CO NTACT QUAL IFIER | |
4688 | ^IBE(365.0 21, | |
4689 | This file contains a ll the cor responding X.12 code s which id entify a m ethod for contact. | |
4690 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4691 | 365.022 | |
4692 | X12 271 EN TITY IDENT IFIER CODE | |
4693 | ^IBE(365.0 22, | |
4694 | This file contains a ll the cor responding X.12 code s which id entify an eligibilit y/benefit entity. | |
4695 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4696 | 365.023 | |
4697 | X12 271 ID ENTIFICATI ON QUALIFI ER | |
4698 | ^IBE(365.0 23, | |
4699 | This file contains a ll the cor responding X.12 code s for iden tification qualifier s. | |
4700 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4701 | 365.024 | |
4702 | X12 271 PR OVIDER COD E | |
4703 | ^IBE(365.0 24, | |
4704 | This file contains a ll the cor responding X.12 code s which id entify a p rovider. | |
4705 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4706 | 365.025 | |
4707 | X12 271 DE LIVERY FRE QUENCY COD E | |
4708 | ^IBE(365.0 25, | |
4709 | This file contains a ll the cor responding X.12 code s for deli very frequ ency. | |
4710 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4711 | 365.026 | |
4712 | X12 271 DA TE QUALIFI ER | |
4713 | ^IBE(365.0 26, | |
4714 | This file contains a ll the cor responding X.12 code s for date /time qual ifiers. | |
4715 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4716 | 365.027 | |
4717 | X12 271 LO OP ID | |
4718 | ^IBE(365.0 27, | |
4719 | This file contains a ll the cor responding X.12 code s for loop IDs. It is a dicti onary to m ap X12 cod es to thei r correspo nding valu es. The c odes are u sed to par se inbound type 271 messages, among othe rs. HIPAA loop IDs come from FSC as par t of 271 r esponse me ssage. | |
4720 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4721 | 365.028 | |
4722 | X12 271 RE FERENCE ID ENTIFICATI ON | |
4723 | ^IBE(365.0 28, | |
4724 | This file contains a ll the cor responding X.12 code s for refe rence iden tification codes. | |
4725 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4726 | 365.029 | |
4727 | X12 271 UN ITS OF MEA SUREMENT | |
4728 | ^IBE(365.0 29, | |
4729 | This file contains a ll the cor responding X.12 271 Units of m easurement . | |
4730 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4731 | 365.031 | |
4732 | X12 271 EN TITY RELAT IONSHIP CO DE | |
4733 | ^IBE(365.0 31, | |
4734 | This file contains a ll the cor responding X.12 271 Entity Rel ationship codes. | |
4735 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4736 | 365.032 | |
4737 | X12 271 DA TE FORMAT QUALIFIER | |
4738 | ^IBE(365.0 32, | |
4739 | This file contains a ll the cor responding X.12 271 date forma t qualifie rs. | |
4740 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4741 | 365.033 | |
4742 | X12 271 YE S/NO RESPO NSE CODE | |
4743 | ^IBE(365.0 33, | |
4744 | This file contains t he corresp onding X.1 2 271 YES/ NO conditi on or Resp onse codes . | |
4745 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4746 | 365.034 | |
4747 | X12 271 LO CATION QUA LIFER | |
4748 | ^IBE(365.0 34, | |
4749 | This file contains a ll the cor responding X.12 271 Location Q ualifiers. | |
4750 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4751 | 365.035 | |
4752 | X12 271 PR OCEDURE CO DING METHO D | |
4753 | ^IBE(365.0 35, | |
4754 | This file contains a ll the cor responding X.12 271 procedure coding met hods. | |
4755 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4756 | 365.036 | |
4757 | X12 271 DE LIVERY PAT TERN | |
4758 | ^IBE(365.0 36, | |
4759 | This file contains a ll the cor responding X12 271 D elivery Pa ttern code s. | |
4760 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4761 | 365.037 | |
4762 | X12 271 PA TIENT RELA TIONSHIP | |
4763 | ^IBE(365.0 37, | |
4764 | This file contains a ll the cor responding X.12 271 patient re lationship codes. | |
4765 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4766 | 365.038 | |
4767 | X12 271 IN JURY CATEG ORY | |
4768 | ^IBE(365.0 38, | |
4769 | This file contains a ll the cor responding X.12 271 Nature of Injury Cat egory code s. | |
4770 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4771 | 365.039 | |
4772 | X12 271 MI LITARY PER SONNEL INF O STATUS C ODE | |
4773 | ^IBE(365.0 39, | |
4774 | This file contains a ll the cor responding X.12 271 military p ersonnel i nformation status co des. | |
4775 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4776 | 365.041 | |
4777 | X12 271 MI LITARY GOV T SERVICE AFFILIATIO N | |
4778 | ^IBE(365.0 41, | |
4779 | This file contains a ll the cor responding X.12 271 military p ersonnel i nformation governmen t service affiliatio n codes. | |
4780 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4781 | 365.042 | |
4782 | X12 271 MI LITARY SER VICE RANK | |
4783 | ^IBE(365.0 42, | |
4784 | This file contains a ll the cor responding X.12 271 military p ersonnel i nformation rank code s. | |
4785 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4786 | 365.043 | |
4787 | X12 271 EN TITY TYPE QUALIFIER | |
4788 | ^IBE(365.0 43, | |
4789 | This file contains a ll the cor responding X.12 271 Entity Typ e Qualifie rs. | |
4790 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4791 | 365.044 | |
4792 | X12 271 CO DE LIST QU ALIFIER | |
4793 | ^IBE(365.0 44, | |
4794 | This file contains a ll the cor responding X.12 271 code list qualifiers . | |
4795 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4796 | 365.045 | |
4797 | X12 271 NA TURE OF IN JURY CODES | |
4798 | ^IBE(365.0 45, | |
4799 | This file contains a ll the cor responding X.12 271 NATURE OF INJURY COD ES. | |
4800 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4801 | 365.046 | |
4802 | X12 271 MI LITARY EMP LOYMENT ST ATUS CODE | |
4803 | ^IBE(365.0 46, | |
4804 | This file contains a ll the cor responding X.12 271 MPI employ ment statu s codes. | |
4805 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4806 | 365.1 | |
4807 | IIV TRANSM ISSION QUE UE | |
4808 | ^IBCN(365. 1, | |
4809 | This file contains r ecords whi ch have be en selecte d based on specific criteria t o generate an HL7 me ssage. Th ese messag es will be sent to t he Eligibi lity Commu nicator fo r processi ng. | |
4810 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4811 | 365.11 | |
4812 | IIV AUTO M ATCH | |
4813 | ^IBCN(365. 11, | |
4814 | The Auto M atch file is a VistA facility to help II V match us er-entered insurance company n ames to th e correct insurance company na mes in the insurance company f ile. This file link s together an Auto M atch Value with a va lid insura nce compan y name. T he Auto Ma tch Value may contai n common s pelling mi stakes and wildcard characters to aid in the selec tion of a valid insu rance comp any name. | |
4815 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4816 | 365.12 | |
4817 | PAYER | |
4818 | ^IBE(365.1 2, | |
4819 | This is a standard f ile export ed by the IB package . It cont ains all p ayers whic h can be c ommunicate d with ele ctronicall y for insu rance veri fication. Do not ad d, edit or delete th ese entrie s except t hrough the provided edit optio ns. | |
4820 | ||
4821 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4822 | 365.13 | |
4823 | PAYER APPL ICATION | |
4824 | ^IBE(365.1 3, | |
4825 | This file contains a ll the dif ferent app lications that a pay er could b e contacte d electron ically for . | |
4826 | ||
4827 | Initially there will only be e lectronic insurance identifica tion as an applicati on. | |
4828 | ||
4829 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4830 | 365.14 | |
4831 | IIV TRANSM ISSION STA TUS | |
4832 | ^IBE(365.1 4, | |
4833 | This file contains a ll of the statuses t hat an ele ctronic in surance ve rification transmiss ion or rec eiving rec ord can ha ve. | |
4834 | ||
4835 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4836 | 365.15 | |
4837 | IIV STATUS TABLE | |
4838 | ^IBE(365.1 5, | |
4839 | This file contains t he various IIV statu ses for en tries in t he Insuran ce Process or. Also included a re the sym bols that should app ear in the eIV statu s column i n the Insu rance Proc essor list , and a mo re detaile d descript ion of the status th at is used in the Ex pand Entry option in the Insur ance Proce ssor. | |
4840 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4841 | 365.2 | |
4842 | IIV RESPON SE REVIEW | |
4843 | ^IBCN(365. 2, | |
4844 | This file holds the outcome of the revie ws of MEDI CARE (WNR) messages contained in the IIV RESPONSE file (#365 ). The fi le is popu lated when the user enters com ments and statuses a gainst sel ected mess ages using the Medic are Potent ial COB Wo rklist [IB CNE POTENT IAL COB LI ST] option . | |
4845 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4846 | 366 | |
4847 | IB SSVI PI N/HL7 PIVO T | |
4848 | ^IBCN(366, | |
4849 | This file collects a ll of the PIN events that need to be bro adcast to the system . The ent ries in th is file wi ll contain informati on on how to get bac k to its p arent even t in PIMS. There ar e no paren t-child re lationship s stored h ere. | |
4850 | 366.01 | |
4851 | NCPDP PROC ESSOR | |
4852 | ^IBCNR(366 .01, | |
4853 | This Integ rated Bill ing (IB) f ile was cr eated for the e-Phar macy Proje ct. It is maintaine d centrall y, via rea l time HL7 Table Upd ate Messag es, using the WebMD database. Never mai ntain loca lly, excep t via a de signated a nd secured option th at edits s elected AP PLICATION Sub-file f ields, suc h as LOCAL ACTIVE. A NCPDP Pro cessor rec eives NCPD P transmis sions and adjudicate s NCPDP cl aims. A | |
4854 | NCPDP Proc essor is u niquely id entified b y its' nam e. | |
4855 | ||
4856 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4857 | 366.02 | |
4858 | PHARMACY B ENEFITS MA NAGER (PBM ) | |
4859 | ^IBCNR(366 .02, | |
4860 | This Integ rated Bill ing (IB) f ile was cr eated for the e-Phar macy Proje ct. It is maintaine d centrall y, via rea l time HL7 Table Upd ate Messag es, using the WebMD database. Never mai ntain loca lly, excep t via a de signated a nd secured option th at edits s elected AP PLICATION Sub-file f ields, suc h as LOCAL ACTIVE. A Pharmacy Benefits M anager (PB M) adminis ters a pla n on behal f of the i nsurance c ompany pay er. A PBM is typica lly a sepa rate, cont racted ent ity, but i t may be t he insuran ce company payer. A PBM is un iquely ide ntified by its' name . | |
4861 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4862 | 366.03 | |
4863 | PLAN | |
4864 | ^IBCNR(366 .03, | |
4865 | This Integ rated Bill ing (IB) f ile was cr eated for the e-Phar macy Proje ct. It is maintaine d centrall y, via rea l time HL7 Table Upd ate Messag es, using the WebMD database. Never mai ntain loca lly, excep t via a de signated a nd secured option th at edits s elected AP PLICATION Sub-file f ields, suc h as LOCAL ACTIVE. A Plan is a Payer's m edical hea lth care i nsurance p roduct tha t defines benefits a nd their d elivery to organizat ions and i ndividuals that enro ll in the Plan. A P lan is uni quely iden tified by its' ident ifier (VA National P lan ID). | |
4866 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4867 | 366.1 | |
4868 | IB INSURAN CE INCONSI STENT DATA | |
4869 | IBCN(366.1 | |
4870 | This file contains t hose patie nts who we re found t o have mis sing and/o r inconsis tent data elements i n the PATI ENT file b y the IB I nsurance I nfo VIEW/E DIT consis tency chec ker. The inconsiste nt data el ements are stored in this file where ind ividual ch ecks can b e turned o n or off b y the faci lity. Onc e the data is correc ted throug h the appr opriate in surance me nu options , the entr y will be removed fr om this fi le. | |
4871 | 366.11 | |
4872 | NCPDP PROC ESSOR APPL ICATION | |
4873 | ^IBCNR(366 .11, | |
4874 | This Integ rated Bill ing (IB) f ile was cr eated for the e-Phar macy Proje ct. It is maintaine d centrall y. Never maintain l ocally. A NCPDP Pro cessor App lication i dentifies an electro nic interf ace applic ation asso ciated wit h the NCPD P PROCESSO R File (36 6.01). A NCPDP Proc essor Appl ication is uniquely identified by its' n ame. | |
4875 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4876 | 366.12 | |
4877 | PHARMACY B ENEFITS MA NAGER (PBM ) APPLICAT ION | |
4878 | ^IBCNR(366 .12, | |
4879 | This Integ rated Bill ing (IB) f ile was cr eated for the e-Phar macy Proje ct. It is maintaine d centrall y. Never maintain l ocally. A Pharmacy Benefits M anager (PB M) Applica tion ident ifies an e lectronic interface applicatio n associat ed with th e PHARMACY BENEFITS MANAGER (P BM) File ( 366.02). A PBM Appl ication is uniquely identified by its' n ame. | |
4880 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4881 | 366.13 | |
4882 | PLAN APPLI CATION | |
4883 | ^IBCNR(366 .13, | |
4884 | This Integ rated Bill ing (IB) f ile was cr eated for the e-Phar macy Proje ct. It is maintaine d centrall y. Never maintain l ocally. | |
4885 | A Plan App lication i dentifies an electro nic interf ace applic ation asso ciated wit h the PLAN File (366 .03). A P lan Applic ation is u niquely id entified b y its' nam e. | |
4886 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4887 | 366.14 | |
4888 | IB NCPDP E VENT LOG | |
4889 | ^IBCNR(366 .14, | |
4890 | This file contains d ata which are passed into IB N CPDP APIs by outside applicati ons - E CL AIMS MGMT ENGINE and OUTPATIEN T PHARMACY (see IA # 4299). Da ta stored in this fi le are use d for IB E CME EVENT report to provide de tails abou t E-Pharma cy claims processing and about communica tion detai ls between IB and th e applicat ions liste d above. The data i n this fil e is popul ated inter nally by t he IB appl ication (d ata not di rectly ent ered by th e user). | |
4891 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4892 | 366.15 | |
4893 | IB NCPDP P RESCRIPTIO N | |
4894 | ^IBCNR(366 .15, | |
4895 | DO NOT del ete entrie s in this file. DO NOT edit d ata in thi s file wit h VA File Manager. | |
4896 | ||
4897 | This file is used to support N CPDP billi ng for mul tiple Rate Types. E ntries are created i n this fil e based on the presc ription an d fill/ref ill number . The Rat e Type det ermined at time of B illing Det ermination is stored in this f ile so it can be uti lized when bill crea tion occur s. This f ile is als o used to store the associated co-paymen t referenc e number i f a non-ve teran co-p ayment cha rge is cre ated to al low easy l ookup if t he co-paym ent charge needs to be cancell ed. | |
4898 | Per VHA Di rective 20 04-038, th is file de finition s hould not be modifie d. | |
4899 | 366.16 | |
4900 | IB NDC NON COVERED B Y PLAN | |
4901 | ^IBCNR(366 .16, | |
4902 | This file is used to store dru g's NDC re jected by payers as non-covere d by pharm acy plan. The drug' s NDC, Gro up Insuran ce Plan an d the last date the drug was r ejected ar e used by Integrated Billing a nd ECME pa ckages to prevent se nding e-cl aims for n on-covered drugs. | |
4903 | Per VHA Di rective 20 04-038, th is file sh ould not b e modified or edited with VA F ileman. | |
4904 | 366.17 | |
4905 | IB NCPDP N ON-BILLABL E STATUS R EASONS | |
4906 | This file contains t he non-bil lable stat us reasons used by t he IB NCPD P Billing Event Log and which are return ed by the IB Billabl e Status C heck for e Pharmacy c laims. | |
4907 | Per VHA Di rective 20 04-038, th is file de finition s hould not be modifie d. | |
4908 | 366.2 | |
4909 | IB INSURAN CE CONSIST ENCY ELEME NTS | |
4910 | ^IBCN(366. 2 | |
4911 | This file contains t hose entri es that ar e checked by the IB Insurance Info View/ Edit modul e consiste ncy checke r. Other than turni ng individ ual checks on or off , the user should no t alter or add to th is file in any way. Making an y modifica tion to th is file wi ll definit ely cause the consis tency chec ker to fun ction impr operly. | |
4912 | 367HPID/OE ID RESPONS E | |
4913 | ^IBCNH(367 ,This file contains responses associated with inqu iries from the HPID/ OEID | |
4914 | TRANSMISSI ON QUEUE f ile (file #367.1) | |
4915 | 367.1HPID/ OEID TRANS MISSION QU EUE | |
4916 | ^IBCNH(367 .1, | |
4917 | This file contains r ecords whi ch have be en selecte d based on specific criteria t o generate an HL7 me ssage. Th ese messag es will be sent to t he Nationa l Insuranc e File (NI F) for pro cessing. | |
4918 | 367.11INSU RANCE COMP ANY ID TYP E | |
4919 | ^IBE(367.1 1,This fil e contains the possi ble ID typ es that co uld be rec eived from the Natio nal Insura nce file ( NIF) for a n Insuranc e Company entry. | |
4920 | 368 | |
4921 | HEALTH CAR E CLAIM RF AI (277) | |
4922 | ^IBA(368 | |
4923 | This file contains a ll records received from the F SC ASC X12 N health C are Claim Request Fo r Addition al Informa tion (277) HL7 messa ge. | |
4924 | 368.001 | |
4925 | X12 277 CL AIM STATUS CATEGORY | |
4926 | ^IBE(368.0 01 | |
4927 | This file contains H ealth Care Claim Sta tus Codes - limited to the R c odes of X1 2 code sou rce 507. | |
4928 | 368.002 | |
4929 | X12 277 PR ODUCT OR S ERVICE ID QUAL | |
4930 | ^IBE(368.0 02 | |
4931 | This file contains C ode identi fying the type/sourc e of the d escriptive number us ed in Prod uct/Servic e ID. | |
4932 | 372 | |
4933 | PFSS SITE PARAMETERS | |
4934 | ^IBBAS(372 , | |
4935 | The PFSS S ITE PARAME TERS file holds data required for proper function of the IBB software, which pro vides comm on utiliti es and pro cedures fo r PFSS. | |
4936 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4937 | 373 | |
4938 | PFSS CHARG E CACHE | |
4939 | ^IBBAD(373 , | |
4940 | This file is used to store cha rge data f rom variou s VistA ap plications so that a backgroun d process can create an HL7 P0 3 message from each record. T he message s are batc hed and se nt to the external m edical bil ling syste m. | |
4941 | ||
4942 | Under no c ircumstanc es may rec ords be cr eated or m odified di rectly via FileMan o r other me thods. Re cord creat ion and da ta update is allowed only thro ugh CHARGE ^IBBAPI. | |
4943 | ||
4944 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4945 | 375 | |
4946 | PFSS ACCOU NT | |
4947 | ^IBBAA(375 , | |
4948 | This file is used to store vis it/encount er data fr om various VistA app lications, so that a backgroun d process can create HL7 ADT m essages th at are sen t to the e xternal me dical bill ing system . | |
4949 | ||
4950 | Under no c ircumstanc es may rec ords be cr eated or m odified di rectly via FileMan o r other me thods. Re cord creat ion and da ta update is allowed only thro ugh GETACC T^IBBAPI. | |
4951 | ||
4952 | Per VHA Di rective 10 -93-142, t his file d efinition should not be modifi ed. | |
4953 | 389.9 | |
4954 | STATION NU MBER (TIME SENSITIVE ) | |
4955 | ^VA(389.9, | |
4956 | The purpos e of this file is to allow DHC P software flexibili ty and rel iability w hen the st ation numb er of a me dical cent er changes or when o ne or more stations have merge d into one station. | |
4957 | ||
4958 | Adding or modifying entries in this file may affec t many DHC P applicat ions. Con trol of en try into t his file s hould be c arefully c ontrolled by the IRM Service C hief. | |
4959 | 390 | |
4960 | ENROLLMENT RATED DIS ABILITY UP LOAD AUDIT | |
4961 | ^DGRDUA(39 0, | |
4962 | This file tracks new /modified Rated Disa bility cha nges recei ved from t he Health Eligibilit y Center v ia ORU/ORF Z11 messa ges. The purpose of this file is for Hi story only and canno t be consi dered curr ent. Data will be p urged from this file after it is over 36 5 days old . | |
4963 | 391 | |
4964 | TYPE OF PA TIENT | |
4965 | ^DG(391, | |
4966 | This file contains t he various types of patient wh ich might be seen at a VA faci lity. The file is p ointed to by the TYP E field of the PATIE NT file an d every pa tient adde d to the s ystem must have a TY PE specifi ed. Using the 'Pati ent Type U pdate' opt ion of ADT the user should spe cify the p arameters concerning which scr eens shoul d be displ ayed durin g the regi stration p rocess for these pat ient types and what data eleme nts on tho se screens are edita ble. | |
4967 | 391.1 | |
4968 | AMIS SEGME NT | |
4969 | ^DG(391.1, | |
4970 | This file contains t he various AMIS segm ents. The .001 (Num ber) field should be defined a s the segm ent number . | |
4971 | 391.23 | |
4972 | DG REGISTE R ONCE FIE LD DEFINIT ION | |
4973 | ^DGRO(391. 23, | |
4974 | This file is used to define th e fields t hat are co llected at a Last Si te Treated and loade d into a Q uerying Si te via Reg ister Once Messaging . | |
4975 | NOTE: Regi ster Once is being r emoved fro m the Regi ster A Pat ient optio n by patch DG*5.3*91 5. | |
4976 | 391.31 | |
4977 | HOME TELEH EALTH PATI ENT | |
4978 | ^DGHT(391. 31, | |
4979 | 391.71 | |
4980 | ADT/HL7 PI VOT | |
4981 | ^VAT(391.7 1, | |
4982 | This file serves as a funnel f or all of the ADT ev ents that need to be broadcast to any sy stem. The VISIT fil e may repl ace this f ile in the future. The entrie s in this file will contain in formation on how to get back t o its pare nt event i n PIMS. T here is no parent ch ild relati onships st ored here. | |
4983 | 391.72 | |
4984 | ADT/HL7 EV ENT REASON | |
4985 | ^VAT(391.7 2, | |
4986 | This file contains t he event r eason code s for admi ssion, dis charge and transfer (ADT) Heal th Level S even (HL7) events. | |
4987 | 391.91 | |
4988 | TREATING F ACILITY LI ST | |
4989 | ^DGCN(391. 91, | |
4990 | This file holds the Treating F acility Li st, a list of instit utions whe re the pat ient has h ad treatme nt. | |
4991 | 391.92 | |
4992 | VAFC ASSIG NING AUTHO RITY | |
4993 | ^DGCN(391. 92, | |
4994 | The VAFC A SSIGNING A UTHORITY ( #391.92) f ile expand s the capa bility of VA Identit y Manageme nt Service (IdM) to support fu ture initi atives, (e .g., Natio nal Health Informati on Network (NHIN) an d non-Pati ent Identi ty Managem ent, etc.) . This fi le stores a portion of the dat a used to assemble f ully quali fied ident ifiers use d for eith er the Hea lth Level Seven v2.4 or v3.0 s tandard. | |
4995 | 391.98 | |
4996 | PATIENT DA TA EXCEPTI ON | |
4997 | ^DGCN(391. 98, | |
4998 | This file is current ly used to log excep tions enco untered an d their st atus. Thi s file sho uld not be limited t o demograp hic except ions as it is a plac e holder. It is tie d to a pat ient. | |
4999 | 391.984 | |
5000 | EXCEPTION STATUS | |
5001 | ^DGCN(391. 984, | |
5002 | This file contains t he status name and c ode (abbre viation) a ssociated with the e xceptions processed by the Pat ient Data Review [VA FC EXCEPTI ON HANDLER ] option. | |
5003 | 391.99 | |
5004 | PATIENT DA TA ELEMENT | |
5005 | ^DGCN(391. 99, | |
5006 | This file is used to store eac h individu al data el ement and its locati on for the exception that is l ogged. | |
5007 | 392 | |
5008 | BENEFICIAR Y TRAVEL C LAIM | |
5009 | ^DGBT(392, | |
5010 | This file contains t he complet ed travel claim entr ies for pa tients sho wing depar ture/desti nation dat a, as well as specif ic claim d ata. | |
5011 | 392.1 | |
5012 | BENEFICIAR Y TRAVEL D ISTANCE | |
5013 | ^DGBT(392. 1, | |
5014 | This file contains the mileag e data bet ween depar ture citie s and medi cal center divisions . Each de parture ci ty can hav e multiple divisions entered, each with its own as sociated m ileage, mo st economi cal cost, and remark s field. | |
5015 | 392.2 | |
5016 | BENEFICIAR Y TRAVEL C ERTIFICATI ON | |
5017 | ^DGBT(392. 2, | |
5018 | This file contains the income certifica tion data for patien ts for Ben eficiary T ravel clai ms, includ ing amount certified , eligibil ity for Be nefit Trav el, and me ans test s tatus. | |
5019 | 392.3 | |
5020 | BENEFICIAR Y TRAVEL A CCOUNT | |
5021 | ^DGBT(392. 3, | |
5022 | Although t his file h as been de centralize d, changes and addit ions shoul d be made with extre me care. | |
5023 | 392.31 | |
5024 | LOCAL VEND OR | |
5025 | ^DGBT(392. 31, | |
5026 | This file contains v endors of the Core F inancial L ogistics S ystem (cor eFLS) used by your l ocal syste m. Entries should on ly be adde d and upda ted throug h the appl ications i nterfaced with coreF LS. Entri es SHOULD NOT be add ed, edited , or delet ed through File Mana ger. | |
5027 | 392.4 | |
5028 | BENEFICIAR Y TRAVEL M ODE OF TRA NSPORTATIO N | |
5029 | ^DGBT(392. 4, | |
5030 | This file contains the data o n the diff erent mode s of trans portation available in Benefit Travel cl aims. | |
5031 | 393 | |
5032 | INCOMPLETE RECORDS | |
5033 | ^VAS(393, | |
5034 | This file is the mai n file for the Incom plete Reco rds Tracki ng package IRT This is where a ll of the data is st ored that will be di splayed fo r each def iciency on the enter /edit scre ens and on all of th e reports. | |
5035 | 393.1 | |
5036 | MAS SERVIC E | |
5037 | ^DG(393.1, | |
5038 | This file stores all the possi ble servic es for bot h wards an d clinics. | |
5039 | 393.2 | |
5040 | IRT STATUS | |
5041 | ^DG(393.2, | |
5042 | This is th e file tha t contains the names of the st atuses tha t an IRT r ecord must go thru t o its comp letion. | |
5043 | 393.3 | |
5044 | IRT TYPE O F DEFICIEN CY | |
5045 | ^VAS(393.3 , | |
5046 | This file contains t he names o f the type s of defic iencies th at are tra cked in th e IRT pack age. | |
5047 | 393.41 | |
5048 | TYPE OF CA TEGORY | |
5049 | ^VAS(393.4 1, | |
5050 | This is th e file tha t stores t he name of the categ ory and al l data ele ments rela ted to the category, that a de ficiency f alls under . There a re thirtee n categori es. | |
5051 | 394 | |
5052 | *PDX TRANS ACTION | |
5053 | ^VAT(394, | |
5054 | This file has been r eplaced wi th the VAQ - TRANSAC TION file (#394.61). | |
5055 | ||
5056 | Version 1. 0 of PDX u sed this f ile to sto re adminis trative in formation concerning all PDX t ransmissio ns. Versi on 1.5 of PDX has ma rked it fo r deletion and versi on 2.0 wil l delete i t. | |
5057 | 394.1 | |
5058 | *PDX DATA | |
5059 | ^VAT(394.1 , | |
5060 | This file has been r eplaced wi th the VAQ - DATA fi le (#394.6 2). | |
5061 | ||
5062 | Version 1. 0 of PDX u sed this f ile to sto re patient informati on that wa s transmit ted using PDX. Vers ion 1.5 of PDX has m arked it f or deletio n and vers ion 2.0 wi ll delete it. | |
5063 | 394.2 | |
5064 | *PDX PARAM ETER | |
5065 | ^VAT(394.2 , | |
5066 | This file has been r eplaced wi th the VAQ - PARAMET ER file (# 394.81). | |
5067 | ||
5068 | Version 1. 0 of PDX u sed this f ile to sto re site sp ecific inf ormation c oncerning the use of PDX. Ver sion 1.5 o f PDX has marked it for deleti on and ver sion 2.0 w ill delete it. | |
5069 | 394.3 | |
5070 | *PDX STATU S | |
5071 | ^VAT(394.3 , | |
5072 | This file has been r eplaced wi th the VAQ - STATUS file (#394 .85). | |
5073 | ||
5074 | Version 1. 0 of PDX u sed this f ile to sto re all pos sible phas es of a PD X transmis sion. Ver sion 1.5 o f PDX has marked it for deleti on and ver sion 2.0 w ill delete it. | |
5075 | 394.4 | |
5076 | *PDX STATI STICS | |
5077 | ^VAT(394.4 , | |
5078 | This file has been r eplaced wi th the VAQ - WORKLOA D file (#3 94.87). | |
5079 | ||
5080 | Version 1. 0 of PDX u sed this f ile to sto re workloa d statisti cs concern ing use of PDX. Ver sion 1.5 o f PDX has marked it for deleti on and ver sion 2.0 w ill delete it. | |
5081 | 394.61 | |
5082 | VAQ - TRAN SACTION | |
5083 | ^VAT(394.6 1, | |
5084 | This file holds info rmation de scribing e ach PDX tr ansaction. A PDX tr ansaction is created when one of the fol lowing eve nts occur. | |
5085 | 394.62 | |
5086 | VAQ - DATA | |
5087 | ^VAT(394.6 2, | |
5088 | This file holds any patient in formation that was t ransmitted using PDX . | |
5089 | 394.71 | |
5090 | VAQ - DATA SEGMENT | |
5091 | ^VAT(394.7 1, | |
5092 | This file defines ea ch data se gment curr ently supp orted by P DX. | |
5093 | 394.72 | |
5094 | VAQ - ENCR YPTION MET HOD | |
5095 | ^VAT(394.7 2, | |
5096 | This file defines ea ch encrypt ion method currently supported by PDX. | |
5097 | 394.73 | |
5098 | VAQ - ENCR YPTED FIEL DS | |
5099 | ^VAT(394.7 3, | |
5100 | This file contains a ll fields that shoul d be encry pted in PD X Requests and Unsol icited PDX s transmit ted by the facility. This fil e is only relevant w hen encryp tion has b een turned on. | |
5101 | 394.81 | |
5102 | VAQ - PARA METER | |
5103 | ^VAT(394.8 1, | |
5104 | This file contains s ite specif ic informa tion conce rning the use of PDX . Only on e entry ma y be made in this fi le. | |
5105 | 394.82 | |
5106 | VAQ - RELE ASE GROUP | |
5107 | ^VAT(394.8 2, | |
5108 | This file contains t he facilit ies that h ave been g ranted 'Au tomatic | |
5109 | Processing '. In ord er for a r equest to be automat ically pro cessed, th e requesti ng facilit y must hav e an entry in this f ile. | |
5110 | 394.83 | |
5111 | VAQ - OUTG OING GROUP | |
5112 | ^VAT(394.8 3, | |
5113 | This file contains g roups of f acilities commonly a ccessed us ing PDX. | |
5114 | 394.84 | |
5115 | VAQ - SEGM ENT GROUP | |
5116 | ^VAT(394.8 4, | |
5117 | This file contains g roups of d ata segmen ts commonl y referenc ed by the facility. Groups ma rked as 'P ublic' may be refere nced by al l users of PDX. Gro ups marked as 'Priva te' may on ly be refe renced by the indivi dual that created th e group. | |
5118 | 394.85 | |
5119 | VAQ - STAT US | |
5120 | ^VAT(394.8 5, | |
5121 | This file defines al l possible statuses of a PDX t ransaction . | |
5122 | ||
5123 | Codes must be in the form XXXX -YYYYY whe re XXXX is the names pace of th e package (1-4 upper case char acters) an d YYYYY is 1-5 chara cters (upp er or lowe r case) of the packa ge's choos ing. [Mus t pattern match 1.4U 1"-"1.5A] | |
5124 | 394.86 | |
5125 | VAQ - AUTO -NUMBERING | |
5126 | ^VAT(394.8 6, | |
5127 | This file is used to implement auto-numb ering in t he PDX fil es. Field s with aut o-numberin g capabili ty will ha ve an entr y in this file | |
5128 | 394.87 | |
5129 | VAQ - WORK LOAD | |
5130 | ^VAT(394.8 7, | |
5131 | This file contains s tatistics concerning the workl oad done u sing PDX. PDX workl oad is con sidered to be reques ting patie nt informa tion from another fa cility, ma nually pro cessing re quests fro m another facility, and upload ing PDX da ta to the Patient Fi le. Work done by th e PDX Serv er is also stored in this file . | |
5132 | 394.88 | |
5133 | VAQ - WORK | |
5134 | ^VAT(394.8 8, | |
5135 | This file contains t he type of work bein g tracked by the VAQ - WORKLOA D file (#3 94.87). | |
5136 | 395 | |
5137 | DVB PARAME TERS | |
5138 | ^DVB(395, | |
5139 | 395.1 | |
5140 | ENTITLEMEN T CODES | |
5141 | ^DVB(395.1 , | |
5142 | 395.2 | |
5143 | ANATOMICAL -LOSS CODE S | |
5144 | ^DVB(395.2 , | |
5145 | 395.3 | |
5146 | MONTHLY CO MPENSATION | |
5147 | ^DVB(395.3 , | |
5148 | 395.4 | |
5149 | DIARY DEFI NITIONS | |
5150 | ^DVB(395.4 , | |
5151 | 395.5 | |
5152 | HINQ SUSPE NSE | |
5153 | ^DVB(395.5 , | |
5154 | 395.7 | |
5155 | HINQ AUDIT | |
5156 | ^DVB(395.7 , | |
5157 | 396 | |
5158 | FORM 7131 | |
5159 | ^DVB(396, | |
5160 | Holds all requests f or 7131 in formation. This is the inform ation whic h was requ ested on t he old pap er 7131 fo rms. | |
5161 | ||
5162 | Node 6 was added wit h Version 2.7 of AMI E. This n ode contai ns the div isions a s elected re port on a 7131 has b een transf erred to. Node 7 wa s added wi th Version 2.7 of AM IE. This node conta ins the da tes a repo rt on a 71 31 was tra nsferred t o another division. These nod es are use d only by Multidivis ional faci lities tha t transfer reports o n a 7131. The decim al portion of the fi eld number s for the fields on nodes 6 an d 7 indica tes the no de the fie ld exists on. The p iece posit ion for ea ch field o n nodes 6 and 7 corr esponds to the piece position of its res pective re port statu s field on that repo rt's node. | |
5163 | ||
5164 | NOTE: The 'AE' and 'AF' cross -reference s are spec ialized MU MPS cross- reference s used to implement the Divisi onal Trans fer of rep orts on a 7131 reque st. Pleas e follow t he technic al descrip tions of t he above c ross-refer ences when re-indexi ng. | |
5165 | 396.1 | |
5166 | AMIE SITE PARAMETER | |
5167 | ^DVB(396.1 , | |
5168 | Holds the package sp ecific par ameters fo r the AMIE site. | |
5169 | 396.15 | |
5170 | CAPRI DIVI SION EXAM LIST | |
5171 | ^DVB(396.1 5, | |
5172 | This file is used by the CAPRI GUI to ma intain a l ist of AMI E C&P exam inations t hat are as signed to a specific medical c enter divi sion. It is also po ssible to set a flag in this f ile to dis able the d ivision fr om appeari ng in the listing of selectabl e division s in the G UI. | |
5173 | 396.17 | |
5174 | CAPRI TEMP LATES | |
5175 | ^DVB(396.1 7, | |
5176 | This file holds the definition s generate d by users of the CA PRI C&P Wo rksheet Mo dule (CPWM ) that are used to r e-generate GUI scree ns. CPWM allows poi nt-n-click entry of C&P examin ations and will stor e ASCII re ports in A MIE and TI U when the user has finished t he documen tation pro cess. Thi s file ser ves to tra ck documen ts in prog ress as we ll as docu ments that have been already c ompleted a nd sent to TIU and A MIE. | |
5177 | 396.18 | |
5178 | CAPRI TEMP LATE DEFIN ITIONS | |
5179 | ^DVB(396.1 8, | |
5180 | This file maintains a list of definition s used to generate e xamination templates in the CA PRI GUI in terface. T hese defin itions wil l be used by provide rs to docu ment C&P e xamination s in point -n-click f ormat. Th e definiti ons will n ot be used in the ro ll-n-scrol l AMIE-II applicatio n and are specific t o the GUI environmen t. Old de finitions, as they a re retired , will be retained i n the file for histo rical purp oses. Thi s file sho uld remain standardi zed betwee n all site s and entr ies not be modified, removed, or added e xcept thro ugh patch installati on. | |
5181 | 396.2 | |
5182 | AMIE REPOR T | |
5183 | ^DVB(396.2 , | |
5184 | File to ho ld various parameter s for spec ialized re porting in the A.M.I .E. packag e. Inform ation is d eleted as soon as po ssible. | |
5185 | ||
5186 | (This file is used s pecificall y when gen erating an d printing Notices o f Discharg e.) | |
5187 | 396.3 | |
5188 | 2507 REQUE ST | |
5189 | ^DVB(396.3 , | |
5190 | Holds all 2507 reque sts genera ted from R egional Of fice users . | |
5191 | 396.4 | |
5192 | 2507 EXAM | |
5193 | ^DVB(396.4 , | |
5194 | This file contains a ll the exa ms that ar e associat ed with th e various 2507 reque sts. | |
5195 | 396.5 | |
5196 | 2507 CANCE LLATION RE ASON | |
5197 | ^DVB(396.5 , | |
5198 | This file has all cu rrent reas ons that a 2507 exam may be ca ncelled. | |
5199 | 396.6 | |
5200 | AMIE EXAM | |
5201 | ^DVB(396.6 , | |
5202 | Current li sting of a ll valid 2 507 exams that may b e requeste d. The ex ams may be inactivat ed by the setting of the activ e/inactive flag. On ly the Reg ional Offi ce may det ermine if an exam is active or inactive. | |
5203 | 396.7 | |
5204 | 2507 BODY SYSTEM | |
5205 | ^DVB(396.7 , | |
5206 | Contains a ll body sy stem names to which the 2507 e xams are r elated. | |
5207 | 396.94 | |
5208 | 2507 INSUF FICIENT RE ASONS | |
5209 | ^DVB(396.9 4, | |
5210 | This file has been a dded for u se by the 2507 EXAM File (396. 4). It co ntains the reason an exam is r eturned by the Regio nal Office to the Me dical Cent er as 'Ins ufficient' . | |
5211 | ||
5212 | The reason s containe d in this file were developed and agreed upon by t he AMIE Su b-group of the PII-E P. This i nformation should no t be modif ied by the site. | |
5213 | 396.95 | |
5214 | AMIE C&P E XAM TRACKI NG | |
5215 | ^DVB(396.9 5, | |
5216 | This file has been a dded for u se by the 2507 REQUE ST File (3 96.3). It contains informatio n about C& P appointm ents linke d to 2507 Requests. | |
5217 | ||
5218 | This file should not be edited via FileM an. The i nformation in this f ile is cru cial to pr oper calcu lation of the Averag e Processi ng Time on the AMIE AMIS 290. | |
5219 | 399 | |
5220 | BILLS/CLAI MS | |
5221 | ^DGCR(399, | |
5222 | This file contains a ll the inf ormation n ecessary t o complete a Third P arty billi ng claim f orm. | |
5223 | 399.1** | |
5224 | MCCR UTILI TY | |
5225 | ^DGCR(399. 1, | |
5226 | This file contains a ll of the Occurrence Codes, Di scharge St atuses, Di scharge Be d sections , and Valu e Codes wh ich may be used on a Third Par ty Claim f orm. | |
5227 | 399.2** | |
5228 | REVENUE CO DE | |
5229 | ^DGCR(399. 2, | |
5230 | This file contains a ll of the Revenue Co des which may be use d on the T hird Party Claim for ms. | |
5231 | 399.3** | |
5232 | RATE TYPE | |
5233 | ^DGCR(399. 3, | |
5234 | This file contains a ll of the Rate Types which may be used o n the Thir d Party Cl aim forms. | |
5235 | 399.4** | |
5236 | MCCR INCON SISTENT DA TA ELEMENT S | |
5237 | ^DGCR(399. 4, | |
5238 | Contains a list of a ll possibl e reasons a bill may be disapp roved duri ng the aut horization phase of the billin g process. | |
5239 | 399.5** | |
5240 | BILLING RA TES | |
5241 | ^DGCR(399. 5, | |
5242 | Contains t he histori cal billin g rates as sociated w ith revenu e codes an d specialt ies for wh ich the DV A has legi slative au thority to bill thir d parties for reimbu rsement. It is used to automa tically as sociate re venue code s, bed sec tions, and amounts o n bills. | |
5243 | 399.6 | |
5244 | CMN FORM T YPES | |
5245 | ^IBE(399.6 , | |
5246 | This file contains t he various Certifica te of Medi cal Necess ity (CMN) form types and is us ed in Ente r/Edit Bil ling when the user s pecifies C MN informa tion for a n | |
5247 | eligible p rocedure. | |
5248 | 409.95 | |
5249 | PRINT MANA GER CLINIC SETUP | |
5250 | ^SD(409.95 , | |
5251 | This file defines wh ich encoun ter forms to use for a particu lar clinic . It can also be us ed to defi ne other f orms or re ports to p rint, alon g with the new encou nter forms . For eac h appointm ent, a pac ket of for ms can be printed, s aving the effort of collating the forms manually. | |
5252 | 409.96 | |
5253 | PRINT MANA GER DIVISI ON SETUP | |
5254 | ^SD(409.96 , | |
5255 | This file allows the user to s pecify rep orts or fo rms that s hould prin t in addit ion to the encounter forms for the entir e division . Only re ports cont ained in t he PACKAGE INTERFACE file (#35 7.6) can b e specifie d. The us er can ALO S specify the condit ions under which the report sh ould print . The int ent is to print pack ets of for ms so that they do n ot have to be manual ly collate d. | |
5256 | *File cont ains data which will overwrite existing data. | |
5257 | **File con tains data which wil l merge wi th existin g data. | |
5258 | Templates | |
5259 | ||
5260 | List Templ ates | |
5261 | ||
5262 | TEMPLATE | |
5263 | DESCRIPTIO N | |
5264 | IBCE VIEW LOC PRINT | |
5265 | Protocol L ist Type. Generates the previ ously prin ted claims screen. | |
5266 | IBCN INS C O SELECTED | |
