- 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