STANDARD DATA DICTIONARY #436.1 -- AR MEDICARE DEDUCTIBLE ALERTS PART A FILE 3/24/25 PAGE 1
STORED IN ^PRCA(436.1, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 4.5)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file is used to store Medicare Part A Deductible Alerts (MDA) that are received by the Financial Services Center (FSC) in
Austin and sent to the individual sites. This data will be used by the new MDA worklist so that Accounts Receivable personnel can
take any necessary action.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: PATIENT ACCOUNT NUMBER(B), BILL NO.(C)
INDEXED BY: MDA REVIEW STATUS (AMDA)
436.1,.01 PATIENT ACCOUNT NUMBER 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>11!($L(X)<1)!'(X'?1P.E) X
LAST EDITED: AUG 11, 2011
HELP-PROMPT: Answer must be 1-11 characters in length.
DESCRIPTION: The PATIENT ACCOUNT NUMBER will be used as a look up to the BILL NO. field (#.01) in the ACCOUNTS
RECEIVABLE file (#430). It is loaded as it is received from the Financial Services Center, FSC.
CROSS-REFERENCE: 436.1^B
1)= S ^PRCA(436.1,"B",$E(X,1,30),DA)=""
2)= K ^PRCA(436.1,"B",$E(X,1,30),DA)
436.1,.02 MEDICARE TYPE 0;2 SET
'A' FOR PART A;
LAST EDITED: AUG 10, 2011
HELP-PROMPT: Enter the type of Medicare to which this deductible applies.
DESCRIPTION: Medicare type to which the deductible applied. Currently only supporting Medicare Part A. It is
loaded as it is received from the Financial Services Center, FSC.
436.1,.03 SUBSCRIBER ID (HICN) 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>19!($L(X)<1) X
LAST EDITED: AUG 10, 2011
HELP-PROMPT: Answer must be 1-19 characters in length.
DESCRIPTION: This is the Medicare Assigned Member ID number. It is loaded as it is received from the Financial
Services Center, FSC.
436.1,.04 CLAIM YEAR 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>4!($L(X)<4) X
LAST EDITED: AUG 22, 2011
HELP-PROMPT: Answer must be 4 characters in length.
DESCRIPTION: This is the 4 character year the deductible is applied against. It is loaded as it is received
from the Financial Services Center, FSC.
436.1,.05 DCN 0;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>25!($L(X)<1) X
LAST EDITED: AUG 10, 2011
HELP-PROMPT: Answer must be 1-25 characters in length.
DESCRIPTION: This is the Document Control Number for this claim. It is loaded as it is received from the
Financial Services Center, FSC.
436.1,.06 CASH DEDUCTIBLE SUBMITTED 0;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>6!($L(X)<6) X
LAST EDITED: AUG 22, 2011
HELP-PROMPT: Answer must be 6 characters in length.
DESCRIPTION: This is the Cash Deductible Submitted amount (DDDDCC) as it is received from the Financial
Services Center, FSC.
436.1,.07 CASH DEDUCTIBLE AVAILABLE 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>6!($L(X)<6) X
LAST EDITED: AUG 22, 2011
HELP-PROMPT: Answer must be 6 characters in length.
DESCRIPTION: This is the Cash Deductible Available amount (DDDDCC) as it is received from the Financial
Services Center, FSC.
436.1,.08 SERVICE START DATE 0;8 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:X<1 X
LAST EDITED: OCT 13, 2011
HELP-PROMPT: (No range limit on date)
DESCRIPTION: This is the Service Start Date. It is received from the Financial Services Center (FSC) in the
format CCYYMMDD, but converted and filed as a FileMan date.
436.1,.09 SERVICE END DATE 0;9 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:X<1 X
LAST EDITED: OCT 13, 2011
HELP-PROMPT: (No range limit on date)
DESCRIPTION: This is the Service End Date. It is received from the Financial Services Center (FSC) in the format
CCYYMMDD, but converted and filed as a FileMan date.
436.1,.1 REPORT DATE 0;10 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:X<1 X
LAST EDITED: OCT 13, 2011
HELP-PROMPT: (No range limit on date)
DESCRIPTION: This is the Report Date. It is received from the Financial Services Center (FSC) in the format
CCYYMMDD, but converted and filed as a FileMan date.
436.1,1.01 BILL NO. 1;1 POINTER TO ACCOUNTS RECEIVABLE FILE (#430)
LAST EDITED: AUG 11, 2011
HELP-PROMPT: Enter the Bill Number for this Medicare Deductible Alert.
DESCRIPTION: The PATIENT ACCOUNT NUMBER will be used as a look up to the BILL NO. field (#.01) in the ACCOUNTS
RECEIVABLE file (#430).
