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Global: ^FB(161.9

Package: Fee Basis

Global: ^FB(161.9


Information

FileMan FileNo FileMan Filename Package
161.9 FEE BASIS PAID TO IB Fee Basis

Description

Accessed By FileMan Db Calls, Total: 2

Package Total Routines
Fee Basis 2 FBPAID3    FBPAID3B    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 1 IB NON/OTHER VA BILLING PROVIDER(#355.93)[.07]    
Registration 1 PATIENT(#2)[.01]    

Fields, Total: 9

Field # Name Loc Type Details
.01 PATIENT 0;1 POINTER TO PATIENT FILE (#2)
************************REQUIRED FIELD************************
PATIENT(#2)

  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Enter the Patient for the paid claim.
  • DESCRIPTION:  
    This field contains the patient for the paid Fee claim that may have vendor and/or 5010 provider information automated to IB.
  • CROSS-REFERENCE:  161.9^B
    1)= S ^FB(161.9,"B",$E(X,1,30),DA)=""
    2)= K ^FB(161.9,"B",$E(X,1,30),DA)
.02 PROGRAM 0;2 SET
  • '3' FOR OUTPATIENT;
  • '9' FOR INPATIENT;

  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Choose the fee program for the claim.
  • DESCRIPTION:  This field identifies the Fee program for the paid claim. Vendor and 5010 provider data is pulled from either the FEE BASIS PAYMENT(#162) file for Outpatient, or the FEE BASIS INVOICE(#162.5) file for Inpatient during IB
    automation.
.03 FB INTERNAL CONTROL NUMBER 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  MAR 28, 2012
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  This value is retrieved from the PAID message from Central Fee to identify the payment or invoice. Outpatient claim control numbers are formatted as comma-delimited strings that point to the specific line item in a claim.
    Inpatient claim control numbers are pointers to the FEE BASIS INVOICE(#162.5) file.
.04 PROCESS DATE 0;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Enter the date the PAID message was processed from Central Fee.
  • DESCRIPTION:  
    This field contains the date the MailMan message from Central Fee was processed by the server.
  • CROSS-REFERENCE:  161.9^AC
    1)= S ^FB(161.9,"AC",$E(X,1,30),DA)=""
    2)= K ^FB(161.9,"AC",$E(X,1,30),DA)
    This cross-reference is used by 5010 FB PAID TO IB background job to identify records by the date the PAID message from Central Fee was processed
.05 LI NUMBER 0;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>35)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Type a number between 1 and 35, 0 decimal digits.
  • DESCRIPTION:  
    The Line Item number from the FEE BASIS entry being processed.
.06 PROVIDER TYPE 0;6 SET
  • 'V' FOR VENDOR;
  • 'A' FOR ATTENDING;
  • 'O' FOR OPERATING;
  • 'R' FOR RENDERING;
  • 'S' FOR SERVICING;
  • 'F' FOR REFERRING;
  • 'L' FOR LI RENDERING;

  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Enter a Provider Type for this Line Item.
  • DESCRIPTION:  
    This field identifies the provider type that is associated with this Line Item.
.07 IB NON/OTHER PROVIDER 0;7 POINTER TO IB NON/OTHER VA BILLING PROVIDER FILE (#355.93) IB NON/OTHER VA BILLING PROVIDER(#355.93)

  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Select the IB NON/OTHER VA BILLING PROVIDER Name.
  • DESCRIPTION:  
    This is the provider of Fee Basis services in the IB file.
.08 NPI ADDED 0;8 SET
  • '0' FOR NO NPI UPDATES ATTEMPTED;
  • '1' FOR NPI DATA INVALID;
  • '2' FOR NPI MATCHED ACTIVE, NO UPDATES;
  • '3' FOR NPI MATCHED INACTIVE, NO UPDATES;
  • '4' FOR NPI MATCHED ACTIVE, IB UPDATED;
  • '5' FOR NPI NEW, IB RECORD CREATED;

  • LAST EDITED:  MAY 30, 2012
  • HELP-PROMPT:  Enter the code that describes result of NPI processing.
  • DESCRIPTION:  
    This field provides information about updates to the NPI(#41.01) field of the record in the IB/NON OTHER VA BILLING PROVIDER (#355.93) file as pointed to by field #.07 in this file.
.09 TAXONOMY ADDED 0;9 SET
  • '0' FOR NO TXY UPDATES ATTEMPTED;
  • '1' FOR TXY CODE NOT FOUND IN 8932.1;
  • '2' FOR MATCHED PRIMARY, NO UPDATES;
  • '3' FOR MATCHED NON-PRIMARY, IB TXY UPDATES;
  • '4' FOR NEW, IB TXY ENTRY CREATED;

  • LAST EDITED:  JUN 06, 2012
  • HELP-PROMPT:  Enter the code that describes the result of TXY processing.
  • DESCRIPTION:  
    This field provides information about updates to the TAXONOMY CODE(#42) field of the record in the IB/NON OTHER VA PROVIDER(#355.93) file as pointed to by field #.07 in this file.
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