IBY399P2 ;ALB/ARH - IB*2*399 POST-INSTALL - RNB LIST ; 16-OCT-2008
;;2.0;INTEGRATED BILLING;**399**;21-MAR-94;Build 8
;;Per VHA Directive 2004-038, this routine should not be modified.
;
;
RNB ;;#^Status^Code^ECME Flag^ECME Paper Flag^RNB Name
INA ;;
;;6^INA^^^^SERVICE NOT COVERED
;;19^INA^^^^BILL PURGED
;;23^INA^^^^INSUFFICIENT DOCUMENTATION
;;25^INA^^^^NON-BILLABLE PROVIDER (RESID.)
;;26^INA^^^^NON-BILLABLE PROVIDER (OTHER)
OLD ;;
;;1^OLD^CV01^^^NOT INSURED
;;2^OLD^VA01^^^SC TREATMENT
;;3^OLD^VA02^^^AGENT ORANGE
;;4^OLD^VA03^^^IONIZING RADIATION
;;5^OLD^VA04^^^SOUTHWEST ASIA
;;7^OLD^CV02^^^COVERAGE CANCELED
;;8^OLD^VA05^^^NEEDS SC DETERMINATION
;;9^OLD^MC01^^^NON-BILLABLE APPOINTMENT TYPE
;;10^OLD^RX01^^^INVALID PRESCRIPTION ENTRY
;;11^OLD^RX02^^^REFILL ON VISIT DATE
;;12^OLD^RX03^^^PRESCRIPTION DELETED
;;13^OLD^RX04^^^PRESCRIPTION NOT RELEASED
;;14^OLD^RX05^^^DRUG NOT BILLABLE
;;15^OLD^CV03^^^HMO POLICY
;;16^OLD^MC02^^^REFUSES TO SIGN RELEASE (ROI)
;;17^OLD^MC03^^^NON-BILLABLE STOP CODE
;;18^OLD^MC04^^^RESEARCH VISIT
;;20^OLD^MC05^^^NON-BILLABLE CLINIC
;;21^OLD^VA06^^^MILITARY SEXUAL TRAUMA
;;22^OLD^MC06^^^CREDENTIALING ISSUE
;;24^OLD^DC01^^^NO DOCUMENTATION
;;27^OLD^MC07^^^OTHER COMPLIANCE
;;28^OLD^CV04^^^OUT OF NETWORK (PPO)
;;29^OLD^VA07^^^HEAD/NECK CANCER
;;30^OLD^VA08^^^COMBAT VETERAN
;;31^OLD^CV05^^^MRA REC'D. NO SEC RESP EXISTS
;;32^OLD^CV06^^^MRA REC'D. SEC NOT BILLED
;;33^OLD^RX06^^0^90 DAY RX FILL NOT COVERED
;;34^OLD^RX07^^0^NOT A CONTRACTED PROVIDER
;;35^OLD^RX08^^^INVALID MULTIPLES PER DAY SUPP
;;36^OLD^RX09^^^REFILL TOO SOON
;;37^OLD^RX10^^^INVALID NDC FROM CMOP
;;38^OLD^VA09^^^PROJECT 112/SHAD
;;999^OLD^^^^OTHER
NEW ;;
;;39^NEW^RX11^1^0^NON COVERED DRUG PER PLAN
;;40^NEW^CV07^1^0^FILING TIMEFRAME NOT MET
;;41^NEW^MC08^^^GLOBAL SURGERY
;;42^NEW^BL01^^^CHARGES SPLIT
;;43^NEW^MC09^^^PRE-CERT NOT OBTAINED
;;44^NEW^MC10^^^DUPLICATE ENCOUNTER
;;45^NEW^CV08^^^MEDICARE REPLACEMENT POLICY
;;46^NEW^CV09^^^COVERED BY MEDICARE AT 100%
;;47^NEW^CV10^^^BENEFITS MAXED
;;48^NEW^VA10^^^C&P EXAM/REGISTRY EXAM
;;49^NEW^MC11^^^TELEPHONE ENCOUNTER
;;50^NEW^DC02^^^NO TX PROVIDED/ADVICE ONLY
;;51^NEW^MC12^^^ROI NOT OBTAINED
;;52^NEW^DC03^^^UNSIGNED DOCUMENT
