FileMan FileNo | FileMan Filename | Package |
---|---|---|
9999999.18 | INSURER | Utility Tables |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
.02 | STREET | 0;2 | FREE TEXT |
|
.03 | CITY | 0;3 | FREE TEXT |
|
.04 | STATE | 0;4 | POINTER TO STATE FILE (#5) | STATE(#5)
|
.05 | ZIP | 0;5 | FREE TEXT |
|
.06 | PHONE | 0;6 | FREE TEXT |
|
.07 | EIN NUMBER | 0;7 | FREE TEXT |
|
.08 | CONTROL NUMBER | 0;8 | FREE TEXT |
|
.09 | CONTACT PERSON | 0;9 | FREE TEXT |
|
.11 | FEDERAL TAX ID # | 0;11 | FREE TEXT |
|
.12 | FAX NUMBER | 0;12 | FREE TEXT |
|
.16 | DOMICILE | 1;6 | POINTER TO STATE FILE (#5) | STATE(#5)
|
.17 | STATUS | 1;7 | SET | ************************REQUIRED FIELD************************
|
.21 | TYPE OF INSURER | 2;1 | SET |
|
.211 | INSURER TYPE | 3;1 | POINTER TO INSURER TYPE FILE (#9999999.181) | INSURER TYPE(#9999999.181)
|
.22 | ALL INCLUSIVE BILLING (Y/N) | 2;2 | SET |
|
.23 | RX BILLING STATUS | 2;3 | SET | ************************REQUIRED FIELD************************
|
.24 | BACKBILLING LIMIT (MONTHS) | 2;4 | NUMBER |
|
.25 | DENTAL BILLING STATUS | 2;5 | SET |
|
.26 | OLD DFN | 2;6 | NUMBER |
|
.27 | MERGED TO DFN | 2;7 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
.28 | EXTERNAL ID 1 | 2;8 | FREE TEXT |
|
.29 | EXTERNAL ID 2 | 2;9 | FREE TEXT |
|
.31 | EXTERNAL GROUP NAME | 2;10 | FREE TEXT |
|
.32 | X12 CLAIM FILING INDICATOR | 2;11 | POINTER TO CLAIM FILING INDICATOR FILE (#9999999.96) | CLAIM FILING INDICATOR(#9999999.96)
|
.33 | X12 TRADING PARTNER ID | 2;12 | FREE TEXT |
|
.34 | X12 TRADING PARTNER NAME | 2;13 | FREE TEXT |
|
.35 | MEDICAID COVERAGE REQUIRED | 2;14 | SET |
|
.36 | MEDICAID RATE CODE REQUIRED | 2;15 | SET |
|
.37 | PLAN NAME REQUIRED | 2;16 | SET |
|
.38 | SCREEN DISPLAY | 2;17 | SET |
|
.39 | NETWORK PROVIDER | 2;18 | SET |
|
.41 | LONG NAME | 4;1 | FREE TEXT |
|
.51 | ENVOY ID MEDICAL | 5;1 | POINTER TO 3P ENVOY PAYER FILE (#9002274.93) | 3P ENVOY PAYER(#9002274.93)
|
.52 | ENVOY ID HOSPITAL | 5;2 | POINTER TO 3P ENVOY PAYER FILE (#9002274.93) | 3P ENVOY PAYER(#9002274.93)
|
.53 | ENVOY ID DENTAL | 5;3 | POINTER TO 3P ENVOY PAYER FILE (#9002274.93) | 3P ENVOY PAYER(#9002274.93)
|
.61835 | FILE FORMAT | 6;1 | SET |
|
.62277 | FILE FORMAT | 6;2 | SET |
|
.63271 | FILE FORMAT | 6;3 | SET |
|
.64276 | FILE FORMAT | 6;4 | SET |
|
.65270 | FILE FORMAT | 6;5 | SET |
|
.66 | EXTERNAL ID 3 (REF LAB) | 2;19 | FREE TEXT |
|
1 | BILLING OFFICE | 1;1 | FREE TEXT |
|
2 | BILLING STREET | 1;2 | FREE TEXT |
|
3 | BILLING CITY | 1;3 | FREE TEXT |
|
4 | BILLING STATE | 1;4 | POINTER TO STATE FILE (#5) | STATE(#5)
|
5 | BILLING ZIP | 1;5 | FREE TEXT |
|
1101 | DENIAL CODES | 11;0 | Multiple #9999999.1811 | 9999999.1811 |
1201 | MEDICARE FI | 12;0 | POINTER Multiple #9999999.181201 | 9999999.181201 |
1301 | MEDICAID FI | 13;0 | POINTER Multiple #9999999.1813 | 9999999.1813 |
1501 | LOCATIONS ASSIGNED W/ PROV # | 15;0 | POINTER Multiple #9999999.181501 | 9999999.181501
|
1701 | CLINIC UNBILLABLE | 17;0 | POINTER Multiple #9999999.181701 | 9999999.181701 |
