ABSP5B1D ; IHS/OIT/CASSevern/Pieran ran 1/19/2011 - Handling of outgoing NCPDP Billing "B1" Claims for 5.1 (DURR,CLINICAL,COMPOUND, and COUPON segments)
Source file <ABSP5B1D.m>
Name | Comments | DBIA/ICR reference |
---|---|---|
487GET | ||
495GET | ||
492SET | ||
490SET | ;Not Yet Implemented
|
|
452GET | ||
111ASET | ;This isn't used for the 111 Field
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|
495SET | ;Not Yet Implemented
|
|
439SET | ||
439GET | ||
450GET | ||
424FMT | ||
111CSET | ;This isn't used for the 111 Field
|
|
488SET | ;Not Yet Implemented
|
|
493GET | ||
450SET | ||
496FMT | ||
473GET | ||
474SET | ||
490GET | ||
474GET | ||
451GET | ||
424GET | ||
487FMT | ||
492GET | ||
489SET | ;Not Yet Implemented
|
|
475FMT | ||
497GET | ||
486FMT | ||
497SET | ;Not Yet Implemented
|
|
486GET | ||
485SET | ;Not Yet Implemented
|
|
450FMT | ||
488FMT | ||
440SET | ||
111AGET | ||
494FMT | ||
488GET | ||
COMPOUND | ;EP CALLED FROM ABSP5B1 to set up COMPOUND SEGMENT
|
|
451FMT | ||
448GET | ||
493FMT | ||
486SET | ;Not Yet Implemented
|
|
473FMT | ||
424SET | ||
495FMT | ||
APPEND(FIELD) | ;This is where the outgoing record is built field by field
|
|
111CGET | ||
452SET | ||
491SET | ||
449GET | ||
111BGET | ||
440FMT | ||
448FMT | ||
489GET | ||
DURRPPS | ;EP CALLED FROM ABSP5B1 to set up DURR/PPS SEGMENT (Repeating Fields Segment treated Differently)
|
|
111GET | ||
441FMT | ||
491GET | ||
497FMT | ||
492FMT | ||
475SET | ||
485FMT | ||
475GET | ||
476FMT | ||
111CFMT | ||
494GET | ||
499GET | ||
447GET | ||
111BSET | ;This isn't used for the 111 Field
|
|
491FMT | ||
440GET | ||
487SET | ;Not Yet Implemented
|
|
452FMT | ||
448SET | ;Not Yet Implemented
|
|
476SET | ||
111AFMT | ||
451SET | ||
490FMT | ||
449SET | ;Not Yet Implemented
|
|
111BFMT | ||
449FMT | ||
439FMT | ||
111FMT | ||
494SET | ;Not Yet Implemented
|
|
447SET | ||
485GET | ||
CLINICAL | ;EP CALLED FROM ABSP5B1 to set up CLINICAL SEGMENT (Repeating Fields Segment....handled differently)
|
|
447FMT | ||
476GET | ||
474FMT | ||
441SET | ||
111SET | ;This isn't used for the 111 Field
|
|
COUPON | ;EP CALLED FROM ABSP5B1 to set up COUPON SEGMENT
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|
473SET | ||
499FMT | ||
489FMT | ||
441GET | ||
493SET | ||
499SET | ;Not Yet Implemented
|
|
496GET | ||
496SET | ;Not Yet Implemented
|
Name | Field # of Occurrence |
---|---|
DIAGVAL^ABSPECA1 | CLINICAL+21 |
DURVALUE^ABSPECA1 | DURRPPS+19 |
$$ANFF^ABSPECFM | 111FMT, 473FMT, 439FMT, 440FMT, 441FMT, 474FMT, 475FMT, 476FMT, 111AFMT, 485FMT , 486FMT, 487FMT, 111BFMT, 450FMT, 488FMT, 489FMT, 490FMT, 111CFMT, 492FMT, 424FMT+6 , 496FMT, 497FMT, 499FMT |
$$DFF^ABSPECFM | 448FMT |
