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 |