Files > EAS LTC MONTHLY MAX CALCULATIONS

name
EAS LTC MONTHLY MAX CALCULATIONS
number
714.5
location
^EASPFS(714.5,
description
This file stores the data relating to maximum Long Term Care (LTC) copayment calculations. When an HL7 message is received and an EAS protocol event is invoked the Enrollment Application System will calculate the LTC copayment amounts and store the data received and calculated in this file. The data is later on extracted and sent back to the requesting application via HL7 messaging.
Fields
#NameLocationTypeDetailsIndexDescription
.01patient name(+)0;1POINTER2BThis patient field is used to identify who the calculated LTC amounts stored in this file relate to.
.02last date0;2DATE-TIMEACThis is the date these calculated values relate to. The date value must be the last day of the month for the calculation.
.03ltc los0;3NUMERICThis is the Long Term Care Length of Stay to be used for this calculation. The LOS should exclude pass days, ASIH days and discharge date.
.04ltc exempt0;4BOOLEAN0:NO
1:YES
This indicator specifies if the patient is designated as exempt for the specified date.
.05exempt reason0;5POINTER714.1This is the reason for the exemption that was specified in the LTC EXEMPT (#.04) field.
.06180 day max charge0;6NUMERICThis is the calculated value that a patient can be charged for the specified month if his stay is 180 days or less.
.07greater than 180 day amount0;7NUMERICThis is the calculated value that a patient can be charged for the specified month if his stay is greater than 180 days.
.08max outpatient charge0;8NUMERICThis is the calculated maximum charge the specified patient can be charged for LTC outpatient services for the month.
.09date added0;9DATE-TIMEThis field is automatically populated based on the date this entry is added.

Not Referenced