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Global: ^FB(161.91

Package: Fee Basis

Global: ^FB(161.91


Information

FileMan FileNo FileMan Filename Package
161.91 ADJUSTMENT REASON Fee Basis

Description

Accessed By FileMan Db Calls, Total: 6

Package Total Routines
Fee Basis 6 FBAAFA    FBCHFA    FBRXFA    FBX2P158    FBXIP104    FBXIP158    

Pointed To By FileMan Files, Total: 3

Package Total FileMan Files
Fee Basis 3 FEE BASIS PHARMACY INVOICE(#162.1)[#162.14(.01)]    FEE BASIS PAYMENT(#162)[#162.07(.01)]    FEE BASIS INVOICE(#162.5)[#162.558(.01)]    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Fee Basis 3 ADJUSTMENT GROUP(#161.92)[#161.917(.01)]    REMITTANCE REMARK(#161.93)[#161.915(.01)]    FEE BASIS SUSPENSION(#161.27)[3]    

Fields, Total: 8

Field # Name Loc Type Details
.01 CODE 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1)!'(X'?1P.E) X
  • LAST EDITED:  JUN 16, 2003
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Code value.
  • CROSS-REFERENCE:  161.91^B
    1)= S ^FB(161.91,"B",$E(X,1,30),DA)=""
    2)= K ^FB(161.91,"B",$E(X,1,30),DA)
1 STATUS EFFECTIVE DATE 1;0 DATE Multiple #161.911 161.911
2 DESCRIPTION EFFECTIVE DATE 2;0 DATE Multiple #161.912 161.912
3 ASSOCIATED SUSPEND CODE 0;2 POINTER TO FEE BASIS SUSPENSION FILE (#161.27) FEE BASIS SUSPENSION(#161.27)

  • LAST EDITED:  JUN 16, 2003
  • HELP-PROMPT:  Select a suspend code that is associated with the adjustment code.
  • DESCRIPTION:  This field should be populated for every adjustment code that is currently applicable for use on fee claims. The software will automatically copy this value to the SUSPEND CODE field in an invoice file after the
    adjustment reason code is specified for the invoice. If more than one adjustment reason is specified, the one with the largest dollar impact will be used to determine the suspend code.
4 SUSPENSION DESCRIPTION 4;0 WORD-PROCESSING #161.914

  • LAST EDITED:  JUN 16, 2003
  • HELP-PROMPT:  Enter description of suspension when associated suspend code is Other.
  • DESCRIPTION:  This field should be populated with a description of the adjustment reason when the associated suspend code is Other. The system will automatically copy this text to the DESCRIPTION OF SUSPENSION field in an invoice
    file.
5 REMITTANCE REMARK RARC;0 POINTER Multiple #161.915 161.915

  • DESCRIPTION:  
    This field contains the sub-set of remittance remarks allowed for this adjustment reason. It should only be modified when updated adjustment reason and remittance remark codes, and their relationships, are released.
6 CORE SCENARIO 0;3 SET
  • '1' FOR Incorrect Documentation;
  • '2' FOR Incorrect Claim Data;
  • '3' FOR Billed Service Not Covered;
  • '4' FOR Benefit for Service Not Payable;

  • LAST EDITED:  JUN 13, 2016
  • HELP-PROMPT:  Enter the CAQH CORE Code Combinations Scenario Number.
  • DESCRIPTION:  
    Used to indicate what business scenario, associated with Phase III CORE 360 Rule, this adjustment reason code is associated with, if any.
7 ADJUSTMENT GROUP 3;0 POINTER Multiple #161.917 161.917

  • DESCRIPTION:  
    Some CARCs have GROUP restrictions. Specify the allowable GROUPS for this CARC here.

