This page (revision-15) was last changed on 26-Nov-2021 10:22 by Kevin Higgs

This page was created on 26-Nov-2021 10:22 by khiggs

Only authorized users are allowed to rename pages.

Only authorized users are allowed to delete pages.

Page revision history

Version Date Modified Size Author Changes ... Change note
15 26-Nov-2021 10:22 41 KB Kevin Higgs to previous
14 26-Nov-2021 10:22 41 KB Kevin Higgs to previous | to last
13 26-Nov-2021 10:22 40 KB Kevin Higgs to previous | to last
12 26-Nov-2021 10:22 39 KB Kevin Higgs to previous | to last
11 26-Nov-2021 10:22 11 KB Kevin Higgs to previous | to last
10 26-Nov-2021 10:22 12 KB Kevin Higgs to previous | to last
9 26-Nov-2021 10:22 64 KB Kevin Higgs to previous | to last
8 26-Nov-2021 10:22 12 KB Kevin Higgs to previous | to last
7 26-Nov-2021 10:22 10 KB Kevin Higgs to previous | to last
6 26-Nov-2021 10:22 8 KB Kevin Higgs to previous | to last
5 26-Nov-2021 10:22 7 KB Kevin Higgs to previous | to last
4 26-Nov-2021 10:22 1 KB Kevin Higgs to previous | to last
3 26-Nov-2021 10:22 5 KB khiggs to previous | to last
2 26-Nov-2021 10:22 5 KB khiggs to previous | to last
1 26-Nov-2021 10:22 5 KB khiggs to last

