STANDARD DATA DICTIONARY #361.4 -- EDI TEST CLAIM STATUS MESSAGE FILE                                             6/27/25    PAGE 1
STORED IN ^IBM(361.4,  *** 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 transmission history and return messages that were received via the test queue for claims that were sent
initially as EDI claims and have been retransmitted as test claims.  



CROSS
REFERENCED BY: LAST TRANSMIT DATE(ALT), MESSAGE RECEIVED DATE/TIME(ARD), TRANSMIT DATE/TIME(ATD), CLAIM(B), BATCH #(C)



361.4,.01     CLAIM                  0;1 POINTER TO BILL/CLAIMS FILE (#399) (Required)

              INPUT TRANSFORM:  S DINUM=X Q
              LAST EDITED:      JAN 27, 2005 
              HELP-PROMPT:      Enter the bill # that was transmitted as test 
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  361.4^B 
                                1)= S ^IBM(361.4,"B",$E(X,1,30),DA)=""
                                2)= K ^IBM(361.4,"B",$E(X,1,30),DA)


361.4,.02     LAST TRANSMIT DATE     0;2 DATE

              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JAN 26, 2005 
              HELP-PROMPT:      Enter the latest date that this claim was transmitted as test. 
              DESCRIPTION:
                                This is the latest date the claim was sent as a test claim.  

              NOTES:            TRIGGERED by the TRANSMIT DATE/TIME field of the TRANSMIT DATE/TIME sub-field of the EDI TEST CLAIM 
                                STATUS MESSAGE File 

              CROSS-REFERENCE:  361.4^ALT 
                                1)= S ^IBM(361.4,"ALT",$E(X,1,30),DA)=""
                                2)= K ^IBM(361.4,"ALT",$E(X,1,30),DA)
                                3)= Do not delete


361.4,1       TRANSMIT DATE/TIME     1;0 DATE Multiple #361.41

              DESCRIPTION:      This multiple contains the date/time, batch and user information for the transmission of previously
                                transmitted claims for test purposes.  


361.41,.01      TRANSMIT DATE/TIME     0;1 DATE (Multiply asked)

                INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      JAN 18, 2006 
                HELP-PROMPT:      Enter the date and time the claim was transmitted as test. 
                DESCRIPTION:
                                  This is the date and time the claim was transmitted as test.  

                CROSS-REFERENCE:  361.41^B 
                                  1)= S ^IBM(361.4,DA(1),1,"B",$E(X,1,30),DA)=""
                                  2)= K ^IBM(361.4,DA(1),1,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:  ^^TRIGGER^361.4^.02 
                                1)= X ^DD(361.41,.01,1,2,1.3) I X S X=DIV S Y(1)=$S($D(^IBM(361.4,D0,0)):^(0),1:"") S X=$P(Y(1),U,2
                                ),X=X S DIU=X K Y S X=DIV S X=DIV,X=$P(X,".",1) S DIH=$G(^IBM(361.4,DIV(0),0)),DIV=X S $P(^(0),U,2)
                                =DIV,DIH=361.4,DIG=.02 D ^DICR

                                1.3)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(0)=X S Y(1)=$S($D(^IBM(361.4,D0,0)):^(0),1:"") S X
                                =Y(0),X=$P(X,".",1) S X=X>$P(Y(1),U,2)

                                2)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(1)=$S($D(^IBM(361.4,D0,0)):^(0),1:"") S X=$P(Y(1),U,
                                2),X=X S DIU=X K Y S X=DIV S X=$$LASTDT^IBCEPTU(.DA) X ^DD(361.41,.01,1,2,2.4)

                                2.4)= S DIH=$G(^IBM(361.4,DIV(0),0)),DIV=X S $P(^(0),U,2)=DIV,DIH=361.4,DIG=.02 D ^DICR

                                CREATE CONDITION)= DATE(TRANSMIT DATE)>LAST TRANSMIT DATE
                                CREATE VALUE)= DATE(TRANSMIT DATE)
                                DELETE VALUE)= S X=$$LASTDT^IBCEPTU(.DA)
                                DIC)= 
                                FIELD)= LAST TRANSMIT DATE

                CROSS-REFERENCE:361.41^ALTD^MUMPS 
                                1)= S ^IBM(361.4,DA(1),1,"ALTD",X\1,DA)=""
                                2)= K ^IBM(361.4,DA(1),1,"ALTD",X\1,DA)
                                3)= Do not delete
                                This xref is used to determine the last transmit date as it is date without time.  


