FileMan FileNo | FileMan Filename | Package |
---|---|---|
162.7 | FEE BASIS UNAUTHORIZED CLAIMS | Fee Basis |
Package | Total | FileMan Files |
---|---|---|
Fee Basis | 6 | FEE BASIS UNAUTHORIZED CLAIMS DISPOSITIONS(#162.91)[10] FEE BASIS UNAUTHORIZED CLAIMS STATUS(#162.92)[24, #162.701(.03)] FEE BASIS UNAUTHORIZED DISAPPROVAL REASONS(#162.94)[#162.715(.01)] FEE BASIS UNAUTHORIZED CLAIMS(#162.7)[20] FEE BASIS PROGRAM(#161.8)[.5] FEE BASIS VENDOR(#161.2)[1, 23] |
Kernel | 2 | INSTITUTION(#4)[6] NEW PERSON(#200)[23, 27, #162.701(.02), #162.792(1), #162.793(4)] |
DRG Grouper | 1 | ICD DIAGNOSIS(#80)[5.1] |
Registration | 1 | PATIENT(#2)[2, 23] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DATE CLAIM RECEIVED | 0;1 | DATE | ************************REQUIRED FIELD************************
|
.5 | FEE PROGRAM | 0;2 | POINTER TO FEE BASIS PROGRAM FILE (#161.8) | ************************REQUIRED FIELD************************ FEE BASIS PROGRAM(#161.8)
|
1 | VENDOR | 0;3 | POINTER TO FEE BASIS VENDOR FILE (#161.2) | ************************REQUIRED FIELD************************ FEE BASIS VENDOR(#161.2)
|
2 | VETERAN | 0;4 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
|
3 | TREATMENT FROM DATE | 0;5 | DATE | ************************REQUIRED FIELD************************
|
4 | TREATMENT TO DATE | 0;6 | DATE | ************************REQUIRED FIELD************************
|
5 | DIAGNOSIS | DX;1 | FREE TEXT |
|
5.1 | ICD DIAGNOSIS | DX;2 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
|
6 | PRIMARY SERVICE FACILITY | 0;7 | POINTER TO INSTITUTION FILE (#4) | INSTITUTION(#4)
|
7 | DATE VALID CLAIM RECEIVED | 0;8 | DATE |
|
8 | AMOUNT CLAIMED | 0;9 | NUMBER |
|
9 | PATIENT TYPE CODE | 0;10 | SET | ************************REQUIRED FIELD************************
|
10 | DISPOSITION | 0;11 | POINTER TO FEE BASIS UNAUTHORIZED CLAIMS DISPOSITIONS FILE (#162.91) | FEE BASIS UNAUTHORIZED CLAIMS DISPOSITIONS(#162.91)
|
10.5 | DISPOSITION REMARKS | 4;0 | WORD-PROCESSING #162.702 |
|
10.6 | APPEAL DISPOSITION REMARKS | A1;0 | WORD-PROCESSING #162.703 |
|
10.7 | COVA DISPOSITION REMARKS | A2;0 | WORD-PROCESSING #162.704 |
|
11 | DATE OF DISPOSITION | 0;12 | DATE |
|
12 | AUTHORIZED FROM DATE | 0;13 | DATE |
|
13 | AUTHORIZED TO DATE | 0;14 | DATE |
