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FEE BASIS FILE 161 R ICR (5777)

FEE BASIS FILE 161 R    ICR (5777)

Name Value
NUMBER 5777
IA # 5777
FILE NUMBER 161
GLOBAL ROOT FBAAA(
DATE CREATED 2012/03/05
CUSTODIAL PACKAGE FEE BASIS
USAGE Controlled Subscription
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME FEE BASIS FILE 161 R
GENERAL DESCRIPTION 

NwHIN Direct accesses the FEE BASIS PATIENT (#161) file to read.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER
FBAAA(DA,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Read w/Fileman NAME 0;1
FBAAA(D0,1,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
1 Read w/Fileman AUTHORIZATION 0;4
FBAAA(D0,1,D1,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Read w/Fileman FROM DATE 0;1
.02 Read w/Fileman TO DATE 0;2
.03 Read w/Fileman FEE PROGRAM 0;3
.04 Read w/Fileman VENDOR 0;4
.07 Read w/Fileman PURPOSE OF VISIT CODE 0;7
.08 Read w/Fileman DX LINE 1 0;8
.095 Read w/Fileman TREATMENT TYPE CODE 0;13
.06 Read w/Fileman DISCHARGE TYPE 0;15
.065 Read w/Fileman PATIENT TYPE CODE 0;18
.096 Read w/Fileman ACCIDENT RELATED (Y/N) 0;19
.097 Read w/Fileman POTENTIAL COST RECOV 0;20
2 Read w/Fileman TYPE OF CARE 0;14
101 Read w/Fileman PRIMARY SERVICE AREA 0;5
104 Read w/Fileman REFERRING PROVIDER 0;21
FBAAA(D0,1,D1,1)
FIELD NUMBER ACCESS FIELD NAME LOCATION
3 Read w/Fileman DATED PRINTED 1;2
FBAAA(D0,1,D1,2,0)
FIELD NUMBER ACCESS FIELD NAME
.021 Read w/Fileman AUTHORIZATION REMARKS
FBAAA(D0,1,D1,2,D2,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Read w/Fileman AUTHORIZATION REMARK 0;1
FBAAA(D0,1,D1,3)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.086 Read w/Fileman DX LINE 3 3;2
.085 Read w/Fileman DX LINE 2 3;1
FBAAA(D0,1,D1,100)
FIELD NUMBER ACCESS FIELD NAME LOCATION
100 Read w/Fileman CLERK 100;1
FBAAA(D0,1,D1,'C')
FIELD NUMBER ACCESS FIELD NAME LOCATION
1 Read w/Fileman PRINT AUTHORIZATION 'C';1
FBAAA(D0,4)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.5 Read w/Fileman FEE ID CARD NUMBER 4;1
.6 Read w/Fileman FEE ID CARD ISSUE DATE 4;2
STATUS Active
KEYWORDS
  • FEE BASIS
  • NwHIN
DURATION Till Otherwise Agreed
ID FBAAA(
SUBSCRIBING PACKAGE NATIONAL HEALTH INFO NETWORK
DATE ACTIVATED 2012/03/29