Page References

Incoming links Outgoing links
RBINTERFACE
RBINTERFACE

Version management

Difference between version and

At line 7 changed 3 lines
1) Report Parameters
2) IDIF
2) IMUF
1) Report Parameters \\
2) IDIF\\
2) IMUF\\
\\
!Report Parameters
At line 11 removed 2 lines
!!Report Parameters
At line 14 changed 16 lines
|Entity|Mandatory, LOV Available\\You must enter one entity|
|Interface Format Code|Mandatory, LOV Available\\You must select an interface code defined on IDIF (Sample ‘HL$ANSI-X12N834’)|
|ASK Partner Number| Used to populate Segment ‘ISA’ element ‘06’; and Segment ‘GS’ element ’02’.
|ISA Control Number| Used to populate Segment ‘ISA’ element ‘13’; and Segment ‘IEA’ element ‘02’.
|GS Control Number| Used to populate Segment ‘GS’ element ’06’; and Segment ‘GE’ element ‘02’..
|Master Policy Number| Used to populate Segment ‘REF’ element ’02’.
|From Date|
|To Date|
|Plan Type| Mandatory, LOV Available\\You must select a Benefit plan type to process (Sample Dental,Medical, Vision,Health)|
|This is a Test File| Value of ‘Y’ or ‘N’. Used to populate Segment ‘ISA’ element ’15’ (populate with ‘T’ for test file; and ‘P’ for production file).|
|This is an Update File| Value of ‘Y’ or ‘N’. Used to populate Segment ‘BGN’ element ’08’ (populate with ‘RX’ for replace action).|
|Create File| Value of ‘Y’ or ‘N’. If set to 'N' no file will be created.|
|Directory Name| Enter a valid directory name (Directory must be found on the database server)|
|File Name| Enter a file name|
|Include Exception| Value of ‘Y’ or ‘N’ (to include exception messages on the report)|
|Exception Level| You should always run with Exception level unless for tracing. In Trace Level 1, the employee Header with Person Code and Employee Name are displayed with performance time, this can be used for Progress bar or to locate employee with problem. In Trace Level 2, the BE plans are displayed after employee header information|
|__Entity__ |Mandatory, LOV Available\\You must enter one entity|
|__Interface Format Code__ |Mandatory, LOV Available\\You must select an interface code defined on IDIF (Sample ‘HL$ANSI-X12N834’)|
|__ASK Partner Number__ |Used to populate Segment ‘ISA’ element ‘06’; and Segment ‘GS’ element ’02’.
|__ISA Control Number__ |Used to populate Segment ‘ISA’ element ‘13’; and Segment ‘IEA’ element ‘02’.
|__GS Control Number__ |Used to populate Segment ‘GS’ element ’06’; and Segment ‘GE’ element ‘02’..
|__Master Policy Number__ |Used to populate Segment ‘REF’ element ’02’.
|__From Date__ |The starting date used for records to be included in the file|
|__To Date__ |The ending date used for records to be included in the file|
|__Plan Type__ |Mandatory, LOV Available\\You must select a Benefit plan type to process (Sample Dental,Medical, Vision,Health)|
|__This is a Test File__ |Value of ‘Y’ or ‘N’. Used to populate Segment ‘ISA’ element ’15’ (populate with ‘T’ for test file; and ‘P’ for production file).|
|__This is an Update File__|Value of ‘Y’ or ‘N’. Used to populate Segment ‘BGN’ element ’08’ (populate with ‘RX’ for replace action).|
|__Create File__ |Value of ‘Y’ or ‘N’. If set to 'N' no file will be created.|
|__Directory Name__ |Enter a valid directory name (Directory must be found on the database server)|
|__File Name__ |Enter a file name|
|__Include Exception__ |Value of ‘Y’ or ‘N’ (to include exception messages on the report)|
|__Exception Level__ |Values of ‘0’ to ‘9’ (more exception messages are displayed when a higher level number is used). Use Level-2 if you want to see all the records created (or will be created) on the file listed on the report.
\\
!Interface File Definition (IDIF) Set Up
High Line supplies a standard IDIF file definition, __‘HL$ANSI-X12N834’__, for use with this process.
For each vendor required, use the IDIF function and make a copy of this pre-loaded interface layout. Rename the copy to a logical naming convention for the vendor.
Use IDIF to modify the file definition to contain the required value for the vendor.\\
A mapping has been created between the IDIF and the RBINTERFACE program. \\
Only file columns that require a constant value will be needed to be defined inside this IDIF definition.\\
- The Beginning Position may always be defined as `1`\\
- The Ending Position must be defined in order for the program to know how many characters are required for each column.\\
- The Field Type must be defined as ‘Char’\\
- Constant Value, client must define the element value in this column as it is applicable to their own installation.\\
\\
||Rec # ||Field # ||Name/Desc ||Beg Posn* ||End Posn ||Field Type ||Constant Value
| | | | | | | |
|10 |1 |ISA segment Element 01 |1 |2 |Char | |
|10 |2 |ISA segment Element 02 |1 |10 |Char | |
|10 |3 |ISA segment Element 03 |1 |2 |Char | |
|10 |4 |ISA segment Element 04 |1 |10 |Char | |
|10 |5 |ISA segment Element 05 |1 |2 |Char |ISA05 = sender (usually ‘30’) |
|10 |6 |ISA segment Element 06 |1 | | |ISA06 = sender (usually a FEIN) (Navigate to IDGV and obtain clients FEIN)|
|10 |7 |ISA segment Element 07 |1 |2 |Char |ISA07 = receiver (usually ‘30’) |
|10 |8 |ISA segment Element 08 |1 |3 |Char |ISA08 = receiver (usually a FEIN) |
|10 |11 |ISA segment Element 11 |1 |1 |Char | |
|10 |12 |ISA segment Element 12 |1 |5 |Char |00501 |
|10 |14 |ISA segment Element 14 |1 |1 |Char | |
|10 |15 |ISA segment Element 15 |1 |1 |Char |ISA15 = P(Production) or T(Test) |
| | | | | | | |
|20 |1 |GS segment Element 01 |1 |2 |Char | |
|20 |2 |GS segment Element 02 |1 |7 |Char |GS02 = sender (Usually agency TIN/FEIN) |
|20 |3 |GS segment Element 03 |1 |6 |Char |GS03 = receiver (Usually carriers TIN/FEIN) |
|20 |7 |GS segment Element 07 |1 |1 |Char | |
|20 |8 |GS segment Element 08 |1 |12 |Char | |
| | | | | | | |
|50 |2 |N1(Identifier P5) segment 02|1 |60 |Char |N1P5-Payer Name |
|50 |3 |N1(Identifier P5) segment 03|1 |2 |Char |‘FI’ |
|50 |4 |N1(Identifier P5) segment04 |1 |80 |Char |N1P5-Payer Identification Code |
| | | | | | | |
|52 |2 |N1(Identifier IN) segment 02|1 |6 |Char |N102 = The name of the client group |
|52 |3 |N1(Identifier IN) segment 03|1 |2 |Char |‘FI’ |
|52 |4 |N1(Identifier IN) segment 04|1 |10 |Char |N104 = Client group TIN (or some other designation) |
\\
- The following User Defined Feld (UDF) is required.  Setup on IMUF.
||Data Base Table ||UDF Name|| Used in Segment|| ^
| | | |
|P2K_BE_COVERAGES |REF_DX_LOCATION|member supplemental number('2000 REF02')|
|P2K_BE_BENEFIT_RECIPIENTS|PRIME PHYSICIAN|PHYSICIAN information |
|P2K_HR_CONTACTS |MARITAL_STATUS |Marital status
This page (revision-15) was last changed on 26-Nov-2021 10:22 by Kevin HiggsTop