5267 | Protocol L ist Type. Displays Insurance Companies selected b y template IBCN INS CO SELECTO R. Allows users to d eselect an Insurance Company. | |
5268 | IBCN INS C O SELECTOR | |
5269 | Protocol L ist Type. Displays I nsurance C ompanies u sing a var iety of us er selecte d filters. Allows us er to sele ct and des elect Insu rance Comp anies. It allows fil ter criter ia to be r eset and f or users t o see a co mplete lis t of curre ntly selec ted Insura nce Compan ies. | |
5270 | IBCN SUBSC RIBER SELE CTED | |
5271 | Protocol L ist Type. Displays S ubscribers selected by templat e IBCN SUB SCRIBER SE LECTOR. Al lows user to deselec t a Subscr iber. | |
5272 | IBCN SUBSC RIBER SELE CTOR | |
5273 | Protocol L ist Type. Displays a list of S ubscribers for a spe cified gro up plan us ing user d efined fil ters. All ows user t o select a nd deselec t Subscrib ers, sort the listed Subscribe rs and see a complet e list of currently selected S ubscribers . | |
5274 | IBCNB INSU RANCE BUFF ER PAYER | |
5275 | Protocol L ist Type. Displays t he Payer S ummary inf ormation f or Eligibi lity Benef its. | |
5276 | IBCNCH POL COMMENT E XPAND VIEW | |
5277 | Protocol L ist Type. Displays a ll of the fields of the select ed Patient Policy Su bscriber c omment. | |
5278 | IBCNCH POL ICY COMMEN T EXPAND | |
5279 | Protocol L ist Type. Displays a ll of the fields of the select ed Patient Policy Su bscriber c omment. A llows the user to ed it or dele te the com ment under specified condition s. | |
5280 | IBCNCH POL ICY COMMEN T HISTORY | |
5281 | Protocol L ist Type. Displays a ll of the Patient Po licy Comme nts for a specified patient an d policy. Allows th e user to add a new comment, e xpand a co mment, sea rch all co mments for a specifi ed string, edit a co mment and delete a c omment. | |
5282 | IBCN POLIC Y COMMENT SEARCH | |
5283 | Protocol L ist Type. Displays P atient Pol icy Commen ts for a s pecified p atient and policy th at contain a specifi ed string. Allows u ser to scr oll throug h all comm ents that contain th e string u sing Next Comment an d Previous Comment a ctions. | |
5284 | IBCN POLIC Y COMMENT VIEW | |
5285 | Protocol L ist Type. Displays P atient Pol icy Commen ts for a s pecified p atient and policy. Allows the user to s earch all comments f or a speci fied strin g. | |
5286 | IBCNE ELIG IBILITY/BE NEFIT INFO | |
5287 | Protocol L ist Type. Generates the eIV E lig/Benefi t Informat ion screen . | |
5288 | IBCNE MEDI CARE COB D ISPLAY | |
5289 | Protocol L ist Type. Generates list of M edicare pa tients wit h subseque nt insuran ce. | |
5290 | IBCNE MEDI CARE COB L IST | |
5291 | Protocol L ist Type. Generates list of M edicare pa tients wit h subseque nt insuran ce and ena bles patie nt selecti on. | |
5292 | IBJP ADMIN CONTRACTO R COM | |
5293 | Protocol L ist Type. Generates the Comme rcial Alt Primary Pa yer ID Typ es screen. | |
5294 | IBJP ADMIN CONTRACTO R MED | |
5295 | Protocol L ist Type. Generates the Medic are Alt Pr imary Paye r ID Types screen. | |
5296 | IBJP IB RE VENUE CODE S | |
5297 | Protocol L ist Type. Generates the Exclu ded Revenu e Codes sc reen. | |
5298 | IBJP CLAIM S TRACKING | |
5299 | Protocol L ist Type. Generates the Claim s Tracking Parameter screen. | |
5300 | IBJP HCSR ADM INSCO | |
5301 | Protocol L ist Type. Generates the HCSR Insurance Exclusions screen. | |
5302 | IBJP HCSR APPT INSCO | |
5303 | Protocol L ist Type. Generates the HCSR Insurance Exclusions screen. | |
5304 | IBJP HCSR CLINICS | |
5305 | Protocol L ist Type. Generates the HCSR Clinics In clusions s creen. | |
5306 | IBJP HCSR PARAMETERS | |
5307 | Protocol L ist Type. Generates the HCSR Parameters screen. | |
5308 | IBJP HCSR WARDS | |
5309 | Protocol L ist Type. Generates the HCSR Wards Excl usions scr een. | |
5310 | IBJP IB NO N-MCCF RAT E TYPES | |
5311 | Protocol L ist Type. Allows us er to def ine what a NON-MCCF RATE TYPE is in the IB Site Pa rameters. | |
5312 | IBJP IB PA Y-TO PROVI DERS | |
5313 | Protocol L ist Type. Displays list of Pa y-to Provi ders defin ed under I B Site Par ameters; a llows user to add, e dit, and d elete Pay- to Provide rs; allows user to g o to Pay-t o Associat ions. | |
5314 | IBJP IB PA Y-TO ASSOC IATIONS | |
5315 | Protocol L ist Type. Displays Divisions associated with each Pay-to Pr ovider; al lows user to add, ed it, and de lete assoc iations. | |
5316 | IBJP IB TR ICARE PAY- TO PROVS | |
5317 | Protocol L ist Type. Displays list of TR ICARE-spec ific Pay-t o Provider s defined under IB S ite Parame ters; allo ws user to add, edit , delete T RICARE-spe cific Pay- to Provide rs; allows user to g o to TRICA RE-specifi c Pay-to A ssociation s. | |
5318 | IBJP IB TR ICARE PAY- TO ASSOCS | |
5319 | Protocol L ist Type. Displays Divisions associated with each TRICARE-s pecific Pa y-to Provi der; allow s user to add, edit, and delet e associat ions. | |
5320 | IBJP IIV S ITE PARAME TERS | |
5321 | Protocol L ist Type. Displays t he IV Site Parameter s. | |
5322 | IBJPS CMN CPTS | |
5323 | Protocol L ist Type. Displays a list of CPT codes/ descriptio ns under “ IB Site Pa rameters” for which the user s hould be p rompted fo r Certific ate of Med ical Neces sity (CMN) info and allows use r to add a dditional CPTs. | |
5324 | IBJT ACTIV E LIST | |
5325 | Third Part y Joint in quiry – ac tive bills | |
5326 | IBJT INACT IVE LIST | |
5327 | Third Part y Joint in quiry – in active bil ls | |
5328 | IBRFI 277 DETAIL WL | |
5329 | Protocol L ist Type. Generates the RFAI Message De tail scree n. | |
5330 | IBRFI 277 WL | |
5331 | Protocol L ist Type. Displays the RFAI M anagement Worklist. | |
5332 | IBRFI COMM ENTS | |
5333 | Protocol L ist Type. Displays the RFAI C laim Comme nt History . | |
5334 | IBT CLAIMS TRACKING EDITOR | |
5335 | Protocol L ist Type. Generates the Claim s Tracking Editor sc reen. | |
5336 | IBT COMMUN ICATIONS E DITOR | |
5337 | Protocol L ist Type. Generates the Insur ance Revie ws/Contact s screen. | |
5338 | IBT HCSR E NTRY | |
5339 | Protocol L ist Type. Generates the HCSR Expanded E ntry scree n. | |
5340 | IBT HCSR R ESPONSE VI EW | |
5341 | Display Li st Type. Generates the HCSR R esponse Vi ew screen. | |
5342 | IBT HCSR R ESPONSE WO RKLIST | |
5343 | Protocol L ist Type. Generates the HCSR Response W orklist sc reen. | |
5344 | IBT HCSR S END 278 SH ORT | |
5345 | Protocol L ist Type. Generates the HCSR 278 Send s creen. | |
5346 | IBT HCSR W ORKLIST | |
5347 | Protocol L ist Type. Generates the HCSR Worklist s creen. | |
5348 | IBJT 835 E EOB PRINT | |
5349 | Protocol L ist Type. Generates the TPJI ERA/835 Pr int EEOB I nformation Screen, w hich displ ays detail ed EEOB da ta. | |
5350 | IBJT ADDIT IONAL 835 DATA | |
5351 | Protocol L ist Type. Generates the TPJI ERA/835 Ad ditional I nformation Screen, w hich displ ay additio nal payer and contac t informat ion in the 835 trans action. | |
5352 | IBJT ERA 8 35 INFORMA TION | |
5353 | Protocol L ist Type. Generates the TPJI ERA/835 In formation Screen, wh ich displa y Electron ic Remitta nce Advice /835 infor mation. | |
5354 | ||
5355 | Input Temp lates | |
5356 | ||
5357 | FILE# | |
5358 | TEMPLATE | |
5359 | DESCRIPTIO N | |
5360 | 2 | |
5361 | IBCN PATIE NT INSURAN CE | |
5362 | New input template t o handle t he input/e dit of fiel ds in the patient in surance mu ltiple (2. 312) in the patient f ile. | |
5363 | 36 | |
5364 | IBEDIT INS CO1 | |
5365 | Edits INSU RANCE COMP ANY file f rom Insura nce Compan y Edit opt ion. | |
5366 | 350.9 | |
5367 | IB EDIT CL EAR | |
5368 | Clear Inte grated Bil ling Filer Parameter s. | |
5369 | 350.9 | |
5370 | IB EDIT MC CR PARM | |
5371 | Enter/edit MCCR Site Parameter s. | |
5372 | 350.9 | |
5373 | IB EDIT SI TE PARAM | |
5374 | Enter/edit Integrate d Billing Site Param eters. | |
5375 | 350.9 | |
5376 | IBCNE GENE RAL PARAME TER EDIT | |
5377 | MESSAGES M AILGROUP | |
5378 | CONTACT PE RSON | |
5379 | CONTACT PE RSON: | |
5380 | OFFICE PHONE;REQ | |
5381 | EMAIL A DDRESS;REQ | |
5382 | FAILURE MA ILMAN MSG | |
5383 | 350.9 | |
5384 | IBCNF EDIT CONFIGURA TION | |
5385 | Edits the eII config uration pa rameter fi elds in IB SITE PARA METERS (#3 50.9); it is called from IBCNF CON routin e. | |
5386 | 351 | |
5387 | IB BILLING CYCLE ADD | |
5388 | Patient Bi lling Cloc k Maintena nce, new e ntry. | |
5389 | 351 | |
5390 | IB BILLING CYCLE ADJ UST | |
5391 | Patient Bi lling Cloc k Maintena nce, edit existing e ntry. | |
5392 | 351.61 | |
5393 | IBAT OUT P RICING EDI T | |
5394 | PROCEDURES | |
5395 | PROCEDU RES | |
5396 | D CPTDS P^IBATLM2B (X) | |
5397 | QUANTIT Y | |
5398 | PROCEDU RE COST | |
5399 | 353 | |
5400 | IB DEVICE | |
5401 | Bill Form Print Devi ce Setup | |
5402 | 353 | |
5403 | IBCE ADD/E DIT LOCAL FORM | |
5404 | NAME | |
5405 | FORM LENGT H | |
5406 | ENTRY PRE- PROCESSOR | |
5407 | ENTRY POST -PROCESSOR | |
5408 | EXTRACT CO DE | |
5409 | OUTPUT COD E | |
5410 | FORM PRE-P ROCESSOR | |
5411 | FORM POST- PROCESSOR | |
5412 | FIELD DELI MITER | |
5413 | SHORT DESC RIPTION | |
5414 | 354 | |
5415 | IB CURRENT STATUS | |
5416 | Updates th e current status in the BILLIN G PATIENT file whene ver a new exemption is created . | |
5417 | 354.1 | |
5418 | IB INACTIV ATE EXEMPT ION | |
5419 | Inactivate s actives exemptions . Only on e exemptio n for a da te may be active. | |
5420 | 354.1 | |
5421 | IB NEW EXE MPTION | |
5422 | Updates ne w exemptio ns in the BILLING Ex emptions f ile. | |
5423 | 354.3 | |
5424 | IB ENTER T HRESHOLD | |
5425 | Enter new income thr esholds. | |
5426 | 355.4 | |
5427 | IBCN AB AD D COM | |
5428 | Allows edi ting of An nual Benef its commen ts. | |
5429 | 355.4 | |
5430 | IBCN AB ED IT ALL | |
5431 | Allows edi ting of al l Annual B enefits fi elds. | |
5432 | 355.4 | |
5433 | IBCN AB HO ME HEA | |
5434 | Allows edi ting of th e Home Hea lth sectio n of ANNUA L BENEFITS . | |
5435 | 355.4 | |
5436 | IBCN AB HO SPC | |
5437 | Allows edi ting of th e Hospice section of ANNUAL BE NEFITS. | |
5438 | 355.4 | |
5439 | IBCN AB IN PT | |
5440 | Allows edi ting of th e Inpatien t section of ANNUAL BENEFITS. | |
5441 | 355.4 | |
5442 | IBCN AB IV MGMT | |
5443 | Allows edi ting of th e IV Mgmt section of ANNUAL BE NEFITS. | |
5444 | 355.4 | |
5445 | IBCN AB ME N H | |
5446 | Allows edi ting of th e Mental H ealth sect ion of ANN UAL BENEFI TS. | |
5447 | 355.4 | |
5448 | IBCN AB OP T | |
5449 | Allows edi ting of th e Outpatie nt section of ANNUAL BENEFITS. | |
5450 | 355.4 | |
5451 | IBCN AB PO L INF | |
5452 | Allows edi ting of th e Policy I nformation section o f ANNUAL B ENEFITS. | |
5453 | 355.4 | |
5454 | IBCN AB RE HAB | |
5455 | Allows edi ting of th e Rehab se ction of A NNUAL BENE FITS. | |
5456 | 355.5 | |
5457 | IBCN BU AD D COM | |
5458 | Allows edi ting of th e Comments in BENEFI TS USED. | |
5459 | 355.5 | |
5460 | IBCN BU ED AL | |
5461 | Allows edi ting of al l BENEFITS USED fiel ds. | |
5462 | 355.5 | |
5463 | IBCN BU IN PT | |
5464 | Allows edi ting of th e Inpatien t section of BENEFIT S USED. | |
5465 | 355.5 | |
5466 | IBCN BU OP T | |
5467 | Allows edi ting of th e Outpatie nt section of BENEFI TS USED. | |
5468 | 355.5 | |
5469 | IBCN BU PO L | |
5470 | Allows edi ting of th e Policy s ection of BENEFITS U SED. | |
5471 | 356 | |
5472 | IBT ASSIGN CASE | |
5473 | Allows ass igning a c ase to a r eviewer. | |
5474 | 356 | |
5475 | IBT BILLLI NG INFO | |
5476 | Allows edi ting of bi lling info rmation in Claims Tr acking. | |
5477 | 356 | |
5478 | IBT PRECER T INFO | |
5479 | Allows edi ting of pr e-certific ation info rmation in Claims Tr acking. | |
5480 | 356 | |
5481 | IBT QUICK EDIT | |
5482 | Allows edi ting of ne cessary fi elds for a visit in Claims Tra cking. | |
5483 | 356 | |
5484 | IBT STATUS CHANGE | |
5485 | Allows cha nging stat us of a vi sit in Cla ims Tracki ng. | |
5486 | 356 | |
5487 | IBT UR INF O | |
5488 | Edit field used to d etermine w hich cases require w hich types of review s. | |
5489 | 356.1 | |
5490 | IBT ADD CO MMENTS | |
5491 | Edits COMM ENTS field of HOSPIT AL REVIEW file (#356 .1). | |
5492 | 356.1 | |
5493 | IBT REMOVE NEXT REVI EW | |
5494 | Deletes ne xt review date. | |
5495 | 356.1 | |
5496 | IBT REVIEW INFO | |
5497 | Edits REVI EW INFORMA TION field . | |
5498 | 356.1 | |
5499 | IBT SPECIA L UNIT | |
5500 | Edits Spec ial Units si/is fiel ds. | |
5501 | 356.1 | |
5502 | IBT STATUS CHANGE | |
5503 | Edits STAT US field. | |
5504 | 356.19 | |
5505 | IBT AVERAG E BILL AMO UNTS (12M) | |
5506 | NO. INPT I NST. CLAIM S (12M) | |
5507 | AMT INPT I NST. CLAIM S (12M) | |
5508 | NO. INPT E PISODES/IN ST. (12M) | |
5509 | NO. INPT P ROF. CLAIM S (12M) | |
5510 | AMT INPT P ROF. CLAIM S (12M) | |
5511 | NO. INPT E PISODES/PR OF. (12M) | |
5512 | DATE UPDAT ED (12M) | |
5513 | 356.19 | |
5514 | IBT AVERAG E BILL AMO UNTS (MON) | |
5515 | NO. INPT I NST. CLAIM S (MON) | |
5516 | AMT INPT I NST. CLAIM S (MON) | |
5517 | NO. INPT E PISODES/IN ST. (MON) | |
5518 | NO. INPT P ROF. CLAIM S (MON) | |
5519 | AMT INPT P ROF. CLAIM S (MON) | |
5520 | NO. INPT E PISODES/PR OF. (MON) | |
5521 | DATE UPDAT ED (MON) | |
5522 | 356.19 | |
5523 | IBT UNBILL ED AMOUNTS | |
5524 | EPISODES M ISSING INS T CLAIMS | |
5525 | EPISODES M ISSING PRO F CLAIMS | |
5526 | ENCOUNTERS MISSING C LAIMS | |
5527 | CPT CODES MISSING IN ST CLAIMS | |
5528 | CPT CODES MISSING PR OF CLAIMS | |
5529 | NUMBER OF UNBILLED R X'S | |
5530 | UNBILLED I NPATIENT A MOUNT | |
5531 | UNBILLED O UTPATIENT AMOUNT | |
5532 | UNBILLED R X AMOUNT | |
5533 | TOTAL UNBI LLED AMOUN T | |
5534 | NO. MRA IN PT INST CL AIMS | |
5535 | NO. MRA IN PT PROF CL AIMS | |
5536 | MRA CPT CO DES ON INS T CLAIMS | |
5537 | MRA CPT CO DES ON PRO F CLAIMS | |
5538 | NUMBER OF MRA UNBILL ED RX'S | |
5539 | MRA UNBILL ED INPATIE NT AMOUNT | |
5540 | MRA UNBILL ED OUTPATI ENT AMOUNT | |
5541 | MRA UNBILL ED PRESCRI PTION AMT | |
5542 | TOTAL MRA UNBILLED A MOUNT | |
5543 | 2.11 | |
5544 | 356.2 | |
5545 | IBT ACTION INFO | |
5546 | Allows edi ting of sp ecific fie ld relativ e to an Ac tion. | |
5547 | 356.2 | |
5548 | IBT ADD AP PEAL | |
5549 | Edits Appe al informa tion. | |
5550 | 356.2 | |
5551 | IBT APPEAL INFO | |
5552 | Allows edi ting of Ap peal Addre ss in File #36. | |
5553 | 356.2 | |
5554 | IBT COMMEN T INFO | |
5555 | Edits COMM ENTS field s. | |
5556 | 356.2 | |
5557 | IBT CONTAC T INFO | |
5558 | Edits Cont act inform ation. | |
5559 | 356.2 | |
5560 | IBT FINAL OUTCOME | |
5561 | Allows spe cifying fi nal outcom e of an ap peal. | |
5562 | 356.2 | |
5563 | IBT INS VE RIFICATION | |
5564 | Allows ins urance ver ifiers to edit speci fic contac t informat ion from I nsurance M gmt. | |
5565 | 356.2 | |
5566 | IBT INSURA NCE INFO | |
5567 | Edits the Appeals Ad dress in t he INSURAN CE COMPANY file (#36 ). | |
5568 | 356.2 | |
5569 | IBT QUICK EDIT | |
5570 | Used to ad d/edit a n ew review. | |
5571 | 356.2 | |
5572 | IBT REMOVE NEXT REVI EW | |
5573 | Deletes ne xt review data. | |
5574 | 356.2 | |
5575 | IBT STATUS CHANGE | |
5576 | Edits INSU RANCE REVI EW STATUS field. | |
5577 | 356.22 | |
5578 | IB ADD/EDI T 278 | |
5579 | Used to cr eate/Edit a 278 requ est for a selected H CSR Workli st event. | |
5580 | 356.22 | |
5581 | IB CREATE 278 REQUES T | |
5582 | Used to cr eate/Edit a 278 requ est for a selected H CSR Workli st event. | |
5583 | 356.22 | |
5584 | IB CREATE 278 REQUES T SHORT | |
5585 | Used to cr eate/Edit a 278 requ est for a selected H CSR Workli st event. | |
5586 | 357 | |
5587 | IBDF EDIT NEW FORM | |
5588 | Used to ed it a new f orm. | |
5589 | 357 | |
5590 | IBDF EDIT OLD OR COP IED FORM | |
5591 | Used to ed it an exis ting form. | |
5592 | 357.1 | |
5593 | IBDF EDIT HEADER & O UTLINE | |
5594 | Used to ed it a block 's header and outlin e. | |
5595 | 357.1 | |
5596 | IBDF EDIT HEADER BLO CK | |
5597 | Used to ed it the hea der block of a form. | |
5598 | 357.1 | |
5599 | IBDF NEW E MPTY BLOCK | |
5600 | Used to ed it the hea der, posit ion, outli ne, and ot her charac teristics of a new b lock. | |
5601 | 357.1 | |
5602 | IBDF POSIT ION COPIED BLOCK | |
5603 | Used to po sition a c opied bloc k onto a f orm. | |
5604 | 357.2 | |
5605 | IBDF EDIT SELECTION LIST | |
5606 | Used to ed it a selec tion list, except fo r the posi tion and s ize of the columns. | |
5607 | 357.2 | |
5608 | IBDF POSIT ION/SIZE C OLUMNS | |
5609 | Used to ed it the siz e and posi tion of a selection list's col umns. | |
5610 | 357.3 | |
5611 | IBDF CPT M ODIFIER | |
5612 | CPT MODIFI ER | |
5613 | ALL | |
5614 | 357.3 | |
5615 | IBDF EDIT PLACE HOLD ER | |
5616 | PRINT ORDE R WITHIN G ROUP | |
5617 | PLACE HOLD ER TEXT | |
5618 | USE AS SUB HEADER? | |
5619 | 357.3 | |
5620 | IBDF EDIT SELECTION | |
5621 | Used to ed it a selec tion. | |
5622 | 357.5 | |
5623 | IBDF EDIT DATA FIELD | |
5624 | Used to ed it a data field. | |
5625 | 357.5 | |
5626 | IBDF EDIT FORM HEADE R | |
5627 | Used to ed it the for m header d ata field. | |
5628 | 357.5 | |
5629 | IBDF EDIT LABEL FIEL D | |
5630 | NAME | |
5631 | BLOCK | |
5632 | TYPE OF DA TA | |
5633 | SUBFIELD | |
5634 | SUBFIEL D LABEL | |
5635 | STARTIN G ROW FOR LABEL | |
5636 | STARTIN G COLUMN F OR LABEL | |
5637 | 357.6 | |
5638 | IBDF EDIT AVAILABLE HLTH SMRY | |
5639 | Used to de fine a pac kage inter face that prints a H ealth Summ ary. | |
5640 | 357.6 | |
5641 | IBDF EDIT AVAILABLE REPORT | |
5642 | Used to de fine a pac kage inter face that prints a r eport othe r than a H ealth Summ ary. | |
5643 | 357.6 | |
5644 | IBDF EDIT OUTPUT/SEL ECTION RTN | |
5645 | Used to de fine a pac kage inter face of th e type out put routin e or selec tion routi ne. | |
5646 | 357.69 | |
5647 | IB EDIT E& M QUANTITY | |
5648 | ALLOW QUAN TITY GREAT ER THAN 1 | |
5649 | 357.7 | |
5650 | IBDF FORM LINE | |
5651 | Used to ed it a line. | |
5652 | 357.8 | |
5653 | IBDF EDIT TEXT AREA | |
5654 | Used to ed it a text area. | |
5655 | 357.91 | |
5656 | IBDF EDIT MARKING AR EA | |
5657 | Used to ed it a marki ng area. | |
5658 | 357.93 | |
5659 | IBDF EDIT MULT CHOIC E FIELD | |
5660 | NAME | |
5661 | BLOCK | |
5662 | SELECTION RULE | |
5663 | CHOICE | |
5664 | ID | |
5665 | DATA QU ALIFIER | |
5666 | CHOICE LABEL | |
5667 | STARTIN G COLUMN F OR LABEL | |
5668 | STARTIN G ROW FOR LABEL | |
5669 | BUBBLE COLUMN | |
5670 | BUBBLE ROW | |
5671 | 357.94 | |
5672 | IBDF EDIT PRINTER | |
5673 | TERMINAL T YPE | |
5674 | PRINTER LA NGUAGE TYP E | |
5675 | SIMPLEX | |
5676 | DUPLEX, LO NG-EDGE BI NDING | |
5677 | DUPLEX, SH ORT-EDGE B INDING | |
5678 | TCP PRINTE R | |
5679 | 357.96 | |
5680 | IBD CREATE FORM TRAC KING | |
5681 | PATIENT | |
5682 | APPOINTMEN T | |
5683 | FORM TYPE | |
5684 | DATE/TIME PRINTED | |
5685 | SOURCE OF FORM ID | |
5686 | FORM TYPE ID (EXTERN AL SOURCE) EXTERNAL PRINTED FO RM ID | |
5687 | CLINIC | |
5688 | PROCESSING STATUS | |
5689 | NO APPOINT MENT ENTRY | |
5690 | 357.96 | |
5691 | IBD EDIT F ORM TRACKI NG STATUS | |
5692 | DATE/TIME RECEIVED I N DHCP | |
5693 | PROCESSING STATUS | |
5694 | ERROR | |
5695 | 359.94 | |
5696 | IBDF EDIT HAND PRINT FIELD | |
5697 | NAME | |
5698 | BLOCK | |
5699 | DHCP DATA ELEMENT | |
5700 | LABEL | |
5701 | LABEL APPE ARANCE | |
5702 | 364.5 | |
5703 | IBCE DEFIN E LOCAL EL EMENT | |
5704 | NAME | |
5705 | SECURITY L EVEL | |
5706 | BASE FILE | |
5707 | TYPE OF EL EMENT | |
5708 | ELEMENT CA TEGORY | |
5709 | ELEMENT CA TEGORY | |
5710 | FILEMAN FI ELD REFERE NCE | |
5711 | FILEMAN RE TURN FORMA T | |
5712 | CONSTANT V ALUE | |
5713 | EXTRACT CO DE | |
5714 | ARRAY ROOT | |
5715 | DESCRIPTIO N | |
5716 | 364.6 | |
5717 | IBCE ADD/E DIT LOCAL FORM FIELD | |
5718 | CALCULATE ONLY OR OU TPUT | |
5719 | PAGE OR SE QUENCE | |
5720 | FIRST LINE NUMBER | |
5721 | STARTING C OLUMN OR P IECE | |
5722 | MAX NUMBER LINES | |
5723 | LENGTH | |
5724 | LOCAL OVER RIDE ALLOW ED | |
5725 | SHORT DESC RIPTION | |
5726 | CALCULATE ONLY OR OU TPUT | |
5727 | 364.7 | |
5728 | IBCE EDIT FIELD CONT ENT | |
5729 | SECURITY L EVEL | |
5730 | DATA ELEME NT | |
5731 | EDIT STATU S | |
5732 | EDIT GROUP NUMBER | |
5733 | SCREEN PRO MPT | |
5734 | FORMAT COD E | |
5735 | INSURANCE COMPANY | |
5736 | BILL TYPE | |
5737 | PAD CHARAC TER | |
5738 | FORMAT COD E DESCRIPT ION | |
5739 | 399 | |
5740 | IB MAIL | |
5741 | Enter/edit a bill's mailing ad dress. | |
5742 | 399 | |
5743 | IB REVCODE EDIT | |
5744 | Enter/Edit a bill's revenue co de informa tion. | |
5745 | 399 | |
5746 | IB SCREEN1 | |
5747 | Enter/Edit billing s creen 1, d emographic informati on. | |
5748 | 399 | |
5749 | IB SCREEN1 0 | |
5750 | Enter/edit billing s creen 10 | |
5751 | 399 | |
5752 | IB SCREEN1 02 | |
5753 | Enter/edit billing s creen 10 | |
5754 | 399 | |
5755 | IB SCREEN1 0H | |
5756 | Enter/edit billing s creen 10 | |
5757 | 399 | |
5758 | IB SCREEN2 | |
5759 | Enter/edit billing s creen 2, e mployment informatio n. | |
5760 | 399 | |
5761 | IB SCREEN3 | |
5762 | Enter/edit billing s creen 3, p ayer infor mation. | |
5763 | 399 | |
5764 | IB SCREEN4 | |
5765 | Enter/edit billing s creen 4, i npatient e vent infor mation. | |
5766 | 399 | |
5767 | IB SCREEN5 | |
5768 | Enter/edit billing s creen 5, o utpatient event info rmation. | |
5769 | 399 | |
5770 | IB SCREEN6 | |
5771 | Enter/Edit billing s creen 6, i npatient g eneral bil ling infor mation. | |
5772 | 399 | |
5773 | IB SCREEN7 | |
5774 | Enter/edit billing s creen 7, o utpatient general bi lling info rmation. | |
5775 | 399 | |
5776 | IB SCREEN8 | |
5777 | Enter/Edit UB-82 bil ling scree n 8, billi ng specifi c informat ion. | |
5778 | 399 | |
5779 | IB SCREEN8 2 | |
5780 | Enter/edit UB-92 bil ling scree n 8, bill specific i nformation . | |
5781 | 399 | |
5782 | IB SCREEN8 H | |
5783 | Enter/Edit HCFA 1500 billing s creen 8, b illing spe cific info rmation. | |
5784 | 399 | |
5785 | IB SCREEN9 | |
5786 | Ambulance Informatio n. | |
5787 | 399 | |
5788 | IB STATUS | |
5789 | Edit a bil l's status . | |
5790 | 399.2 | |
5791 | IB ACTIVAT E | |
5792 | Activate/i nactivate revenue co des. | |
5793 | 399.3 | |
5794 | IB RATE ED IT | |
5795 | Update RAT E TYPE fil e (#399.3) . | |
5796 | 409.95 | |
5797 | IBDF PRINT MANAGER | |
5798 | Defines re ports and encounter forms to c linic. | |
5799 | 409.96 | |
5800 | IBDF PRINT MANAGER | |
5801 | Defines re ports and encounter forms to d ivision. | |
5802 | ||
5803 | ||
5804 | ||
5805 | Sort Templ ates | |
5806 | ||
5807 | FILE# | |
5808 | TEMPLATE | |
5809 | DESCRIPTIO N | |
5810 | 2 | |
5811 | IBNOTVER, IBNOTVER1 | |
5812 | Lists new, not verif ied insura nce entrie s. | |
5813 | 36 | |
5814 | IB INACTIV E INS CO | |
5815 | List of in active ins urance com panies cov ering pati ents. | |
5816 | 335.93 | |
5817 | IB PROVIDE RS FROM FB | |
5818 | List of re cords that have been affected by FB PAID TO IB aut omatic int erface (Fo r Future U se to Vali date Testi ng). | |
5819 | 350 | |
5820 | IB INCOMPL ETE | |
5821 | Integrated Billing A ction List of entrie s with a s tatus of I NCOMPLETE. | |
5822 | 351.71 | |
5823 | IBJD DM RE PT SORT | |
5824 | SORT BY: M ONTH | |
5825 | From: OCT 2003 | |
5826 | To: OCT 20 03 | |
5827 | ASK range of values | |
5828 | WITHIN MONTH, SOR T BY: REPO RT | |
5829 | REPORT SUB-FIELD: STATUS | |
5830 | From: 1 | |
5831 | To: 2 | |
5832 | ASK ran ge of valu es | |
5833 | 354 | |
5834 | IB BILLING PAT W/INC OME | |
5835 | List of pa tients wit h a "No In come Data" exemption . | |
5836 | 354 | |
5837 | IB BILLING PATIENT B Y REASON | |
5838 | List of cu rrently ex empt patie nts by rea son. | |
5839 | 354 | |
5840 | IB BILLING PATIENT B Y STATUS | |
5841 | List of cu rrently ex empt patie nts by sta tus. | |
5842 | 354 | |
5843 | IB EXEMPT PATIENTS | |
5844 | List of ex empt patie nts. | |
5845 | 354 | |
5846 | IB EXEMPTI ON LETTER | |
5847 | Stores res ults of se arch when printing e xemption l etters. | |
5848 | 354.3 | |
5849 | IB PRINT T HRESHOLD | |
5850 | List of th resholds. | |
5851 | 356 | |
5852 | IBT LIST V ISITS | |
5853 | Lists visi ts in Clai ms Trackin g by date and type. Primarily list rand om sample cases. | |
5854 | 357.6 | |
5855 | IBD PRIM C ARE SEARCH | |
5856 | List of ne w primary care inter faces for patch. | |
5857 | 357.96 | |
5858 | IBD NO APP OINTMENT L IST | |
5859 | This templ ate with l ist patien ts for a d ate range t hat have h ad encount er forms p rinted tha t are not related to appointme nts. | |
5860 | 359.3 | |
5861 | IBD LIST E RRORS | |
5862 | SORT BY: ' @ERROR DAT E/TIME | |
5863 | From: | |
5864 | To: | |
5865 | WITHIN ERROR DATE /TIME, SOR T BY: #USE R | |
5866 | From: | |
5867 | To: | |
5868 | WITH IN USER, S ORT BY: PA TIENT | |
5869 | From : @ | |
5870 | To: | |
5871 | Do N OT ask ran ge of valu es | |
5872 | W ITHIN PATI ENT, SORT BY: | |
5873 | ENCO UNTER DATE /TIME;S1 | |
5874 | F rom: @ | |
5875 | T o: | |
5876 | D o NOT ask range of v alues | |
5877 | 362.1 | |
5878 | IB AB COMM ENTS | |
5879 | Automated Biller Err or/Comment s Report. | |
5880 | 364.6 | |
5881 | IBCE LOCAL DATA ELEM ENTS | |
5882 | This sort template w ill allow for the pr inting of l ocal form override d ata. | |
5883 | 399 | |
5884 | IB CLK PRO D | |
5885 | Clerk Prod uctivity R eport. | |
5886 | 399.5 | |
5887 | IB BILLING RATES | |
5888 | Billing Ra tes List. | |
5889 | 8994 | |
5890 | IBD RPC LI ST | |
5891 | AICS Remot e Procedur e List. | |
5892 | ||
5893 | ||
5894 | Print Temp lates | |
5895 | ||
5896 | FILE# | |
5897 | TEMPLATE | |
5898 | DESCRIPTIO N | |
5899 | 2 | |
5900 | IB NOTVER | |
5901 | Lists new, not verif ied insura nce entrie s. | |
5902 | 36 | |
5903 | IB INACTIV E INS CO | |
5904 | List of in active ins urance com panies sho wn in the system as still prov iding pati ent covera ge. | |
5905 | 40.8 | |
5906 | IB DIVISIO N DISPLAY | |
5907 | Displays w age rates and locali ty modifie r data for a divisio n. | |
5908 | 350 | |
5909 | IB INCOMPL ETE | |
5910 | Integrated Billing A ction List of entrie s with sta tus of INC OMPLETE. | |
5911 | 350 | |
5912 | IB LIST | |
5913 | Integrated Billing A ction List . | |
5914 | 350.41 | |
5915 | IB CPT UPD ATE ERROR | |
5916 | Update Bil lable Ambu lance Surg ery Transf er Error L ist Report . | |
5917 | 350.6 | |
5918 | IB PURGE L IST LOG EN TRIES | |
5919 | Displays l og entries from the IB Archive Purge Log . | |
5920 | 350.7 | |
5921 | IB CPT PG DISPLAY | |
5922 | Displays a Check-off Sheet's l ine format and assoc iated sub headers. | |
5923 | 350.71 | |
5924 | IB CPT CP DISPLAY | |
5925 | Displays p rocedures associated with a pa rticular C heck-off S heet sub h eader. | |
5926 | 351 | |
5927 | IB BILLING CLOCK HEA DER | |
5928 | Displays t he header for the Pa tient Bill ing Clock Inquiry. | |
5929 | 351 | |
5930 | IB BILLING CLOCK INQ | |
5931 | Displays t he Patient Billing C lock Inqui ry data. | |
5932 | 351.71 | |
5933 | IBJD DM RE PT PRINT | |
5934 | ||
5935 | 351.71 | |
5936 | IBJD DM V/ P EXTRACTS | |
5937 | ||
5938 | 352.1 | |
5939 | IB APPOINT MENT TYPE | |
5940 | Billable A ppointment Type List . | |
5941 | 354 | |
5942 | IB BILLING PAT W/INC OME | |
5943 | Used when producing a list of nonexempt patients w ith no inc ome data. | |
5944 | 354 | |
5945 | IB BILLING PATIENT | |
5946 | Prints the exemption reason re ports with the detai led patien t listing. | |
5947 | 354 | |
5948 | IB BILLING PATIENT S UMMARY | |
5949 | Prints the exemption reason re ports that do not in clude the detailed p atient lis ting. | |
5950 | 354 | |
5951 | IB DO NOT USE | |
5952 | Creates re sults of I B EXEMPTIO N LETTER s ort templa te. | |
5953 | 354 | |
5954 | IB PATIENT ADDRESSES | |
5955 | For local use, conta ins patien t names an d addresse s. | |
5956 | 354.3 | |
5957 | IB PRINT T HRESHOLD | |
5958 | Prints a l ist of ent ries from the BILLIN G THRESHOL DS file (# 354.3). | |
5959 | 356 | |
5960 | IB LIST VI SITS | |
5961 | Lists visi ts in Clai ms Trackin g. Primar ily to lis t random s ample case s. | |
5962 | 356 | |
5963 | IBT LIST V ISITS | |
5964 | PATIENT;L2 0 | |
5965 | PATIENT: | |
5966 | PRIMARY LONG ID;" PT. ID";L1 3 | |
5967 | WARD LO CATION;L10 ;"WARD" | |
5968 | EVENT TYPE : | |
5969 | ABBREVI ATION;"VIS IT TYPE" | |
5970 | DATE(EPISO DE DATE);" DATE";L11 | |
5971 | TRACKED AS INSURANCE CLAIM?;"I NS. CASE"; L4 | |
5972 | TRACKED AS RANDOM SA MPLE?;"RAN DOM CASE" | |
5973 | TRACKED AS SPECIAL C ONDITION;" SPECIAL CO ND." | |
5974 | TRACKED AS A LOCAL A DDITION?;" LOCAL CASE " | |
5975 | HOSPITAL R EVIEWS ASS IGNED TO;L 12;"HOSP R EVIEWER" | |
5976 | INS. REVIE WS ASSIGNE D TO;L12;" INS REVIEW ER" | |
5977 | 356 | |
5978 | IBT QUICK REV CODING STAT | |
5979 | PATIENT | |
5980 | PATIENT:SS N;"SSN" | |
5981 | OUTPATIENT ENCOUNTER :LOCATION; "LOCATION" ;C1;L15 | |
5982 | OUTPATIENT ENCOUNTER ;"DATE/TIM E";C18;L20 | |
5983 | REASON NOT BILLABLE; C1 | |
5984 | BILLABLE F INDINGS TY PE | |
5985 | BILLABL E FINDINGS TYPE | |
5986 | 357.96 | |
5987 | IBD NO APP OINTMENT L IST | |
5988 | PATIENT;L2 5! | |
5989 | PATIENT: | |
5990 | PRIMARY LONG ID;" SSN";L12 | |
5991 | ||
5992 | CLINIC;L25 | |
5993 | DATE/TIME PRINTED;L2 0 | |
5994 | PROCESSING STATUS;L1 8 | |
5995 | 359.3 | |
5996 | IBD LIST E RRORS | |
5997 | PATIENT;L2 0 | |
5998 | PATIENT: | |
5999 | PRIMARY LONG ID;" ID";L12 | |
6000 | ||
6001 | ENCOUNTER DATE/TIME; "APPOINTME NT DATE";L 16 | |
6002 | FORM TRACK ING NUMBER ;"FORM TRA CKING ID"; R9 | |
6003 | ERROR SOUR CE | |
6004 | USER;L20 | |
6005 | ERROR MESS AGE;W35 | |
6006 | 362.1 | |
6007 | IB AB COMM ENTS | |
6008 | Automated Biller Err or/Comment s Report. | |
6009 | 364.2 | |
6010 | IBCEM MESS AGE LIST | |
6011 | "MESSAGE # : "_#.01;X ;C1 | |
6012 | "MESSAGE T YPE: "_MES SAGE TYPE; C40;X | |
6013 | "DATE RECO RDED: "_NU MDATE(DATE RECORDED) _"@"_TIME( DATE RECOR DED);C3;X | |
6014 | "BATCH NUM BER: "_BAT CH NUMBER; C40;X | |
6015 | "BILL #: " _TRANSMIT BILL;C3;X | |
6016 | "STATUS: " _STATUS;C4 0;X | |
6017 | "MESSAGE D ATE: "_NUM DATE(MESSA GE DATE)_" @"_TIME(ME SSAGE DATE );C3;X | |
6018 | "UPDATE TA SK: "_UPDA TE TASK;C4 0;X | |
6019 | "STATUS CH ANGED DATE : "_NUMDAT E(STATUS C HANGED DAT E)_"@"_TIM E(STATUS C HANGED DAT | |
6020 | "STATUS CH ANGED BY: "_STATUS C HANGED BY; C3;X | |
6021 | "SOURCE LE VEL: "_SOU RCE LEVEL; C3;X | |
6022 | "SOURCE: " _SOURCE;C4 0;X | |
6023 | "MESSAGE:" ;C1;X | |
6024 | MESSAGE;C1 ;X;m | |
6025 | "BILL NUMB ERS:";C7;S ;"" | |
6026 | "TRANSMISS ION STATUS :";C29;"" | |
6027 | "--------- ----";C7;" " | |
6028 | "--------- ---------- -";C29;"" | |
6029 | BATCH NUMB ER: | |
6030 | EDI TRA NSMIT BILL : | |
6031 | BILL NUMBER;"" ;C7 | |
6032 | TRAN SMISSION S TATUS;"";C 29 | |
6033 | 364.2 | |
6034 | IBCEM MESS AGE LIST H DR | |
6035 | "EDI RETUR N MESSAGE DETAIL";C0 ;"" | |
6036 | DATE(TODAY );C45;L18; "";d | |
6037 | TIME(NOW); C59;"" | |
6038 | "PAGE: "_P AGE;C69;"" | |
6039 | DUP("-",80 );C0;L80;S ;"" | |
6040 | 364.4 | |
6041 | IBCE RULE DISPLAY | |
6042 | TOO MUCH I NFORMATION TO DISPLA Y | |
6043 | 364.4 | |
6044 | IBCE RULE DISPLAY HE ADER | |
6045 | "TRANSMISS ION RULE D ETAIL";C1 | |
6046 | NOW;C36;X; L18 | |
6047 | "PAGE: "_P AGE;C70;X | |
6048 | DUP("=",80 );C1;X | |
6049 | " ";C1;X | |
6050 | 364.6 | |
6051 | IBCE LOCAL DATA ELEM ENTS | |
6052 | ASSOCIATED FORM DEFI NITION: | |
6053 | "LINE: "_LINE_"/C OL: "_COL_ " ";X;L18 | |
6054 | ||
6055 | SHORT DESC RIPTION_$J ("",20);C1 9;"DESCRIP TION";L20 | |
6056 | IB FORM FI ELD CONTEN T: | |
6057 | DATA EL EMENT;L28 | |
6058 | "CODE: ";C10;X | |
6059 | FORMAT CODE;C16;W 50;"FORMAT CODE" | |
6060 | "DESC: ";C10;X | |
6061 | FORMAT CODE DESCR IPTION;C16 ;W50;m;w | |
6062 | "INSURA NCE COMPAN Y: "_$S(IN SURANCE CO MPANY="":" ALL",1:INS URANCE COM PANY);C10; | |
6063 | "BILL T YPE: "_$S( BILL TYPE= "":"ALL",1 :BILL TYPE );"";C10 | |
6064 | ||
6065 | " ";C1;"" | |
6066 | 399 | |
6067 | IB CLK PRO D | |
6068 | Clerk Prod uctivity R eport. | |
6069 | 399 | |
6070 | IB CLK PRO D HDR | |
6071 | Clerk Prod uctivity R eport. | |
6072 | 399.5 | |
6073 | IB BILLING RATES | |
6074 | List billi ng rates. | |
6075 | 409.71 | |
6076 | IB CPT RG DISPLAY | |
6077 | Displays b illing Med icare rate group dat a for a pr ocedure. | |
6078 | File Flow Chart | |
6079 | ||
6080 | ||
6081 | File Flow Chart | |
6082 | ||
6083 | FILE# | |
6084 | AND NAME | |
6085 | POINTS TO | |
6086 | POINTED TO BY | |
6087 | 36 | |
6088 | INSURANCE COMPANY | |
6089 | 5 | |
6090 | STATE | |
6091 | 36 | |
6092 | INSURANCE COMPANY | |
6093 | 355.13 | |
6094 | INSURANCE FILING TIM E FRAME | |
6095 | 355.2 | |
6096 | TYPE OF IN SURANCE CO VERAGE | |
6097 | 355.97 | |
6098 | IB PROVIDE R ID # TYP E | |
6099 | 365.12 | |
6100 | PAYER | |
6101 | 399.2 | |
6102 | REVENUE CO DE | |
6103 | ||
6104 | 2 | |
6105 | PATIENT | |
6106 | 36 | |
6107 | INSURANCE COMPANY | |
6108 | 340 | |
6109 | AR DEBTOR | |
6110 | 344.4 | |
6111 | ELECTRONIC REMITTANC E ADVICE | |
6112 | 350.9 | |
6113 | IB SITE PA RAMETERS | |
6114 | 355.3 | |
6115 | GROUP INSU RANCE PLAN | |
6116 | 355.9 | |
6117 | IB BILLING PRACTITIO NER ID | |
6118 | 355.91 | |
6119 | IB INSURAN CE CO LEVE L BILLING PROV ID | |
6120 | 355.92 | |
6121 | FACILITY B ILLING ID | |
6122 | 355.95 | |
6123 | IB PROVIDE R ID CARE UNIT | |
6124 | 355.96 | |
6125 | IB INS CO PROVIDER I D CARE UNI T | |
6126 | 356.2 | |
6127 | INSURANCE REVIEW | |
6128 | 356.25 | |
6129 | CLAIMS TRA CKING ROI | |
6130 | 361.1 | |
6131 | EXPLANATIO N OF BENEF ITS | |
6132 | 364.1 | |
6133 | EDI TRANSM ISSION BAT CH | |
6134 | 364.4 | |
6135 | IB EDI TRA NSMISSION RULE | |
6136 | 364.7 | |
6137 | IB FORM FI ELD CONTEN T | |
6138 | 367.1 | |
6139 | HPID/OEID TRANSMISSI ON QUEUE | |
6140 | 399 | |
6141 | BILL/CLAIM S | |
6142 | 412 | |
6143 | AR DEBTOR | |
6144 | 430 | |
6145 | ACCOUNTS R ECEIVABLE | |
6146 | 453 | |
6147 | APPLICANT | |
6148 | 19625 | |
6149 | DSIV ICB A UDIT | |
6150 | 594004 | |
6151 | INSURANCE PATIENT BI LL | |
6152 | 9002313.57 | |
6153 | BPS LOG OF TRANSACTI ONS | |
6154 | 9002313.59 | |
6155 | BPS TRANSA CTION | |
6156 | 9002313.78 | |
6157 | BPS INSURE R DATA | |
6158 | ||
6159 | 355.93 | |
6160 | IB NON/OTH ER VA BILL ING PROVID ER FILE | |
6161 | 355.97 | |
6162 | IB PROVIDE R ID # TYP E | |
6163 | 200 | |
6164 | NEW PERSON | |
6165 | 8932.1 | |
6166 | PERSON CLA SS | |
6167 | 5 | |
6168 | STATE | |
6169 | ||
6170 | 161.9 | |
6171 | FEE BASIS PAID TO IB | |
6172 | 355.9 | |
6173 | IB BILLING PRACTITIO NER ID | |
6174 | 399 | |
6175 | BILL/CLAIM S | |
6176 | ||
6177 | 350 | |
6178 | INTEGRATED BILLING A CTION FILE | |
6179 | 2 | |
6180 | PATIENT | |
6181 | 4 | |
6182 | INSTITUTIO N | |
6183 | 200 | |
6184 | NEW PERSON | |
6185 | 350 | |
6186 | INTEGRATED BILLING A CTION | |
6187 | 350.1 | |
6188 | IB ACTION TYPE | |
6189 | 350.21 | |
6190 | IB ACTION STATUS | |
6191 | 350.3 | |
6192 | IB CHARGE REMOVE REA SONS | |
6193 | 352.5 | |
6194 | IB CLINIC STOP CODE BILLABLE T YPES | |
6195 | 354.71 | |
6196 | IB CO-PAY TRANSACTIO NS | |
6197 | 375 | |
6198 | PFSS ACCOU NT | |
6199 | ||
6200 | 52 | |
6201 | PRESCRIPTI ON | |
6202 | 350 | |
6203 | INTEGRATED BILLING A CTION | |
6204 | 351.2 | |
6205 | SPECIAL IN PATIENT BI LLING CASE S | |
6206 | 351.5 | |
6207 | TRICARE PH ARMACY TRA NSACTIONS | |
6208 | 354.71 | |
6209 | IB CO-PAY TRANSACTIO NS | |
6210 | 366.15 | |
6211 | IB NCPDP P RESCRIPTIO N | |
6212 | ||
6213 | 350.1 | |
6214 | IB ACTION TYPE FILE | |
6215 | 49 | |
6216 | SERVICE/SE CTION | |
6217 | 350.1 | |
6218 | IB ACTION TYPE | |
6219 | 430.2 | |
6220 | ACCOUNTS R ECEIVABLE CATEGORY | |
6221 | ||
6222 | 52 | |
6223 | PRESCRIPTI ON | |
6224 | 350 | |
6225 | INTEGRATED BILLING A CTION | |
6226 | 350.1 | |
6227 | IB ACTION TYPE | |
6228 | 350.2 | |
6229 | IB ACTION CHARGE | |
6230 | 350.4 | |
6231 | BILLABLE A MBULATORY SURGICAL C ODE | |
6232 | 350.41 | |
6233 | UPDATE BIL LABLE AMBU LATORY SUR GICAL CODE | |
6234 | 354.71 | |
6235 | IB CO-PAY TRANSACTIO NS | |
6236 | 399.1 | |
6237 | MCCR UTILI TY | |
6238 | ||
6239 | 350.2 | |
6240 | IB ACTION CHARGE FIL E | |
6241 | 350.1 | |
6242 | IB ACTION TYPE | |
6243 | ||
6244 | ||
6245 | 350.21 | |
6246 | IB ACTION STATUS FIL E | |
6247 | ||
6248 | 350 | |
6249 | INTEGRATED BILLING A CTION | |
6250 | ||
6251 | 350.3 | |
6252 | IB CHARGE REMOVE REA SONS FILE | |
6253 | ||
6254 | 350 | |
6255 | INTEGRATED BILLING A CTION | |
6256 | 354.71 | |
6257 | IB CO-PAY TRANSACTIO NS | |
6258 | ||
6259 | 350.4 | |
6260 | BILLABLE A MBULATORY SURGICAL C ODE FILE | |
6261 | 81 | |
6262 | CPT | |
6263 | 350.1 | |
6264 | IB ACTION TYPE | |
6265 | ||
6266 | ||
6267 | 350.41 | |
6268 | UPDATE BIL LABLE AMBU LATORY SUR GICAL CODE FILE | |
6269 | 81 | |
6270 | CPT | |
6271 | 350.1 | |
6272 | IB ACTION TYPE | |
6273 | ||
6274 | ||
6275 | 350.5 | |
6276 | BASC LOCAL ITY MODIFI ER FILE | |
6277 | 40.8 | |
6278 | MEDICAL CE NTER DIVIS ION | |
6279 | ||
6280 | ||
6281 | 350.6 | |
6282 | IB ARCHIVE /PURGE LOG FILE | |
6283 | 1 | |
6284 | FILE | |
6285 | 200 | |
6286 | NEW PERSON | |
6287 | ||
6288 | ||
6289 | 350.7 | |
6290 | AMBULATORY CHECK-OFF SHEET FIL E | |
6291 | ||
6292 | 44 | |
6293 | HOSPITAL L OCATION | |
6294 | 350.71 | |
6295 | AMBULATORY SURG. CHE CK-OFF SHE ET PRINT F IELDS | |
6296 | ||
6297 | 350.71 | |
6298 | AMBULATORY SURG. CHE CK-OFF SHE ET PRINT F IELDS FILE | |
6299 | 350.7 | |
6300 | AMBULATORY CHECK-OFF SHEET | |
6301 | 350.71 | |
6302 | AMBULATORY SURG. CHE CK-OFF SHE ET PRINT F IELDS | |
6303 | 81 | |
6304 | CPT | |
6305 | ||
6306 | 350.71 | |
6307 | AMBULATORY SURG. CHE CK-OFF SHE ET PRINT F IELDS | |
6308 | ||
6309 | 350.8 | |
6310 | IB ERROR | |
6311 | 354.5 | |
6312 | BILLING AL ERT DEFINI TION | |
6313 | ||
6314 | 399 | |
6315 | BILL/CLAIM S | |
6316 | ||
6317 | 350.9 | |
6318 | IB SITE PA RAMETERS | |
6319 | 9002313.93 | |
6320 | BPS NCPDP REJECT COD ES | |
6321 | 363.1 | |
6322 | CHARGE SET | |
6323 | 81 | |
6324 | CPT | |
6325 | 3.5 | |
6326 | DEVICE | |
6327 | 4.1 | |
6328 | FACILITY T YPE | |
6329 | 142 | |
6330 | HEALTH SUM MARY TYPE | |
6331 | 80 | |
6332 | ICD DIAGNO SIS | |
6333 | 4 | |
6334 | INSTITUTIO N | |
6335 | 36 | |
6336 | INSURANCE COMPANY | |
6337 | 3.8 | |
6338 | MAIL GROUP | |
6339 | 40.8 | |
6340 | MEDICAL CE NTER DIVIS ION | |
6341 | 200 | |
6342 | NEW PERSON | |
6343 | 2 | |
6344 | PATIENT | |
6345 | 365.12 | |
6346 | PAYER | |
6347 | 399.2 | |
6348 | REVENUE CO DE | |
6349 | 49 | |
6350 | SERVICE/SE CTION | |
6351 | 5 | |
6352 | STATE | |
6353 | 351.6 | |
6354 | TRANSFER P RICING PAT IENT | |
6355 | 350.963 | |
6356 | HCSR CLINI C LIST | |
6357 | 350.964 | |
6358 | HCSR WARD LIST | |
6359 | 350.965 | |
6360 | HCSR INSCO APPT LIST | |
6361 | 350.966 | |
6362 | HCSR INSCO ADM LIST | |
6363 | ||
6364 | ||
6365 | 350.963 | |
6366 | HCSR CLINI C LIST | |
6367 | ||
6368 | 350.9 | |
6369 | IB SITE PA RAMETERS | |
6370 | ||
6371 | 350.964 | |
6372 | HCSR WARD LIST | |
6373 | ||
6374 | 350.9 | |
6375 | IB SITE PA RAMETERS | |
6376 | ||
6377 | 350.965 | |
6378 | HCSR INSCO APPT LIST | |
6379 | ||
6380 | 350.9 | |
6381 | IB SITE PA RAMETERS | |
6382 | ||
6383 | 350.966 | |
6384 | HCSR INSCO ADM LIST | |
6385 | ||
6386 | 350.9 | |
6387 | IB SITE PA RAMETERS | |
6388 | ||
6389 | 351 | |
