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Global: ^IBCNR(366.17

Package: Integrated Billing

Global: ^IBCNR(366.17


Information

FileMan FileNo FileMan Filename Package
366.17 IB NCPDP NON-BILLABLE REASONS Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 4

Package Total Routines
E Claims Management Engine 2 BPSRPT5A    BPSRPT8    
Integrated Billing 2 IB534PST    IBNCPLOG    

Pointed To By FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 IB NCPDP EVENT LOG(#366.14)[#366.141(.02)]    

Fields, Total: 1

Field # Name Loc Type Details
.01 NON-BILLABLE REASON 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  OCT 31, 2014
  • HELP-PROMPT:  Answer must be 3-60 characters in length.
  • DESCRIPTION:  
    This is the name of the non-billable status reason that will be used to populated the IB NCPDP EVENT LOG file.
  • FIELD INDEX:  B (#428) REGULAR IR LOOKUP & SORTING
    Short Descr: Lookup for the NON-BILLABLE REASON field
    Set Logic: S ^IBCNR(366.17,"B",$E(X,1,60),DA)=""
    Kill Logic: K ^IBCNR(366.17,"B",$E(X,1,60),DA)
    Whole Kill: K ^IBCNR(366.17,"B")
    X(1): NON-BILLABLE REASON (366.17,.01) (Subscr 1) (Len 60) (forwards)