                CROSS-REFERENCE:361.4^ATD 
                                1)= S ^IBM(361.4,"ATD",$E(X,1,30),DA(1),DA)=""
                                2)= K ^IBM(361.4,"ATD",$E(X,1,30),DA(1),DA)


361.41,.02      BATCH #              0;2 POINTER TO EDI TRANSMISSION BATCH FILE (#364.1)

                INPUT TRANSFORM:S DIC("S")="I $P(^(0),U,14)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 26, 2005 
                HELP-PROMPT:    Enter the batch # this claim was transmitted in. 
                DESCRIPTION:
                                This is the batch # this claim was transmitted in.  

                SCREEN:         S DIC("S")="I $P(^(0),U,14)"
                EXPLANATION:    Must be flagged as a test batch
                CROSS-REFERENCE:361.4^C 
                                1)= S ^IBM(361.4,"C",$E(X,1,30),DA(1),DA)=""
                                2)= K ^IBM(361.4,"C",$E(X,1,30),DA(1),DA)
                                3)= Do not delete


361.41,.03      TRANSMITTED BY       0;3 POINTER TO NEW PERSON FILE (#200)

                LAST EDITED:    JAN 26, 2005 
                HELP-PROMPT:    Enter the user who transmitted the claim as test. 
                DESCRIPTION:
                                This is the user who transmitted the claim as test.  


361.41,.04      CURRENT PAYER SEQUENCE 0;4 NUMBER

                INPUT TRANSFORM:K:+X'=X!(X>3)!(X<1)!(X?.E1"."1N.N) X
                LAST EDITED:    JAN 27, 2005 
                HELP-PROMPT:    Type a Number between 1 and 3, 0 Decimal Digits 
                DESCRIPTION:
                                This is the current payer sequence when this claim was resubmitted.  




361.4,2       MESSAGE                2;0 DATE Multiple #361.42

              DESCRIPTION:      This multiple contains the information about the status messages received in the test queue for the
                                test claim.  


361.42,.01      MESSAGE RECEIVED DATE/TIME 0;1 DATE (Multiply asked)

                INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      JAN 26, 2005 
                HELP-PROMPT:      Enter the date/time the message was received. 
                DESCRIPTION:
                                  This is the date/time the message was received.  

                CROSS-REFERENCE:  361.42^B 
                                  1)= S ^IBM(361.4,DA(1),2,"B",$E(X,1,30),DA)=""
                                  2)= K ^IBM(361.4,DA(1),2,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:  361.4^ARD 
                                  1)= S ^IBM(361.4,"ARD",$E(X,1,30),DA(1),DA)=""
                                  2)= K ^IBM(361.4,"ARD",$E(X,1,30),DA(1),DA)
                                  3)= Do not delete


361.42,.02      MESSAGE SEVERITY       0;2 SET

                                  'R' FOR REJECTION; 
                                  'I' FOR INFORMATION/WARNING; 
                LAST EDITED:      JAN 26, 2005 
                HELP-PROMPT:      Enter the code that corresponds to the severity of the message. 
                DESCRIPTION:
                                  This is the code that corresponds to the severity of the message.  


361.42,.03      RETURN MESSAGE ID      0;3 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
                LAST EDITED:      JAN 27, 2005 
                HELP-PROMPT:      Answer must be 1-20 characters in length. 
                DESCRIPTION:
                                  This is the VistA mailman message # that the status message was received in.  

                CROSS-REFERENCE:  361.42^AC 
                                  1)= S ^IBM(361.4,DA(1),2,"AC",$E(X,1,30),DA)=""
                                  2)= K ^IBM(361.4,DA(1),2,"AC",$E(X,1,30),DA)
                                  3)= Do not delete


361.42,1        MESSAGE                1;0   WORD-PROCESSING #361.421   (NOWRAP)

                DESCRIPTION:
                                  This field contains the formatted version of the status message received.  


                  LAST EDITED:      JAN 26, 2005 
                  HELP-PROMPT:      Enter the status message. 
                  DESCRIPTION:
                                    This is the status message received.  







      FILES POINTED TO                      FIELDS

BILL/CLAIMS (#399)                CLAIM (#.01)

EDI TEST CLAIM STATUS MESSAGE 
                   (#361.4)       TRANSMIT DATE/TIME:TRANSMIT DATE/TIME (#.01)

EDI TRANSMISSION BATCH (#364.1)   TRANSMIT DATE/TIME:BATCH # (#.02)

NEW PERSON (#200)                 TRANSMIT DATE/TIME:TRANSMITTED BY (#.03)



INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):