;;53^NEW^CV11^^^CONCURRENT CARE
;;54^NEW^MC13^^^72 HOUR RULE
;;55^NEW^CV12^^^CUSTODIAL/RESIDENTIAL CARE
;;56^NEW^BL02^^^OBSERVATION-OP BILLED
;;57^NEW^BL03^^^BILLED INSTITUTIONAL ONLY
;;58^NEW^BL04^^^BILLED PROFESSIONAL ONLY
;;59^NEW^CV13^^^NO OUTPATIENT COVERAGE
;;60^NEW^CV14^^^NO INPATIENT COVERAGE
;;61^NEW^CV15^1^0^NO PHARMACY COVERAGE
;;62^NEW^CV16^^^NO DENTAL COVERAGE
;;63^NEW^CV17^^^NO MENTAL HEALTH COVERAGE
;;64^NEW^CV18^^^NO LTC COVERAGE
;;65^NEW^MN01^^^MED NEC-DX NOT COVERED
;;66^NEW^MN02^^^MED NEC-CPT NOT COVERED
;;67^NEW^MN03^^^MED NEC-LCD EDIT
;;68^NEW^MN04^^^MED NEC-OTHER
;;69^NEW^CV19^^^MEDICARE EXCLUDED SERVICE
;;70^NEW^MC14^^^RESIDENT SUPERVISION NOT MET
;;71^NEW^MC15^^^ANCILLARY PROVIDER AT CBOC
;;72^NEW^CV20^^^NON-COVERED PROVIDER
;;73^NEW^DC04^^^NO DIAGNOSIS/SYMPTOMS IN NOTE
;;74^NEW^DC05^^^NO CHIEF COMPLAINT
;;75^NEW^DC06^^^NOTE NOT WRITTEN TIMELY
;;76^NEW^DC07^^^NO PHYSICIAN ORDER
;;77^NEW^DC08^^^NO PLAN OF CARE
;;78^NEW^DC09^^^STUDENT NOTE ONLY
;;79^NEW^BL05^^^ALL BILLABLE CPT CODES BILLED
;;80^NEW^BL06^^^NO INPT PROF FEES BILLED
;;81^NEW^BL07^^^REPETITIVE SERVICES
;;82^NEW^MC16^^^PENDING CODE SET UPDATE
;;83^NEW^MC17^^^PENDING RC CHARGE UPDATE
;;84^NEW^MC18^1^0^NPI/TAXONOMY ISSUES
;;85^NEW^RX12^1^0^RX DUR REJECT
;;86^NEW^RX13^1^0^RX PRIOR AUTH NOT OBTAINED
;;87^NEW^RX14^1^0^RX MEDICARE PART D
;;88^NEW^RX15^1^0^RX DISCOUNT CARD
;;89^NEW^MC19^1^0^DATE OF BIRTH MISMATCH
;;90^NEW^DC10^^^NEW PT/NO HX
;;91^NEW^DC11^^^NEW PT/NO EXAM
;;92^NEW^DC12^^^NEW PT/NO COMPLEXITY
;;93^NEW^DC13^^^EST PT/NO HX/NO EXAM
;;94^NEW^DC14^^^EST PT/NO HX/NO COMPLEXITY
;;95^NEW^DC15^^^EST PT/NO EXAM/NO COMPLEXITY
;;96^NEW^CV21^^^NO VISION COVERAGE
;;
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBY399P2 4080 printed Apr 09, 2024@21:16:01 Page 2
IBY399P2 ;ALB/ARH - IB*2*399 POST-INSTALL - RNB LIST ; 16-OCT-2008
+1 ;;2.0;INTEGRATED BILLING;**399**;21-MAR-94;Build 8
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 ;
+4 ;
RNB ;;#^Status^Code^ECME Flag^ECME Paper Flag^RNB Name
INA ;;
+1 ;;6^INA^^^^SERVICE NOT COVERED
+2 ;;19^INA^^^^BILL PURGED
+3 ;;23^INA^^^^INSUFFICIENT DOCUMENTATION
+4 ;;25^INA^^^^NON-BILLABLE PROVIDER (RESID.)
