STANDARD DATA DICTIONARY #356.19 -- CLAIMS TRACKING UNBILLED AMOUNTS DATA FILE                                    9/29/25    PAGE 1
STORED IN ^IBE(356.19,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 2.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
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.  


              DD ACCESS: @
              WR ACCESS: @
             DEL ACCESS: @
           LAYGO ACCESS: @
           AUDIT ACCESS: @

CROSS
REFERENCED BY: MONTH/YEAR(AIVDT), MONTH/YEAR(B)



356.19,.01    MONTH/YEAR             0;1 DATE (Required)

              INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1!($E(X,6,7)'="00") X S:$D(X) DINUM=X
              LAST EDITED:      OCT 06, 1994 
              HELP-PROMPT:      Enter the month/year of the data.  Exact dates will not be accepted. 
              DESCRIPTION:      Enter the Month and Year for this data.  Days of the week are not allowed.  Only one entry for a
                                month/year may be entered.  
                                 

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  356.19^B 
                                1)= S ^IBE(356.19,"B",$E(X,1,30),DA)=""
                                2)= K ^IBE(356.19,"B",$E(X,1,30),DA)

              CROSS-REFERENCE:  356.19^AIVDT^MUMPS 
                                1)= S ^IBE(356.19,"AIVDT",-X,DA)=""
                                2)= K ^IBE(356.19,"AIVDT",-X,DA)
                                This is an inverse date cross reference that is used by the reports to show data last first.  



356.19,.02    CURR MON NO. INPT BILLS 0;2 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Enter the number of inpatient bills authorized during the month.  Type a Number between 0 and 
                                999999999, 0 Decimal Digits 
              DESCRIPTION:      Enter the number of inpatient bills authorized for the current month.  
                                 
                                For example, the record for September, 1994 should contain the count of all the inpatient bills
                                whose Authorization Date in the BILL/CLAIMS file is in September, 1994, irregardless of the date of
                                the care being billed.  


356.19,.03    CURR MON $AMNT INPT BILLS 0;3 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Enter the total dollar value of the inpatient bills authorized during the month.  Type a Dollar 
                                Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:      Enter the total dollar value of the inpatient bills authorized during this month.  This is the sum
                                of the Total Bill amount for the bills counted in the CURR MON NO. INPT BILLS field (.02).  


356.19,.04    CURR MON NO OPT VSTS BILLED 0;4 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Enter the number of outpatient visits billed for this month.  Type a Number between 0 and 
                                999999999, 0 Decimal Digits 
              DESCRIPTION:      Enter the number of outpatient visits authorized for this month.  If a bill is for three visits
                                then the count would be three.  
                                 
                                For example, the record for September, 1994 should contain the count of all the outpatient bills
                                whose Authorization Date in the BILL/CLAIMS file is in September, 1994, irregardless of the date of
                                the care being billed.  


356.19,.05    CURR MON $AMNT OPT BILLED 0;5 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Enter the total dollar amount of the outpatient bills authorized during the month.  Type a Dollar 
                                Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:      Enter the total dollar value of the outpatient bills authorized during this month.  This is the sum
                                of the Total Bill Amount for the bills counted in the CURR MON NO. OPT BILLS field (.04) 


356.19,.06    DATE/TIME CURR MON UPDATED 0;6 DATE

              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 30, 1994 
              DESCRIPTION:      This is the date/time that the monthly totals were last updated.  The processes that run
                                automatically will not overwrite existing data, use the user options to update these fields.  


356.19,.07    PRIOR 12 MON NO. INPT BILLS 0;7 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>99999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Number between 0 and 99999999, 0 Decimal Digits 
              DESCRIPTION:      Enter the prior 12 months number of inpatient bills.  This should be the sum of the number of
                                inpatient bills for the 12 months preceding this month.  
                                 
                                This field is automatically updated by the software.  

              TECHNICAL DESCR:  This field is updated by the computer.  It is the sum of field .02 from the entries for the 12
                                months preceding this entry.  


356.19,.08    PRIOR 12 MON $AMNT INPT BILLS 0;8 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:      Enter the total of the dollar amount of inpatient bills authorized in the preceding 12 months, not
                                including this month.  

              TECHNICAL DESCR:  This field is updated by the computer.  It is the sum of field .03 from the entries for the 12
                                months preceding this entry.  


356.19,.09    PRIOR 12 MON OPT VST BILLED 0;9 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits 
              DESCRIPTION:      Enter the sum of the number of outpatient visits on bills authorized during the preceding 12
                                months.  Do no include bills authorized during the current month.  
                                 
                                For example, the October, 1994, entry would contain the total outpatient visits from October 31,
                                1993 to September 31, 1994.  

              TECHNICAL DESCR:  This field is updated by the computer.  It is the sum of field .04 from the entries for the 12
                                months preceding this entry.  


356.19,.1     PRIOR 12 MON $AMNT OPT BILLED 0;10 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:      Enter the sum of the dollar amount of outpatient bills authorized during the preceding 12 months. 
                                Do no include bills authorized during the current month.  
                                 
