Daily Totals Response Mappings
This is a response to a query for retrieval of Daily Totals. Though the PCS Query Response has been restructured from the existing CPHA3 message, many of the data elements are mappable, as shown in the table below.
| 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. Optional, use to be determined by implementers. Note: when carrier is present, the values provided in the response apply to the carrier 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 | **DEPRECATED ** | 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 | parameter:ReversalTotalAmtForPeriod | 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 | 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 | **DEPRECATED ** | 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 |