Global: ^ABMCLCLM

Information

FileMan FileNo	FileMan Filename	Package
9002274.301	3P CLOSED CLAIM REASON	Third Party Billing

This file will be a list of reasons a user can close a claim. It will be used in the 3P Claim Data file, multiple 69.

Package	Total	Routines
Third Party Billing	2	ABMDRXC1 ABMDRXC2

Package	Total	FileMan Files
Third Party Billing	1	3P CLAIM DATA(#9002274.3)[#9002274.3069(.04)]

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.001	NUMBER		NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1.N) X` LAST EDITED: `NOV 04, 2008` HELP-PROMPT: `Type a number between 1 and 9999999999, 0 Decimal Digits`
.01	REASON	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>45!($L(X)<3)!'(X'?1P.E) X` LAST EDITED: `FEB 23, 2009` HELP-PROMPT: `Answer must be 3-45 characters in length` CROSS-REFERENCE: `9002274.301^B` 1)= S ^ABMCLCLM("B",$E(X,1,30),DA)="" 2)= K ^ABMCLCLM("B",$E(X,1,30),DA)

NUMBER

REASON

0;1

FREE TEXT

************************REQUIRED FIELD************************

CROSS-REFERENCE: 9002274.301^B

1)= S ^ABMCLCLM("B",$E(X,1,30),DA)=""

2)= K ^ABMCLCLM("B",$E(X,1,30),DA)

REASON: 72 HOUR OUTPATIENT VISIT	REASON: BEYOND FILING LIMIT	REASON: CLAIM CREATED FOR WRONG PATIENT	REASON: DID NOT KEEP APPOINTMENT	REASON: DUPLICATE CLAIM CREATED	REASON: ELIGIBILITY NOT FOUND	REASON: INCORRECT CHARGES	REASON: LEFT WITHOUT BEING SEEN
REASON: MANUALLY BILLED CLAIM	REASON: ORPHAN CLAIM CREATED IN ERROR	REASON: OVER THE COUNTER MEDS	REASON: PATERNITY ELIGIBLE	REASON: POS PLAN LIMITATION EXCEEDED	REASON: POS REFILL TOO SOON	REASON: RE-OPENED IN ERROR	REASON: RETURN TO STOCK
REASON: TELEPHONE CONSULT	REASON: TEST CLAIM	REASON: TRIAGE ONLY	REASON: UNBILLABLE CLINIC TYPE	REASON: UNBILLABLE DIAGNOSIS	REASON: UNBILLABLE PROFESSIONAL CLAIM (MEDICARE B)	REASON: UNBILLABLE PROVIDER	REASON: UNBILLABLE VISIT TYPE
REASON: VISIT UNRELATED TO ACCIDENT/INJURY	REASON: WITHIN GLOBAL PERIOD	REASON: WORKMANS COMP/THIRD PARTY CASE	REASON: WRONG DOS	REASON: WRONG INSURER SELECTED