Sub-Field: 162.14

Parent File	Name	Number	Package
162.11	ADJUSTMENT	162.14	Fee Basis

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	ADJUSTMENT REASON	0;1	POINTER TO ADJUSTMENT REASON FILE (#161.91)	ADJUSTMENT REASON(#161.91) INPUT TRANSFORM: `S DIC("S")="I $P($$AR^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `MAR 26, 2015` HELP-PROMPT: `Select a HIPAA Adjustment (suspense) Reason Code.` DESCRIPTION: `Adjustment reason codes explain why the amount paid differs from the amount claimed.` SCREEN: `S DIC("S")="I $P($$AR^FBUTL1(Y),U,4)=1"` EXPLANATION: `Only adjustment reasons that are applicable for Fee use can be selected.` CROSS-REFERENCE: `162.14^B` `1)= S ^FBAA(162.1,DA(2),"RX",DA(1),4,"B",$E(X,1,30),DA)=""` `2)= K ^FBAA(162.1,DA(2),"RX",DA(1),4,"B",$E(X,1,30),DA)` CROSS-REFERENCE: `162.1^AI^MUMPS` `1)= Q` `2)= D KILLRR^FBRXFR(X,.DA)` `Deletes remittance remarks associated with the adjustment reason when the reason is deleted.`
1	ADJUSTMENT GROUP	0;2	POINTER TO ADJUSTMENT GROUP FILE (#161.92)	ADJUSTMENT GROUP(#161.92) INPUT TRANSFORM: `S DIC("S")="I $P($$AG^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `JUN 18, 2003` HELP-PROMPT: `Select a HIPAA Adjustment Group Code.` DESCRIPTION: `The Adjustment Group Code pertains to the previously entered adjustment reason code.` SCREEN: `S DIC("S")="I $P($$AG^FBUTL1(Y),U,4)=1"` EXPLANATION: `Only adjustment groups that are applicable for Fee use can be selected.`
2	ADJUSTMENT AMOUNT	0;3	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<.01) X` LAST EDITED: `JUN 17, 2003` HELP-PROMPT: `Type a Dollar Amount between .01 and 999999, 2 Decimal Digits` DESCRIPTION: `Enter the dollar amount that is not being paid for this charge per the adjustment reason.`

.01

ADJUSTMENT REASON

0;1

POINTER TO ADJUSTMENT REASON FILE (#161.91)

ADJUSTMENT REASON(#161.91)

INPUT TRANSFORM: S DIC("S")="I $P($$AR^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: MAR 26, 2015
HELP-PROMPT: Select a HIPAA Adjustment (suspense) Reason Code.
DESCRIPTION:
Adjustment reason codes explain why the amount paid differs from the amount claimed.
SCREEN: S DIC("S")="I $P($$AR^FBUTL1(Y),U,4)=1"
EXPLANATION: Only adjustment reasons that are applicable for Fee use can be selected.
CROSS-REFERENCE: 162.14^B
1)= S ^FBAA(162.1,DA(2),"RX",DA(1),4,"B",$E(X,1,30),DA)=""
2)= K ^FBAA(162.1,DA(2),"RX",DA(1),4,"B",$E(X,1,30),DA)
CROSS-REFERENCE: 162.1^AI^MUMPS
1)= Q
2)= D KILLRR^FBRXFR(X,.DA)
Deletes remittance remarks associated with the adjustment reason when the reason is deleted.

ADJUSTMENT GROUP

0;2

POINTER TO ADJUSTMENT GROUP FILE (#161.92)

ADJUSTMENT GROUP(#161.92)

INPUT TRANSFORM: S DIC("S")="I $P($$AG^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: JUN 18, 2003
HELP-PROMPT: Select a HIPAA Adjustment Group Code.
DESCRIPTION:
The Adjustment Group Code pertains to the previously entered adjustment reason code.
SCREEN: S DIC("S")="I $P($$AG^FBUTL1(Y),U,4)=1"
EXPLANATION: Only adjustment groups that are applicable for Fee use can be selected.

ADJUSTMENT AMOUNT

0;3

NUMBER

INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<.01) X
LAST EDITED: JUN 17, 2003
HELP-PROMPT: Type a Dollar Amount between .01 and 999999, 2 Decimal Digits
DESCRIPTION:
Enter the dollar amount that is not being paid for this charge per the adjustment reason.

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Package: Fee Basis

FEE BASIS PHARMACY INVOICE(#162.1)-->162.11-->162.14

Sub-Field: 162.14

Information

Details