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Global: ^RCY(344.62

Package: Accounts Receivable

Global: ^RCY(344.62


Information

FileMan FileNo FileMan Filename Package
344.62 RCDPE CARC-RARC AUTO DEC Accounts Receivable

Description

Accessed By FileMan Db Calls, Total: 7

Package Total Routines
Accounts Receivable 7 RCDPEAD2    RCDPESP1    RCDPESP5    RCDPESP6    RCDPESP7    RCDPESPB    RCP345    

Pointer To FileMan Files, Total: 1

Package Total FileMan Files
Kernel 1 NEW PERSON(#200)[.04, .1, 2.03, 3.03, 3.09]    

Fields, Total: 31

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

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  OCT 24, 2014
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    A Claims Adjustment Reason Code (CARC) or a Remittance Advice Reason Code (RARC) that is allowed to auto-decrease the amount owed on a patients bill.
  • TECHNICAL DESCR:  
    A Claims Adjustment Reason Code (CARC) or a Remittance Advice Reason Code (RARC) that is allowed to auto-decrease the amount owed on a patients bill.
  • CROSS-REFERENCE:  344.62^B
    1)= S ^RCY(344.62,"B",$E(X,1,30),DA)=""
    2)= K ^RCY(344.62,"B",$E(X,1,30),DA)
.02 CARC AUTO DECREASE 0;2 SET
  • '0' FOR NO;
  • '1' FOR Y;

