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InfoFileMan FileNo | FileMan Filename | Package |
---|---|---|
161.4 | FEE BASIS SITE PARAMETERS | Fee Basis |
Package | Total | FileMan Files |
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Kernel | 2 | INSTITUTION(#4)[27] STATE(#5)[4] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.001 | NUMBER | NUMBER |
|
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.01 | STATION OF JURISDICTION NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
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1 | STATION ADDRESS LINE 1 | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************
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2 | STATION ADDRESS LINE 2 | 0;3 | FREE TEXT |
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3 | CITY | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
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4 | STATE | 0;5 | POINTER TO STATE FILE (#5) | ************************REQUIRED FIELD************************ STATE(#5)
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5 | ZIP | 0;6 | FREE TEXT | ************************REQUIRED FIELD************************
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5.5 | MAIL CODE | 1;11 | FREE TEXT |
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6 | STATION TELEPHONE NUMBER | 0;7 | FREE TEXT | ************************REQUIRED FIELD************************
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7 | APPROVING OFFICIAL FOR 7079 | 0;8 | FREE TEXT | ************************REQUIRED FIELD************************
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8 | TITLE OF APPROVING OFFICIAL | 0;9 | FREE TEXT | ************************REQUIRED FIELD************************
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9 | MEDICAID DISPENSING FEE | 0;10 | NUMBER | ************************REQUIRED FIELD************************
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10 | NEXT BATCH NUMBER | FBNUM;1 | NUMBER | ************************REQUIRED FIELD************************
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11 | NEXT INVOICE NUMBER | FBNUM;2 | NUMBER | ************************REQUIRED FIELD************************
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12 | MEDICAL PAYMENT VENDOR DISPLAY | 0;11 | FREE TEXT |
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13 | PHARMACY PAYMNT VENDOR DISPLAY | 0;12 | FREE TEXT |
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14 | DEFAULT AUTH. TIME RANGE | 0;13 | NUMBER |
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15 | ASK VENDOR DURING AUTH. | 1;1 | SET |
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16 | STATION ADDRESS LINE 3 | 1;2 | FREE TEXT |
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17 | MAX # PAYMENT LINE ITEMS | FBNUM;3 | NUMBER | ************************REQUIRED FIELD************************
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17.1 | MAX # CH PAYMENT LINES | FBNUM;4 | NUMBER | ************************REQUIRED FIELD************************
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17.2 | MAX # CNH PAYMENT LINES | FBNUM;5 | NUMBER | ************************REQUIRED FIELD************************
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19 | *EDIT AUTH. DURING PAYMENT | 1;4 | FREE TEXT |
|
21 | *ASK PROGRAM SPECIFIC AUTH. | 1;6 | SET |
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22 | APPROVING OFFICIAL FOR 7078 | 1;7 | FREE TEXT |
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23 | TITLE 7078 APPROVING OFFICIAL | 1;8 | FREE TEXT |
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25 | COPIES OF 7078 TO BE PRINTED | 1;5 | NUMBER | ************************REQUIRED FIELD************************
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27 | PSA DEFAULT INSTITUTION | 1;3 | POINTER TO INSTITUTION FILE (#4) | ************************REQUIRED FIELD************************ INSTITUTION(#4)
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28 | 7078 DEFAULT AUTH SERVICE TEXT | S;0 | WORD-PROCESSING #161.428 |
|
29 | DATE BATCH PURGE LAST RUN | PURGE;1 | DATE |
|
30 | OUTPATIENT MONTHLY LIMITATION | 1;9 | NUMBER | ************************REQUIRED FIELD************************
|
31 | TRANSMISSION HEADER | 1;10 | FREE TEXT | ************************REQUIRED FIELD************************
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32 | TRACK INCOMPLETE UNAUTH CLAIM? | UC;1 | SET |
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32.5 | 'INITIAL ENTRY' STATUS FOR U/C | UC;7 | SET |
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33 | UNAUTHORIZED CLAIM PRINTER | UC;2 | FREE TEXT |
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34 | UNAUTHORIZED CLAIM LETTER | UC;3 | SET |
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35 | NUMBER OF COPIES | UC;4 | NUMBER |
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35.5 | PRINT U/C ON LETTERHEAD? | UC;8 | SET |
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35.6 | STATION NAME (EDITABLE) | UC;9 | FREE TEXT | ************************REQUIRED FIELD************************
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35.7 | UC LETTER LINES AFTER CC | UC;10 | NUMBER |
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36 | FPPS TRANSMIT START | 2;1 | DATE |
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37 | FPPS TRANSMIT END | 2;2 | DATE |
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38 | PROJECT ARCH REMINDER DELAY | ARCH;1 | NUMBER |
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39 | UNIQUE CLAIM IDENTIFIER SEQ | 2;3 | FREE TEXT |
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40 | ALLOW FB PAID TO IB | 2;4 | SET |
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80 | LAST IPAC NUMBER | IPAC;1 | NUMBER |
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