2101 | COVERAGE | 21;0 | Multiple #9999999.1821 | 9999999.1821 |
3101 | DATE SPLIT BILLING REQ'D | 31;0 | DATE Multiple #9999999.1831 | 9999999.1831 |
3901 | VISIT TYPE | 39;0 | POINTER Multiple #9999999.183901 | 9999999.183901
|
4301 | PRIOR APPROVAL REQUIRED | 43;0 | POINTER Multiple #9999999.1843 | 9999999.1843 |
8801 | MNEMONIC | 88;1 | FREE TEXT |
|
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^AUTNINS - [#9999999.18] | .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 4S), .01(XREF 4n1.4), .01(XREF 4n69.2) |
^AUTNINS("AI" | .27(XREF 1S), .27(XREF 1K) |
^AUTNINS("AO" | .26(XREF 1S), .26(XREF 1K) |
^AUTNINS("AS" | .17(XREF 1S), .17(XREF 1K) |
^AUTNINS("B" | .01(XREF 1S), .01(XREF 1K) |
^AUTNINS("C" | .41(XREF 1S), .41(XREF 1K) |
^AUTNINS("D" | .16(XREF 1S), .16(XREF 1K) |
^AUTNINS("E" | .08(XREF 1S), .08(XREF 1K) |
^AUTNINS("F" | .28(XREF 1S), .28(XREF 1K) |
^AUTNINS("G" | .29+1, .29(XREF 1S), .29(XREF 1K) |
^AUTNINS("H" | .11(XREF 1S), .11(XREF 1K) |
^AUTNINS("I" | .33(XREF 1S), .33(XREF 1K) |
^DD( | .01(XREF 2n1.4), .01(XREF 4n1.4) |
^DD("KWIC" | .41(XREF 1S) |
^DD(5 | ID.04+1 |
^DD(9999999.18 | .01(XREF 2S), .01(XREF 4S), .01(XREF 4n69.2) |
^DIC(5 - [#5] | ID.04+1 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
>> % | .41(XREF 1S), .41(XREF 1K) |
>> %1 | .41(XREF 1S), .41(XREF 1K) |
%I | ID.04+1*! |
>> C | ID.04+1* |
>> D0 | .01(XREF 2S), .01(XREF 4S), .01(XREF 4n69.2) |
>> DA | .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 4S), .08(XREF 1S), .08(XREF 1K), .11(XREF 1S), .11(XREF 1K), .16(XREF 1S), .16(XREF 1K) , .17(XREF 1S), .17(XREF 1K), .26(XREF 1S), .26(XREF 1K), .27(XREF 1S), .27(XREF 1K), .28(XREF 1S), .28(XREF 1K), .29(XREF 1S), .29(XREF 1K) , .33(XREF 1S), .33(XREF 1K), .41(XREF 1S), .41(XREF 1K) |
>> DIC | ID.04+1 |
>> DIC("S" | .17SCR+1*, .35SCR+1*, .36SCR+1*, .37SCR+1*, .38SCR+1*, .51SCR+1*, .52SCR+1*, .53SCR+1* |
>> DIG | .01(XREF 2n1.4), .01(XREF 4n1.4) |
>> DIH | .01(XREF 2n1.4), .01(XREF 4n1.4) |
>> DIU | .01(XREF 2S), .01(XREF 4S) |
DIV | .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 4S), .01(XREF 4n1.4) |
DIV(0 | .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 4S), .01(XREF 4n1.4) |
>> I | .41(XREF 1S), .41(XREF 1K) |
U | ID.04+1, ID.05+1, .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 4S), .01(XREF 4n1.4), .01(XREF 4n69.2) |
X | .01+1!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2n1.4), .01(XREF 4S), .01(XREF 4n1.4), .01(XREF 4n69.2), .02+1!, .03+1! , .05+1!*, .06+1!, .07+1!, .08+1!, .08(XREF 1S), .08(XREF 1K), .09+1!, .11+1!, .11(XREF 1S), .11(XREF 1K) , .12+1!, .16(XREF 1S), .16(XREF 1K), .17(XREF 1S), .17(XREF 1K), .24+1!, .26+1!, .26(XREF 1S), .26(XREF 1K), .27(XREF 1S) , .27(XREF 1K), .28+1!, .28(XREF 1S), .28(XREF 1K), .29+1!, .29(XREF 1S), .29(XREF 1K), .31+1!, .33+1!, .33(XREF 1S) , .33(XREF 1K), .34+1!, .41+1!, .41(XREF 1S), .41(XREF 1K), .66+1!, 1+1!, 2+1!, 3+1!, 5+1!* , 8801+1! |
Y | ID.04+1*, .01(XREF 2S), .01(XREF 4S) |
Y(0 | .01(XREF 2S), .01(XREF 4S) |
Y(1 | .01(XREF 2S), .01(XREF 4S), .01(XREF 4n69.2) |
Y(2 | .01(XREF 4n69.2) |