  • LAST EDITED:  FEB 05, 2019
  • HELP-PROMPT:  Enter Yes to turn on Auto-Decrease of medical claims with payments, No to turn it off.
  • DESCRIPTION:  
    A Yes/No prompt defining whether a CARC code can be auto-decreased or not.
  • CROSS-REFERENCE:  344.62^ACTV
    1)= S ^RCY(344.62,"ACTV",$E(X,1,30),DA)=""
    2)= K ^RCY(344.62,"ACTV",$E(X,1,30),DA)
    3)= Do not delete
    Index will be used to obtain a list of the active CARC codes for automatic decrease to be applied for Medical Claims with payments.
.03 DATE ADDED 0;3 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Enter the Date the CARC was originally added.
  • DESCRIPTION:  
    The date when the CARC or RARC code was originally added for auto-decreasing of medical claims with payments.
.04 UPDATED BY 0;4 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Enter the user who added or updated the entry.
  • DESCRIPTION:  
    This is the user who added or updated the CARC or RARC code for medical claims with payments.
.05 DATE LAST UPDATED 0;5 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Enter the data the entry was last updated.
  • DESCRIPTION:  
    The date the entry was last updated for medical claims with payments.
.06 CARC DECREASE AMOUNT 0;6 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Type a dollar amount between 0 and 999999999, 2 decimal digits.
  • DESCRIPTION:  
    This is the maximum number of dollars that the CARC or RARC code can decrease the balance on a patient's bill for a medical claim with payments.
.07 COMMENT 0;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    User comment explaining why auto-decrease was turned on or off, or otherwise changed, for this CARC or RARC code for medical claims with payments.
.08 CARC AUTO DECREASE NO-PAY 1;1 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  FEB 06, 2019
  • HELP-PROMPT:  Enter Yes to turn on Auto-Decrease of claims with zero payments, No to turn it off.
  • DESCRIPTION:  
    A Yes/No value indicating whether a CARC code can be auto-decreased for medical claims with no payments.
  • CROSS-REFERENCE:  344.62^ACTVN
    1)= S ^RCY(344.62,"ACTVN",$E(X,1,30),DA)=""
    2)= K ^RCY(344.62,"ACTVN",$E(X,1,30),DA)
    3)= Do not delete.
    Index will be used to obtain a list of the active CARC codes for automatic decrease to be applied for medical claims with no payments.
.09 DATE ADDED NO-PAY 1;2 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  FEB 07, 2019
  • HELP-PROMPT:  Enter the Date the CARC was originally added.
  • DESCRIPTION:  
    The date when the CARC or RARC code was originally added for auto-decreasing of medical claims with no payments.
.1 UPDATED BY (NO-PAY) 1;3 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter the user who added or updated the entry.
  • DESCRIPTION:  
    This is the user who added or updated the CARC or RARC code for medical claims with no payments.
.11 DATE LAST UPDATED NO-PAY 1;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  FEB 07, 2019
  • HELP-PROMPT:  Enter the date this entry was last updated.
  • DESCRIPTION:  
    The date the entry was last updated for medical claims with no payments.
.12 CARC DECREASE AMOUNT NO-PAY 1;5 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0)!(X?.E1"."3.N) X
  • LAST EDITED:  JAN 12, 2018
  • HELP-PROMPT:  Type a dollar amount between 0 and 999999999, 2 decimal digits.
  • DESCRIPTION:  
    The maximum amount this CARC or RARC code can decrease the balance on a patient's bill for a medical claim with no payments.
.13 COMMENT NO-PAY 1;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
    MAXIMUM LENGTH: 50
  • LAST EDITED:  JAN 12, 2018
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    User comment explaining why auto-decrease was turned on or off, or otherwise changed, for this CARC or RARC code for medical claims with no payments.
2.01 CARC PHARM AUTO DECREASE 2;1 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  JAN 10, 2019
  • HELP-PROMPT:  Enter Yes to enable auto-decrease of pharmacy claims with payments, No to disable it.
  • DESCRIPTION:  
    A Yes/No value indicating whether a CARC or RARC code can be used for auto-decrease of pharmacy claims with payments.
  • CROSS-REFERENCE:  344.62^ACTVR
    1)= S ^RCY(344.62,"ACTVR",$E(X,1,30),DA)=""
    2)= K ^RCY(344.62,"ACTVR",$E(X,1,30),DA)
    3)= Do not delete
    Index will be used to obtain a list of the active CARC codes for automatic decrease to be applied to pharmacy claims with payments.
2.02 PHARM WITH PAYMENTS DATE ADDED 2;2 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 10, 2019
  • HELP-PROMPT:  Enter the date when the CARC or RARC code was added.
  • DESCRIPTION:  
    The date when the CARC or RARC code was added or updated for auto-decrease of pharmacy claims with payments.
2.03 PHARM WITH PAYMENTS UPDATED BY 2;3 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 10, 2019
  • HELP-PROMPT:  Enter the user who added or updated the entry.
  • DESCRIPTION:  
    The user who last updated the entry for this CARC or RARC code for pharmacy claims with payments.
2.04 PHARM W. PAYMNTS DT LAST UPDTD 2;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 10, 2019
  • HELP-PROMPT:  Enter the date the entry for pharmacy claims with payments was last updated.
  • DESCRIPTION:  The complete label: PHARM WITH PAYMENTS DATE LAST UPDATED
    The date the entry was last updated for pharmacy claims with payments.
2.05 PHARM W. PAYMNTS CARC DEC AMNT 2;5 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
  • LAST EDITED:  JAN 10, 2019
  • HELP-PROMPT:  Type a dollar amount between 0 and 999999999, 2 decimal digits.
  • DESCRIPTION:  The complete label: PHARM WITH PAYMENTS CARC DECREASE AMOUNT
    The maximum amount the CARC or RARC code can decrease the balance on a patient's bill for pharmacy claims with no payments.
2.06 PHARM WITH PAYMENTS COMMENT 2;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
    MAXIMUM LENGTH: 50
  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    User comment explaining why auto-decrease was turned on or off, or otherwise changed, for this CARC or RARC code for pharmacy claims with payments.
3.01 CARC TRICARE W PYMNTS AUTO-DEC 3;1 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter Yes to enable Auto-Decrease of TRICARE Claims with payments, No to disable.
  • DESCRIPTION:  The complete label: CARC TRICARE WITH PAYMENTS AUTO-DECREASE
    A Yes/No value indicating whether or not a CARC code can be auto-decreased for TRICARE claims with payments.
  • CROSS-REFERENCE:  344.62^ACTVT
    1)= S ^RCY(344.62,"ACTVT",$E(X,1,30),DA)=""
    2)= K ^RCY(344.62,"ACTVT",$E(X,1,30),DA)
    3)= Do not delete.
    Used to obtain a list of the active CARC codes for automatic decrease to be applied for TRICARE claims with payments.
3.02 TRICARE W. PAYMENTS DATE ADDED 3;2 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 12, 2019
  • HELP-PROMPT:  Enter the date when the CARC or RARC code was added for Tricare claims with payments auto-decrease.
  • DESCRIPTION:  
    The date when the CARC or RARC code was added for Tricare claims with payments automatic decreasing.
3.03 TRICARE W. PAYMENTS UPDATED BY 3;3 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter the user who added or updated the entry.
  • DESCRIPTION:  
    The user who last updated the entry for the specific CARC or RARC code for TRICARE claims with payments.
3.04 TRICARE W. PAYMENTS LAST UPDTD 3;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter the date the entry was last updated for Tricare claims with payments.
  • DESCRIPTION:  The complete label: TRICARE WITH PAYMENTS DATE LAST UPDATED
    The date the entry was last updated for Tricare claims with payments.
3.05 TRICARE W PYMNTS CARC DEC AMNT 3;5 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Type a dollar amount between 0 and 999999999, 2 decimal digits.
  • DESCRIPTION:  The complete label: TRICARE WITH PAYMENTS CARC DECREASE AMOUNT
    The maximum amount the CARC or RARC code can decrease the amount for Tricare claims with payments of the patient's bill.
3.06 TRICARE WITH PAYMENTS COMMENT 3;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
    MAXIMUM LENGTH: 50
  • LAST EDITED:  MAR 12, 2019
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    A comment explaining why the CARC or RARC was allowed to be auto-decreased or why auto-decrease was disabled for Tricare claims.
3.07 CARC TRICARE AUTO-DECRS NO-PAY 3;7 SET
  • '0' FOR No;
  • '1' FOR Yes;

