©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
ABME5CLM ; IHS/ASDST/DMJ - 837 CLM Segment
Source file <ABME5CLM.m>
| Package | Total | Call Graph |
|---|---|---|
| Third Party Billing | 1 | $$POS^ABMERUTL |
| VA Fileman | 1 | $$GET1^DIQ |
| Package | Total | Caller Graph |
|---|---|---|
| Third Party Billing | 3 | ABME5L13 ABME5L4 ABME5L5 |
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 150 | ;CLM14 - Level of Service Code-not used
|
|
| 210 | ;CLM20 - Delay Reason Code
|
|
| 190 | ;CLM18 - Explanation of Benefits Indicator
|
|
| 60 | ;CLM05 - Health Care Service Location Information
|
|
| 130 | ;CLM12 - Special Programs Code
|
|
| 110 | ;CLM10 - Patient Signature Source-not used
|
|
| 80 | ;CLM07 - Provider Accept Assignment Code
|
|
| 170 | ;CLM16 - Provider Agreement Code-not used
|
|
| 20 | ;CLM01 - Claim Submitter's Identifier
|
|
| 40 | ;CLM03 - Claim Filing Indicator Code-not used
|
|
| 180 | ;CLM17 - Claim Status Code-not used
|
|
| 200 | ;CLM19 - Claim Submission Reason Code-not used
|
|
| 140 | ;CLM13 - Yes/No-not used
|
|
| 120 | ;CLM11 - Related Causes Information
|
|
| START | ;EP - START HERE
|
|
| 70 | ;CLM06 - Provider Signature on File
|
|
| 90 | ;CLM08 - Assignment of Benefits Indicator
|
|
| 100 | ;CLM09 - Release of Information Code
|
|
| 160 | ;CLM15 - Yes/No-not used
|
|
| 10 | ;segment
|
|
| 30 | ;CLM02 - Monetary Amount
|
|
| 50 | ;CLM04 - Non-Institutional Claim Type Code-not used
|
|
| LOOP | ;LOOP HERE
|
| FileNo | Call Tags |
|---|---|
| ^AUTNINS - [#9999999.18] | GET1^DIQ |
| ^AUTTINTY - [#9999999.181] | GET1^DIQ |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABMDBILL( | 130+5, 210+2 |
| ^ABMDCODE - [#9002274.03] | 130+7, 210+4 |
| ^ABMEXLM("AA" | LOOP+3 |
| ^AUTTLOC - [#9999999.06] | 120+7 |
| ^DIC(5 - [#5] | 120+8 |
| Name | Line Occurrences |
|---|---|
| @( | LOOP+2, LOOP+3 |
| LOOP | START+3 |
| Name | Field # of Occurrence |
|---|---|
| ^( | LOOP+3 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| ABM | START+4! |
| >> ABMB2 | 30+1, 30+3 |
| >> ABMB7 | 90+1, 100+1 |
| >> ABMB8 | 120+3 |
| >> ABMDRC | 210+2*, 210+4 |
| ABME | START+4! |
| ABME("RTYPE" | START+2*, LOOP+3 |
| >> ABMP("BDFN" | 130+5, 210+2 |
| >> ABMP("BTYP" | 60+2, 60+4 |
| >> ABMP("EXP" | LOOP+3, 60+1, 60+5, 70+3, 120+1, 130+2 |
| >> ABMP("INS" | LOOP+3, 130+4 |
| >> ABMP("LDFN" | 120+7 |
| >> ABMP("PCN" | 20+1 |
| >> ABMPSQ | 30+3 |
| >> ABMR("CLM" | START+1!, LOOP+5, 10+1*, 20+1*, 30+1*, 30+3*, 30+13*, 40+1*, 50+1*, 60+2* , 60+3*, 60+4*, 60+6*, 60+7*, 60+8*, 70+2*, 70+3*, 80+1*, 90+1*, 100+1* , 100+2*, 110+1*, 120+1*, 120+4*, 120+5*, 120+6, 120+9*, 130+1*, 130+2*, 130+5* , 130+6, 130+7*, 140+1*, 150+1*, 160+1*, 170+1*, 180+1*, 190+1*, 200+1*, 210+1* , 210+4* |
| >> ABMREC("CLM" | START+1!, LOOP+4*, LOOP+5* |
| DUZ(2 | 130+5, 210+2 |
| >> I | LOOP+1*, LOOP+2, LOOP+3, LOOP+5 |
| U | 30+1, 30+3, 130+7 |
| X | 120+2~, 120+3*, 120+4, 120+5, 120+7*, 120+8*, 120+9 |