Sub-Field: 2001060.31

Parent File	Name	Number	Package
AZP PRV AREA TRACKING(#2001060.03)	CLAIM NUMBER	2001060.31	Portland Private Insurance package

Details

Field #	Name	Loc	Type	Details
.01	CLAIM NUMBER	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>8!($L(X)<8) X` HELP-PROMPT: `Enter patients bill number.` CROSS-REFERENCE: `2001060.31^B` 1)= S ^AZPPI(3,DA(1),1,"B",$E(X,1,30),DA)="" 2)= K ^AZPPI(3,DA(1),1,"B",$E(X,1,30),DA)
.02	BEGINNING DOS	0;2	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter the beginning date of service for the claim`
.03	ENDING DOS	0;3	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter the ending date of service for the claim`
.04	CLAIM AMOUNT	0;4	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:+X'=X!(X>100000)!(X<0)!(X?.E1"."3N.N) X` HELP-PROMPT: `Enter the claim amount to be billed`
.05	AMOUNT COLLECTED	0;5	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100000)!(X<0)!(X?.E1"."3N.N) X` HELP-PROMPT: `Enter the total amount collected`
.06	AMOUNT OF DEDUCTIBLE	0;6	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>100000)!(X<0)!(X?.E1"."1N.N) X` HELP-PROMPT: `Enter the amount of deductible for claim`
.07	DATE SENT TO INS	0;7	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter date sent to insurance`
.08	DATE COLLECTED	0;8	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` HELP-PROMPT: `Enter date collection was sent to area from insurance co.`
.09	FACILITY		COMPUTED	MUMPS CODE: `S X=DUZ(2)` ALGORITHM: `S X=DUZ(2)` LAST EDITED: `SEP 05, 1990`