ABMEH61 ; IHS/ASDST/DMJ - HCFA-1500 EMC RECORD FA0 (Claim Root Segment) ;
Source file <ABMEH61.m>
Name | Comments | DBIA/ICR reference |
---|---|---|
150 | ;79-79 Diag Code Pointer 2
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210 | ;91-91 COB Ind
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450 | ;210-212 EPO Dosage
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310 | ;142-151 Mammography Cert No
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380 | ;191-191 Podiatry Therapy Ind
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190 | ;86-89 Anesthesia/Oxygen Min
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60 | ;48-55 Service Date To
|
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430 | ;205-206 HCT Result
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130 | ;71-77 Line Charges
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110 | ;67-68 Modifier 2
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80 | ;58-59 Type of Service Code
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230 | ;93-107 Rendering Prov ID
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250 | ;123-124 Referring Prov State
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170 | ;81-81 Diag Code Pointer 4
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20 | ;4-5 Sequence
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490 | ;231-237 Drug Discount Amt
|
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320 | ;152-160 Class Findings
|
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40 | ;23-39 Line Item Control #
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180 | ;82-85 Units of Service
|
|
DOFB0() | ; Should we do a FB0?
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340 | ;164-178 CLIA ID #
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400 | ;193-193 Hospice Employed Prov Ind
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280 | ;133-139 Disallowed Other
|
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DOFB1() | ; ABM*2.4*9 Part 1b - check for '$$ENVOY^ABMEF19
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480 | ;224-230 Obligated Accept Amt
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360 | ;186-187 HCPCS Modifier 4
|
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200 | ;90-90 Emergency Ind
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140 | ;78-78 Diag Code Pointer 1
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300 | ;141-141 Multi Procedure Ind
|
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440 | ;207-209 Patient Weight
|
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460 | ;213-220 Serum Creatine Date
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330 | ;161-163 Podiatry Svc Cond
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120 | ;69-70 Modifier 3
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START | ;START HERE
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ADD | ;ADD TO RECORD
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260 | ;125-125 Pur Svc Ind
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240 | ;108-122 Referring Prov ID
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70 | ;56-57 Place of Service Code
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90 | ;60-64 HCPCS Procedure Code
|
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100 | ;65-66 Modifier 1
|
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500 | ;238-320 Filler (National)
|
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160 | ;80-80 Diag Code Pointer 3
|
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220 | ;92-92 HPSA Ind
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10 | ;1-3 Record type
|
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420 | ;202-204 HGB Result
|
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270 | ;126-132 Disallowed Cost Cont
|
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30 | ;6-22 Patient Control Number
|
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50 | ;40-47 Service Date From
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470 | ;221-223 Creatine Result
|
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390 | ;192-192 Podiatry Therapy Type