+5 ;;26^INA^^^^NON-BILLABLE PROVIDER (OTHER)
OLD ;;
+1 ;;1^OLD^CV01^^^NOT INSURED
+2 ;;2^OLD^VA01^^^SC TREATMENT
+3 ;;3^OLD^VA02^^^AGENT ORANGE
+4 ;;4^OLD^VA03^^^IONIZING RADIATION
+5 ;;5^OLD^VA04^^^SOUTHWEST ASIA
+6 ;;7^OLD^CV02^^^COVERAGE CANCELED
+7 ;;8^OLD^VA05^^^NEEDS SC DETERMINATION
+8 ;;9^OLD^MC01^^^NON-BILLABLE APPOINTMENT TYPE
+9 ;;10^OLD^RX01^^^INVALID PRESCRIPTION ENTRY
+10 ;;11^OLD^RX02^^^REFILL ON VISIT DATE
+11 ;;12^OLD^RX03^^^PRESCRIPTION DELETED
+12 ;;13^OLD^RX04^^^PRESCRIPTION NOT RELEASED
+13 ;;14^OLD^RX05^^^DRUG NOT BILLABLE
+14 ;;15^OLD^CV03^^^HMO POLICY
+15 ;;16^OLD^MC02^^^REFUSES TO SIGN RELEASE (ROI)
+16 ;;17^OLD^MC03^^^NON-BILLABLE STOP CODE
+17 ;;18^OLD^MC04^^^RESEARCH VISIT
+18 ;;20^OLD^MC05^^^NON-BILLABLE CLINIC
+19 ;;21^OLD^VA06^^^MILITARY SEXUAL TRAUMA
+20 ;;22^OLD^MC06^^^CREDENTIALING ISSUE
+21 ;;24^OLD^DC01^^^NO DOCUMENTATION
+22 ;;27^OLD^MC07^^^OTHER COMPLIANCE
+23 ;;28^OLD^CV04^^^OUT OF NETWORK (PPO)
+24 ;;29^OLD^VA07^^^HEAD/NECK CANCER
+25 ;;30^OLD^VA08^^^COMBAT VETERAN
+26 ;;31^OLD^CV05^^^MRA REC'D. NO SEC RESP EXISTS
+27 ;;32^OLD^CV06^^^MRA REC'D. SEC NOT BILLED
+28 ;;33^OLD^RX06^^0^90 DAY RX FILL NOT COVERED
+29 ;;34^OLD^RX07^^0^NOT A CONTRACTED PROVIDER
+30 ;;35^OLD^RX08^^^INVALID MULTIPLES PER DAY SUPP
+31 ;;36^OLD^RX09^^^REFILL TOO SOON
+32 ;;37^OLD^RX10^^^INVALID NDC FROM CMOP
+33 ;;38^OLD^VA09^^^PROJECT 112/SHAD
+34 ;;999^OLD^^^^OTHER
NEW ;;
+1 ;;39^NEW^RX11^1^0^NON COVERED DRUG PER PLAN
+2 ;;40^NEW^CV07^1^0^FILING TIMEFRAME NOT MET
+3 ;;41^NEW^MC08^^^GLOBAL SURGERY
+4 ;;42^NEW^BL01^^^CHARGES SPLIT
+5 ;;43^NEW^MC09^^^PRE-CERT NOT OBTAINED
+6 ;;44^NEW^MC10^^^DUPLICATE ENCOUNTER
+7 ;;45^NEW^CV08^^^MEDICARE REPLACEMENT POLICY
+8 ;;46^NEW^CV09^^^COVERED BY MEDICARE AT 100%
+9 ;;47^NEW^CV10^^^BENEFITS MAXED
+10 ;;48^NEW^VA10^^^C&P EXAM/REGISTRY EXAM
+11 ;;49^NEW^MC11^^^TELEPHONE ENCOUNTER
+12 ;;50^NEW^DC02^^^NO TX PROVIDED/ADVICE ONLY
