Files > RCDPE AUTO-PAY EXCLUSION

name

RCDPE AUTO-PAY EXCLUSION

number

344.6

location

^RCY(344.6,

description

This file is populated based on the data in the ELECTRONIC REMITTANCE ADVICE file (#344.4). Initially, a post-installation process created a record for each unique PAYER NAME/PAYER ID combination. Afterwards, this file is populated by the EDI Lockbox (ePayments) nightly batch job. Whenever the nightly batch job encounters a new PAYER NAME/PAYER ID combination, a new record will be added to this file. The file will be maintained via the EDI Lockbox Parameters [RCDPE EDI LOCKBOX PARAMETERS] option.

Fields

#	Name	Location	Type	Details	Index	Description
.01	payer name(+)	0;1	FREE TEXT		B	This is the payer name whose settings are defined by this entry. This field is programmatically generated and should never be updated by a user.
.02	payer id	0;2	FREE TEXT			The PAYER ID contained here along with the PAYER NAME provide a unique identifier for this entry. This field is programmatically updated. It should never be edited by a user.
.03	date added	0;3	DATE-TIME			This is the date the payer first sent an ERA into the system. This field date will be programmatically updated. It should never be modified by a user.
.04	updated by	0;4	POINTER	200		This is the last user to modify this record. If the value is POSTMASTER, then the last modification was performed by the nightly batch job, or by post-installation processing when the file was initially populated.
.05	date last updated	0;5	DATE-TIME			The date this record was last updated or created.
.06	exclude med claims posting	0;6	BOOLEAN	0:No 1:Yes	EXMDPOST	This field is used to enable or disable auto-posting of medical claims for a specified payer. When set to Yes (1) auto-posting is disabled. When No (0) auto-posting is enabled.
.07	exclude med claims decrease	0;7	BOOLEAN	0:No 1:Yes	EXMDDECR	This field is used to enable or disable auto-decreasing of medical claims for a specified payer. When set to Yes (1) auto-decreasing is disabled. When No (0) auto-decreasing is enabled.
1	auto-post comment	1;1	FREE TEXT			Required comment when payer is excluded from auto-posting. This is cleared when the auto-post exclusion is reset.
2	auto-decrease comment	2;1	FREE TEXT			Required comment when payer is excluded from auto-decreasing. This is cleared when the auto-decreasing exclusion is reset.