| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 9002273.02 | PRIVATE INS FACILITY BILLING | Third Party Tracking |
| Package | Total | Routines |
|---|---|---|
| Third Party Tracking | 4 | ABPVEEC1 ABPVEEC2 ABPVEEC3 ABPVPI01 |
| Third Party Billing | 3 | ABMDECAN ABMDRSET ABMDTIMR |
| IHS Patient Registration | 1 | AGTMIMRG |
| Package | Total | FileMan Files |
|---|---|---|
| Utility Tables | 2 | INSURER(#9999999.18)[7] LOCATION(#9999999.06)[3] |
| IHS Patient | 1 | PATIENT(#9000001)[1] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | BILL ID | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 1 | PATIENT'S NAME | 0;2 | POINTER TO PATIENT FILE (#9000001) | PATIENT(#9000001) |
| 2 | DATE OF SERVICE | 0;3 | DATE | ************************REQUIRED FIELD************************
|
| 3 | FACILITY | 0;4 | POINTER TO LOCATION FILE (#9999999.06) | ************************REQUIRED FIELD************************ LOCATION(#9999999.06) |
| 4 | HEALTH RECORD NUMBER | 0;5 | NUMBER | ************************REQUIRED FIELD************************
|
| 4.03 | SOCIAL SECURITY NUMBER | 0;18 | FREE TEXT |
|
| 5 | VISIT TYPE | 0;6 | SET | ************************REQUIRED FIELD************************
|
| 6 | DAYS OR VISITS | 0;7 | NUMBER | ************************REQUIRED FIELD************************
|
| 7 | INSURANCE COMPANY | 0;8 | POINTER TO INSURER FILE (#9999999.18) | ************************REQUIRED FIELD************************ INSURER(#9999999.18)
|
| 7.03 | POLICY HOLDER'S NAME | 0;16 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 7.05 | POLICY NUMBER | 0;17 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 8 | BILLED AMOUNT | 0;9 | NUMBER | ************************REQUIRED FIELD************************
|
| 9 | PAID AMOUNT | 0;10 | NUMBER |
|
| 10 | WRITE OFF | COMPUTED |
|
|
| 11 | DATE CLAIM ENTERED | 0;11 | DATE | ************************REQUIRED FIELD************************
|
| 12 | AGE OF CLAIM (ENTRY) | COMPUTED |
|
|
| 13 | DATE PAYMENT RECEIVED | 0;12 | DATE |
|
| 14 | DATE PAYMENT ENTERED | 0;13 | DATE |
|
| 15 | AGE OF CLAIM (VISIT) | COMPUTED |
|
|
| 16 | CLAIM EXTRACTED FOR AREA? | 0;14 | SET |
|
| 17 | DATE CLAIM EXTRACTED FOR AREA | 0;15 | DATE |
|