Found Entries, Total: 89

NON-BILLABLE REASON: AGENT ORANGE    NON-BILLABLE REASON: ALREADY BILLED UNDER PRIOR TRICARE PROCESS    NON-BILLABLE REASON: CANNOT DETERMINE RATE TYPE    NON-BILLABLE REASON: CANNOT FIND BILLABLE ITEM    NON-BILLABLE REASON: CANNOT FIND ITEM POINTER    NON-BILLABLE REASON: CANNOT FIND PRICE FOR ITEM    NON-BILLABLE REASON: CHAMPVA INPATIENT/DISCHARGE    NON-BILLABLE REASON: COMBAT VETERAN    
NON-BILLABLE REASON: COMPOUND DRUG    NON-BILLABLE REASON: DRUG NOT BILLABLE    NON-BILLABLE REASON: EXISTING IB BILL IN CT    NON-BILLABLE REASON: HEAD/NECK CANCER    NON-BILLABLE REASON: IONIZING RADIATION    NON-BILLABLE REASON: MILITARY SEXUAL TRAUMA    NON-BILLABLE REASON: MISSING NDC    NON-BILLABLE REASON: NEEDS SC DETERMINATION    
NON-BILLABLE REASON: NO DFN    NON-BILLABLE REASON: NO FILL NUMBER    NON-BILLABLE REASON: NO INSURANCE ECME BILLABLE    NON-BILLABLE REASON: NO PHARMACY COVERAGE    NON-BILLABLE REASON: NO QUANTITY    NON-BILLABLE REASON: NO RX IEN    NON-BILLABLE REASON: NON-BILLABLE IN CT: 90 DAY RX FILL NOT COVERED    NON-BILLABLE REASON: NON-BILLABLE IN CT: AGENT ORANGE    
NON-BILLABLE REASON: NON-BILLABLE IN CT: CAMP LEJEUNE TREATMENT    NON-BILLABLE REASON: NON-BILLABLE IN CT: COMBAT VETERAN    NON-BILLABLE REASON: NON-BILLABLE IN CT: COVERAGE CANCELED    NON-BILLABLE REASON: NON-BILLABLE IN CT: DATE OF BIRTH MISMATCH    NON-BILLABLE REASON: NON-BILLABLE IN CT: DRUG NOT BILLABLE    NON-BILLABLE REASON: NON-BILLABLE IN CT: FILING TIMEFRAME NOT MET    NON-BILLABLE REASON: NON-BILLABLE IN CT: HEAD/NECK CANCER    NON-BILLABLE REASON: NON-BILLABLE IN CT: INPATIENT RX AUTO-REVERSAL    
NON-BILLABLE REASON: NON-BILLABLE IN CT: INVALID MULTIPLES PER DAY SUPP    NON-BILLABLE REASON: NON-BILLABLE IN CT: INVALID NDC FROM CMOP    NON-BILLABLE REASON: NON-BILLABLE IN CT: INVALID PRESCRIPTION ENTRY    NON-BILLABLE REASON: NON-BILLABLE IN CT: IONIZING RADIATION    NON-BILLABLE REASON: NON-BILLABLE IN CT: MILITARY SEXUAL TRAUMA    NON-BILLABLE REASON: NON-BILLABLE IN CT: NO PHARMACY COVERAGE    NON-BILLABLE REASON: NON-BILLABLE IN CT: NON COVERED DRUG PER PLAN    NON-BILLABLE REASON: NON-BILLABLE IN CT: NOT A CONTRACTED PROVIDER    
NON-BILLABLE REASON: NON-BILLABLE IN CT: NOT INSURED    NON-BILLABLE REASON: NON-BILLABLE IN CT: NPI/TAXONOMY ISSUES    NON-BILLABLE REASON: NON-BILLABLE IN CT: OTHER    NON-BILLABLE REASON: NON-BILLABLE IN CT: PRESCRIPTION DELETED    NON-BILLABLE REASON: NON-BILLABLE IN CT: PRESCRIPTION NOT RELEASED    NON-BILLABLE REASON: NON-BILLABLE IN CT: PROJECT 112/SHAD    NON-BILLABLE REASON: NON-BILLABLE IN CT: REFILL TOO SOON    NON-BILLABLE REASON: NON-BILLABLE IN CT: RX DISCOUNT CARD    
NON-BILLABLE REASON: NON-BILLABLE IN CT: RX DUR REJECT    NON-BILLABLE REASON: NON-BILLABLE IN CT: RX MEDICARE PART D    NON-BILLABLE REASON: NON-BILLABLE IN CT: RX PRIOR AUTH NOT OBTAINED    NON-BILLABLE REASON: NON-BILLABLE IN CT: SC TREATMENT    NON-BILLABLE REASON: NON-BILLABLE IN CT: SERVICE NOT COVERED    NON-BILLABLE REASON: NON-BILLABLE IN CT: SOUTHWEST ASIA    NON-BILLABLE REASON: NOT BILLABLE, NO ROI - NO ACTIVE ROI ON FILE    NON-BILLABLE REASON: NOT ECME BILLABLE: BILLING PAYERSHEET DISABLED    
NON-BILLABLE REASON: NOT ECME BILLABLE: BILLING PAYERSHEET NOT FOUND    NON-BILLABLE REASON: NOT ECME BILLABLE: CHAMPVA COVERAGE FOR A VETERAN    NON-BILLABLE REASON: NOT ECME BILLABLE: ELIGIBILITY PAYERSHEET DISABLED    NON-BILLABLE REASON: NOT ECME BILLABLE: ELIGIBILITY PAYERSHEET NOT FOUND    NON-BILLABLE REASON: NOT ECME BILLABLE: HIPAA NCPDP INACTIVE    NON-BILLABLE REASON: NOT ECME BILLABLE: NO PAYER SHEETS FOUND    NON-BILLABLE REASON: NOT ECME BILLABLE: PAYER DEACTIVATED    NON-BILLABLE REASON: NOT ECME BILLABLE: PAYER NOT ACTIVE, LOCAL    
NON-BILLABLE REASON: NOT ECME BILLABLE: PAYER NOT ACTIVE, NATIONAL    NON-BILLABLE REASON: NOT ECME BILLABLE: PBM DEACTIVATED    NON-BILLABLE REASON: NOT ECME BILLABLE: PBM NOT ACTIVE, LOCAL    NON-BILLABLE REASON: NOT ECME BILLABLE: PBM NOT ACTIVE, NATIONAL    NON-BILLABLE REASON: NOT ECME BILLABLE: PHARMACY PLAN NOT FOUND    NON-BILLABLE REASON: NOT ECME BILLABLE: PLAN DEACTIVATED    NON-BILLABLE REASON: NOT ECME BILLABLE: PLAN IS NOT ACTIVE    NON-BILLABLE REASON: NOT ECME BILLABLE: PLAN NOT ACTIVE, LOCAL    
NON-BILLABLE REASON: NOT ECME BILLABLE: PLAN NOT ACTIVE, NATIONAL    NON-BILLABLE REASON: NOT ECME BILLABLE: PLAN NOT FOUND    NON-BILLABLE REASON: NOT ECME BILLABLE: PLAN NOT LINKED TO THE PAYER    NON-BILLABLE REASON: NOT ECME BILLABLE: PROCESSOR DEACTIVATED    NON-BILLABLE REASON: NOT ECME BILLABLE: PROCESSOR NOT ACTIVE, LOCAL    NON-BILLABLE REASON: NOT ECME BILLABLE: PROCESSOR NOT ACTIVE, NATIONAL    NON-BILLABLE REASON: NOT ECME BILLABLE: REVERSAL PAYERSHEET DISABLED    NON-BILLABLE REASON: NOT ECME BILLABLE: REVERSAL PAYERSHEET NOT FOUND    
NON-BILLABLE REASON: NOT ECME BILLABLE: TRICARE COVERAGE FOR A VETERAN    NON-BILLABLE REASON: NOT INSURED    NON-BILLABLE REASON: NULL DEA SPECIAL HANDLING FIELD    NON-BILLABLE REASON: PROJECT 112/SHAD    NON-BILLABLE REASON: SC TREATMENT    NON-BILLABLE REASON: SERVICE NOT COVERED    NON-BILLABLE REASON: SOUTHWEST ASIA    NON-BILLABLE REASON: TRICARE INPATIENT/DISCHARGE    
NON-BILLABLE REASON: VETERAN INPATIENT    

ICR, Total: 1

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #6136
  • E Claims Management Engine
    		•  NON-BILLABLE REASON (.01).
    Access: Read w/Fileman
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