CROSS-REFERENCE: 436.1^C
1)= S ^PRCA(436.1,"C",$E(X,1,30),DA)=""
2)= K ^PRCA(436.1,"C",$E(X,1,30),DA)
436.1,1.02 MDA REVIEW STATUS 1;2 SET
'0' FOR NOT REVIEWED;
'1' FOR REVIEW IN PROCESS;
'2' FOR REVIEW COMPLETE;
'3' FOR REVIEW COMPLETE/REMOVE ENTRY;
LAST EDITED: AUG 11, 2011
HELP-PROMPT: Enter the status of this item on the MDA worklist.
FIELD INDEX: AMDA (#986) REGULAR IR SORTING ONLY
Short Descr: MDA worklist entry
Description: This is the cross reference used to display the entries on the MDA worklist. There are 4 values
for the MDA REVIEW STATUS field, 3 of which are on the worklist and only one is not. While there
are 3 values that are on the worklist, the worklist is not sorted by this value.
Set Logic: S ^PRCA(436.1,"AMDA",$E(X,1,1),DA)=""
Kill Logic: K ^PRCA(436.1,"AMDA",$E(X,1,1),DA)
Whole Kill: K ^PRCA(436.1,"AMDA")
X(1): MDA REVIEW STATUS (436.1,1.02) (Subscr 1) (Len 1) (forwards)
Transform (Storage): S X=$S(X=3:0,1:1)
436.1,1.03 DIVISION 1;3 POINTER TO MEDICAL CENTER DIVISION FILE (#40.8)
LAST EDITED: AUG 10, 2011
HELP-PROMPT: Enter the Division to which this deductible was applied.
DESCRIPTION: This is the Medical Center Division to which this deductible was applied. It is retrieved using
the Bill Number.
436.1,2 COMMENT DATE TIME 2;0 DATE Multiple #436.12 (Add New Entry without Asking)
DESCRIPTION: This multiple contains comments pertaining to the Medicare Deductible Alert received from the
Financial Services Center, FSC.
436.12,.01 COMMENT DATE TIME 0;1 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:X<1 X
LAST EDITED: AUG 22, 2011
HELP-PROMPT: Enter the date/time that the comment is being added.
DESCRIPTION: This is the date and time that the comment was added by the user. It is defaulted to NOW by the
system when adding a comment from the MDA worklist.
CROSS-REFERENCE: 436.12^B
1)= S ^PRCA(436.1,DA(1),2,"B",$E(X,1,30),DA)=""
2)= K ^PRCA(436.1,DA(1),2,"B",$E(X,1,30),DA)
CROSS-REFERENCE: ^^TRIGGER^436.12^.02
1)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA,DIV(1)=D1 S Y(1)=$S($D(^PRCA(436.1,D0,2,D1,0)):^(0),1:""
) S X=$P(Y(1),U,2),X=X S DIU=X K Y S X=DIV S X=DUZ X ^DD(436.12,.01,1,2,1.4)
1.4)= S DIH=$G(^PRCA(436.1,DIV(0),2,DIV(1),0)),DIV=X S $P(^(0),U,2)=DIV,DIH=436.12,DIG=.02 D ^DICR
2)= Q
CREATE VALUE)= S X=DUZ
DELETE VALUE)= NO EFFECT
FIELD)= #.02
This trigger will insert the current user into ENTERED BY field of the COMMENT DATE TIME multiple.
436.12,.02 ENTERED BY 0;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: AUG 10, 2011
HELP-PROMPT: Enter the user adding the comments.
DESCRIPTION: This is the user who added the comments. The field is not asked but is automatically stored when
comments are entered.
WRITE AUTHORITY:^
NOTES: TRIGGERED by the COMMENT DATE TIME field of the COMMENT DATE TIME sub-field of the AR MEDICARE
DEDUCTIBLE ALERTS PART A File
436.12,.03 FOLLOW-UP DATE 0;3 DATE
INPUT TRANSFORM:S %DT="EST" D ^%DT S X=Y K:X<1 X
LAST EDITED: AUG 10, 2011
HELP-PROMPT: Enter the date to follow-up on this alert.
DESCRIPTION:
This is the follow-up date as determined by the user entering the comment.
436.12,2 COMMENT 1;0 WORD-PROCESSING #436.122 (IGNORE "|")
DESCRIPTION:
This field is for any comments that the user chooses to enter for this alert.
LAST EDITED: AUG 10, 2011
FILES POINTED TO FIELDS
ACCOUNTS RECEIVABLE (#430) BILL NO. (#1.01)
MEDICAL CENTER DIVISION (#40.8) DIVISION (#1.03)
NEW PERSON (#200) COMMENT DATE TIME:ENTERED BY (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):