ABMER30A ; IHS/ASDST/DMJ - UB92 EMC RECORD 30 (Third Party Payor) cont'd ;
Source file <ABMER30A.m>
| Package | Total | Call Graph |
|---|---|---|
| Third Party Billing | 5 | $$ENVOY^ABMEF16 $$EX^ABMER20 $$EX^ABMER20A ISET^ABMERINS ($$ENVY,$$FMT,$$RCID,SET)^ABMERUTL |
| VA Fileman | 1 | EN^DIQ1 |
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 10 | ;Record type
|
|
| 20 | ;Payor Priority (SOURCE: FILE=9002274.4013, FIELD=.02)
|
|
| 140 | ;Insured's Middle Initial (SOURCE: FILE=, FIELD=)
; form locator 58 |
|
| 150 | ;Insured's Sex (SOURCE: FILE=, FIELD=)
|
|
| 120 | ;Insured's Last Name (SOURCE: FILE=, FIELD=)
; form locator 58 |
|
| EX(ABMX,ABMY,ABMZ) | ;EXTRINSIC FUNTION HERE
|
|
| 30 | ;Patient Control Number, (SOURCE: FILE=9000001.41,FIELD=.02)
|
|
| DIQ2 | ;POLICY HOLDER INFORMATION
|
|
| 50 | ;Receiver Identification (SOURCE: FILE=9999999.18, FIELD=.08)
|
|
| 40 | ;Source Payment Code (SOURCE: FILE=9999999.18, FIELD=.21)
|
|
| DIQ1 | ;PULL BILL DATA VIA DIQ1
|
|
| 60 | ;Receiver Sub Identification (SOURCE: FILE=, FIELD=)
; form locator 51 |
|
| 130 | ;Insured's First Name (SOURCE: FILE=, FIELD=)
; form locator 58 |
|
| 110 | ;Group Name (SOURCE: FILE=9999999.77, FIELD=.01)
; form locator 61 |
|
| 70 | ;Claim Certificate ID Number (SOURCE: FILE=, FIELD=)
; form locator 60 ; (previously set in ^ABMERINS) |
|
| LOOP2 | ;LOOP HERE
|
|
| 80 | ;Insurance Company Name (SOURCE: FILE=9999999.18, FIELD=.01)
; form locator 50 |
|
| 100 | ;Group ID Number (SOURCE: FILE=9999999.77, FIELD=.02)
; form locator 62 |
|
| 90 | ;Payer Code (SOURCE: FILE=, FIELD=)
|
|
| DIQ3 | ;PATIENT IS INSURED
|
| FileNo | Call Tags |
|---|---|
| ^DPT - [#2] | Classic Fileman Calls |
| ^AUPN3PPH - [#9000003.1] | Classic Fileman Calls |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABMDBILL( | EX+11 |
| ^ABMEXLM("AA" | LOOP2+3 |
| ^ABMNINS( | 110+2 |
| ^AUTNEGRP - [#9999999.77] | 100+2, 110+6 |
| ^AUTNINS - [#9999999.18] | 80+2 |
| Name | Line Occurrences |
|---|---|
| @( | LOOP2+2, LOOP2+3, EX+15 |
| Name | Field # of Occurrence |
|---|---|
| ^( | LOOP2+3 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| ABM | EX+18! |
| ABM( | 110+4, DIQ1+1, DIQ2+2 |
| ABM(2 | DIQ3+1 |
| ABME | EX+18! |
| ABME("BCBS" | 40+1, 90+1 |
| ABME("FLD" | DIQ1+1, DIQ2+2, DIQ3+1 |
| ABME("GRP" | 100+2, 110+6 |
| ABME("INS" | 50+1, 50+2, 80+2, 110+2, EX+10*, EX+11 |
| ABME("ITYPE" | 40+1, 80+3, 80+7, 90+1, 110+5, 110+6 |
| ABME("PH" | 110+4, DIQ2+1, DIQ2+2, DIQ2+7 |
| ABME("PHNM" | 120+2, 130+2, 140+2 |
| ABME("PHSEX" | 150+1 |
| ABME("S#" | LOOP2+4, 20+1, EX+12* |
| >> ABMP("BDFN" | 30+1, 150+2, DIQ1+1, DIQ1+6, EX+8*, EX+11 |
| >> ABMP("EXP" | LOOP2+3 |
| >> ABMP("FMT" | EX+14*, EX+17* |
| >> ABMP("INS" | LOOP2+3 |
| >> ABMP("NOFMT" | LOOP2+4, EX+14 |
| >> ABMP("PDFN" | DIQ3+1, DIQ3+6 |
| >> ABMP("PNAME" | 80+7 |
| >> ABMP("VTYP" | 110+2 |
| >> ABMR(30 | LOOP2+4, 10+1*, 20+1*, 20+2*, 30+1*, 30+2*, 40+1*, 50+1*, 50+2*, 50+3* , 60+2*, 60+3*, 70+3*, 70+4*, 80+2*, 80+4, 80+5, 80+6*, 80+7*, 80+8* , 90+1*, 100+2*, 100+3*, 110+2*, 110+3, 110+4*, 110+5*, 110+6*, 110+7*, 120+2* , 120+3*, 130+2*, 130+3*, 140+2*, 140+3*, 140+4*, 140+5*, 150+1*, 150+2*, 150+3* , EX+16, EX+18! |
| >> ABMREC(30 | LOOP2+4* |
| ABMX | EX~, EX+15, EX+16, EX+18! |
| ABMY | EX~, EX+8, EX+18! |
| ABMZ | EX~, EX+10 |
| >> DA | DIQ1+6*, DIQ2+7*, DIQ3+6* |
| >> DIC | DIQ1+5*, DIQ2+6*, DIQ3+5* |
| DIQ | DIQ1+3*, DIQ1+9!, DIQ2+4*, DIQ2+10!, DIQ3+3*, DIQ3+9! |
| DIQ(0 | DIQ1+4*, DIQ2+5*, DIQ3+4* |
| >> DR | DIQ1+7*, DIQ2+8*, DIQ3+7* |
| DUZ(2 | 110+2, EX+11 |
| I | LOOP2+1*, LOOP2+2, LOOP2+3, LOOP2+4, DIQ1+2~, DIQ2+3~, DIQ3+2~ |
| U | 80+2, 110+2, 110+6 |
| >> Y | EX+11*, EX+16*, EX+19 |