$$NFF^ABSPECFM | 451FMT, 452FMT, 447FMT, 491FMT, 493FMT, 494FMT, 495FMT |
$$DFF^ABSPEFCM | 449FMT |
FLD439^ABSPOSSG | 439SET |
FLD440^ABSPOSSG | 440SET |
FLD441^ABSPOSSG | 441SET |
FLD473^ABSPOSSG | 473SET |
FLD474^ABSPOSSG | 474SET |
FLD475^ABSPOSSG | 475SET |
FLD476^ABSPOSSG | 476SET |
FLD424^ABSPOSSH | 424SET |
FLD491^ABSPOSSH | 491SET |
FLD492^ABSPOSSH | 492SET |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^ABSPC - [#9002313.02] | DURRPPS+17*, 450SET*, 451SET*, 452SET*, 447SET*, CLINICAL+19*, 493SET* |
^ABSPEI - [#9002313.4] | 424FMT+4 |
Name | Line Occurrences |
---|---|
491FMT | CLINICAL+7 |
491GET | CLINICAL+6 |
491SET | CLINICAL+8 |
@( | DURRPPS+13, DURRPPS+14, DURRPPS+15, COUPON+7, COUPON+8, COUPON+9, COMPOUND+7, COMPOUND+8, COMPOUND+9, CLINICAL+16 , CLINICAL+17, CLINICAL+18, APPEND+2, APPEND+3, APPEND+9 |
APPEND | DURRPPS+16, DURRPPS+21, COUPON+10, COMPOUND+10, CLINICAL+23 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
>> ABSP( | DURRPPS+17, DURRPPS+20, DURRPPS+23, DURRPPS+26, 450GET, 450SET, 451GET, 451SET, 452GET, 452SET , 447GET, 447SET, CLINICAL+19, CLINICAL+22, CLINICAL+24, CLINICAL+30, 493GET+2, 493SET, APPEND+6 |
>> ABSP("Clinical" | 493GET+2, 494GET+2, 495GET+2, 496GET+2, 497GET+2, 499GET+2 |
>> ABSP("Compound" | 450GET, 451GET, 452GET, 447GET, 488GET, 489GET, 449GET, 490GET |
>> ABSP("Coupound" | 448GET |
>> ABSP("Insurer" | 424FMT+3 |
>> ABSP("RX" | DURRPPS+4, DURRPPS+6, 473GET, 439GET, 440GET, 441GET, 474GET, 475GET, 476GET, CLINICAL+4 , 491GET, 492GET, 424GET, 493GET+1, 494GET+1, 495GET+1, 496GET+1, 497GET+1, 499GET+1 |
>> ABSP("X" | DURRPPS+26*, DURRPPS+27, 111GET*, 111FMT*, 473GET*, 473FMT*, 439GET*, 439FMT*, 440GET*, 440FMT* , 441GET*, 441FMT*, 474GET*, 474FMT*, 475GET*, 475FMT*, 476GET*, 476FMT*, 111AGET*, 111AFMT* , 485GET*, 485FMT*, 486GET*, 486FMT*, 487GET*, 487FMT*, 111BGET*, 111BFMT*, 450GET*, 450FMT* , 450SET, 451GET*, 451FMT*, 451SET, 452GET*, 452FMT*, 452SET, 447GET*, 447FMT*, 447SET , 488GET*, 488FMT*, 489GET*, 489FMT*, 448GET*, 448FMT*, 449GET*, 449FMT*, 490GET*, 490FMT* , CLINICAL+24*, CLINICAL+25, CLINICAL+26, CLINICAL+30*, CLINICAL+31, 111CGET*, 111CFMT*, 491GET*, 491FMT*, 492GET* , 492FMT*, 424GET*, 424FMT+1*, 424FMT+5*, 424FMT+6*, 493GET+1*, 493GET+2*, 493FMT*, 493SET, 494GET+1* , 494GET+2*, 494FMT*, 495GET+1*, 495GET+2*, 495FMT*, 496GET+1*, 496GET+2*, 496FMT*, 497GET+1*, 497GET+2* , 497FMT*, 499GET+1*, 499GET+2*, 499FMT*, APPEND+4, APPEND+10 |
>> ACTION | DURRPPS+3, DURRPPS+12, COUPON+6, COMPOUND+6, CLINICAL+3, CLINICAL+15 |
DIAG | CLINICAL+2~, CLINICAL+9*, CLINICAL+27*, CLINICAL+30, 492GET, 492GET+1, 424GET, 424GET+1, 493GET, 493GET+1 , 493GET+3, 494GET, 494GET+1, 494GET+3, 495GET, 495GET+1, 495GET+3, 496GET, 496GET+1, 496GET+3 , 497GET, 497GET+1, 497GET+3, 499GET, 499GET+1, 499GET+3 |
