Encounter Reporting User Manual
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TABLE OF CONTENTS (22.65KB)
Chapter 1: Overview
(32.16KB)
Chapter 2: Encounter Authorization and
Control Documents (34.45KB)
- Exhibit 2A - Health
Plan/Program Contractor - Encounter Submission Notification and
Transmission Submitter Number (TSN) Application
(12.65KB)
- Exhibit 2B - Electronic
Data Interchange Agreement Form (12.32KB)
Chapter 3: Encounter Processing (44.55KB)
Chapter 4: Error Correction and the Pended
Encounter File
(65.32KB)
- Exhibit 4A - Pended Encounter File Record Layout
(24.61KB)
- Exhibit 4B - Comment File Record Layout
(14.83KB)
- Exhibit 4C - Pended Encounter/Corrective
Action Notice
(21.63KB)
Chapter 5:
Data Files and Reports Produced by AHCCCSA
(171.32KB)
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Exhibit 5A
- Provider Profile Record Layout (14.28Kb)
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Exhibit 5L - Adjudicated Encounters Report
(OVERALL) (7.64Kb)
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Exhibit 5B -
Provider File Record Layout (49.10Kb)
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Exhibit 5M -
Adjudicated Encounters Report (8.20Kb)
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Exhibit 5C - Reference File Record Layout Refer01.zip
(26.50Kb)
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Exhibit 5N - EC CCL Summary
by Error Code (7.94Kb)
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Exhibit 5D - Reference File Record Layout
Refer02.zip (19.38Kb)
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Exhibit 5O - Edit
Failures by Health Plan (8.23Kb)
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Exhibit 5E - Reference File Record Layout Refer03.zip
(28.18Kb)
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Exhibit 5P - Duplicate
CRN by Error Code (8.08Kb)
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Exhibit 5F - Reference
File Record Layout Refer04.zip (13.41Kb)
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Exhibit 5Q - Pended Encounters
Summarized Aging
Report (8.46Kb)
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Exhibit 5G - Service
Type and License Certification Indicator Values (9.67Kb)
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Exhibit 5R - Pended
Encounter Detailed Aging
Report (9.10Kb)
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Exhibit 5H -
Field Information (ECFLD.TXT) (14.05Kb)
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Exhibit 5S - Pended Encounters
Summarized Error Report (8.05Kb)
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Exhibit 5I - Error-to-Field
Relationship (ECERRFLD.TXT) (14.15Kb)
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Exhibit 5T - Pended Encounter
Aging File
Record Layout (DETLAGINMMDDYY.ZIP) (13.27Kb)
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Exhibit 5J - Error
Information (ECERR.TXT) (19.24Kb)
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Exhibit 5U - Pended Encounter Duplicate CRN File
Record Layout (DUPECRNMMDDYY.ZIP) (12.90Kb)
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Appendix: Miscellaneous Codes and Julian
Calendar (36.71KB)
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