|
14 | AMOUNT APPROVED | 0;15 | NUMBER |
|
15 | REASON FOR DISAPPROVAL | D;0 | POINTER Multiple #162.715 | 162.715
|
16 | *DISPOSITON DESCRIPTION | 1;0 | WORD-PROCESSING #162.716 |
|
17 | *REASON FOR PENDING | 2;0 | WORD-PROCESSING #162.717 |
|
19 | PRINT LETTER? | 0;16 | SET |
|
19.5 | DATE LETTER SENT | 0;19 | DATE |
|
19.6 | DATE REQ INFO SENT | 6;1 | DATE |
|
20 | MASTER CLAIM | 0;20 | POINTER TO FEE BASIS UNAUTHORIZED CLAIMS FILE (#162.7) | ************************REQUIRED FIELD************************ FEE BASIS UNAUTHORIZED CLAIMS(#162.7)
|
21 | REOPEN CLAIM DATE | 0;21 | DATE |
|
22 | DATE OF ORIGINAL DISPOSITION | 0;22 | DATE |
|
23 | CLAIM SUBMITTED BY | 0;23 | VARIABLE POINTER | ************************REQUIRED FIELD************************ PATIENT(#2) FEE BASIS VENDOR(#161.2) NEW PERSON(#200)
|
24 | STATUS | 0;24 | POINTER TO FEE BASIS UNAUTHORIZED CLAIMS STATUS FILE (#162.92) | ************************REQUIRED FIELD************************ FEE BASIS UNAUTHORIZED CLAIMS STATUS(#162.92)
|
25 | DATE OF CURRENT STATUS | 0;25 | DATE | ************************REQUIRED FIELD************************
|
26 | EXPIRATION DATE OF CLAIM | 0;26 | DATE |
|
26.5 | EXTENSIONS | 3;0 | DATE Multiple #162.701 | 162.701 |
27 | ENTERED/LAST EDITED BY | 0;17 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
28 | DATE ENTERED/LAST EDITED | 0;18 | DATE |
|
29 | DISCHARGE TYPE | COMPUTED |
|
|
30 | AUTHORIZATION | 0;27 | NUMBER |
|
31 | 38 U.S.C. 1725 | 0;28 | SET |
|
32 | FPPS CLAIM ID | 5;1 | FREE TEXT |
|
50 | NOTICE OF DISAGREEMENT RECV'D | A;1 | DATE |
|
51 | STATEMENT OF THE CASE ISSUED | A;2 | DATE |
|
52 | DATE SUBSTANTIVE APPEAL RECV'D | A;3 | DATE |
|
53 | DATE APPEAL DISPOSITIONED | A;4 | DATE |
|
54 | DATE APPEALED TO COVA | A;5 | DATE |
|
55 | DATE COVA APPEAL DISPOSITIONED | A;6 | DATE |
|
292 | USER AUDIT | LOG1;0 | DATE Multiple #162.792 | 162.792
|
293 | DATA AUDIT | LOG2;0 | DATE Multiple #162.793 | 162.793
|
Name | Field # of Occurrence |
---|---|
^%DT | .01+1, 3+1, 4+1, 7+1, 11+1, 12+1, 13+1, 19.5+1, 19.6+1, 21+1 , 22+1, 25+1, 26+1, 28+1, 50+1, 51+1, 52+1, 53+1, 54+1, 55+1 |
^DIC | .5+1, 10+1, 20+1, 24+1 |
Y^DIQ | ID1+1, ID2+1, ID24+1 |
$$DATX^FBAAUTL | IDWRITE+1, 12(HELP ), 13(HELP ) |
AUD^FBUCAUD | IXAUDSL+1, IXAUDKL+1 |
