| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | era sequence # | 0;1 | NUMERIC | B | This field contains a number consisting of a whole number and optionally a decimal. The whole number represents the place holder for the line in the original ERA that was used to initially create the scratch pad. The decimal portion represents additional lines that have been added to break down and further define the allocation of this payment. | |
| .02 | claim # | 0;2 | FREE TEXT | This is the claim # that will be posted against when/if this line is added to a receipt. If this field is blank, assume SUSPENSE as the account. | ||
| .03 | amount to post on receipt | 0;3 | NUMERIC | This is the amount of money to post for this line item on the receipt. | ||
| .04 | include on receipt | 0;4 | BOOLEAN | 1:YES 0:NO | Responding YES here will force a line item with the data contained on this record to be added to the EDI Lockbox receipt that will be created from this worklist entry. | |
| .05 | amt of payment | 0;5 | NUMERIC | This is the amount of money paid for the claim in the ERA. If this amount is negative, it indicates an adjustment of this amount was found on the ERA for the claim. | ||
| .06 | net amount of payment | 0;6 | NUMERIC | This is the amount of the original payment less any adjustments recorded. | ||
| .07 | ar bill # | 0;7 | POINTER | 430 | This is the pointer to file 430 for the AR bill that corresponds to the claim # on file for the payment. Thi sfield will be blank for 'SUSPENSE' items. | |
| .08 | net amt of adjustments | 0;8 | NUMERIC | This is the total net amount of all adjustments for the line item. | ||
| .09 | original era sequences | 0;9 | FREE TEXT | This is the list of sequence #'s in the original ERA that was used to create this sequence in the scratch pad. It will only exist on the record whose sequence # is a whole number. An ERA level adjustment will be listed as ADJ followed by the ien of the adjustment in the ERA record in file 344.42. The referenced sequence numbers are separated by commas. | ||
| .1 | receipt line comment | 0;10 | FREE TEXT | This is the text that will be used to create a bill comment for the bill referenced by this sequence. | ||
| .11 | reviewed? | 0;11 | SET OF CODES | 0:NO 1:YES I:IN PROCESS | This is the review status of the EOB. | |
| .12 | reviewed by | 0;12 | POINTER | 200 | This is the name of the user who performed the revieew for this EOB. | |
| .13 | verified | 0;13 | BOOLEAN | 0:NO 1:YES | ANV | This is the flag that indicates the EEOB's verification data has been matched correctly to the VistA claim's data, either automatically or manually to determine that the claim paid was the correct claim. |
| .14 | batch # | 0;14 | NUMERIC | ABAT | This is the # assigned to this EEOB for the batch in which it will be accessible. | |
| 1 | adjustment log | 1;0 | MULTIPLE | 344.4911 | ||
| 2.01 | added by | 2;1 | POINTER | 200 | This is the name of the person whose actions caused this record to be created. | |
| 2.02 | date/time added | 2;2 | DATE-TIME | This is the date and time the record was first added to the scratch pad. | ||
| 2.03 | last edited by | 2;3 | POINTER | 200 | This is the aname of the person who last edited this record. | |
| 2.04 | last edited date/time | 2;4 | DATE-TIME | This is the date and time this record was last edited. | ||
| 4 | review | 4;0 | MULTIPLE | 344.4914 | This is the data relating to the notes entered by the user when reviewing the EEOB. |
Error: Invalid Global File Type: 344.491