| GENERAL DESCRIPTION |
The Fee Basis Claims system accesses the FEE BASIS
INVOICE (#162.5) file to view invoices and perform other claim functions.
^FBAAI(D0,0)
.01 NUMBER 0;1 Fileman r/w
1 INVOICE DATE RECEIVE 0;2 Fileman r/w,global r
2 VENDOR 0;3 Fileman r/w,global r
3 VETERAN 0;4 Fileman r,global r
4 ASSOCIATED 7078/583 0;5 Fileman r/w,global r
5 TREATMENT FROM DATE 0;6 Fileman r/w,global r
6 TREATMENT TO DATE 0;7 Fileman r/w,global r
7 AMOUNT CLAIMED 0;8 Fileman r/w,global r
8 AMOUNT PAID 0;9 Fileman r/w,global r
9 AMOUNT SUSPENDED 0;10 Fileman r,global r
10 SUSPEND CODE 0;11 Fileman r,global r
11 FEE PROGRAM 0;12 Fileman r/w,global r
12 PAYMENT TYPE CODE 0;13 Fileman r,global r
16 VOID PAYMENT 0;14 Fileman r,global r
17 SUPERVISOR WHO VOIDE 0;15 Read w/Fileman
19 DATE FINALIZED 0;16 Read w/Fileman
20 BATCH NUMBER 0;17 Fileman r/w, global r
21 PURPOSE OF VISIT 0;18 Read w/Fileman
22 PT TYPE CODE 0;19 Fileman r,global r
23 PRIMARY SERVICE FACI 0;20 Read w/Fileman
6.5 DISCHARGE TYPE CODE 0;21 Fileman r/w
6.6 BILLED CHARGES 0;22 Fileman r/w
6.7 PAYMENT BY MEDICARE/FED 0;23 Fileman r/w
24 DISCHARGE DRG 0;24 Fileman r/w,global r
25 RESUBMISSION 0;25 Fileman r/w
26 NVH PRICER AMOUNT 0;26 Fileman r/w
^FBAAI(D0,1,D1,0)
.01 DESCRIPTION OF SUSPENSE 0;1 Read w/Fileman ok
^FBAAI(D0,2)
45 DATE PAID 2;1 Fileman r,global r
46 VENDOR INVOICE DATE 2;2 Fileman r/w
47 PROMPT PAY TYPE 2;3 Fileman r/w
48 CHECK NUMBER 2;4 Fileman r,global r
49 CANCELLATION DATE 2;5 Fileman r,global r
50 REASON CODE 2;6 Fileman r,global r
51 CANCELLATION ACTIVIT 2;7 Fileman r,global r
52 DISBURSED AMOUNT 2;8 Fileman r,global r
53 INTEREST AMOUNT 2;9 Fileman r/global r
54 COVERED DAYS 2;10 Fileman r/w,global r
55 PATIENT CONTROL NUMB 2;11 Fileman r/w,global r
24.5 DRG WEIGHT 2;12 Fileman r/w
^FBAAI(D0,3)
56 FPPS CLAIM ID 3;1 Fileman r,global r
57 FPPS LINE ITEM 3;2 Fileman r,global r
^FBAAI(D0,8,0)
58 ADJUSTMENT Fileman r
^FBAAI(D0,8,D1,0)
.01 ADJSUTMENT REASON 0;1 Fileman r/w
1 ADJUSTMENT GROU 0;2 Fileman r/w
2 ADJUSTMENT AMOUNT 0;3 Fileman r/w
^FBAAI(D0,9,D1,0)
.01 REMITTANCE REMARK 0;1 Fileman r/w
^FBAAI(D0,DX)
30 ICD1 DX;1 Fileman r/w,global r
31 ICD2 DX;2 Fileman r/w,global r
32 ICD3 DX,3 Fileman r/w,global r
33 ICD4 DX;4 Fileman r/w,global r
34 ICD5 DX;5 Fileman r/w,global r
^FBAAI(D0,FBREJ)
13 REJECT STATUS FBREJ;1 Fileman r/w
14 REJECT REASON FBREJ;2 Fileman r/w
15 OLD BATCH NUMBER FBREJ;3 Fileman r/w
^FBAAI(D0,PROC)
40 PROC1 PROC;1 Fileman r/w,global r
41 PROC2 PROC;2 Fileman r/w,global r
42 PROC3 PROC;3 Fileman r/w,global r
43 PROC4 PROC;4 Fileman r/w,global r
44 PROC5 PROC;5 Fileman r/w,global r
^FBAAI(D0,R)
16.5 REASON FOR VOIDED PA R;1 Read w/Fileman
^FBAAI("AC") Used to lookup by Batch Number
^FBAAI("AD") Used to lookup by Date Finalized
^FBAAI("AE") Used to lookup by Batch and Veteran
^FBAAI("AH") Used to lookup by Old Batch number
^FBAAI("E") Used to lookup by Associated 7078/583
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