DBIA2528    ICR (2528)

The name is a pointer to the PROSTHETIC PATIENT file
which has the same internal entry number as the main patient database.

This set of codes will tell what kind of transaction this request is.

This is the number of units that was issued or repaired
for this transaction.

The station is the Veterans Affairs site where this
transaction is to come to completion.  It is the station that is ultimately
responsible for the issue and payment for the prosthetic device. This is the
station reporting the workload.

This is the date that the appliance was delivered and
accepted by the patient.

The FORM REQUESTED ON is based on current VA regulations.

This set of codes denotes which two possible sources were
used for the acquisition of the appliance.  The sources are grouped into
either VA sources or commercial sources.

This field contains the total cost of the transaction.

This is the charge associated with shipping.

This field should have the HCPCS code for the prosthetics
item.

This field is a set of codes to identify pickup/delivery
charges on VAF 10-2319.

This is the station requesting services or appliances.

This field contains the institution that will receive the
VAF 10-2529-3 request for processing.

The total cost of the labor to perform this job.

The total cost of all the materials to perform the job.

The Prosthetic Laboratory Total Cost calculated by AMIS.

This field will be set if the Item will not count on the
Administrative AMIS or the Orthotic Laboratory AMIS.

This is the Prosthetic Patient Category used for counting
AMIS.

A number pulled from the Pros. Site Parameter file, used
in AMIS calculations.

If this field contains an asterisk (*), then this
transaction has been counted by the AMIS option, or is considered to be a
historical transaction.