GLOBAL MAP DATA DICTIONARY #344.4 -- ELECTRONIC REMITTANCE ADVICE FILE 3/24/25 PAGE 1
STORED IN ^RCY(344.4, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 4.5)
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This file holds the ERA (Electronic Remittance Advice) information that is received electronically. It holds the summary for each
individual EOB (Explanation of Benefits) that comprise the ERA. Individual EOB detail data is found in file 361.1 in Integrated
Billing.
CROSS
REFERENCED BY: ERA DATE(AC), REMOVED DATE(AD), EOB DETAIL(ADET), ERROR CATEGORY(AEXC), FILE DATE/TIME(AFD),
DATE/TIME ERA LINKED(AFL), EFT MATCH STATUS(AMATCH), MARK FOR AUTO-POST(AP), RECEIPT(AREC),
TRANSFERRED DATE(ATOUT), ENTRY(B), AUTO-POST STATUS(E), AUTO-POST DATE(F), AUTO-DECREASE DATE(G), RECEIPT(H),
INSURANCE CO ID(I), MCCF DATE/TIME(MCCF)
INDEXED BY: ENTRY & TRACE NUMBER & INSURANCE CO ID & ERA DATE & TOTAL AMOUNT PAID & PAYMENT FROM & FILE DATE/TIME & RECEIPT &
EFT MATCH STATUS & INDIVIDUAL EOB COUNT & CHECK # & ERA DETAIL POST STATUS & REMOVED DATE & ERA LINKED BY (AMCCF),
PAYMENT FROM & INSURANCE CO ID (APT), RECEIPT (ARCT), INSURANCE CO ID & PAYMENT FROM (ATP), TRACE NUMBER & INSURANCE
CO ID (ATRID), TRACE NUMBER & INSURANCE CO ID (ATRIDUP), PAYMENT FROM (C), TRACE NUMBER (D), TRACE NUMBER (DNLZ)
^RCY(344.4,D0,0)= (#.01) ENTRY [1N] ^ (#.02) TRACE NUMBER [2F] ^ (#.03) INSURANCE CO ID [3F] ^ (#.04) ERA DATE [4D] ^ (#.05)
==>TOTAL AMOUNT PAID [5N] ^ (#.06) PAYMENT FROM [6F] ^ (#.07) FILE DATE/TIME [7D] ^ (#.08) RECEIPT [8P:344] ^
==>(#.09) EFT MATCH STATUS [9S] ^ (#.1) ERA TYPE [10S] ^ (#.11) INDIVIDUAL EOB COUNT [11N] ^ (#.12) MAIL MESSAGE
==>[12F] ^ ^ (#.14) ERA DETAIL POST STATUS [14S] ^ (#.15) EXPECTED PAYMENT METHOD CODE [15F] ^
^RCY(344.4,D0,1,0)=^344.41A^^ (#1) ERA DETAIL
^RCY(344.4,D0,1,D1,0)= (#.01) SEQUENCE # [1N] ^ (#.02) EOB DETAIL [2P:361.1] ^ (#.03) AMOUNT PAID [3N] ^ (#.04) INSURANCE COMPANY
==>ON BILL [4P:36] ^ (#.05) INVALID BILL NUMBER [5F] ^ ^ (#.07) ERROR CATEGORY [7S] ^ (#.08) UNSPECIFIC
==>ERROR [8F] ^ (#.09) TRANSFERRED OUT MSG # [9F] ^ (#.1) TRANSFER STATUS [10S] ^ (#.11) TRANSFERRED TO SITE
==>[11P:4] ^ (#.12) TRANSFERRED DATE [12D] ^ (#.13) ERROR STATUS [13S] ^ (#.14) REVERSAL [14S] ^ (#.15) FREE
==>TEXT PATIENT NAME [15F] ^ (#.16) TRANSFER RECEIVED OTHER SITE [16S] ^ (#.17) BILL NUMBER FROM PAYER [17F]
==>^
^RCY(344.4,D0,1,D1,1,0)=^344.411^^ (#1) RAW DATA
