GLOBAL MAP DATA DICTIONARY #9002313.77 -- BPS REQUESTS FILE 3/24/25 PAGE 1
STORED IN ^BPS(9002313.77, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
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This file is used to store data for queued requests before the ECME engine un-queues them and during their processing. The data
stored in this file are used to create a record in BPS TRANSACTION file (#9002313.59) to build a claim request or reversal and send
it to the insurer (payer). Generally there should be few or no entries in this file unless there are stranded claims/reversal or
requests that need to be un-stranded by the user.
Per VHA Directive 2004-038, this file definition should not be modified.
CROSS
REFERENCED BY: KEY1(B), ECME TRANSACTION RECORD(C), DATE AND TIME UPDATED(E)
INDEXED BY: PROCESS FLAG & KEY1 & KEY2 & ACTING COB (AC), NEXT REQUEST & PROCESS FLAG & TRANSACTION TYPE & ACTING COB (AN), KEY1
& KEY2 & ACTING COB & PROCESS FLAG (D)
^BPS(9002313.77,D0,0)= (#.01) KEY1 [1N] ^ (#.02) KEY2 [2N] ^ (#.03) ACTING COB [3S] ^ (#.04) PROCESS FLAG [4S] ^ (#.05) NEXT
==>REQUEST [5P:9002313.77] ^ (#.06) ECME TRANSACTION RECORD [6P:9002313.59] ^ (#.07) WAITING RESOLUTION? [7S]
==>^ (#.08) DONT PROCESS UNTIL [8D] ^
^BPS(9002313.77,D0,1)= (#1.01) RX ACTION [1F] ^ (#1.02) OUTPATIENT SITE [2P:59] ^ ^ (#1.04) TRANSACTION TYPE [4S] ^ (#1.05)
==>BILLING DETERMINATION [5S] ^ (#1.06) ELIGIBILITY [6S] ^ (#1.07) CLAIM STATUS [7F] ^ (#1.08) RATE TYPE
==>[8P:399.3] ^ (#1.09) PRIMARY PAYER BILL [9P:399] ^ (#1.1) PRIOR PAYMENT [10N] ^ (#1.11) COB OTHER PAYMENTS
==>COUNT [11N] ^ (#1.12) OTHER COVERAGE CODE [12S] ^ (#1.13) RX NUMBER [13P:52] ^ (#1.14) FILL NO [14N] ^
==>(#1.15) PATIENT [15P:2] ^ (#1.16) POLICY NUMBER [16N] ^
^BPS(9002313.77,D0,2)= (#2.01) DATE OF SERVICE [1D] ^ (#2.02) REVERSAL REASON [2F] ^ (#2.03) DURREC [3F] ^ (#2.04) OVERRIDE CODE
==>[4P:9002313.511] ^ (#2.05) CLARIFICATION CODE [5F] ^ (#2.06) BILL NDC [6F] ^ (#2.07) PRE AUTH TYPE CODE
==>[7F] ^ (#2.08) PRE AUTH NUM SUB [8F] ^ (#2.09) SC AND EI OVERRIDE FLAG [9S] ^ (#2.1) DELAY REASON CODE
==>[10P:9002313.29] ^
^BPS(9002313.77,D0,3,0)=^9002313.771A^^ (#3) DUR
^BPS(9002313.77,D0,3,D1,0)= (#.01) DUR REASON CODE [1F] ^ (#.02) DUR PROFESSIONAL SERVICE CODE [2F] ^ (#.03) DUR RESULT OF
==>SERVICE CODE [3F] ^
^BPS(9002313.77,D0,4)= (#4.01) QUANTITY [1N] ^ (#4.02) UNIT PRICE [2N] ^ (#4.03) NDC [3F] ^ (#4.04) REFILL [4N] ^ (#4.05) CERTIFY
==>MODE [5S] ^ (#4.06) CERTIFICATION IEN [6P:9002313.31] ^ (#4.07) UNIT OF MEASURE [7F] ^ (#4.08) BILLING
==>QUANTITY [8N] ^ (#4.09) BILLING UNIT [9F] ^
^BPS(9002313.77,D0,5,0)=^9002313.772SA^^ (#5) INSURER DATA
^BPS(9002313.77,D0,5,D1,0)= (#.01) COB INDICATOR [1S] ^ (#.02) USED FOR THE REQUEST [2S] ^ (#.03) INSURER DATA [3P:9002313.78] ^
^BPS(9002313.77,D0,6)= (#6.01) REQUEST DATE AND TIME [1D] ^ (#6.02) USER WHO MADE THE REQUEST [2P:200] ^ (#6.03) ACTIVATED DATE
==>TIME [3D] ^ (#6.04) USER WHO ACTIVATED REQUEST [4P:200] ^ (#6.05) DATE AND TIME UPDATED [5D] ^ (#6.06)
==>USER WHO UPDATED THE REQUEST [6P:200] ^
^BPS(9002313.77,D0,7)= (#7.01) CLOSE AFT REV [1S] ^ (#7.02) CLOSE AFT REV REASON [2P:356.8] ^ (#7.03) CLOSE AFT REV COMMENT [3F]
==>^
^BPS(9002313.77,D0,8,0)=^9002313.778A^^ (#8) COB OTHER PAYERS
^BPS(9002313.77,D0,8,D1,0)= (#.01) OTHER PAYER COUNTER [1N] ^ (#.02) OTHER PAYER COVERAGE TYPE [2S] ^ (#.03) OTHER PAYER ID
==>QUALIFIER [3S] ^ (#.04) OTHER PAYER ID [4F] ^ (#.05) OTHER PAYER DATE [5D] ^ (#.06) OTHER PAYER
==>AMOUNT PAID COUNT [6N] ^ (#.07) OTHER PAYER REJECT COUNT [7N] ^ ^ ^ ^ (#.11) OTHER PAYER
==>RECONCILIATION ID [11F] ^
^BPS(9002313.77,D0,8,D1,1,0)=^9002313.7781A^^ (#1) OTHER PAYER AMT PAID MULTIPLE
^BPS(9002313.77,D0,8,D1,1,D2,0)= (#.01) OTHER PAYER AMOUNT PAID [1N] ^ (#.02) OTHER PAYER AMT PAID QUALIFIER [2P:9002313.2] ^
==>(#.03) OTHER PAYER-PATIENT RESP AMT [3N] ^
^BPS(9002313.77,D0,8,D1,2,0)=^9002313.7782A^^ (#2) OTHER PAYER REJECT MULTIPLE
^BPS(9002313.77,D0,8,D1,2,D2,0)= (#.01) OTHER PAYER REJECT CODE [1F] ^
^BPS(9002313.77,D0,9)= (#9.01) INACTIVATION REASON [1F] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):