6390 | MEANS TEST BILLING C LOCK FILE | |
6391 | 200 | |
6392 | NEW PERSON | |
6393 | 2 | |
6394 | PATIENT | |
6395 | ||
6396 | ||
6397 | 351.1 | |
6398 | IB CONTINU OUS PATIEN T FILE | |
6399 | 200 | |
6400 | NEW PERSON | |
6401 | 2 | |
6402 | PATIENT | |
6403 | ||
6404 | ||
6405 | 351.2 | |
6406 | SPECIAL IN PATIENT BI LLING CASE S FILE | |
6407 | 350 | |
6408 | INTEGRATED BILLING A CTION | |
6409 | 200 | |
6410 | NEW PERSON | |
6411 | 2 | |
6412 | PATIENT | |
6413 | 405 | |
6414 | PATIENT MO VEMENT | |
6415 | ||
6416 | ||
6417 | 351.5 | |
6418 | TRICARE PH ARMACY TRA NSACTIONS FILE | |
6419 | 399 | |
6420 | BILL/CLAIM S | |
6421 | 350 | |
6422 | INTEGRATED BILLING A CTION | |
6423 | 200 | |
6424 | NEW PERSON | |
6425 | 2 | |
6426 | PATIENT | |
6427 | 351.53 | |
6428 | PRODUCT SE LECTION RE ASON | |
6429 | ||
6430 | 351.52 | |
6431 | TRICARE PH ARMACY REJ ECTS | |
6432 | ||
6433 | 351.52 | |
6434 | TRICARE PH ARMACY REJ ECTS FILE | |
6435 | 351.5 | |
6436 | TRICARE PH ARMACY TRA NSACTIONS | |
6437 | ||
6438 | ||
6439 | 351.53 | |
6440 | PRODUCT SE LECTION RE ASON FILE | |
6441 | ||
6442 | 351.5 | |
6443 | TRICARE PH ARMACY TRA NSACTIONS | |
6444 | ||
6445 | 351.6 | |
6446 | TRANSFER P RICING PAT IENT FILE | |
6447 | 4 | |
6448 | INSTITUTIO N | |
6449 | 2 | |
6450 | PATIENT | |
6451 | ||
6452 | 350.9 | |
6453 | IB SITE PA RAMETERS | |
6454 | 351.61 | |
6455 | TRANSFER P RICING TRA NSACTIONS | |
6456 | ||
6457 | 351.61 | |
6458 | TRANSFER P RICING TRA NSACTIONS FILE | |
6459 | 81 | |
6460 | CPT | |
6461 | 80.2 | |
6462 | DRG | |
6463 | 50 | |
6464 | DRUG | |
6465 | 80 | |
6466 | ICD DIAGNO SIS | |
6467 | 4 | |
6468 | INSTITUTIO N | |
6469 | 405 | |
6470 | PATIENT MO VEMENT | |
6471 | 45 | |
6472 | PTF | |
6473 | 351.6 | |
6474 | TRANSFER P RICING PAT IENT | |
6475 | 351.61 | |
6476 | TRANSFER P RICING TRA NSACTIONS | |
6477 | ||
6478 | 351.61 | |
6479 | TRANSFER P RICING TRA NSACTIONS | |
6480 | ||
6481 | 351.67 | |
6482 | TRANSFER P RICING INP T PROSTHET IC ITEMS F ILE | |
6483 | 661.1 | |
6484 | PROSTHETIC HCPCS | |
6485 | ||
6486 | ||
6487 | 351.7 IB DM EXTRACT REPORTS F ILE | |
6488 | ||
6489 | 351.701 | |
6490 | IB DM EXTR ACT DATA E LEMENTS | |
6491 | ||
6492 | 351.701 I B DM EXTRA CT DATA EL EMENTS FIL E | |
6493 | 351.7 | |
6494 | IB DM EXTR ACT REPORT S | |
6495 | ||
6496 | 351.71 | |
6497 | IB DM EXTR ACT DATA | |
6498 | ||
6499 | 351.71 IB DM EXTRAC T DATA FIL E | |
6500 | 351.701 | |
6501 | IB DM EXTR ACT DATA E LEMENTS | |
6502 | 351.7 | |
6503 | IB DM EXTR ACT REPORT S | |
6504 | ||
6505 | ||
6506 | 351.73 IB DM WORKLO AD PARAMET ERS FILE | |
6507 | 430.2 | |
6508 | ACCOUNTS R ECEIVABLE CATEGORY | |
6509 | 200 | |
6510 | NEW PERSON | |
6511 | ||
6512 | ||
6513 | 351.81 LT C CO-PAY C LOCK FILE | |
6514 | 200 | |
6515 | NEW PERSON | |
6516 | 2 | |
6517 | PATIENT | |
6518 | ||
6519 | ||
6520 | 351.9 CLA IMSMANAGER BILLS FIL E | |
6521 | 399 | |
6522 | BILL/CLAIM S | |
6523 | 351.91 | |
6524 | CLAIMSMANA GER STATUS | |
6525 | 200 | |
6526 | NEW PERSON | |
6527 | ||
6528 | ||
6529 | 351.91 CL AIMSMANAGE R STATUS F ILE | |
6530 | ||
6531 | 351.9 | |
6532 | CLAIMSMANA GER BILLS | |
6533 | ||
6534 | 352.1 | |
6535 | BILLABLE A PPOINTMENT TYPE FILE | |
6536 | 409.1 | |
6537 | APPOINTMEN T TYPE | |
6538 | ||
6539 | ||
6540 | 352.2 | |
6541 | NON-BILLAB LE DISPOSI TIONS FILE | |
6542 | 37 | |
6543 | DISPOSITIO N | |
6544 | ||
6545 | ||
6546 | 352.3 | |
6547 | NON-BILLAB LE CLINIC STOP CODES FILE | |
6548 | 40.7 | |
6549 | CLINIC STO P | |
6550 | ||
6551 | ||
6552 | 352.4 | |
6553 | NON-BILLAB LE CLINICS FILE | |
6554 | 44 | |
6555 | HOSPITAL L OCATION | |
6556 | ||
6557 | ||
6558 | 352.5 | |
6559 | IB CLINIC STOP CODE BILLABLE T YPES FILE | |
6560 | ||
6561 | 350 | |
6562 | INTEGRATED BILLING A CTION | |
6563 | ||
6564 | 353 | |
6565 | BILL FORM TYPE FILE | |
6566 | 353 | |
6567 | BILL FORM TYPE | |
6568 | 1 | |
6569 | FILE | |
6570 | ||
6571 | 353 | |
6572 | BILL FORM TYPE | |
6573 | 364.6 | |
6574 | IB FORM SK ELETON DEF INITION | |
6575 | 399 | |
6576 | BILL/CLAIM S | |
6577 | ||
6578 | 353.1 | |
6579 | PLACE OF S ERVICE FIL E | |
6580 | ||
6581 | 399 | |
6582 | BILL/CLAIM S | |
6583 | ||
6584 | 353.2 | |
6585 | TYPE OF SE RVICE FILE | |
6586 | ||
6587 | 399 | |
6588 | BILL/CLAIM S | |
6589 | 162 | |
6590 | FEE BASIS PAYMENT | |
6591 | ||
6592 | 354 | |
6593 | BILLING PA TIENT FILE | |
6594 | 354.2 | |
6595 | EXEMPTION REASON | |
6596 | 2 | |
6597 | PATIENT | |
6598 | ||
6599 | 354.1 | |
6600 | BILLING EX EMPTIONS | |
6601 | ||
6602 | 354.1 | |
6603 | BILLING EX EMPTIONS F ILE | |
6604 | 354.4 | |
6605 | BILLING AL ERTS | |
6606 | 354 | |
6607 | BILLING PA TIENT | |
6608 | 354.2 | |
6609 | EXEMPTION REASON | |
6610 | 200 | |
6611 | NEW PERSON | |
6612 | ||
6613 | ||
6614 | 354.2 | |
6615 | EXEMPTION REASON FIL E | |
6616 | ||
6617 | 354 | |
6618 | BILLING PA TIENT | |
6619 | 354.1 | |
6620 | BILLING EX EMPTIONS | |
6621 | ||
6622 | 354.4 | |
6623 | BILLING AL ERTS FILE | |
6624 | 354.5 | |
6625 | BILLING AL ERT DEFINI TION | |
6626 | 200 | |
6627 | NEW PERSON | |
6628 | ||
6629 | 354.1 | |
6630 | BILLING EX EMPTIONS | |
6631 | ||
6632 | 354.5 | |
6633 | BILLING AL ERT DEFINI TION FILE | |
6634 | 3.8 | |
6635 | MAIL GROUP | |
6636 | 200 | |
6637 | NEW PERSON | |
6638 | ||
6639 | 350.8 | |
6640 | IB ERROR | |
6641 | 354.4 | |
6642 | BILLING AL ERTS | |
6643 | ||
6644 | 354.7 | |
6645 | IB PATIENT CO-PAY AC COUNT FILE | |
6646 | 2 | |
6647 | PATIENT | |
6648 | ||
6649 | 354.71 | |
6650 | IB CO-PAY TRANSACTIO NS | |
6651 | ||
6652 | 354.71 | |
6653 | IB CO-PAY TRANSACTIO NS FILE | |
6654 | 350.1 | |
6655 | IB ACTION TYPE | |
6656 | 350.3 | |
6657 | IB CHARGE REMOVE REA SONS | |
6658 | 354.71 | |
6659 | IB CO-PAY TRANSACTIO NS | |
6660 | 354.7 | |
6661 | IB PATIENT CO-PAY AC COUNT | |
6662 | 4 | |
6663 | INSTITUTIO N | |
6664 | 350 | |
6665 | INTEGRATED BILLING A CTION | |
6666 | 200 | |
6667 | NEW PERSON | |
6668 | ||
6669 | 52 | |
6670 | PRESCRIPTI ON | |
6671 | 350 | |
6672 | INTEGRATED BILLING A CTION | |
6673 | 354.71 | |
6674 | IB CO-PAY TRANSACTIO NS | |
6675 | ||
6676 | 355.1 | |
6677 | TYPE OF PL AN FILE | |
6678 | ||
6679 | 355.3 | |
6680 | GROUP INSU RANCE PLAN | |
6681 | 355.33 | |
6682 | INSURANCE VERIFICATI ON PROCESS OR | |
6683 | ||
6684 | 355.12 | |
6685 | SOURCE OF INFORMATIO N FILE | |
6686 | ||
6687 | 355.33 | |
6688 | INSURANCE VERIFICATI ON PROCESS OR | |
6689 | ||
6690 | 355.13 | |
6691 | INSURANCE FILING TIM E FRAME FI LE | |
6692 | ||
6693 | 36 | |
6694 | INSURANCE COMPANY | |
6695 | 355.3 | |
6696 | GROUP INSU RANCE PLAN | |
6697 | ||
6698 | 355.2 | |
6699 | TYPE OF IN SURANCE CO VERAGE FIL E | |
6700 | ||
6701 | 36 | |
6702 | INSURANCE COMPANY | |
6703 | 367.1 | |
6704 | HPID/OEID TRANSMISSI ON QUEUE F ILE | |
6705 | ||
6706 | ||
6707 | 355.3 | |
6708 | GROUP INSU RANCE PLAN FILE | |
6709 | 36 | |
6710 | INSURANCE COMPANY | |
6711 | 355.13 | |
6712 | INSURANCE FILING TIM E FRAME | |
6713 | 200 | |
6714 | NEW PERSON | |
6715 | 2 | |
6716 | PATIENT | |
6717 | 366.03 | |
6718 | PLAN | |
6719 | 355.1 | |
6720 | TYPE OF PL AN | |
6721 | ||
6722 | 355.32 | |
6723 | PLAN COVER AGE LIMITA TIONS | |
6724 | 355.4 | |
6725 | ANNUAL BEN EFITS | |
6726 | 355.5 | |
6727 | INSURANCE CLAIMS YEA R TO DATE | |
6728 | 366.16 | |
6729 | IB NDC NON COVERED B Y PLAN | |
6730 | 19625 | |
6731 | DSIV ICB A UDIT | |
6732 | 9002313.02 | |
6733 | BPS CLAIMS | |
6734 | 9002313.15 | |
6735 | BPS ASLEEP PAYERS | |
6736 | 9002313.78 | |
6737 | BPS INSURE R DATA | |
6738 | ||
6739 | 355.31 | |
6740 | PLAN LIMIT ATION CATE GORY FILE | |
6741 | 355.6 | |
6742 | INSURANCE RIDERS | |
6743 | ||
6744 | 355.32 | |
6745 | PLAN COVER AGE LIMITA TIONS | |
6746 | ||
6747 | 355.32 | |
6748 | PLAN COVER AGE LIMITA TIONS FILE | |
6749 | 355.3 | |
6750 | GROUP INSU RANCE PLAN | |
6751 | 200 | |
6752 | NEW PERSON | |
6753 | 355.31 | |
6754 | PLAN LIMIT ATION CATE GORY | |
6755 | ||
6756 | ||
6757 | 355.33 | |
6758 | INSURANCE VERIFICATI ON PROCESS OR FILE | |
6759 | 365.15 | |
6760 | IIV STATUS TABLE | |
6761 | 4 | |
6762 | INSTITUTIO N | |
6763 | 200 | |
6764 | NEW PERSON | |
6765 | 2 | |
6766 | PATIENT | |
6767 | 355.12 | |
6768 | SOURCE OF INFORMATIO N | |
6769 | 5 | |
6770 | STATE | |
6771 | 355.1 | |
6772 | TYPE OF PL AN | |
6773 | ||
6774 | 365 | |
6775 | IIV RESPON SE | |
6776 | 365.1 | |
6777 | IIV TRANSM ISSION QUE UE | |
6778 | ||
6779 | 355.35 | |
6780 | HMS EXTRAC T FILE STA TUS FILE | |
6781 | (#.03) MES SAGES subf ile | |
6782 | ||
6783 | MESSAGE ID (#.01) poi nts to MES SAGE(#3.9) file NUMB ER(#.001) field | |
6784 | ||
6785 | 355.351 | |
6786 | HMS RESULT FILE STAT US FILE | |
6787 | (#.03) MES SAGES subf ile | |
6788 | ||
6789 | MESSAGE ID (#.01) poi nts to MES SAGE(#3.9) file NUMB ER(#.001) field | |
6790 | ||
6791 | 355.4 | |
6792 | ANNUAL BEN EFITS FILE | |
6793 | 355.3 | |
6794 | GROUP INSU RANCE PLAN | |
6795 | 200 | |
6796 | NEW PERSON | |
6797 | ||
6798 | ||
6799 | 355.5 | |
6800 | INSURANCE CLAIMS YEA R TO DATE FILE | |
6801 | 355.3 | |
6802 | GROUP INSU RANCE PLAN | |
6803 | 200 | |
6804 | NEW PERSON | |
6805 | 2 | |
6806 | PATIENT | |
6807 | ||
6808 | ||
6809 | 355.6 | |
6810 | INSURANCE RIDERS FIL E | |
6811 | ||
6812 | 355.31 | |
6813 | PLAN LIMIT ATION CATE GORY | |
6814 | 355.7 | |
6815 | PERSONAL P OLICY | |
6816 | ||
6817 | 355.7 | |
6818 | PERSONAL P OLICY FILE | |
6819 | 355.6 | |
6820 | INSURANCE RIDERS | |
6821 | 2 | |
6822 | PATIENT | |
6823 | ||
6824 | ||
6825 | 355.8 | |
6826 | SPONSOR FI LE | |
6827 | 23 | |
6828 | BRANCE OF SERVICE | |
6829 | 2 | |
6830 | PATIENT | |
6831 | 355.82 | |
6832 | SPONSOR PE RSON | |
6833 | ||
6834 | 355.81 | |
6835 | SPONSOR RE LATIONSHIP | |
6836 | ||
6837 | 355.81 | |
6838 | SPONSOR RE LATIONSHIP FILE | |
6839 | 2 | |
6840 | PATIENT | |
6841 | 355.8 | |
6842 | SPONSOR | |
6843 | ||
6844 | ||
6845 | 355.82 | |
6846 | SPONSOR PE RSON FILE | |
6847 | ||
6848 | 355.8 | |
6849 | SPONSOR | |
6850 | ||
6851 | 355.9 | |
6852 | IB BILLING PRACTITIO NER ID FIL E | |
6853 | 355.96 | |
6854 | IB INS CO PROVIDER I D CARE UNI T | |
6855 | 355.93 | |
6856 | IB NON/OTH ER VA BILL ING PROVID ER | |
6857 | 355.97 | |
6858 | IB PROVIDE R ID | |
6859 | 36 | |
6860 | INSURANCE COMPANY | |
6861 | 200 | |
6862 | NEW PERSON | |
6863 | ||
6864 | ||
6865 | 355.91 | |
6866 | IB INSURAN CE CO LEVE L BILLING PROV ID FI LE | |
6867 | 355.96 | |
6868 | IB INS CO PROVIDER I D CARE UNI T | |
6869 | 355.97 | |
6870 | IB PROVIDE R ID # TYP E | |
6871 | 36 | |
6872 | INSURANCE COMPANY | |
6873 | ||
6874 | ||
6875 | 355.92 | |
6876 | FACILITY B ILLING ID FILE | |
6877 | 355.97 | |
6878 | IB PROVIDE R ID # TYP E | |
6879 | 355.95 | |
6880 | IB PROVIDE R ID CARE UNIT | |
6881 | 36 | |
6882 | INSURANCE COMPANY | |
6883 | 40.8 | |
6884 | MEDICAL CE NTER DIVIS ION | |
6885 | ||
6886 | ||
6887 | 355.93 | |
6888 | IB NON/OTH ER VA BILL ING PROVID ER FILE | |
6889 | 355.97 | |
6890 | IB PROVIDE R ID # TYP E | |
6891 | 200 | |
6892 | NEW PERSON | |
6893 | 8932.1 | |
6894 | PERSON CLA SS | |
6895 | 5 | |
6896 | STATE | |
6897 | ||
6898 | 355.9 | |
6899 | IB BILLING PRACTITIO NER ID | |
6900 | 399 | |
6901 | BILL/CLAIM S | |
6902 | ||
6903 | 355.95 | |
6904 | IB PROVIDE R ID CARE UNIT FILE | |
6905 | 36 | |
6906 | INSURANCE COMPANY | |
6907 | 40.8 | |
6908 | MEDICAL CE NTER DIVIS ION | |
6909 | ||
6910 | 355.92 | |
6911 | FACILITY B ILLING ID | |
6912 | 355.96 | |
6913 | IB INS CO PROVIDER I D CARE UNI T | |
6914 | ||
6915 | 355.96 | |
6916 | IB INS CO PROVIDER I D CARE UNI T FILE | |
6917 | 355.97 | |
6918 | IB PROVIDE R ID # TYP E | |
6919 | 355.95 | |
6920 | IB PROVIDE R ID CARE UNIT | |
6921 | 36 | |
6922 | INSURANCE COMPANY | |
6923 | ||
6924 | 355.9 | |
6925 | IB BILLING PRACTITIO NER ID | |
6926 | 355.91 | |
6927 | IB INSURAN CE CO LEVE L BILLING PROV ID | |
6928 | ||
6929 | 355.97 | |
6930 | IB PROVIDE R ID # TYP E FILE | |
6931 | ||
6932 | 36 | |
6933 | INSURANCE COMPANY | |
6934 | 355.9 | |
6935 | IB BILLING PRACTITIO NER ID | |
6936 | 355.91 | |
6937 | IB INSURAN CE CO LEVE L BILLING PROV ID | |
6938 | 355.92 | |
6939 | FACILITY B ILLING ID | |
6940 | 355.93 | |
6941 | IB NON/OTH ER VA BILL ING PROVID ER | |
6942 | 355.96 | |
6943 | IB INS CO PROVIDER I D CARE UNI T | |
6944 | 399 | |
6945 | BILL/CLAIM S | |
6946 | ||
6947 | ||
6948 | ||
6949 | 355.98 | |
6950 | IB ALTERNA TE PRIMARY ID TYPE | |
6951 | ||
6952 | ||
6953 | 36 | |
6954 | INSURANCE COMPANY | |
6955 | 350.9 | |
6956 | IB SITE PA RAMETERS | |
6957 | 399 | |
6958 | BILL/CLAIM S | |
6959 | ||
6960 | 355.99 | |
6961 | MASTER TYP E OF PLAN FILE | |
6962 | ||
6963 | 355.1 | |
6964 | TYPE OF PL AN | |
6965 | ||
6966 | 356 | |
6967 | CLAIMS TRA CKING FILE | |
6968 | 399 | |
6969 | BILL/CLAIM S | |
6970 | 356.85 | |
6971 | CLAIMS TRA CKING BILL ABLE FINDI NGS | |
6972 | 356.8 | |
6973 | CLAIMS TRA CKING NON- BILLABLE R EASONS | |
6974 | 356.6 | |
6975 | CLAIMS TRA CKING TYPE | |
6976 | 356.9 | |
6977 | INPATIENT DIAGNOSIS | |
6978 | 200 | |
6979 | NEW PERSON | |
6980 | 409.68 | |
6981 | OUTPATIENT ENCOUNTER | |
6982 | 2 | |
6983 | PATIENT | |
6984 | 405 | |
6985 | PATIENT MO VEMENT | |
6986 | 52 | |
6987 | PRESCRIPTI ON | |
6988 | 660 | |
6989 | RECORD OF PROS APPLI ANCE/REPAI R | |
6990 | 41.1 | |
6991 | SCHEDULED ADMISSION | |
6992 | 9000010 | |
6993 | VISIT | |
6994 | ||
6995 | 356.1 | |
6996 | HOSPITAL R EVIEW | |
6997 | 356.2 | |
6998 | INSURANCE REVIEW | |
6999 | 356.399 | |
7000 | CLAIMS TRA CKING/BILL | |
7001 | 362.1 | |
7002 | IB AUTOMAT ED BILLING COMMENTS | |
7003 | ||
7004 | 356.001 | |
7005 | X12 278 RE QUEST CATE GORY FILE | |
7006 | ||
7007 | 356.22 | |
7008 | HCS REVIEW TRANSMISS ION | |
7009 | ||
7010 | 356.002 | |
7011 | X12 278 CE RTIFICATIO N TYPE COD E FILE | |
7012 | ||
7013 | 356.22 | |
7014 | HCS REVIEW TRANSMISS ION | |
7015 | ||
7016 | 356.003 | |
7017 | X12 278 CU RRENT HEAL TH CONDITI ON CODE FI LE | |
7018 | ||
7019 | 356.22 | |
7020 | HCS REVIEW TRANSMISS ION | |
7021 | ||
7022 | 356.004 | |
7023 | X12 278 PR OGNOSIS CO DE FILE | |
7024 | ||
7025 | 356.22 | |
7026 | HCS REVIEW TRANSMISS ION | |
7027 | ||
7028 | 356.005 | |
7029 | X12 278 DE LAY REASON CODE FILE | |
7030 | ||
7031 | 356.22 | |
7032 | HCS REVIEW TRANSMISS ION | |
7033 | ||
7034 | 356.006 | |
7035 | X12 278 DI AGNOSISY T YPE FILE | |
7036 | ||
7037 | 356.22 | |
7038 | HCS REVIEW TRANSMISS ION | |
7039 | ||
7040 | 356.007 | |
7041 | X12 278 DE LIVERY PAT TERN TIME CODE FILE | |
7042 | ||
7043 | 356.22 | |
7044 | HCS REVIEW TRANSMISS ION | |
7045 | ||
7046 | 356.008 | |
7047 | X12 278 CO NDITION CO DE FILE | |
7048 | ||
7049 | 356.22 | |
7050 | HCS REVIEW TRANSMISS ION | |
7051 | ||
7052 | 356.009 | |
7053 | X12 278 AD MISSION SO URCE FILE | |
7054 | ||
7055 | 356.22 | |
7056 | HCS REVIEW TRANSMISS ION | |
7057 | ||
7058 | 356.01 | |
7059 | X12 278 PA TIENT STAT US FILE | |
7060 | ||
7061 | 356.22 | |
7062 | HCS REVIEW TRANSMISS ION | |
7063 | ||
7064 | 356.011 | |
7065 | X12 278 NU RSING HOME RESIDENTI AL STATUS FILE | |
7066 | ||
7067 | 356.22 | |
7068 | HCS REVIEW TRANSMISS ION | |
7069 | ||
7070 | 356.012 | |
7071 | X12 278 SU BLUXATION LEVEL CODE FILE | |
7072 | ||
7073 | 356.22 | |
7074 | HCS REVIEW TRANSMISS ION | |
7075 | ||
7076 | 356.013 | |
7077 | X12 278 OX YGEN EQUIP MENT TYPE FILE | |
7078 | ||
7079 | 356.22 | |
7080 | HCS REVIEW TRANSMISS ION | |
7081 | ||
7082 | 356.014 | |
7083 | X12 278 OX YGEN TEST CONDITION FILE | |
7084 | ||
7085 | 356.22 | |
7086 | HCS REVIEW TRANSMISS ION | |
7087 | ||
7088 | 356.015 | |
7089 | X12 278 OX YGEN TEST FINDINGS F ILE | |
7090 | ||
7091 | 356.22 | |
7092 | HCS REVIEW TRANSMISS ION | |
7093 | ||
7094 | 356.016 | |
7095 | X12 278 OX YGEN DELIV ERY SYSTEM CODE FILE | |
7096 | ||
7097 | 356.22 | |
7098 | HCS REVIEW TRANSMISS ION | |
7099 | ||
7100 | 356.017 | |
7101 | X12 278 PA TIENT LOCA TION FILE | |
7102 | ||
7103 | 356.22 | |
7104 | HCS REVIEW TRANSMISS ION | |
7105 | ||
7106 | 356.018 | |
7107 | X12 278 RE PORT TYPE CODE FILE | |
7108 | ||
7109 | 356.22 | |
7110 | HCS REVIEW TRANSMISS ION | |
7111 | ||
7112 | 356.019 | |
7113 | X12 278 NU RSING HOME LEVEL OF CARE FILE | |
7114 | ||
7115 | 356.22 | |
7116 | HCS REVIEW TRANSMISS ION | |
7117 | ||
7118 | 356.02 | |
7119 | X12 278 CE RTIFICATIO N ACTION C ODES FILE | |
7120 | ||
7121 | 356.22 | |
7122 | HCS REVIEW TRANSMISS ION | |
7123 | ||
7124 | 356.021 | |
7125 | X12 278 DC S DECISION REASON CO DES FILE | |
7126 | ||
7127 | 356.22 | |
7128 | HCS REVIEW TRANSMISS ION | |
7129 | ||
7130 | 356.022 | |
7131 | UNIVERSAL DENTAL NUM BERING SYS TEM | |
7132 | ||
7133 | 356.22 | |
7134 | HCS REVIEW TRANSMISS ION | |
7135 | ||
7136 | 356.023 HC SR WORKLIS T DELETE R EASON CODE | |
7137 | ||
7138 | 356.22 | |
7139 | HCS REVIEW TRANSMISS ION | |
7140 | ||
7141 | 356.1 | |
7142 | HOSPITAL R EVIEW FILE | |
7143 | 356 | |
7144 | CLAIMS TRA CKING | |
7145 | 356.4 | |
7146 | CLAIMS TRA CKING NON- ACUTE CLAS SIFICATION S | |
7147 | 356.11 | |
7148 | CLAIMS TRA CKING REVI EW TYPE | |
7149 | 356.3 | |
7150 | CLAIMS TRA CKING SI/I S CATEGORI ES | |
7151 | 45.7 | |
7152 | FACILITY T REATING SP ECIALTY | |
7153 | 356.1 | |
7154 | HOSPITAL R EVIEW | |
7155 | 200 | |
7156 | NEW PERSON | |
7157 | ||
7158 | 356.1 | |
7159 | HOSPITAL R EVIEW | |
7160 | 356.2 | |
7161 | INSURANCE REVIEW | |
7162 | ||
7163 | 356.11 | |
7164 | CLAIMS TRA CKING REVI EW TYPE FI LE | |
7165 | ||
7166 | 356.1 | |
7167 | HOSPITAL R EVIEW | |
7168 | 356.2 | |
7169 | INSURANCE REVIEW | |
7170 | ||
7171 | 356.2 | |
7172 | INSURANCE REVIEW FIL E | |
7173 | 356 | |
7174 | CLAIMS TRA CKING | |
7175 | 356.7 | |
7176 | CLAIMS TRA CKING ACTI ON | |
7177 | 356.21 | |
7178 | CLAIMS TRA CKING DENI AL REASONS | |
7179 | 356.11 | |
7180 | CLAIMS TRA CKING REVI EW TYPE | |
7181 | 356.1 | |
7182 | HOSPITAL R EVIEW | |
7183 | 80 | |
7184 | ICD DIAGNO SIS | |
7185 | 36 | |
7186 | INSURANCE COMPANY | |
7187 | 356.2 | |
7188 | INSURANCE REVIEW | |
7189 | 200 | |
7190 | NEW PERSON | |
7191 | 2 | |
7192 | PATIENT | |
7193 | ||
7194 | 356.2 | |
7195 | INSURANCE REVIEW | |
7196 | ||
7197 | 356.21 | |
7198 | CLAIMS TRA CKING | |
7199 | DENIAL REA SONS | |
7200 | ||
7201 | 356.2INSUR ANCE REVIE W | |
7202 | ||
7203 | 356.22 | |
7204 | HCS REVIEW TRANSMISS ION FILE | |
7205 | 2 | |
7206 | PATIENT | |
7207 | 42 | |
7208 | WARD LOCAT ION | |
7209 | 44 | |
7210 | HOSPITAL L OCATION | |
7211 | 200 | |
7212 | NEW PERSON | |
7213 | 356.001 | |
7214 | X12 278 RE QUEST CATE GORY | |
7215 | 356.002 | |
7216 | X12 278 CE RTIFICATIO N TYPE COD E | |
7217 | 365.013 | |
7218 | X12 271 SE RVICE TYPE | |
7219 | 353.1 | |
7220 | PLACE OF S ERVICE | |
7221 | 5 | |
7222 | STATE | |
7223 | 779.004 | |
7224 | COUNTRY CO DE | |
7225 | 356.003 | |
7226 | X12 278 CU RRENT HEAL TH CONDITI ON CODE | |
7227 | 356.004 | |
7228 | X12 278 PR OGNOSIS CO DE | |
7229 | 356.005 | |
7230 | X12 278 DE LAY REASON CODE | |
7231 | 356.006 | |
7232 | X12 278 DI AGNOSIS TY PE | |
7233 | 365.016 | |
7234 | X12 271 QU ANTITY QUA LIFIER | |
7235 | 365.015 | |
7236 | X12 271 TI ME PERIOD QUALIFIER | |
7237 | 365.025 | |
7238 | X12 271 DE LIVERY FRE QUENCY COD E | |
7239 | 356.007 | |
7240 | X12 278 DE LIVERY PAT TERN TIME CODE | |
7241 | 356.008 | |
7242 | X12 278 CO NDITION CO DE | |
7243 | 356.009 | |
7244 | X12 278 AD MISSION SO URCE | |
7245 | 356.01 | |
7246 | X12 278 PA TIENT STAT US | |
7247 | 356.011 | |
7248 | X12 278 NU RSING HOME RESIDENTI AL STATUS | |
7249 | 356.012 | |
7250 | X12 278 SU BLUXATION LEVEL CODE | |
7251 | 356.013 | |
7252 | X12 278 OX YGEN EQUIP MENT TYPE | |
7253 | 356.014 | |
7254 | X12 278 OX YGEN TEST CONDITION | |
7255 | 356.015 | |
7256 | X12 278 OX YGEN TEST FINDINGS | |
7257 | 356.016 | |
7258 | X12 278 OX YGEN DELIV ERY SYSTEM CODE | |
7259 | 356.017 | |
7260 | X12 278 PA TIENT LOCA TION | |
7261 | 356.018 | |
7262 | X12 278 RE PORT TYPE | |
7263 | 356.023 | |
7264 | HCSR WORKL IST DELETE REASON CO DE | |
7265 | 365.022 | |
7266 | X12 271 EN TITY IDENT IFIER CODE | |
7267 | 365.027 | |
7268 | X12 271 LO OP ID | |
7269 | 365.023 | |
7270 | X12 271 ID ENTIFICATI ON QUALIFI ER | |
7271 | 36 | |
7272 | INSURANCE COMPANY | |
7273 | 81.3 | |
7274 | CPT MODIFI ER | |
7275 | 399.2 | |
7276 | REVENUE CO DE | |
7277 | 356.019 | |
7278 | X12 278 NU RSING HOME LEVEL OF CARE | |
7279 | 81 | |
7280 | CPT | |
7281 | 365.017 | |
7282 | X12 271 ER ROR CONDIT ION | |
7283 | 365.018 | |
7284 | X12 271 ER ROR ACTION | |
7285 | 356.022 | |
7286 | UNIVERSAL SENTAL NUM BERING SYS TEM | |
7287 | 356.021 | |
7288 | X12 278 HC S DECISION REASON CO | |
7289 | 356.02 | |
7290 | X12 278 CE RTIFICATIO N ACTION C | |
7291 | 356.22 | |
7292 | HCS REVIEW TRANSMISS ION | |
7293 | 80.1 | |
7294 | ICD OPERAT ION/PROCED URE | |
7295 | ||
7296 | 356.22 | |
7297 | HCS REVIEW TRANSMISS ION FILE | |
7298 | 356.25 | |
7299 | CLAIMS TRA CKING ROI FILE | |
7300 | 50 | |
7301 | DRUG | |
7302 | 36 | |
7303 | INSURANCE COMPANY | |
7304 | 200 | |
7305 | NEW PERSON | |
7306 | 2 | |
7307 | PATIENT | |
7308 | ||
7309 | ||
7310 | 356.26 | |
7311 | CLAIMS TRA CKING ROI CONSENT | |
7312 | 200 N EW PERSON | |
7313 | 2 PATIENT | |
7314 | ||
7315 | 356.3 | |
7316 | CLAIMS TRA CKING SI/I S CATEGORI ES FILE | |
7317 | ||
7318 | 356.1 | |
7319 | HOSPITAL R EVIEW | |
7320 | ||
7321 | 356.399 | |
7322 | CLAIMS TRA CKING/BILL FILE | |
7323 | 399 | |
7324 | BILL/CLAIM S | |
7325 | 356 | |
7326 | CLAIMS TRA CKING | |
7327 | ||
7328 | ||
7329 | 356.5 | |
7330 | CLAIMS TRA CKING ALOS FILE | |
7331 | 80.2 | |
7332 | DRG | |
7333 | ||
7334 | ||
7335 | 356.6 | |
7336 | CLAIMS TRA CKING TYPE FILE | |
7337 | ||
7338 | 356 | |
7339 | CLAIMS TRA CKING | |
7340 | ||
7341 | 356.7 | |
7342 | CLAIMS TRA CKING ACTI ON FILE | |
7343 | ||
7344 | 356.2 | |
7345 | INSURANCE REVIEW | |
7346 | ||
7347 | 356.8 | |
7348 | CLAIMS TRA CKING NON- BILLABLE R EASONS FIL E | |
7349 | ||
7350 | 356 | |
7351 | CLAIMS TRA CKING | |
7352 | 9002313.02 | |
7353 | BPS CLAIMS | |
7354 | 9002313.77 | |
7355 | BPS REQUES TS | |
7356 | ||
7357 | 356.9 | |
7358 | INPATIENT DIAGNOSIS FILE | |
7359 | 80 | |
7360 | ICD DIAGNO SIS | |
7361 | 405 | |
7362 | PATIENT MO VEMENT | |
7363 | ||
7364 | 356 | |
7365 | CLAIMS TRA CKING | |
7366 | ||
7367 | 356.91 | |
7368 | INPATIENT PROCEDURE FILE | |
7369 | 80.1 | |
7370 | ICD OPERAT ION / PROC EDURE | |
7371 | 405 | |
7372 | PATIENT MO VEMENT | |
7373 | ||
7374 | ||
7375 | 356.93 | |
7376 | INPATIENT INTERIM DR G FILE | |
7377 | 80.2 | |
7378 | DRG | |
7379 | 405 | |
7380 | PATIENT MO VEMENT | |
7381 | ||
7382 | ||
7383 | 356.94 | |
7384 | INPATIENT PROVIDERS FILE | |
7385 | 200 | |
7386 | NEW PERSON | |
7387 | 405 | |
7388 | PATIENT MO VEMENT | |
7389 | ||
7390 | ||
7391 | 357 | |
7392 | ENCOUNTER FORM FILE | |
7393 | ||
7394 | 357.09 | |
7395 | ENCOUNTER FORM PARAM ETERS | |
7396 | 357.1 | |
7397 | ENCOUNTER FORM BLOCK | |
7398 | 357.95 | |
7399 | FORM DEFIN ITION | |
7400 | 359 | |
7401 | CONVERTED FORMS | |
7402 | 359.3 | |
7403 | AICS ERROR AND WARNI NG LOG | |
7404 | 409.95 | |
7405 | PRINT MANA GER CLINIC SETUP | |
7406 | ||
7407 | 357.08 | |
7408 | AICS PURGE LOG FILE | |
7409 | ||
7410 | ||
7411 | 357.09 | |
7412 | ENCOUNTER FORM PARAM ETERS FILE | |
7413 | 357 | |
7414 | ENCOUNTER FORM | |
7415 | 3.8 | |
7416 | MAIL GROUP | |
7417 | 357.99 | |
7418 | PRINT MANA GER CLINIC GROUPS | |
7419 | ||
7420 | ||
7421 | 357.1 | |
7422 | ENCOUNTER FORM BLOCK FILE | |
7423 | 359.1 | |
7424 | AICS DATA ELEMENTS | |
7425 | 357.98 | |
7426 | AICS DATA QUALIFIERS | |
7427 | 357 | |
7428 | ENCOUNTER FORM | |
7429 | 357.6 | |
7430 | PACKAGE IN TERFACE | |
7431 | ||
7432 | 357.2 | |
7433 | SELECTION LIST | |
7434 | 357.5 | |
7435 | DATA FIELD | |
7436 | 357.7 | |
7437 | FORM LINE | |
7438 | 357.8 | |
7439 | TEXT AREA | |
7440 | 357.93 | |
7441 | MULTIPLE C HOICE FIEL D | |
7442 | 358.94 | |
7443 | IMP/EXP HA ND PRINT F IELD | |
7444 | 359.94 | |
7445 | HAND PRINT FIELD | |
7446 | ||
7447 | ||
7448 | ||
7449 | 357.2 | |
7450 | SELECTION LIST FILE | |
7451 | 357.98 | |
7452 | AICS DATA QUALIFIERS | |
7453 | 357.1 | |
7454 | ENCOUNTER FORM BLOCK | |
7455 | 357.91 | |
7456 | MARKING AR EA TYPE | |
7457 | 357.6 | |
7458 | PACKAGE IN TERFACE | |
7459 | ||
7460 | 357.3 | |
7461 | SELECTION | |
7462 | 357.4 | |
7463 | SELECTION GROUP | |
7464 | ||
7465 | 357.3 | |
7466 | SELECTION FILE | |
7467 | 757.01 | |
7468 | EXPRESSION S | |
7469 | 357.4 | |
7470 | SELECTION GROUP | |
7471 | 357.2 | |
7472 | SELECTION LIST | |
7473 | ||
7474 | ||
7475 | 357.4 | |
7476 | SELECTION GROUP FILE | |
7477 | 357.2 | |
7478 | SELECTION LIST | |
7479 | ||
7480 | 357.3 | |
7481 | SELECTION | |
7482 | ||
7483 | 357.5 | |
7484 | DATA FIELD FILE | |
7485 | 357.1 | |
7486 | ENCOUNTER FROM BLOCK | |
7487 | 357.6 | |
7488 | PACKAGE IN TERFACE | |
7489 | ||
7490 | ||
7491 | 357.6 | |
7492 | PACKAGE IN TERFACE FI LE | |
7493 | 359.1 | |
7494 | AICS DATA ELEMENTS | |
7495 | 142 | |
7496 | HEALTH SUM MARY TYPE | |
7497 | 357.6 | |
7498 | PACKAGE IN TERFACE | |
7499 | ||
7500 | 357.2 | |
7501 | SELECTION LIST | |
7502 | 357.5 | |
7503 | DATA FIELD | |
7504 | 357.6 | |
7505 | PACKAGE IN TERFACE | |
7506 | 357.93 | |
7507 | MULTIPLE C HOICE FIEL D | |
7508 | 358.94 | |
7509 | IMP/EXP HA ND PRINT F IELD | |
7510 | 359.3 | |
7511 | AICS ERROR AND WARNI NG LOG | |
7512 | 359.94 | |
7513 | HAND PRINT FIELD | |
7514 | ||
7515 | 357.69 | |
7516 | TYPE OF VI SIT FILE | |
7517 | 81 | |
7518 | CPT | |
7519 | ||
7520 | ||
7521 | 357.7 | |
7522 | FORM LINE FILE | |
7523 | 357.1 | |
7524 | ENCOUNTER FORM BLOCK | |
7525 | ||
7526 | ||
7527 | 357.8 | |
7528 | TEXT AREA FILE | |
7529 | 357.1 | |
7530 | ENCOUNTER FORM BLOCK | |
7531 | ||
7532 | ||
7533 | 357.93 | |
7534 | MULTIPLE C HOICE FIEL D FILE | |
7535 | 357.98 | |
7536 | AICS DATA QUALIFIERS | |
7537 | 357.1 | |
7538 | ENCOUNTER FORM BLOCK | |
7539 | 357.6 | |
7540 | PACKAGE IN TERFACE | |
7541 | ||
7542 | ||
7543 | 357.94 | |
7544 | ENCOUNTER FORM PRINT ERS FILE | |
7545 | 3.2 | |
7546 | TERMINAL T YPE | |
7547 | ||
7548 | ||
7549 | 357.95 | |
7550 | FORM DEFIN ITION FILE | |
7551 | 359.1 | |
7552 | AICS DATA ELEMENTS | |
7553 | 357.98 | |
7554 | AICS DATA QUALIFIERS | |
7555 | 357 | |
7556 | ENCOUNTER FORM | |
7557 | 757.01 | |
7558 | EXPRESSION S | |
7559 | 44 | |
7560 | HOSPITAL L OCATION | |
7561 | 357.6 | |
7562 | PACKAGE IN TERFACE | |
7563 | 357.3 | |
7564 | SELECTION | |
7565 | ||
7566 | 357.96 | |
7567 | ENCOUNTER FORM TRACK ING | |
7568 | ||
7569 | 357.96 | |
7570 | ENCOUNTER FORM TRACK ING FILE | |
7571 | 357.98 | |
7572 | AICS DATA QUALIFIERS | |
7573 | 357.95 | |
7574 | FORM DEFIN ITION | |
7575 | 44 | |
7576 | HOSPITAL L OCATION | |
7577 | 200 | |
7578 | NEW PERSON | |
7579 | 357.6 | |
7580 | PACKAGE IN TERFACE | |
7581 | 2 | |
7582 | PATIENT | |
7583 | ||
7584 | ||
7585 | 357.98 | |
7586 | AICS DATA QUALIFIERS FILE | |
7587 | ||
7588 | 357.6 | |
7589 | PACKAGE IN TERFACE | |
7590 | ||
7591 | 357.99 | |
7592 | PRINT MANA GER CLINIC GROUPS FI LE | |
7593 | 44 | |
7594 | HOSPITAL L OCATION | |
7595 | 40.8 | |
7596 | MEDICAL CE NTER DIVIS ION | |
7597 | ||
7598 | ||
7599 | 358 | |
7600 | IMP/EXP EN COUNTER FO RM FILE | |
7601 | ||
7602 | 358.1 | |
7603 | IMP/EXP EN COUNTER FO RM BLOCK | |
7604 | ||
7605 | 358.1 | |
7606 | IMP/EXP EN COUNTER FO RM BLOCK F ILE | |
7607 | 358 | |
7608 | IMP/EXP EN COUNTER FO RM | |
7609 | ||
7610 | 358.2 | |
7611 | IMP/EXP SE LECTION LI ST | |
7612 | 358.5 | |
7613 | IMP/EXP DA TA FIELD | |
7614 | 358.7 | |
7615 | IMP/EXP FO RM LINE | |
7616 | 358.8 | |
7617 | IMP/EXP TE XT AREA | |
7618 | 358.93 | |
7619 | IMP/EXP MU LTIPLE CHO ICE FIELD | |
7620 | ||
7621 | 358.2 | |
7622 | IMP/EXP SE LECTION LI ST FILE | |
7623 | 358.98 | |
7624 | IMP/EXP AI CS DATA QU ALIFIERS | |
7625 | 358.1 | |
7626 | IMP/EXP EN COUNTER FO RM BLOCK | |
7627 | 358.91 | |
7628 | IMP/EXP MA RKING AREA | |
7629 | 358.6 | |
7630 | IMP/EXP PA CKAGE INTE RFACE | |
7631 | ||
7632 | 358.3 | |
7633 | IMP/EXP SE LECTION | |
7634 | 358.4 | |
7635 | IMP/EXP SE LECTION GR OUP | |
7636 | ||
7637 | 358.3 | |
7638 | IMP/EXP SE LECTION FI LE | |
7639 | 757.01 | |
7640 | EXPRESSION S | |
7641 | 358.4 | |
7642 | IMP/EXP SE LECTION GR OUP | |
7643 | 358.2 | |
7644 | IMP/EXP SE LECTION LI ST | |
7645 | ||
7646 | ||
7647 | 358.4 | |
7648 | IMP/EXP SE LECTION GR OUP FILE | |
7649 | 358.2 | |
7650 | IMP/EXP SE LECTION LI ST | |
7651 | ||
7652 | 358.3 | |
7653 | IMP/EXP SE LECTION | |
7654 | ||
7655 | 358.5 | |
7656 | IMP/EXP DA TA FIELD F ILE | |
7657 | 358.1 | |
7658 | IMP/EXP EN COUNTER FO RM BLOCK | |
7659 | 358.6 | |
7660 | IMP/EXP PA CKAGE INTE RFACE | |
7661 | ||
7662 | ||
7663 | 358.6 | |
7664 | IMP/EXP PA CKAGE INTE RFACE FILE | |
7665 | 142 | |
7666 | HEALTH SUM MARY TYPE | |
7667 | 358.99 | |
7668 | IMP/EXP AI CS DATA EL EMENTS | |
7669 | 358.6 | |
7670 | IMP/EXP PA CKAGE INTE RFACE | |
7671 | ||
7672 | 358.2 | |
7673 | IMP/EXP SE LECTION LI ST | |
7674 | 358.5 | |
7675 | IMP/EXP DA TA FIELD | |
7676 | 358.6 | |
7677 | IMP/EXP PA CKAGE INTE RFACE | |
7678 | 358.93 | |
7679 | IMP/EXP MU LTIPLE CHO ICE FIELD | |
7680 | ||
7681 | 358.7 | |
7682 | IMP/EXP FO RM LINE FI LE | |
7683 | 358.1 | |
7684 | IMP/EXP EN COUNTER FO RM BLOCK | |
7685 | ||
7686 | ||
7687 | 358.8 | |
7688 | IMP/EXP TE XT AREA FI LE | |
7689 | 358.1 | |
7690 | IMP/EXP EN COUNTER FO RM BLOCK | |
7691 | ||
7692 | ||
7693 | 358.93 | |
7694 | IMP/EXP MU LTIPLE CHO ICE FIELD FILE | |
7695 | 358.98 | |
7696 | IMP/EXP AI CS DATA QU ALIFIERS | |
7697 | 358.1 | |
7698 | IMP/EXP EN COUNTER FO RM BLOCK | |
7699 | 358.6 | |
7700 | IMP/EXP PA CKAGE INTE RFACE | |
7701 | ||
7702 | ||
7703 | 358.94 | |
7704 | IMP/EXP HA ND PRINT F IELD FILE | |
7705 | 359.1 | |
7706 | AICS DATA ELEMENTS | |
7707 | 357.1 | |
7708 | ENOCUNTER FORM BLOCK | |
7709 | 357.6 | |
7710 | PACKAGE IN TERFACE | |
7711 | ||
7712 | ||
7713 | 358.98 | |
7714 | IMP/EXP AI CS DATA QU ALIFIERS F ILE | |
7715 | ||
7716 | 357.6 | |
7717 | PACKAGE IN TERFACE | |
7718 | 358.6 | |
7719 | IMP/EXP PA CKAGE INTE RFACE | |
7720 | ||
7721 | 359 | |
7722 | CONVERTED FORMS FILE | |
7723 | 357 | |
7724 | ENCOUNTER FORM | |
7725 | ||
7726 | ||
7727 | 359.1 | |
7728 | AICS DATA ELEMENTS F ILE | |
7729 | ||
7730 | 357.6 | |
7731 | PACKAGE IN TERFACE | |
7732 | 358.94 | |
7733 | IMP/EXP HA ND PRINT F IELD | |
7734 | 359.94 | |
7735 | HAND PRINT FIELD | |
7736 | ||
7737 | 359.3 | |
7738 | AICS ERROR AND WARNI NG LOG FIL E | |
7739 | 357 | |
7740 | ENCOUNTER FORM | |
7741 | 200 | |
7742 | NEW PERSON | |
7743 | 357.6 | |
7744 | PACKAGE IN TERFACE | |
7745 | 2 | |
7746 | PATIENT | |
7747 | ||
7748 | ||
7749 | 359.94 | |
7750 | HAND PRINT FIELD FIL E | |
7751 | 359.1 | |
7752 | AICS DATA ELEMENTS | |
7753 | 357.1 | |
7754 | ENCOUNTER FORM BLOCK | |
7755 | 357.6 | |
7756 | PACKAGE IN TERFACE | |
7757 | ||
7758 | ||
7759 | 361 | |
7760 | BILL STATU S MESSAGE FILE | |
7761 | 399 | |
7762 | BILL/CLAIM S | |
7763 | 364.1 | |
7764 | EDI TRANSM ISSION BAT CH | |
7765 | 364 | |
7766 | EDI TRANSM IT BILL | |
7767 | 200 | |
7768 | NEW PERSON | |
7769 | ||
7770 | ||
7771 | 361.1 | |
7772 | EXPLANATIO N OF BENEF ITS FILE | |
7773 | 399 | |
7774 | BILL/CLAIM S | |
7775 | 364.1 | |
7776 | EDI TRANSM ISSION BAT CH | |
7777 | 364 | |
7778 | EDI TRANSM IT BILL | |
7779 | 36 | |
7780 | INSURANCE COMPANY | |
7781 | 200 | |
7782 | NEW PERSON | |
7783 | 399.2 | |
7784 | REVENUE CO DE | |
7785 | ||
7786 | ||
7787 | 361.3 | |
7788 | IB MESSAGE SCREEN TE XT FILE | |
7789 | 200 | |
7790 | NEW PERSON | |
7791 | ||
7792 | ||
7793 | 361.4 | |
7794 | EDI TEST C LAIM STATU S MESSAGE FILE | |
7795 | 399 | |
7796 | BILL/CLAIM S | |
7797 | 361.4 | |
7798 | EDI TEST C LAIM STATU S MESSAGE | |
7799 | 364.1 | |
7800 | EDI TRANSM ISSION BAT CH | |
7801 | 200 | |
7802 | NEW PERSON | |
7803 | ||
7804 | ||
7805 | 362.1 | |
7806 | IB AUTOMAT ED BILLING COMMENTS FILE | |
7807 | 399 | |
7808 | BILL/CLAIM S | |
7809 | 356 | |
7810 | CLAIMS TRA CKING | |
7811 | ||
7812 | ||
7813 | 362.3 | |
7814 | IB BILL/CL AIMS DIAGN OSIS FILE | |
7815 | 399 | |
7816 | BILL/CLAIM S | |
7817 | 80 | |
7818 | ICD DIAGNO SIS | |
7819 | ||
7820 | ||
7821 | 362.4 | |
7822 | IB BILL/CL AIMS PRESC RIPTION RE FILL FILE | |
7823 | 399 | |
7824 | BILL/CLAIM S | |
7825 | 50 | |
7826 | DRUG | |
7827 | 52 | |
7828 | PRESCRIPTI ON | |
7829 | ||
7830 | ||
7831 | 362.5 | |
7832 | IB BILL/CL AIMS PROST HETICS FIL E | |
7833 | 399 | |
7834 | BILL/CLAIM S | |
7835 | 660 | |
7836 | RECORD OF PROS APPLI ANCE / REP AIR | |
7837 | ||
7838 | ||
7839 | 363 | |
7840 | RATE SCHED ULE FILE | |
7841 | 363.1 | |
7842 | CHARGE SET | |
7843 | 399.1 | |
7844 | MCCR UTILI TY | |
7845 | 399.3 | |
7846 | RATE TYPE | |
7847 | ||
7848 | ||
7849 | 363.1 | |
7850 | CHARGE SET FILE | |
7851 | 363.3 | |
7852 | BILLING RA TE | |
7853 | 363.31 | |
7854 | BILLING RE GION | |
7855 | 399.1 | |
7856 | MCCR UTILI TY | |
7857 | 399.2 | |
7858 | REVENUE CO DE | |
7859 | ||
7860 | 350.9 | |
7861 | IB SITE PA RAMETERS | |
7862 | 363.2 | |
7863 | CHARGE ITE M | |
7864 | ||
7865 | 363.2 | |
7866 | CHARGE ITE M FILE | |
7867 | 363.21 | |
7868 | BILLING IT EMS | |
7869 | 363.1 | |
7870 | CHARGE SET | |
7871 | 81 | |
7872 | CPT | |
7873 | 81.3 | |
7874 | CPT MODIFI ER | |
7875 | 80.2 | |
7876 | DRG | |
7877 | 399.1 | |
7878 | MCCR UTILI TY | |
7879 | 399.2 | |
7880 | REVENUE CO DE | |
7881 | ||
7882 | ||
7883 | 363.21 | |
7884 | BILLING IT EMS FILE | |
7885 | ||
7886 | 363.2 | |
7887 | CHARGE ITE M | |
7888 | ||
7889 | 363.3 | |
7890 | BILLING RA TE FILE | |
7891 | ||
7892 | 363.1 | |
7893 | CHARGE SET | |
7894 | ||
7895 | 363.31 | |
7896 | BILLING RE GION FILE | |
7897 | 4 | |
7898 | INSTITUTIO N | |
7899 | 40.8 | |
7900 | MEDICAL CE NTER DIVIS ION | |
7901 | ||
7902 | 363.1 | |
7903 | CHARGE SET | |
7904 | ||
7905 | 363.32 | |
7906 | BILLING SP ECIAL GROU PS FILE | |
7907 | 363.3 | |
7908 | BILLING RA TE | |
7909 | 363.1 | |
7910 | CHARGE SET | |
7911 | ||
7912 | 363.33 | |
7913 | BILLING RE VENUE CODE LINKS | |
7914 | 363.34 | |
7915 | BILLING PR OVIDER DIS COUNT | |
7916 | ||
7917 | 363.33 | |
7918 | BILLING RE VENUE CODE LINKS FIL E | |
7919 | 363.32 | |
7920 | BILLING SP ECIAL GROU PS | |
7921 | 81 | |
7922 | CPT | |
7923 | 399.2 | |
7924 | REVENUE CO DE | |
7925 | ||
7926 | ||
7927 | 363.34 | |
7928 | BILLING PR OVIDER DIS COUNT FILE | |
7929 | 363.32 | |
7930 | BILLING SP ECIAL GROU PS | |
7931 | 8932.1 | |
7932 | PERSON CLA SS | |
7933 | ||
7934 | ||
7935 | 364 | |
7936 | EDI TRANSM IT BILL FI LE | |
7937 | 399 | |
7938 | BILL/CLAIM S | |
7939 | 364.1 | |
7940 | EDI TRANSM ISSION BAT CH | |
7941 | ||
7942 | 361 | |
7943 | BILL STATU S MESSAGE | |
7944 | 361.1 | |
7945 | EXPLANATIO N OF BENEF ITS | |
7946 | 364.2 | |
7947 | EDI MESSAG ES | |
7948 | ||
7949 | 364.1 | |
7950 | EDI TRANSM ISSION BAT CH FILE | |
7951 | 364.2 | |
7952 | EDI MESSAG ES | |
7953 | 364.1 | |
7954 | EDI TRANSM ISSION BAT CH | |
7955 | 36 | |
7956 | INSURANCE COMPANY | |
7957 | 200 | |
7958 | NEW PERSON | |
7959 | ||
7960 | 361 | |
7961 | BILL STATU S MESSAGE | |
7962 | 361.1 | |
7963 | EXPLANATIO N OF BENEF ITS | |
7964 | 364 | |
7965 | EDI TRANSM IT BILL | |
7966 | 364.1 | |
7967 | EDI TRANSM ISSION BAT CH | |
7968 | 364.2 | |
7969 | EDI MESSAG ES | |
7970 | ||
7971 | 364.2 | |
7972 | EDI MESSAG ES FILE | |
7973 | 364.1 | |
7974 | EDI TRANSM ISSION BAT CH | |
7975 | 364 | |
7976 | EDI TRANSM IT BILL | |
7977 | 364.3 | |
7978 | IB MESSAGE ROUTER | |
7979 | 200 | |
7980 | NEW PERSON | |
7981 | 2 | |
7982 | PATIENT | |
7983 | ||
7984 | 364.1 | |
7985 | EDI TRANSM ISSION BAT CH | |
7986 | ||
7987 | 364.3 | |
7988 | IB MESSAGE ROUTER FI LE | |
7989 | 3.8 | |
7990 | MAIL GROUP | |
7991 | ||
7992 | 364.2 | |
7993 | EDI MESSAG ES | |
7994 | ||
7995 | 364.4 | |
7996 | IB EDI TRA NSMISSION RULE FILE | |
7997 | 36 | |
7998 | INSURANCE COMPANY | |
7999 | 200 | |
8000 | NEW PERSON | |
8001 | ||
8002 | ||
8003 | 364.5 | |
8004 | IB DATA EL EMENT DEFI NITION FIL E | |
8005 | 1 | |
8006 | FILE | |
8007 | ||
8008 | 364.7 | |
8009 | IB FORM FI ELD CONTEN T | |
8010 | ||
8011 | 364.6 | |
8012 | IB FORM SK ELETON DEF INITION FI LE | |
8013 | 353 | |
8014 | BILL FORM TYPE | |
8015 | 364.6 | |
8016 | IB FORM SK ELETON DEF INITION | |
8017 | ||
8018 | 364.6 | |
8019 | IB FORM SK ELETON DEF INITION | |
8020 | 364.7 | |
8021 | IB FORM FI ELD CONTEN T | |
8022 | ||
8023 | 364.7 | |
8024 | IB FORM FI ELD CONTEN T FILE | |
8025 | 364.5 | |
8026 | IB DATA EL EMENT DEFI NITION | |
8027 | 364.6 | |
8028 | IB FORM SK ELETON DEF INITION | |
8029 | 36 | |
8030 | INSURANCE COMPANY | |
8031 | ||
8032 | ||
8033 | 365 | |
8034 | IIV RESPON SE FILE | |
8035 | 80 | |
8036 | ICD DIAGNO SIS | |
8037 | 365.1 | |
8038 | IIV TRANSM ISSION QUE UE | |
8039 | 365.14 | |
8040 | IIV TRANSM ISSION STA TUS | |
8041 | 355.33 | |
8042 | INSURANCE VERIFICATI ON PROCESS OR | |
8043 | 2 | |
8044 | PATIENT | |
8045 | 365.12 | |
8046 | PAYER | |
8047 | 353.1 | |
8048 | PLACE OF S ERVICE | |
8049 | 5 | |
8050 | STATE | |
8051 | 365.021 | |
8052 | X12 271 CO NTACT QUAL IFIER | |
8053 | 365.012 | |
8054 | X12 271 CO VERAGE LEV EL | |
8055 | 365.026 | |
8056 | X12 271 DA TE QUALIFI ER | |
8057 | 365.025 | |
8058 | X12 271 DE LIVERY FRE QUENCY COD E | |
8059 | 365.011 | |
8060 | X12 271 EL IGIBILITY / BENEFIT | |
8061 | 365.022 | |
8062 | X12 271 EN TITY IDENT IFIER CODE | |
8063 | 365.018 | |
8064 | X12 271 ER ROR ACTION | |
8065 | 365.017 | |
8066 | X12 271 ER ROR CONDIT ION | |
8067 | 365.023 | |
8068 | X12 271 ID ENTIFICATI ON QUALIFI ER | |
8069 | 365.014 | |
8070 | X12 271 IN SURANCE TY PE | |
8071 | 365.024 | |
8072 | X12 271 PR OVIDER COD E | |
8073 | 365.016 | |
8074 | X12 271 QU ANTITY QUA LIFIER | |
8075 | 365.028 | |
8076 | X12 271 RE FERENCE ID ENTIFICATI ON | |
8077 | 365.013 | |
8078 | X12 271 SE RVICE TYPE | |
8079 | 365.015 | |
8080 | X12 271 TI ME PERIOD QUALIFIER | |
8081 | 365.027 | |
8082 | X12 271 LO OP ID | |
8083 | 365.036 | |
8084 | X12 271 DE LIVERY PAT TERN | |
8085 | 365.044 | |
8086 | X12 271 CO DE LIST QU ALIFIER | |
8087 | 365.032 | |
8088 | X12 271 DA TE FORMAT QUALIFIER | |
8089 | 365.031 | |
8090 | X12 271 EN TITY RELAT IONSHIP CO DE | |
8091 | 365.043 | |
8092 | X12 271 EN TITY TYPE QUALIFIER | |
8093 | 365.038 | |
8094 | X12 271 IN JURY CATEG ORY | |
8095 | 365.034 | |
8096 | X12 271 LO CATION QUA LIFER | |
8097 | ||
8098 | 365.1 | |
8099 | IIV TRANSM ISSION QUE UE | |
8100 | 2.312 | |
8101 | INSURANCE TYPE subfi le within the PATIEN T file (#2 ) | |
8102 | ||
8103 | ||
8104 | 365.046 | |
8105 | X12 271 MI LITARY EMP LOYMENT ST ATUS CODE | |
8106 | 365.041 | |
8107 | X12 271 MI LITARY GOV T SERVICE | |
8108 | 365.039 | |
8109 | X12 271 MI LITARY PER SONNEL INF O STATUS C ODE: | |
8110 | 365.042 | |
8111 | X12 271 MI LITARY SER VICE RANK | |
8112 | 365.045 | |
8113 | X12 271 NA TURE OF IN JURY CODES | |
8114 | 365.037 | |
8115 | X12 271 PA TIENT RELA TIONSHIP | |
8116 | 365.035 | |
8117 | X12 271 PR OCEDURE CO DING METHO D | |
8118 | 365.029 | |
8119 | X12 271 UN ITS OF MEA SUREMENT | |
8120 | 365.033 | |
8121 | X12 271 YE S/NO RESPO NSE CODE | |
8122 | ||
8123 | ||
8124 | 365.011 | |
8125 | X12 271 EL IGIBILITY/ BENEFIT FI LE | |