                                For example, the October, 1994, entry would contain the total dollar amount of outpatient bills
                                from October 31, 1993 to September 31, 1994.  

              TECHNICAL DESCR:  This field is updated by the computer.  It is the sum of field .05 from the entries for the 12
                                months preceding this entry.  


356.19,.11    DATE/TIME PRIOR 12 MON UPDATE 0;11 DATE

              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 30, 1994 
              DESCRIPTION:      This is the date/time that the prior 12 month totals were last updated.  The processes that run
                                automatically will not overwrite existing data, use the user options to update these fields.  


356.19,.12    NUMBER OF UNBILLED INPT. CASES 0;12 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits 
              DESCRIPTION:      This is the number of inpatient cases that appear billable but do not have a final bill associated
                                with it (either an admit to discharge, or an interim final claim bill) by the end of the reporting 
                                period. 
                                 
                                This field is updated automatically by the software.  The CLAIMS TRACKING file (356) is used as the
                                sole source of potentially billable admissions.  


356.19,.13    AVERAGE INPT. BILL AMOUNT 0;13 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:      This is the average inpatient bill dollar amount used to determine the unbilled amount for this
                                month.  It can be determined by dividing field .08 by field .07.  
                                 
                                The unbilled inpatient amount is determined by multiplying field .13 by field .12 


356.19,.14    NUMBER OF UNBILLED OPT. CASES 0;14 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits 
              DESCRIPTION:      This is the number of unbilled but potentially billable outpatient visits that were not billed by
                                the end of the reporting period.  
                                 
                                This field is updated automatically by the software.  It uses the CLAIMS TRACKING file (356) as the
                                source of all outpatient visits.  


356.19,.15    AVERAGE OPT. BILL AMOUNT 0;15 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 30, 1994 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:      This is the average amount billed for an outpatient visit during the 12 months prior to the month
                                that this entry is for.  

              TECHNICAL DESCR:
                                This field should be the results of dividing fields .1 by field .09.  


356.19,.16    DATE/TIME UNBILLED RPT UPDATED 0;16 DATE

              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 30, 1994 
              DESCRIPTION:      This is the date the Unbilled Amounts report was last run for this month and the monthly totals
                                were updated.  


356.19,.2     FOR MONTH OF:          0;20 DATE

              INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1!($E(X,6,7)'="00") X
              LAST EDITED:      OCT 17, 1994 
              HELP-PROMPT:      Select the month and year you want to rebuild the report for.  Answer must not contain a day. 
              DESCRIPTION:      Select the month and year you want to rebuild the report for.  The answer must be a month and year
                                without a date, for example enter 'OCT 94'.  

              TECHNICAL DESCR:
                                This is a dummy field used by a read call and does not contain any valid data.  

              WRITE AUTHORITY:  ^
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


356.19,1.01   NO. INPT INST. CLAIMS (MON) 1;1 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 05, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of institutional claims for inpatient episodes for the past month.  


356.19,1.02   AMT INPT INST. CLAIMS (MON) 1;2 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 05, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the amount of institutional claims for inpatient episodes for the past month.  


356.19,1.03   NO. INPT EPISODES/INST. (MON) 1;3 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of inpatient episodes for institutional claims for the past month.  


356.19,1.04   NO. INPT PROF. CLAIMS (MON) 1;4 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of professional claims for inpatient episodes for the past month.  


356.19,1.05   AMT INPT PROF. CLAIMS (MON) 1;5 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the amount of professional claims for inpatient episodes for the past month.  


356.19,1.06   NO. INPT EPISODES/PROF. (MON) 1;6 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of inpatient episodes for professional claims for the past month.  


356.19,1.07   NO. INPT INST. CLAIMS (12M) 1;7 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of institutional claims for inpatient episodes for the past 12 months.  


356.19,1.08   AMT INPT INST. CLAIMS (12M) 1;8 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the amount of institutional claims for inpatient episodes for the past 12 months.  


356.19,1.09   NO. INPT EPISODES/INST. (12M) 1;9 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of inpatient episodes for institutional claims for the past 12 months.  


356.19,1.1    NO. INPT PROF. CLAIMS (12M) 1;10 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of professional claims for inpatient episodes for the past 12 months.  


356.19,1.11   AMT INPT PROF. CLAIMS (12M) 1;11 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the amount of professional claims for inpatient episodes for the past 12 months.  


356.19,1.12   NO. INPT EPISODES/PROF. (12M) 1;12 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 22, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of inpatient episodes for professional claims for the past 12 months.  


356.19,1.13   DATE UPDATED (MON)     1;13 DATE

              INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 28, 2000 
              DESCRIPTION:
                                This is the date the Average Bill Amounts data for the past month was stored in this file.  


356.19,1.14   DATE UPDATED (12M)     1;14 DATE

              INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 28, 2000 
              DESCRIPTION:
                                This is the date the Average Bill Amounts data for the past 12 months was stored in this file.  