Found Entries, Total: 367

CODE: 4    Entry: 2    Entry: 3    Entry: 4    CODE: 5    CODE: 6    CODE: 7    Entry: 8    
CODE: 29    CODE: B13    CODE: 125    CODE: 148    CODE: 8    CODE: 13    CODE: 16    CODE: 18    
CODE: 19    CODE: 20    CODE: 26    CODE: 30    CODE: 31    CODE: 34    CODE: 35    CODE: 40    
CODE: 42    CODE: 45    CODE: 47    CODE: 49    CODE: 50    CODE: 52    CODE: 54    CODE: 55    
CODE: 57    CODE: 58    CODE: 59    CODE: 62    CODE: 66    CODE: 85    CODE: 88    CODE: 89    
CODE: 94    CODE: 96    CODE: 97    CODE: 100    CODE: 109    CODE: 114    CODE: 119    CODE: 122    
CODE: 131    CODE: 132    CODE: 135    CODE: 138    CODE: 140    CODE: 141    CODE: 142    CODE: 143    
CODE: 146    CODE: 147    CODE: A1    CODE: A2    CODE: B12    CODE: B7    CODE: B8    CODE: B1    
CODE: 9    CODE: 10    CODE: 11    CODE: 12    CODE: 14    CODE: 15    Entry: 71    CODE: 21    
CODE: 22    CODE: 23    CODE: 24    Entry: 76    CODE: 27    CODE: 32    CODE: 33    Entry: 80    
Entry: 81    CODE: 38    CODE: 39    Entry: 84    Entry: 85    Entry: 86    Entry: 87    Entry: 88    
CODE: 51    CODE: 53    CODE: 56    CODE: 60    CODE: 61    Entry: 94    Entry: 95    Entry: 96    
Entry: 97    Entry: 98    CODE: 69    Entry: 100    Entry: 101    Entry: 102    Entry: 103    Entry: 104    
Entry: 105    Entry: 106    Entry: 107    CODE: 78    Entry: 109    Entry: 110    Entry: 111    Entry: 112    
Entry: 113    Entry: 114    Entry: 115    Entry: 116    Entry: 117    Entry: 118    Entry: 119    Entry: 120    
CODE: 95    Entry: 122    Entry: 123    Entry: 124    Entry: 125    Entry: 126    Entry: 127    Entry: 128    
Entry: 129    CODE: 107    CODE: 108    CODE: 110    CODE: 111    CODE: 112    Entry: 135    CODE: 115    
CODE: 116    CODE: 117    Entry: 139    Entry: 140    Entry: 141    Entry: 142    Entry: 143    Entry: 144    
Entry: 145    CODE: 128    CODE: 129    Entry: 148    CODE: 133    CODE: 134    Entry: 151    Entry: 152    
CODE: 139    Entry: 154    Entry: 155    CODE: 149    CODE: 150    CODE: 151    CODE: 152    CODE: 153    
CODE: 154    CODE: 155    Entry: 163    CODE: 157    CODE: 158    CODE: 159    CODE: 160    Entry: 168    
Entry: 169    CODE: 163    CODE: 164    CODE: 165    CODE: 166    CODE: 167    CODE: 168    CODE: 169    
CODE: 170    CODE: 171    CODE: 172    CODE: 173    CODE: 174    CODE: 175    CODE: 176    CODE: 177    
CODE: 178    CODE: 179    CODE: 180    CODE: 181    CODE: 182    CODE: 183    CODE: 184    CODE: 185    
Entry: 193    Entry: 194    CODE: 188    CODE: 189    CODE: 190    Entry: 198    Entry: 199    Entry: 200    
CODE: 194    Entry: 202    Entry: 203    CODE: 197    CODE: 198    CODE: 199    CODE: 200    CODE: 201    
CODE: 202    CODE: 203    CODE: 204    Entry: 212    CODE: 206    CODE: 207    CODE: 208    Entry: 216    
CODE: 210    Entry: 218    CODE: 212    CODE: 213    Entry: 221    Entry: 222    Entry: 223    Entry: 224    
Entry: 225    Entry: 226    Entry: 227    Entry: 228    CODE: 222    Entry: 230    CODE: 224    Entry: 232    
Entry: 233    Entry: 234    CODE: 228    Entry: 236    Entry: 237    CODE: 231    Entry: 239    CODE: 233    
CODE: 234    CODE: A0    CODE: A3    CODE: A4    CODE: A5    CODE: A6    CODE: A7    CODE: A8    
CODE: B10    CODE: B2    CODE: B3    CODE: B4    CODE: B5    CODE: B6    CODE: B9    CODE: B11    
CODE: B14    CODE: B15    CODE: B16    CODE: B17    CODE: B18    CODE: B19    CODE: B20    CODE: B21    
CODE: B22    CODE: B23    CODE: D1    CODE: D2    CODE: D3    CODE: D4    CODE: D5    CODE: D6    
CODE: D7    CODE: D8    CODE: D9    CODE: D10    CODE: D11    CODE: D12    CODE: D13    CODE: D14    
CODE: D15    CODE: D16    CODE: D17    CODE: D18    CODE: D19    CODE: D20    CODE: D21    CODE: D22    
CODE: D23    CODE: W1    Entry: 291    CODE: 236    Entry: 293    CODE: 238    CODE: 239    CODE: 240    
Entry: 297    CODE: 242    CODE: 243    Entry: 300    Entry: 301    CODE: 246    Entry: 303    Entry: 304    
CODE: 249    CODE: 250    CODE: 251    CODE: 252    CODE: W2    CODE: W3    CODE: W4    CODE: Y1    
CODE: Y2    CODE: Y3    Entry: 316    CODE: 254    CODE: 256    Entry: 319    CODE: 258    CODE: 259    
CODE: 260    CODE: 261    CODE: 262    CODE: 263    CODE: 264    Entry: 327    CODE: 266    CODE: 267    
CODE: 268    CODE: 255    CODE: P1    CODE: P2    CODE: P3    CODE: P4    CODE: P5    CODE: P6    
CODE: P7    CODE: P8    CODE: P9    CODE: P10    CODE: P11    CODE: P12    CODE: P13    CODE: P14    
CODE: P15    CODE: P16    CODE: P17    CODE: P18    CODE: P19    CODE: P20    CODE: P21    CODE: P22    
CODE: P23    CODE: W5    CODE: W6    CODE: W7    CODE: W8    CODE: W9    CODE: 269    CODE: 270    
Entry: 362    CODE: 272    CODE: 273    CODE: 274    Entry: 366    CODE: 276    Entry: 368    

ICR, Total: 1

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #5393
  • Fee Basis
    		•
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