LTRDT^FBUCAUD | IXAILTSL+1, IXAILTKL+1 |
$$DISCHTYP^FBUCDD | 29+1 |
$$INPUT^FBUCDD | 4+1, 7+1, 10+1, 12+1, 13+1, 23+1, 24+1 |
MSIX^FBUCDD | 1(XREF 4S), 1(XREF 4K), 2(XREF 4S), 2(XREF 4K), 20(XREF 4S), 20(XREF 4K), 20(XREF 5S), 20(XREF 5K), 20(XREF 6S), 20(XREF 6K) , 23(XREF 2S), 23(XREF 2K), 24(XREF 2S), 24(XREF 2K), 24(XREF 8S), 24(XREF 8K), 24(XREF 9S), 24(XREF 9K) |
DEL^FBUCDD1 | .01DEL.01+1 |
$$FBZ^FBUCUTL | IDWRITE+1, 1(XREF 3S), 1(XREF 3K), 2(XREF 3S), 2(XREF 3K), 23(XREF 1S), 23(XREF 1K), 24(XREF 3S), 24(XREF 3K), 24(XREF 4S) , 24(XREF 4K), 24(XREF 5S), 24(XREF 5K), 24(XREF 7S), 24(XREF 7K), 26(XREF 1S), 26(XREF 1K) |
$$ORDER^FBUCUTL | 24(XREF 3S), 24(XREF 3K), 26(XREF 1S), 26(XREF 1K) |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^DD(161.2 | ID1+1 |
^DD(162.92 | ID24+1 |
^DD(2 | ID2+1 |
^DPT - [#2] | ID2+1 |
^FB(162.92 - [#162.92] | ID24+1 |
^FB583 - [#162.7] | .5(XREF 1S), .5(XREF 1K), .5(XREF 2S), .5(XREF 2K), 1(XREF 2S), 1(XREF 2K), 2(XREF 2S), 2(XREF 2K), 3(XREF 1S), 3(XREF 1K) , 3(XREF 2S), 3(XREF 2K), 12(HELP ), 12(XREF 1S), 12(XREF 1K), 13(HELP ), 13(XREF 1S), 13(XREF 1K), 24(XREF 1S), 24(XREF 1K) , 25(XREF 1S), 25(XREF 1K) |
^FB583("AA" | .5(XREF 1S), .5(XREF 1K), 12(XREF 1S), 12(XREF 1K) |
^FB583("AC" | 10(XREF 1S), 10(XREF 1K) |
^FB583("AD" | .5(XREF 2S), .5(XREF 2K), 13(XREF 1S), 13(XREF 1K) |
^FB583("AES" | 24(XREF 3S), 24(XREF 3K), 26(XREF 1S), 26(XREF 1K) |
^FB583("AFC" | IXAFCSL+1*, IXAFCKL+1!, IXAFCKEIC+1! |
^FB583("AID" | .01(XREF 2S), .01(XREF 2K) |
^FB583("AL" | 19(XREF 1S), 19(XREF 1K) |
^FB583("ALP" | 19.5(XREF 1S), 19.5(XREF 1K) |
^FB583("AMC" | 20(XREF 3S), 20(XREF 3K) |
^FB583("AMP" | 20(XREF 2S), 20(XREF 2K) |
^FB583("AMS" | 20(XREF 1S), 20(XREF 1K) |
^FB583("AOS" | 23(XREF 1S), 23(XREF 1K), 24(XREF 7S), 24(XREF 7K) |
^FB583("APF" | 2(XREF 2S), 2(XREF 2K), 3(XREF 1S), 3(XREF 1K) |
^FB583("APS" | 2(XREF 3S), 2(XREF 3K), 24(XREF 4S), 24(XREF 4K) |
^FB583("AS" | 24(XREF 6S), 24(XREF 6K) |
^FB583("ASD" | 24(XREF 1S), 24(XREF 1K), 25(XREF 1S), 25(XREF 1K) |
^FB583("AVF" | 1(XREF 2S), 1(XREF 2K), 3(XREF 2S), 3(XREF 2K) |
^FB583("AVS" | 1(XREF 3S), 1(XREF 3K), 24(XREF 5S), 24(XREF 5K) |
^FB583("B" | .01(XREF 1S), .01(XREF 1K) |
^FB583("C" | 1(XREF 1S), 1(XREF 1K) |
^FB583("D" | 2(XREF 1S), 2(XREF 1K) |
