Ì i 2
care.groups.aud
[date.aud,revision.txn.aud,care.group.prov,care.group.mem.plan,care.group.product,care.grp]
&(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]
Field Name Len Dat Typ J DPM Offset/Local/VAL
date.aud 8 DATE L ypgCD
revision.txn.aud 5 INT R yaudT
care.group.prov 10 FREE L MIS.DOC ggg
care.group.mem.plan 10 FREE L MC.MEM.PLAN ymp
care.group.product 3 FREE L ypcCT
care.grp 10 URN L MC.CARE.GRP ypg
Ì € i 2
care.group.eff.date.aud
[date.aud,revision.txn.aud,care.group.prov,care.group.mem.plan,care.group.product,care.grp, ca
&(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]
Field Name Len Dat Typ J DPM Offset/Local/VAL
care.grp.revision.txn.aud 5 INT R yaudX
care.grp.eff.dt.from 8 DATE L ypgCF
adj.rule.care.aud 10 FREE L MC.ADJUD &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
age.set.pcp.care.aud 10 URN L MC.AGE.SET &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
auth.rule.care.aud 10 FREE L MC.AUTH.RULE &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
care.grp.eff.dt.thru 8 DATE L &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|0
claim.rule.care.aud 10 FREE L MC.CLAIM.RULE &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
cutoff.pcp.care.aud 2 PINT R &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|9
ibnr.rate.care.aud 10 FREE L MC.RATE.SCH &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
in.network.care.aud 1 YN L &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|12
limit.rate.care.aud 10 FREE L MC.RATE.SCH &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
max.enroll.care.aud 5 PINT R &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|7
pcp.care.aud 1 YN L &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|6
reimb.rate.care.aud 10 FREE L MC.RATE.SCH &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF
use.care.rules.aud 1 YN L &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|13
whold.pcnt.care.aud 5 PDEC R &(YD)YPCAUD[ypgCD,yaudT,ggg,ymp,ypcCT,ypg]DT[yaudX,ypgCF]|11
Ì € i 2
main
[mnemonic]
&(YD)YPC[ggg]
Field Name Len Dat Typ J DPM Offset/Local/VAL
mnemonic 10 FREE L MIS.DOC ggg
active 1 YN L &(YD)YPC[ggg]|0
business.city 20 FREE L &(YD)YPC[ggg]|7
business.phone 18 PHONE L &(YD)YPC[ggg]|10
business.state 2 FREE L &(YD)YPC[ggg]|8
business.street 30 FREE L &(YD)YPC[ggg]|5
business.street2 30 FREE L &(YD)YPC[ggg]|6
business.zip 10 ZIP.POST L &(YD)YPC[ggg]|9
contact.name 35 FREE L &(YD)YPC[ggg]|3
contact.phone 13 FREE L &(YD)YPC[ggg]|4
in.network.any 1 YN L &(YD)YPC[ggg]|2
last.update 10 PINT R &(YD)YPC[ggg]UPD
name 30 FREE L VAL=@MIS.DOC.name
not.in.use1 1 FREE L &(YD)YPC[ggg]|1
prov.cd.screen 15 FREE L MIS.SCREEN VAL=@MC.PARAM.prov.cd.screen
Ì € i 2
cd.screen.queries
[mnemonic, prov.cd.query]
&(YD)YPC[ggg]CD[ggv]
Field Name Len Dat Typ J DPM Offset/Local/VAL
prov.cd.query 10 FREE L MIS.QUERY ggv
prov.cd.display 90 FREE L VAL=@MIS.QUERY.text_" "_@prov.cd.response
prov.cd.response 75 QRY.RESP L &(YD)YPC[ggg]CD[ggv]|0
prov.cd.yn.comment 70 QRY.RESP L &(YD)YPC[ggg]CD[ggv]|5
Ì € i 2
member.plans
[mnemonic, member.plan]
&(YD)YPC[ggg]I[ymp]
Field Name Len Dat Typ J DPM Offset/Local/VAL
member.plan 10 FREE L MC.MEM.PLAN ymp
Ì € i 2
product.types
[mnemonic,member.plan, product.type]
&(YD)YPC[ggg]I[ymp]P[ypcPT]
Field Name Len Dat Typ J DPM Offset/Local/VAL
product.type 3 CHOICE L ypcPT
Ì € i 2
care.groups
[mnemonic,member.plan,product.type, care.group]
&(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]
Field Name Len Dat Typ J DPM Offset/Local/VAL
care.group 10 URN L MC.CARE.GRP ypg
Ì € i 2
care.group.eff.date
[mnemonic,member.plan,product.type,care.group, care.group.eff.dt.from]
&(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]
Field Name Len Dat Typ J DPM Offset/Local/VAL
care.group.eff.dt.from 8 DATE L ypgF
accept.new.member.care 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|19
adj.rule.care 10 FREE L MC.ADJUD &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|3
adj.rule.care.1 10 FREE L MC.ADJUD &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|15
age.set.pcp.care 10 URN L MC.AGE.SET &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|8
auth.rule.care 10 FREE L MC.AUTH.RULE &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|1
care.group.eff.dt.thru 8 DATE L &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|0
claim.rule.care 10 FREE L MC.CLAIM.RULE &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|2
claim.rule.care.1 10 FREE L MC.CLAIM.RULE &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|14
contracted.status.care 1 CHOICE L &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|20
cutoff.pcp.care 2 PINT R &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|9
ibnr.rate.care 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|10
in.network.care 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|12
