Sub-Field: 162.15

Parent File	Name	Number	Package
162.11	REMITTANCE REMARK	162.15	Fee Basis

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	REMITTANCE REMARK	0;1	POINTER TO REMITTANCE REMARK FILE (#161.93)	REMITTANCE REMARK(#161.93) INPUT TRANSFORM: `S DIC("S")="I $P($$RR^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `JUN 18, 2003` HELP-PROMPT: `Select a HIPAA Remittance Remark Code.` DESCRIPTION: `Select a remittance remark code to provide non-financial information critical to understanding the adjudication of the claim.` SCREEN: `S DIC("S")="I $P($$RR^FBUTL1(Y),U,4)=1"` EXPLANATION: `Only remittance remarks that are applicable for Fee use can be selected.` CROSS-REFERENCE: `162.15^B` `1)= S ^FBAA(162.1,DA(2),"RX",DA(1),5,"B",$E(X,1,30),DA)=""` `2)= K ^FBAA(162.1,DA(2),"RX",DA(1),5,"B",$E(X,1,30),DA)`
1	ADJUSTMENT	0;2	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `MAR 17, 2015` HELP-PROMPT: `Type a number between 0 and 999, 0 decimal digits.` DESCRIPTION: `For Internal use only. Used to associate a remittance remark entry with an adjustment reason within the ADJUSTMENT Multiple. The value entered into the ADJUSTMENT field is the DA of the adjustment reason entry.`

REMITTANCE REMARK

0;1

POINTER TO REMITTANCE REMARK FILE (#161.93)

INPUT TRANSFORM: S DIC("S")="I $P($$RR^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: JUN 18, 2003
HELP-PROMPT: Select a HIPAA Remittance Remark Code.
DESCRIPTION:
Select a remittance remark code to provide non-financial information critical to understanding the adjudication of the claim.
SCREEN: S DIC("S")="I $P($$RR^FBUTL1(Y),U,4)=1"
EXPLANATION: Only remittance remarks that are applicable for Fee use can be selected.
CROSS-REFERENCE: 162.15^B
1)= S ^FBAA(162.1,DA(2),"RX",DA(1),5,"B",$E(X,1,30),DA)=""
2)= K ^FBAA(162.1,DA(2),"RX",DA(1),5,"B",$E(X,1,30),DA)

ADJUSTMENT

0;2

NUMBER

INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAR 17, 2015
HELP-PROMPT: Type a number between 0 and 999, 0 decimal digits.
DESCRIPTION:
For Internal use only. Used to associate a remittance remark entry with an adjustment reason within the ADJUSTMENT Multiple. The value entered into the ADJUSTMENT field is the DA of the adjustment reason entry.