| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | claim(+) | 0;1 | POINTER | 399 | B | This is a pointer to the BILL/CLAIMS file (#399). |
| .02 | status | 0;2 | POINTER | 351.91 | AST | This is a pointer to the CLAIMSMANAGER STATUS file (#351.91) |
| .03 | last sent to claimsmanager | 0;3 | DATE-TIME | This is the Date/time that the claim was last sent to ClaimsManager. | ||
| .04 | times sent to claimsmanager | 0;4 | FREE TEXT | This will be a numeric value to track the number of times the claim was sent to ClaimsManager. | ||
| .05 | sent by | 0;5 | POINTER | 200 | This is a pointer to the New Person file (#200) to recored the identity of the last person to send the claim to ClaimsManager. | |
| .06 | date/time entered | 0;6 | DATE-TIME | This is the date and time that the claim was originally entered into the CLAIMSMANAGER file (351.9). | ||
| .07 | entered by | 0;7 | POINTER | 200 | This will point to the New Person file (#200) and will identify the person who originally entered/edited the bill causing an entry in the CLAIMSMANAGER file (351.9). | |
| .08 | date/time last edited | 0;8 | DATE-TIME | ADE | This is the date/time that the claim was last edited. | |
| .09 | last edited by | 0;9 | POINTER | 200 | AEB | This is a pointer to the New Person file (#200) to identify the person who last edited this claim. |
| .1 | overridden? | 0;10 | BOOLEAN | 1:YES | If the user chooses to override the ClaimsManager errors and send the claim "as is" this field will be set to '1'. | |
| .11 | overridden by | 0;11 | POINTER | 200 | If OVERRIDDEN? is set to YES, then this field will contain the IEN for the NEW PERSON file (#200) of the person who overrode the ClaimsManager errors. | |
| .12 | assigned to | 0;12 | POINTER | 200 | ASN | This field will point to the person that the biller assigns the bill to. The default will be the biller. |
| .13 | comment date/time | 0;13 | DATE-TIME | This will be the Date/Time stamp for when the comments were entered. | ||
| .14 | comment entered by | 0;14 | POINTER | 200 | This a pointer to the New Person file of the person who entered the comments. | |
| .15 | received by claimsmanager | 0;15 | BOOLEAN | 1:YES 0:NO | This field is used as a check to ensure that ClaimsManager received the bill without a comm error. This is needed for the cancellation process. | |
| 1.01 | error code | 1;0 | MULTIPLE | 351.9001 | ||
| 2.01 | comments | 2;0 | WORD-PROCESSING | |||
| 3.01 | patient id | 3;1 | FREE TEXT | The patient's SSN will be the Patient ID for ClaimsManager. It may be 9 or 10 characters. | ||
| 3.02 | pt last name | 3;2 | FREE TEXT | This field will contain the last name of the patient. | ||
| 3.03 | pt middle name | 3;3 | FREE TEXT | This field will contain the middle name of the patient, if one exists. | ||
| 3.04 | pt first name | 3;4 | FREE TEXT | This field contains the first name of the patient. | ||
| 3.05 | pt dob | 3;5 | FREE TEXT | This field contains the patient's Date of Birth. | ||
| 3.06 | pt gender | 3;6 | FREE TEXT | This is a one character abbreviation to identify the patient's gender. | ||
| 3.07 | entry date/time | 3;7 | FREE TEXT | This is the Date/time that the claim was entered into Vista. | ||
| 3.08 | ref phys id | 3;8 | FREE TEXT | This is the Referring Physician's ID in the format expected by ClaimsManager. | ||
| 3.09 | ref phys last name | 3;9 | FREE TEXT | This is the Referring Physician's last name. | ||
| 3.1 | ref phys middle name | 3;10 | FREE TEXT | This is the Referring Physician's middle name, if one exists. | ||
| 3.11 | ref phys first name | 3;11 | FREE TEXT | This is the Referring Physician's first name. | ||
| 3.12 | ref phys title | 3;12 | FREE TEXT | This is the Referring Physicians Title. | ||
| 4.01 | ref phys dept | 4;1 | FREE TEXT | This will identify the department for the Referring Physician. | ||
| 4.02 | ref phys spec | 4;2 | FREE TEXT | This is the Referring Physician's Specialty | ||
| 4.03 | ref phys degree id | 4;3 | FREE TEXT | This is the Referring Physician's Degree ID. | ||
| 4.04 | ref phys upin | 4;4 | FREE TEXT | This is the Referring Physician's UPIN number. | ||
| 5.01 | line segment | 5;0 | MULTIPLE | 351.9003 | This is the number assigned to a specific line segment for transmission to ClaimsManager. |
Not Referenced