8126 | ||
8127 | 365 | |
8128 | IIV RESPON SE | |
8129 | 2.312 | |
8130 | INSURANCE TYPE sub-f ile | |
8131 | ||
8132 | 365.012 | |
8133 | X12 271 CO VERAGE LEV EL FILE | |
8134 | ||
8135 | 365 | |
8136 | IIV RESPON SE | |
8137 | 2.312 | |
8138 | INSURANCE TYPE sub-f ile | |
8139 | ||
8140 | 365.013 | |
8141 | X12 271 SE RVICE TYPE FILE | |
8142 | ||
8143 | 365 | |
8144 | IIV RESPON SE | |
8145 | 2.312 | |
8146 | INSURANCE TYPE sub-f ile | |
8147 | ||
8148 | 365.014 | |
8149 | X12 271 IN SURANCE TY PE FILE | |
8150 | ||
8151 | 365 | |
8152 | IIV RESPON SE | |
8153 | 2.312 | |
8154 | INSURANCE TYPE sub-f ile | |
8155 | ||
8156 | 365.015 | |
8157 | X12 271 TI ME PERIOD QUALIFIER FILE | |
8158 | ||
8159 | 365 | |
8160 | IIV RESPON SE | |
8161 | 2.312 | |
8162 | INSURANCE TYPE sub-f ile | |
8163 | ||
8164 | 365.016 | |
8165 | X12 271 QU ANTITY QUA LIFIER FIL E | |
8166 | ||
8167 | 365 | |
8168 | IIV RESPON SE | |
8169 | 2.312 | |
8170 | INSURANCE TYPE sub-f ile | |
8171 | ||
8172 | 365.017 | |
8173 | X12 271 ER ROR CONDIT ION FILE | |
8174 | ||
8175 | 365 | |
8176 | IIV RESPON SE | |
8177 | 356.22 | |
8178 | HCS REVIEW TRANSMISS ION FILE | |
8179 | ||
8180 | ||
8181 | ||
8182 | 365.018 | |
8183 | X12 271 ER ROR ACTION FILE | |
8184 | ||
8185 | 365 | |
8186 | IIV RESPON SE | |
8187 | ||
8188 | 365.021 | |
8189 | X12 271 CO NTACT QUAL IFIER FILE | |
8190 | ||
8191 | 365 | |
8192 | IIV RESPON SE | |
8193 | 2.312 | |
8194 | INSURANCE TYPE sub-f ile | |
8195 | ||
8196 | 365.022 | |
8197 | X12 271 EN TITY IDENT IFIER CODE FILE | |
8198 | ||
8199 | 365 | |
8200 | IIV RESPON SE | |
8201 | 2.312 | |
8202 | INSURANCE TYPE sub-f ile | |
8203 | 356.22 | |
8204 | HCS REVIEW TRANSMISS ION FILE | |
8205 | ||
8206 | 365.023 | |
8207 | X12 271 ID ENTIFICATI ON QUALIFI ER FILE | |
8208 | ||
8209 | 365 | |
8210 | IIV RESPON SE | |
8211 | 2.312 | |
8212 | INSURANCE TYPE sub-f ile | |
8213 | ||
8214 | 365.024 | |
8215 | X12 271 PR OVIDER COD E FILE | |
8216 | ||
8217 | 365 | |
8218 | IIV RESPON SE | |
8219 | 2.312 | |
8220 | INSURANCE TYPE sub-f ile | |
8221 | ||
8222 | 365.025 | |
8223 | X12 271 DE LIVERY FRE QUENCY COD E FILE | |
8224 | ||
8225 | 365 | |
8226 | IIV RESPON SE | |
8227 | 2.312 | |
8228 | INSURANCE TYPE sub-f ile | |
8229 | 356.22 | |
8230 | HCS REVIEW TRANSMISS ION FILE | |
8231 | ||
8232 | 365.026 | |
8233 | X12 271 DA TE QUALIFI ER FILE | |
8234 | ||
8235 | 365 | |
8236 | IIV RESPON SE | |
8237 | 2.312 | |
8238 | INSURANCE TYPE sub-f ile | |
8239 | ||
8240 | 365.027 | |
8241 | X12 271 LO OP ID FILE | |
8242 | ||
8243 | 356.22 | |
8244 | HCS REVIEW TRANSMISS ION | |
8245 | ||
8246 | 365.028 | |
8247 | X12 271 RE FERENCE ID ENTIFICATI ON FILE | |
8248 | ||
8249 | 365 | |
8250 | IIV RESPON SE | |
8251 | 2.312 | |
8252 | INSURANCE TYPE sub-f ile | |
8253 | ||
8254 | 365.029 | |
8255 | X12 271 UN ITS OF MEA SUREMENT | |
8256 | ||
8257 | 365 | |
8258 | IIV RESPON SE | |
8259 | 2.312 | |
8260 | INSURANCE TYPE sub-f ile | |
8261 | ||
8262 | 365.031 | |
8263 | X12 271 EN TITY RELAT IONSHIP CO DE | |
8264 | ||
8265 | 365 | |
8266 | IIV RESPON SE | |
8267 | 2.312 | |
8268 | INSURANCE TYPE sub-f ile | |
8269 | ||
8270 | 365.032 | |
8271 | X12 271 DA TE FORMAT QUALIFIER | |
8272 | ||
8273 | 365 | |
8274 | IIV RESPON SE | |
8275 | 2.312 | |
8276 | INSURANCE TYPE sub-f ile | |
8277 | ||
8278 | 365.033 | |
8279 | X12 271 YE S/NO RESPO NSE CODE | |
8280 | ||
8281 | 365 | |
8282 | IIV RESPON SE | |
8283 | 2.312 | |
8284 | INSURANCE TYPE sub-f ile | |
8285 | ||
8286 | 365.034 | |
8287 | X12 271 LO CATION QUA LIFER | |
8288 | ||
8289 | 365 | |
8290 | IIV RESPON SE | |
8291 | 2.312 | |
8292 | INSURANCE TYPE sub-f ile | |
8293 | ||
8294 | 365.034 | |
8295 | X12 271 LO CATION QUA LIFER | |
8296 | ||
8297 | 365 | |
8298 | IIV RESPON SE | |
8299 | 2.312 | |
8300 | INSURANCE TYPE sub-f ile | |
8301 | ||
8302 | 365.036 | |
8303 | X12 271 DE LIVERY PAT TERN | |
8304 | ||
8305 | 365 | |
8306 | IIV RESPON SE | |
8307 | 2.312 | |
8308 | INSURANCE TYPE sub-f ile | |
8309 | ||
8310 | 365.037 | |
8311 | X12 271 PA TIENT RELA TIONSHIP | |
8312 | ||
8313 | 365 | |
8314 | IIV RESPON SE | |
8315 | 2.312 | |
8316 | INSURANCE TYPE sub-f ile | |
8317 | ||
8318 | 365.038 | |
8319 | X12 271 IN JURY CATEG ORY | |
8320 | ||
8321 | 365 | |
8322 | IIV RESPON SE | |
8323 | 2.312 | |
8324 | INSURANCE TYPE sub-f ile | |
8325 | ||
8326 | 365.039 | |
8327 | X12 271 MI LITARY PER SONNEL INF O STATUS C ODE | |
8328 | ||
8329 | 365 | |
8330 | IIV RESPON SE | |
8331 | 2.312 | |
8332 | INSURANCE TYPE sub-f ile | |
8333 | ||
8334 | 365.041 | |
8335 | X12 271 MI LITARY GOV T SERVICE AFFILIATIO N | |
8336 | ||
8337 | 365 | |
8338 | IIV RESPON SE | |
8339 | 2.312 | |
8340 | INSURANCE TYPE sub-f ile | |
8341 | ||
8342 | 365.042 | |
8343 | X12 271 MI LITARY SER VICE RANK | |
8344 | ||
8345 | 365 | |
8346 | IIV RESPON SE | |
8347 | 2.312 | |
8348 | INSURANCE TYPE sub-f ile | |
8349 | ||
8350 | 365.043 | |
8351 | X12 271 EN TITY TYPE QUALIFIER | |
8352 | ||
8353 | 365 | |
8354 | IIV RESPON SE | |
8355 | 2.312 | |
8356 | INSURANCE TYPE sub-f ile | |
8357 | ||
8358 | 365.044 | |
8359 | X12 271 CO DE LIST QU ALIFIER | |
8360 | ||
8361 | 365 | |
8362 | IIV RESPON SE | |
8363 | 2.312 | |
8364 | INSURANCE TYPE sub-f ile | |
8365 | ||
8366 | 365.045 | |
8367 | X12 271 NA TURE OF IN JURY CODES | |
8368 | ||
8369 | 365 | |
8370 | IIV RESPON SE | |
8371 | 2.312 | |
8372 | INSURANCE TYPE sub-f ile | |
8373 | ||
8374 | 365.046 | |
8375 | X12 271 MI LITARY EMP LOYMENT ST ATUS CODE | |
8376 | ||
8377 | 365 | |
8378 | IIV RESPON SE | |
8379 | 2.312 | |
8380 | INSURANCE TYPE sub-f ile | |
8381 | ||
8382 | 365.1 | |
8383 | IIV TRANSM ISSION QUE UE FILE | |
8384 | 365 | |
8385 | IIV RESPON SE | |
8386 | 365.14 | |
8387 | IIV TRANSM ISSION STA TUS | |
8388 | 355.33 | |
8389 | INSURANCE VERIFICATI ON PROCESS OR | |
8390 | 2 | |
8391 | PATIENT | |
8392 | 365.12 | |
8393 | PAYER | |
8394 | ||
8395 | 365 | |
8396 | IIV RESPON SE | |
8397 | ||
8398 | 365.11 | |
8399 | IIV AUTO M ATCH FILE | |
8400 | 200 | |
8401 | NEW PERSON | |
8402 | ||
8403 | ||
8404 | 365.12 | |
8405 | PAYER FILE | |
8406 | 200 | |
8407 | NEW PERSON | |
8408 | 365.13 | |
8409 | PAYER APPL ICATION | |
8410 | ||
8411 | 36 | |
8412 | INSURANCE COMPANY | |
8413 | 350.9 | |
8414 | IB SITE PA RAMETERS | |
8415 | 365 | |
8416 | IIV RESPON SE | |
8417 | 365.1 | |
8418 | IIV TRANSM ISSION QUE UE | |
8419 | 366.03 | |
8420 | PLAN | |
8421 | ||
8422 | 365.13 | |
8423 | PAYER APPL ICATION FI LE | |
8424 | ||
8425 | 365.12 | |
8426 | PAYER | |
8427 | ||
8428 | 365.14 | |
8429 | IIV TRANSM ISSION STA TUS FILE | |
8430 | ||
8431 | 365 | |
8432 | IIV RESPON SE | |
8433 | 365.1 | |
8434 | IIV TRANSM ISSION QUE UE | |
8435 | ||
8436 | 365.15 | |
8437 | IIV STATUS TABLE FIL E | |
8438 | ||
8439 | 355.33 | |
8440 | INSURANCE VERIFICATI ON PROCESS OR | |
8441 | ||
8442 | 365.2 | |
8443 | IIV RESPON SE REVIEW FILE | |
8444 | 365 | |
8445 | IIV RESPON SE | |
8446 | ||
8447 | 200 | |
8448 | NEW PERSON | |
8449 | ||
8450 | ||
8451 | 366 | |
8452 | IB SSVI PI N/HL7 PIVO T | |
8453 | 2 | |
8454 | PATIENT | |
8455 | 200 | |
8456 | NEW PERSON | |
8457 | ||
8458 | ||
8459 | 366.01 | |
8460 | NCPDP PROC ESSOR FILE | |
8461 | 366.11 | |
8462 | NCPDP PROC ESSOR APPL ICATION | |
8463 | 200 | |
8464 | NEW PERSON | |
8465 | ||
8466 | 366.03 | |
8467 | PLAN | |
8468 | ||
8469 | 366.02 | |
8470 | PHARMACY B ENEFITS MA NAGER (PBM ) FILE | |
8471 | 200 | |
8472 | NEW PERSON | |
8473 | 366.12 | |
8474 | PHARMACY B ENEFITS MA NAGER (PBM ) APPLICAT ION | |
8475 | ||
8476 | 366.03 | |
8477 | PLAN | |
8478 | ||
8479 | 366.03 | |
8480 | PLAN FILE | |
8481 | 9002313.92 | |
8482 | BPS NCPDP FORMATS | |
8483 | 366.01 | |
8484 | MCPDP PROC ESSOR | |
8485 | 200 | |
8486 | NEW PERSON | |
8487 | 365.12 | |
8488 | PAYER | |
8489 | 366.02 | |
8490 | PHARMACY B ENEFITS MA NAGER (PBM ) | |
8491 | 366.13 | |
8492 | PLAN APPLI CATION | |
8493 | ||
8494 | 355.3 | |
8495 | GROUP INSU RANCE PLAN | |
8496 | ||
8497 | 366.1 | |
8498 | IB INSURAN CE INCONSI STENT DATA | |
8499 | 2 | |
8500 | PATIENT | |
8501 | ||
8502 | ||
8503 | 366.11 | |
8504 | NCPDP PROC ESSOR APPL ICATION FI LE | |
8505 | ||
8506 | 366.01 | |
8507 | NCPDP PROC ESSOR | |
8508 | ||
8509 | 366.12 | |
8510 | PHARMACY B ENEFITS MA NAGER (PBM ) APPLICAT ION FILE | |
8511 | ||
8512 | 366.02 | |
8513 | PHARMACY B ENEFITS MA NAGER (PBM ) | |
8514 | ||
8515 | 366.13 | |
8516 | PLAN APPLI CATION FIL E | |
8517 | ||
8518 | 366.03 | |
8519 | PLAN | |
8520 | ||
8521 | 366.14 | |
8522 | IB NCPDP E VENT LOG F ILE | |
8523 | 399 | |
8524 | BILL/CLAIM S | |
8525 | 9002313.56 | |
8526 | BPS PHARMA CIES | |
8527 | 356.8 | |
8528 | CLAIMS TRA CKING NON- BILLABLE R EASONS | |
8529 | 355.3 | |
8530 | GROUP INSU RANCE PLAN | |
8531 | 40.8 | |
8532 | MEDICAL CE NTER DIVIS ION | |
8533 | 200 | |
8534 | NEW PERSON | |
8535 | 2 | |
8536 | PATIENT | |
8537 | 52 | |
8538 | PRESCRIPTI ON | |
8539 | 399.3 | |
8540 | RATE TYPE | |
8541 | 5 | |
8542 | STATE | |
8543 | ||
8544 | ||
8545 | 366.15 | |
8546 | IB NCPDP P RESCRIPTIO N FILE | |
8547 | 350 | |
8548 | INTEGRATED BILLING A CTION | |
8549 | 399.3 | |
8550 | RATE TYPE | |
8551 | ||
8552 | ||
8553 | 366.16 | |
8554 | IB NDC NON COVERED B Y PLAN FIL E | |
8555 | 9002313.93 | |
8556 | BPS NCPDP REJECT COD ES | |
8557 | 355.3 | |
8558 | GROUP INSU RANCE PLAN | |
8559 | ||
8560 | ||
8561 | 366.17 | |
8562 | IB NCPDP N ON-BILLABL E REASONS | |
8563 | ||
8564 | 366.14 | |
8565 | IB NCPDP E VENT LOG | |
8566 | ||
8567 | 366.2 | |
8568 | IB INSURAN CE CONSIST ENCY ELEME NTS | |
8569 | ||
8570 | ||
8571 | 367HPID/OE ID RESPONS E | |
8572 | 367.1 | |
8573 | HPID/OEID TRANSMISSI ON QUEUE | |
8574 | 367.11 | |
8575 | INSURANCE COMPANY ID TYPE | |
8576 | ||
8577 | 367.1 | |
8578 | HPID/OEID TRANSMISSI ON QUEUE | |
8579 | ||
8580 | 367.1HPID/ OEID TRANS MISSION QU EUE | |
8581 | 36 | |
8582 | INSURANCE COMPANY | |
8583 | 367 | |
8584 | HPID/OEID RESPONSE | |
8585 | 367.11 | |
8586 | INSURANCE COMPANY ID TYPE | |
8587 | 5 | |
8588 | STATE | |
8589 | 355.2 | |
8590 | TYPE OF CO VERAGE | |
8591 | ||
8592 | 367 | |
8593 | HPID/OEID RESPONSE | |
8594 | ||
8595 | 367.11INSU RANCE COMP ANY ID TYP E | |
8596 | ||
8597 | 367 | |
8598 | HPID/OEID RESPONSE | |
8599 | 367.1 | |
8600 | HPID/OEID TRANSMISSI ON QUEUE | |
8601 | ||
8602 | 368 | |
8603 | HEALTH CAR E CLAIM RF AI (277) | |
8604 | 399 B ILL/CLAIMS | |
8605 | 779.004 COUN TRY CODE | |
8606 | 81.3 C PT MODIFIE R | |
8607 | 36 INSURANCE COMPANY | |
8608 | 95.3 L AB LOINC | |
8609 | 200 N EW PERSON | |
8610 | 2 PATIENT | |
8611 | 399.2 RE VENUE CODE | |
8612 | 5 STATE | |
8613 | 365.021 X1 2 271 CONT ACT QUALIF IER | |
8614 | 368.001 X1 2 277 CLAI M STATUS C ATEGORY | |
8615 | 368.002 X1 2 277 PROD UCT OR SER VICE ID | |
8616 | 5.11 ZI P CODE | |
8617 | ||
8618 | 368.001 | |
8619 | X12 277 CL AIM STATUS CATEGORY FILE | |
8620 | ||
8621 | 368 H EALTH CARE CLAIM | |
8622 | RFAI (27 7) | |
8623 | 368.002 | |
8624 | X12 277 PR ODUCT OR S ERVICE ID QUAL | |
8625 | ||
8626 | 368 H EALTH CARE CLAIM | |
8627 | RFAI (27 7) | |
8628 | 372 | |
8629 | PFSS SITE PARAMETERS FILE | |
8630 | 4 | |
8631 | INSTITUTIO N | |
8632 | 3.8 | |
8633 | MAIL GROUP | |
8634 | 200 | |
8635 | NEW PERSON | |
8636 | ||
8637 | ||
8638 | 373 | |
8639 | PFSS CHARG E CACHE FI LE | |
8640 | 81 | |
8641 | CPT | |
8642 | 44 | |
8643 | HOSPITAL L OCATION | |
8644 | 80 | |
8645 | ICD DIAGNO SIS | |
8646 | 200 | |
8647 | NEW PERSON | |
8648 | 100 | |
8649 | ORDER | |
8650 | 2 | |
8651 | PATIENT | |
8652 | 375 | |
8653 | PFSS ACCOU NT | |
8654 | 440 | |
8655 | VENDOR | |
8656 | ||
8657 | ||
8658 | 375 | |
8659 | PFSS ACCOU NT FILE | |
8660 | 409.1 | |
8661 | APPOINTMEN T TYPE | |
8662 | 40.7 | |
8663 | CLINIC STO P | |
8664 | 81 | |
8665 | CPT | |
8666 | 772 | |
8667 | HL7 MESSAG E TEXT | |
8668 | 44 | |
8669 | HOSPITAL L OCATION | |
8670 | 80 | |
8671 | ICD DIAGNO SIS | |
8672 | 8.1 | |
8673 | MAS ELIGIB ILITY CODE | |
8674 | 40.8 | |
8675 | MEDICAL CE NTER DIVIS ION | |
8676 | 200 | |
8677 | NEW PERSON | |
8678 | 2 | |
8679 | PATIENT | |
8680 | 75.1 | |
8681 | RAD/NUC ME D ORDERS | |
8682 | 130 | |
8683 | SURGERY | |
8684 | 45.3 | |
8685 | SURGICAL S PECIALTY | |
8686 | ||
8687 | 52 | |
8688 | PRESCRIPTI ON | |
8689 | 75.1 | |
8690 | RAD/NUC ME D ORDERS | |
8691 | 100 | |
8692 | ORDER | |
8693 | 130 | |
8694 | SURGERY | |
8695 | 350 | |
8696 | INTEGRATED BILLING A CTION | |
8697 | 373 | |
8698 | PFSS CHARG E CACHE | |
8699 | 409.55 | |
8700 | APPOINTMEN T PFSS ACC OUNT REFER ENCE | |
8701 | 660 | |
8702 | RECORD OF PROS APPLI ANCE/REPAI R | |
8703 | 9000010 | |
8704 | VISIT | |
8705 | ||
8706 | 390 | |
8707 | ENROLLMENT RATED DIS ABILITY UP LOAD AUDIT FILE | |
8708 | 31 | |
8709 | DISABILITY CONDITION | |
8710 | 2 | |
8711 | PATIENT | |
8712 | ||
8713 | ||
8714 | 391 | |
8715 | TYPE OF PA TIENT FILE | |
8716 | 8.2 | |
8717 | IDENTIFICA TION FORMA T | |
8718 | ||
8719 | 2 | |
8720 | PATIENT | |
8721 | ||
8722 | 391.1 | |
8723 | AMIS SEGME NT FILE | |
8724 | 40.8 | |
8725 | MEDICAL CE NTER DIVIS ION | |
8726 | 200 | |
8727 | NEW PERSON | |
8728 | ||
8729 | 2 | |
8730 | PATIENT | |
8731 | ||
8732 | 391.31 | |
8733 | HOME TELEH EALTH PATI ENT FILE | |
8734 | 4 | |
8735 | INSTITUTIO N | |
8736 | 200 | |
8737 | NEW PERSON | |
8738 | 2 | |
8739 | PATIENT | |
8740 | 123 | |
8741 | REQUEST / CONSULTATI ON | |
8742 | ||
8743 | ||
8744 | 399 | |
8745 | BILL/CLAIM S FILE | |
8746 | 353.5 | |
8747 | AMBULANCE CONDITION INDICATORS | |
8748 | 353 | |
8749 | BILL FORM TYPE | |
8750 | 399 | |
8751 | BILL/CLAIM S | |
8752 | 81 | |
8753 | CPT | |
8754 | 81.3 | |
8755 | CPT MODIFI ER | |
8756 | 80.2 | |
8757 | DRG | |
8758 | 44 | |
8759 | HOSPITAL L OCATION | |
8760 | 353.3 | |
8761 | IB ATTACHM ENT REPORT TYPE | |
8762 | 362.3 | |
8763 | IB BILL/CL AIMS DIAGN OSIS | |
8764 | 350.8 | |
8765 | IB ERROR | |
8766 | 355.96 | |
8767 | IB INS CO PROVIDER I D CARE UNI T | |
8768 | 355.93 | |
8769 | IB NON/OTH ER VA BILL ING PROVID ER | |
8770 | 355.97 | |
8771 | IB PROVIDE R ID # TYP E | |
8772 | 80 | |
8773 | ICD DIAGNO SIS | |
8774 | 80.1 | |
8775 | ICD OPERAT ION / PROC EDURE | |
8776 | 4 | |
8777 | INSTITUTIO N | |
8778 | 36 | |
8779 | INSURANCE COMPANY | |
8780 | 399.4 | |
8781 | MCCR INCON SISTEND DA TA ELEMENT | |
8782 | 399.1 | |
8783 | MCCR UTILI TY | |
8784 | 40.8 | |
8785 | MEDICAL CE NTER DIVIS ION | |
8786 | 200 | |
8787 | NEW PERSON | |
8788 | 409.68 | |
8789 | OUTPATIENT ENCOUNTER | |
8790 | 2 | |
8791 | PATIENT | |
8792 | 8932.1 | |
8793 | PERSON CLA SS | |
8794 | 353.1 | |
8795 | PLACE OF S ERVICE | |
8796 | 45 | |
8797 | PTF | |
8798 | 399.3 | |
8799 | RATE TYPE | |
8800 | 399.2 | |
8801 | REVENUE CO DE | |
8802 | 5 | |
8803 | STATE | |
8804 | 353.4 | |
8805 | TRANSPORT REASON COD E | |
8806 | 353.2 | |
8807 | TYPE OF SE RVICE | |
8808 | ||
8809 | 351.5 | |
8810 | TRICARE PH ARMACY TRA NSACTIONS | |
8811 | 351.9 | |
8812 | CLAIMSMANA GER BILLS | |
8813 | 356 | |
8814 | CLAIMS TRA CKING | |
8815 | 356.399 | |
8816 | CLAIMS TRA CKING/BILL | |
8817 | 361 | |
8818 | BILL STATU S MESSAGE | |
8819 | 361.1 | |
8820 | EXPLANATIO N OF BENEF ITS | |
8821 | 361.4 | |
8822 | EDI TEST C LAIM STATU S MESSAGE | |
8823 | 362.1 | |
8824 | IB AUTOMAT ED BILLING COMMENTS | |
8825 | 362.3 | |
8826 | IB BILL/CL AIMS DIAGN OSIS | |
8827 | 362.4 | |
8828 | IB BILL/CL AIMS PRESC RIPTION RE FILL | |
8829 | 362.5 | |
8830 | IB BILL/CL AIMS PROST HETICS | |
8831 | 364 | |
8832 | EDI TRANSM IT BILL | |
8833 | 399 | |
8834 | BILL/CLAIM S | |
8835 | 9002313.77 | |
8836 | BPS REQUES TS | |
8837 | ||
8838 | 399.1 | |
8839 | MCCR UTILI TY FILE | |
8840 | 350.1 | |
8841 | IB ACTION TYPE | |
8842 | 399.1 | |
8843 | MCCR UTILI TY | |
8844 | ||
8845 | 42.4 | |
8846 | SPECIALTY | |
8847 | 363 | |
8848 | RATE SCHED ULE | |
8849 | 363.1 | |
8850 | CHARGE SET | |
8851 | 363.2 | |
8852 | CHARGE ITE M | |
8853 | 399 | |
8854 | BILL/CLAIM S | |
8855 | 399.1 | |
8856 | MCCR UTILI TY | |
8857 | 399.5 | |
8858 | BILLING RA TES | |
8859 | 487.81 | |
8860 | ODS DOD RA TES | |
8861 | 11500.61 | |
8862 | ODS BILLIN G SPECIALT Y | |
8863 | ||
8864 | 399.2 | |
8865 | REVENUE CO DE FILE | |
8866 | ||
8867 | 36 | |
8868 | INSURANCE COMPANY | |
8869 | 350.9 | |
8870 | IB SITE PA RAMETERS | |
8871 | 363.1 | |
8872 | CHARGE SET | |
8873 | 363.2 | |
8874 | CHARGE ITE M | |
8875 | 363.33 | |
8876 | BILLING RE VENUE CODE LINKS | |
8877 | 399.5 | |
8878 | BILLING RA TES | |
8879 | ||
8880 | ||
8881 | ||
8882 | 399.3 | |
8883 | RATE TYPE FILE | |
8884 | 430.2 | |
8885 | ACCOUNTS R ECEIVABLE CATEGORY | |
8886 | 430.6 | |
8887 | AR DEBT LI ST | |
8888 | ||
8889 | 363 | |
8890 | RATE SCHED ULE | |
8891 | 366.15 | |
8892 | IB NCPDP P RESCRIPTIO N | |
8893 | 399 | |
8894 | BILL/CLAIM S | |
8895 | 9002313.77 | |
8896 | BPS REQUES TS | |
8897 | ||
8898 | 399.5 | |
8899 | BILLING RA TES FILE | |
8900 | 399.1 | |
8901 | MCCR UTILI TY | |
8902 | 399.2 | |
8903 | REVENUE CO DE | |
8904 | ||
8905 | ||
8906 | 399.6 | |
8907 | CMN FORM T YPES | |
8908 | ||
8909 | 399 | |
8910 | BILL/CLAIM S | |
8911 | ||
8912 | ||
8913 | ||
8914 | ||
8915 | Exported O ptions | |
8916 | ||
8917 | Menu Diagr am | |
8918 | ||
8919 | The Diagra m Menu Opt ions featu re of the Kernel pac kage may b e used to generate p rintouts o f full men us provide d by IB. | |
8920 | ||
8921 | Options wi thout Pare nts | |
8922 | ||
8923 | OPTIONS | |
8924 | DESCRIPTIO N | |
8925 | Background Vet. Pati ents with Discharges and Ins | |
8926 | [IB BACKGR ND VET DIS CHS W/INS] Backgroun d Vet. Pat ients with Admission s and Ins | |
8927 | [IB BACKGR ND VETS IN PT W/INS] | |
8928 | Background Vet. Pati ents with Opt. Visit s and Ins | |
8929 | [IB BACKGR ND VETS OP T W/INS] | |
8930 | These repo rt options may be qu eued to ru n regularl y at the d iscretion of the fac ility. | |
8931 | Clear Inte grated Bil ling Filer Parameter s | |
8932 | [IB FILER CLEAR PARA METERS] | |
8933 | This optio n clears t he IB site parameter s which co ntrol the IB Backgro und Filer. It is se t up as a Start Up j ob which i s executed when the CPU is reb ooted. | |
8934 | Queue Mean s Test/Cat egory C Co mpilation of Charges | |
8935 | [IB MT NIG HT COMP] | |
8936 | This optio n executes jobs for Claims Tra cking, the Auto Bill er, and Me ans Test b illing. I t should b e queued t o run each evening a fter the G &L recalcu lation has been comp leted. | |
8937 | Output IB Menu | |
8938 | [IB OUTPUT MENU] | |
8939 | This menu option is designed t o be assig ned to use rs outside of IB. | |
8940 | Return Mes sages Serv er | |
8941 | [IBCE MESS AGES SERVE R] | |
8942 | This optio n controls the readi ng and sto ring of re turn messa ges genera ted as a r esult of t he process ing of Int egrated Bi lling elec tronic tra nsmissions with the Austin tra nslator. | |
8943 | View Insur ance Manag ement Menu | |
8944 | [IBCN VIEW INSURANCE DATA] | |
8945 | This menu contains v iew option s to patie nt insuran ce and ins urance com pany infor mation. I t was desi gned to be assigned to users o utside of IB. | |
8946 | [IBCNF EII GET SERVE R] | |
8947 | This is a server typ e option ( not used b y any user ) that run s the GAIT CMSG^IBCNF RD routine . Members of the IB N, IBX, IB K and IBH mail group s will rec eive the A ITC DMI Qu eue confir mation mes sages for the four t ypes of Ex tract file s. The IB N mail gro up will al so receive the resul ts file me ssages. | |
8948 | Send HPID/ OEID Batch Queries[I BCNH HPID NIF BATCH QUERY] | |
8949 | This optio n does not appear on any VistA user menu and is fo r a one-ti me use wit h IB*2.0*5 19. It is *not* to be execute d by a Vis tA user. Once this option is run once, it will be marked as ‘OUT OF O RDER’. | |
8950 | ||
8951 | When the e Insurance staff is i nformed by FSC that the Nation al Insuran ce File (N IF) is rea dy to exch ange HL7 m essages fo r a given VistA site , this opt ion will b e remotely executed at the spe cified Vis tA site. The receip t of a Mai lMan messa ge by the VistA mail group “NIF QRY” with the subjec t line of “TRIGGER B ATCH QUERY ” will res ult in the execution of this o ption. | |
8952 | ||
8953 | The purpos e of this option is to retriev e the NIF ID's and H PID/OEID d ata from t he NIF and load it i nto the Vi stA system . This op tion will kick off o ne HL7 mes sage per i nsurance c ompany. R unning thi s option w ill set th e HPID/OEI D Active? flag in th e IB SITE PARAMETERS file (#35 0.9) to 1 for Active which wil l indicate to VistA that the N IF is read y to send and receiv e Insuranc e Company HL7 update s to and f rom the si te. | |
8954 | Auto-Build Average B ill Amount s | |
8955 | [IBT MONTH LY AUTO GE N AVE BILL ] | |
8956 | This optio n should b e schedule d to run a utomatical ly once a month. No device is necessary . It will build and store the number of inpatient and outpa tient bill s authoriz ed and the total dol lar amount s of the b ills. A m ail messag e is gener ated when the job ha s successf ully compl eted. | |
8957 | Auto-Gener ate Unbill ed Amounts Report | |
8958 | [IBT MONTH LY AUTO GE N UNBILLED ] | |
8959 | This optio n should b e schedule d to run a utomatical ly once a month on o r about th e first of the month . No devi ce is nece ssary. It will buil d and stor e the unbi lled amoun ts data an d send a m ail messag e with the necessary results. The new s ite parame ter, AUTO PRINT UNBI LLED LIST, will allo w for site s to pre-d etermine i f a detail ed listing should be printed e ach month. | |
8960 | Master Typ e of Plan Associatio n [IBMTOP ASSN] | |
8961 | This optio n enables users to a ssociate T YPE OF PLA N file (#3 55.1) entr ies with t he MASTER TYPE OF PL AN file (# 355.99). | |
8962 | Master Typ e of Plan Report [IB MASTER TY PE OF PLAN RPT] | |
8963 | This repor t prints t he Plan Ty pes from t he TYPE OF PLAN (#35 5.1) file and each P lan Type's mapping r elationshi p to the M ASTER TYPE OF PLAN ( #355.99) f ile. | |
8964 | ||
8965 | Exported O ptions | |
8966 | OPTIONS | |
8967 | DESCRIPTIO N | |
8968 | IB ACTIVAT E REVENUE CODES | |
8969 | This optio n allows t he user to activate the revenu e codes wh ich that s ite has ch osen to us e for its third part y billing. | |
8970 | IB AUTHORI ZE BILL GE NERATION | |
8971 | This optio n allows t he user to perform f inal revie w of infor mation con tained in a billing record. T he user is then able to author ize the ge neration o f the bill and the r elease of the inform ation to F iscal. | |
8972 | IB AUTO BI LLER PARAM S | |
8973 | Enter and edit the p arameters controllin g Automate d Billing. Security key IB PAR AMETER EDI T required . | |
8974 | IB BACKGRN D VET DISC HS W/INS | |
8975 | This optio n may be s et to be q ueued once per week to run and generate a list of Veterans w ith Insura nce and Di scharges. | |
8976 | IB BACKGRN D VETS INP T W/INS | |
8977 | This optio n may be s et to be q ueued once per week to run and generate a list of Veterans w ith Insura nce and Ad missions. | |
8978 | IB BACKGRN D VETS OPT W/INS | |
8979 | This optio n may be s et to be q ueued once per week to run and generate a list of Veterans w ith Insura nce and Ou tpatient V isits. | |
8980 | IB BATCH P RINT BILLS | |
8981 | Queues all authorize d bills th at have no t been fla gged for t ransmissio n to print in user s pecified o rder. | |
8982 | IB BILL ST ATUS REPOR T | |
8983 | This optio n generate s a summar y (count a nd amount) of bill r ate types and status es. | |
8984 | IB BILLING CLERK MEN U | |
8985 | This menu contains t he basic M edical Car e Cost Rec overy Bill ing Module options. Through t his option , a user m ay inquire to billin g records, generate a limited number of reports, a nd with th e proper s ecurity ke ys, may al so establi sh and rev iew billin g records. | |
8986 | IB BILLING RATES FIL E | |
8987 | This optio n allows e nter/edit of Billing Rates tha t will be used in th e automati c calculat ion of cos ts when pr eparing a third part y bill. | |
8988 | IB BILLING SUPERVISO R MENU | |
8989 | This menu contains a ll of the Medical Ca re Cost Re covery Bil ling Modul e options. Through this optio n, a user may accomp lish every phase of the billin g process and access all billi ng reports . | |
8990 | IB BILLING TOTALS RE PORT | |
8991 | This repor t is sorte d by rate type and p rints all billing to tals for e ach rate t ype. | |
8992 | IB CANCEL BILL | |
8993 | This optio n allows t he user to cancel a bill. A m andatory c omment fie ld exists to documen t the reas on for can cellation, and a log is mainta ined to au dit respon sible user and date/ time bill is cancell ed. A bull etin is se nt to the billing su pervisor e ach time a bill is c ancelled. | |
8994 | IB CANCEL/ EDIT/ADD C HARGES | |
8995 | This optio n will all ow the use r to direc tly cancel , edit, or add to pa tient char ges. | |
8996 | IB CIDC IN SURANCE SW ITCH | |
8997 | This optio n allows e diting of the CIDC I nsurance S witch. Th is switch should be changed wi th great c aution as it can aff ect multip le package s and user s. | |
8998 | IB CLEAN A UTO BILLER LIST | |
8999 | Deletes al l entries from the a uto biller results l ist before a certain date. | |
9000 | IB COPY AN D CANCEL | |
9001 | This optio n will all ow cancell ing a bill and then will creat e an exact duplicate bill exce pt its sta tus will b e ENTERED/ NOT REVIEW ED. | |
9002 | IB COPY SE COND/THIRD | |
9003 | This optio n is used to create Secondary and Tertia ry bills. The Prima ry bill is copied to create th e bill to the Second ary payer. The Seco ndary bill is copied to create the bill to the Ter tiary paye r. The bi ll being c opied is n ot cancell ed. | |
9004 | IB CORRECT REJECTED/ DENIED | |
9005 | This optio n will all ow correct ing a reje cted or de nied bill which has not had an y payments posted to it. | |
9006 | IB DRUGS N ON COVERED REPORT | |
9007 | This optio n will pri nt non cov ered drugs , plans an d dates. | |
9008 | IB ECME BI LLING EVEN TS | |
9009 | This optio n prints t he ECME Bi lling Even ts Report. | |
9010 | IB EDIT BI LLING INFO | |
9011 | This optio n allows t he user to enter the informati on require d to gener ate a thir d party bi ll and to edit exist ing billin g informat ion. | |
9012 | IB EDIT E& M CODE QUA NTITY FLAG | |
9013 | Runs the i nput templ ate IB EDI T E&M QUAN TITY to se t the valu e for the E&M CODE Q UANTITY FL AG. (Field .06 of fi le 357.69) | |
9014 | IB EDIT RE TURNED BIL L | |
9015 | This optio n will all ow users t o edit a b ill that h as been re turned fro m AR to MC CR and ret urn it bac k to A/R | |
9016 | IB EDIT SI TE PARAMET ERS | |
9017 | This optio n allows e ntering an d editing of Integra ted Billin g Site Par ameter fil e. Modifyi ng the sit e paramete rs can aff ect the pe rformance of Integra ted Billin g's backgr ound filer . Security key IB PA RAMETER ED IT require d. | |
9018 | IB FILER C LEAR PARAM ETERS | |
9019 | This optio n will cle ar the IB site param eters to a llow the I B filer to start on its own wh enever it needs to. It will n ot edit th e field, F ILE IN BAC KGROUND. It will on ly let the filer sta rt when ca lled if th is field i s set to y es. This option wil l be calle d as a sta rtup job w hen the CP U is reboo ted. It w ill clear the two IB parameter s that pre vent the I B filer fr om restart ing if the CPU crash ed while t he filer w as running . | |
9020 | IB FILER S TART | |
9021 | This optio n will tas k the IB b ackground filer to r un whether or not a filer is c urrently r unning. T his option can be us ed when a filer job has termin ated unexp ectedly an d won't re start itse lf. This w ill force a filer to start run ning. | |
9022 | IB FILER S TOP | |
9023 | This optio n will cau se the IB background filer to cease when it has fi nished pro cessing al l its know n transact ions. Pro cessing wi th Account s Receivab le will th en be acco mplished i n the fore ground. | |
9024 | IB FLAG CO NTINUOUS P ATIENTS | |
9025 | This optio n can be u sed to add or edit e ntries in the file o f patient continuous ly hospita lized sinc e 1986. T hese patie nts are ex empt from the co-pay ment porti on of the means test but may s till be ch arged the per diem. The autom ated categ ory C bill ing softwa re will ex empt these patients from the c o-payments . In orde r to be co nsidered c ontinuousl y hospital ized the p atient mus t not have changed l evels of c are, i.e., gone from a NHCU to the hospi tal. | |
9026 | IB GENERAT E ECME RX BILLS | |
9027 | This optio n is for B ack-Billin g purposes . It allo ws resendi ng a singl e or multi ple prescr iptions th rough ECME for elect ronic bill ing. | |
9028 | IB GMT MON THLY TOTAL S | |
9029 | ||
9030 | IB GMT SIN GLE PATIEN T REPORT | |
9031 | The option calls the GMT Singl e Patient Report. | |
9032 | IB HCCH PA YER ID REP ORT | |
9033 | The option calls the HCCH Paye r ID Repor t. (IB*2. 0*577) | |
9034 | IB INPATIE NT VET REP ORT | |
9035 | This optio n prints a list of a ll patient s with non -service c onnected d isabilitie s who have insurance and who h ad inpatie nt admissi ons during a user-sp ecified da te range. Eligibili ty status is provide d for each patient o n list. | |
9036 | IB LIST AL L BILLS FO R PAT. | |
9037 | This optio n will pri nt a list of all bil ls for one patient. | |
9038 | IB LIST BI LLS FOR EP ISODE | |
9039 | This optio n will lis t all bill s related to an epis ode of car e | |
9040 | IB LIST OF BILLING R ATES | |
9041 | This optio n will pri nt a list of Billing Rates by Effective date. | |
9042 | IB MANAGER MENU | |
9043 | This is th e master I B menu tha t will con tain all t he IB opti ons. | |
9044 | IB MEANS T EST MENU | |
9045 | This menu contains t he options to manage the autom ated charg es that ar e generate d for Cate gory C vet erans. | |
9046 | IB MRA BAC KBILLING R EPORT | |
9047 | This optio n is to be used to p roduce a r eport and/ or send da ta on the potential recoveries of old cl aims to ca rriers tha t have con sistently refused to reimburse the VA fo r Medicare supplemen tal polici es. | |
9048 | IB MRA EDI T INS CO L IST | |
9049 | Use this o ption to c reate a li st of Insu rance Comp anies that are prima rily Medic are supple mental car riers and they have consistent ly denied payments t o the VA d ue to the VA's inabi lity to pr oduce an E OB from Me dicare sho wing the M edicare al lowable ch arges and the patien ts respons ibility fo r the clai m, for exa mple, USAA . | |
9050 | IB MRA EXT RACT | |
9051 | This optio n is used to queue t he MRA ext ract. | |
9052 | IB MT BILL ABLE STOPS | |
9053 | This optio n will pri nt the bil lable type s (stop co des) for c o-pay visi ts. You h ave the op tion to de liver the report to yourself i n mailman or print t he report to a print er or on y our screen . | |
9054 | IB MT BILL ING REPORT | |
9055 | This repor t is used to list al l Means Te st and LTC charges w ithin a us er-specifi ed date ra nge. | |
9056 | IB MT CLOC K INQUIRY | |
9057 | Allows inq uiry to th e Means Te st co-pay patient’s number of inpatient days and a mounts bil led. | |
9058 | IB MT CLOC K MAINTENA NCE | |
9059 | This optio n will all ow adding or editing of Patien t Billing Clocks. | |
9060 | IB MT DISP SPECIAL C ASES | |
9061 | This optio n is used to enter t he reason for not bi lling spec ial inpati ent billin g cases. | |
9062 | IB MT ESTI MATOR | |
9063 | This repor t is used to estimat e the Mean s Test cha rges for a n episode of Hospita l or Nursi ng Home Ca re, given a proposed length of stay. Th e report m ay also be used to d etermine t he remaini ng charges that will be billed to a curr ent inpati ent. | |
9064 | IB MT FIX/ DISCH SPEC IAL CASE | |
9065 | This optio n will upd ate record s in the S pecial Inp atient Bil ling Cases File (#35 1.2) with discharge dates, if any exist in the Pat ient Movem ent File ( #405). | |
9066 | IB MT FLAG OPT PARAM S | |
9067 | This optio n is used to flag st op codes, dispositio ns, and cl inics whic h the site has deter mined to b e exempt f rom the Me ans Test o utpatient co-payment charge. These para meters are all flagg ed by date and may b e inactiva ted and re -activated . | |
9068 | IB MT LIST FLAGGED P ARAMS | |
9069 | This outpu t is used to generat e a list o f all stop codes, di spositions , and clin ics which are inacti ve as of a user-spec ified date . | |
9070 | IB MT LIST HELD (RAT E) CHARGES | |
9071 | This optio n is used to generat e a list o f all Mean s Test out patient co -payment c harges whi ch have be en placed on hold in Integrate d Billing because th e outpatie nt co-pay rate is ov er one yea r old. | |
9072 | IB MT LIST SPECIAL C ASES | |
9073 | This optio n is used to list al l special inpatient billing ca ses. Afte r a case h as been di sposed, th e output w ill includ e either t he reason for non-bi lling, or all of the charges w hich have been bille d for the admission. | |
9074 | IB MT LTC REMOTE QUE RY | |
9075 | This optio n will all ow you to perform a remote que ry on a pa tient for both MT an d LTC bill ing inform ation. | |
9076 | IB MT NIGH T COMP | |
9077 | This job c reates Mea ns Test bi lls for al l current inpatients through t he previou s day. The job shoul d be queue d to run e ach evenin g after th e G&L Reca lculation has been c ompleted. | |
9078 | IB MT ON H OLD FIX | |
9079 | This optio n should b e assigned to the pe rson respo nsible for insuring IB Actions are proce ssed corre ctly. Thi s option s hould be d eleted onc e the clea n-up proce ss is comp lete. Sele ct this op tion to pe rform one of three a ctions: | |
9080 | 1. List al l INTEGRAT ED BILLING ACTIONS w ith a stat us of INCO MPLETE. | |
9081 | 2. List al l INTEGRAT ED BILLING ACTIONS w ith a stat us of COMP LETE/ PEND ING AR. | |
9082 | 3. Repost INTEGRATED BILLING A CTIONS wit h a status of COMPLE TE/ PENDIN G AR and p ass these charges to AR. Plea se note th at when se lecting it em #3, the software will attem pt to proc ess the IB actions w ith a stat us of COMP LETE. Som e of these IB Action s will be placed ON HOLD with the ON HOL D DATE set to TODAY, while oth er IB Acti ons will b e passed t o AR and p atients wi ll be bill ed IMMEDIA TELY. | |
9083 | IB MT ON H OLD MENU | |
9084 | This menu is used to group all options w hich are u sed to man age Integr ated Billi ng actions which are placed on hold beca use the pa tient has insurance coverage o r because the outpat ient co-pa y rate is over one y ear old. | |
9085 | IB MT PASS CONV CHAR GES | |
9086 | This optio n sends co nverted ch arges to a ccounts re ceivable. User can u se Patient name or a Cutoff da te as sele ction crit eria. | |
9087 | IB MT PROF ILE | |
9088 | The Means Test Billi ng Profile may be us ed to list , for a si ngle patie nt, all Me ans Test c harges whi ch fall wi thin a use r-specifie d date ran ge. | |
9089 | IB MT REL HELD (RATE ) CHARGES | |
9090 | This optio n is used to release charges w hich have been place d on hold in Integra ted Billin g because the outpat ient co-pa y rate is over one y ear old. If the new (less tha n one year old) rate has been entered in to the Bil ling table , the opti on will pr ompt the u ser to tas k off a jo b which wi ll automat ically upd ate the do llar amoun t and bill all such charges. T he user wi ll receive a bulleti n when the tasked jo b has comp leted. | |
9091 | IB MT RELE ASE CHARGE S | |
9092 | This optio n is used to release Means Tes t charges which are 'on hold' awaiting c laim dispo sition fro m the pati ent's insu rance comp any. Any held up ch arges for a patient (which is specified by the use r) may be selected a nd passed to Account s Receivab le. This o ption will also be a ccessed fr om the 'En ter a Paym ent' optio n in the A ccounts Re ceivable p ackage. I f the user posts a p ayment fro m an insur ance compa ny for a b ill which has any 'h eld' charg es associa ted with i t, the use r may opt to select any of the charges t o pass to Accounts R eceivable in order t o post a p ortion of the insura nce compan y's paymen t to the p atient's b ill. | |
9093 | IB MT REV PEND CHARG ES | |
9094 | This new o ption is i ntroduced with IVM v 2.0 to sup port the I VM process . When an IVM-verif ied Means Test is tr ansmitted from the I VM Center to the fie ld facilit y, Means T ests charg es will be created, if necessa ry, for pa tients who se MT stat us has cha nged from NO to YES. These ch arges are not passed to Accoun ts Receiva ble, but h eld in Bil ling in a new 'hold' (HOLD - R EVIEW) sta tus to awa it a manua l review. This opti on is used to review all charg es which a re pending a review before bei ng billed to the pat ient. Onc e reviewed , the char ge may eit her be can celled or passed to AR. If th e charge i s passed, billing in formation is passed to the IVM package t o initiate the trans mission of billing i nformation back to t he IVM Cen ter. | |
9095 | IB OUTPATI ENT VET RE PORT | |
9096 | This optio n prints a list of a ll patient s with non -service c onnected d isabilitie s who have insurance and who h ad outpati ent visits during a user-speci fied date range. El igibility status is provided f or each pa tient on l ist. | |
9097 | IB OUTPT V ISIT DATE INQUIRY | |
9098 | This optio n displays a billing record wh ich covers a specifi ed outpati ent visit. The user may selec t any pati ent with b illed outp atient vis its, and t hen the vi sit date i n question . The opt ion displa ys the sam e informat ion as fou nd in the Patient Bi lling Inqu iry. | |
9099 | IB OUTPUT AUTO BILLE R | |
9100 | Prints the list of b ills and c omments re sulting fr om the Aut omated Bil ler. | |
9101 | IB OUTPUT CLK PROD | |
9102 | Lists numb er and typ e of bills entered b y selected clerks, o ver a date range. | |
9103 | IB OUTPUT CNT/AMT RP T | |
9104 | This optio n produces the Count and Dolla r Amount o f Charges On Hold Re port. The report pr ovides a s ubtotal an d sub-coun t, by acti on type, o f each pat ient charg e with the status of ON HOLD. These cha rges have not been p assed to A ccounts Re ceivable. Accounting is respon sible for supplying these figu res to FMS on a mont hly basis. | |
9105 | IB OUTPUT CONTINUOUS PATIENTS | |
9106 | This optio n is a lis t of curre nt inpatie nts contin uously hos pitalized at the sam e level of care sinc e 1986. | |
9107 | IB OUTPUT DAYS ON HO LD | |
9108 | This optio n produces the Days On Hold Re port. The report li sts all In tegrated B illing cha rges that have been in the ON HOLD statu s for an e xtended pe riod of ti me. Use t he default to list c harges tha t have bee n on hold for longer than 60 d ays. | |
9109 | IB OUTPUT EMPLOYER R EPORT | |
9110 | For patien ts without active in surance, t his report will list the patie nts and/or the spous e’s employ er. | |
9111 | IB OUTPUT EVENTS REP ORT | |
9112 | Report of clinic che ck-ins, st op codes, registrati ons, and c harges for Category C patients . | |
9113 | IB OUTPUT FULL INQ B Y BILL NO | |
