The FT1 segment contains the detail data necessary to post charges, payments, adjustments, etc. to patient accounting records.
Figure 6-1. FT1 attributes
SEQ |
LEN |
DT |
OPT |
RP/# |
TBL# |
ITEM# |
ELEMENT NAME |
1 |
4 |
SI |
O |
00355 |
Set ID -FT1 |
||
2 |
12 |
ST |
O |
00356 |
Transaction ID |
||
3 |
10 |
ST |
O |
00357 |
Transaction Batch ID |
||
4 |
26 |
TS |
R |
00358 |
Transaction Date |
||
5 |
26 |
TS |
O |
00359 |
Transaction Posting Date |
||
6 |
8 |
IS |
R |
0017 |
00360 |
Transaction Type |
|
7 |
80 |
CE |
R |
0132 |
00361 |
Transaction Code |
|
8 |
40 |
ST |
B |
00362 |
Transaction Description |
||
9 |
40 |
ST |
B |
00363 |
Transaction Description - Alt |
||
10 |
6 |
NM |
O |
00364 |
Transaction Quantity |
||
11 |
12 |
CP |
O |
00365 |
Transaction Amount - Extended |
||
12 |
12 |
CP |
O |
00366 |
Transaction Amount - Unit |
||
13 |
60 |
CE |
O |
0049 |
00367 |
Department Code |
|
14 |
8 |
IS |
O |
0072 |
00368 |
Insurance Plan ID |
|
15 |
12 |
CP |
O |
00369 |
Insurance Amount |
||
16 |
80 |
PL |
O |
00133 |
Assigned Patient Location |
||
17 |
1 |
IS |
O |
0024 |
00370 |
Fee Schedule |
|
18 |
2 |
IS |
O |
0018 |
00148 |
Patient Type |
|
19 |
60 |
CE |
O |
Y |
0051 |
00371 |
Diagnosis Code |
20 |
120 |
XCN |
O |
0084 |
00372 |
Performed By Code |
|
21 |
120 |
XCN |
O |
00373 |
Ordered By Code |
||
22 |
12 |
CP |
O |
00374 |
Unit Cost |
||
23 |
22 |
EI |
O |
00217 |
Filler Order Number |
||
24 |
120 |
XCN |
O |
00765 |
Entered By Code |
||
25 |
80 |
CE |
O |
0088 |
00393 |
Procedure Code |
6.4.1.0 FT1 field definitions
Definition: This field contains the number that identifies this transaction. For the first occurrence of the segment the sequence number shall be 1, for the second occurrence it shall be 2, etc.
Definition: This field contains a number assigned by the sending system for control purposes. The number can be returned by the receiving system to identify errors.
Definition: This field uniquely identifies the batch in which this transaction belongs.
Definition: This field contains the date of the transaction. For example, this field would be used to identify the date a procedure, item, or test was conducted or used. It may be defaulted to todays date.
Definition: This field contains the date of the transaction that was sent to the financial system for posting.
Definition: This field contains the code that identifies the type of transaction. Refer to user-defined table 0017 - Transaction type for suggested values.
User-defined Table 0017 - Transaction type
Values |
Description |
CG |
Charge |
CD |
Credit |
PY |
Payment |
AJ |
Adjustment |
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the code assigned by the institution for the purpose of uniquely identifying the transaction. For example, this field would be used to uniquely identify a procedure, supply item, or test for charging purposes. Refer to user-defined table 0132 - Transaction code for suggested values. See Chapter 7 for a discussion of the universal service ID.
Definition: This field has been retained for backward compatibility only. As of Version 2.3, FT1-7-transaction code contains a component for the transaction description. When used for backward compatibility, FT1-8-transaction description contains a description of the transaction associated with the code entered in FT1-7-transaction code
Definition: This field has been retained for backward compatibility only. As of Version 2.3, FT1-7-transaction code contains a component for the alternate transaction description. When used for backward compatibility, FT1-9-transaction description--alt contains an alternate description of the transaction associated with the code entered in FT1-7-transaction code.
Definition: This field contains the quantity of items associated with this transaction.
Components: <price (MO)> ^ <price type (ID)> ^ <from value (NM)> ^ <to value (NM)> ^ <range units (CE)> ^ <range type (ID)>
Definition: This field contains the amount of a transaction. It may be left blank if the transaction is automatically priced. Total price for multiple items.
Components: <price (MO)> ^ <price type (ID)> ^ <from value (NM)> ^ <to value (NM)> ^ <range units (CE)> ^ <range type (ID)>
Definition: This field contains the unit price of a transaction. Price of a single item.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the department code that controls the transaction code described above. Refer to user-defined table 0049 - Department code for suggested values.
Definition: This field contains the identifier of the primary insurance plan with which this transaction should be associated. Refer to user-defined table 0072 - Insurance plan ID for suggested values.
Components: <price (MO)> ^ <price type (ID)> ^ <from value (NM)> ^ <to value (NM)> ^ <range units (CE)> ^ <range type (ID)>
Definition: This field contains the amount to be posted to the insurance plan referenced above.
Components: <point of care (IS)> ^ <room (IS)> ^ <bed (IS)> ^ <facility (HD)> ^ <location status (IS)> ^ <person location type (IS)> ^ <building (IS)> ^ <floor (IS)> ^ <location description (ST)>
Definition: This field contains the current patient location. This can be the location of the patient when charge item was ordered or when the charged service was rendered. For the current assigned patient location, use PV1-3-assigned patient location.
Definition: This field contains the code used to select the appropriate fee schedule to be used for this transaction posting. Refer to user-defined table 0024 - Fee schedule for suggested values.
Definition: This field contains the type code assigned to the patient for this episode of care (visit or stay). Refer to user-defined table 0018 - Patient type for suggested values. This is for use when the patient type for billing purposes is different than the visit patient type in PV1-18-patient type.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the primary diagnosis code for billing purposes. ICD9-CM is assumed for all diagnosis codes. This is the most current diagnosis code that has been assigned to the patient. ICD10 can also be used. Refer to user-defined table 0051 - Diagnosis code for suggested values.
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Definition: This field contains the composite number/name of the person/group that performed the test/procedure/transaction, etc. This is the service provider. Refer to user-defined table 0084 - Performed by for suggested values. Multiple names and identifiers for the same practitioner may be sent in this field, not multiple practitioners. The legal name is assumed to be in the first repetition. When the legal name is not sent, a repeat delimiter must be sent first for the first repetition. The components of this field are described in Chapter 2.
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Definition: This field contains the composite number/name of the person/group that ordered the test/ procedure/ transaction, etc. Multiple names and identifiers for the same practitioner may be sent in this field, not multiple practitioners. The legal name is assumed to be in the first repetition. When the legal name is not sent, a repeat delimiter must be sent first for the first repetition. The components for this field are described in Chapter 2.
Components: <price (MO)> ^ <price type (ID)> ^ <from value (NM)> ^ <to value (NM)> ^ <range units (CE)> ^ <range type (ID)>
Definition: This field contains the unit cost of transaction. The cost of a single item.
Components: <entity identifier (ST)> ^ <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)>
Definition: This field is used when the billing system is requesting observational reporting justification for a charge. This is the number used by a filler to uniquely identify a result. See Chapter 4 for a complete description.
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Definition: This field identifies the composite number/name of the person who entered the insurance information.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to user-defined table 0088 - Procedure code for suggested values. This field is a CE data type for compatibility with clinical and ancillary systems.