^FBAAV - [#161.2] | ID1+1 |
Name | Field # of Occurrence |
---|---|
^(0 | ID1+1, ID2+1, ID24+1, .5(XREF 1S), .5(XREF 1K), .5(XREF 2S), .5(XREF 2K), 1(XREF 2S), 1(XREF 2K), 2(XREF 2S) , 2(XREF 2K), 3(XREF 1S), 3(XREF 1K), 3(XREF 2S), 3(XREF 2K), 12(XREF 1S), 12(XREF 1K), 13(XREF 1S), 13(XREF 1K), 24(XREF 1S) , 24(XREF 1K), 25(XREF 1S), 25(XREF 1K) |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
%DT | .01+1*!, 3+1*, 4+1*, 7+1*!, 11+1*!, 12+1*, 13+1*, 19.5+1*!, 19.6+1*, 21+1* , 22+1*!, 25+1*!, 26+1*, 28+1*!, 50+1*!, 51+1*!, 52+1*!, 53+1*!, 54+1*!, 55+1*! |
%DT(0 | .01+1*, 3+1*!, 4+1*!, 7+1*, 11+1*, 12+1*!, 13+1*!, 19.5+1*, 22+1*, 25+1* , 28+1*, 50+1*, 51+1*, 52+1*, 53+1*, 54+1*, 55+1* |
%I | ID1+1*!, ID2+1*!, ID24+1*! |
>> C | ID1+1*, ID2+1*, ID24+1* |
>> D0 | 29+1 |
>> DA | IXAFCSL+1, IXAFCKL+1, .01DEL.01+1, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .5(XREF 1S), .5(XREF 1K), .5(XREF 2S) , .5(XREF 2K), 1(XREF 1S), 1(XREF 1K), 1(XREF 2S), 1(XREF 2K), 1(XREF 3S), 1(XREF 3K), 1(XREF 4S), 1(XREF 4K), 2(XREF 1S) , 2(XREF 1K), 2(XREF 2S), 2(XREF 2K), 2(XREF 3S), 2(XREF 3K), 2(XREF 4S), 2(XREF 4K), 3(XREF 1S), 3(XREF 1K), 3(XREF 2S) , 3(XREF 2K), 4+1, 7+1, 10+1, 10(XREF 1S), 10(XREF 1K), 12+1, 12(HELP ), 12(XREF 1S), 12(XREF 1K) , 13+1, 13(HELP ), 13(XREF 1S), 13(XREF 1K), 19(XREF 1S), 19(XREF 1K), 19.5(XREF 1S), 19.5(XREF 1K), 20(XREF 1S), 20(XREF 1K) , 20(XREF 2S), 20(XREF 2K), 20(XREF 3S), 20(XREF 3K), 20(XREF 4S), 20(XREF 4K), 20(XREF 5S), 20(XREF 5K), 20(XREF 6S), 20(XREF 6K) , 23+1, 23(XREF 1S), 23(XREF 1K), 23(XREF 2S), 23(XREF 2K), 24+1, 24(XREF 1S), 24(XREF 1K), 24(XREF 2S), 24(XREF 2K) , 24(XREF 3S), 24(XREF 3K), 24(XREF 4S), 24(XREF 4K), 24(XREF 5S), 24(XREF 5K), 24(XREF 6S), 24(XREF 6K), 24(XREF 7S), 24(XREF 7K) , 24(XREF 8S), 24(XREF 8K), 24(XREF 9S), 24(XREF 9K), 25(XREF 1S), 25(XREF 1K), 26(XREF 1S), 26(XREF 1K) |
DIC | ID1+1, ID2+1, ID24+1, .5+1!*, 10+1!*, 20+1!*, 24+1!* |
DIC("S" | .5+1*, .5SCR+1*, 10+1*, 10SCR+1*, 20+1*, 20SCR+1*, 21SCR+1*, 24+1*, 24SCR+1* |
>> DIE | .5+1, 10+1, 20+1, 24+1 |
DT | .01+1, 3+1, 4+1, 7+1, 11+1, 12+1, 13+1, 19.5+1, 22+1, 25+1 , 28+1, 50+1, 51+1, 52+1, 53+1, 54+1, 55+1 |
