STANDARD DATA DICTIONARY #363.34 -- BILLING PROVIDER DISCOUNT FILE 3/24/25 PAGE 1
STORED IN ^IBE(363.34, (1 ENTRY) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file contains a discount associated with a provider person class. This discount is generally used to adjust physician based
provider charges for a non-physician provider. The discount will be applied to care billed to a Billing Rate for providers of the
listed person class's.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: PROVIDER TYPE(B), GROUP(C), PERSON CLASS(D)
363.34,.01 PROVIDER TYPE 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
LAST EDITED: JAN 16, 1999
HELP-PROMPT: Answer must be 3-30 characters in length. Enter the name of a type of provider that should have a
discount applied.
DESCRIPTION: This is a descriptive name of a type of provider that has an associated discount and one or more
person class. A Provider of one of the assigned person classes will have the discount applied to
the care they provide.
CROSS-REFERENCE: 363.34^B
1)= S ^IBE(363.34,"B",$E(X,1,30),DA)=""
2)= K ^IBE(363.34,"B",$E(X,1,30),DA)
363.34,.02 GROUP 0;2 POINTER TO BILLING SPECIAL GROUPS FILE (#363.32) (Required)
INPUT TRANSFORM: S DIC("S")="I +$P(^(0),U,2)=2" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: APR 20, 1999
HELP-PROMPT: Enter the name of the special group this provider discount belongs to.
DESCRIPTION:
This group defines which Billing Rates this provider discount should be applied to.
SCREEN: S DIC("S")="I +$P(^(0),U,2)=2"
EXPLANATION: Provider Discount Groups Only!
CROSS-REFERENCE: 363.34^C
1)= S ^IBE(363.34,"C",$E(X,1,30),DA)=""
2)= K ^IBE(363.34,"C",$E(X,1,30),DA)
363.34,.03 PERCENT 0;3 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>100)!(X<0)!(X?.E1"."3N.N) X
LAST EDITED: APR 20, 1999
HELP-PROMPT: Type a Number between 0 and 100, 2 Decimal Digits
DESCRIPTION: This is the percentage of the total charge for a physician that should be billed for this provider
type.
363.34,11 PERSON CLASS 11;0 POINTER Multiple #363.3411 (Add New Entry without Asking)
DESCRIPTION:
The Person Classes associated with this Provider Type.
363.3411,.01 PERSON CLASS 0;1 POINTER TO PERSON CLASS FILE (#8932.1) (Multiply asked)
INPUT TRANSFORM: S DIC("S")="I $P(^(0),U,4)=""a""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: JAN 16, 1999
HELP-PROMPT: Enter a person class that should have the discount associated with this provider type applied to
the charges for care.
DESCRIPTION: The person class identifies which providers should be associated with this provider type. All
providers with this person class will have the discount applied to charges for their care when
billed.
SCREEN: S DIC("S")="I $P(^(0),U,4)=""a"""
EXPLANATION: Active Person Class's Only!
CROSS-REFERENCE: 363.3411^B
1)= S ^IBE(363.34,DA(1),11,"B",$E(X,1,30),DA)=""
2)= K ^IBE(363.34,DA(1),11,"B",$E(X,1,30),DA)
CROSS-REFERENCE: 363.34^D
1)= S ^IBE(363.34,"D",$E(X,1,30),DA(1),DA)=""
2)= K ^IBE(363.34,"D",$E(X,1,30),DA(1),DA)
Cross reference of all Person Class's.
FILES POINTED TO FIELDS
BILLING SPECIAL GROUPS (#363.32) GROUP (#.02)
PERSON CLASS (#8932.1) PERSON CLASS:PERSON CLASS (#.01)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):