  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter Yes to enable auto-decrease of Tricare claims with no payments, No to disable.
  • DESCRIPTION:  The complete label: CARC TRICARE AUTO-DECREASE NO-PAY
    A Yes/No value indicating whether a CARC code can be auto-decreased for Tricare claims with no payments.
  • CROSS-REFERENCE:  344.62^ACTVNT
    1)= S ^RCY(344.62,"ACTVNT",$E(X,1,30),DA)=""
    2)= K ^RCY(344.62,"ACTVNT",$E(X,1,30),DA)
    3)= Do not delete.
    Used to obtain a list of the active CARC codes for automatic decrease to be applied for TRICARE claims with no payments.
3.08 DATE ADDED TRICARE NO-PAY 3;8 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter the date the CARC or RARC code was added for Tricare claims with no payments.
  • DESCRIPTION:  
    The date when the CARC or RARC code was added for auto-decreasing Tricare claims with no payments.
3.09 TRICARE NO-PAY UPDATED BY 3;9 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Enter the user who updated the entry.
  • DESCRIPTION:  
    The user who updated the CARC or RARC code for Tricare claims with no payments.
3.1 TRICARE DATE LAST UPDTD NO-PAY 3;10 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • HELP-PROMPT:  Enter the date the entry was last updated for Tricare claims with no payments.
  • DESCRIPTION:  The complete label: TRICARE DATE LAST UPDATED NO-PAY
    The date the entry was last updated for Tricare claims with no payments.
3.11 CARC DECR AMNT TRICARE NO-PAY 3;11 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
  • LAST EDITED:  JAN 11, 2019
  • HELP-PROMPT:  Type a dollar amount between 0 and 999999999, 2 decimal digits.
  • DESCRIPTION:  The complete label: CARC DECREASE AMOUNT TRICARE NO-PAY
    The maximum amount the CARC or RARC code can decrease the amount of the patient's bill.
3.12 COMMENT TRICARE NO-PAY 3;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
    MAXIMUM LENGTH: 50
  • LAST EDITED:  OCT 18, 2019
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    For Tricare claims with no payments, a comment explaining why the CARC or RARC code was enabled or disabled.
Info |  Desc |  Accessed By FileMan Db Calls |  Pointer To FileMan Files |  Fields