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| # | Location | File | Last Modified |
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| 1 | MCCF.zip\MCCF\docs | MCCF+EDI+TAS+USEB-12+SDD.docx | Thu Apr 13 18:53:44 2017 UTC |
| 2 | MCCF.zip\MCCF\docs | MCCF+EDI+TAS+USEB-12+SDD.docx | Fri Apr 28 18:43:44 2017 UTC |
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| 1 | MCCF EDI T AS USEB-12 | |
| 2 | System Des ign Docume nt | |
| 3 | IB*2.0*??? | |
| 4 | ||
| 5 | ||
| 6 | ||
| 7 | ||
| 8 | Department of Vetera ns Affairs | |
| 9 | October 20 16 | |
| 10 | Version 1. 0 | |
| 11 | User Story Number: U SEB-12 | |
| 12 | User Story Name: Pri nting of C MS 1500 (B acklog # 1 48) | |
| 13 | Resolution /Data Desi gn | |
| 14 | The follow ing is lis t of thing s that nee d to be do ne to sati sfy this u ser story: | |
| 15 | For Box 22 -A (RESUBM ISSION COD E) on the CMS 1500 f orm the fo llowing ne ed to occu r: | |
| 16 | COLUMN 50 MEDICAID RESUB CODE (BX-22/A) 364.6[14 75] 364.7[ 1175] 364. 5[5] Length=11 Max Lin es=0 | |
| 17 | >Constant Value: "" | |
| 18 | ||
| 19 | Currently, #364.7, 1 175 points to #364.5 , 5. Need to update #364.7, 1 175 by cha nging the DATA ELEME NT field t o validate the Bill Frequency Code which is contai ned in #36 4.5, 74 (L oop 2300 C LM05-3 [CL 1 pc 5]). The follo wing is th e Fileman field defi nition for 364.5, 74 : | |
| 20 | Select IB DATA ELEME NT DEFINIT ION NAME: N-BILL FRE QUENCY BILL/CL AIMS | |
| 21 | ANOTHER ON E: | |
| 22 | STANDARD C APTIONED O UTPUT? Yes // (Yes) | |
| 23 | Include CO MPUTED fie lds: (N/Y /R/B): NO/ / - No re cord numbe r (IEN), n o Computes | |
| 24 | ||
| 25 | NAME: N-BI LL FREQUEN CY SECURITY L EVEL: NATI ONAL,NO ED IT | |
| 26 | TYPE OF EL EMENT: NON -MULTIPLE FILEMAN FI ELD | |
| 27 | ELEMENT CA TEGORY: IN DIVIDUAL E LEMENT BA SE FILE: B ILL/CLAIMS | |
| 28 | FILEMAN FI ELD REFERE NCE: TIMEF RAME OF BI LL | |
| 29 | DESCRIPTIO N: The i nternal co de for the frequency of the bi ll entry I BXIEN. | |
| 30 | ||
| 31 | Modify #36 4.7, 1175, the FORMA T CODE fie ld, to con ditionally kill IBXD ATA if it is equal t o “7” or “ 8”, at the same time set IBXSA VE(“FQCD”) equal to IBXDATA, i f IBXDATA is equal t o “7” or “ 8”. The c ode to be used will be as foll ows: | |
| 32 | K IBXSAVE( “FQCD”) S: (“^7^8^”[( U_IBXDATA_ U)) IBXSAV E(“FQCD”)= IBXDATA I ‘$D(IBXSAV E(“FQCD”)) K IBXDATA | |
| 33 | Modify the IBY???PO routine to properly make these form modi fications. | |
| 34 | ||
| 35 | For Box 22 -B (ORIGIN AL REF. NO .) on the CMS 1500 f orm the fo llowing ne ed to occu r: | |
| 36 | COLUMN 62 ORIGINAL REF NO (BX -22/B) 364.6[14 76] 364.7[ 1176] 364. 5[5] Length=17 Max Lin es=0 | |
| 37 | >Constant Value: "" | |
| 38 | Currently, #364.7, 1 176 points to #364.5 , 5. Need to update #364.7, 1 176 by cha nging the DATA ELEME NT field t o obtain t he Payer C laim Contr ol Number ICN/DCN as in 364.5, 55 (Loop 2300 REF02 [CI3A pc 6]). The following is the Fil eman field definitio n for 364. 5, 55: | |
| 39 | ||
| 40 | Select IB DATA ELEME NT DEFINIT ION NAME: N-CURR INS FORM LOC 64 B ILL/CLAIMS | |
| 41 | ANOTHER ON E: | |
| 42 | STANDARD C APTIONED O UTPUT? Yes // (Yes) | |
| 43 | Include CO MPUTED fie lds: (N/Y /R/B): NO/ / - No re cord numbe r (IEN), n o Computed Fields | |
| 44 | ||
| 45 | NAME: N-CU RR INS FOR M LOC 64 SECURITY L EVEL: NATI ONAL,NO ED IT | |
| 46 | TYPE OF EL EMENT: EXT RACTED VIA CODE EL EMENT CATE GORY: INDI VIDUAL ELE MENT | |
| 47 | BASE FILE: BILL/CLAI MS | |
| 48 | EXTRACT CO DE: N Z S Z=$$COBN^I BCEF(IBXIE N) D F^IBC EF("N-UB-0 4 FORM LOC ATOR 64"_$ P("^B^C",U ,Z)) | |
| 49 | DESCRIPTIO N: The f orm locato r 64 data for the cu rrent insu rance comp any for bi ll entry I BXIEN. | |
| 50 | ||
| 51 | Modify #36 4.7, 1176, the FORMA T CODE fie ld, to con ditionally kill IBXD ATA if the Bill Freq uency Code was equal to “7” or “8”. The code to b e used wil l be as fo llows: | |
| 52 | I ‘$D(IBXS AVE(“FQCD” )) K IBXDA TA | |
