Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Details |  All
Print Page as PDF
Sub-Field: 9002274.403

Package: Third Party Billing

3P BILL(#9002274.4)-->9002274.403

Sub-Field: 9002274.403


Information

Parent File Name Number Package
3P BILL(#9002274.4) PAYMENT 9002274.403 Third Party Billing

Details

Field # Name Loc Type Details
.001 PAYMENT NUMBER NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JAN 14, 1992
  • HELP-PROMPT:  Type a Number between 1 and 99, 0 Decimal Digits
.01 PAYMENT DATE 0;1 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  DEC 04, 2006
  • HELP-PROMPT:  (No range limit on date)
  • CROSS-REFERENCE:  9002274.403^B
    1)= S ^ABMDBILL(DUZ(2),DA(1),3,"B",$E(X,1,30),DA)=""
    2)= K ^ABMDBILL(DUZ(2),DA(1),3,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  9002274.4^AE
    1)= S ^ABMDBILL(DUZ(2),"AE",$E(X,1,30),DA(1),DA)=""
    2)= K ^ABMDBILL(DUZ(2),"AE",$E(X,1,30),DA(1),DA)
.02 AMOUNT 0;2 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999.99)!(X<-99999.99) X
  • LAST EDITED:  JAN 31, 1995
  • HELP-PROMPT:  Type a Dollar Amount between -99999.99 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    The value of this field represents a payment as 3PB needs to see it.  It is calculated from various A/R fields that are also stored in this multiple.  The formula is (fields) .02 = .1 + .11 + .14 - .13
  • CROSS-REFERENCE:  9002274.403^C
    1)= S ^ABMDBILL(DUZ(2),DA(1),3,"C",$E(X,1,30),DA)=""
    2)= K ^ABMDBILL(DUZ(2),DA(1),3,"C",$E(X,1,30),DA)
.03 DEDUCTIBLE AMOUNT 0;3 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>9999.99)!(X<-9999.99)!(X?.E1"."3.N) X
  • LAST EDITED:  FEB 21, 2007
  • HELP-PROMPT:  Type a Dollar amount between -9999.99 and 9999.99, 2 Decimal Digits
.04 CO-INSURANCE AMOUNT 0;4 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>9999.99)!(X<-9999.99)!(X?.E1"."3.N) X
  • LAST EDITED:  MAR 06, 2007
  • HELP-PROMPT:  Type a Dollar amount between -9999.99 and 9999.99, 2 Decimal Digits
.05 DENIAL REASON 0;5 POINTER TO 3P DENIAL REASONS FILE (#9002274.7) 3P DENIAL REASONS(#9002274.7)

  • INPUT TRANSFORM:  S DIC("S")="I $D(ABMP(""INS"")),$P(^(0),U,2)=$P(^AUTNINS(ABMP(""INS""),2),U)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  OCT 26, 1990
  • SCREEN:  S DIC("S")="I $D(ABMP(""INS"")),$P(^(0),U,2)=$P(^AUTNINS(ABMP(""INS""),2),U)"
  • EXPLANATION:  Screensd by Type of Insurer
.06 WRITE OFF 0;6 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999.99)!(X<-99999.99) X
  • LAST EDITED:  JUN 08, 1992
  • HELP-PROMPT:  Type a Dollar Amount between -99999.99 and 99999.99, 2 Decimal Digits
.07 NON-COVERED 0;7 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999.99)!(X<-99999.99)!(X?.E1"."3.N) X
  • LAST EDITED:  FEB 26, 2007
  • HELP-PROMPT:  Type a Dollar amount between -99999.99 and 99999.99, 2 Decimal Digits
.08 IMPORTED FROM AO TRK 0;8 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  APR 28, 1992
.09 PENALTY AMOUNT 0;9 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
  • LAST EDITED:  JUL 01, 1993
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
.1 PAYMENTS FROM A/R 0;10 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999.99)!(X<0) X
  • LAST EDITED:  FEB 19, 1997
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This field contains a total amount of payments entered through the A/R system for this bill.
.11 PREVIOUS PAYMENTS FROM 3PB 0;11 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999.99)!(X<0) X
  • LAST EDITED:  FEB 19, 1997
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This dollar amount was originally calculated by 3PB and passed to A/R.  The value here is what A/R rolls back to 3PB.
.12 GROUPER ALLOWANCE 0;12 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>999999.99)!(X<-999999.99)!(X?.E1"."3.N) X
  • LAST EDITED:  MAR 28, 2007
  • HELP-PROMPT:  Type a Dollar amount between -999999.99 and 999999.99, 2 Decimal Digits
.13 REFUND 0;13 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999.99)!(X<-99999.99)!(X?.E1"."3.N) X
  • LAST EDITED:  MAR 28, 2007
  • HELP-PROMPT:  Type a Dollar amount between -99999.99 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This value is passed to 3PB from A/R.  It represents all refunds against this bill.
.14 PAYMENT ADJUSTMENTS FROM A/R 0;14 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?."-".N.1".".2N!(X>99999)!(X<-99999) X
  • LAST EDITED:  AUG 13, 1999
  • HELP-PROMPT:  Type a Dollar Amount between -99999 and 99999, 2 Decimal Digits
  • DESCRIPTION:  
    Payment Adjustments passed over from A/R.  Referred to as Previous Credits in A/R.
.15 ADJUSTMENT CATEGORY 0;15 POINTER TO A/R TABLE TYPE/IHS FILE (#90052.01) A/R TABLE TYPE/IHS(#90052.01)

  • LAST EDITED:  NOV 21, 2006
.16 ADJUSTMENT TYPE 0;16 POINTER TO A/R TABLE ENTRY/IHS FILE (#90052.02) A/R TABLE ENTRY/IHS(#90052.02)

  • LAST EDITED:  NOV 21, 2006
.17 STD ADJUSTMENT REASON 0;17 POINTER TO A/R EDI STND CLAIM ADJ REASONS FILE (#90056.06) A/R EDI STND CLAIM ADJ REASONS(#90056.06)

  • LAST EDITED:  NOV 21, 2006
.18 INCLUDE AMT IN BILL BALANCE? 0;18 SET
  • 'Y' FOR YES;
  • 'N' FOR NO;

  • LAST EDITED:  APR 22, 2013
Info |  Details |  All