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FISS/DDE Provider Online Guide: Chapter IV


Community Mental Health Centers Services Payment Totals (1C)

Purpose

The purpose of the CMHC Payment Totals screen (MAP1D61) is to display the CMHC payment and outlier totals for current year and one previous year.

FISS Inquiry Submenu

To access the CMHC Payment Totals option from the FISS online Inquiries submenu, type ‘1C’ at the Enter Menu Selection: prompt, then press the <Enter> key.

Screen shot of the CMHC Payment Totals Screen which displays the CMHC Payment and outlier totals for current year and one previous year

Field Description
Provider Identifies the provider number (12-position alphanumeric)
NPI Identifies the National Provider Identifier (NPI) (10-position alphanumeric)
SEL “S” select to identify the detail records for the selected Total Record
Year Identifies the claim information for that year CCYY format (4-position numeric)
Outlier Total Identifies the outlier payment total. (11-position numeric)
Payment Total
Identifies the total amount of payment (11-position numeric)

To access the claim information for each available year, type ‘S’ under the SEL field, then press the <Enter> key.

The following screen (MAP1D62) displays the claims detail with the corresponding value code amounts and OPPS payment amounts.

Screen shot of the CMHC Payment Totals Screen which displays the claims detail with the corresponding value code amounts and OPPS payment amounts
Field Description
PD DT SRCH Allows the user to enter a paid date to search for specific (8-position numeric, MMDDYY format)
Key in the date, then press the <Enter> key.
Provider Provider number (12-position alphanumeric)
NPI National Provider Identifier (10-position alphanumeric)
Year Year displayed (4-position numeric, CCYY format)
FR Date From date of the paid claims (4-position numeric, MMDD format)
HIC
Beneficiary Medicare Number
DCN Document Control Number (23-position alphanumeric)
Value CD 17 Amount of value code 17 (9-position numeric, 9999,999.99 format)
OPPS PYMT Amount of OPPS payment (9-position numeric, 9999.999.99 format)
RTC Amount for Return code from the IOCE/OCE (2-position numeric)
Paid Date Date the claim was paid (8 position numeric CCYYMMDD format)
Total Paid Total amount paid (14 position numeric, 999,999,999,999.99 format)
Totals Total amount of value code 17 and OPPS payment for all records (15-position numeric, 9999.999.999.999.99 format)

[Return to FISS/DDE Provider Online Guide Index]

FISS/DDE Provider Online Guide: Chapter IV - Community Mental Health Centers Services Payment Totals (1C)
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