GLOBAL MAP DATA DICTIONARY #356.19 -- CLAIMS TRACKING UNBILLED AMOUNTS DATA FILE 6/27/25 PAGE 1
STORED IN ^IBE(356.19, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
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This file contains the data used in the compilation of the average inpatient bill totals and the monthly unbilled amounts bulletin
and report.
The data is in two parts:
Fields 1.01 - 1.14 contain the inpatient claim and episode totals
for the month and prior 12 months used in configuring the average
inpatient bill totals.
Fields 2.01 - 2.11 contain the unbilled inpatient and outpatient
totals for the month used in creating the unbilled amounts bulletin
and report.
NOTE: Fields .02 - .16, 19, and 20 will no longer be used for
storing and configuring average/unbilled totals and will
be phased out at a later date.
This data is generally maintained by two options queued to run once each month. The first option will update the monthly and yearly
totals fields. The second option will search the CLAIMS TRACKING file for unbilled episodes of care and should be run on the 1st or
second day of the month.
There are two user options which are available to regenerate the reports. The automatically queued options will not write over
previously compiled data. The user queued options will write over previously compliled data. Sites who modify the data in this file
should be aware that the user queued options will overwrite manual changes.
Per VHA Directive 10-93-142, this file definition should not be modified.
CROSS
REFERENCED BY: MONTH/YEAR(AIVDT), MONTH/YEAR(B)
^IBE(356.19,D0,0)= (#.01) MONTH/YEAR [1D] ^ (#.02) CURR MON NO. INPT BILLS [2N] ^ (#.03) CURR MON $AMNT INPT BILLS [3N] ^ (#.04)
==>CURR MON NO OPT VSTS BILLED [4N] ^ (#.05) CURR MON $AMNT OPT BILLED [5N] ^ (#.06) DATE/TIME CURR MON UPDATED
==>[6D] ^ (#.07) PRIOR 12 MON NO. INPT BILLS [7N] ^ (#.08) PRIOR 12 MON $AMNT INPT BILLS [8N] ^ (#.09) PRIOR 12
==>MON OPT VST BILLED [9N] ^ (#.1) PRIOR 12 MON $AMNT OPT BILLED [10N] ^ (#.11) DATE/TIME PRIOR 12 MON UPDATE
==>[11D] ^ (#.12) NUMBER OF UNBILLED INPT. CASES [12N] ^ (#.13) AVERAGE INPT. BILL AMOUNT [13N] ^ (#.14) NUMBER
==>OF UNBILLED OPT. CASES [14N] ^ (#.15) AVERAGE OPT. BILL AMOUNT [15N] ^ (#.16) DATE/TIME UNBILLED RPT UPDATED
==>[16D] ^ ^ ^ ^ (#.2) FOR MONTH OF: [20D] ^
^IBE(356.19,D0,1)= (#1.01) NO. INPT INST. CLAIMS (MON) [1N] ^ (#1.02) AMT INPT INST. CLAIMS (MON) [2N] ^ (#1.03) NO. INPT
==>EPISODES/INST. (MON) [3N] ^ (#1.04) NO. INPT PROF. CLAIMS (MON) [4N] ^ (#1.05) AMT INPT PROF. CLAIMS (MON)
==>[5N] ^ (#1.06) NO. INPT EPISODES/PROF. (MON) [6N] ^ (#1.07) NO. INPT INST. CLAIMS (12M) [7N] ^ (#1.08) AMT
==>INPT INST. CLAIMS (12M) [8N] ^ (#1.09) NO. INPT EPISODES/INST. (12M) [9N] ^ (#1.1) NO. INPT PROF. CLAIMS (12M)
==>[10N] ^ (#1.11) AMT INPT PROF. CLAIMS (12M) [11N] ^ (#1.12) NO. INPT EPISODES/PROF. (12M) [12N] ^ (#1.13) DATE
==>UPDATED (MON) [13D] ^ (#1.14) DATE UPDATED (12M) [14D] ^
^IBE(356.19,D0,2)= (#2.01) EPISODES MISSING INST CLAIMS [1N] ^ (#2.02) EPISODES MISSING PROF CLAIMS [2N] ^ (#2.03) ENCOUNTERS
==>MISSING CLAIMS [3N] ^ (#2.04) CPT CODES MISSING INST CLAIMS [4N] ^ (#2.05) CPT CODES MISSING PROF CLAIMS [5N]
==>^ (#2.06) NUMBER OF UNBILLED RX'S [6N] ^ (#2.07) UNBILLED INPATIENT AMOUNT [7N] ^ (#2.08) UNBILLED OUTPATIENT
==>AMOUNT [8N] ^ (#2.09) UNBILLED RX AMOUNT [9N] ^ (#2.1) TOTAL UNBILLED AMOUNT [10N] ^ (#2.11) DATE UNBILLED
==>REPORT UPDATED [11D] ^
^IBE(356.19,D0,3)= (#3.01) NO. MRA INPT INST CLAIMS [1N] ^ (#3.02) NO. MRA INPT PROF CLAIMS [2N] ^ ^ (#3.04) MRA CPT CODES ON
==>INST CLAIMS [4N] ^ (#3.05) MRA CPT CODES ON PROF CLAIMS [5N] ^ (#3.06) NUMBER OF MRA UNBILLED RX'S [6N] ^
==>(#3.07) MRA UNBILLED INPATIENT AMOUNT [7N] ^ (#3.08) MRA UNBILLED OUTPATIENT AMOUNT [8N] ^ (#3.09) MRA
==>UNBILLED PRESCRIPTION AMT [9N] ^ (#3.1) TOTAL MRA UNBILLED AMOUNT [10N] ^
INPUT TEMPLATE(S):
^DIE(1594)= IBT AVERAGE BILL AMOUNTS (12M)
^DIE(1593)= IBT AVERAGE BILL AMOUNTS (MON)
^DIE(1595)= IBT UNBILLED AMOUNTS
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):