STANDARD DATA DICTIONARY #364 -- EDI TRANSMIT BILL FILE 3/24/25 PAGE 1
STORED IN ^IBA(364, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains a record for each bill for each time it is included in a batch for EDI transmissions. This file allows a bill
to be tracked throughout its transmission life and gives the bill's current EDI status.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: BATCH NUMBER (#.02), TRANSMISSION STATUS (#.03)[R], STATUS DATE (#.04)
POINTED TO BY: TRANSMIT BILL field (#.11) of the BILL STATUS MESSAGE File (#361)
TRANSMIT BILL field (#.19) of the EXPLANATION OF BENEFITS File (#361.1)
TRANSMIT BILL field (#.05) of the EDI MESSAGES File (#364.2)
CROSS
REFERENCED BY: TRANSMISSION STATUS(ASTAT), BILL NUMBER(B), BATCH NUMBER(C)
INDEXED BY: BILL NUMBER & BATCH NUMBER (ABABI), BATCH NUMBER & TRANSMISSION STATUS (ABAST), BILL NUMBER & STATUS DATE (ABDT),
837 FHIR TRANS REQUEST (AC), BILL NUMBER & COB SEQUENCE & TRANSMISSION STATUS (ACOB)
LAST MODIFIED: AUG 23,2021@13:22:04
364,.01 BILL NUMBER 0;1 POINTER TO BILL/CLAIMS FILE (#399) (Required)
LAST EDITED: MAY 23, 2000
HELP-PROMPT: Enter the bill number that was EDI transmitted.
CROSS-REFERENCE: 364^B
1)= S ^IBA(364,"B",$E(X,1,30),DA)=""
2)= K ^IBA(364,"B",$E(X,1,30),DA)
RECORD INDEXES: ABABI (#134), ABDT (#136), ACOB (#137)
364,.02 BATCH NUMBER 0;2 POINTER TO EDI TRANSMISSION BATCH FILE (#364.1)
LAST EDITED: NOV 15, 1999
DESCRIPTION:
The EDI transmission batch that includes this bill entry.
CROSS-REFERENCE: 364^C
1)= S ^IBA(364,"C",$E(X,1,30),DA)=""
2)= K ^IBA(364,"C",$E(X,1,30),DA)
3)= DO NOT DELETE
Lookup by batch
RECORD INDEXES: ABABI (#134), ABAST (#135)
364,.03 TRANSMISSION STATUS 0;3 SET (Required)
'X' FOR READY FOR EXTRACT;
'P' FOR PENDING AUSTIN RECEIPT;
'A0' FOR RECEIVED IN AUSTIN;
'A1' FOR ACCEPTED BY NON-PAYER;
'A2' FOR ACCEPTED PAYER;
'E' FOR ERROR CONDITION;
'C' FOR CANCELLED;
'R' FOR CORRECTED/RETRANSMITTED;
'Z' FOR CLOSED;
LAST EDITED: SEP 27, 2001
HELP-PROMPT: Enter the current status for this bill transmission.
DESCRIPTION:
The current transmission status of this EDI transmission attempt for the bill.
CROSS-REFERENCE: 364^ASTAT
1)= S ^IBA(364,"ASTAT",$E(X,1,30),DA)=""
2)= K ^IBA(364,"ASTAT",$E(X,1,30),DA)
3)= DO NOT DELETE
RECORD INDEXES: ABAST (#135), ACOB (#137)
364,.04 STATUS DATE 0;4 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X I $D(X) S X=$E(X,1,12)
LAST EDITED: NOV 15, 1999
HELP-PROMPT: Enter the date/time that the current status occurred.
DESCRIPTION:
The date/time that the current status occurred.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
RECORD INDEXES: ABDT (#136)
364,.06 RESUBMIT BATCH NUMBER 0;6 POINTER TO EDI TRANSMISSION BATCH FILE (#364.1)
LAST EDITED: SEP 18, 1996
HELP-PROMPT: Enter the batch number this bill was included in when resubmitted.
DESCRIPTION:
This is the batch number this bill was included in when resubmitted.
364,.07 TEST BILL 0;7 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: JUN 02, 1997
HELP-PROMPT: Enter 0 or nothing for a live transmission, 1 for a test
DESCRIPTION:
This indicates whether or not the bill is being transmitted to the test queue or live queue.
364,.08 COB SEQUENCE 0;8 SET
'P' FOR PRIMARY;
'S' FOR SECONDARY;
'T' FOR TERTIARY;
LAST EDITED: MAY 23, 2000
HELP-PROMPT: Enter the COB sequence that this bill was in when this entry was created
DESCRIPTION: This is the COB sequence for the bill when it was transmitted. This is used to relate the return
messages with the correct COB sequence payer.
RECORD INDEXES: ACOB (#137)
364,.09 837 FHIR TRANS REQUEST 0;9 SET
'0' FOR NEVER REQUESTED;
'1' FOR REQUESTED FOR SUBMISSION;
'2' FOR REQUEST COMPLETED;
LAST EDITED: JUN 14, 2018
HELP-PROMPT: Enter 'Yes' to request submission of 837 transaction using FHIR. Otherwise, enter 'No'.