+13 ;;51^NEW^MC12^^^ROI NOT OBTAINED
+14 ;;52^NEW^DC03^^^UNSIGNED DOCUMENT
+15 ;;53^NEW^CV11^^^CONCURRENT CARE
+16 ;;54^NEW^MC13^^^72 HOUR RULE
+17 ;;55^NEW^CV12^^^CUSTODIAL/RESIDENTIAL CARE
+18 ;;56^NEW^BL02^^^OBSERVATION-OP BILLED
+19 ;;57^NEW^BL03^^^BILLED INSTITUTIONAL ONLY
+20 ;;58^NEW^BL04^^^BILLED PROFESSIONAL ONLY
+21 ;;59^NEW^CV13^^^NO OUTPATIENT COVERAGE
+22 ;;60^NEW^CV14^^^NO INPATIENT COVERAGE
+23 ;;61^NEW^CV15^1^0^NO PHARMACY COVERAGE
+24 ;;62^NEW^CV16^^^NO DENTAL COVERAGE
+25 ;;63^NEW^CV17^^^NO MENTAL HEALTH COVERAGE
+26 ;;64^NEW^CV18^^^NO LTC COVERAGE
+27 ;;65^NEW^MN01^^^MED NEC-DX NOT COVERED
+28 ;;66^NEW^MN02^^^MED NEC-CPT NOT COVERED
+29 ;;67^NEW^MN03^^^MED NEC-LCD EDIT
+30 ;;68^NEW^MN04^^^MED NEC-OTHER
+31 ;;69^NEW^CV19^^^MEDICARE EXCLUDED SERVICE
+32 ;;70^NEW^MC14^^^RESIDENT SUPERVISION NOT MET
+33 ;;71^NEW^MC15^^^ANCILLARY PROVIDER AT CBOC
+34 ;;72^NEW^CV20^^^NON-COVERED PROVIDER
+35 ;;73^NEW^DC04^^^NO DIAGNOSIS/SYMPTOMS IN NOTE
+36 ;;74^NEW^DC05^^^NO CHIEF COMPLAINT
+37 ;;75^NEW^DC06^^^NOTE NOT WRITTEN TIMELY
+38 ;;76^NEW^DC07^^^NO PHYSICIAN ORDER
+39 ;;77^NEW^DC08^^^NO PLAN OF CARE
+40 ;;78^NEW^DC09^^^STUDENT NOTE ONLY
+41 ;;79^NEW^BL05^^^ALL BILLABLE CPT CODES BILLED
+42 ;;80^NEW^BL06^^^NO INPT PROF FEES BILLED
+43 ;;81^NEW^BL07^^^REPETITIVE SERVICES
+44 ;;82^NEW^MC16^^^PENDING CODE SET UPDATE
+45 ;;83^NEW^MC17^^^PENDING RC CHARGE UPDATE
+46 ;;84^NEW^MC18^1^0^NPI/TAXONOMY ISSUES
+47 ;;85^NEW^RX12^1^0^RX DUR REJECT
+48 ;;86^NEW^RX13^1^0^RX PRIOR AUTH NOT OBTAINED
+49 ;;87^NEW^RX14^1^0^RX MEDICARE PART D
+50 ;;88^NEW^RX15^1^0^RX DISCOUNT CARD
+51 ;;89^NEW^MC19^1^0^DATE OF BIRTH MISMATCH
+52 ;;90^NEW^DC10^^^NEW PT/NO HX
+53 ;;91^NEW^DC11^^^NEW PT/NO EXAM
+54 ;;92^NEW^DC12^^^NEW PT/NO COMPLEXITY
+55 ;;93^NEW^DC13^^^EST PT/NO HX/NO EXAM
+56 ;;94^NEW^DC14^^^EST PT/NO HX/NO COMPLEXITY
+57 ;;95^NEW^DC15^^^EST PT/NO EXAM/NO COMPLEXITY
+58 ;;96^NEW^CV21^^^NO VISION COVERAGE
+59 ;;
+60 QUIT
