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Routine: IBY399P2

IBY399P2.m

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