©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
ABME501 ; IHS/ASDST/DMJ - UB92 V5 EMC RECORD 01 (Processor Label Data) ;
Source file <ABME501.m>
| Package | Total | Call Graph |
|---|---|---|
| Third Party Billing | 2 | $$Y2KD2^ABMDUTL ($$FMT,$$RCID,BCBS,SET)^ABMERUTL |
| VA Fileman | 1 | EN^DIQ1 |
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 150 | ;Country Code, 122-125 (SOURCE: FILE= FIELD=)
|
|
| 210 | ;Filler (163-165)
|
|
| EX(ABMX,ABMY) | ;EXTRINSIC FUNCTION HERE (X=data element, Y=bill internal entry number)
|
|
| 190 | ;Date of Receipt, 147-154
|
|
| 60 | ;Receiver Identification, 32-36 (SOURCE: FILE=9999999.18, FIELD=.08)
|
|
| 130 | ;Submitter Zip, 103-111 (SOURCE: FILE=9999999.06, FIELD=.17)
|
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| 110 | ;Submitter City, 86-100 (SOURCE: FILE=9999999.06 FIELD=.15)
|
|
| 80 | ;Filler (National Use) 41-46
|
|
| 230 | ;Submitter ID (172-177)
|
|
| 250 | ;Arizona Medicaid Transmission Number (179-184)
|
|
| 170 | ;File Sequence & Serial Number,136-142 (SOURCE: FILE= FIELD=)
|
|
| 20 | ;Submitter EIN, 3-12 (SOURCE: FILE=9999999.06, FIELD=.21)
|
|
| 40 | ;Filler (National Use), 14-30
|
|
| 180 | ;Test/Production Indicator, 143-146 (SOURCE: FILE=9002274.09, FIELD=.04)
|
|
| 200 | ;Processing Date, 155-162
|
|
| 140 | ;Submitter FAX Number, 112-121 (SOURCE: FILE=, FIELD=)
|
|
| 120 | ;Submitter State, 101-102 (SOURCE: FILE=9999999.06, FIELD=.16)
|
|
| START | ;START HERE
|
|
| 260 | ;Filler (185-189)
|
|
| 240 | ;Filler (178)
|
|
| 70 | ;Receiver Sub-Identification, 37-40
|
|
| 90 | ;Submitter Name, 47-67 (SOURCE: FILE=9999999.06, FIELD=.01)
|
|
| 100 | ;Submitter Address, 68-85 (SOURCE: FILE=9999999.06, FIELD=.14)
|
|
| 160 | ;Submitter Telephone Number, 126-135 (SOURCE: FILE=, FIELD=)
|
|
| 220 | ;Password (166-171)
|
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| 10 | ;Record type, 1-2
|
|
| 270 | ;Version Code (190-192)
|
|
| 30 | ;Multiple Provider Billing, 13
|
|
| DIQ2 | ;GET LOCATION INFORMATION
|
|
| 50 | ;Receiver Type Code, 31 (SOURCE: FILE=9999999.18, FIELD=.21)
|
|
| DIQ1 | ;PULL BILL DATA VIA DIQ1
|
|
| LOOP | ;LOOP HERE
|
| Name | Field # of Occurrence |
|---|---|
| $$Y2KD2^ABMDUTL | 200+1 |
| $$FMT^ABMERUTL | 20+3, 40+2, 50+2, 70+2, 80+2, 90+2, 100+2, 110+2, 120+3, 130+2 , 140+2, 150+2, 160+3, 170+5, 180+3, 190+2, 200+2, 210+2, 220+2, 230+2 , 240+2, 250+4, 260+2 |
| $$RCID^ABMERUTL | 60+1, 250+3 |
| BCBS^ABMERUTL | START+3 |
| SET^ABMERUTL | EX+1 |
| EN^DIQ1 | DIQ1+4, DIQ2+4 |
| FileNo | Call Tags |
|---|---|
| ^AUTTLOC - [#9999999.06] | Classic Fileman Calls |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABMEXLM("AA" | LOOP+3 |
| ^ABMNINS( | 180+1, 220+1, 230+1 |
| ^DIC(5 - [#5] | 120+2 |
| Name | Line Occurrences |
|---|---|
| @( | LOOP+2, LOOP+3, EX+3 |
| DIQ2 | 20+1, 90+1, 100+1, 110+1, 120+1, 130+1, 160+1 |
| LOOP | START+4 |
| Name | Field # of Occurrence |
|---|---|
| ^( | LOOP+3 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| ABM | START+5!, EX+5! |
| ABM( | 20+1, 90+1, 100+1, 110+1, 120+1, 130+1, 160+1, DIQ1+1, DIQ2+1 |
| ABME | START+5!, EX+5! |
| ABME("FLD" | DIQ1+1 |
| ABME("RTYPE" | START+2* |
| >> ABMP("BCBS" | 50+1 |
| >> ABMP("BDFN" | DIQ1+1, DIQ1+2, EX+1* |
| >> ABMP("EXP" | LOOP+3 |
| >> ABMP("FMT" | EX+2*, EX+6* |
| >> ABMP("INS" | LOOP+3, 60+1, 180+1, 220+1, 230+1, 250+3 |
| >> ABMP("ITYPE" | 50+1 |
| >> ABMP("NOFMT" | LOOP+4, EX+2 |
| >> ABMP("XMIT" | 170+1 |
| >> ABMR(1 | START+1!, LOOP+4, 10+1*, 20+1*, 20+2*, 20+3*, 20+4, 30+1*, 40+1*, 40+2* , 50+1*, 50+2*, 60+1*, 70+1*, 70+2*, 80+1*, 80+2*, 90+1*, 90+2*, 100+1* , 100+2*, 110+1*, 110+2*, 120+1*, 120+2*, 120+3*, 130+1*, 130+2*, 140+1*, 140+2* , 150+1*, 150+2*, 160+1*, 160+2*, 160+3*, 170+1*, 170+2*, 170+3*, 170+4*, 170+5* , 180+1*, 180+2*, 180+3*, 190+1*, 190+2*, 200+1*, 200+2*, 210+1*, 210+2*, 220+1* , 220+2*, 230+1*, 230+2*, 240+1*, 240+2*, 250+2*, 250+3*, 250+4*, 260+1*, 260+2* , 270+1* |
| >> ABMR(20 | EX+4, EX+5! |
| >> ABMREC(1 | START+1!, LOOP+4* |
| >> ABMRT(99 | 20+4* |
| ABMX | EX~, EX+3, EX+4, EX+5! |
| ABMY | EX~, EX+1, EX+5! |
| >> DA | DIQ1+2*, DIQ2+2* |
| >> DIC | DIQ1+2*, DIQ2+2* |
| DIQ | DIQ1+2*, DIQ1+4!, DIQ2+2*, DIQ2+4! |
| DIQ(0 | DIQ1+2*, DIQ2+2* |
| >> DR | DIQ1+3*, DIQ2+3* |
| DT | 200+1 |
| DUZ(2 | 20+1, 90+1, 100+1, 110+1, 120+1, 130+1, 160+1, 170+3, 180+1, 220+1 , 230+1, DIQ2+1, DIQ2+2 |
| I | LOOP+1*, LOOP+2, LOOP+3, LOOP+4, DIQ1+2~, DIQ2+2~ |
| >> Y | EX+4*, EX+7 |