FBZ | IDWRITE+1*!, 1(XREF 3S), 1(XREF 3K), 2(XREF 3S), 2(XREF 3K), 23(XREF 1S), 23(XREF 1K), 24(XREF 3S), 24(XREF 3K), 24(XREF 4S) , 24(XREF 4K), 24(XREF 5S), 24(XREF 5K), 24(XREF 7S), 24(XREF 7K), 26(XREF 1S), 26(XREF 1K) |
FBZZ | 4+1*!, 7+1*!, 10+1*!, 12+1*!, 13+1*!, 23+1~*!, 24+1*! |
U | ID1+1, ID2+1, ID24+1, IDWRITE+1, .5(XREF 1S), .5(XREF 1K), .5(XREF 2S), .5(XREF 2K), 1(XREF 2S), 1(XREF 2K) , 1(XREF 3S), 1(XREF 3K), 2(XREF 2S), 2(XREF 2K), 2(XREF 3S), 2(XREF 3K), 3(XREF 1S), 3(XREF 1K), 3(XREF 2S), 3(XREF 2K) , 12(HELP ), 12(XREF 1S), 12(XREF 1K), 13(HELP ), 13(XREF 1S), 13(XREF 1K), 23(XREF 1S), 23(XREF 1K), 24(XREF 1S), 24(XREF 1K) , 24(XREF 3S), 24(XREF 3K), 24(XREF 4S), 24(XREF 4K), 24(XREF 5S), 24(XREF 5K), 24(XREF 7S), 24(XREF 7K), 25(XREF 1S), 25(XREF 1K) , 26(XREF 1S), 26(XREF 1K) |
X | IXAFCSL+1, IXAFCKL+1, IXAILTSCC+1*, IXAILTKCC+1*, .01+1*!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .5+1*! , .5(XREF 1S), .5(XREF 1K), .5(XREF 2S), .5(XREF 2K), 1(XREF 1S), 1(XREF 1K), 1(XREF 2S), 1(XREF 2K), 1(XREF 3S), 1(XREF 3K) , 1(XREF 4S), 1(XREF 4K), 2(XREF 1S), 2(XREF 1K), 2(XREF 2S), 2(XREF 2K), 2(XREF 3S), 2(XREF 3K), 2(XREF 4S), 2(XREF 4K) , 3+1*!, 3(XREF 1S), 3(XREF 1K), 3(XREF 2S), 3(XREF 2K), 4+1*!, 5+1!, 7+1*!, 8+1*!, 10+1*! , 10(XREF 1S), 10(XREF 1K), 11+1*!, 12+1*!, 12(XREF 1S), 12(XREF 1K), 13+1*!, 13(XREF 1S), 13(XREF 1K), 14+1*! , 19(XREF 1S), 19(XREF 1K), 19.5+1*!, 19.5(XREF 1S), 19.5(XREF 1K), 19.6+1*!, 20+1*!, 20(XREF 1S), 20(XREF 1K), 20(XREF 2S) , 20(XREF 2K), 20(XREF 3S), 20(XREF 3K), 20(XREF 4S), 20(XREF 4K), 20(XREF 5S), 20(XREF 5K), 20(XREF 6S), 20(XREF 6K), 21+1*! , 22+1*!, 23+1!, 23(XREF 1S), 23(XREF 1K), 23(XREF 2S), 23(XREF 2K), 24+1*!, 24(XREF 1S), 24(XREF 1K), 24(XREF 2S) , 24(XREF 2K), 24(XREF 3S), 24(XREF 3K), 24(XREF 4S), 24(XREF 4K), 24(XREF 5S), 24(XREF 5K), 24(XREF 6S), 24(XREF 6K), 24(XREF 7S) , 24(XREF 7K), 24(XREF 8S), 24(XREF 8K), 24(XREF 9S), 24(XREF 9K), 25+1*!, 25(XREF 1S), 25(XREF 1K), 26+1*!, 26(XREF 1S) , 26(XREF 1K), 28+1*!, 29+1*, 30+1!, 32+1!, 50+1*!, 51+1*!, 52+1*!, 53+1*!, 54+1*! , 55+1*! |
>> X1(1 | IXAILTSCC+1, IXAILTKCC+1 |
>> X2(1 | IXAILTSCC+1, IXAILTKCC+1 |
>> Y | ID1+1*, ID2+1*, ID24+1*, IDWRITE+1, .01+1, .5+1, 3+1, 4+1, 7+1, 10+1 , 11+1, 12+1, 13+1, 19.5+1, 19.6+1, 20+1, 21+1, 22+1, 23+1, 24+1 , 25+1, 26+1, 28+1, 50+1, 51+1, 52+1, 53+1, 54+1, 55+1 |