Daily Totals Response
| FIELD NAME | FIELD # | FHIR | Notes |
|---|---|---|---|
| E.01.03 | AdjudicationDate | This is the date assigned by the processor. | |
| E.02.03 | TraceNumber | Parameters.parameter:TraceNumber | 6N max in CPHA; unlimited in FHIR |
| E.03.03 | Transaction Code | MessageHeader.event.code | |
| E.04.03 | Reference Number | Parameters.parameter:ReferenceNumber | This is the internal reference number assigned, by the processor to the request for daily totals |
| E.05.03 | Response Status | Parameters.parameter:ResponseStatus | This indicates the status of the request transmitted AY=accumulated daily totals R=request rejected |
| E.06.03 | Response Codes | Parameters.parameter:ResponseCodes | |
| G.41.03 | Total Claims Approved | part:TotalNumberPayProvider.value[x] | Total number of pay provider claims accepted for payment for the requested adjudication date |
| G.42.03 | Total Payable by Carrier | DailyTotalsByDate.part:TotalNumberPayProvider.value[x] AND DailyTotalsByDate.part:CarrierNumber. Discussion required to confirm that carrier, means carrier identified in the request message Note: when carrier and/or group is present, the values provided in the response apply to the carrier/group specified. |
The total payable to the provider, by the carrier, for the requested adjudication date |
| G.43.03 | Total Reversals | DailyTotalsByDate.part:TotalNumberReversalsPayProvider | The total number of reversals processed against pay provider claims approved on the adjudication date to which the response refers |
| G.44.03 | Total Value of Reversals | DailyTotalsByDate.part:TotalAmtReversalsPayProvider.value[x] | The total value of reversals processed against pay provider claims approved on the adjudication date to which this response refers |
| G.45.03 | TotalPriorReversals | MISSING; **CONFIRM NEED FOR THIS ** | The total number of reversals processed on the adjudication date which refer to pay provider claims processed on a previous adjudication date |
| G.46.03 | Total Value of Prior Reversals | MISSING; CONFIRM NEED FOR THIS | The total value of reversals processed on the adjudication date which refer to pay provider claims processed on a previous adjudication date |
| G.47.03 | Total Claims Captured for Batch Processing | No Mapping - CONFIRM Deprecated field | The total number of pay provider claims captured by the adjudicator for batch processing on the requested adjudication date. |
| G.48.03 | Total Reversals Captured for Batch Processing | No mapping - CONFIRM Deprecated field | Total number of reversals of pay provider claims captured by the adjudicator for batch processing on the requested adjudication date |
| G.49.03 | Date of Deposit | DailyTotalsByDate.part:DateOfDeposit.value[x] | Date upon which the banking institution is expected to post the deposit to the providers account |
| G.50.03 | Transaction Fees | DailyTotalsByDate.part:TransactionFees.value[x] | Total value of transaction fees |
| G.51.03 | GST charged on Transaction Fees | DailyTotalsByDate.part:GSTTransactionFees.value[x] | The applicable amount of GST for the transaction fee charged |
| G.52.03 | Amount of Deposit | DailyTotalsByDate.part:AmountOfDeposit.value[x] | The amount of the EFT deposit for the adjudication date concerned |
| G.53.03 | Total Claims Captured for Reimbursement to Card Holder | DailyTotalsByDate.part:TotalNumberPayCardholder.value[x] | Total number of claims captured by the adjudicator for reimbursement to cardholders on the requested adjudication date |
FHIR Profile
|Daily Totals Response|Parameters:OUT