DESCRIPTION: This field will be used to determine when an 837 claim transaction is ready for submission using
the new FHIR Transaction format.
FIELD INDEX: AC (#1558) MUMPS IR SORTING ONLY
Short Descr: This cross reference is used for 837 FHIR EDI submissions
Description: This cross reference is used for 837 FHIR EDI submissions.
Set Logic: S ^IBA(364,"AC",X2(1),DA)=""
Set Cond: I X'=1 K X
Kill Logic: K ^IBA(364,"AC",X1(1),DA)
X(1): 837 FHIR TRANS REQUEST (364,.09) (Subscr 1) (forwards)
364,.1 RESUBMISSION 0;10 SET
'0' FOR No;
'1' FOR Yes;
LAST EDITED: SEP 09, 2019
HELP-PROMPT: Enter 'Yes' if this claim is a re-submission, otherwise enter 'No'.
DESCRIPTION:
This field indicates if this claim was a re-submitted claim.
364,.11 FHIR BUNDLE VALIDATION 0;11 SET
'0' FOR COMPLETE;
'1' FOR INPROGRESS;
LAST EDITED: JAN 13, 2021
HELP-PROMPT: Enter 1 if the FHIR Bundle has been requested, otherwise enter 0.
DESCRIPTION:
This field indicates if the FHIR Bundle is in progress.
364,.12 OLD STATUS 0;12 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
MAXIMUM LENGTH: 20
LAST EDITED: JAN 20, 2021
HELP-PROMPT: Answer must be 1-20 characters in length.
DESCRIPTION:
This field represents the old status of this EDI entry.
FILES POINTED TO FIELDS
BILL/CLAIMS (#399) BILL NUMBER (#.01)
EDI TRANSMISSION BATCH (#364.1) BATCH NUMBER (#.02)
RESUBMIT BATCH NUMBER (#.06)
File #364
Record Indexes:
ABABI (#134) RECORD REGULAR IR SORTING ONLY
Short Descr: XREF BY BATCH # AND BILL #
Set Logic: S ^IBA(364,"ABABI",X2(3),X2(2),DA)=""
Set Cond: I X2(2)=""!(X2(3)="") S X=0
Kill Logic: K ^IBA(364,"ABABI",X1(3),X1(2),DA)
Kill Cond: I X1(2)=""!(X1(3)="") S X=0
Whole Kill: K ^IBA(364,"ABABI")
X(2): BILL NUMBER (364,.01) (Subscr 2) (forwards)
X(3): BATCH NUMBER (364,.02) (Subscr 1) (forwards)
ABAST (#135) RECORD REGULAR IR SORTING ONLY
Short Descr: This cross reference is the batch entry # and status of the record.
Set Logic: S ^IBA(364,"ABAST",X2(1),X2(2),DA)=""
Set Cond: I X2(1)=""!(X2(2)="") S X=0
Kill Logic: K ^IBA(364,"ABAST",X1(1),X1(2),DA)
Kill Cond: I X1(1)=""!(X1(2)="") S X=0
Whole Kill: K ^IBA(364,"ABAST")
X(1): BATCH NUMBER (364,.02) (Subscr 1) (forwards)
X(2): TRANSMISSION STATUS (364,.03) (Subscr 2) (forwards)
ABDT (#136) RECORD REGULAR IR SORTING ONLY
Short Descr: Used to determine the latest status of any record for a bill
Set Logic: S ^IBA(364,"ABDT",X2(1),X2(2),DA)=""
Set Cond: I X2(1)=""!(X2(2)="") S X=0
Kill Logic: K ^IBA(364,"ABDT",X1(1),X1(2),DA)
Kill Cond: I X1(1)=""!(X1(2)="") S X=0
Whole Kill: K ^IBA(364,"ABDT")
X(1): BILL NUMBER (364,.01) (Subscr 1) (forwards)
X(2): STATUS DATE (364,.04) (Subscr 2) (forwards)
ACOB (#137) RECORD MUMPS IR SORTING ONLY
Short Descr: XREF USED TO DETERMINE BILLS NEEDING COB PROCESSING
Description: This cross references all transmitted bills that have subsequent insurance, but no subsequent bill and are
still active in this file (status starts with 'A') and must be in status of 3, 4 or 6.
Subsequent insurance: check the "I#" (I2,I3) node of the bill is defined
for the COB sequence (field .08) Subsequent bill: None found if the piece of the "M1"
node of the bill
entry (calculated by 4+numeric COB translation) is not
there Bill status must be 3 or 4 Depends on the settings in fields .01, .03, .08
Set Logic: S ^IBA(364,"ACOB",X2(1),DA)=""
Set Cond: I 'X2(1)!'X2(4) S X=0
Kill Logic: K ^IBA(364,"ACOB",X1(1),DA)
Kill Cond: I 'X1(1) S X=0
Whole Kill: K ^IBA(364,"ACOB")
X(1): BILL NUMBER (364,.01) (Subscr 1) (forwards)
X(2): TRANSMISSION STATUS (364,.03) (forwards)
X(3): COB SEQUENCE (364,.08) (forwards)
X(4): Computed Code: S X=$$COBPOSS^IBCECOB(DA)
(forwards)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):