RBINTERFACE#
The RBINTERFACE program creates a HIPPA ANSI 834 File layout for reporting benefit information to carriers.
Required Set Up#
1) Report Parameters 2) IDIF 2) IMUF
Report Parameters#
Report Parameters | Description | |
---|---|---|
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 |