9114 | This optio n will dis play infor mation abo ut a bill. The bill may eithe r be a thi rd party b ill, a pha rmacy co-p ay bill, o r a means test charg e. If a f ull inquir y is selec ted for no n-third pa rty bills, then addi tional inf ormation a bout the c are or ser vices is d isplayed w hen availa ble. | |
9115 | IB OUTPUT HELD CHARG ES | |
9116 | This optio n produces the Held Charges Re port. The report li sts all ch arges havi ng the sta tus of ON HOLD. Wit h each cha rge is lis ted bills that are f or the sam e outpatie nt visit o r the same inpatient admission with an o verlap in the period covered. Users hav e the opti on of prin ting the r eport with or withou t Insuranc e informat ion. | |
9117 | IB OUTPUT HELD CHARG ES/PT | |
9118 | This optio n lists al l IB Actio ns for a p atient tha t is curre ntly on ho ld or was on hold fo r a user s pecified d ate range. The repo rt lists I B Action I D, Rate Ty pe, Bill # , AR statu s, IB Stat us and inf ormation r elated to correspond ing Third Party Clai ms. Note: Only those charges p laced on h old since the instal lation of patch IB*2 *70 will a ppear on t his report . | |
9119 | IB OUTPUT HISTORY OF HELD CHGS | |
9120 | This optio n provides a count a nd dollar total of c harges tha t have bee n on hold for a date range. T he report sorts char ges by the ir current status. Sites will be able t o keep tra ck of how many charg es were ca ncelled, r eleased (b illed), or remain on hold. Th is report only count s charges with an ON HOLD DATE defined. | |
9121 | IB OUTPUT IB INQ | |
9122 | This optio n will dis play a cap tioned inq uiry of on e IB Actio n. | |
9123 | IB OUTPUT INPTS WITH OUT INS | |
9124 | This optio n will pro duce a lis t of eithe r current inpatients or admiss ions for a date rang e where th e patient has either unknown i nsurance o r the insu rance is e xpired. | |
9125 | IB OUTPUT INQ BY PAT IENT | |
9126 | This inqui ry will pr ovide a br ief displa y of IB ac tions for select pat ients for a selected date rang e. | |
9127 | IB OUTPUT IVM BILLIN G ACTIVITY | |
9128 | This optio n is used to generat e a list o f bills wh ich have b een genera ted agains t insuranc e policies which wer e identifi ed by the IVM Center . The use r has the option of electronic ally trans mitting th e report t o the IVM Center whe n the opti on is exec uted in th e Producti on account . | |
9129 | IB OUTPUT LIST ACTIO NS | |
9130 | This optio n will pri nt the IB actions by a user se lected dat e range. The user m ay also se lect an ad ditional f ield to so rt by, suc h as statu s. | |
9131 | IB OUTPUT MANAGEMENT REPORTS | |
9132 | This menu contains r eports tha t provide statistics or lists of bills t hat can be used in m anaging th e Billing program. | |
9133 | IB OUTPUT MENU | |
9134 | This menu contains I nquiry and report op tions for Integrated Billing | |
9135 | IB OUTPUT MOST COMMO N OPT CPT | |
9136 | This optio n will lis t the most common Am bulatory P rocedures and Ambula tory Surge ries perfo rmed in a date range for a giv en set of clinics. This can b e used to help build the CPT C heck-off S heets. | |
9137 | IB OUTPUT OPTS WITHO UT INS | |
9138 | This repor t will pro duce a lis t of patie nts for cl inic appoi ntments th at have un known or e xpired ins urance. | |
9139 | IB OUTPUT PATIENT RE PORT MENU | |
9140 | This menu contains t he Billing reports t hat deal w ith one or a group o f patients . This in cludes all billing l ists of pa tients and billing i nquiries. | |
9141 | IB OUTPUT PRE-REG SO URCE REPT | |
9142 | This repor t will sho w patients which had insurance entered w ithin a se lected dat e range wi th a sourc e of infor mation equ al to the user selec ted criter ia. The r eport will show a li st of pati ents, tota l bills cr eated duri ng date ra nge, and t otal payme nts receiv ed during date range . This op tion was f ormerly kn own as the Pre-Regis tration So urce Repor t. | |
9143 | IB OUTPUT RANK CARRI ERS | |
9144 | This optio n is used to generat e a listin g of insur ance carri ers ranked by the to tal amount billed. The user m ay specify a date ra nge from w hich bills should be selected, as well a s the numb er of carr iers to be ranked. This outpu t must be transmitte d to the M CCR Progra m Office a fter the b eginning o f the fisc al year. The select ed date ra nge should be the en tire fisca l year (i. e., 10/1/9 2 through 9/30/93) a nd 30 carr iers shoul d be ranke d. You sh ould first run the r eport with out transm itting in order to f irst revie w the resu lts. When the report is being run in the Productio n account, the user will alway s have the opportuni ty to tran smit the r eport cent rally. Th e central mail group is G.MCCR DATA@FORU M.VA.GOV, which is s tored as a parameter in field #4.05 in t he IB SITE PARAMETER S (#350.9) file. | |
9145 | IB OUTPUT RELEASED C HARGES RPT | |
9146 | This repor t lists al l charges identified as once b eing ON HO LD or on H OLD-REVIEW status th at current ly have a status of BILLED and the DATE LAST UPDAT ED falls w ithin the date range the user specifies. | |
9147 | IB OUTPUT ROI EXPIR ED | |
9148 | This repor t lists th e ROI Spec ial Consen ts that wi ll expire within a u ser-specif ied date r ange. | |
9149 | IB OUTPUT STATISTICA L REPORT | |
9150 | This repor t lists th e total nu mber of In tegrated B illing act ions by Ac tion type along with the total charge by type for a date ran ge. The ne t totals a re also pr inted. Th e net tota ls are der ived by lo oking at t he last up date for a parent ev en though the update may not b e within t he date ra nge. The net total within a d ate range can be der ived by th e formula "new-updat e-cancel" for any as sociated a ction type s. | |
9151 | IB OUTPUT TREND REPO RT | |
9152 | This optio n allows t he user to analyze p ayment tre nds among insurance companies. In addit ion, it ma y be used to track r eceivables which are due the M edical Cen ter. Many different criteria may be spe cified to limit the selection of bills, such as Ra te Type, I mpatient/O utpatient, Treatment Dates, Bi ll Printed Dates, an d Insuranc e Company. Any addi tional fie ld may als o be selec ted and an alyzed dep ending upo n its cont ent. | |
9153 | IB OUTPUT VERIFY RX LINKS | |
9154 | This optio n will com pare the s oft-link s tored in I ntegrated Billing wi th the poi nter in th e prescrip tion file pointing b ack to Int egrated Bi lling. A report wil l print ou t of all I B Actions that do no t verify. | |
9155 | IB OUTPUT VETS BY DI SCH | |
9156 | List of Ve teran disc harges by division t hat is bil lable. | |
9157 | IB PATIENT BILLING I NQUIRY | |
9158 | This optio n displays all the a ctions whi ch have be en perform ed on a sp ecified bi lling reco rd. The u ser may se lect by pa tient name or bill n umber a pa rticular r ecord, and is shown bill statu s, total c harges, st atement co vers perio d, and all previous actions of that bill ing record . | |
9159 | IB PROVIDE R FROM FB DETAIL | |
9160 | This optio n prints a ll records modified by the FB PAID TO IB backgroun d process for a date range (Fo r Future U se to Vali date Testi ng). | |
9161 | IB PROVIDE R FROM FB RPTS MENU | |
9162 | This menu option all ows users to run rep orts about records i n the IB NON/OTHER BILLING PR OVIDER (#3 55.93) fil e that hav e been aff ected by t he FB PAID TO IB bac kground jo b (For Fut ure Use to Validate Testing). | |
9163 | IB PROVIDE R FROM FB SUMMARY | |
9164 | This optio n identifi es and rep orts on en tries in t he IB NON /OTHER VA BILLING PR OVIDER (#3 55.93) fil e that wer e added or changed b y the FEE BASIS PAID TO IB int erface for a date ra nge (For F uture Use to Validat e Testing) . | |
9165 | IB PRINT B ILL | |
9166 | This optio n allows t he user to print a t hird party bill afte r all requ ired infor mation has been inpu t, and aft er the bil ling infor mation has been revi ewed and a uthorized. A reimbu rsable ins urance bil l that has been flag ged for tr ansmission cannot be printed b efore it h as been tr ansmitted at least o nce. | |
9167 | IB PRINT B ILL ADDEND UM | |
9168 | Prints the Addendum sheets tha t may acco mpany CMS- 1500 Rx Re fill or Pr osthetics bills. Th e addendum contains informatio n that cou ld not fit on the bi ll form. | |
9169 | IB PRINTED CLAIMS RE PORT | |
9170 | This optio n will gen erate a re port of cl aims for a specified timeframe that were locally p rinted but which had the poten tial to be transmitt ed electro nically. | |
9171 | IB PURGE B ILLING DAT A | |
9172 | This optio n may be u sed to pur ge data fr om the fol lowing fil es: #350 I NTEGRATED BILLING AC TION #351 CATEGORY C BILLING C LOCK #399 BILL/CLAIM S Entries from these files mus t be archi ved before they may be purged. | |
9173 | IB PURGE D ELETE TEMP LATE ENTRY | |
9174 | This optio n may be u sed to pre vent a rec ord from b eing purge d from the database. The user will be p rompted fo r an estab lished Sea rch Templa te based o n one of t he followi ng three f iles: 350 INTEGRATED BILLING A CTION 351 CATEGORY C BILLING C LOCK 399 B ILL/CLAIMS The recor ds stored in this te mplate wil l be liste d, and the user may select a r ecord to b e deleted from the t emplate. | |
9175 | IB PURGE L IST LOG EN TRIES | |
9176 | This optio n may be u sed to lis t all of t he log ent ries in th e IB ARCHI VE/PURGE L OG file, # 350.6. Al l entries in the fil e are list ed, in the order tha t they wer e added to the file. | |
9177 | IB PURGE L IST TEMPLA TE ENTRIES | |
9178 | This optio n may be u sed to lis t all entr ies in a S earch Temp late which are sched uled to be archived and purged . | |
9179 | IB PURGE L OG INQUIRY | |
9180 | This optio n may be u sed to pro vide a ful l inquiry of any ent ry in the IB ARCHIVE /PURGE LOG , file #35 0.6. | |
9181 | IB PURGE M ENU | |
9182 | This menu contains a ll the Int egrated bi lling purg e options | |
9183 | IB PURGE/A RCHIVE BIL LING DATA | |
9184 | This optio n may be u sed to arc hive data from the f ollowing f iles: #350 INTEGRATE D BILLING ACTION #35 1 CATEGORY C BILLING CLOCK #39 9 BILL/CLA IMS Entrie s from the se files m ust be fou nd, and pl aced in th e appropri ate Search (Sort) te mplate, be fore they may be arc hived. | |
9185 | IB PURGE/B ASC TRANSF ER CLEANUP | |
9186 | Delete all CPT entri es in the temporary file that have been transferre d to the p ermanent b illing fil e. | |
9187 | IB PURGE/F IND BILLIN G DATA | |
9188 | This optio n may be u sed to ide ntify reco rds to be archived a nd purged from the f ollowing f iles: #350 INTEGRATE D BILLING ACTION #35 1 CATEGORY C BILLING CLOCK #39 9 BILL/CLA IMS Entrie s which ar e selected to be arc hived and then purge d are plac ed into a Search (So rt) templa te. | |
9189 | IB REPOST | |
9190 | Option all ows passin g of IB ac tion entri es that di d not succ essfully p ass to AR to be repo sted to th e IB filer . | |
9191 | IB RETURN BILL | |
9192 | This optio n will all ow users t o return a bill from MCCR to A R if it ha d previous ly been re turned to MCCR from AR. | |
9193 | IB RETURN BILL LIST | |
9194 | This optio n will gen erate a li st of bill s returned by Accoun ts Receiva ble to MCC R. The ou tput shoul d be direc ted to a p rinter as this repor t may take a few min utes to pr int. | |
9195 | IB RETURN BILL MENU | |
9196 | Menu to ac cess optio ns related to editin g bills re turned by A/R to MCC R and retu rning them to A/R. | |
9197 | IB REV COD E TOTALS | |
9198 | Print tota ls of Reve nue Code a mounts by Rate Type. To collec t data for AMIS Segm ents 295 a nd 296 | |
9199 | IB RX ADD THRESHOLDS | |
9200 | This optio n is used to add the Income Th resholds u sed in the Medicatio n Co-payme nt Income Exemption. | |
9201 | IB RX EDIT LETTER | |
9202 | This optio n will all ow editing of the he ader, or s tation nam e and addr ess, and t he main bo dy of a le tter. The letter IB NOW EXEMP T is the l etter that was writt en to be s ent to pat ients who become exe mpt during the conve rsion to i nform them that they no longer need to s end in a c o-payment with their Rx refill requests. The firs t six line s of the h eader fiel d will be centered a t the top of each le tter. Do not center these lin es. The p atient add ress will print begi nning on l ine 17. T he main bo dy will pr int after the patien t address section. Do not inc lude funct ions in ei ther word processing field as VA FileMan utilities are not u sed at thi s time to output the letters. | |
9203 | IB RX EXEM PTION MENU | |
9204 | This is th e primary menu in IB for the o ptions to manage and print rep orts on th e Medicati on Co-paym ent Income Exclusion functiona lity. | |
9205 | IB RX HARD SHIP | |
9206 | This optio n can be u sed to giv e a hardsh ip waiver from the M edication Co-payment . If a ha rdship is granted it will be g ood for on e year fro m the date of the ha rdship. T his option can also be used to update a single pat ient's exe mption to the correc t status a s computed from his patient re cord, if t he current exemption does not match what is comput ed. | |
9207 | IB RX INQU IRE | |
9208 | This optio n will all ow a brief inquiry t o active e xemptions or a full inquiry to the histo ry of all exemptions for a pat ient. | |
9209 | IB RX PRIN T EX LETER S | |
9210 | This optio n will pri nt the for m letter I B NOW EXEM PT for all currently exempt pa tients. T he followi ng patient s will not be includ ed: Deceas ed Patient s Non-Vete rans Patie nts who ar e rated SC greater t han 50% Th e user wil l be allow ed to sort by Exempt ion Status Date, and by Patien t name. O ptionally, the user can store the result s of the s earch in a template named IB E XEMPTION L IST for lo cal printi ng purpose s. | |
9211 | IB RX PRIN T PAT. EXE MP. | |
9212 | This optio n can prin t a list o f patients by exempt ion status or exempt ion reason . This wi ll enable a facility to print a list of patients w ho are eit her exempt or non-ex empt. Opt ionally th e report c an print o nly sub to tals witho ut printin g the deta iled patie nt listing . | |
9213 | IB RX PRIN T RETRO CH ARGES | |
9214 | This repor t will pri nt a list of patient s and Medi cation Co- payment ch arges that have been canceled due to the income ex clusion. Initially this repor t will pri nt a list of charges canceled during the installat ion/ conve rsion proc ess. The software m ay cancel other char ges after installati on and thi s report c an be used to list t hose charg es. | |
9215 | IB RX PRIN T THRESHOL DS | |
9216 | This optio n will pri nt a listi ng of the Income Thr esholds us ed in the Medication Co-paymen t Income E xemption p rocess. T he output is sorted by type of Threshold and Effec tive Date. | |
9217 | IB RX PRIN T VERIFY E XEMP | |
9218 | This optio n can be u sed to sea rch throug h the BILL ING EXEMPT IONS file and compar e the curr ently stor ed active exemption for each p atient aga inst what it calcula tes to be the correc t exemptio n status f or the pat ient based on curren t data in the MAS fi les. This report ca n be run t o just pri nt a list of discrep ancies or it can be run to aut omatically update ea ch incorre ct exempti on status. Initiall y the repo rt should be run wit hout updat ing the ex emptions. The optio n Manually Change Co -pay Exemp tions (Har dship) can be used t o update e xemptions to the cor rect statu s one pati ent at a t ime if des ired. | |
9219 | IB RX REPR INT REMIND ER | |
9220 | This optio n is used to generat e an Incom e Test rem inder lett er for a v eteran who effective co-pay ex emption is based upo n income. When the l etter is g enerated, the field REMINDER L ETTER DATE (#.16) in the BILLI NG EXEMPTI ONS (#354. 1) file wi ll be upda ted, for t he exempti on record which is t he basis f or sending the remin der letter , with the current d ate. | |
9221 | IB SC DETE RMINATION CHANGE RPT | |
9222 | This optio n creates a report t o display patients t hat have a Service C onnected d eterminati on change for co-pay s being re set. | |
9223 | IB SITE DE VICE SETUP | |
9224 | This optio n allows a ssociating devices a s the defa ult answer when prin ting forms . This is used to e nter the d efault dev ice for AR for follo w-up activ ity. | |
9225 | IB SITE MG R MENU | |
9226 | This menu contains t he options for the S ystem Mana ger to che ck on the status of Integrated Billing, edit site parameters , and mana ge the bac kground fi ler. | |
9227 | IB SITE ST ATUS DISPL AY | |
9228 | This optio n displays informati on from th e IB site parameter file and p ertinent i nformation about the status of the IB ba ckground f iler. | |
9229 | IB SYSTEM DEFINITION MENU | |
9230 | This optio n allows t he user to set up th e MCCR par ameters ne cessary fo r third pa rty billin g. | |
9231 | IB THIRD P ARTY BILLI NG MENU | |
9232 | This menu contains t he options necessary to create , edit, re view, auth orize, pri nt, and ca ncel third party bil ls. | |
9233 | IB THIRD P ARTY OUTPU T MENU | |
9234 | This optio n allows t he user to generate any of the Third Par ty Outputs . | |
9235 | IB TP FLAG OPT PARAM S | |
9236 | This optio n is used to flag st op codes a nd clinics as either non-billa ble for Th ird Party billing or to be ign ored by th e Third Pa rty auto b iller. Th ese parame ters are a ll flagged by date a nd may be inactivate d and re-a ctivated. | |
9237 | IB TP LIST FLAGGED P ARAMS | |
9238 | This outpu t is used to generat e a list o f all stop codes and clinics t hat are fl agged as n on-billabl e for Thir d Party bi lling or t hat should not be au to billed by the Thi rd Party a uto biller on a user -specified date. | |
9239 | IB TRICARE DEL REJEC T | |
9240 | This optio n is used to delete entries fr om the TRI CARE PHARM ACY REJECT S (#351.52 ) file. E ntries to be deleted are usual ly transmi tted in er ror origin ally and a re not goi ng to be r e-submitte d. | |
9241 | IB TRICARE ENGINE ST ART | |
9242 | This optio n is used to start t he TRICARE Pharmacy billing en gine. The option wi ll cause f our queued tasks to be run - t wo primary This opti on is used to start the TRICAR E Pharmacy billing e ngine task s (one use d to submi t claims f or prescri ptions to the TRICAR E fiscal i ntermediar y, and one to accept AWP updat es) and tw o secondar y tasks as backups t o the prim ary tasks. If eithe r primary task fails , the seco ndary task will beco me the pri mary task and spawn another se condary ta sk. | |
9243 | IB TRICARE ENGINE ST OP | |
9244 | This optio n is used to gracefu lly termin ate the TR ICARE Phar macy billi ng engines . Use of this optio n will cau se all fou r queued t asks to sh utdown. | |
9245 | IB TRICARE MENU | |
9246 | This menu contains o ptions and reports r elated to the billin g of presc riptions a nd medical care prov ided to TR ICARE pati ents. | |
9247 | IB TRICARE REJECT | |
9248 | This outpu t provides a list of all billi ng transmi ssions whi ch were re jected by the TRICAR E fiscal i ntermediar y. | |
9249 | IB TRICARE RESUBMIT | |
9250 | This optio n is used to submit a claim fo r a TRICAR E prescrip tion which was not p reviously billed. | |
9251 | IB TRICARE REVERSE | |
9252 | This optio n is used to cancel a claim an d co-payme nt for a T RICARE pre scription which was billed in error. | |
9253 | IB TRICARE TRANSMISS ION | |
9254 | This outpu t provides a list, b y prescrip tion fill date, of a ll billing transmiss ions sent to the TRI CARE fisca l intermed iary. | |
9255 | IB VIEW CA NCEL BILL | |
9256 | This optio n allows t he user to select an d view a b ill that i s in cance lled statu s. | |
9257 | IBAEC LTC BILLING ME NU | |
9258 | This menu holds all the LTC me nu options . | |
9259 | IBAEC LTC BILLING PR OFILE | |
9260 | Prints "LT C Single P atient Bil ling Profi le" report . | |
9261 | IBAEC LTC CLOCK EDIT | |
9262 | This optio n allows u sers to ed it the LTC co-pay bi lling cloc k. You can change th e start da te of the clock and edit the f ree days. | |
9263 | IBAEC LTC CLOCK INQU IRY | |
9264 | This optio n prints " LTC Billin g Clock In quiry" rep ort, conta ining deta iled infor mation abo ut selecte d LTC Bill ing Clock. | |
9265 | IBARXM CAP TRANS PUS H | |
9266 | This optio n will all ow the use r to try t o "push" o utpatient medication co-paymen t cap tran sactions t o the othe r treating facilitie s for the patient. This is us ed to try to resolve problems with trans missions. The probl ems are us ually iden tified by mail messa ges sent t o the IB R X CO-PAY C AP ERROR m ail group. To resol ve these e rror messa ges first IRM should verify th at the HL7 logical l inks are w orking cor rectly. T hen with t his option the user can select individua l transact ions to at tempt to s end or All un-transm itted tran sactions. | |
9267 | IBARXM CO- PAY QUERY | |
9268 | This optio n will pro duce a rep ort that w ill show w hat medica tion co-pa yments a p atient has been bill ed for and not bille d for. Th is option will allow you to qu ery remote facilitie s to get a ll the inf ormation a nd verify its accura cy. If th ere is a d iscrepancy , the amou nts will b e updated as well. | |
9269 | IBARXM FAC ILITY CAP SUMM RPT | |
9270 | This optio n will gen erate the Facility P harmacy Co -Pay Cap S ummary Rep ort. The purpose of this repo rt is to d elineate s ix data el ements req uired by t he VHA Chi ef Busines s Office o n a yearly basis. | |
9271 | IBARXM NON BILLABLE C O-PAY | |
9272 | This repor t will sho w what med ication co -payments were not b illable as a result of the med ication co -payment c ap for the specified month/yea r. | |
9273 | IBARXM PAT IENT CAP R EPORT | |
9274 | This optio n will pro duce a lis t of patie nts that h ave either met or ar e above th eir cap fo r the date specified . You may specify e ither a mo nth/year o r just a y ear. | |
9275 | IBAT EXCEL REPORT | |
9276 | This repor t will all ow the use r to selec t which fi elds they want print ed in an e xcel forma t. It use s a pike ( |) as the excel deli miter. | |
9277 | IBAT INPT PROSTHETIC ITEMS | |
9278 | This optio n will all ow enterin g/editing/ deleting o f items th at should be billed for inpati ent prosth etics. It ems in her e will be automatica lly billed by the ni ghtly back ground job for inpat ients. No other inp atient iss ued items will be au tomaticall y billed. | |
9279 | IBAT PATIE NT LIST | |
9280 | This repor t will gen erate list s of trans fer pricin g patients by facili ty or VISN . | |
9281 | 1. The dat a availabl e on the r eport will include p atient nam e, date of birth, pr imary elig ibility, S SN, and VI SN. | |
9282 | 2. The rep ort will b e able to be sorted by patient , treating facility, or by VIS N. | |
9283 | IBAT PATIE NT REPORT | |
9284 | This repor t will cre ate a deta iled listi ng of a tr ansfer pri cing state ment by pa tient. Th is report will also aid in det ermining w hether or not a bill able third party is involved. | |
9285 | 1. You wil l be able to select a VISN (ho me or pref erred VISN ) for deta iled data to accumul ate from. | |
9286 | 2. You wil l be able to select a date ran ge with su mmary data inclusive . | |
9287 | 3. Detail data will be availab le per pat ient on th e report a long with a subtotal per patie nt and a G rand Total . | |
9288 | IBAT SUMMA RY REPORT | |
9289 | This repor t will cre ate a tran sfer prici ng stateme nt summary . This bo ttom line to this ov erall summ ary yields the total number of episodes and total amounts of those epi sodes per VISN/facil ity or gro ups of VIS N/faciliti es. | |
9290 | 1. You can select on e or more VISN/facil ities (hom e or prefe rred VISN/ facility) for summar y data to accumulate from. | |
9291 | 2. You can select a date range for which those ser vices were provided with summa ry data in clusive. | |
9292 | 3. There i s summary data on th e report f or Inpatie nt, Outpat ient, Phar macy, and a Grand To tal of the three. | |
9293 | IBAT TP MA NAGEMENT | |
9294 | This is th e main ent ry option for viewin g and edit ing patien ts and tra nsactions. | |
9295 | IBAT TRANS FER PRICIN G MENU | |
9296 | This menu will hold all the Tr ansfer Pri cing menu options. | |
9297 | IBAT WORKL OAD REPORT | |
9298 | This repor t shall en able the u ser to cre ate a tran sfer prici ng stateme nt workloa d detail. The empha sis of thi s report i s on work detail via Units. | |
9299 | 1. The use r shall be able to s elect one or more VI SN/facilit ies (home or preferr ed VISN/fa cility) fo r workload data to a ccumulate from. | |
9300 | 2. The use r shall be able to s elect a da te range w ith summar y data inc lusive. | |
9301 | 3. Workloa d detail d ata shall be availab le on the report alo ng with th e Grand To tal. | |
9302 | IBBA BATCH DFT | |
9303 | The menu o ption is u sed to sch edule via TaskManage r the PFSS Charge Ba tch Proces sor. Norm ally, this option sh ould be sc heduled to run once daily at a time of l ow system activity. When the batch proc essor star ts, it wil l set data into two fields in the PFSS S ITE PARAME TERS file (#372): | |
9304 | (1) The CH ARGE PROCE SSOR RUNNI NG field ( #.1) will be set to "YES". | |
9305 | (2) The CH ARGE PROCE SS START T IME field (#.11) wil l be set t o the curr ent system date/time . | |
9306 | When charg e batch pr ocessing i s complete , then: | |
9307 | (1) The CH ARGE PROCE SSOR RUNNI NG field ( #.1) will be set to "NO". | |
9308 | (2) The CH ARGE PROCE SS START T IME field (#.11) wil l be delet ed. | |
9309 | When a cha rge batch processor job is sta rted, it a lways chec ks the sta tus of the CHARGE PR OCESSOR RU NNING fiel d. If thi s field is set to "Y ES", then the job qu its immedi ately. Th is insures that only one batch processor is runnin g at any g iven time. | |
9310 | IBCE 837 E DI MENU | |
9311 | This menu contains t he options needed to process a nd maintai n EDI 837 bill submi ssion func tions. | |
9312 | IBCE 837 E DI REPORTS | |
9313 | This menu contains t he options needed to define th e types of electroni c reports from the c learinghou se that th e site nee ds to see and define s the text that shou ld/should not allow automatic review and file for informatio nal status messages. It also contains a n option t o purge ol d status m essages, r eports for maintaini ng the int egrity of the return message s ubsystem a nd the opt ion for re viewing el ectronical ly returne d messages . | |
9314 | IBCE 837 M ANUAL TRAN SMIT | |
9315 | This job b atches and transmits bills tha t are in a uthorized or Request MRA statu s for insu rance comp anies flag ged to tra nsmit elec tronically via EDI. This job can be exe cuted at a ny time to transmit bills awai ting extra ct. | |
9316 | IBCE BATCH STATUS DE TAIL | |
9317 | ||
9318 | IBCE BATCH ES PENDING TOO LONG | |
9319 | This repor t lists al l batches by batch t ype that h ave been i n a PENDIN G status a nd have no t yet rece ived confi rmation of receipt f rom Austin for more than 1 day . Report includes p ending sin ce date an d mail mes sage # the batch is contained in. | |
9320 | IBCE CLAIM S STATUS A WAITING | |
9321 | Used by bi ll staff t o review t he most cu rrent stat us message s received for a bil l(s) and d o follow-u p on the b ills. Use rs will be able to s elect a bi ll from th e list to view the d etails and the entir e message text as we ll as to m ark the me ssage as r eviewed or under rev iew and do cument use r comments . | |
9322 | IBCE COB M ANAGEMENT | |
9323 | This will be a list manager sc reen with the option available to print an associa ted report . Using t he screen, billing s taff will be able to follow up on bills for second ary and te rtiary bil ling for n on-MRA bil ls. | |
9324 | IBCE EDI B ATCHES INC OMPLETE | |
9325 | This repor t lists al l batches that have been resub mitted, bu t not all bills were included. These ar e batches that have at least o ne bill st ill not re submitted or cancele d. | |
9326 | IBCE EDI V IEW/PRINT EXTRACT | |
9327 | This optio n will dis play the E DI extract data for a bill. | |
9328 | IBCE ELEC REPORT DIS POSITION | |
9329 | This optio n allows t he site to determine which cle aringhouse generated electroni c canned r eports are to be sen t to the E DI mail gr oup and wh ich should be totall y ignored when recei ved at the site. | |
9330 | IBCE ELECT RONIC ERRO R REPORT | |
9331 | This repor t provides a tool fo r billing personnel to identif y the who, what, and where of errors in electronic billing p rocess. | |
9332 | IBCE EXTRA CT STATUS | |
9333 | This is a list manag er screen that will display bi lls that a re trapped in a read y for extr act status due to th e EDI/MRA parameter being turn ed off. F rom here, the valid actions ar e cancel a bill, can cel/clone/ authorize a bill wit hout user interactio n, or prin t the repo rt. | |
9334 | IBCE LIST LOCAL | |
9335 | This repor t lists, b y local pr int form, all the ov erride fie lds for al l local pr int forms for the si te. | |
9336 | IBCE MESSA GE SCREEN TEXT | |
9337 | This optio n allows f or the dis play of a list of wo rds or phr ases that if found i n the text of an inf ormational status me ssage, wil l either a lways requ ire the me ssage to b e reviewed or will a uto-file t he message and flag it as not needing a review. | |
9338 | IBCE MESSA GES SERVER | |
9339 | This optio n controls the readi ng and sto ring of re turn messa ges genera ted as a r esult of t he process ing of Int egrated Bi lling elec tronic tra nsmissions with the Austin tra nslator. | |
9340 | IBCE MRA M ANAGEMENT | |
9341 | This will be a list manager sc reen with the option available to print an associa ted report . Using t he screen, billing s taff will be able to follow up on bills for second ary and te rtiary bil ling for M RA bills. | |
9342 | IBCE MSGS PENDING TO O LONG | |
9343 | This repor t lists ED I messages still wai ting to be filed aft er a user specified number of days. | |
9344 | IBCE OUTPU T FORMATTE R | |
9345 | This optio n allows t he user to access th e utilitie s needed t o set up a nd maintai n local fo rms using the forms output uti lity. | |
9346 | IBCE PREV TRANSMITTE D CLAIMS | |
9347 | This optio n allows a user to v iew or pro duce a rep ort of cla ims that w ere previo usly trans mitted as live claim s or that were trans mitted as test claim s prior to turning E DI on for an insuran ce company . | |
9348 | IBCE PRINT EOB | |
9349 | Print EOB. | |
9350 | IBCE PROVI DER ID QUE RY | |
9351 | This optio n allows t he site to run or re -run the p rovider id query rep ort to rep ort some o f the inva lid provid er id set ups for in surance co mpanies. | |
9352 | CONDITIONS TO IDENTI FY: | |
9353 | 1-BLUE CRO SS LINKED TO CMS-150 0 ONLY (1) THE ONLY HARD ERROR | |
9354 | 2-BLUE SHI ELD LINKED TO UB92 O NLY (2) WA RNING | |
9355 | 3-BLUE CRO SS ID APPL IED TO BOT H FORMS (0 ) WARNING | |
9356 | 4-BLUE CRO SS OR BLUE SHIELD ID s EXIST FO R AN INS C O, BUT ONE OR MORE O F THE INSU RANCE COMP ANY'S PLAN S DOES NOT HAVE AN E LECTRONIC PLAN TYPE OF 'BL' | |
9357 | 5-NON BLUE CROSS/SHI ELD ID FOR AN INS CO MPANY WITH BLUE PLAN (S) | |
9358 | 6-VAD000 a s an ID bu t not flag ged as a U PIN | |
9359 | IBCE PROVI DER ID WOR KSHEET | |
9360 | Allows the user to p rint off p rovider id worksheet s on which to record special r equirement s for prov ider ids f or insuran ce compani es. Users may choos e blank sh eets or sh eets popul ated with all BLUE C ROSS, BLUE SHIELD an d TRICARE insurance company na mes. | |
9361 | IBCE PROVI DER MAINT | |
9362 | This is th e screen f rom which all provid er id main tenance ca n be perfo rmed. | |
9363 | IBCE PRVNV A FAC EDIT | |
9364 | This optio n allows f or enterin g and edit ing of NON -VA facili ty informa tion for b illing. | |
9365 | IBCE QUERY PENDING B ATCH | |
9366 | This repor t shows th e current transmissi on status of a batch 's mail me ssage. It also incl udes the m ail messag e number i t was sent in along with the f irst and l ast date/t imes it wa s sent. | |
9367 | IBCE READY FOR EXTRA CT REP | |
9368 | This repor t provides a list of claims he ld in a Re ady for Ex tract stat us due to the EDI/MR A IB site parameter field bein g turned o ff. | |
9369 | IBCE RETUR N MSG PROC ESSING | |
9370 | This optio n allows f or the dis play of a list of re turn messa ges that h ave been r eceived at the site, but have been left in the tem porary STA TUS MESSAG E file. T his may ha ve been be cause of a system er ror or the message m ay not hav e been rec eived in a readable format. T his option provides the means to delete the messag e or to at tempt to r eapply it against th e VistA da ta base. | |
9371 | IBCE RULE MAINTENANC E | |
9372 | This optio n will all ow for the adding of new elect ronic tran smission r ules and t o modify e xisting on es. | |
9373 | IBCE TRANS MIT SELECT ED BILLS | |
9374 | This optio n allows a user to t ransmit on e or more transmitta ble claims that are waiting to be transm itted and are in a W AITING FOR EXTRACT s tatus. | |
9375 | IBCE TXMT MGMNT REPO RTS | |
9376 | This menu contains t he options needed to produce r eports for the 837 E DI module that deal with the s tatus of t he transmi ssion of e lectronic billing da ta. | |
9377 | IBCE VIEW PENDING BI LL | |
9378 | This optio n allows f or the use r to enter the ENTER /EDIT bill ing inform ation scre ens in a v iew-only m ode for a selected a uthorized bill whose transmiss ion status is either WAITING A USTIN CONF IRM or REA DY FOR EXT RACT. | |
9379 | IBCE VIEW PREV TRANS MESSAGE | |
9380 | This repor t will dis play test claim EDI transmissi on data an d EDI stat us message data from file 361. 4. | |
9381 | IBCED EDI CLAIM STAT US REPORT | |
9382 | This repor t shows in formation about tran smitted el ectronic c laims. Sel ection cri teria incl ude divisi on, payer, date last transmitt ed, and cu rrent EDI status. T his report has 3 sor t levels a nd 8 sorti ng criteri a. | |
9383 | IBCEM MESS AGES WITHO UT REVIEW | |
9384 | This optio n allows f or the dis play of al l EDI retu rn message s that wer e filed wi thout need ing a revi ew based o n the text entries i n the mess age screen text file (#361.3). The repo rt can be run for a user-selec ted date r ange on da te the mes sage was r eceived at the site and may be sorted by message t ext that c aused the message to not need a review o r by bill #. | |
9385 | IBCEM MRA MANAGEMENT MENU | |
9386 | This menu option hol ds all EDI Medicare Remittance Advice (M RA) relate d options. | |
9387 | IBCEM MRA REPORT PRI NT | |
9388 | This menu option pri nts the MR A Reports given a Bi ll Number. Based on the Bill T ype, this report wil l print ei ther an In stitutiona l Format ( Part A) or a Profess ional Form at (Part B ). In addi tion, if m ore than o ne MRA are associate d with the Bill, all MRA's wil l print. | |
9389 | IBCEM MRA STATISTICS REPORT | |
9390 | The MRA St atistics R eport disp lays stati stics on P rimary and Secondary MRA reque sts. | |
9391 | IBCEM NON- MRA REPORT | |
9392 | The Non-MR A Producti vity Repor t displays informati on on Prim ary, Secon dary and T ertiary no n-MRA clai ms. | |
9393 | IBCEM PATI ENTS W/O M EDICARE | |
9394 | This repor t will sho w living p atients th at have ac tive insur ance, but no MEDICAR E (WNR) in surance on file. Th e other ac tive insur ance must be Medigap , or Medic are Second ary type i nsurance. In these c ases, MEDI CARE (WNR) should be the prima ry insuran ce. This is for the MRA proje ct. | |
9395 | IBCEM STAT US MESSAGE | |
9396 | This optio n contains the funct ionality t o print/pu rge electr onically r eturned st atus messa ges that h ave been i n a final review sta tus for a user selec ted number of days. | |
9397 | IBCEM VIEW MRA EOB | |
9398 | This optio n will all ow the use r to choos e a bill t hat has at least one Medicare Remittance Advice (M RA) Explan ation of B enefits (E OB) on fil e. The us er can the n view the MRA EOB t hrough the List Mana ger utilit y. | |
9399 | IBCEMC MUL T CSA MSG MANAGEMENT | |
9400 | This optio n allows u sers to se e rejected claims st atus messa ges which are not re viewed. T he users a re able to take the same actio n on multi ple messag es at the same time. | |
9401 | IBCI ASSIG N CLAIMSMA NAGER BILL | |
9402 | This optio n will all ow users t o assign b ills to ot her users. | |
9403 | IBCI CLAIM SMANAGER E RROR RPT | |
9404 | This repor t prints b ill inform ation for those bill s that hav e ClaimsMa nager erro rs. | |
9405 | IBCI CLAIM SMANAGER F ILE MENU | |
9406 | This is a menu optio n containi ng the opt ions that extract Vi stA data a nd create export fil es for the ClaimsMan ager appli cation. | |
9407 | IBCI CLAIM SMANAGER N PT FILE | |
9408 | Create Cla imsManager NPT file. | |
9409 | IBCI CLAIM SMANAGER P AYOR FILE | |
9410 | Extract da ta from In surance co mpany file (#36) and build the ClaimsMan ager Payer file. | |
9411 | IBCI CLAIM SMANAGER R PT MENU | |
9412 | This is a menu that contains t he ClaimsM anager rep ort option s. | |
9413 | IBCI CLAIM SMANAGER S TATUS RPT | |
9414 | This repor t prints b ill inform ation for those bill s that hav e gone thr ough the C laimsManag er interfa ce process . | |
9415 | IBCI CLAIM SMANAGER W ORKSHEET | |
9416 | This repor t prints t he ClaimsM anager err or message s for a si ngle bill. | |
9417 | IBCI CLEAR CLAIMSMAN AGER QUEUE | |
9418 | This optio n exists p rimarily f or program mers to be able to c lear the C laimsManag er results queue so the Claims Manager in terface ge ts back in sync. Th is method is not alw ays succes sful. If it does no t work, th en Ingenix must be c alled at 1 -800-765-6 818. | |
9419 | IBCI MULTI PLE CLAIM SEND | |
9420 | This optio n will all ow users t o access t he IBCI SK IP LIST li st templat e. This is where use rs can sen d claims t hat were i n error du e to commu nication e rrors. | |
9421 | IBCN GRP P LAN FILES RPT | |
9422 | This optio n runs the List Grou p Plans wi thout Annu al Benefit s Report. | |
9423 | IBCN HPID CLAIM RPT | |
9424 | This optio n runs the Manually Added HPID s to Billi ng Claim R eport. | |
9425 | IBCN ID DU P INSURANC E ENTRIES | |
9426 | This optio n allows u sers to se arch the I nsurance C ompany (36 #) File to identify duplicate entries. The file m ay be sear ched by In surance Co mpany name , address, city, or state. A listing of Insurance Company n ames, addr ess and ph one number that meet the searc h criteria will disp lay. | |
9427 | IBCN INS B ILL PROV F LAG RPT | |
9428 | This optio n was dele ted as par t of IB*2. 0*516. | |
9429 | IBCN INS R PTS | |
9430 | This is a menu to ed it, view, and print insurance- related re ports. | |
9431 | IBCN INS P LANS MISSI NG DATA | |
9432 | This repor t prints a listing o f user sel ected Insu rance Comp anies that contain f ields with no data f or one or more user selected f ields. | |
9433 | IBCN INSUR ANCE BUFFE R PROCESS | |
9434 | Display sc reens and processing actions f or the Ins urance Buf fer. | |
9435 | IBCN INSUR ANCE BUFFE R PURGE | |
