IWeb 5.17.5 Administrator User Guide

Waitlist Encounter Logic Administration

This option is used for defining the additional business rules that are applied to the Waitlist report.

Items defined in dark gray boxes are the matching values and the items in the yellow boxes are the output values. Output values override the Admin Code Mapping, Type Mapping, CPT Code Mapping, TXN Code Mapping, and DX Code Mapping fields that are configured in the Waitlist Codes option. For an example, a patient received "Influenza split, 36+ months" and the report was run with the following parameters:

• Program:  Immunization Program
• Pay Status: E
• Insurance: 52 Medicaid
• Visit Type: general Immunization (E&M) Medicaid or Medicare

The application attempts to find an encounter logic rule that matches:

• Description - This is the exception. The description overwrites the description that displays on the report, so this is actually an output value, even though the background is gray.
• Insurance - If the value matches the value on the report parameter, then it matches. Valid values are the numeric values listed under Waitlist Codes - Insurance Coverage Codes.
• Patient Minimum Age/Patient Maximum Age - Displayed in months. If the patient's age is between the values listed, it is a match.
• Vaccine Code - Drop-down list of valid vaccines. Patient must have received the vaccination for it to be a match.
• Lot Type - S = State, P = Private. If Lot Type is defined, the lot must be recorded on the vaccination for the match to occur. S indicates publicly supplied; P indicates publicly supplied.
• Program - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Programs.
• Visit Type - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Visit Types. A comma-delimited list is allowed.
• Pay Status - If the value matches the value on the report parameter, it matches. Valid values are the character values listed under Waitlist Codes - Pay Status.
• Waive Fee - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Waive Fee Codes.
• Homeless - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Homeless Status. If a value is not defined, it is not used as a matching criteria, but any value defined as part of the encounter logic rule is used to match.

To access this option, click the Administration > Settings > Waitlist Encounter Logic Administration link. The Waitlist Encounter Code Logic page opens. To add a new one, enter at least the Vaccine Code. To edit one, click the arrow button next to the vaccine code.

The available fields at the top of the Waitlist Encounter Code Logic page are as follows. Fields highlighted in yellow can be edited. Fields highlighted in gray provide the current codes in the database table.

Click the arrow button next to a vaccine to copy the information to the fields at the top of the page.

The columns at the bottom of the page are as follows:

Related topics:

• Administration Settings
• Settings (Administration > Settings)
• Waitlist
• Waitlist Codes Administration