^RCY(344.4,D0,1,D1,1,D2,0)= (#.01) RAW DATA [1W] ^
^RCY(344.4,D0,1,D1,2,0)=^344.412^^ (#2) RESOLUTION LOG
^RCY(344.4,D0,1,D1,2,D2,0)= (#.01) RESOLUTION LOG [1W] ^
^RCY(344.4,D0,1,D1,3)= (#.18) BILLING PROVIDER NPI [1F] ^ (#.19) RENDERING/SERVICING PROV NPI [2F] ^ (#.2) ENTITY TYPE QUALIFIER
==>[3S] ^ (#.21) RENDERING/SERVICING PROV NAME [4F] ^ (#.22) BILLING PROV COMMENT [5F] ^
^RCY(344.4,D0,1,D1,4)= (#.23) REN PROV COMMENT [1F] ^ (#.24) ECME # [2F] ^ (#.25) RECEIPT [3P:344] ^
^RCY(344.4,D0,1,D1,5)= (#5) AUTO-POST REJECTION REASON [1S] ^ (#6) MARK FOR AUTO-POST [2S] ^ (#7) AUTO-DECREASE INDICATOR [3S] ^
==>(#8) AUTO-DECREASE AMOUNT [4N] ^ (#9) AUTO-POST DATE [5D] ^ (#10) AUTO-DECREASE DATE [6D] ^ (#6.01) MARKED
==>FOR AUTOPOST USER [7P:200] ^ (#10.01) CHECKED FOR FIRST PARTY AD [8S] ^
^RCY(344.4,D0,1,D1,6)= (#4.02) CLAIM COMMENT USER [1P:200] ^ (#4.01) CLAIM COMMENT DATE [2D] ^ (#4) CLAIM COMMENT [3F] ^
^RCY(344.4,D0,1,D1,9)= (#9.01) PHARMACY CLAIM COMMENT [1F] ^ (#9.02) MCCF DATE/TIME [2D] ^
^RCY(344.4,D0,2,0)=^344.42A^^ (#2) ERA LEVEL ADJUSTMENTS
^RCY(344.4,D0,2,D1,0)= (#.01) REFERENCE NUMBER [1F] ^ (#.02) ADJUSTMENT CODE [2F] ^ (#.03) ADJUSTMENT AMOUNT [3N] ^
^RCY(344.4,D0,2,D1,1)= (#.04) ADJUSTMENT TEXT [1F] ^
^RCY(344.4,D0,3)= (#3.01) CONTACT NAME [1F] ^ (#3.02) CONTACT NUMBER 1 [2F] ^ (#3.03) CONTACT TYPE 1 [3S] ^ (#3.04) CONTACT
==>NUMBER 2 [4F] ^ (#3.05) CONTACT TYPE 2 [5S] ^ (#3.06) CONTACT NUMBER 3 [6F] ^ (#3.07) CONTACT TYPE 3 [7S] ^
^RCY(344.4,D0,4)= (#4.01) AUTO-POST DATE [1D] ^ (#4.02) AUTO-POST STATUS [2S] ^ (#4.04) MARKED FOR AUTOPOST USER [3P:200] ^
==>(#4.03) LATEST AUTO-DECREASE DATE [4D] ^
^RCY(344.4,D0,5)= (#5.01) PAYER WEB SITE ADDRESS [1F] ^ (#.13) CHECK # [2F] ^ (#5.03) DATE CHECK MATCHED [3D] ^ (#5.04) CHECK
==>MATCHED USER [4P:200] ^
^RCY(344.4,D0,6)= (#.16) REMOVED BY [1P:200] ^ (#.17) REMOVED DATE [2D] ^ (#.18) REMOVE REASON [3F] ^ (#.19) AUTO-DECREASE
==>BLOCKED [4S] ^
^RCY(344.4,D0,7)= (#7.01) DATE/TIME ERA LINKED [1D] ^ (#7.02) ERA LINKED BY [2P:200] ^
^RCY(344.4,D0,8,0)=^344.48P^^ (#8) OTHER RECEIPT NUMBERS
^RCY(344.4,D0,8,D1,0)= (#.01) OTHER RECEIPT NUMBER [1P:344] ^
^RCY(344.4,D0,9)= (#9) MCCF DATE/TIME [1D] ^
^RCY(344.4,D0,20)= (#20.01) DATE POSTED TO SUSPENSE [1D] ^ (#20.02) POSTED TO SUSPENSE BY [2P:200] ^ (#20.03) PAPER EOB ENTRY
==>[3S] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
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