9436 | This optio n may be u sed to pur ge the Ins urance Buf fer of ent ries that were proce ssed (acce pted or re jected) at least one year ago. | |
9437 | IBCN INSUR ANCE CO ED IT | |
9438 | This optio n allows e dit insura nce compan y informat ion | |
9439 | IBCN INSUR ANCE EDI R EPORT | |
9440 | This repor t will dis play EDI r elated inf ormation f rom the In surance Co mpany file (#36). | |
9441 | IBCN INSUR ANCE MGMT MENU | |
9442 | This is th e main men u to edit, view, and print ins urance inf ormation. | |
9443 | IBCN INTER FACILITY I NS UPDATE | |
9444 | This optio n runs the Interfaci lity Ins U pdate Acti vity Repor t | |
9445 | IBCN LIST INACTIVE I NS W/PAT | |
9446 | This optio n will lis t inactive insurance companies that have patients listed as having thi s company as an insu rer. Run this repor t and then use the I nsurance C ompany Edi t option a nd choose the (In)Ac tivate Com pany actio n to re-po int those patients t o a valid insurance company. | |
9447 | IBCN LIST NEW NOT VE R | |
9448 | This optio n will lis t by patie nt new ins urance ent ries that have never been veri fied. Run this repo rt and the n use the Patient In surance In fo View/Ed it option and choose the Verif y Coverage action to verify co verage for individua l patients . | |
9449 | IBCN LIST PLANS BY I NS CO | |
9450 | This optio n lists in surance co mpanies an d the plan s under ea ch company . The use r may sele ct one, ma ny or all in both ca ses. The report can be run wi th or with out a list ing of the patients under each policy. | |
9451 | IBCN MEDIC ARE INSURA NCE INTAKE | |
9452 | This optio n provides users wit h a conden sed input template t o enter Me dicare Ins urance inf ormation f rom Medica re cards. The Name of the Ben eficiary s hould be e ntered in the follow ing format : Last Nam e, First N ame, Middl e Initial. The Medi care claim number sh ould be en tered exac tly as it appears on the card. Both, th e Part A a nd Part B effective dates from the card should als o be enter ed. Two s eparate po licies wil l be creat ed for bot h Part A a nd Part B coverage, as long as an effect ive date w as entered for each type of co verage. U sers holdi ng the IB Insurance Supervisor Security key will b e able to verify the informati on after e ntry. The policy wi ll be plac ed in the Insurance Buffer Fil e for non- key holder s. | |
9453 | IBCN MOVE SUBSCRIB T O PLAN | |
9454 | This optio n allows u sers to mo ve subscri bers to a different plan. The plan may b e with the same or d ifferent I nsurance C ompany. An nual Benef its, plan attributes and cover age limita tions may be moved a s well. | |
9455 | IBCN NO CO VERAGE VER IFIED | |
9456 | This optio n will lis t all Pati ents withi n the spec ified sort criteria that have a No Cover age Verifi cation Dat e entered. Verifica tion of no insurance coverage may need t o be revie wed yearly . | |
9457 | IBCN OUTPU T INS BUFF ACTIVITY | |
9458 | This repor t provides a summary of the ac tivity wit hin the In surance Bu ffer for a specified date rang e. Counts , percenta ges, and a verage pro cessing ti mes are in cluded for both proc essed and unprocesse d entries. The repo rt can be printed wi th totals only or wi th subtota ls by mont h within t he date ra nge select ed. | |
9459 | IBCN OUTPU T INS BUFF EMPLOYEE | |
9460 | This repor t provides a summary of entrie s in the I nsurance B uffer by e mployee an d a specif ied date r ange. The re are two variation s of this report, on e is for t hose emplo yees that create/ent er new Buf fer entrie s. The ot her variat ion is for those emp loyees tha t verify o r process (accept/re ject) Buff er entries . The rep ort may be printed f or one sel ected empl oyee or al l employee s using th e Buffer. Counts and percentag es are inc luded and can be pri nted with totals onl y or by mo nth. | |
9461 | IBCN PATIE NT INSURAN CE | |
9462 | This optio n allows v iewing and editing o f patient insurance informatio n. | |
9463 | IBCN POL W /NO EFF DA TE REPORT | |
9464 | This optio n displays all Activ e Policies that have no effect ive date f or the sea rch criter ia entered . The rep ort separa tes Verifi ed and Non -Verified policies a nd lists P atient inf ormation, Insurance informatio n and pati ent policy informati on. This report sho uld be que ued. | |
9465 | IBCN PT W/ WO INSURAN CE REPORT | |
9466 | This optio n provides a list of patients with or wi thout insu rance cove rage. The report li sts patien ts who rec eived medi cal treatm ent within a user sp ecified da te range, and may fu rther be r efined to only list patients w hose names or 'termi nal digit' falls wit hin a spec ified rang e. When p rinting th e report o f patients who have insurance coverage, the report may be re stricted t o those pa tients who have cove rage with specific c ompanies ( up to six) or a rang e of compa nies. Add itionally, the repor t may also be restri cted to on ly include patients whose age falls with in a user specified date range . This rep ort should be queued . | |
9467 | IBCN REMOT E INSURANC E QUERY | |
9468 | This optio n will per form a que ry on the selected p atient for insurance informati on at remo te VA site s. | |
9469 | IBCN RESYN CH INS COM P | |
9470 | On the rar e occasion that the associated insurance company p rovider ID s get out of synch, this optio n is to be used by E VS or the IRM to get the paren t and chil d insuranc e companie s to be th e same. T his option should no t be linke d to any m enu. This runs for all insura nce compan ies and lo cks the in surance co mpany file before st arting so no one can be editin g an insur ance compa ny while i t is runni ng. | |
9471 | IBCN UPDAT E SUBSCRIB ER INFO | |
9472 | This optio n will upd ate subscr iber field s defined to the PAT IENT FILE (#2) INSUR ANCE TYPE sub-file ( #2.312). | |
9473 | IBCN USER EDIT RPT | |
9474 | This optio n runs the new User Edit Repor t. | |
9475 | IBCN VIEW INSURANCE CO | |
9476 | This optio n allows v iewing of insurance company in formation. | |
9477 | IBCN VIEW INSURANCE DATA | |
9478 | This menu contains t he view op tion to Pa tient Insu rance and Insurance Company in formation. | |
9479 | IBCN VIEW PATIENT IN SURANCE | |
9480 | This optio n allows v iewing of patient in surance in formation. | |
9481 | IBCNE AUTO MATCH BUF FER | |
9482 | This optio n allows t he user to see insur ance compa ny names i n the Insu rance Buff er file th at do not exist in t he Insuran ce Company file (Fil e# 36) and that do n ot exist o r pattern match with anything in the Aut o Match fi le (File# 365.11). | |
9483 | IBCNE AUTO MATCH ENT ER/EDIT | |
9484 | This optio n allows t he user to manage th e entries in the Aut o Match fi le. | |
9485 | IBCNE EIV UPDATE REP ORT | |
9486 | Generate e IV Patient Insurance Update Re port based on eIV In quiries an d Response s for a gi ven date r ange and c urrent Pat ient Insur ance data. | |
9487 | IBCNE HL7 RESPONSE R EPORT | |
9488 | This optio n displays the time the reques t was sent to FSC an d the Time the respo nse was re ceive. It also show s the Buff er #, Paye r # and Pa tient # | |
9489 | IBCNE IIV AMBIGUOUS POLICY RPT | |
9490 | This repor t will all ow a user to display any Ambig uous Payer Responses for insur ance polic ies that t he eIV sof tware disc overed whi le questio ning Payer s. These policies a re not nec essarily o n the pati ent's insu rance file . Ambiguo us payer r esponses a re those r esponses t hat do not have enou gh informa tion to sa fely deter mine if th e policy i s active o r not. | |
9491 | IBCNE IIV BATCH PROC ESS | |
9492 | This optio n is not t o be place d on any m enu or run by any us er. This o ption is s pecificall y designed to be sch eduled in TaskMan to be execut ed once a day during off-peak hours. Ru nning this more than once a da y may caus e unexpect ed results . This op tion is th e eIV nigh tly task t hat extrac ts the pat ient/insur ance data from VISTA and trans mits it to AAC while following the eIV S ite Parame ters withi n file #35 0.9. | |
9493 | IBCNE IIV INACTIVE P OLICY RPT | |
9494 | This repor t will all ow a user to display any Inact ive Insura nce Polici es that th e eIV soft ware disco vered whil e question ing Payers . These po licies are not neces sarily on the patien t's insura nce file. | |
9495 | IBCNE IIV MENU | |
9496 | This menu contains o ptions rel ated to eI V (Electro nic Insura nce Verifi cation). | |
9497 | IBCNE EIV PAYER LINK NOTIFY | |
9498 | This optio n sends a Mailman no tification to eIV ma il group t hat contai ns total n umber of n ationally active unl inked paye rs with po tential in surance co mpany matc hes along with the l ist of nat ionally ac tive linke d payers t hat are lo cally inac tive. | |
9499 | IBCNE IIV PAYER LINK REPORT | |
9500 | This repor t shows th e relation ship betwe en the ins urance com panies in file 36 an d the paye rs in file 365.12. | |
9501 | IBCNE IIV PAYER REPO RT | |
9502 | Generate t he eIV Pay er Report based on e IV Respons es receive d for a gi ven date r ange by Pa yer. | |
9503 | IBCNE IIV RESPONSE R EPORT | |
9504 | Generate e IV Payer R eport base d on the e IV Respons es for a g iven date range, Pay er name ra nge and Pa tient name range. Al l the resp onse infor mation is displayed for the se lected res ponses. | |
9505 | IBCNE IIV STATISTICA L REPORT | |
9506 | Generate e IV Statist ical Repor t based on eIV Inqui ries and R esponses f or a given date rang e and curr ent Insura nce Buffer data. | |
9507 | IBCNE PAYE R EDIT | |
9508 | Option to allow user s to updat e the Loca l Active f lag for Pa yers and P ayer appli cations. | |
9509 | IBCNE PAYE R LINK | |
9510 | This optio n allows t he user to see payer s added du ring a dat e range en tered by t he user. T hey will t hen be abl e to link these paye rs to sele cted insur ance compa nies. | |
9511 | IBCNE PAYE R MAINTENA NCE MENU | |
9512 | This menu contains o ptions rel ated to ma intaining the Payer file (#365 .12). | |
9513 | IBCNE POTE NTIAL COB LIST | |
9514 | This optio n creates a list of those pati ents whom Medicare h as identif ied in a 2 71 HL7 res ponse mess age as hav ing insura nce subseq uent to th eir Medica re Insuran ce. | |
9515 | IBCNE POTE NTIAL NEW INS FOUND | |
9516 | While eIV was trying to identi fy/find (g uess) insu rance poli cies, usin g the Most Popular P ayer list and/or old expired i nsurance p olicies, p otential i nsurance p olicies we re discove red. | |
9517 | IBCNE PURG E IIV DATA | |
9518 | This optio n is respo nsible for purging d ata from f ile 365 (e IV Respons e) and fro m file 365 .1 (eIV Tr ansmission Queue). O nly data t hat is old er than 6 months can be purged . | |
9519 | IBCNE REQU EST INQUIR Y | |
9520 | Option to allow user s to force electroni c inquiry of patient insurance informati on through the eIV a pplication . | |
9521 | IBCNF EDIT CONFIGURA TION | |
9522 | eII Edit C onfigurati on: Runs the IBCNFC ON routine to edit t he eII con figuration parameter s. IBCNF EDIT secur ity key re quired. | |
9523 | IBCNF EII GET SERVER | |
9524 | This is a server typ e option ( not used b y any user ) that run s the GAIT CMSG^IBCNF RD routine . Members of the IB N, IBX, IB K and IBH mail group s will rec eive the A ITC DMI Qu eue confir mation mes sages for the four t ypes of Ex tract file s. The IB N mail gro up will al so receive the resul ts file me ssages. | |
9525 | IBCNR E-PH ARMACY MEN U | |
9526 | Contains o ptions for the e-Pha rmacy Proj ect. | |
9527 | IBCNR EDIT HIPAA NCP DP FLAG | |
9528 | This optio n allows t he user to edit the HIPAA NCPD P ACTIVE F LAG (#350. 9, 11.01) (master sw itch to co ntrol e-Ph armacy NCP DP transac tions). | |
9529 | IBCNR EDIT NCPDP PRO CESSOR | |
9530 | This optio n allows t he user to edit the NCPDP PROC ESSOR APPL ICATION su b-file (#3 66.013). Specific t o e-Pharma cy. | |
9531 | IBCNR EDIT PAYER | |
9532 | This optio n allows t he user to edit the PAYER APPL ICATION su b-file (#3 65.121). Specific t o e-Pharma cy. | |
9533 | IBCNR EDIT PBM | |
9534 | This optio n allows t he user to edit the PHARMACY B ENEFITS MA NAGER (PBM ) APPLICAT ION sub-fi le (#366.0 23). Spec ific to e- Pharmacy. | |
9535 | IBCNR EDIT PLAN | |
9536 | This optio n allows t he user to edit the PLAN APPLI CATION sub -file (#36 6.033). S pecific to e-Pharmac y. | |
9537 | IBCNR GROU P PLAN MAT CH | |
9538 | This optio n allows a user to m atch multi ple GROUP INSURANCE PLAN file (#355.3) r ecords to a PHARMACY PLAN file (#366.03) record. | |
9539 | IBCNR GROU P PLAN WOR KSHEET | |
9540 | The Group Plan Works heet allow s a user t o, for a g iven date range, vie w all auth orized Bil l/Claim ac tivity for a Group P lan that h as active Pharmacy c overage. | |
9541 | IBCNR PHAR MACY PLAN REPORT | |
9542 | The Pharma cy Plan Re port lists the Plan Name, Plan ID, Banki ng Identif ication Nu mber (BIN) , and Proc essor Cont rol Number (PCN) for all entri es. It can be sorted by Plan N ame or BIN and PCN. | |
9543 | IBCNR PLAN MATCH | |
9544 | This optio n allows a user to m atch a GRO UP INSURAN CE PLAN fi le (#355.3 ) record t o a PHARMA CY PLAN fi le (#366.0 3) record. | |
9545 | IBCNR PLAN STATUS IN QUIRY | |
9546 | Group Plan Status In quiry scre en | |
9547 | IBCNR PLAN STATUS RE PORT | |
9548 | IBCNR Grou p Plan Sta tus Report | |
9549 | IBCNR RELE ASE OF INF ORMATION | |
9550 | This optio n allows t he trackin g of Relea se of Info rmation fo r sensitiv e diagnosi s medicati ons | |
9551 | IBCNR ROI EXPIRATION REPORT | |
9552 | This optio n displays a report that will allow user s to see w hen Releas es of Info rmation (R OI) are be coming exp ired or so on will ex pire. It a lso allows the user to see the status of “Active” or “Inacti ve” for ea ch ROI. T he databas e for this report is file #356 .25 – CLAI MS TRACKIN G ROI. | |
9553 | IBCNR SHAR ED MATCHES RPT TASK | |
9554 | EPHARMACY SHARED MAT CHES REPOR T TASKMAN - Initiate s e-pharma cy Shared Plan Match es Report which gene rates and sends the report - F or use wit h TASKMAN scheduling . | |
9555 | IBCNR TEST PAYER SHE ET MATCH | |
9556 | This optio n allows t he user to override a payer sh eet associ ated with a Pharmacy Plan with a test pa yer sheet. This opt ion should only be u sed for te sting purp oses only. | |
9557 | IBCNSRVBP | |
9558 | This serve r option w ill facili tate on-de mand revie w of insur ance compa nies in IB patch 400 switchbac k mode. | |
9559 | IBCR ADJUS TMENT ENTE R/EDIT | |
9560 | Charge Mas ter option for IRM. Allow ente r/edit of Rate Sched ule Adjust ment field . This fi eld is M c ode and th erefore re quires pro grammer ac cess. | |
9561 | IBCR CHARG E MASTER I RM MENU | |
9562 | This menu contains a ll IRM opt ions for t he Integra ted Billin g Charge M aster. | |
9563 | IBCR CHARG E MASTER M ENU | |
9564 | This menu contains o ptions to define and support T hird Party billing r ates and c harges. | |
9565 | IBCR DELET E CHARGE I TEMS | |
9566 | Reports an d deletes Charge Ite ms in a Ch arge Set b ased on da te. All c harges tha t become i nactive be fore a use r specifie d date may be delete d allowing old, no l onger used charges t o be remov ed from th e system. | |
9567 | IBCR DISPL AY CHARGE MASTER | |
9568 | Display sc reens and enter/edit options f or Charge Master. | |
9569 | IBCR ENTER RC NATION AL CHARGES | |
9570 | This optio n is used to enter t he Nationa l Interim Reasonable Charges. These non -site spec ific charg es are pro vided when new CPT/H CPCS codes are relea sed as int erim charg es until t he next fu ll release of Reason able Charg es. | |
9571 | IBCR ENTER TP NEG RA TES | |
9572 | This optio n is used to enter/e dit Transf er Pricing Negotiate d rates. R ates can b e negotiat ed between another V A Facility or an ent ire networ k (VISN). This opti on can onl y be used to edit ra tes in cha rge sets t hat were p reviously set up usi ng this op tion. The rates ente red here a re stored in Charge Master for use. | |
9573 | IBCR FAST ENTER BILL ING RATES | |
9574 | This optio n is desig ned to spe ed the ent ry into th e Charge M aster of t he Interag ency and T ortuously Liable Bil ling Rates when they are relea sed once a year. | |
9575 | IBCR HOST FILE LOAD | |
9576 | This optio n includes functions necessary to load c harges fro m a Host f ile into t he Charge Master. | |
9577 | IBCR INACT IVE CODES | |
9578 | Reports an d inactiva tes the ch arges in t he Charge Master for all curre ntly inact ive CPT co des. | |
9579 | IBCR RC EX TRACT | |
9580 | This optio n is used to extract Reasonabl e Charges rates from Charge Ma ster in a format tha t can be i mported to Excel. T he extract will allo w you to c reate a te xt file th at is deli mitated by the circu mflex/care t (^) char acter. Wh en importi ng to Exce l specify that delim iter. Thi s can be u sed for an y version of RC from 2.0 or ab ove. The output dev ice select ed should be a Host File Serve r (HFS) or the Curre nt Termina l (for scr een captur e). | |
9581 | IBCR RC FA CILITY TYP E | |
9582 | This optio n allows t he user to change th e VA divis ion’s Faci lity Type designatio n for Reas onable Cha rges from Provider B ased to No n-Provider Based and vice vers a, which d etermines the charge s loaded a nd availab le for use for that division. | |
9583 | IBCR REPOR TS FOR CHA RGE MASTER | |
9584 | Option to print Char ge Master reports. | |
9585 | IBD EDS TR AINING | |
9586 | ||
9587 | IBD MANUAL DATA DISP LAY | |
9588 | This optio n will dis play the c omponents of a form that are a vailable f or data en try, the s election r ules, and any associ ated data qualifiers . Use this to determ ine if the form has been set u p correctl y. | |
9589 | IBD MANUAL DATA ENTR Y BY CLIN | |
9590 | This optio n allows m anual data entry of encounter data for t he Ambulat ory Data C apture pro ject. The user sele cts a clin ic, an app ointment d ate, a pat ient and c an then do data entr y for the encounter. All form s for the encounter will be as ked. If n o forms we re printed for the e ncounter t he user ca n select t he form to for data entry with out having to print the form. | |
9591 | IBD MANUAL DATA ENTR Y BY FORM | |
9592 | This optio n allows m anual data entry of encounter data for t he Ambulat ory Data C apture pro ject. Thi s option a llows a us er to do d ata entry on a singl e form at a time. I nput is ba sed on the form desi gn. | |
9593 | IBD MANUAL DATA ENTR Y GROUP | |
9594 | This optio n allows m anual data entry of encounter data for t he Ambulat ory Data C apture pro ject. The user sele cts a clin ic and app ointment d ate/time, and may de -select sp ecific pat ient, othe rwise afte r completi ng data en try for a single pat ient, the data will then be en tered for all patien ts with th e same app ointment d ate/time. All forms for the e ncounter w ill be ask ed. If no forms wer e printed for the en counter th e user can select th e form to for data e ntry witho ut having to print t he form. | |
9595 | IBD MANUAL DATA ENTR Y MENU | |
9596 | This menu contains t he AICS Ma nual Data Entry opti ons to ent er encount er data ba sed on enc ounter for m design. | |
9597 | IBD MANUAL DATA ENTR Y PRE | |
9598 | This optio n will all ow data en try of for ms that ar e pre-prin ted withou t patient data for u nscheduled visits su ch as occu r in emerg ency rooms . | |
9599 | IBD SCANNI NG WORKSTA TION | |
9600 | ||
9601 | IBDF AUTO PURGE FORM TRACKING | |
9602 | This optio n should b e queued t o run at t he sites c onvenience . It will purge old data from several A ICS files including: ENCOUNTER FORM DEFI NITION fil e (357.95) ENCOUNTER FORM TRAC KING file (357.96) F ORM SPECIF ICATION fi le (359.2) AICS ERRO R AND WARN ING LOG fi le (359.3) Two param eters in t he ENCOUNT ER FORM PA RAMETERS f ile (357.0 9) control how this option wor ks. The o ption need s no devic e and has no output. It is re commended that this be tasked to run at least once weekly du ring a wee kend or ot her slow t ime. | |
9603 | IBDF BACKG RD EF PRIN T QUEUE | |
9604 | This optio n prints e ncounter f orms in th e backgrou nd. Jobs are run ba sed on the queuing p arameters set up usi ng the opt ion IBDF S ETUP AUTO CLINIC PRI NT. | |
9605 | IBDF CLINI C SETUP/ED IT FORMS | |
9606 | The form g enerator f or creatin g encounte r forms. | |
9607 | IBDF COPY CPTS TO FO RM | |
9608 | Allows the user to s elect a CP T Check-of f Sheet an d Encounte r Form. T he Check-o ff Sheet's CPT codes are then copied to the Encoun ter Form. | |
9609 | IBDF DEFIN E AVAILABL E REPORT | |
9610 | Allows rep orts, othe r than Hea lth Summar ies, to be made avai lable for use by the print man ager. | |
9611 | IBDF DEFIN E AVLABLE HLTH SMRY | |
9612 | Allows a H ealth Summ ary to be made avail able for u se by the print mana ger. | |
9613 | IBDF EDIT CLINIC REP ORTS | |
9614 | Used to se lect repor ts that sh ould print for the c linic. | |
9615 | IBDF EDIT ENCOUNTER FORMS | |
9616 | Contains t he options that invo lve editin g encounte r forms. | |
9617 | IBDF EDIT MARKING AR EA | |
9618 | Allows the local sit es to crea te their o wn Marking Area to s upplement those that come with the tool kit. Mark ing Areas are the ar eas on a s election l ist that a re used fo r writing in to indi cate choic es. | |
9619 | IBDF EDIT PACKAGE IN TERFACE | |
9620 | This optio n only all ows select ion routin es and out put routin es. It al lows Packa ge Interfa ces to be created, e dited, and deleted. However, P ackage Int erfaces th at are in use in any form shou ld not be deleted. By creatin g their ow n Package Interfaces the local sites can display d ata to the ir forms t hat is not provided for in the tool kit. | |
9621 | IBDF EDIT PRINTERS | |
9622 | This optio n allows e diting of the Encoun ter Form P rinters fi le. You c an specify whether o r not a te rminal typ e is PCL5 compatible and the p roper esca pe sequenc es for sim plex and d uplex. On ly PCL5 co mpatible p rinters ca n print sc annable en counter fo rms, and m ust be so indicated. Generall y HP laser printers are PCL5 c ompatible. | |
9623 | IBDF EDIT SITE PARAM | |
9624 | This optio n will all ow editing of AICS s ite parame ters that affect the printing of forms, manual dat a entry, a nd the pur ge utility and scann ing. | |
9625 | IBDF EDIT TOOL KIT | |
9626 | Menu conta ining the options th at allow t he user to edit form s and bloc ks contain ed in the tool kit. | |
9627 | IBDF EDIT TOOL KIT B LOCKS | |
9628 | Allows too l kit bloc ks to be e dited, cre ated, and deleted. | |
9629 | IBDF EDIT TOOL KIT F ORMS | |
9630 | Allows too l kit form s to be ed ited, crea ted, and d eleted. | |
9631 | IBDF EF FO RM COMPONE NTS | |
9632 | This new d isplay lis ts the con tents of a form (wit hout displ aying them ). It lis ts the con tents of e ach block, the name of the blo ck, starti ng row and column, w idth and h eight of t he block. Two actio ns are inc luded on t his screen , EX Expan d Item and BC Block Components . Expand Item allow s the user to do an inquiry of the block and its c omponents listed in the Block file #357. 1. The Bl ock Compon ents actio n gives th e user a m ore exact makeup of the block and the da ta it disp lays. It lists the component, type it i s (selecti on list, h and print field or d ata field) row, colu mn and blo ck separat ors. For s election l ists it al so lists t he sub-col umn inform ation. Th e Type (te xt or mark ing), Data (code, sh ort descri ption), Wi dth of the sub-colum n, Qualifi er, Select ion Rule a nd if it i s editable . | |
9633 | IBDF ENCOU NTER FORM | |
9634 | Contains a ll of the encounter form optio ns. | |
9635 | IBDF FORMS TRACKING | |
9636 | This optio n connects the user to the for ms trackin g display. This all ows the us er to see what encou nter forms have been printed, scanned an d those th at have no t. It als o allows t he user to get stati stics on t his data a s well as display fo rms with a specific status. | |
9637 | IBDF FREE PENDING PA GES | |
9638 | This optio n will all ow a user to send Fo rms Tracki ng entries that are in a pendi ng pages s tatus to P CE. | |
9639 | IBDF IMPOR T/EXPORT U TILITY | |
9640 | Allows for ms and blo cks to be transferre d between sites. | |
9641 | IBDF IRM O PTIONS | |
9642 | The basic intent of this menu is to cont ain the op tions that should on ly be avai lable to t hose techn ical users that can program in MUMPS, wh ich is a r equirement , for exam ple, when, adding a new PACKAG E INTERFAC E. | |
9643 | IBDF LIST CLINICS US ING FORMS | |
9644 | For each e ncounter f orm this o ption list s the clin ics using it. | |
9645 | IBDF LIST CLINICS WI TH NO FORM | |
9646 | This optio n gives a report tha t lists th e clinics that do no t have enc ounter for ms. | |
9647 | IBDF MANUA L PURGE FO RM TRACK | |
9648 | This optio n cleans u p old data in AICS f iles that has a very limited o r no use. Sites are allowed t o choose t he type of data that is to be deleted an d the numb er of days of data t hat should be retain ed. In add ition, sit es are all owed to ch oose wheth er or not to retain data on it ems where the AICS p rocessing is incompl ete. Site s that do not scan a nd do not use AICS M anual Data Entry sho uld purge all files completely and retai n the mini mum amount of data. Sites tha t are acti vely scann ing may ch oose to ke ep data fo r a longer period an d purge on ly Complet ed records depending upon the speed of c ompleting outpatient records. The optio n needs no device an d has no o utput. It is recomme nded that this be ta sked to ru n at least once week ly during a weekend or other s low time. It will p urge old d ata from t he several AICS file s includin g: ENCOUNT ER FORM DE FINITION f ile (357.9 5) ENCOUNT ER FORM TR ACKING fil e (357.96) FORM SPEC IFICATION file (359. 2) AICS ER ROR AND WA RNING LOG file (359. 3) Use the option IB DF AUTO PU RGE FORM T RACKING to automatic ally queue this opti on to run on a recur ring basis . | |
9649 | IBDF MISCE LLANEOUS C LEANUP | |
9650 | This optio n is inten ded to del ete variou s data str uctures th at are no longer in use. The Encounter Form Utili ties were designed t o automati cally dele te all dat a structur es when no longer ne eded, so t his option is a back up that sh ould rarel y be neede d. Curren tly, the o ption dele tes the co mpiled ver sion of fo rms where the form i tself no l onger exis ts. It al so deletes blocks th at do not belong to any form. | |
9651 | IBDF PRINT BLNK ENCO UNTER FORM | |
9652 | This optio n allows t he user to select a clinic, an d if an en counter fo rm is defi ned for us e with an embossed p atient car d the form will be p rinted. | |
9653 | IBDF PRINT ENCOUNTER FORMS | |
9654 | For printi ng an enco unter form for appoi ntments, e ither by d ivision, c linic, or patient. | |
9655 | IBDF PRINT ERROR LIS T | |
9656 | During sca nning erro rs reporte d by AICS or PCE are stored in the AICS Error Log file. Thi s report w ill allow printing a list of t he errors so that th e encounte r forms ca n be retri eved and t he data va lidated. | |
9657 | IBDF PRINT MANAGER | |
9658 | Contains a ll the opt ions perta ining to t he print m anager, ex cept for t he IBDF DE FINE AVLAB LE HLTH SM RY option - that opt ion allows the user to enter m umps code, so it mus t be limit ed to IRM use. | |
9659 | IBDF PRINT OPTIONS | |
9660 | Contains t he options for print ing encoun ter forms. | |
9661 | IBDF PRINT SAMPLE AL L CLINICS | |
9662 | This optio n will pri nt out one copy of e ach form c urrently a ssigned to a clinic and that i s in use. Use this to prepare a package of materi als for re view or sh aring with other fac ilities. | |
9663 | IBDF PRNT FORM W/DAT A NO APPT. | |
9664 | Allows an encounter form to be printed w ith patien t data, bu t does not ask that an appt. b e selected . Uses cu rrent time as the ap pointment time. | |
9665 | IBDF RECOM PILE ALL F ORMS | |
9666 | Used to re compile al l forms. The compil ed version of every form and b lock is de leted. Ea ch form is compiled the first time it is printed. | |
9667 | IBDF REPOR T CLINIC S ETUPS | |
9668 | Reports on each clin ic setup, listing th e encounte r forms an d other re ports defi ned for us e by the c linic. | |
9669 | IBDF REPOR TS MENU | |
9670 | This menu option wil l contain the report s and util ities for AICS. | |
9671 | IBDF SCANN ED W/BILL GEN | |
9672 | This optio n prints a report fo r those en counter fo rms that h ave been s canned tha t also hav e bills ge nerated. The report displays this data for all cl inics usin g encounte r forms fo r one/many /all divis ions for a specific date range . The dat a that is displayed is the num ber scanne d, number insured, n umber of b ills enter ed, number of bills printed, a nd average days from date of e ncounter t o date of bill gener ation (pri nted). | |
9673 | IBDF SETUP AUTO CLIN IC PRINT | |
9674 | This optio n allows u sers to en ter Print Manager Qu euing Para meters and to specif y automati c queuing parameters . | |
9675 | IBDF UTIL MAINTENANC E UTILITY | |
9676 | This is a maintenanc e utility for the AI CS package . It allo ws the use r to displ ay and pri nt a listi ng of the invalid IC D, CPT and VISIT cod es that ar e on encou nter forms . It also allows th e user to delete the invalid c odes from the forms. Another action of this optio n is displ aying a co mplete lis ting of al l invalid ICD, CPT, and VISIT codes. | |
9677 | IBDF VALID ATE FORMS | |
9678 | Report use d to valid ate the da ta that wi ll be pass ed to PCE when an En counter Fo rm is scan ned. The report may be sorted by Divisi on, Clinic Group, Cl inic or Fo rm. | |
9679 | IBDFC CONV ERSION UTI LITY | |
9680 | Used to co nvert a fo rm that wa s designed for just printing t o a form t hat can be scanned. | |
9681 | IBJ DIAGNO STIC MEASU RES MENU | |
9682 | The Diagno stic Measu res Menu a llows a fa cility to quantitati vely measu re various elements which are critical t o the MCCR program. | |
9683 | IBJ MCCR C OORDINATOR | |
9684 | This menu contains t he Joint I nquiry and the Diagn ostic Meas ures repor ts. | |
9685 | IBJ MCCR S ITE PARAME TERS | |
9686 | This optio n allows t he user to view and edit MCCR site param eters. Sec urity key IB PARAMET ER EDIT re quired. | |
9687 | IBJ THIRD PARTY JOIN T INQUIRY | |
9688 | Set of act ions and s creens for Third Par ty AR/IB J oint Inqui ry. Provid es detaile d informat ion on any Third Par ty Claim. | |
9689 | IBJD BILLI NG LAG TIM E | |
9690 | The Billin g Lag Time Report pr ovides a m easure of the amount of time b etween sig nificant m ilestones which occu r during t he claim s ubmission and receiv ables mana gement pro cesses. | |
9691 | IBJD BILLI NG REPORTS | |
9692 | The Billin g Reports allow meas urement of the claim s submissi on process . | |
9693 | IBJD DM DI SABLE/ENAB LE | |
9694 | This optio n allows a user to d isable or re-enable the Diagno stic Measu res Extrac tion backg round job or certain DM report s that go through th e monthly DM Extract ion backgr ound job. Once a re port is di sabled, it won't be queued to run via th e DM extra ct process . | |
9695 | IBJD DM EX TRACT MENU | |
9696 | This menu contains o ptions rel ated to th e Diagnost ic Measure s Extracti on Module. | |
9697 | IBJD DM MA NUAL START | |
9698 | This optio n allows a user to r estart the Diagnosti c Measures Extractio n backgrou nd job if the DM rep ort data h as not bee n successf ully extra cted for t he previou s month. | |
9699 | IBJD DM MA NUAL TRANS MIT | |
9700 | This optio n allows a user to r etransmit a Diagnost ic Measure s Extract file to FO RUM for a particular month if that month 's DM repo rt data di d not succ essfully t ransmit th e first ti me. | |
9701 | IBJD DM VI EW/PRINT E XTRACTS | |
9702 | This optio n allows a user to s ee the res ults of pr evious Dia gnostic Me asures ext ractions. It shows whether or not certa in reports made it t hrough the extractio n process. | |
9703 | IBJD FOLLO W-UP AR PR OD REPORT | |
9704 | This repor t shows cl erk activi ty based o n transact ion types and timefr ames. | |
9705 | IBJD FOLLO W-UP ASSIG N PRINT | |
9706 | This optio n allows t he printin g of selec ted or all Workload Assignment s stored i n file #35 1.73. | |
9707 | IBJD FOLLO W-UP CHAMP VA/TRICARE | |
9708 | This optio n provides informati on for sit es to use to conduct follow-up activitie s for CHAM PVA and TR ICARE rece ivables. | |
9709 | IBJD FOLLO W-UP FIRST PARTY | |
9710 | This optio n provides informati on for sit es to use to conduct follow-up activitie s for Firs t Party re ceivables. | |
9711 | IBJD FOLLO W-UP MISC BILLS | |
9712 | This optio n provides informati on for sit es to use to conduct follow-up activitie s for misc ellaneous receivable s. | |
9713 | IBJD FOLLO W-UP REPAY MENT PLAN | |
9714 | This optio n provides informati on for sit es to use to conduct follow-up on the Re payment Pl ans. | |
9715 | IBJD FOLLO W-UP REPOR TS | |
9716 | The Follow -Up Report s allow me asurement of the rec eivables m anagement function. | |
9717 | IBJD FOLLO W-UP SUMMA RY REPORT | |
9718 | The Third Party Foll ow-Up Summ ary Report provides a summary of the bal ances of a ll outstan ding Third Party rec eivables. | |
9719 | IBJD FOLLO W-UP THIRD PARTY | |
9720 | The Third Party Foll ow-Up Repo rt provide s informat ion for si tes to use to conduc t follow-u p activiti es for Thi rd Party r eceivables . | |
9721 | IBJD FOLLO W-UP WORKL OAD | |
9722 | This optio n allows t he enterin g/editing of Workloa d Assignme nts by cle rk to be s tored in f ile #351.7 3. | |
9723 | IBJD INTAK E COMP REG | |
9724 | The Percen tage of Co mpleted Re gistration s report a llows the facility t o examine the percen tage of re gistration s complete d without an inconsi stency. | |
9725 | IBJD INTAK E INS | |
9726 | The report of Patien ts with Un identified Insurance provides a list of patients t hat have b een treate d, but not identifie d as havin g or not h aving insu rance. | |
9727 | IBJD INTAK E NO EMPL | |
9728 | The No Emp loyer List ing provid es a list of veteran s who were treated w ithin a sp ecified ti meframe an d whose em ployer is not specif ied. | |
9729 | IBJD INTAK E OPT WORK LOAD | |
9730 | The Outpat ient Workl oad Report provides a measure of the num ber and ty pes of Out patient Se rvices pro vided in t he facilit y. | |
9731 | IBJD INTAK E POL NOT VER | |
9732 | The report of Insura nce Polici es Not Ver ified prov ides a lis t of polic ies entere d into the system (w ithin a sp ecified ti meframe) b ut were ne ver verifi ed. | |
9733 | IBJD INTAK E REPORTS | |
9734 | The intake reports a llow measu rement of registrati on process es and wor kload repo rting. | |
9735 | IBJD INTAK E SC VETS | |
9736 | The report of SC Vet s w/ NSC E pisodes of Care Not Billed (In patient) p rovides a measure of how well sites are billing th eir SC vet erans for non-servic e connecte d treatmen t. | |
9737 | IBJD INTAK E UNV ELIG | |
9738 | This repor t lists pa tients who have been treated a t a facili ty, but wh ose eligib ility has not been v erified. This repor t will als o list pat ients with verified eligibilit y for at l east 2 yea rs, if any . | |
9739 | IBJD PERCE NT PREREGI STERED | |
9740 | This repor t provides number of patients treated, t he number of patient s pre-regi stered, % of patient s pre-regi stered, nu mber of pa tients pre -registere d past the pre-regis tration ti me frame, number of patients n ever pre-r egistered, the clini c exclusio ns, and th e eligibil ity exclus ions. | |
9741 | IBJD REASO NS NOT BIL LABLE | |
9742 | This optio n prints a list of C laims Trac king entri es that ca nnot be bi lled to an insurance company f or various reasons. | |
9743 | IBJD UTILI ZATION REP ORTS | |
9744 | The Utiliz ation Repo rts allow measuremen t of the U tilization Managemen t process. | |
9745 | IBJD UTILI ZATION WOR KLOAD | |
9746 | The Utiliz ation Work load Repor t provides a measure of the nu mber of In surance Re views whic h are cond ucted at t he facilit y. | |
9747 | IBQL ACUTE DOWNLOAD | |
9748 | This optio n, prompte d for date range ask s for a re port by Se rvices, Tr eating Spe cialties, or Admitti ng Diagnos is will ta lly by mon th a downl oaded list for Excel of Acute and Non-Ac ute entrie s and Non- Acute Rea sons for A dmission a nd Stay re views. | |
9749 | IBQL ACUTE LIST | |
9750 | This optio n, prompte d for date range ask s for a re port by Se rvices, Tr eating Spe cialties, or Admitti ng Diagnos is will ta lly by mon th a list of Acute a nd Non-Acu te entries and Non-A cute Reaso ns for Adm ission and Stay revi ews. | |
9751 | IBQL DOWNL OADS | |
9752 | This optio n controls the Downl oad menu o ptions for IBQ. | |
9753 | IBQL MAIN MENU | |
9754 | This optio n is the m ain menu f or Utiliza tion Manag ement Roll up at the local site . | |
9755 | IBQL MISSI NG DATA LI ST | |
9756 | This optio n, prompte d for date range, li sts patien ts dischar ged from C laims Trac king with missing da ta for Ran dom, Disea se, and Lo cal cases who would qualify fo r the nati onal and l ocal rollu p. | |
9757 | IBQL NATIO NAL ROLLUP | |
9758 | This optio n will loa d the UTIL IZATION MA NAGEMENT R OLLUP file with Rand om and Dis ease speci fic data f or the nat ional roll up. This option is queued to run at a s ite select ed date be tween May 15 and Jun e 15 and r e-queued e very six m onths. Th is data is pulled fr om the Hos pital Revi ew file (# 356.1) bas ed on disc harged dat es in the Claims Tra cking file (#356). | |
9759 | IBQL OUTPU TS | |
9760 | The Output s menu opt ion contro ls all the list menu s for IBQ. | |
9761 | IBQL PATIE NT LIST | |
9762 | This optio n, prompte d for date range, li sts all pa tients dis charged fr om the Cla ims Tracki ng file (# 356) for R andom, Dis ease, and Local case s who will qualify f or the nat ional and local roll ups. | |
9763 | IBQL PATIE NT REVIEW DOWNLOAD | |
9764 | This optio n, prompte d for date range ask s for a re port by Se rvices or Treating S pecialties , will dow nload pati ents and t heir Admis sion and S tay review informati on. | |
9765 | IBQL PATIE NT REVIEW LIST | |
9766 | This optio n, prompte d for date range ask s for a re port by Se rvices, Tr eating Spe cialties, or Provide rs will li st patient s and thei r Admissio n and Stay review in formation. | |
9767 | IBQL PURGE ROLLUP DA TA | |
9768 | This optio n, prompte d for Loca l or All C ases, will purge sel ected case s from the Utilizati on Managem ent Rollup File. | |
9769 | IBQL ROLLU P | |
9770 | This optio n, prompte d for date range, wi ll load th e Utilizat ion Rollup file (#53 8) with qu alifying p atients di scharged f rom Claims Tracking that have no missing data. Th is process will buil d a rollup file to b e used by the UR for reports a nd downloa ding to sp readsheet. | |
9771 | IBRFI 277 WORKLIST | |
9772 | This is a list manag er screen, RFAI Mana gement Wor klist, to select RFI Messages to be work ed. | |
