STANDARD DATA DICTIONARY #351.3 -- MEANS TEST BILLING CLOCK VERIFY FILE 3/24/25 PAGE 1
STORED IN ^IBE(351.3, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
The MEANS TEST BILLING CLOCK VERIFY file contains the individual query responses from an enterprise MEANS TEST BILLING CLOCK (#351)
query. This file is for historical and reconciliation purposes.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: MEANS TEST BILLING CLOCK(B)
LAST MODIFIED: OCT 22,2023@23:05:36
351.3,.01 MEANS TEST BILLING CLOCK 0;1 POINTER TO MEANS TEST BILLING CLOCK FILE (#351) (Required)
LAST EDITED: DEC 08, 2022
HELP-PROMPT: Enter the Means Test Billing Clock Reference Number for the entry you would like to view.
DESCRIPTION:
This is a pointer to the MEANS TEST BILLING CLOCK (#351) file.
CROSS-REFERENCE: 351.3^B
1)= S ^IBE(351.3,"B",$E(X,1,30),DA)=""
2)= K ^IBE(351.3,"B",$E(X,1,30),DA)
351.3,.02 PATIENT 0;2 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: JUN 29, 2022
HELP-PROMPT: Enter the name of the patient this query is for.
DESCRIPTION:
This field points to the PATIENT file (#2) and is the patient that is associated with this query.
351.3,1 QUERY REFERENCE NUMBER 1;0 Multiple #351.31
LAST EDITED: DEC 02, 2022
DESCRIPTION: This multiple will contain the individual query responses that were aggregated together to make the
current MEANS TEST BILLING CLOCK (#351)
351.31,.01 QUERY REFERENCE NUMBER 0;1 FREE TEXT (Required) (Multiply asked)
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3) X
MAXIMUM LENGTH: 20
LAST EDITED: DEC 02, 2022
HELP-PROMPT: Answer must be 3-20 characters in length.
DESCRIPTION:
This field contains the DAS response message ID.
CROSS-REFERENCE: 351.31^B
1)= S ^IBE(351.3,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^IBE(351.3,DA(1),1,"B",$E(X,1,30),DA)
351.31,.02 CLOCK BEGIN DATE 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:3500101X) X
LAST EDITED: JUN 29, 2022
HELP-PROMPT: Type a date between 1/1/1901 and 1/1/2050.
DESCRIPTION:
This field contains the begin date for the clock in the response to the original query.
351.31,.03 STATUS 0;3 SET
'CL' FOR CLOSED;
'CU' FOR CURRENT;
'CX' FOR CANCELLED;
LAST EDITED: NOV 16, 2022
HELP-PROMPT: Enter the status of the responding message 'CU' for CURRENT, 'CL' for CLOSED, 'CX' for CANCELLED.
DESCRIPTION: This field contains the status of the responding message. CU = 'CURRENT' CL = 'CLOSED CX =
'CANCELLED'
351.31,.04 1ST 90 DAY INPATIENT AMOUNT 0;4 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>600)!(X<0) X
LAST EDITED: NOV 16, 2022
HELP-PROMPT: Type a dollar amount between 0 and 600, 2 decimal digits.
DESCRIPTION:
This field is the 1st 90 day inpatient amount billed to the patient.
351.31,.05 2ND 90 DAY INPATIENT AMOUNT 0;5 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
LAST EDITED: NOV 28, 2022
HELP-PROMPT: Type a dollar amount between 0 and 9999.99, 2 decimal digits.
DESCRIPTION:
This field contains the copay amount for the 2nd 90 day period.
351.31,.06 3RD 90 DAY INPATIENT AMOUNT 0;6 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
LAST EDITED: NOV 16, 2022
HELP-PROMPT: Type a dollar amount between 0 and 9999.99, 2 decimal digits.
DESCRIPTION:
This field contains the copay amount for the 3rd 90 day period.
351.31,.07 4TH 90 DAY INPATIENT AMOUNT 0;7 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
LAST EDITED: NOV 28, 2022
HELP-PROMPT: Type a dollar amount between 0 and 9999.99, 2 decimal digits.
DESCRIPTION:
This field contains the copay amount for the 4th 90 day period.
351.31,.08 NUMBER OF INPATIENT DAYS 0;8 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUL 08, 2022
HELP-PROMPT: Type a number between 0 and 365, 0 decimal digits.
DESCRIPTION:
Total number of inpatient days, 0 - 365
351.31,.09 DATE CLOCK CLOSED 0;9 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUL 08, 2022
HELP-PROMPT: Enter the date that this clock was closed.
DESCRIPTION:
Date Means Test Billing Clock is closed
351.31,10 FACILITY NUMBER 0;10 POINTER TO INSTITUTION FILE (#4)
LAST EDITED: JUL 08, 2022
HELP-PROMPT: Enter the facility number for this entry.
DESCRIPTION:
The facility number from the INSTITUTION file (#4) that is associated with this entry.
FILES POINTED TO FIELDS
INSTITUTION (#4) QUERY REFERENCE NUMBER:FACILITY NUMBER (#10)
MEANS TEST BILLING CLOCK
(#351) MEANS TEST BILLING CLOCK (#.01)
PATIENT (#2) PATIENT (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):