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X12_270_Export_Template.sql
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X12_270_Export_Template.sql
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Create Procedure AC_Export_X12_270
-- *************************************************************************************************************
-- You will need to determine the value passed in each one of these parameters as these are health plan specific
-- *************************************************************************************************************
@X12Version As VarChar(16), @SenderID As Char(15), @ReceiverID As Char(15), @testProdFlag As Char(1), @ICN As Char(9), @FedTaxID As Char(9), @NPI Char(12), @PlanMMISID Char(8)
As
-- FOR TESTING
-- Exec AC_Export_X12_270 '005010X279A1', 'AAAAA', 'BBBBB','T','000000001', '123456789','1234567890','12345678'
Begin
Declare @YYMMDD As Char(6), @YYYYMMDD As Char(8), @HHMM As Char(4),@TransacationCount As Int
Set @YYYYMMDD=Cast(DatePart(year, GetDate()) As Char(4))
+ Right('0'+Cast(DatePart(month, GetDate()) As VarChar(2)),2)
+ Right('0'+Cast(DatePart(day, GetDate()) As VarChar(2)),2)
Set @YYMMDD=SubString(Cast(DatePart(year, GetDate()) As VarChar(4)),3,2)
+ Right('0'+Cast(DatePart(month, GetDate()) As VarChar(2)),2)
+ Right('0'+Cast(DatePart(day, GetDate()) As VarChar(2)),2)
Set @HHMM=Right('0'+Cast(DatePart(hour, GetDate()) As VarChar(2)),2)
+ Right('0'+Cast(DatePart(minute, GetDate()) As VarChar(2)),2)
Set @TransacationCount=0
If Not OBJECT_ID('dbo.tbl_TEMP_X12270') Is Null
Drop Table dbo.tbl_TEMP_X12270
-- ************************************
-- * ISA *
-- ************************************
Select 0 As MemberID
, 1 As rowID
, 'ISA*'
+'00*' --01 Authorization information qualifier
+' *' --02 Authorization information
+'00*' --03 Security information qualifier
+' *' --04 Security information
+'ZZ*' --05 Interchange Sender qualifier
+@SenderID+'*' --06 Interchange Sender identifier
+'ZZ*' --07 Interchange Receiver qualifier
+@ReceiverID+'*' --08 Interchange Receiver identifier
+@YYMMDD+'*' --09 Interchange Date
+@HHMM+'*' --10 Interchange Time
+'^*' --11 Interchange Control Standards ID (Repetition separator)
+'00501*' --12 Interchange Control Version Number
+@ICN+'*' --13 Interchange Control Number
+'0*' --14 Technical acknowledgment required
+@testProdFlag+'*' --15 Usage indicator
+':' --16 Sub-Element Separator
+'~' As X12_record
Into tbl_TEMP_X12270
-- ************************************
-- * GS *
-- ************************************
Insert Into tbl_TEMP_X12270
Select 0 As MemberID
, 2 As rowID
, 'GS*'
+'00*' --01 Functional ID code
+@SenderID+'*' --02 Application sender's code
+@ReceiverID+'*' --03 Application receiver's code
+@YYMMDD+'*' --04 Date
+@HHMM+'*' --05 Time
+'1*' --06 Group control number
+'X*' --07 Responsible agency code
+@X12Version --08 Version/release indicator ID code
+'~' As X12_record
-- ************************************
-- * ST *
-- ************************************
Insert Into tbl_TEMP_X12270
Select 0 As MemberID
, 3 As rowID
, 'ST*'
+'270*' --01 Transaction set ID code
+'0001*' --02 Transaction set control number
+@X12Version --03 Version/release
+'~' As X12_record
-- ************************************
-- * BHT *
-- ************************************
Insert Into tbl_TEMP_X12270
Select 0 As MemberID
, 4 As rowID
, 'BHT*'
+'0022*' --01 Hierarchical Structure Code
+'13*' --02 Transaction Set Purpose Code - 13= Request
+'1*' --03 Reference Identification
+@YYYYMMDD+'*' --04 Date
+@HHMM --05 Time
+'~' As X12_record
-- ************************************
-- * Create TEMP file of Members *
-- ************************************
If Not OBJECT_ID('tempDB..##TEMPMEMBERS') Is Null
Drop Table ##TEMPMEMBERS
-- **************************************************************
-- **************************************************************
-- FOR TESTING - CREATE ##TEMPMEMBERS TABLE FROM HARD-CODING
-- **************************************************************
-- **************************************************************
Select 100 As memberID
, Cast('Dan' As VarChar(15)) As FirstName
, Cast('Snow' As VarChar(15)) As LastName
, '' As MiddleInitial
, 'AA11111A' As MedicaidNumber
, @PlanMMISID As PlanMMISID
, @FedTaxID As FedTaxID
, @NPI As NPI
Into ##TEMPMEMBERS
Insert Into ##TEMPMEMBERS
Select 200 As memberID
, 'Shak' As FirstName
, 'Targaryen' As LastName
, '' As MiddleInitial
, 'BB22222B' As MedicaidNumber