limit.rate.care 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|5
limit.rate.care.1 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|17
max.enroll.care 5 PINT R &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|7
pcp.care 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|6
reimb.rate.care 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|4
reimb.rate.care.1 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|16
use.care.rules 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|13
whold.pcnt.care 5 PDEC R &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|11
whold.pcnt.care.1 5 PDEC R &(YD)YPC[ggg]I[ymp]P[ypcPT]CG[ypg]DT[ypgF]|18
Ì € i 2
rules
[mnemonic,member.plan,product.type, eff.date]
&(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]
Field Name Len Dat Typ J DPM Offset/Local/VAL
eff.date 8 DATE L ypcD
accept.new.members 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|18
adj.rule 10 FREE L MC.ADJUD &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|3
adj.rule.1 10 FREE L MC.ADJUD &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|14
age.set.pcp 10 URN L MC.AGE.SET &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|8
auth.rule 10 FREE L MC.AUTH.RULE &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|1
claim.rule 10 FREE L MC.CLAIM.RULE &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|2
claim.rule.1 10 FREE L MC.CLAIM.RULE &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|13
contracted.status 1 CHOICE L &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|19
cutoff.pcp 2 PINT R &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|9
expire.date 8 DATE L &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|0
ibnr.rate 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|10
in.network 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|12
limit.rate 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|5
limit.rate.1 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|16
max.enroll 5 PINT R &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|7
pcp 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|6
reimb.rate 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|4
reimb.rate.1 10 FREE L MC.RATE.SCH &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|15
whold.pcnt 5 PDEC R &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|11
whold.pcnt.1 5 PDEC R &(YD)YPC[ggg]I[ymp]P[ypcPT]R[ypcD]|17
Ì € i 2
specialties
[mnemonic,member.plan,product.type, specialty]
&(YD)YPC[ggg]I[ymp]P[ypcPT]S[gsd]
Field Name Len Dat Typ J DPM Offset/Local/VAL
specialty 10 FREE L MIS.ABS.SVC gsd
specialty.pcp 1 YN L &(YD)YPC[ggg]I[ymp]P[ypcPT]S[gsd]P|0
Ì € i 2
notes
[mnemonic, note.line.num]
&(YD)YPC[ggg]N[ypcN]
Field Name Len Dat Typ J DPM Offset/Local/VAL
note.line.num 5 PINT R ypcN
display.notes 0 FREE L VAL=%Z.text.window({0,27,89},^@Root(@notes[mnemonic]),
VAL="D")
note.text 89 TEXT L &(YD)YPC[ggg]N[ypcN]
view.notes 0 FREE L VAL=%Z.text.view.shell(^@Root(@notes[mnemonic]),{6,6,2
VAL=2,90},1),@Color.use(@Z.color.data)^#,""
Ì € i 2
rm.care.groups
[mnemonic, rm.care.group]
&(YD)YPC[ggg]RMCG[ypg]
Field Name Len Dat Typ J DPM Offset/Local/VAL
rm.care.group 10 URN L MC.CARE.GRP ypg
Ì € i 2
rm.care.group.eff.date
[mnemonic,rm.care.group, rm.care.grp.eff.date.from]
&(YD)YPC[ggg]RMCG[ypg]DT[ypgF]
Field Name Len Dat Typ J DPM Offset/Local/VAL
rm.care.grp.eff.date.from 8 DATE L ypgF
rm.care.grp.eff.date.thru 8 DATE L &(YD)YPC[ggg]RMCG[ypg]DT[ypgF]|0
Ì € i 2
rm.member.plans
[mnemonic,rm.care.group, rm.mem.plan]
&(YD)YPC[ggg]RMCG[ypg]RMMP[ymp]
Field Name Len Dat Typ J DPM Offset/Local/VAL
rm.mem.plan 10 FREE L MC.MEM.PLAN ymp
Ì € i 2
rm.specialties
[mnemonic, rm.specialty]
&(YD)YPC[ggg]RMSP[gsd]
Field Name Len Dat Typ J DPM Offset/Local/VAL
rm.specialty 10 FREE L MIS.ABS.SVC gsd
Ì € i 2
vendors
[mnemonic, vendor.eff.date]
&(YD)YPC[ggg]V[ygrD]
Field Name Len Dat Typ J DPM Offset/Local/VAL
vendor.eff.date 8 DATE L ygrD
vendor 11 FREE L MIS.VEN &(YD)YPC[ggg]V[ygrD]|0
vendor.fed.id.num 12 FREE L &(YD)YPC[ggg]V[ygrD]|1
Index Files Subscripts/Physical Base
network.any.x [mnemonic]
&(YD)YPCN[ggg]
plan.cg.network.x [member.plan,product.type,care.group,care.group.eff.dt.from,mnemonic] = in.netwo
&(YD)YPCX[ymp,ypcPT,ypg,ypgF,ggg]
plan.cg.x [member.plan,care.group,mnemonic,product.type]
&(YD)YPCC[ymp,ypg,ggg,ypcPT]
plan.prod.cg.x [member.plan,product.type,care.group,mnemonic]
&(YD)YPCI[ymp,ypcPT,ypg,ggg]
plan.prod.network.x [member.plan,product.type,eff.date,mnemonic] = in.network
&(YD)YPCR[ymp,ypcPT,ypcD,ggg]
plan.prod.prov.x [member.plan,product.type,mnemonic,care.group]
&(YD)YPCP[ymp,ypcPT,ggg,ypg]
plan.prov.x [member.plan,mnemonic,care.group,product.type]
&(YD)YPCV[ymp,ggg,ypg,ypcPT]
rm.care.group.x [rm.care.group,mnemonic]
&(YD)YPCRMCG[ypg,ggg]
rm.specialty.x [rm.specialty,mnemonic]
&(YD)YPCRMS[gsd,ggg]
|
|
| | | | | | | | | | | | | | |