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Global: ^IBE(350.1

Package: Integrated Billing

Global: ^IBE(350.1


Information

FileMan FileNo FileMan Filename Package
350.1 IB ACTION TYPE Integrated Billing

Description

Directly Accessed By Routines, Total: 66

Package Total Routines
Integrated Billing 59 IB20PT3    IB20PT31    IB20PT32    IB20PT5    IB20PT51    IBACVA1    IBACVA2    IBAERR
IBAFIL    IBAMTBU2    IBAMTC1    IBAMTC3    IBAMTD2    IBAMTEDU    IBAMTI1    IBAMTS1
IBAPDX0    IBAREP    IBARX    IBARX1    IBARXECA    IBARXEU3    IBAUTL    IBAUTL2
IBAUTL3    IBCA3    IBECEA0    IBECEA1    IBECEA2    IBECEA21    IBECEA22    IBECEA3
IBECEAU    IBEFUNC1    IBOA32    ^IBE(350.1    IBECEA33    IBECEAU4    IBECPTE    IBOHLD1
IBOHLD2    IBOLK    IBOMTC1    IBOMTP1    IBORAT1A    IBOST    IBOUTL    IBOVOP2
IBPF1    IBR    IBRBUL    IBRCON1    IBRCON2    IBRFN1    IBRUTL    IBXA2
^IB    ^IBE(350.4    IBRREL    
Outpatient Pharmacy 4 PSOARCCV    PSOBBC    PSOCPC    PSOPTPST    
Registration 3 DGVPTIB1    DGVPTIB2    DGVPTIB5    

Accessed By FileMan Db Calls, Total: 4

Package Total Routines
Integrated Billing 4 IB20PT3    IB20PT31    IB20PT32    IBECEA33    

Pointed To By FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 6 MCCR UTILITY(#399.1)[.14, .15]    INTEGRATED BILLING ACTION(#350)[.03]    IB ACTION TYPE(#350.1)[.06, .07, .09]
IB ACTION CHARGE(#350.2)[.03]    BILLABLE AMBULATORY SURGICAL CODE(#350.4)[.03]    UPDATE BILLABLE AMBULATORY SURGICAL CODE(#350.41)[.03, .04]    
Outpatient Pharmacy 1 PRESCRIPTION(#52)[105]    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 1 IB ACTION TYPE(#350.1)[.06, .07, .09]
Kernel 1 SERVICE/SECTION(#49)[.04]    

Fields, Total: 15

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!(X?.N)!($L(X)<3)!'(X'?1P.E) X
  • HELP-PROMPT:  NAME MUST BE 3-30 CHARACTERS, NOT NUMERIC OR STARTING WITH PUNCTUATION
  • DESCRIPTION:  
    Enter the  unique name of this action type.  The name should begin with the namespace of the application that will use this action type and should describe the function being billed.
  • DELETE TEST:  1,0)= I 1 W !,"Deleting entries not allowed"
  • CROSS-REFERENCE:  350.1^B
    1)= S ^IBE(350.1,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"B",$E(X,1,30),DA)
.02 ABBREVIATION 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>8!($L(X)<2) X
  • LAST EDITED:  AUG 30, 1991
  • HELP-PROMPT:  Answer must be 2-8 characters in length.
  • DESCRIPTION:  
    Enter a short description that can be output on space limited reports.
  • CROSS-REFERENCE:  350.1^D
    1)= S ^IBE(350.1,"D",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"D",$E(X,1,30),DA)
.03 CHARGE CATEGORY 0;3 POINTER ** TO AN UNDEFINED FILE **

  • DESCRIPTION:  
    This is the pointer to the ACCOUNT RECEIVABLE CATEGORY file.  This data will get passed to AR when an IB ACTION for this ACTION type gets passed to AR.
.04 SERVICE 0;4 POINTER TO SERVICE/SECTION FILE (#49) SERVICE/SECTION(#49)

