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FBCS FILE 162 R/W/D ICR (5107)

FBCS FILE 162 R/W/D    ICR (5107)

Name Value
NUMBER 5107
IA # 5107
FILE NUMBER 162
GLOBAL ROOT FBAAC
DATE CREATED 2008/02/07
CUSTODIAL PACKAGE FEE BASIS
USAGE Controlled Subscription
TYPE File
NAME FBCS FILE 162 R/W/D
ORIGINAL NUMBER 5105
GENERAL DESCRIPTION
The Fee Basis Claims system accesses the FEE BASIS
PAYMENT (#162) file in order to look up and display entries and add/edit
payments.

^FBAAC(D0,0)
.01      PATIENT              0;1      Global r,Fileman w (laygo)
^FBAAC(D0,1,0)                           Global r ($D)
6        VENDOR
^FBAAC(D0,1,D1,0)
.01      VENDOR               0;1      Fileman w
^FBAAC(D0,1,D1,1,0)                      Global r ($D)
1        INITIAL TREATMENT DA
^FBAAC(D0,1,D1,1,D2,0)
.01      INITIAL TREATMENT DA 0;1      Global r, Fileman w
1.5      FEE PROGRAM          0;3      Global r, Fileman w
3        AUTHORIZATION POINTE 0;4      Global r, Fileman w
^FBAAC(D0,1,D1,1,D2,1,D3,0)
.01      SERVICE PROVIDED     0;1      Global r, Fileman w
1        AMOUNT CLAIMED       0;2      Global r, Fileman w
2        AMOUNT PAID          0;3      Global r, Fileman w
3        AMT SUSPENDED        0;4      Global r, Fileman w
4        SUSPEND CODE         0;5      Global r, Fileman w
5        DATE FINALIZED       0;6      Global r,Fileman r/w
6        CLERK                0;7      Global r, Fileman w
7        BATCH NUMBER         0;8      Global r/w, Fileman w
23       FEE PROGRAM          0;9      Global r, Fileman w
8        OBLIGATION NUMBER    0;10     Global r, Fileman w
3.5      DATE SUSPENDED       0;11     Fileman w
26       PRIMARY SERVICE FACI 0;12     Global r, Fileman w
27       ASSOCIATED 7078/583  0;13     Global r, Fileman w
13       DATE CORRECT INVLOIC 0;15     Global r, Fileman w
14       INVOICE NUMBER       0;16     Global r, Fileman w
15       patient type code    0;17     Global r, Fileman w
16       Purpose of visit     0;18     Global r, Fileman w
17       Treatment type code  0;19     Fileman w
18       Payment type code    0;20     Global r, Fileman w
24       Void payment         0;21     Global r
28       Primary diagnosis    0;23     Global r, Fileman w
29       VA type of service   0;24     Global r
30       PLACE OF SERVICE     0;25     Global r, Fileman w
31       HCFA type of service 0;26     Global r, Fileman w
32       Service connected co 0;27     Global r, Fileman w
^FBAAC(D0,1,D1,1,D2,1,D3,1,D4,0)
.01      DESCRIPTION OF SUSPE 0;1      Fileman w
^FBAAC(D0,1,D1,1,D2,1,D3,2)
33       VENDOR INVOICE DATE  2;1      Global r, Fileman w
34       Prompt pay type      2;2      Fileman w
42       SITE OF SERVICE ZIP  2;10     Fileman w
44       Fee schedule amount  2;13     Fileman w
45       Fee Schedule         2;13     Fileman w
47       units paid           2;14     Global r, Fileman w
48       Revenue Code         2;15     Fileman w
49       Patient account numb 2;16     Global r, Fileman w
^FBAAC(D0,1,D1,1,D2,1,D3,3)
50       FPPS claim ID        3;1      Global r, Fileman w
51       FPPS line item       3;2      Global r, Fileman w
15.5     Authorization Ptr    3;9      Globsl r, Fileman w
^FBAAC(D0,1,D1,1,D2,1,D3,7,0)            Global r ($D)
52       Adjustment
^FBAAC(D0,1,D1,1,D2,1,D3,7,D4,0)
.01      Adjustment reason    0;1      Fileman r/w
1        Adjustment group     0;2      Fileman r/w
2        Adjustment Amount    0;3      Fileman r/w
^FBAAC(D0,1,D1,1,D2,1,D3,8,0)            Global r
53       Remittance remark
^FBAAC(D0,1,D1,1,D2,1,D3,8,D4,0)
.01      Remittance remark    0;1      Fileman r
^FBAAC(D0,1,D1,1,D2,1,D3,FBREJ)          Global kill of node
20       Reject reason        FBREJ;2  Global r
^FBAAC(D0,1,D1,1,D2,1,D3,M,0)            Global r
46       CPT modifier
^FBAAC(D0,1,D1,1,D2,1,D3,M,D4,0)
.01      CPT Modifier         0;1      Fileman r
^FBAAC(D0,3,D1,0)
2    TRAVEL AMOUNT            0;3      Global r
8    DATE PAID                0;6      Global r
9    CHECK NUMBER             0;7      Global r
10   CANCELLATION DATE        0;8      Global r
11   REASON CODE              0;9      Global r
12   CANCELLATION ACTIVITY    0;10     Global r
13   DISBURSED AMOUNT         0;11     Global r
14   INTEREST AMOUNT          0;12     Global r

^FBAAC("AB")  Check for existence of record by Vendor
Used to lookup by vendor IEN
^FBAAC("AC")  Check for existence of record by Batch,
Used for lookup by Batch, global set xref
^FBAAC("AD")  Check for existence of record by Travel Batch,
Used for lookup by Travel Batch
^FBAAC("AE")  Used to existence of record by CPT modifier
^FBAAC("AJ")  Used for lookup by original Batch, global set xref
^FBAAC("AF")  Check for existence of Authorization
^FBAAC("AH")  Check for existence of Batch, lookup by Batch
global kill of xref for Batch
^FBAAC("AM")  Check for existence of FB7078 (anc services)
^FBAAC("AN")  Check for existence by Fee Program
^FBAAC("C")   Check for existence by Invoice Number
^FBAAC(D2,D1,"AD")  Check for existence of prior claims
^FBAAC(D2,"AB")     Used to lookup by Treatment date
^FBAAC(D1,3,"AB")   Check existence of data,
loop to get entries by Travel Payment Dt
STATUS Retired
KEYWORDS FBCS
DURATION Till Otherwise Agreed
ID FBAAC
SUBSCRIBING PACKAGE FEE BASIS CLAIMS SYSTEM
DATE ACTIVATED 2016/04/29