FileMan FileNo | FileMan Filename | Package |
---|---|---|
2001060.01 | AZP PRV INS BILLS | Portland Private Insurance package |
Package | Total | Routines |
---|---|---|
Portland Private Insurance package | 9 | ^AZPPI(1 AZP3EDT AZP3RP AZP3RX AZP3UTL CPT/ADA CODE DOS ICD9 DX CODE PHARMACY RX |
Package | Total | Routines |
---|---|---|
Portland Private Insurance package | 1 | AZP3EDT |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | BILL NUMBER | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
.02 | PATIENT NAME | 0;2 | POINTER TO PRIVATE INSURANCE ELIGIBLE FILE (#9000006) | ************************REQUIRED FIELD************************ PRIVATE INSURANCE ELIGIBLE(#9000006)
|
.03 | DATE OF SYMPTOM | 0;3 | DATE |
|
.04 | DATE OF SIMILAR ILLNESS | 0;4 | DATE |
|
.05 | DATE FIRST CONSULTED | 0;5 | DATE |
|
.06 | FROM DATE DISABILITY | 0;6 | DATE |
|
.07 | THRU DATE DISABILITY | 0;7 | DATE |
|
.08 | DATE ENTERED | 0;8 | DATE |
|
.09 | FACILITY | 0;9 | POINTER TO INSTITUTION FILE (#4) | INSTITUTION(#4)
|
101 | PROVIDER | 1;1 | POINTER TO PROVIDER FILE (#6) | ************************REQUIRED FIELD************************ PROVIDER(#6)
|
102 | EMERGENCY | 1;2 | SET |
|
103 | OUTSIDE LAB WORK | 1;3 | SET |
|
104 | OUTSIDE LAB COST | 1;4 | NUMBER |
|
105 | PRIOR AUTH NO | 1;5 | FREE TEXT |
|
106 | PRIMARY INSURANCE | 1;6 | POINTER TO INSURER FILE (#9999999.18) | ************************REQUIRED FIELD************************ INSURER(#9999999.18)
|
107 | SECONDARY INS | 1;7 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
108 | STATUS | 1;8 | SET | ************************REQUIRED FIELD************************
|
109 | PHARMACY COST | 1;9 | NUMBER |
|
201 | ICD9 DX CODE | 2;0 | POINTER Multiple #2001060.1201 | 2001060.1201 |
301 | PHARMACY RX | 3;0 | POINTER Multiple #2001060.1301 | 2001060.1301 |
401 | DOS | 4;0 | DATE Multiple #2001060.1401 | 2001060.1401 |
501 | TOTAL COST | 5;1 | NUMBER | ************************REQUIRED FIELD************************
|
502 | TOTAL COLLECTED | 5;2 | NUMBER | ************************REQUIRED FIELD************************
|
503 | DEDUCTABLE AMOUNT | 5;3 | NUMBER |
|
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^AUPNPRVT - [#9000006] | ID.02+1 |
^AZPPI(1 - [#2001060.01] | .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K) |
^DD(9000006 | ID.02+1 |
Name | Field # of Occurrence |
---|---|
^(0 | ID.02+1 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
>> %DT | .03+1*, .04+1*, .05+1*, .06+1*, .07+1*, .08+1* |
%I | ID.02+1*! |
>> C | ID.02+1* |
>> DA | .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K) |
>> DIC | ID.02+1 |
U | ID.02+1 |
X | .01+1!, .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03+1*!, .04+1*!, .05+1*!, .06+1*!, .07+1*! , .08+1*!, 104+1!, 105+1!, 109+1*!, 501+1!, 502+1!, 503+1! |
>> Y | ID.02+1*, .03+1, .04+1, .05+1, .06+1, .07+1, .08+1 |