  • LAST EDITED:  FEB 14, 1991
  • DESCRIPTION:  
    Enter the name of the Service/Section that will be using this action type.  This is required by Accounts Receivable.
  • CROSS-REFERENCE:  350.1^C
    1)= S ^IBE(350.1,"C",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"C",$E(X,1,30),DA)
  • CROSS-REFERENCE:  350.1^ANEW^MUMPS
    1)= I $P(^IBE(350.1,DA,0),U,5) S ^IBE(350.1,"ANEW",X,$P(^(0),U,5),DA)=""
    2)= I $P(^IBE(350.1,DA,0),U,5) K ^IBE(350.1,"ANEW",X,$P(^(0),U,5),DA)
.05 SEQUENCE NUMBER 0;5 SET
  • '1' FOR NEW;
  • '2' FOR CANCEL;
  • '3' FOR UPDATE;
  • '81' FOR MEDICARE DEDUCTIBLE;
  • '82' FOR CHAMPVA LIMIT;
  • '91' FOR HOSPITAL ADMISSION;
  • '92' FOR NHCU ADMISSION;

  • LAST EDITED:  JUL 27, 1993
  • HELP-PROMPT:  Enter the appropriate entry to indicate the sequencing that this action type should be filed with AR, or the appropriate code for the non-billable action type.
  • DESCRIPTION:  This field tells the IB filer the order in which to file entries with AR. A new entry must be filed before it can be cancelled. An update action type will generate two actions, a cancel of previous entry, and an updated
    entry containing the correct data.  The update will be filed after the cancel.  The ordering must be maintained so that the last full entry in the INTEGRATED BILLING ACTION file for a parent is the most current entry.  (an
    inverse date x-ref on the parent field will indicate the most recent entry to the updated parent) Additional numbering series are also available for IB ACTION TYPES which do not explicitly represent billable charges.
    These series are set so that they do not conflict with the ordering required for correct processing of IB ACTION charges in AR.
  • CROSS-REFERENCE:  350.1^ANEW1^MUMPS
    1)= I $P(^IBE(350.1,DA,0),U,4) S ^IBE(350.1,"ANEW",$P(^(0),U,4),X,DA)=""
    2)= I $P(^IBE(350.1,DA,0),U,4) K ^IBE(350.1,"ANEW",$P(^(0),U,4),X,DA)
.06 CANCELLATION ACTION TYPE 0;6 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  FEB 13, 1991
  • DESCRIPTION:  This is the IB ACTION TYPE entry that will be the 'CANCEL' type for this entry. If this is a 'CANCEL' type entry, then this will be itself. Every 'NEW' type entry should have an associated 'CANCEL' and 'UPDATE' type
    entry.
.07 UPDATE ACTION TYPE 0;7 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  FEB 13, 1991
  • DESCRIPTION:  This is the IB ACTION TYPE entry that will be the 'UPDATE' type for this entry. If this entry is an UPDATE type then it will be itself. For every 'NEW' type of entry, there should be an associated 'CANCEL' and 'UPDATE'
    type.
.08 USER LOOKUP NAME 0;8 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>22!($L(X)<3) X
  • LAST EDITED:  FEB 27, 1992
  • HELP-PROMPT:  Answer must be 3-22 characters in length.
  • DESCRIPTION:  
    This is the name of the action that may be used for look-up and printing on reports.  The name will only exist for IB ACTION TYPE entries whose SEQUENCE NUMBER is "1" for NEW.
  • CROSS-REFERENCE:  350.1^E
    1)= S ^IBE(350.1,"E",$E(X,1,30),DA)=""
    2)= K ^IBE(350.1,"E",$E(X,1,30),DA)
.09 NEW ACTION TYPE 0;9 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  FEB 27, 1992
  • DESCRIPTION:  
    This is the IB ACTION TYPE entry that is the 'NEW' type for this entry.
.1 PLACE ON HOLD 0;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  FEB 27, 1992
  • DESCRIPTION:  This field is used to flag those IB Actions (as identified by the IB Action Type) which may be 'held up' in Integrated Billing until reimbursement from an Insurance company for the billing of the same event has been
    received.
    The field will be set to 'YES' if the Action Type is one which represents a billable action which may be billed to a patient's insurance company as well as to the patient.





