Chapter IV: Inquiries Submenu (01)
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.
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.
| 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.
| 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) |
Revised 8/16/2023