, @PlanMMISID As PlanMMISID
, @FedTaxID As FedTaxID
, @NPI As NPI
Insert Into ##TEMPMEMBERS
Select 300 As memberID
, 'Ameya' As FirstName
, 'Lannister' As LastName
, '' As MiddleInitial
, 'CC33333C' As MedicaidNumber
, @PlanMMISID As PlanMMISID
, @FedTaxID As FedTaxID
, @NPI As NPI
-- **************************************************************
-- **************************************************************
-- **************************************************************
-- ************************************
-- * HL 1 *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 50 As rowID
, 'HL*'
+'1*' --01 Hierarchical ID Number
+'*' --02 Hierarchical Parent ID Number
+'20*' --03 Hierarchical Level Code
+'1' --04 Hierarchical Child Code
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * NM1 PR (Payer) *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 51 As rowID
, 'NM1*'
+'PR*' --01 Entity Identifier Code - PR=Payer
+'2*' --02 Entity Type Qualifier - 2=Non Person Entity
+'*' --03 Last Name or the Organization Name
+'*' --04 First Name
+'*' --05 Middle Name
+'*' --06 Name Prefix
+'*' --07 Name Suffix
+'FI*' --08 Identification Code Qualifier - FI= Federal Tax ID
+T.FedTaxID --09 Identification Code - Tax ID
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * HL 2 *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 60 As rowID
, 'HL*'
+'2*' --01 Hierarchical ID Number
+'1*' --02 Hierarchical Parent ID Number
+'21*' --03 Hierarchical Level Code
+'1' --04 Hierarchical Child Code
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * NM1 1P (Provider) *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 61 As rowID
, 'NM1*'
+'1P*' --01 Entity Identifier Code - 1P=Provider
+'2*' --02 Entity Type Qualifier - 2=Non Person Entity
+'*' --03 Last Name or the Organization Name
+'*' --04 First Name
+'*' --05 Middle Name
+'*' --06 Name Prefix
+'*' --07 Name Suffix
+'XX*' --08 Identification Code Qualifier - XX=NPI
+T.NPI --09 Identification Code - NPI
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * HL 3 *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 70 As rowID
, 'HL*'
+'3*' --01 Hierarchical ID Number
+'2*' --02 Hierarchical Parent ID Number
+'22*' --03 Hierarchical Level Code
+'1' --04 Hierarchical Child Code
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * NM1 IL (Subscriber) *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 71 As rowID
, 'NM1*'
+'IL*' --01 Entity Identifier Code - IL=Insured or Subscriber
+'1*' --02 Entity Type Qualifier - 1=Person
+T.LastName+'*' --03 Subscriber Last Name
+T.FirstName+'*' --04 Subscriber First Name
+T.MiddleInitial+'*' --05 Subscriber Middle Initial
+'*' --06 Subscriber Name Prefix
+'*' --07 Subscriber Name Suffix
+'MI*' --08 Identification Code Qualifier - MI=Member Identification Number
+T.MedicaidNumber --09 Identification Code - Member ID
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * EQ Benefit Inquiry *
-- ************************************
Insert Into tbl_TEMP_X12270
Select T.MemberID
, 72 As rowID
, 'EQ*'
+'30*' --01 Service Type Co - 30=Health Benefit Plan Coverage
+'*' --02 Composite Medical Procedure Identifier
+'FAM' --03 Benefit Coverage Level Code
+'~' As X12_record
From ##TEMPMEMBERS As T
-- ************************************
-- * SE *
-- ************************************
Insert Into tbl_TEMP_X12270
Select 999999999 As MemberID
, 97 As rowID
, 'SE*'
+Right('0000'+Cast(@TransacationCount As VarChar(4)),4)+'*'
--01 Number of included segments
+'0001' --02 Transaction set control number
+'~' As X12_record
-- ************************************
-- * GE *
-- ************************************
Insert Into tbl_TEMP_X12270
Select 999999999 As MemberID
, 98 As rowID
, 'GE*'
+'1*' --01 Number of Transaction Sets Included in this Function Group
+'1' --02 Group Control Number
+'~' As X12_record
-- ************************************
-- * IEA *
-- ************************************
Insert Into tbl_TEMP_X12270
Select 999999999 As MemberID
, 99 As rowID
, 'IEA*'
+'1*' --01 Number of Included Functional Groups
+@ICN --02 Interchange Control Number
+'~' As X12_record
-- ************************************
-- * Output the file *
-- ************************************
Set QUOTED_IDENTIFIER Off
Exec xp_cmdshell 'bcp "Select X12_record From dbo.tbl_TEMP_X12270 Order By MemberID, rowID" queryout "C:\X12_270_test.txt" -T -c'
If Not OBJECT_ID('dbo.tbl_TEMP_X12270') Is Null
Drop Table dbo.tbl_TEMP_X12270
End