.11
BILLING GROUP
0;11
SET

  • '1' FOR INPT/NHCU FEE SERVICE;
  • '2' FOR INPT/NHCU COPAY;
  • '3' FOR INPT/NHCU PER DIEM;
  • '4' FOR OPT COPAY;
  • '5' FOR RX COPAY;
  • '6' FOR CHAMPVA;
  • LAST EDITED:  JUL 29, 1993
  • HELP-PROMPT:  Enter Group for manual charge processing.
  • DESCRIPTION:  
    This field is a set of codes used to enter the group for manual charge processing.





10
PARENT TRACE LOGIC
10;E1,245
MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  This is the executable code that will expand the field RESULTING FROM in the INTEGRATED BILLING ACTION File to return in Y(n) the zeroth node of the entry creating this entry.  If the entry is caused by a top level entry
    then Y(0) will equal the zeroth node of the file.  If an entry is caused by a lower level entry then in addition to Y(0), Y(1) will be the zeroth node of the next lower level, Y(2) will be the zeroth node of the third
    level, etc.  If a node described in the RESULTING FROM field in file 350 is not present then Y=-1^error code.





20
SET LOGIC
20;E1,245
MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  This is the executable MUMPS code that will calculate the BRIEF DESCRIPTION stored in file 350.  This is used by the IB application interface routines.  This may execute the PARENT TRACE LOGIC to return data from the
    application.





30
FULL PROFILE LOGIC
30;E1,245
MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  
    This is the standard MUMPS code that will calculate the full profile of an IB ACTION entry as approved by the DBA agreements between integrating applications.





40
ELIGIBILITY LOGIC
40;E1,245
MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • LAST EDITED:  FEB 06, 1991
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  
    This field the standard mumps code to determine  eligibility to use the IB ACTION TYPE for the desired debtor.







ICR, Total: 2





ICR LINK
Subscribing Package(s)
Fields Referenced
Description




ICR #592

  • OUTPATIENT PHARMACY
    		• 
SEQUENCE (.05). 
     Access: Direct Global Read & w/Fileman

    		


    

    
ICR #4538

  • ACCOUNTS RECEIVABLE
    		• 
NAME (.01). 
     Access: Direct Global Read & w/Fileman

    BILLING GROUP (.11). 
     Access: Direct Global Read & w/Fileman

    		
Cross reference to lookup entry IEN by NAME.

    

    


    External References
    

    

    

    
Name
Field # of Occurrence

    

    
^DIM
10+1, 20+1, 30+1, 40+1

    

    

    


    Global Variables Directly Accessed
    

    

    

    
Name
Line Occurrences  (* Changed,  ! Killed)

    

    
^IBE(350.1 - [#350.1]
.01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .04(XREF 1S), .04(XREF 1K), .04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1K)
    , .08(XREF 1S), .08(XREF 1K)    		

    

    

    


    Naked Globals
    

    

    

    
Name
Field # of Occurrence

    

    
^(0
.04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1K)

    

    

    


    Local Variables
    

    

  
    
    
    Legend:
    
    
    
      
        
    
           >> 
           Not killed explicitly
          
    
           * 
          Changed
          
    
           ! 
          Killed
          
    
          ~
          Newed
        
    
          
    
    
    
    
  
    

    

    
Name
Field # of Occurrence

    

    
>> DA
.01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .04(XREF 1S), .04(XREF 1K), .04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1K)
    , .08(XREF 1S), .08(XREF 1K)    		

    

    
U
.04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1K)

    

    
X
.01+1!, .01(XREF 1S), .01(XREF 1K), .02+1!, .02(XREF 1S), .02(XREF 1K), .04(XREF 1S), .04(XREF 1K), .04(XREF 2S), .04(XREF 2K)
    , .05(XREF 1S), .05(XREF 1K), .08+1!, .08(XREF 1S), .08(XREF 1K), 10+1!, 20+1!, 30+1!, 40+1!    		

    

    

    


    


    
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