9773 | IBT CODING VALIDATIO N MENU | |
9774 | This menu is for rep orts that relate to indicating which cla ims have b een valida ted by cod ing staff. | |
9775 | IBT EDIT A PPEALS/DEN IALS | |
9776 | This optio n allows f or enter/e diting app eals and d enials and associate d communic ations. | |
9777 | IBT EDIT B I TRACKING ENTRY | |
9778 | This optio n allows e ntry and d isplay of claims tra cking info rmation th at is need ed to perf orm billin g function s. | |
9779 | IBT EDIT C OMMUNICATI ONS | |
9780 | This optio n allows e nter/editi ng of MCCR /UR relate d communic ations tha t may or m ay not be associated with a cl aims track ing entry. | |
9781 | IBT EDIT H R REVIEWS TO DO | |
9782 | This optio n will cre ate a list of pendin g work for Hospital UR personn el who do QM reviews . From th is option most all s creens and options n eeded to d o the dail y input ar e availabl e. | |
9783 | IBT EDIT H R TRACKING ENTRY | |
9784 | This optio n allows e nter/editi ng of Clai ms Trackin g Entries. Data ass ociated wi th a CT en try may af fect if or how it is billed an d the type s of revie ws that ma y be or mu st be ente red. | |
9785 | IBT EDIT I R REVIEWS TO DO | |
9786 | This optio n will cre ate a list of pendin g reviews that Insur ance Revie w personne l need to complete. Most of t he input s creens and options n eeded to d o the dail y work are available from this option. | |
9787 | IBT EDIT I R TRACKING ENTRY | |
9788 | This optio n allows e nter/editi ng of Clai ms Trackin g Entries. Data ass ociated wi th a CT en try may af fect if or how it is billed an d the type s of revie ws that ma y be or mu st be ente red. | |
9789 | IBT EDIT R EASON NOT BILLABLE | |
9790 | This optio n allows e ntry of a reason not billable. Entry of a reason will autom atically b e printed on the Pat ients with Insurance Reports a nd will ca use the an notated ca re not to be automat ically bil led. | |
9791 | IBT EDIT R EVIEWS | |
9792 | This optio n allows v iewing and editing o f UR revie ws of clai ms trackin g entries. This inc ludes pre- admission/ pre-certif ication re views, con tinuing st ay reviews , and disc harge revi ews. | |
9793 | IBT EDIT R EVIEWS TO DO | |
9794 | This optio n will lis t all revi ews that h ave a next review da te in the past seven days. Al l screens and action s necessar y to compl ete the pe nding revi ews are av ailable fr om within this optio n. You ma y also sel ect a diff erent date range of pending re views if d esired. B oth Hospit al and Ins urance rev iews can b e accessed with this option. Many pendi ng reviews may have automatica lly been c reated by the comput er when a patient is admitted. | |
9795 | IBT EDIT T RACKING EN TRY | |
9796 | This optio n allows e nter/editi ng of Clai ms Trackin g Entries. Data ass ociated wi th a CT en try may af fect if or how it is billed an d the type s of revie ws that ma y be or mu st be ente red. | |
9797 | IBT EDIT T RACKING PA RAMETERS | |
9798 | This optio n allows e diting MCC R site par ameters th at affect the Claims Tracking Module. Se curity key IB PARAME TER EDIT r equired. | |
9799 | IBT ENTERE D NOT REVI EWED | |
9800 | This new r eport will allow the MCCF staf f to ident ify encoun ters that have been: 1. Revie wed by the coders an d are read y to bill (indicated by a non- blank find ings type) and 2. N ot reviewe d by code (indicated by a blan k findings type) The report pr ints all o utpatient reimbursab le insuran ce claims in file #3 99 with a status of Entered/No t Reviewed . The use r input cr iteria for the repor t is the E vent Date range. Th e user is prompted f or the EVE NT START D ATE and EV ENT END DA TE. | |
9801 | IBT 278 CE RTIFICATIO N REPORT | |
9802 | This optio n runs the 278 Certi fication R eport. | |
9803 | IBT 278 DI SPOSITION REPORT | |
9804 | This optio n runs the 278 Delet ion Dispos ition Repo rt. | |
9805 | IBT 278 ST ATISTICAL REPORT | |
9806 | This optio n runs the 278 Stati stical Rep ort. | |
9807 | IBT HCSR N IGHTLY PRO CESS | |
9808 | This optio n should n ot be plac ed on any menu or ru n by any u ser, it is designed to be sche duled in T askMan to be execute d once a d ay during off-peak h ours. This option is a nightly task that gathers d ata for He althcare S ervices Re view workl ist and st ores it in HCS REVIE W TRANSMIS SION file. | |
9809 | IBT HCSR R ESPONSE VI EW | |
9810 | Healthcare Services Review 278 response view. | |
9811 | IBT HCSR W ORKLIST | |
9812 | Healthcare Services Review wor klist. | |
9813 | IBT MANAGE R MENU | |
9814 | This is th e main cla ims tracki ng menu. It contain s the vari ous user m enus that can be ass igned dire ctly to UR or MCCR/U R personne l. | |
9815 | IBT MONTHL Y AUTO GEN AVE BILL | |
9816 | This optio n will cal culate the number of bills and the avera ge bill am ounts for a month an d store th e data in the CLAIMS TRACKING UNBILLED A MOUNTS fil e (356.19) . This da ta will th en be used by the sc heduled op tion Auto- Build Unbi lled Amoun ts Report (IBT MONTH LY AUTO GE N UNBILLED ) to gener ate the un billed amo unts data that needs to be rep orted by t he 3rd wor k day of t he month. Queue thi s option t o run once monthly. Sites may choose the date it s hould run but it is suggested that it ru n after th e 15th of the month when user activity i s low (i.e . November 19, 1994 @ 2:00am). No devic e is neces sary, the results ar e stored a nd a compl etion mail message i s sent to the mail g roup speci fied in th e IB SITE PARAMETERS file. | |
9817 | IBT MONTHL Y AUTO GEN UNBILLED | |
9818 | This optio n will aut omatically generate the unbill ed amounts report th at contain s the data that need s to be in put to our general l edger acco unts by th e 3rd work day of th e month. Schedule t his option to run on ce monthly on the 1s t or 2nd d ay of the month. No device is needed, t he results are sent in a mail message to the mail group spec ified in t he IB SITE PARAMETER S file. | |
9819 | IBT OUTPUT BILLING S HEET | |
9820 | This optio n allows p rinting of informati on from Cl aims Track ing about a specific visit. In cluded on the report is Visit Informatio n, Insuran ce Informa tion, Bill ing inform ation (fro m Claims T racking), Hospital R eview info rmation an d Insuranc e Review i nformation . Also in cluded is provider, diagnosis, and proce dure infor mation. T his report is the mo st complet e summary of informa tion about a single visit avai lable in C laims Trac king. | |
9821 | IBT OUTPUT CLAIM INQ UIRY | |
9822 | This optio n allows v iewing or printing a detailed inquiry to any claim s tracking entry. T his includ es showing all assoc iated revi ews and co mmunicatio ns. | |
9823 | IBT OUTPUT DENIED DA YS REPORT | |
9824 | This optio n prints a summary o f days den ied by ins urance com pany for a user spec ified date range. A summary r eport by s ervice is also gener ated. | |
9825 | IBT OUTPUT LIST VISI TS | |
9826 | This optio n will pri nt a list of visits that requi re either an insuran ce review, hospital review or both. In addition o nly visits that are admissions may be pr inted. Th e user may select th e date ran ge of visi ts to prin t. This op tion can b e used to list the R andom Samp le cases b eing track ed for Hos pital Revi ews by ans wering the prompts t hat only h ospital re views for admissions are wante d. | |
9827 | IBT OUTPUT MCCR/UR S UMMARY | |
9828 | This repor t can be r un for eit her admiss ions or di scharges f or a date range. It will summ arize tota ls by admi ssion or d ischarge, cases with insurance , billable inpatient cases, ca ses requir ing review s, days ap proved, am ount colle ctible app roved for billing, n umber of d ays denied , amount d enied, and penalty d ollars. | |
9829 | IBT OUTPUT MENU | |
9830 | This is th e main rep orts menu for the Cl aims track ing module . | |
9831 | IBT OUTPUT ONE ADMIS SION SHEET | |
9832 | This optio n will pri nt an admi ssion shee t for one patient on e admissio n at a tim e. It can be used t o reprint an admissi on sheet i f needed. | |
9833 | IBT OUTPUT PENDING I TEMS | |
9834 | This optio n will pri nt a sorte d list of Pending Re views. It is differ ent from p rinting fr om the Pen ding Revie ws option in that it will limi t the entr ies to jus t those yo u care to see. | |
9835 | IBT OUTPUT REVIEW WO RKSHEET | |
9836 | This optio n will pri nt an Insu rance Revi ew workshe et for the selected patient. If the pat ient is cu rrently an inpatient , it will contain th e current inpatient informatio n. | |
9837 | IBT OUTPUT SCHED ADM W/INS | |
9838 | This optio n will pri nt a list of Admissi on that ar e schedule d but not admitted a nd/or sche duled admi ssions tha t have bee n admitted . All adm issions mu st be for patients w ho were in sured on t heir admis sion date. | |
9839 | IBT OUTPUT UNSCHE AD M W/INS | |
9840 | This optio n will pri nt a list of patient s who were insured o n their ad mission da te but wer e not sche duled admi ssions. | |
9841 | IBT OUTPUT UR ACTIVI TY REPORT | |
9842 | This optio n prints b y clinical service, informatio n about th e MCCR/UR activity. | |
9843 | IBT QUICK REV CODING STAT | |
9844 | This repor t allows t he MCCF st aff to sel ect a spec ific patie nt to see the status of the cl aim so the y know at a glance w hether or not it is ready for billing. The report input var iable is: Patient Na me Report is sorted by ENCOUNT ER DATE/TI ME The fol lowing fie lds are to be printe d on this report: 1. Patient S ocial Secu rity Numbe r 2. Outpa tient Enco unter Loca tion 3. En counter Da te and Tim e 4. Reaso n Not Bill able 5. Bi llable Fin dings Type | |
9845 | IBT RE-GEN AVE BILL AMOUNT | |
9846 | This optio n can be u sed to re- generate t he monthly and yearl y counts a nd amounts of inpati ent and ou tpatient b ills for a single mo nth. If t he month s elected fo r input re quires the calculati on of prev ious month ’s data in order to obtain its yearly va lues, this will be d one when t he option is execute d. If the month sel ected has 12 prior m onths wort h of data, the month selected will be re calculated . The mon ths subseq uent to th e month se lect (up t o 12) will have thei r yearly d ata recalc ulated. T his inform ation is u sed to com pute the a verage bil l amount f or the Unb illed Amou nts Report . The unb illed amou nt report is automat ically gen erated for only the month sele cted after the avera ge bill am ounts are calculated . | |
9847 | IBT RE-GEN UNBILLED REPORT | |
9848 | This optio n can be u sed to re- generate t he Unbille d amounts report for a single month. Th is will re -compute t he unbille d care for the month and updat e the unbi lled amoun ts. To si mply view previously computed data use t he View op tion. | |
9849 | IBT SEND T EST UNBILL ED MESS | |
9850 | This optio n allows f or sending of a test mail mess age to the mail grou p to recei ve the Unb illed Amou nts messag es. Using this prio r to repor ting probl ems can as sist sites in determ ining whet her the ma il groups are set up correctly . The mai l group to get the m essage sho uld be spe cified in field UNBI LLED MAIL GROUP (6.2 5) in the IB SITE PA RAMETERS f ile (350.9 ). | |
9851 | IBT SUP MA NUALLY QUE ENCTRS | |
9852 | This optio n allows t he user to select a date range of outpat ient encou nters and tries to a dd them to the Claim s tracking module. The option will auto matically queue off a task to add encoun ters and w hen comple te send th e requesti ng user a mail messa ge. | |
9853 | IBT SUP MA NUALLY QUE RX FILLS | |
9854 | This optio n can be u sed to man ually add RX refills to Claims tracking. The opti on will au tomaticall y queue of f a task t o add refi lls and wh en complet e send the requestin g user a m ail messag e. | |
9855 | IBT SUP MA NUALLY QUE PRSTHTCS | |
9856 | This optio n allows t he user to select a date range of prosth etics enco unters and tries to add them t o the Clai ms tracki ng module. The opti on will au tomaticall y queue of f a task t o add pros thetics a nd when co mplete sen d the requ esting use r a mail m essage. | |
9857 | IBT SUPERV ISORS MENU | |
9858 | This optio n contains the super visory opt ions for t he Claims tracking m odule. Sit e paramete rs may be edited. T able files may be ma intained. Background jobs may be repeate d or re-qu eued. | |
9859 | IBT UNBILL ED MENU | |
9860 | This menu contains t he 4 user options av ailable to regenerat e and view the Unbil led Amount s report. | |
9861 | IBT UNREVI EWED CODIN G REPORT | |
9862 | This repor t is desig ned to be run by sta ff to dete rmine whic h Claims T racking ev ents still require r eview. Th e user is prompted f or the OUT PATIENT EN COUNTER ST ART DATE a nd OUTPATI ENT ENCOUN TER END DA TE. | |
9863 | IBT USER C OMBINED MC CR/UR MENU | |
9864 | This is th e main men u for MCCR /UR person s who do b oth Hospit al UR and MCCR UR (I nsurance U R). It co ntains all the optio ns necessa ry to do b oth hospit al and Ins urance Rev iews. Fro m this men u the clai ms trackin g module c an be edit ed, UR Rev iews can b e entered, Insurance Reviews c an be ente red and re ports prin ted. Supe rvisory fu nctions wi ll be avai lable to t hose who h old the su pervisory keys. | |
9865 | IBT USER M ENU (BI) | |
9866 | This menu contains t he options in Claims tracking designed s pecificall y for bill ing clerks and billi ng supervi sors who d o not need to have a ny Utiliza tion Revie w Input. Options in clude the ability to flag care as not bi llable, UR reports o n billing case, and a claims t racking up date optio n. | |
9867 | IBT USER M ENU (HR) | |
9868 | This is th e main men u for UR p ersonnel t o enter Ho spital Rev iews into the Claims Tracking Module. F rom the me nu the cla ims tracki ng module can be edi ted, UR Re views can be entered and repor ts printed . Supervi sory funct ions will be availab le to thos e who hold the super visory key s. | |
9869 | IBT USER M ENU (IR) | |
9870 | This is th e main men u for MCCR /UR person s who do M CCR/UR Rev iews (Insu rance Revi ews). Fro m the menu the claim s tracking module ca n be edite d, Insuran ce Reviews can be en tered and reports pr inted. Sup ervisory f unctions w ill be ava ilable to those who hold the s upervisory keys. | |
9871 | IBT VIEW U NBILLED AM OUNTS | |
9872 | This optio n can be u sed to vie w previous ly compute d unbilled amounts w ithout hav ing to re- compile th e data. | |
9873 | IBT MONTHL Y AUTO GEN AVE BILL | |
9874 | This optio n will cal culate the number of bills and the avera ge bill am ounts for a month an d store th e data in the CLAIMS TRACKING UNBILLED A MOUNTS fil e (356.19) . This da ta will th en be used by the sc heduled op tion Auto- Build Unbi lled Amoun ts Report (IBT MONTH LY AUTO GE N UNBILLED ) to gener ate the un billed amo unts data that needs to be rep orted by t he 3rd wor k day of t he month. Queue thi s option t o run once monthly. Sites may choose the date it s hould run but it is suggested that it ru n after th e 15th of the month when user activity i s low (i.e . November 19, 1994 @ 2:00am). No devic e is neces sary, the results ar e stored a nd a compl etion mail message i s sent to the mail g roup speci fied in th e IB SITE PARAMETERS file. | |
9875 | IBT MONTHL Y AUTO GEN UNBILLED | |
9876 | This optio n will aut omatically generate the unbill ed amounts report th at contain s the data that need s to be in put to our general l edger acco unts by th e 3rd work day of th e month. Schedule t his option to run on ce monthly on the 1s t or 2nd d ay of the month. No device is needed, t he results are sent in a mail message to the mail group spec ified in t he IB SITE PARAMETER S file. | |
9877 | IBT RE-GEN AVE BILL AMOUNT | |
9878 | This optio n can be u sed to re- generate t he monthly and yearl y counts a nd amounts of inpati ent and ou tpatient b ills for a single mo nth. If t he month s elected fo r input re quires the calculati on of prev ious month ’s data in order to obtain its yearly va lues, this will be d one when t he option is execute d. If the month sel ected has 12 prior m onths wort h of data, the month selected will be re calculated . The mont hs subsequ ent to the month sel ect (up to 12) will have their yearly da ta recalcu lated. Th is informa tion is us ed to comp ute the av erage bill amount fo r the Unbi lled Amoun ts Report. The unbi lled amoun t report i s automati cally gene rated for only the m onth selec ted after the averag e bill amo unts are c alculated. | |
9879 | IBT RE-GEN UNBILLED REPORT | |
9880 | This optio n can be u sed to re- generate t he Unbille d amounts report for a single month. Th is will re -compute t he unbille d care for the month and updat e the unbi lled amoun ts. To si mply view previously computed data use t he View op tion. | |
9881 | IBT UNBILL ED MENU | |
9882 | This menu contains t he 4 user options av ailable to regenerat e and view the Unbil led Amount s report. | |
9883 | IBT VIEW U NBILLED AM OUNTS | |
9884 | This optio n can be u sed to vie w previous ly compute d unbilled amounts w ithout hav ing to re- compile th e data. | |
9885 | IBT MONTHL Y AUTO GEN AVE BILL | |
9886 | This optio n will cal culate the number of bills and the avera ge bill am ounts for a month an d store th e data in the CLAIMS TRACKING UNBILLED A MOUNTS fil e (356.19) . This da ta will th en be used by the sc heduled op tion Auto- Build Unbi lled Amoun ts Report (IBT MONTH LY AUTO GE N UNBILLED ) to gener ate the un billed amo unts data that needs to be rep orted by t he 3rd wor k day of t he month. Queue thi s option t o run once monthly. Sites may choose th e date it should run but it is suggested that it r un after t he 15th of the month when user activity is low (i. e. Novembe r 19, 1994 @ 2:00am) . No devi ce is nece ssary, the results a re stored and a comp letion mai l message is sent to the mail group spec ified in t he IB SITE PARAMETER S file. | |
9887 | IBT MONTHL Y AUTO GEN UNBILLED | |
9888 | This optio n will aut omatically generate the unbill ed amounts report th at contain s the data that need s to be in put to our general l edger acco unts by th e 3rd work day of th e month. Schedule t his option to run on ce monthly on the 1s t or 2nd d ay of the month. No device is needed, t he results are sent in a mail message to the mail group spec ified in t he IB SITE PARAMETER S file. | |
9889 | IBT RE-GEN AVE BILL AMOUNT | |
9890 | This optio n can be u sed to re- generate t he monthly and yearl y counts a nd amounts of inpati ent and ou tpatient b ills for a single mo nth. If t he month s elected fo r input re quires the calculati on of prev ious month ’s data in order to obtain its yearly va lues, this will be d one when t he option is execute d. If the month sel ected has 12 prior m onths wort h of data, the month selected will be re calculated . The mont hs subsequ ent to the month sel ect (up to 12) will have their yearly da ta recalcu lated. Th is informa tion is us ed to comp ute the av erage bill amount fo r the Unbi lled Amoun ts Report. The unbi lled amoun t report i s automati cally gene rated for only the m onth selec ted after the averag e bill amo unts are c alculated. | |
9891 | IBT RE-GEN UNBILLED REPORT | |
9892 | This optio n can be u sed to re- generate t he Unbille d amounts report for a single month. Th is will re -compute t he unbille d care for the month and updat e the unbi lled amoun ts. To si mply view previously computed data use t he View op tion. | |
9893 | IBT SEND T EST UNBILL ED MESS | |
9894 | This optio n allows f or sending of a test mail mess age to the mail grou p to recei ve the Unb illed Amou nts messag es. Using this prio r to repor ting probl ems can as sist sites in determ ining whet her the ma il groups are set up correctly . The mai l group to get the m essage sho uld be spe cified in field UNBI LLED MAIL GROUP (6.2 5) in the IB SITE PA RAMETERS f ile (350.9 ). | |
9895 | IBT UNBILL ED MENU | |
9896 | This menu contains t he 4 user options av ailable to regenerat e and view the Unbil led Amount s report. | |
9897 | IBT VIEW U NBILLED AM OUNTS | |
9898 | This optio n can be u sed to vie w previous ly compute d unbilled amounts w ithout hav ing to re- compile th e data. | |
9899 | IBCN LIST PLANS BY I NS CO | |
9900 | This optio n lists in surance co mpanies an d the plan s under ea ch company . The use r may sele ct one, ma ny or all in both ca ses. The report can be run wi th or with out a list ing of the patients under each policy. | |
9901 | IB RX REPR INT REMIND ER | |
9902 | This optio n is used to generat e an Incom e Test rem inder lett er for a v eteran who effective co-pay ex emption is based upo n income. When the l etter is g enerated, the field REMINDER L ETTER DATE (#.16) in the BILLI NG EXEMPTI ONS (#354. 1) file wi ll be upda ted, for t he exempti on record which is t he basis f or sending the remin der letter , with the current d ate. | |
9903 | IB TP FLAG OPT PARAM S | |
9904 | This optio n is used to flag st op codes a nd clinics as either non-billa ble for Th ird Party billing or to be ign ored by th e Third Pa rty auto b iller. Th ese parame ters are a ll flagged by date a nd may be inactivate d and re-a ctivated. | |
9905 | IB TP LIST FLAGGED P ARAMS | |
9906 | This outpu t is used to generat e a list o f all stop codes and clinics t hat are fl agged as n on-billabl e for Thir d Party bi lling or t hat should not be au to billed by the Thi rd Party a uto biller on a user -specified date. | |
9907 | IBZ-MRA-SE RVER | |
9908 | ||
9909 | ||
9910 | Archiving and Purgin g | |
9911 | ||
9912 | The Purge Menu (unde r the Syst em Manager 's Integra ted Billin g Menu) pr ovides arc hiving and purging c apabilitie s for cert ain Integr ated Billi ng files. | |
9913 | ||
9914 | The Purge Update Fil e option i s used to delete all CPT entri es from th e temporar y file, UP DATE BILLA BLE AMBULA TORY SURGI CAL CODE ( #350.41), after they have been transferr ed to the permanent file, BILL ABLE AMBUL ATORY SURG ICAL CODES (#350.4). At this time, thes e files ar e obsolete as the re gulation i mplementin g billing of ambulat ory surger y CPT code s uses HCF A rates wa s never pa ssed. | |
9915 | ||
9916 | The remain der of the options i n the Purg e Menu are used to a rchive and purge bil ling data. The files which may be archiv ed and sub sequently purged are the INTEG RATED BILL ING ACTION file (#35 0) (pharma cy co-paym ent transa ctions onl y), the CA TEGORY C B ILLING CLO CK file (# 351), and the BILL/C LAIMS file (#399). | |
9917 | ||
9918 | At a minim um, billin g data fro m the curr ent and on e previous fiscal ye ar must be maintaine d on-line. With thi s version of Integra ted Billin g, data ma y be purge d up throu gh any dat e prior to the begin ning of th e previous fiscal ye ar. | |
9919 | ||
9920 | A separate routine i s provided to purge entries fr om the BIL LING EXEMP TIONS file (#354.1) with the M edication Co-payment Exemption patch. T here is no output fr om this ro utine. It is provid ed for mai ntenance o f this fil e until a more robus t archivin g and purg ing option can be wr itten. | |
9921 | ||
9922 | The follow ing criter ia must be met to pu rge billin g data. | |
9923 | ||
9924 | INTEGRATED BILLING A CTION file (#350) | |
9925 | (pharmacy co-payment actions) | |
9926 | The prescr iption whi ch caused the action to be cre ated must have been purged fro m the phar macy datab ase before the actio n may be a rchived. In additio n, the bil l must be closed in Accounts R eceivable. The date the bill was closed is the da te used to determine whether i t will be included. | |
9927 | ||
9928 | ||
9929 | CATEGORY C BILLING C LOCK file (#351) | |
9930 | Only clock s with a s tatus of C LOSED or C ANCELLED a nd a clock end date prior to t he selecte d time fra me are inc luded. | |
9931 | ||
9932 | ||
9933 | BILL/CLAIM S file (#3 99) | |
9934 | The bill m ust be clo sed in Acc ounts Rece ivable. T he date th e bill was closed is the date used to de termine wh ether it w ill be inc luded. | |
9935 | ||
9936 | ||
9937 | BILLING EX EMPTIONS f ile (#354. 1) | |
9938 | Billing Ex emptions m ay be purg ed using t he new rou tine, IBPE X, if they are at le ast 1 year old, not the patien t’s curren t exemptio n, do not contain da tes of can celed char ges in AR, and if ac tive, must be one ye ar older t han the pu rge date f or inactiv e exemptio ns. | |
9939 | ||
9940 | There are three step s involved in the ar chiving an d purging of these f iles. | |
9941 | 1.A search is conduc ted to fin d all entr ies which may be arc hived thro ugh the Fi nd Billing Data to A rchive opt ion. You choose whi ch of the three file s you wish to includ e in the s earch. Th e entries found are temporaril y stored i n a sort ( search) te mplate in the SORT T EMPLATE fi le (#.401) . An entr y is also made to th e IB ARCHI VE/ PURGE LOG file ( #350.6). This log m ay be view ed through the Archi ve/Purge L og Inquiry and List Archive/Pu rge Log En tries opti ons. | |
9942 | ||
9943 | The List S earch Temp late Entri es option allows you to view t he content s of a sea rch templa te. You m ay delete entries fr om the sea rch templa te using t he Delete Entry from Search Te mplate opt ion. | |
9944 | ||
9945 | 2.The entr ies are ar chived usi ng the Arc hive Billi ng Data op tion. It is highly recommende d that you archive t he entries to paper (print to a non-slav e printer) , as there is curren tly no fun ctionality to retrie ve or rest ore data t hat has be en archive d. | |
9946 | ||
9947 | 3.The data is purged from the database u sing the P urge Billi ng Data op tion. The search te mplate con taining th e purged e ntries is also delet ed. An el ectronic s ignature c ode and th e XUMGR se curity key are requi red to arc hive and p urge data. | |
9948 | ||
9949 | Expected D isk Space Recovery f rom Purgin g | |
9950 | ||
9951 | Because of data rete ntion requ irements, it has not been poss ible to me asure actu al space r ecovered i n a produc tion envir onment wit h the use of the pur ge options . The fol lowing lis t shows th e average record siz e of entri es as meas ured at a test site (at approx imately 70 % efficien cy). | |
9952 | ||
9953 | Record typ eFile1k bl ocks per r ecord | |
9954 | ---------- ---------- ---------- ---------- ----- | |
9955 | Pharmacy C o-pay350.3 8 | |
9956 | Billing Cl ocks351.14 | |
9957 | Third Part y Bills399 .75 | |
9958 | ||
9959 | From testi ng of the software, we have de termined t hat purgin g small nu mbers of e ntries (le ss than 20 0) will no t yield me asurable d isk space. However, when larg e numbers of entries (over 100 0) are pur ged, nearl y 97% of t he space i s recovere d. The ac tual perce ntage of t he space r ecovered i s relative to the nu mber of co nsecutive entries pu rged. The number of consecuti ve records purged is relative to whether the site has closed the bills either by collectin g the amou nt due or cancelling the bills . | |
9960 | ||
9961 | ||
9962 | External R elations | |
9963 | ||
9964 | 1.The foll owing pack ages need to be inst alled on y our system prior to installing Integrate d Billing V. 2.0. | |
9965 | ||
9966 | Accounts R eceivable V. 3.7IFCA P V. 4.0 | |
9967 | Kernel V. 7.1OE/RR V . 1.96 | |
9968 | Outpatient Pharmacy V. 5.6PIMS V. 5.3 | |
9969 | VA FileMan V. 20.0 | |
9970 | ||
9971 | ||
9972 | 2.IB V. 2. 0 has cust odial inte gration ag reements w ith the fo llowing pa ckages. | |
9973 | ||
9974 | SUBSCRIBIN G PACKAGE | |
9975 | DBIA # | |
9976 | NAME | |
9977 | ACCOUNTS R ECEIVABLE | |
9978 | 126 | |
9979 | DBIA126 | |
9980 | ACCOUNTS R ECEIVABLE | |
9981 | 300 | |
9982 | DBIA300 | |
9983 | ACCOUNTS R ECEIVABLE | |
9984 | 301 | |
9985 | DBIA301 | |
9986 | ACCOUNTS R ECEIVABLE | |
9987 | 307 | |
9988 | DBIA307 | |
9989 | ACCOUNTS R ECEIVABLE | |
9990 | 309 | |
9991 | DBIA309 | |
9992 | ACCOUNTS R ECEIVABLE | |
9993 | 1278 | |
9994 | DBIA1278 | |
9995 | ACCOUNTS R ECEIVABLE | |
9996 | 1457 | |
9997 | DBIA1457 | |
9998 | ACCOUNTS R ECEIVABLE | |
9999 | 2031 | |
10000 | DBIA2031 | |
10001 | ACCOUNTS R ECEIVABLE | |
10002 | 2035 | |
10003 | DBIA2035 | |
10004 | ACCOUNTS R ECEIVABLE | |
10005 | 2327 | |
10006 | DBIA2327 | |
10007 | ACCOUNTS R ECEIVABLE | |
10008 | 2328 | |
10009 | DBIA2328 | |
10010 | ACCOUNTS R ECEIVABLE | |
10011 | 3124 | |
10012 | DBIA3124 | |
10013 | ACCOUNTS R ECEIVABLE | |
10014 | 3130 | |
10015 | DBIA3130 | |
10016 | ACCOUNTS R ECEIVABLE | |
10017 | 3343 | |
10018 | DBIA3343 | |
10019 | ACCOUNTS R ECEIVABLE | |
10020 | 3345 | |
10021 | DBIA3345 | |
10022 | ACCOUNTS R ECEIVABLE | |
10023 | 3350 | |
10024 | DBIA3350 | |
10025 | ACCOUNTS R ECEIVABLE | |
10026 | 3733 | |
10027 | GMT Relate d IB utili ties (IA#3 733) | |
10028 | ACCOUNTS R ECEIVABLE | |
10029 | 3804 | |
10030 | DBIA3804 | |
10031 | ACCOUNTS R ECEIVABLE | |
10032 | 3807 | |
10033 | DBIA3807 | |
10034 | ACCOUNTS R ECEIVABLE | |
10035 | 3808 | |
10036 | DBIA3808 | |
10037 | ACCOUNTS R ECEIVABLE | |
10038 | 3809 | |
10039 | DBIA3809 | |
10040 | ACCOUNTS R ECEIVABLE | |
10041 | 3810 | |
10042 | DBIA3810 | |
10043 | ACCOUNTS R ECEIVABLE | |
10044 | 3811 | |
10045 | DBIA3811 | |
10046 | ACCOUNTS R ECEIVABLE | |
10047 | 3820 | |
10048 | DBIA3820-A | |
10049 | ACCOUNTS R ECEIVABLE | |
10050 | 3821 | |
10051 | DBIA3820-B | |
10052 | ACCOUNTS R ECEIVABLE | |
10053 | 3822 | |
10054 | DBIA3820-C | |
10055 | ACCOUNTS R ECEIVABLE | |
10056 | 3828 | |
10057 | DBIA3820-I | |
10058 | ACCOUNTS R ECEIVABLE | |
10059 | 4042 | |
10060 | DBIA4042 | |
10061 | ACCOUNTS R ECEIVABLE | |
10062 | 4044 | |
10063 | DBIA4044 | |
10064 | ACCOUNTS R ECEIVABLE | |
10065 | 4045 | |
10066 | DBIA4045 | |
10067 | ACCOUNTS R ECEIVABLE | |
10068 | 4047 | |
10069 | DBIA4047 | |
10070 | ACCOUNTS R ECEIVABLE | |
10071 | 4048 | |
10072 | DBIA4048 | |
10073 | ACCOUNTS R ECEIVABLE | |
10074 | 4050 | |
10075 | DBIA4050 | |
10076 | ACCOUNTS R ECEIVABLE | |
10077 | 4051 | |
10078 | DBIA4051 | |
10079 | ACCOUNTS R ECEIVABLE | |
10080 | 4118 | |
10081 | ALLOW A/R TO UPDATE RATE TYPE FILE | |
10082 | ACCOUNTS R ECEIVABLE | |
10083 | 4121 | |
10084 | A/R access to TPJI f or patient name OR b ill number | |
10085 | ACCOUNTS R ECEIVABLE | |
10086 | 4385 | |
10087 | MRA relate d function Calls fro m AR into IB | |
10088 | ACCOUNTS R ECEIVABLE | |
10089 | 4391 | |
10090 | INSURANCE COMPANY FI LE ACCESS | |
10091 | ACCOUNTS R ECEIVABLE | |
10092 | 4434 | |
10093 | DBIA4434 | |
10094 | ACCOUNTS R ECEIVABLE | |
10095 | 4435 | |
10096 | DBIA4435 | |
10097 | ACCOUNTS R ECEIVABLE | |
10098 | 4538 | |
10099 | AR ACCESS TO FILE 35 0.1 | |
10100 | ACCOUNTS R ECEIVABLE | |
10101 | 4541 | |
10102 | AR access to INTEGRA TED BILLIN G ACTION f ile 350 | |
10103 | ACCOUNTS R ECEIVABLE | |
10104 | 4552 | |
10105 | DBIA4552 | |
10106 | ACCOUNTS R ECEIVABLE | |
10107 | 4602 | |
10108 | GET CURREN T INSURANC E | |
10109 | ACCOUNTS R ECEIVABLE | |
10110 | 4603 | |
10111 | FILE 361 | |
10112 | ACCOUNTS R ECEIVABLE | |
10113 | 4604 | |
10114 | FILE 365.1 2 | |
10115 | ACCOUNTS R ECEIVABLE | |
10116 | 4635 | |
10117 | ROUTINE IB RFN4 | |
10118 | ACCOUNTS R ECEIVABLE | |
10119 | 4777 | |
10120 | AR access to IB Pati ent Co-pay account d ata | |
10121 | ACCOUNTS R ECEIVABLE | |
10122 | 4957 | |
10123 | DBIA4957 | |
10124 | ACCOUNTS R ECEIVABLE | |
10125 | 4996 | |
10126 | EEOB Workl ist NPI in clusion | |
10127 | ACCOUNTS R ECEIVABLE | |
10128 | 5286 | |
10129 | PAY-TO PRO VIDER PHON E NUMBER A PI | |
10130 | ACCOUNTS R ECEIVABLE | |
10131 | 5671 | |
10132 | COPY FUNCT IONS FOR I B EOB FILE #361.1 | |
10133 | ACCOUNTS R ECEIVABLE | |
10134 | 5710 | |
10135 | POTENTIAL CO-PAYMENT CHARGE AM OUNT | |
10136 | AR (ACCOUN TS RECEIVA BLE) | |
10137 | 304 | |
10138 | DBIA304 | |
10139 | AR (ACCOUN TS RECEIVA BLE) | |
10140 | 306 | |
10141 | DBIA306 | |
10142 | AR (ACCOUN TS RECEIVA BLE) | |
10143 | 308 | |
10144 | DBIA308 | |
10145 | AR (ACCOUN TS RECEIVA BLE) | |
10146 | 310 | |
10147 | DBIA310 | |
10148 | AUTOMATED INFO COLLE CTION SYS | |
10149 | 645 | |
10150 | DBIA186-E | |
10151 | AUTOMATED INFO COLLE CTION SYS | |
10152 | 1992 | |
10153 | DBIA1992 | |
10154 | AUTOMATED INFO COLLE CTION SYS | |
10155 | 2351 | |
10156 | OUTPATIENT ENCOUNTER SEARCH | |
10157 | AUTOMATED MED INFO E XCHANGE | |
10158 | 4594 | |
10159 | DBIA4589-F | |
10160 | CMOP | |
10161 | 6243 | |
10162 | EPHARMACY BILLABLE S TATUS | |
10163 | CMOP | |
10164 | 6244 | |
10165 | RETRIEVE S ENSITIVE D IAGNOSIS D RUG FROM D RUG FILE | |
10166 | DSS EXTRAC TS | |
10167 | 2786 | |
10168 | DBIA2786 | |
10169 | E CLAIMS M GMT ENGINE | |
10170 | 4299 | |
10171 | DBIA4299 | |
10172 | E CLAIMS M GMT ENGINE | |
10173 | 4692 | |
10174 | DBIA4692 | |
10175 | E CLAIMS M GMT ENGINE | |
10176 | 4415 | |
10177 | DBIA4415 | |
10178 | E CLAIMS M GMT ENGINE | |
10179 | 4693 | |
10180 | DBIA4693 | |
10181 | E CLAIMS M GMT ENGINE | |
10182 | 4694 | |
10183 | DBIA4694 | |
10184 | E CLAIMS M GMT ENGINE | |
10185 | 4695 | |
10186 | DBIA4695 | |
10187 | E CLAIMS M GMT ENGINE | |
10188 | 4696 | |
10189 | DBIA4696 | |
10190 | E CLAIMS M GMT ENGINE | |
10191 | 4697 | |
10192 | DBIA4697 | |
10193 | E CLAIMS M GMT ENGINE | |
10194 | 4698 | |
10195 | DBIA4698 | |
10196 | E CLAIMS M GMT ENGINE | |
10197 | 4710 | |
10198 | DBIA4710 | |
10199 | E CLAIMS M GMT ENGINE | |
10200 | 4729 | |
10201 | API FOR RX BILLING I NFO | |
10202 | E CLAIMS M GMT ENGINE | |
10203 | 5185 | |
10204 | Update IB NDC NON CO VERED BY P LAN FILE # 366.16 | |
10205 | E CLAIMS M GMT ENGINE | |
10206 | 5210 | |
10207 | IB DRUGS N ON COVERED REPORT | |
10208 | E CLAIMS M GMT ENGINE | |
10209 | 5355 | |
10210 | BILL INFOR MATION | |
10211 | E CLAIMS M GMT ENGINE | |
10212 | 5361 | |
10213 | IBOSRX | |
10214 | E CLAIMS M GMT ENGINE | |
10215 | 5572 | |
10216 | IBNCPDPU | |
10217 | E CLAIMS M GMT ENGINE | |
10218 | 5576 | |
10219 | DBIA5576 | |
10220 | E CLAIMS M GMT ENGINE | |
10221 | 5711 | |
10222 | IB NCPDP E VENT LOG F ILE | |
10223 | E CLAIMS M GMT ENGINE | |
10224 | 5712 | |
10225 | PRINT IB E CME BILLIN G EVENTS R EPORT | |
10226 | E CLAIMS M GMT ENGINE | |
10227 | 5713 | |
10228 | IB LIST MA NAGER DISP LAY DATA | |
10229 | E CLAIMS M GMT ENGINE | |
10230 | 5714 | |
10231 | IB PHARMAC Y INSURANC E | |
10232 | E CLAIMS M GMT ENGINE | |
10233 | 6061 | |
10234 | IBCNHUT1 ( HPID/OEID) | |
10235 | E CLAIMS M GMT ENGINE | |
10236 | 6131 | |
10237 | IBNCPEV3 | |
10238 | E CLAIMS M GMT ENGINE | |
10239 | 6136 | |
10240 | DB6136 | |
10241 | E CLAIMS M GMT ENGINE | |
10242 | 6243 | |
10243 | EPHARMACY BILLABLE S TATUS | |
10244 | E CLAIMS M GMT ENGINE | |
10245 | 6244 | |
10246 | RETRIEVE S ESITIVE DI AGNOSIS DR UG FROM DR UG FILE | |
10247 | E CLAIMS M GMT ENGINE | |
10248 | 6250 | |
10249 | E-PHARMACY HL7 PROCE SSING | |
10250 | ENROLLMENT APPLICATI ON SYSTEM | |
10251 | 3302 | |
10252 | DBIA3302 | |
10253 | ENROLLMENT APPLICATI ON SYSTEM | |
10254 | 3717 | |
10255 | DBIA3717 | |
10256 | ENROLLMENT APPLICATI ON SYSTEM | |
10257 | 3777 | |
10258 | DBIA3777 | |
10259 | ENROLLMENT APPLICATI ON SYSTEM | |
10260 | 4862 | |
10261 | DBIA4862 | |
10262 | FEE BASIS | |
10263 | 228 | |
10264 | DBIA228-A | |
10265 | FEE BASIS | |
10266 | 396 | |
10267 | DBIA396 | |
10268 | FEE BASIS | |
10269 | 705 | |
10270 | DBIA228-B | |
10271 | FEE BASIS | |
10272 | 4128 | |
10273 | REVENUE CO DE | |
10274 | FEE BASIS CLAIMS SYS TEM | |
10275 | 5281 | |
10276 | FBCS File #353.1 Rea d only | |
10277 | FEE BASIS CLAIMS SYS TEM | |
10278 | 5282 | |
10279 | FBCS File #353.2 Rea d only | |
10280 | INCOME VER IFICATION MATCH | |
10281 | 257 | |
10282 | DBIA257 | |
10283 | INCOME VER IFICATION MATCH | |
10284 | 324 | |
10285 | DBIA324 | |
10286 | INCOME VER IFICATION MATCH | |
10287 | 944 | |
10288 | DBIA944 | |
10289 | INCOME VER IFICATION MATCH | |
10290 | 945 | |
10291 | DBIA945 | |
10292 | INCOME VER IFICATION MATCH | |
10293 | 946 | |
10294 | DBIA946 | |
10295 | INCOME VER IFICATION MATCH | |
10296 | 947 | |
10297 | DBIA947 | |
10298 | INCOME VER IFICATION MATCH | |
10299 | 948 | |
10300 | DBIA948 | |
10301 | INCOME VER IFICATION MATCH | |
10302 | 949 | |
10303 | DBIA949 | |
10304 | INCOME VER IFICATION MATCH | |
10305 | 950 | |
10306 | DBIA950 | |
10307 | INCOME VER IFICATION MATCH | |
10308 | 951 | |
10309 | DBIA951 | |
10310 | INCOME VER IFICATION MATCH | |
10311 | 952 | |
10312 | DBIA952 | |
10313 | INCOME VER IFICATION MATCH | |
10314 | 2537 | |
10315 | DBIA2537 | |
10316 | INCOME VER IFICATION NAT'L DB | |
10317 | 1045 | |
10318 | DBIA1045 | |
10319 | INCOME VER IFICATION NAT'L DB | |
10320 | 1046 | |
10321 | DBIA1046 | |
10322 | INSURANCE CAPTURE BU FFER | |
10323 | 3302 | |
10324 | DBIA3302 | |
10325 | INSURANCE CAPTURE BU FFER | |
10326 | 5292 | |
10327 | INSURANCE CO FILE AC CESS | |
10328 | INSURANCE CAPTURE BU FFER | |
10329 | 5293 | |
10330 | GROUP INSU RANCE PLAN ACCESS | |
10331 | INSURANCE CAPTURE BU FFER | |
10332 | 5294 | |
10333 | INSURANCE BUFFER FIL E ACCESS | |
10334 | INSURANCE CAPTURE BU FFER | |
10335 | 5296 | |
10336 | BILLING PA TIENT ACCE SS | |
10337 | INSURANCE CAPTURE BU FFER | |
10338 | 5297 | |
10339 | IIV RESPON SE ACCESS | |
10340 | INSURANCE CAPTURE BU FFER | |
10341 | 5298 | |
10342 | CLAIMS TRK REVIEW TY PE ACCESS | |
10343 | INSURANCE CAPTURE BU FFER | |
10344 | 5299 | |
10345 | CLAIMS TRA CKING ACTI ON ACCESS | |
10346 | INSURANCE CAPTURE BU FFER | |
10347 | 5304 | |
10348 | PATIENT IN SURANCE AC CESS | |
10349 | INSURANCE CAPTURE BU FFER | |
10350 | 5305 | |
10351 | SOURCE OF INFORMATIO N ACCESS | |
10352 | INSURANCE CAPTURE BU FFER | |
10353 | 5307 | |
10354 | DSIV CALLS TO IBCNBL L | |
10355 | INSURANCE CAPTURE BU FFER | |
10356 | 5309 | |
10357 | DSIV CALL TO IBCNERP 2 | |
10358 | INSURANCE CAPTURE BU FFER | |
10359 | 5312 | |
10360 | PLAN LIMIT ATION CATE GORY ACCES S | |
10361 | INSURANCE CAPTURE BU FFER | |
10362 | 5313 | |
10363 | CLAIMS TRA CKING ACCE SS | |
10364 | INSURANCE CAPTURE BU FFER | |
10365 | 5314 | |
10366 | HOSPITAL T RACKING AC CESS | |
10367 | INSURANCE CAPTURE BU FFER | |
10368 | 5339 | |
10369 | ANNUAL BEN EFITS ACCE SS | |
10370 | INSURANCE CAPTURE BU FFER | |
10371 | 5340 | |
10372 | INSURANCE REVIEW ACC ESS | |
10373 | INSURANCE CAPTURE BU FFER | |
10374 | 5341 | |
10375 | PLAN COVER AGE LIMITA TION | |
10376 | INSURANCE CAPTURE BU FFER | |
10377 | 5353 | |
10378 | Accept/Rej ect Insura nce Buffer data APIs | |
10379 | INSURANCE CAPTURE BU FFER | |
10380 | 5424 | |
10381 | INSURANCE FILING TIM E FRAME | |
10382 | KERNEL | |
10383 | 4960 | |
10384 | INSURANCE CO AND PRO VIDER ID | |
10385 | KERNEL | |
10386 | 4961 | |
10387 | GET PROVID ER ID FROM INSURANCE DATA | |
10388 | KERNEL | |
10389 | 4962 | |
10390 | GET PROVID ER ID FROM FACILITY BILLING ID | |
10391 | KERNEL | |
10392 | 4964 | |
10393 | GET FACILI TY NAME & FED TAX NU MBER FROM IB SITE PA RAMS | |
10394 | KERNEL | |
10395 | 4965 | |
10396 | GET ZERO N ODE INFO F ROM IB NON /OTHER VA BILLING PR OVIDER | |
10397 | KERNEL | |
10398 | 4971 | |
10399 | DBIA4971 | |