| 53 | Modify the IBY???PO routine to properly make these form modi fications. | |
| 54 | ||
| 55 | Create the New ^IBY? ??PR Pre-I nstall Rou tine | |
| 56 | ||
| 57 | Routines | |
| 58 | Activities | |
| 59 | Routine Na me | |
| 60 | IBY???PR | |
| 61 | Enhancemen t Category | |
| 62 | New | |
| 63 | Modify | |
| 64 | Delete | |
| 65 | No Change | |
| 66 | RTM | |
| 67 | ||
| 68 | Related Op tions | |
| 69 | None | |
| 70 | Related Ro utines | |
| 71 | Routines “ Called By” | |
| 72 | Routines “ Called” | |
| 73 | ||
| 74 | ||
| 75 | ||
| 76 | ||
| 77 | Data Dicti onary (DD) Reference s | |
| 78 | IB DATA EL EMENT DEFI NITION Fil e [#364.7] | |
| 79 | Related Pr otocols | |
| 80 | None | |
| 81 | Related In tegration Control Re gistration s (ICRs) | |
| 82 | None | |
| 83 | Data Passi ng | |
| 84 | Input | |
| 85 | Output Re ference | |
| 86 | Both | |
| 87 | Global Re ference | |
| 88 | Local | |
| 89 | Input Attr ibute Name and Defin ition | |
| 90 | Name: | |
| 91 | Definition : | |
| 92 | Output Att ribute Nam e and Defi nition | |
| 93 | Name: | |
| 94 | Definition : | |
| 95 | Current Lo gic | |
| 96 | N/A | |
| 97 | Modified L ogic (Chan ges are in bold) | |
| 98 | IBY???PR ; ALB/VAD - Pre-Instal lation for IB patch ??? ;27-Au g-2007 ;;2 .0;INTEGRA TED BILLIN G;**???**; 21-MAR-94; Build 52 ; | |
| 99 | D DELOF ; del ete all ou tput forma tter data elements i ncluded in build | |
| 100 | Q | |
| 101 | ;DELOF ; Delete inc luded outp ut formatt er entries NEW FILE, DIK,LN,TAG ,DATA,PCE, DA,Y F FIL E=5,6,7 S DIK="^IBA( 364."_FILE _"," F LN= 2:1 S TAG= "ENT"_FILE _"+"_LN,DA TA=$P($T(@ TAG),";;", 2) Q:DATA= "" D . F PCE=2:1 S DA=$P(DATA ,U,PCE) Q: 'DA I $D( ^IBA("364. "_FILE,DA, 0)) D ^DIK . Q ;DEL OFX ; Q ;I NCLUDE(FIL E,Y) ; fun ction to d etermine i f output f ormatter e ntry shoul d be ; inc luded in t he build ; FILE=5,6, 7 indicati ng file 36 4.x ; Y=ie n to file ; NEW OK,L N,TAG,DATA S OK=0 F LN=2:1 S T AG="ENT"_F ILE_"+"_LN ,DATA=$P($ T(@TAG),"; ;",2) Q:DA TA="" I $ F(DATA,U_Y _U) S OK=1 QINCLUDEX ; Q OK ; ;--------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 102 | ; 364.7 e ntries mod ified:ENT7 ; output formatter entries in file 364. 7 to be in cluded ; ; ;^1175^117 6^ ; ;---- ---------- ---------- ---------- ---------- ---------- ---------- ------- ; 364.7 entr ies modifi ed: ;1175 CL1-5 ;117 6 CI3A-6 | |
| 103 | ; ;------ ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
| 104 | ; | |
| 105 | ||
| 106 | Need to ad d the 364. 7 file to the build for the up dates to t he 1175 an d 1176 ent ries. | |
| 107 | ||
| 108 | Edi t a Build PAGE 2 OF 5 | |
| 109 | Name: IB*2 .0*??? TYPE: SINGLE PAC KAGE | |
| 110 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 111 | Fil e List (N ame or Num ber) | |
| 112 | DD Export Opt ions | |
| 113 | | |
| 114 | File: I B FORM FIE LD CONTENT | |
| 115 | | |
| 116 | Send F ull or Par tial DD... : FULL | |
| 117 | | |
| 118 | Update th e Data Dic tionary: N O Send Secu rity Code: NO | |
| 119 | | |
| 120 | Screen to Determine DD Update | |
| 121 | | |
| 122 | | |
| 123 | Dat a Comes Wi th File... : YES | |
| 124 | | |
| 125 | __________ __________ __________ __________ __________ __________ __________ _________ | |
| 126 | ||
| 127 | ||
| 128 | ||
| 129 | ||
| 130 | ||
| 131 | ||
| 132 | Name: IB*2 .0*??? TYPE: SINGLE PAC KAGE | |
| 133 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- --------- | |
| 134 | Fil e List (N ame or Num ber) | |
| 135 | DD Export Opt ions | |
| 136 | Data Expor t Options | |
| 137 | | |
| 138 | Si te's Data: OVERWRITE | |
| 139 | | |
| 140 | Resolve Pointers: YES May User Over ride Data Update: NO | |
| 141 | | |
| 142 | Data List: | |
| 143 | | |
| 144 | Screen to Select Data | |
| 145 | I $$INC LUDE^IBY?? ?PR(7,Y) | |
| 146 | | |
| 147 | | |
| 148 | __________ __________ __________ __________ __________ __________ __________ _________ |
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