|
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410 | ;194-201 HGB/HCT Date
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|
290 | ;140-140 Review By Code Ind
|
|
350 | ;179-185 Primary Paid Amount (Other Insurance)
|
|
370 | ;188-190 Provider Specialty
|
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EX(ABMX,ABMY,ABMZ) | ;EXTRINSIC FUNCTION HERE
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|
LOOP | ;LOOP HERE
|
Name | Field # of Occurrence |
---|---|
FRATE^ABMDF11 | START+4 |
$$Y2KD2^ABMDUTL | 50+3, 60+3 |
$$SSN^ABMEEPRV | 230+8 |
$$ENVOY^ABMEF19 | LOOP+6, DOFB1+1, 80+1, 230+5, 500+7 |
WRITE^ABMEF19 | LOOP+19 |
^ABMEH62 | LOOP+23 |
^ABMEH63 | LOOP+24 |
$$TOS^ABMEH63 | 80+2 |
^ABMEHGRV | START+5 |
ADTT^ABMER60 | LOOP+17 |
$$FMT^ABMERUTL | 20+2, 30+2, 40+2, 50+4, 60+4, 70+2, 80+4, 90+2, 100+2, 110+2 , 120+2, 130+3, 140+11, 150+2, 160+2, 170+2, 180+2, 190+2, 200+3, 210+2 , 220+2, 230+9, 230+13, 240+2, 250+2, 260+2, 270+2, 280+2, 290+2, 300+2 , 310+2, 320+2, 330+2, 340+2, 350+2, 360+2, 370+2, 380+2, 390+2, 400+2 , 410+2, 420+2, 430+2, 440+2, 450+2, 460+2, 470+2, 480+2, 490+2, 500+2 |
$$POS^ABMERUTL | 70+1 |
$$RCID^ABMERUTL | DOFB0+2 |
$$TOS^ABMERUTL | 80+3 |
S90^ABMERUTL | LOOP+20 |
SET^ABMERUTL | START+3, EX+2 |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^ABMDBILL( | 50+2, 60+2, 140+8, 200+1 |
^ABMEXLM("AA" | LOOP+12 |
Name | Line Occurrences |
---|---|
$$DOFB0 | LOOP+22 |
$$DOFB1 | LOOP+24 |
@( | LOOP+11, LOOP+12, EX+4 |
ADD | LOOP+13 |
LOOP | START+6 |
Name | Field # of Occurrence |
---|---|
^( | LOOP+12 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
ABM | START+7!, EX+7! |
ABM("ACTOT" | LOOP+15* |
ABM("NCTOT" | LOOP+16* |
>> ABMAPRV | LOOP+8, DOFB1+3 |
ABMCDX | 140+1*, 140+4, 140+5, 140+6*, 140+8*, 140+9*, 140+10, 150+1, 160+1, 170+1 , 170+3! |
ABME | START+7!, EX+7! |
ABME("RTYPE" | LOOP+20* |
ABME("S#" | START+2*, LOOP+9*, 20+1 |
>> ABMEF("LINE" | LOOP+18* |
ABMEH61 | LOOP+6~ |
ABMEH61("RENDERING" | LOOP+8*, 230+6, 230+8 |
>> ABMP("BDFN" | 50+2, 60+2, 140+8, 200+1, EX+2* |
>> ABMP("EXP" | LOOP+12 |
>> ABMP("FLAT" | START+4!, DOFB0+1 |
>> ABMP("FMT" | EX+3*, EX+6* |
>> ABMP("INS" | LOOP+12, DOFB0+2 |
>> ABMP("NOFMT" | ADD+1, EX+3 |
>> ABMP("PCN" | 30+1 |
>> ABMP("VTYP" | DOFB0+2 |
>> ABMR(61 | START+1!, ADD+1, 10+1*, 20+1*, 20+2*, 30+1*, 30+2*, 40+1*, 40+2*, 50+1* , 50+2*, 50+3*, 50+4*, 60+1*, 60+2*, 60+3*, 60+4*, 70+1*, 70+2*, 80+2* , 80+3*, 80+4*, 90+1*, 90+2*, 100+1*, 100+2*, 110+1*, 110+2*, 120+1*, 120+2* , 130+1*, 130+2, 130+3*, 140+10*, 140+11*, 150+1*, 150+2*, 160+1*, 160+2*, 170+1* , 170+2*, 180+1*, 180+2*, 190+1*, 190+2*, 200+1*, 200+2*, 200+3*, 210+1*, 210+2* , 220+1*, 220+2*, 230+1*, 230+12*, 230+13*, 240+1*, 240+2*, 250+1*, 250+2*, 260+1* , 260+2*, 270+1*, 270+2*, 280+1*, 280+2*, 290+1*, 290+2*, 300+1*, 300+2*, 310+1* , 310+2*, 320+1*, 320+2*, 330+1*, 330+2*, 340+1*, 340+2*, 350+1*, 350+2*, 360+1* , 360+2*, 370+1*, 370+2*, 380+1*, 380+2*, 390+1*, 390+2*, 400+1*, 400+2*, 410+1* , 410+2*, 420+1*, 420+2*, 430+1*, 430+2*, 440+1*, 440+2*, 450+1*, 450+2*, 460+1* , 460+2*, 470+1*, 470+2*, 480+1*, 480+2*, 490+1*, 490+2*, 500+1*, 500+2*, 500+8* , EX+5, EX+7! |
>> ABMREC(61 | LOOP+5!, LOOP+18, ADD+1* |
>> ABMRT(90 | 130+2* |
>> ABMRT(95 | LOOP+21* |
ABMRV | START+7! |
ABMRV( | LOOP+1, LOOP+2, LOOP+4, LOOP+7, LOOP+15, LOOP+16, DOFB1+2, 50+1, 60+1, 90+1 , 100+1, 110+1, 120+1, 130+1, 140+1, 180+1 |
ABMX | EX~, EX+4, EX+5, EX+7! |
ABMY | EX~, EX+2, EX+7! |
ABMZ | EX~, EX+7! |
DUZ(2 | 50+2, 60+2, 140+8, 200+1 |
I | LOOP+10*, LOOP+11, LOOP+12, ADD+1, 140+4~*, 140+5, 140+6, 140+8 |
>> J | LOOP+1*, LOOP+2, LOOP+4, LOOP+7, LOOP+14, LOOP+15, LOOP+16, DOFB0+1, DOFB1+2, 50+1 , 60+1, 80+3, 90+1, 100+1, 110+1, 120+1, 130+1, 140+1, 180+1 |
>> K | LOOP+2*, LOOP+4, LOOP+7, LOOP+15, LOOP+16, DOFB1+2, 50+1, 60+1, 90+1, 100+1 , 110+1, 120+1, 130+1, 140+1, 180+1 |
>> L | LOOP+3*, LOOP+4*, LOOP+7, LOOP+15, LOOP+16, DOFB1+2, 50+1, 60+1, 90+1, 100+1 , 110+1, 120+1, 130+1, 140+1, 180+1 |
U | LOOP+7, LOOP+15, LOOP+16, DOFB1+2, 50+1, 50+2, 60+1, 90+1, 100+1, 110+1 , 120+1, 130+1, 140+1, 180+1 |
X | LOOP+7~*, LOOP+8, 140+5~*, 140+6, 140+8, 230+7~, 230+8*, 230+9*, 230+10*, 230+11* , 230+12 |
>> Y | EX+5*, EX+8 |