356.19,2.01   EPISODES MISSING INST CLAIMS 2;1 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 05, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits. 
              DESCRIPTION:
                                This is the number of inpatient episodes that have no corresponding institutional claims.  


356.19,2.02   EPISODES MISSING PROF CLAIMS 2;2 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 05, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits. 
              DESCRIPTION:
                                This is the number of inpatient episodes that have no corresponding professional claims.  


356.19,2.03   ENCOUNTERS MISSING CLAIMS 2;3 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of outpatient encounters prior to 9/1/99 that have no corresponding claims.  


356.19,2.04   CPT CODES MISSING INST CLAIMS 2;4 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:      This is the number of CPT/procedure codes for outpatient encounters that have no corresponding
                                institutional/technical claims.  


356.19,2.05   CPT CODES MISSING PROF CLAIMS 2;5 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:      This is the number of CPT/procedure codes for outpatient encounters that have no corresponding
                                professional claims.  


356.19,2.06   NUMBER OF UNBILLED RX'S 2;6 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the number of prescriptions that have no corresponding claims.  


356.19,2.07   UNBILLED INPATIENT AMOUNT 2;7 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the total amount of unbilled inpatient care.  


356.19,2.08   UNBILLED OUTPATIENT AMOUNT 2;8 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the total amount of unbilled outpatient care.  


356.19,2.09   UNBILLED RX AMOUNT     2;9 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                This is the total amount of unbilled prescriptions.  


356.19,2.1    TOTAL UNBILLED AMOUNT  2;10 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      OCT 06, 2000 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:      This is the combined total of the UNBILLED INPATIENT AMOUNT, UNBILLED OUTPATIENT AMOUNT, and the
                                UNBILLED RX AMOUNT.  


356.19,2.11   DATE UNBILLED REPORT UPDATED 2;11 DATE

              INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      OCT 06, 2000 
              DESCRIPTION:
                                This is the date the unbilled amounts report was generated.  


356.19,3.01   NO. MRA INPT INST CLAIMS 3;1 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits 
              DESCRIPTION:
                                The number of admissions with an inpatient institutional bill in MRA req status.  


356.19,3.02   NO. MRA INPT PROF CLAIMS 3;2 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits 
              DESCRIPTION:
                                The number of admissions with an inpatient professional bill in MRA req status.  


356.19,3.04   MRA CPT CODES ON INST CLAIMS 3;4 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                The number of CPT codes found on institutional claims in a REQUEST MRA status.  


356.19,3.05   MRA CPT CODES ON PROF CLAIMS 3;5 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Number between 0 and 999999999, 0 Decimal Digits 
              DESCRIPTION:
                                The number of CPT codes found on professional claims in a REQUEST MRA status.  


356.19,3.06   NUMBER OF MRA UNBILLED RX'S 3;6 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Number between 0 and 999999999. 
              DESCRIPTION:
                                The # of prescriptions on claims in REQUEST MRA status.  


356.19,3.07   MRA UNBILLED INPATIENT AMOUNT 3;7 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:
                                The total amount of inpatient charges for bills in MRA request status.  


356.19,3.08   MRA UNBILLED OUTPATIENT AMOUNT 3;8 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:
                                The total amount of outpatient charges for bills in MRA request status.  


356.19,3.09   MRA UNBILLED PRESCRIPTION AMT 3;9 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:
                                The total amount of prescription charges for bills in MRA request status.  


356.19,3.1    TOTAL MRA UNBILLED AMOUNT 3;10 NUMBER

              INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
              LAST EDITED:      SEP 28, 2004 
              HELP-PROMPT:      Type a Dollar Amount between 0 and 999999999, 2 Decimal Digits 
              DESCRIPTION:
                                The total amount of unbilled inpatient, outpatient and Rx on MRA request claims.  


356.19,20     TOTAL UNBILLED INPT. CARE  ;  COMPUTED

              MUMPS CODE:       S Y(356.19,20,1)=$S($D(^IBE(356.19,D0,0)):^(0),1:"") S X=$P(Y(356.19,20,1),U,12)*$P(Y(356.19,20,1),
                                U,13) S X=$J(X,0,2)
              ALGORITHM:        #.12*#.13  (ALWAYS 2 DECIMAL DIGITS)

356.19,21     TOTAL UNBILLED OPT. CARE  ;  COMPUTED

              MUMPS CODE:       S Y(356.19,21,1)=$S($D(^IBE(356.19,D0,0)):^(0),1:"") S X=$P(Y(356.19,21,1),U,14)*$P(Y(356.19,21,1),
                                U,15) S X=$J(X,0,2)
              ALGORITHM:        #.14*#.15  (ALWAYS 2 DECIMAL DIGITS)


INPUT TEMPLATE(S):
IBT AVERAGE BILL AMOUNTS (12M)FEB 23, 2001@12:42  USER #0    
IBT AVERAGE BILL AMOUNTS (MON)FEB 22, 2001@16:36  USER #0    
IBT UNBILLED AMOUNTS          SEP 28, 2004@10:19  USER #0    

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):