DUR | DURRPPS+2~, DURRPPS+5*, DURRPPS+6*, DURRPPS+22*, DURRPPS+23*, DURRPPS+26, 473GET, 473GET+1, 439GET, 439GET+1 , 440GET, 440GET+1, 441GET, 441GET+1, 474GET, 474GET+1, 475GET, 475GET+1, 476GET, 476GET+1 |
FIELD | DURRPPS+8~, DURRPPS+10*, DURRPPS+11, DURRPPS+12, DURRPPS+13, DURRPPS+14, DURRPPS+15, DURRPPS+16, DURRPPS+24*, DURRPPS+25 , DURRPPS+26, COUPON+2~, COUPON+4*, COUPON+5, COUPON+6, COUPON+7, COUPON+8, COUPON+9, COUPON+10, COMPOUND+2~ , COMPOUND+4*, COMPOUND+5, COMPOUND+6, COMPOUND+7, COMPOUND+8, COMPOUND+9, COMPOUND+10, CLINICAL+12~, CLINICAL+13*, CLINICAL+14 , CLINICAL+15, CLINICAL+16, CLINICAL+17, CLINICAL+18, CLINICAL+28*, CLINICAL+29, CLINICAL+30, APPEND~, APPEND+1, APPEND+2 , APPEND+3, APPEND+6, APPEND+7, APPEND+8, APPEND+9 |
>> IEN( | APPEND+6 |
INSIEN | 424FMT~, 424FMT+3*, 424FMT+4 |
>> MEDN | DURRPPS+4, DURRPPS+6, 473GET, 439GET, 440GET, 441GET, 474GET, 475GET, 476GET, CLINICAL+4 , 491GET, 492GET, 424GET, 493GET+1, 494GET+1, 495GET+1, 496GET+1, 497GET+1, 499GET+1 |
RECCNT | DURRPPS+2~, DURRPPS+5*, DURRPPS+17, CLINICAL+2~, CLINICAL+9*, CLINICAL+19, CLINICAL+25*, CLINICAL+27 |
>> RECORD | DURRPPS+9*, DURRPPS+27*, COUPON+3*, COMPOUND+3*, CLINICAL+26*, CLINICAL+31*, APPEND+4*, APPEND+6*, APPEND+10* |
REMOVE | 424FMT~, 424FMT+3*, 424FMT+4*, 424FMT+5 |
>> SPECIAL( | APPEND+7, APPEND+8 |
>> SPECIAL(424 | 424GET, 424GET+1, 424FMT+2 |
>> SPECIAL(439 | 439GET, 439GET+1 |
>> SPECIAL(440 | 440GET, 440GET+1 |
>> SPECIAL(441 | 441GET, 441GET+1 |
>> SPECIAL(447 | 447GET, 447GET+1 |
>> SPECIAL(448 | 448GET, 448GET+1 |
>> SPECIAL(449 | 449GET, 449GET+1 |
>> SPECIAL(450 | 450GET, 450GET+1 |
>> SPECIAL(451 | 451GET, 451GET+1 |
>> SPECIAL(452 | 452GET, 452GET+1 |
>> SPECIAL(473 | 473GET, 473GET+1 |
>> SPECIAL(474 | 474GET, 474GET+1 |
>> SPECIAL(475 | 475GET, 475GET+1 |
>> SPECIAL(476 | 476GET, 476GET+1 |
>> SPECIAL(485 | 485GET, 485GET+1 |
>> SPECIAL(486 | 486GET, 486GET+1 |
>> SPECIAL(487 | 487GET, 487GET+1 |
>> SPECIAL(488 | 488GET, 488GET+1 |
>> SPECIAL(489 | 489GET, 489GET+1 |
>> SPECIAL(490 | 490GET, 490GET+1 |
>> SPECIAL(491 | 491GET, 491GET+1 |
>> SPECIAL(492 | 492GET, 492GET+1 |
>> SPECIAL(493 | 493GET, 493GET+3 |
>> SPECIAL(494 | 494GET, 494GET+3 |
>> SPECIAL(495 | 495GET, 495GET+3 |
>> SPECIAL(496 | 496GET, 496GET+3 |
>> SPECIAL(497 | 497GET, 497GET+3 |
>> SPECIAL(499 | 499GET, 499GET+3 |
>> SUPRESF( | DURRPPS+11, DURRPPS+25, COUPON+5, COMPOUND+5, CLINICAL+14, CLINICAL+29 |
>> SUPRESSG("Clinical" | CLINICAL+1 |
>> SUPRESSG("Compound" | COMPOUND+1 |
>> SUPRESSG("Coupon" | COUPON+1 |
>> SUPRESSG("DURR/PPS" | DURRPPS+1 |
U | 450SET, 451SET, 452SET, 447SET, 493SET |