HIPAA 837 Institutional to UB92

Input - Before Translation

Output - After Translation

The creation of the line charges, i.e., 50, 60, 61 records in the UB92 format, within this map requires a complicated nested loop system.  In order to process the revenue codes properly to their respective positions within the UB92 format, this map uses the following logic:

1.  Determine which revenue codes are Inpatient, and which are Outpatient, based on the Facility Code information in the CLM segment.

2.  If it is an Inpatient claim, determine which revenue codes are accommodational and ancillary charges, based on the revenue codes in the SV2 segment.

3.  Once the revenue codes are allocated, the codes must then be counted and divided into columns, so that the codes can be properly positioned in the 50,60 (inpatient), or 61 (outpatient) records.   

# OFD for the conversion from X12_4010_837Test to HCFA_UB92_50
# OFD Name: X12_4010_837toHCFA_UB92_50.ofd
# This OFD was generated by the Redix AnyToAny XML GUI Mapper Tools on: 2/21/2002

# This OFD, at any time, may be converted into a usable OFD, but saving as a .txt file,
# with ASCII character style.

output
of1 := fopen("REDIX-ASSIGNED");

# --------  G L O B A L     V A R I A B L E S  --------

# Integer counters for the number of 50, 60, 61 passes. 
# Used to calculate Revenue Code Charge Line Structure in Columns
Rec50Count:=1;
Rec60Count:=0;
Rec61Count:=0;

.....

# --------  I M P L E M E N T A T I O N  --------

# Initialize the RecARR and RecCLMCount array cells to NULL
for i:= 0 to 29 do #first;
      for j:= 0 to 49 do #second;
            RecARR[i][j]:="";
      endfor;
endfor;

for i:=0 to 49 do #reset counter;
      RecCLMCount[i][0]:=0;
endfor;

# Concept of this map is to cycle the entire incoming file in the top portion of the
# OFD script.  While doing so, data is pulled and stored into arrays.  Later, records
# are constructed in their entirety, and saved to strings, to be used when appropriate.

# Basic Loop Structure used (Depths Only)
#     -     ST
#           +     NM1
#           -     HL
#                 +     NM1
#                 -     CLM
#                       +     CR7
#                       +     NM1
#                       -     SBR
#                             +     NM1
#                       -     LX
#                             +     NM1  

....

    redix_app_ext(String input_filename, String ifd_filename, String ofd_filename, String ack_filename, String error_filename, String output_filename, char conversion_flag, char segment_terminator, char element_separator, char composite_separator, char release_char, String userdata);

    redix_process(String input_filename, String configuration_filename, String log_filename, String userdata, String last_event_log, String last_filename, String summary_filename);