10400 | KERNEL | |
10401 | 4972 | |
10402 | DBIA4972 | |
10403 | M DATA EXT RACTOR | |
10404 | 3642 | |
10405 | DBIA3642 | |
10406 | MENTAL HEA LTH | |
10407 | 794 | |
10408 | DBIA277-H | |
10409 | MENTAL HEA LTH | |
10410 | 2782 | |
10411 | DBIA2782 | |
10412 | OUTPATIENT PHARMACY | |
10413 | 125 | |
10414 | DBIA125-A | |
10415 | OUTPATIENT PHARMACY | |
10416 | 592 | |
10417 | DBIA125-B | |
10418 | OUTPATIENT PHARMACY | |
10419 | 2030 | |
10420 | DBIA2030 | |
10421 | OUTPATIENT PHARMACY | |
10422 | 2215 | |
10423 | DBIA2215 | |
10424 | OUTPATIENT PHARMACY | |
10425 | 2216 | |
10426 | DBIA2216 | |
10427 | OUTPATIENT PHARMACY | |
10428 | 2245 | |
10429 | DBIA2245 | |
10430 | OUTPATIENT PHARMACY | |
10431 | 3877 | |
10432 | DBIA 3877 | |
10433 | OUTPATIENT PHARMACY | |
10434 | 4115 | |
10435 | DBIA4115 | |
10436 | OUTPATIENT PHARMACY | |
10437 | 4664 | |
10438 | PFSS ACCOU NT | |
10439 | OUTPATIENT PHARMACY | |
10440 | 4665 | |
10441 | PFSS CHARG E | |
10442 | OUTPATIENT PHARMACY | |
10443 | 4741 | |
10444 | PFSS ACCOU NT REFEREN CE | |
10445 | OUTPATIENT PHARMACY | |
10446 | 6243 | |
10447 | EPHARMACY BILLABLE S TATUS | |
10448 | OUTPATIENT PHARMACY | |
10449 | 6244 | |
10450 | RETRIEVE S ENSITIVE D IAGNOSIS D RUG FROM D RUG FILE | |
10451 | PATIENT DA TA EXCHANG E | |
10452 | 271 | |
10453 | DBIA271-A | |
10454 | PATIENT DA TA EXCHANG E | |
10455 | 766 | |
10456 | DBIA268-B | |
10457 | PATIENT DA TA EXCHANG E | |
10458 | 773 | |
10459 | DBIA271-B | |
10460 | PATIENT DA TA EXCHANG E | |
10461 | 774 | |
10462 | DBIA271-C | |
10463 | PATIENT DA TA EXCHANG E | |
10464 | 2780 | |
10465 | DBIA2780 | |
10466 | PROSTHETIC S | |
10467 | 612 | |
10468 | DBIA142-B | |
10469 | REGISTRATI ON | |
10470 | 1936 | |
10471 | DBIA1936 | |
10472 | REGISTRATI ON | |
10473 | 2037 | |
10474 | DBIA2037 | |
10475 | REGISTRATI ON | |
10476 | 2538 | |
10477 | DBIA2538 | |
10478 | REGISTRATI ON | |
10479 | 4288 | |
10480 | RETRIEVE I NSURANCE D ATA | |
10481 | REGISTRATI ON | |
10482 | 4524 | |
10483 | DBIA4524 | |
10484 | REGISTRATI ON | |
10485 | 4709 | |
10486 | PFSS PROCE SS INSURAN CE FROM DG REGISTRAT ION | |
10487 | REGISTRATI ON | |
10488 | 4785 | |
10489 | INSURANCE BUFFER FIL E ACCESS | |
10490 | REGISTRATI ON | |
10491 | 4786 | |
10492 | PATIENT FS C FILE ACC ESS | |
10493 | REGISTRATI ON | |
10494 | 4787 | |
10495 | VISTA FSC FILE ACCES S | |
10496 | REGISTRATI ON | |
10497 | 4788 | |
10498 | COMMERCIAL INSURANCE FILE ACCE SS | |
10499 | REGISTRATI ON | |
10500 | 4789 | |
10501 | PFSS PLAN FILE ACCES S | |
10502 | REGISTRATI ON | |
10503 | 4790 | |
10504 | PFSS INSUR ANCE STATU S UPDATE | |
10505 | REGISTRATI ON | |
10506 | 6231 | |
10507 | Allows DAT E OF DEATH entry to automatica lly termin ate active patient p olicies. | |
10508 | SCHEDULING | |
10509 | 2781 | |
10510 | DBIA2781 | |
10511 | SCHEDULING | |
10512 | 4987 | |
10513 | IB BILLING DATA API | |
10514 | SCHEDULING | |
10515 | 5029 | |
10516 | VERIFY SC APPOINTMEN T TYPE | |
10517 | SOCIAL WOR K | |
10518 | 61 | |
10519 | DBIA61 | |
10520 | Unknown | |
10521 | 2034 | |
10522 | DBIA2034 | |
10523 | Unknown | |
10524 | 4419 | |
10525 | DBIA4419 | |
10526 | Unknown | |
10527 | 4663 | |
10528 | PFSS ON/OF F SWITCH | |
10529 | Unknown | |
10530 | 10147 | |
10531 | IBARXEU | |
10532 | UTILIZATIO N MANAGEME NT ROLLUP | |
10533 | 1137 | |
10534 | DBIA1137 | |
10535 | UTILIZATIO N MANAGEME NT ROLLUP | |
10536 | 1327 | |
10537 | DBIA1327 | |
10538 | UTILIZATIO N MANAGEME NT ROLLUP | |
10539 | 1329 | |
10540 | DBIA1329 | |
10541 | UTILIZATIO N MANAGEME NT ROLLUP | |
10542 | 1351 | |
10543 | DBIA1351 | |
10544 | UTILIZATIO N MANAGEME NT ROLLUP | |
10545 | 1354 | |
10546 | DBIA1354 | |
10547 | ||
10548 | ||
10549 | 3.IB V. 2. 0 has requ ested inte gration ag reements w ith the fo llowing pa ckages, an d they hav e been app roved. | |
10550 | ||
10551 | A.Accounts Receivabl e (DBIA#s 127, 380-3 89,1452, 5 549, 6237 & 6238) | |
10552 | AR provide s IB with the follow ing: | |
10553 | a routine used for s etting up a new char ge for a d ebtor | |
10554 | allows the IB ACTION TYPE file (#350.1) to point t o the ACCO UNTS RECEI VABLE CATE GORY file (#430.2) | |
10555 | look-up to the ACCOU NTS RECEIV ABLE file (#430) | |
10556 | set the ST ATEMENT DA Y field | |
10557 | reference to determi ne the int ernal numb er of decr ease and i ncrease ad justment t ypes | |
10558 | RCJIBFN2 A PIs for AC COUTNS REC EIVABLE fi le( #430) | |
10559 | RCDPAYE R API read s payer co ntact info rmation fr om ELECTRO NIC | |
10560 | REMITT ANCE ADVIC E file #34 4.4 | |
10561 | allows IB access to the AR EDI CARC DATA file (#34 5) and AR EDI CARC D ATA file ( #346) for Explanatio n of Benef its (EOB) displays a nd reports of adjust ment reaso n codes. | |
10562 | ||
10563 | ||
10564 | ||
10565 | B.DRG Grou per (DBIA# s 368, 369 , 370, 371 ) | |
10566 | DRG Groupe r provides IB with t he followi ng: | |
10567 | direct ref erence to specific f ields with in the ICD DIAGNOSIS file (#80 ) | |
10568 | direct ref erence to specific f ields with in the ICD OPERATION /PROCEDURE file (#80 .1) | |
10569 | store poin ters to th e DRG file (#80.2) t o retrieve data at t he time cl aims are g enerated | |
10570 | a call to calculate interim DR Gs to dete rmine the expected l ength of s tay for a visit | |
10571 | ||
10572 | C.Health S ummary (DB IA# 253) | |
10573 | Health Sum mary allow s IB to do look-ups to the HEA LTH SUMMAR Y TYPE fil e (#142) a nd to prin t health s ummaries. | |
10574 | ||
10575 | D.HINQ (DB IA# 379) | |
10576 | HINQ provi des IB a c all to all ow billing clerks to replace r equests fo r HINQ inq uires for potentiall y billable patients with unver ified elig ibility. | |
10577 | ||
10578 | E.IFCAP (D BIA# 353) | |
10579 | IFCAP prov ides IB wi th the sho rt descrip tion descr ibing the name of a prosthetic device wh ich is bei ng billed on a claim to a thir d party ca rrier. | |
10580 | ||
10581 | F.Kernel ( DBIA# 372) | |
10582 | Kernel giv es permiss ion to IB to add ent ries to th e INSTITUT ION file ( #4) when c reating bi lls. | |
10583 | ||
10584 | G.List Man ager (DBIA # 367) | |
10585 | List Manag er provide s IB with calls used to refres h the scre en and res et the scr olling are a while pr ogram cont rol remain s with an action. | |
10586 | ||
10587 | H.Outpatie nt Pharmac y (DBIA#s 124, 237) | |
10588 | Outpatient Pharmacy provides I B with the following : | |
10589 | a call to display in formation from the P RESCRIPTIO N file (#5 2) | |
10590 | reference to determi ne prescri ption numb er and dru g name | |
10591 | printing o f the Acti on Profile and Infor mation Pro file | |
10592 | stores poi nters to t he PRESCRI PTION (#52 ) and DRUG (#50) fil es to retr ieve data at the tim e claims a re generat ed | |
10593 | directly r eference s elected fi elds in th e PRESCRIP TION (#52) and DRUG (#50) file s | |
10594 | directly r eference t he OUTPATI ENT VERSIO N field (# 49.99) of the PHARMA CY SYSTEM file (#59. 7) | |
10595 | ||
10596 | I.Patient Data Excha nge (DBIA# 272) | |
10597 | PDX allows IB to dir ectly refe rence fiel ds in the VAQ-TRANSA CTION (#39 4.61) and VAQ-DATA S EGMENT (#3 94.71) fil es. | |
10598 | ||
10599 | J.Patient File (DBIA # 187) | |
10600 | The PATIEN T file (#2 ) provides direct re ferences t o IB for t he purpose of sortin g and prin ting on a patient's Ambulatory Surgery C heck-off S heet. | |
10601 | ||
10602 | K.Problem List (DBIA # 354) | |
10603 | Problem Li st provide s IB with a call to obtain a l ist of a p atient's a ctive prob lems. It also provi des a call for IB to access th e EXPRESSI ONS file | |
10604 | (#757.01) to create lists of c ommon prob lems by cl inic. | |
10605 | L.Prosthet ics (DBIA# s 373, 374 ) | |
10606 | Prosthetic s provides IB with t he followi ng: | |
10607 | stores poi nters to t he RECORD OF PROS AP PLIANCE/RE PAIR (#660 ) and PROS ITEM MAST ER (#661) files to r etrieve da ta at the time claim s are gene rated | |
10608 | print item name on s creens and bills | |
10609 | call to fi nd potenti ally billa ble prosth etic items | |
10610 | call to fi nd prosthe tic items which may have been delivered to a patie nt within a specific date rang e | |
10611 | direct ref erence to specific f ields in t he RECORD OF PROS AP PLIANCE/RE PAIR file (#660) | |
10612 | M.Registra tion (DBIA # 186, 414 -434, 6130 ) | |
10613 | Registrati on provide s IB with the follow ing: | |
10614 | multiple c alls to ob tain Means Test data | |
10615 | medical ce nter divis ion by whi ch to sort and print various r eports | |
10616 | patient el igibility data to pr int on var ious docum ents | |
10617 | Patient Tr eatment Fi le informa tion for d isplay and to bill | |
10618 | N.Scheduli ng (DBIA# 188, 397-4 11) | |
10619 | Scheduling provides IB with th e followin g: | |
10620 | multiple c alls to ge t patient appointmen t data for check-off sheets an d encounte r forms | |
10621 | calls to g et clinic and divisi on informa tion for v arious rep orts | |
10622 | ||
10623 | O.Accounts Receivabl e (IA#380) | |
10624 | The follow ing functi on calls a re made to the routi ne PRCAFN. | |
10625 | ActiveIB*2 .0*432 | |
10626 | ||
10627 | P.KERNEL ( IA#2171) | |
10628 | Function A PI's to ac cess parts of the In stitution file. | |
10629 | ActiveIB*2 .0*432 | |
10630 | ||
10631 | Q.KERNEL ( IA#4129) | |
10632 | The IB pac kage has M RA (Medica re Remitta nce Advice ) function ality usin g a specif ic, non-hu man user i n file 200 . | |
10633 | ActiveIB*2 .0*432 | |
10634 | ||
10635 | R.KERNEL ( IA#4677) | |
10636 | To support the J2EE middle tie r the conc ept of an APPLICATIO N PROXY us er was cre ated. This is a user name that an applic ation sets that has a user cla ss of Appl ication Pr oxy. | |
10637 | Active IB* 2.0*432 | |
10638 | ||
10639 | ||
10640 | ||
10641 | Internal R elations | |
10642 | ||
10643 | All of the IB V. 2.0 package o ptions hav e been des igned to s tand alone . | |
10644 | ||
10645 | ||
10646 | ||
10647 | (This page included for two-si ded copyin g.) | |
10648 | ||
10649 | Package-wi de Variabl es | |
10650 | ||
10651 | Though the re are no variables that can a lways be a ssumed to be present in Integr ated Billi ng, the fo llowing is a list of common va riables an d their me anings. | |
10652 | ||
10653 | Package-wi de Variabl es | |
10654 | Variable | |
10655 | Descriptio n | |
10656 | IBAFY | |
10657 | The curren t fiscal y ear. | |
10658 | ||
10659 | IBARTYP | |
10660 | The Accoun ts Receiva ble Catego ry pointer value sto red in the IB ACTION TYPE file (#350.1) for the cu rrent entr y. | |
10661 | ||
10662 | IBATYP | |
10663 | The pointe r value to the IB AC TION TYPE file (#350 .1) for th e current entry. | |
10664 | ||
10665 | IBCHCDA | |
10666 | Pointer to IB Action - Inpatie nt IB Acti on Charge for co-pay ments. | |
10667 | ||
10668 | IBCHPDA | |
10669 | Pointer to IB Action - Inpatie nt IB Acti on Charge for per di ems. | |
10670 | ||
10671 | IBCLDA | |
10672 | Pointer to Cat C Bil ling Clock record (F ile #351). | |
10673 | ||
10674 | IBCLDAY | |
10675 | Cat C Bill ing Clock Inpatient Days withi n one cloc k. | |
10676 | ||
10677 | IBCLDOL | |
10678 | Cat C Bill ing Clock Inpatient dollars fo r current 90 days of care. | |
10679 | ||
10680 | IBCLDT | |
10681 | Cat C Bill ing Clock Start Date . | |
10682 | ||
10683 | IBDESC | |
10684 | The brief descriptio n to/from the INTEGR ATED BILLI NG ACTION file (#350 ). | |
10685 | ||
10686 | IBDUZ | |
10687 | The user D UZ as pass ed from an applicati on. In th e backgrou nd filer, the user w ho caused the filer to be queu ed will be reflected in the DU Z variable ; however, IBDUZ sho uld equal the user c ausing the current t ransaction . | |
10688 | ||
10689 | IBEVCAL | |
10690 | IB Action Event last calculate d date. | |
10691 | ||
10692 | IBEVDA | |
10693 | Pointer to IB Action - Inpatie nt IB Acti on Event. | |
10694 | ||
10695 | IBEVDT | |
10696 | IB Action Event even t date. | |
10697 | ||
10698 | IBFAC | |
10699 | Institutio n from Fil e #350.9 ( points to File #4). | |
10700 | ||
10701 | IBHANG | |
10702 | The number of second s the back ground fil er should hang after finishing posting a ll transac tions and waiting to look for more trans actions to post. | |
10703 | ||
10704 | IBIL | |
10705 | The AR bil l number o r Charge I D. | |
10706 | ||
10707 | IBJOB | |
10708 | Identifies IB job (1 -Inpt BGJ, 2-Inpt Di scharge jo b, etc.). | |
10709 | ||
10710 | IBLAST | |
10711 | The most r ecent tran saction fo r a given new transa ction. If there hav e been no subsequent transacti ons to a n ew transac tion, it w ill equal the new tr ansaction. However, if a tran saction ha s been can celled or updated, t his will b e the poin ter to the most rece nt (last) cancellati on or upda te. | |
10712 | ||
10713 | IBLINE | |
10714 | Used to dr aw lines ( 79 or 80 d ashes). | |
10715 | ||
10716 | IBN | |
10717 | The pointe r to the I ntegrated Billing Ac tion file (#350) for the curre nt action. | |
10718 | ||
10719 | IBND | |
10720 | The zero n ode from t he Integra ted Billin g Action f ile (#350) (e.g., IB ND=^IB(IBN ,O)). | |
10721 | ||
10722 | IBNOS | |
10723 | The list o f pointer values to the Integr ated Billi ng Action file (#350 ) that are to be com bined and passed to AR as one transactio n. | |
10724 | ||
10725 | IBNOW | |
10726 | Contains t he current date/time . | |
10727 | ||
10728 | IBOP | |
10729 | Identifies IB Archiv e/Purge op eration (1 -Search, 2 -Archive, 3-Purge). | |
10730 | ||
10731 | IBPARNT | |
10732 | The origin al NEW Int egrated Bi lling Acti on for any action. This will be the poi nter value . For NEW Actions, this will point to i tself. | |
10733 | ||
10734 | IBSEQNO | |
10735 | IB Action sequence n umber (1-N ew, 2-Canc el, 3-Upda te). | |
10736 | ||
10737 | IBSERV | |
10738 | Service as sociated w ith billin g applicat ion (point s to File #49). | |
10739 | ||
10740 | IBSITE | |
10741 | Institutio n site num ber. | |
10742 | ||
10743 | IBSL | |
10744 | IB Action softlink. | |
10745 | ||
10746 | IBTOTL | |
10747 | Dollar amo unt passed to Accoun ts Receiva ble must b e greater than zero to pass ch arges. | |
10748 | ||
10749 | IBTRAN | |
10750 | The AR Tra nsaction n umber for a NEW IB A ction, the value ret urned afte r passing a transact ion to AR. More tha n one IB A ction may have the s ame AR Tra nsaction. | |
10751 | ||
10752 | IBWHER | |
10753 | Codes to d enote proc essing poi nt in case of error. | |
10754 | ||
10755 | IBY | |
10756 | Error proc essing (eq uals 1 or -1^error c ode). | |
10757 | ||
10758 | ||
10759 | ||
10760 | ||
10761 | How to Gen erate On-L ine Docume ntation | |
10762 | ||
10763 | This secti on describ es some of the vario us methods by which users may secure Int egrated Bi lling tech nical docu mentation. On-line technical documentat ion pertai ning to th e Integrat ed Billing software, in additi on to that which is located in the help prompts an d on the h elp screen s which ar e found th roughout t he Integra ted Billin g package, may be ge nerated th rough util ization of several K ernel opti ons. Thes e include but are no t limited to %INDEX; Menu Mana gement, In quire (Opt ion File) and Print Option Fil e; VA File Man Data D ictionary Utilities, List File Attribute s. | |
10764 | ||
10765 | Entering q uestion ma rks at the "Select . .. Option: " prompt m ay also pr ovide user s with val uable tech nical info rmation. For exampl e, a singl e question mark (?) lists all options wh ich can be accessed from the c urrent opt ion. Ente ring two q uestion ma rks (??) l ists all o ptions acc essible fr om the cur rent one, showing th e formal n ame and lo ck for eac h. Three question m arks (???) displays a brief de scription for each o ption in a menu whil e an optio n name pre ceded by a question mark (?OPT ION) shows extended help, if a vailable, for that o ption. | |
10766 | ||
10767 | For a more exhaustiv e option l isting and further i nformation about oth er utiliti es which s upply on-l ine techni cal inform ation, ple ase consul t the DHCP Kernel Re ference Ma nual. | |
10768 | ||
10769 | ||
10770 | %Index | |
10771 | This optio n analyzes the struc ture of a routine(s) to determ ine in par t if the r outine(s) adhere(s) to DHCP Pr ogramming Standards. The %IND EX output may includ e the foll owing comp onents: c ompiled li st of Erro rs and War nings, Rou tine Listi ng, Local Variables, Global Va riables, N aked Globa ls, Label References , and Exte rnal Refer ences. By running % INDEX for a specifie d set of r outines, t he user is afforded the opport unity to d iscover an y deviatio ns from DH CP Program ming Stand ards which exist in the select ed routine (s) and to see how r outines in teract wit h one anot her, that is, which routines c all or are called by other rou tines. | |
10772 | ||
10773 | To run %IN DEX for th e Integrat ed Billing package, specify th e followin g namespac e(s) at th e "routine (s) ?>" pr ompt: IB. | |
10774 | ||
10775 | Integrated Billing i nitializat ion routin es which r eside in t he UCI in which %IND EX is bein g run, as well as lo cal routin es found w ithin the Integrated Billing n amespace, should be omitted at the "rout ine(s) ?>" prompt. To omit ro utines fro m selectio n, preface the names pace with a minus si gn (-).Inq uire (Opti on File) | |
10776 | This Menu Management option pr ovides the following informati on about a specified option(s) : option name, menu text, opt ion descri ption, typ e of optio n and lock , if any. In additi on, all it ems on the menu are listed for each menu option. | |
10777 | ||
10778 | To secure informatio n about In tegrated B illing opt ions, the user must specify th e name or namespace of the opt ion(s) des ired. The namespace associate d with the Integrate d Billing package is IB. | |
10779 | ||
10780 | ||
10781 | Print Opti on File | |
10782 | This utili ty generat es a listi ng of opti ons from t he OPTION file. The user may choose to print all of the ent ries in th is file or may elect to specif y a single option or range of options. To obtain a list of Integrated Billing o ptions, th e followin g option n amespace s hould be s pecified: IB. | |
10783 | ||
10784 | ||
10785 | List File Attributes | |
10786 | This VA Fi leMan opti on allows the user t o generate documenta tion perta ining to f iles and f ile struct ure. Util ization of this opti on via the "Standard " format w ill yield the follow ing data d ictionary informatio n for a sp ecified fi le(s). | |
10787 | ||
10788 | File name and descri ption | |
10789 | Identifier s | |
10790 | Cross-refe rences | |
10791 | Files poin ted to by the file s pecified | |
10792 | Files whic h point to the file specified | |
10793 | Input, pri nt, and so rt templat es | |
10794 | ||
10795 | In additio n, the fol lowing app licable da ta is supp lied for e ach field in the fil e: field name, numb er, title, global lo cation and descripti on, help p rompt, cro ss-referen ce(s), inp ut transfo rm, date l ast edited , and note s. | |
10796 | ||
10797 | Using the "Global Ma p" format of this op tion gener ates an ou tput which lists all cross-ref erences fo r the file selected, global lo cation of each field in the fi le, input templates, print tem plates, an d sort tem plates. F or a compr ehensive l isting of Integrated Billing f iles, plea se refer t o the File s Section of this ma nual. | |
10798 | ||
10799 | ||
10800 | Security | |
10801 | File Prote ction | |
10802 | ||
10803 | The Electr onic Data Interface contains f iles that are standa rdized. T hey carry a higher l evel of fi le protect ion with r egard to D elete, Rea d, Write, and LAYGO access, an d should n ot be edit ed locally unless ot herwise di rected. T he data di ctionaries for all f iles shoul d NOT be a ltered. | |
10804 | ||
10805 | The follow ing is a l ist of rec ommended V A FileMan access cod es associa ted with e ach file c ontained i n the KIDS build for the EDI i nterface. | |
10806 | ||
10807 | ||
10808 | File # | |
10809 | File Name | |
10810 | DD | |
10811 | RD | |
10812 | WR | |
10813 | DEL | |
10814 | LAYGO | |
10815 | AUDIT | |
10816 | 36 | |
10817 | INSURANCE COMPANY | |
10818 | # | |
10819 | ||
10820 | D | |
10821 | d | |
10822 | d | |
10823 | ||
10824 | 350.8 | |
10825 | IB ERROR | |
10826 | @ | |
10827 | @ | |
10828 | @ | |
10829 | @ | |
10830 | @ | |
10831 | @ | |
10832 | 350.9 | |
10833 | IB SITE PA RAMETERS | |
10834 | @ | |
10835 | @ | |
10836 | @ | |
10837 | @ | |
10838 | @ | |
10839 | @ | |
10840 | 353.3 | |
10841 | IB ATTACHM ENT REPORT TYPE | |
10842 | @ | |
10843 | @ | |
10844 | @ | |
10845 | @ | |
10846 | @ | |
10847 | @ | |
10848 | 355.3 | |
10849 | GROUP INSU RANCE PLAN | |
10850 | @ | |
10851 | ||
10852 | @ | |
10853 | @ | |
10854 | @ | |
10855 | @ | |
10856 | 355.33 | |
10857 | INSURANCE VERIFICATI ON PROCESS OR | |
10858 | @ | |
10859 | @ | |
10860 | @ | |
10861 | @ | |
10862 | @ | |
10863 | @ | |
10864 | 355.93 | |
10865 | IB NON/OTH ER VA BILL ING PROVID ER | |
10866 | @ | |
10867 | ||
10868 | ||
10869 | ||
10870 | ||
10871 | @ | |
10872 | 355.98 | |
10873 | IB ALTERNA TE PRIMARY ID TYPES | |
10874 | @ | |
10875 | @ | |
10876 | @ | |
10877 | @ | |
10878 | @ | |
10879 | @ | |
10880 | 361.1 | |
10881 | EXPLANATIO N OF BENEF ITS | |
10882 | @ | |
10883 | @ | |
10884 | @ | |
10885 | @ | |
10886 | @ | |
10887 | @ | |
10888 | 362.4 | |
10889 | IB BILL/CL AIMS PRESC RIPTION RE FILL | |
10890 | @ | |
10891 | ||
10892 | @ | |
10893 | @ | |
10894 | @ | |
10895 | @ | |
10896 | 364.1 | |
10897 | ||
10898 | EDI TRANSM ISSION BAT CH | |
10899 | @ | |
10900 | @ | |
10901 | @ | |
10902 | @ | |
10903 | @ | |
10904 | @ | |
10905 | 364.5 | |
10906 | IB DATA EL EMENT DEFI NITION | |
10907 | ||
10908 | ||
10909 | ||
10910 | ||
10911 | ||
10912 | ||
10913 | 364.6 | |
10914 | IB FORM SK ELETON DEF INITION | |
10915 | ||
10916 | ||
10917 | ||
10918 | ||
10919 | ||
10920 | ||
10921 | 364.7 | |
10922 | IB FORM FI ELD CONTEN T | |
10923 | ||
10924 | ||
10925 | ||
10926 | ||
10927 | ||
10928 | ||
10929 | 366 | |
10930 | IB SSVI PI N/HL7 PIVO T | |
10931 | ||
10932 | ||
10933 | ||
10934 | ||
10935 | ||
10936 | ||
10937 | 366.03 | |
10938 | PLAN | |
10939 | @ | |
10940 | ||
10941 | ||
10942 | ||
10943 | ||
10944 | ||
10945 | 366.1 | |
10946 | IB INSURAN CE INCONSI STENT DATA | |
10947 | ||
10948 | ||
10949 | ||
10950 | ||
10951 | ||
10952 | ||
10953 | 366.14 | |
10954 | IB NCPDP E VENT LOG | |
10955 | ||
10956 | ||
10957 | ||
10958 | ||
10959 | ||
10960 | ||
10961 | 366.17 | |
10962 | IB NCPDP N ON-BILLABL E REASONS | |
10963 | ||
10964 | ||
10965 | ||
10966 | ||
10967 | ||
10968 | ||
10969 | 366.2 | |
10970 | IB INSURAN CE CONSIST ENCY ELEME NTS | |
10971 | ||
10972 | ||
10973 | ||
10974 | ||
10975 | ||
10976 | ||
10977 | 367 | |
10978 | HPID/OEID RESPONSE | |
10979 | @ | |
10980 | ||
10981 | ||
10982 | ||
10983 | ||
10984 | ||
10985 | 367.1 | |
10986 | HPID/OEID TRANSMISSI ON QUEUE | |
10987 | @ | |
10988 | ||
10989 | ||
10990 | ||
10991 | ||
10992 | ||
10993 | 367.11 | |
10994 | INSURANCE COMPANY ID TYPE | |
10995 | @ | |
10996 | ||
10997 | @ | |
10998 | @ | |
10999 | @ | |
11000 | ||
11001 | 399 | |
11002 | BILL/CLAIM S | |
11003 | @ | |
11004 | @ | |
11005 | @ | |
11006 | @ | |
11007 | @ | |
11008 | ||
11009 | 399.6 | |
11010 | CMN FORM T YPES | |
11011 | @ | |
11012 | @ | |
11013 | @ | |
11014 | @ | |
11015 | @ | |
11016 | @ | |
11017 | ||
11018 | ||
11019 | (This pag e included for two-s ided copyi ng.) | |
11020 | ||
11021 | ||
11022 | Glossary | |
11023 | ||
11024 | Glossary | |
11025 | Action Typ e | |
11026 | The type o f event th at an appl ication pa sses to In tegrated B illing. | |
11027 | Admission Sheet | |
11028 | (a.k.a. At testation Sheet) | |
11029 | This is a worksheet commonly u sed in the front of inpatient charts wit h a worksp ace availa ble for co ncurrent r eviews. | |
11030 | ADPAC | |
11031 | Automated Data Proce ssing Appl ications C oordinator . | |
11032 | ALOS | |
11033 | Average Le ngth of St ay. | |
11034 | AMIS | |
11035 | Automated Management Informati on System | |
11036 | Annual Ben efits | |
11037 | The amount or percen tages of c overage fo r specific types of care under an insura nce plan. | |
11038 | AR | |
11039 | Accounts R eceivable | |
11040 | This is a system of bookkeepin g necessar y to track VAMC debt collectio n. | |
11041 | Automated Biller | |
11042 | This is a new utilit y introduc ed in IB v 2.0 for th e purpose of establi shing thir d party bi lls with n o user int ervention. | |
11043 | Background Filer | |
11044 | A backgrou nd job tha t accumula tes charge s and caus es adjustm ent transa ctions to a bill. | |
11045 | BASC | |
11046 | Billable A mbulatory Surgical C ode | |
11047 | Benefits U sed | |
11048 | The amount s or porti ons of a p atient's i nsurance p olicy that have been used (i.e ., deducti bles, annu al or life time maxim ums). | |
11049 | Billing Cl ock | |
11050 | A 365 day period, us ually begi nning when a patient is Means Tested and is placed in Catego ry C, thro ugh which a patient' s Means Te st charges are track ed. An in patient's Medicare d eductible co-payment entitles the patien t to 90 da ys of hosp ital/nursi ng home ca re. These 90 days m ust fall w ithin the 365 day bi lling cloc k. | |
11051 | Block | |
11052 | A rectangu lar region on an enc ounter for m. Attrib utes inclu de positio n, size, o utline typ e, and hea der. All other form component s are cont ained with in a parti cular bloc k, and the ir positio n is relat ive to the block's p osition. | |
11053 | Category C | |
11054 | Category C patients are respon sible for making co- payments a s a result of Means Test legis lation. | |
11055 | Check-off Sheet | |
11056 | A site con figurable printed fo rm contain ing CPT co des, descr iptions, a nd dollar amounts (o ptional). Each chec k-off shee t may be a ssigned to an indivi dual clini c or multi ple clinic s. | |
11057 | Claims Tra cking | |
11058 | This is a new module in Integr ated Billi ng that al lows for t he trackin g of an ep isode of c are from s cheduling through fi nal dispos ition of a bill. | |
11059 | CMN | |
11060 | Certificat e of Medic al Necessi ty | |
11061 | Collateral Visit | |
11062 | A visit by a non-vet eran patie nt whose a ppointment is relate d to or as sociated w ith a serv ice-connec ted patien t's treatm ent. | |
11063 | Column | |
11064 | A selectio n list con tains one or more co lumns, a c olumn bein g a rectan gular area that cont ains a por tion of th e entries on a selec tion list. Attribut es include position and height . | |
11065 | Concurrent Reviews | |
11066 | Review of patients b y the hosp ital Utili zation Rev iew perfor med during the patie nt's hospi tal stay. | |
11067 | Consistenc y Checker | |
11068 | Review of patients b y the hosp ital Utili zation Rev iew perfor med during the patie nt's hospi tal stay. | |
11069 | Continuous Patient | |
11070 | Patients c ontinuousl y hospital ized at th e same lev el of care since Jul y 1, 1986. | |
11071 | Converted Charges | |
11072 | During the conversio n, the BIL LS/CLAIMS file (#399 ) is check ed to insu re that ea ch outpati ent visit has been b illed. Fo r each vis it without an establ ished bill , one is e stablished and given a status of CONVERT ED. | |
11073 | Co-payment | |
11074 | The charge s required by legisl ation, tha t a patien t is bille d for serv ices or su pplies. | |
11075 | CPT | |
11076 | Current Pr ocedural T erminology . A codin g method d eveloped b y the Amer ican Hospi tal Associ ation to a ssign code numbers t o procedur es which a re used fo r research , statisti cal, and r eimburseme nt purpose s. | |
11077 | Data Field | |
11078 | A block co mponent th at is the means by w hich data from DHCP is printed to the fo rm. The d ata is obt ained at t he time th e form is printed (i .e., it is not store d with the form) and can be pa rticular t o the pati ent. A da ta field c an have su bfields, w hich are c onceptuall y a collec tion of re lated data fields. Attributes include l abel, labe l type (un derlined, bold, and invisible) , position , data are a, data le ngth and p osition (a rea on the form allo cated to t he data), item numbe r, and pac kage inter face (the routine us ed to get the data). | |
11079 | DHCP | |
11080 | Decentrali zed Hospit al Compute r Program | |
11081 | Diagnosis Code | |
11082 | A numeric or alpha-n umeric cla ssificatio n of the t erms descr ibing medi cal condit ions, caus es, or dis eases. | |
11083 | Discharge Summary | |
11084 | An admissi on summary usually c ompleted b y the clin ician upon the patie nt's disch arge from the hospit al. | |
11085 | ECME | |
11086 | Electronic Claims Ma nagement E ngine | |
11087 | Encounter Form | |
11088 | A paper fo rm used to display d ata pertai ning to an outpatien t visit an d to colle ct additio nal data p ertaining to that vi sit. | |
11089 | Entry Acti on | |
11090 | An attribu te of a pa ckage inte rface. It is MUMPS code that is execute d before t he interfa ce's entry point is executed. | |
11091 | EP | |
11092 | Expert Pan el | |
11093 | Exit Actio n | |
11094 | An attribu te of a pa ckage inte rface. It is MUMPS code that is execute d after th e interfac e's entry point is e xecuted. | |
11095 | Form Line | |
11096 | A block co mponent. A straight line that will be p rinted to the form. Attribute s include orientatio n (horizon tal, verti cal), posi tion, and length. | |
11097 | Form Locat or | |
11098 | A block on the UB or HCFA bill form. | |
11099 | Group Plan | |
11100 | A specific health in surance pl an that an insurance company o ffers. | |
11101 | HCFA | |
11102 | Health Car e Finance Administra tion | |
11103 | HCFA-1500 | |
11104 | AMA approv ed health insurance claim form used for outpatient third par ty billing s. | |
11105 | HCSR | |
11106 | Health Car e Service Review | |
11107 | HINQ | |
11108 | Hospital I nquiry | |
11109 | Hospital R eview | |
11110 | The applic ation of U tilization Review cr iteria to determine if admissi ons or con tinued sta y in the h ospital me ets certai n guidelin es. Refer s to QM ma ndated rev iews. | |
11111 | HPID | |
11112 | Health Pla n Identifi er | |
11113 | IB | |
11114 | Integrated Billing | |
11115 | ICD-9 | |
11116 | Internatio nal Classi fication o f Diseases , the Nint h Modifica tion | |
11117 | A coding s ystem desi gned by th e World He alth Organ ization to assign co de numbers to diagno ses and pr ocedures f or statist ical, rese arch, and reimbursem ent purpos es. | |
11118 | ICD-10 | |
11119 | Internatio nal Classi fication o f Diseases , the Tent h Modifica tion | |
11120 | A coding s ystem desi gned by th e World He alth Organ ization to assign co de numbers to diagno ses and pr ocedures f or statist ical, rese arch, and reimbursem ent purpos es. | |
11121 | Insurance Data Captu re | |
11122 | This is a new module in Integr ated Billi ng that is used to c apture and store ins urance com pany and p atient ins urance inf ormation. | |
11123 | Insurance Review | |
11124 | The input of UR info rmation ab out insura nce compan y contact and insura nce compan y action. | |
11125 | Integrated Billing A ction | |
11126 | The billin g record c reated whe n an appli cation pas ses an eve nt to Inte grated Bil ling that may cause a charge a djustment (increase or decreas e) in the amount a d ebtor may owe; or a supporting event to document a n event th at causes a charge a djustment to a debto r. | |
11127 | Interqual Criteria | |
11128 | A method o f evaluati ng appropr iateness o f care. | |
11129 | Item Numbe r | |
11130 | An attribu te that mu st be spec ified when defining a data fie ld if the data field 's package interface returns a list. Th e item num ber is use d to speci fy which i tem on the list shou ld be prin ted to the data fiel d. For ex ample, the re is a pa ckage inte rface for returning service-co nnected co nditions. The first data fiel d created for a form for displ aying a se rvice-conn ected cond ition woul d specify item numbe r one. | |
11131 | Locality R ateThe Geo graphic Wa ge Index t hat is use d to accou nt for wag e | |
11132 | Modifier | |
11133 | The Geogra phic Wage Index that is used t o account for wage d ifferences in differ ent locali ties when calculatin g the ambu latory sur gery charg e. It is multiplied by the wa ge compone nt to get the final geographic wage comp onent of t he charge. | |
11134 | MAS | |
11135 | Medical Ad ministrati on Service | |
11136 | MCCF | |
11137 | Medical Ca re Collect ion Fund | |
11138 | MCCR | |
11139 | Medical Ca re Cost Re covery | |
11140 | The collec tion of mo nies by th e Departme nt of Vete rans Affai rs (VA). | |
11141 | Marking Ar ea | |
11142 | The areas on a selec tion list that the u ser marks to indicat e selectio ns from th e list (e. g., ( ), [ ], { } ). | |
11143 | Means Test | |
11144 | A financia l report u sed to det ermine if a patient may be req uired to m ake co-pay ments for care. | |
11145 | MIRMO | |
11146 | Medical In formation Resources Management Office | |
11147 | NIF | |
11148 | National I nsurance F ile | |
11149 | Non-MCCF | |
11150 | Refers to VA Facilit y staff wh o’s Funds are collec ted for th e Medical Services 3 60160 | |
11151 | Options | |
11152 | The differ ent functi ons within menus. | |
11153 | OEID | |
11154 | Other Enti ty Identif ier | |
11155 | Package In terface | |
11156 | A table th at is the method by which the Encounter Form Utili ties inter face with other pack ages. Pre sently the re are thr ee types o f package interfaces : for pri nting repo rts via th e Print Ma nager, pri nting data to data f ields, and for enter ing data t o selectio n lists. Attributes include e ntry point , routine, entry act ion, exit action, pr otected va riables, r equired va riables, d ata type, data descr iption, an d custodia l package. | |
11157 | PDX | |
11158 | Patient Da ta Exchang e | |
11159 | Per Diem | |
11160 | The daily co-pay cha rge for ho spital or nursing ho me care. | |
11161 | PIMS | |
11162 | Patient In formation Management System | |
11163 | Policy | |
11164 | The specif ic patient informati on about a health in surance po licy. A p olicy may reference a group pl an. | |
11165 | Principal Diagnosis | |
11166 | Condition establishe d after st udy to be chiefly re sponsible for the pa tient's ad mission. | |
11167 | Print Mana ger | |
11168 | A utility used to de fine the r eports and encounter forms tha t should b e printed for clinic s. It wil l then pri nt the rep orts and f orms in pa ckets for each appoi ntment spe cified. | |
11169 | Problem Li st | |
11170 | This is a clinical s oftware pa ckage used to track a patient' s problems across cl inical spe cialties. | |
11171 | Provider | |
11172 | A person, facility, organizati on, or sup plier whic h furnishe s health c are servic es. | |
11173 | Protected Variable | |
11174 | An attribu te of a pa ckage inte rface. It is a vari able that should be "new'ed" b efore call ing the in terface's entry poin t. | |
11175 | Reimbursab le Insuran ce | |
11176 | Health ins urance tha t will rei mburse VA for the co st of medi cal care p rovided to its subsc ribers. | |
11177 | Required V ariable | |
11178 | An attribu te of a pa ckage inte rface. It is a vari able that must exist in order for the in terface's entry poin t to be ca lled. | |
11179 | Revenue Co de | |
11180 | A code ide ntifying t he type of care prov ided on a third part y bill. | |
11181 | Security C ode | |
11182 | A code ass igned to e ach user i dentifying him/her s pecificall y to the s ystem and allowing h im/her acc ess to the functions /options a ssigned to him/her. | |
11183 | Security K ey | |
11184 | Used in co njunction with locke d options or functio ns. Only holders of this key may perfor m these op tions/func tions. Us ed for opt ions which perform a sensitive task. | |
11185 | Selection | |
11186 | A componen t of a sel ection lis t. It is a single e ntry on th e list. I t is store d with the form and is usually data take n from a f ile in DHC P such as a CPT code with its descriptio n. | |
11187 | Selection Group | |
11188 | A componen t of a sel ection lis t. It is a named gr oup of sel ections on the list. Attribut es include a header and the pr int order. | |
11189 | Selection List | |
11190 | A block co mponent wh ose purpos e is to co ntain a li st (e.g., a list of CPT codes) . The lis t contains sub colum ns for mar king areas , which ar e areas me ant to be marked to indicate s elections being made from the list. Att ributes in clude head ers, sub c olumns, su b column w idth, sub column typ e, package interface (the rout ine used t o fill the list), an d many att ributes fo r the appe arance of the list. | |
11191 | SSVI | |
11192 | System Sha red Verifi ed Insuran ce | |
11193 | A componen t that mov es insuran ce data be tween mult iple sites that are used by a single pat ient. | |
11194 | Stop Code | |
11195 | A three-di git number correspon ding to an additiona l stop/ser vice a pat ient recei ved in con junction w ith a clin ic visit. Stop code entries a re used so that medi cal facili ties may r eceive cre dit for th e services rendered during a p atient vis it. | |
11196 | Sub-column | |
11197 | A componen t of a sel ection lis t. It can contain e ither text such as a CPT code, or a mark ing area. | |
11198 | Subfield | |
11199 | A componen t of a dat a field. It can dis play a sin gle value, whereas a data fiel d can be u sed to dis play a col lection of related v alues. At tributes i nclude tho se for the label and the area on the for m to print the data. Also, fo r package interfaces that retu rn records that have multiple values, th e particul ar data mu st be spec ified. | |
11200 | Text Area | |
11201 | A rectangu lar area i n a block that is us ed to disp lay a word -processin g field. The text i s automati cally form atted to f it within the block. Attribut es include the word- processing field, th e position , and size of the te xt area. The text i s stored w ith the fo rm. | |
11202 | Third Part y Billings | |
11203 | Billings w here a par ty other t han the pa tient is b illed. | |
11204 | Tool Kit | |
11205 | A set of p re-configu red encoun ter forms and blocks to facili tate sites ' use of t he Encount er Forms p ackage. | |
11206 | UB-82 | |
11207 | AMA approv ed health insurance claim form used for Third Part y billings . | |
11208 | UB-92 | |
11209 | AMA approv ed health insurance claim form used for Third Part y billings . | |
11210 | UR | |
11211 | Utilizatio n Review | |
11212 | A review c arried out by allied health pe rsonnel at pre-deter mined time s during t he hospita l stay to assess the appropria teness of care. | |
11213 | Wage Perce ntage | |
11214 | The percen tage of th e rate gro up unit ch arge that is the wag e componen t to be us ed in calc ulating th e HCFA cha rge for am bulatory s urgical pr ocedures. | |
11215 | (This page included for two-si ded copyin g.) |
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