Sub-Field: 9002274.096

Parent File	Name	Number	Package
3P INSURER(#9002274.09)	SPLIT PAGE(S)	9002274.096	Third Party Billing

Details

Field #	Name	Loc	Type	Details
.01	SPLIT PAGE(S)	0;1	SET	'8D' FOR MEDICATIONS; '8E' FOR LABORATORY; '8F' FOR RADIOLOGY; '8H' FOR HCPCS; '8Z' FOR ALL; LAST EDITED: `JUN 27, 2017` AUDIT: `YES, ALWAYS` CROSS-REFERENCE: `9002274.096^B` 1)= S ^ABMNINS(DUZ(2),DA(1),6,"B",$E(X,1,30),DA)="" 2)= K ^ABMNINS(DUZ(2),DA(1),6,"B",$E(X,1,30),DA)
.02	START DATE	0;2	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:X<1 X` LAST EDITED: `AUG 16, 2017` HELP-PROMPT: `(No range limit on date)` AUDIT: `YES, ALWAYS`
.03	SPLIT CLAIM HOW	0;3	SET	'0' FOR NO, DON'T SPLIT CLAIM; '1' FOR YES, 1 CLAIM PER CHARGE; '2' FOR YES, 1 CLAIM PER PAGE; LAST EDITED: `AUG 16, 2017` AUDIT: `YES, ALWAYS`
.04	END DATE	0;4	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:X<1 X` LAST EDITED: `AUG 16, 2017` HELP-PROMPT: `(No range limit on date)` AUDIT: `YES, ALWAYS`
.05	ENTRY CREATED DATE	0;5	DATE	INPUT TRANSFORM: `S %DT="ESTXR" D ^%DT S X=Y K:X<1 X` LAST EDITED: `AUG 16, 2017` HELP-PROMPT: `(No range limit on date)` AUDIT: `YES, ALWAYS`
.06	ENTRY CREATED BY	0;6	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `AUG 16, 2017` AUDIT: `YES, ALWAYS`
.07	ENTRY END DATE ENTERED DATE	0;7	DATE	INPUT TRANSFORM: `S %DT="ESTXR" D ^%DT S X=Y K:X<1 X` LAST EDITED: `AUG 16, 2017` HELP-PROMPT: `(No range limit on date)` AUDIT: `YES, ALWAYS`
.08	ENTRY END DATE ENTERED BY	0;8	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `AUG 16, 2017` AUDIT: `YES, ALWAYS`