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FBCS File #162.2 R/W ICR (5279)

FBCS File #162.2 R/W    ICR (5279)

Name Value
NUMBER 5279
IA # 5279
FILE NUMBER 162.2
GLOBAL ROOT FBAA(162.2)
DATE CREATED 2008/10/22
CUSTODIAL PACKAGE FEE BASIS
USAGE Controlled Subscription
TYPE File
NAME FBCS File #162.2 R/W
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER
FBAA(162.2,D0,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Both R/W w/Fileman
(#.01) DATE/TIME [1D]
DATE/TIME 0;1
1 Both R/W w/Fileman
(#1) VENDOR [2P:161.2]
VENDOR 0;2
2 Both R/W w/Fileman
(#2) PERSON WHO CALLED [3F]
PERSON WHO CALLED 0;3
3 Both R/W w/Fileman
(#3) VETERAN [4P:2]
VETERAN 0;4
4 Both R/W w/Fileman
(#4) AUTHORIZED FROM DATE/TIME [5D]
AUTHORIZED FROM DATE/TIME 0;5
5 Both R/W w/Fileman
(#5) ADMITTING DIAGNOSIS [6F]
ADMITTING DIAGNOSIS 0;6
6 Both R/W w/Fileman
(#6) ATTENDING PHYSICIAN [7F]
ATTENDING PHYSICIAN 0;7
7 Both R/W w/Fileman
(#7) USER ENTERING NOTIFICATION [8P:200]
USER ENTERING NOTIFICATION 0;8
8 Both R/W w/Fileman
(#8) LEGAL ENTITLEMENT [9F]
LEGAL ENTITLEMENT 0;9
10 Both R/W w/Fileman
(#10) USER ENTERING LEGAL DETERM. [11P:200]
USER ENTERING LEGAL DETERM. 0;11
9 Both R/W w/Fileman
(#9) DATE OF LEGAL DETERMINATION [10D]
DATE OF LEGAL DETERMINATION 0;10
11 Both R/W w/Fileman
(#11) MEDICAL ENTITLEMENT [12F]
MEDICAL ENTITLEMENT 0;12
12 Both R/W w/Fileman
(#12) DATE OF MEDICAL DETERMINATION [13D]
DATE OF MEDICAL DETERMINATION 0;13
13 Both R/W w/Fileman
(#13) USER ENTERING MEDICAL DETERM. [14P:200]
USER ENTERING MEDICAL DETERM 0;14
100 Both R/W w/Fileman
(#100) REQUEST STATUS [15S]
REQUEST STATUS 0;15
14 Both R/W w/Fileman
(#14) SUSPENSE CODE [16P:161.27]
SUSPENSE CODE 0;16
16 Both R/W w/Fileman
(#16) ASSOCIATED 7078 [17P:162.4]
ASSOCIATED 7078 0;17
6.5 Both R/W w/Fileman
(#6.5) ATTEN.PHYSICIAN PHONE NUMBER [18F]
ATTEN.PHYSICIAN PHONE NUMBER 0;18
3.5 Both R/W w/Fileman
(#3.5) DATE/TIME OF ADMISSION [19D]
DATE/TIME OF ADMISSION 0;19
FBAA(162.2,D0,1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
15 Both R/W w/Fileman
SUBFILE 162.215 (#15) DESCRIPTION OF SUSPENSION
DESCRIPTION OF SUSPENSION 0;4
FBAA(162.2,D0,1,D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Both R/W w/Fileman
(#.01) DESCRIPTION OF SUSPENSION [1W]
DESCRIPTION OF SUSPENSION 0;1
FBAA(162.2,D0,2)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
17 Both R/W w/Fileman
(#17) REFERRING PROVIDER [1P:200]
referring provider 0;1
STATUS Retired
KEYWORDS FBCS
DURATION Till Otherwise Agreed
ID FBAA(162.2)
SUBSCRIBING PACKAGE FEE BASIS CLAIMS SYSTEM