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IB ACCESS TO FB #162 ICR (6383)

IB ACCESS TO FB #162    ICR (6383)

Name Value
NUMBER 6383
IA # 6383
FILE NUMBER 162
GLOBAL ROOT FBAAC
DATE CREATED 2016/03/03
CUSTODIAL PACKAGE FEE BASIS
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME IB ACCESS TO FB #162
GENERAL DESCRIPTION 
Integrated Billing (IB) accesses the Fee Basis Payment
File (#162) in order to submit claims to third party payers for reimbursement
of Fee Basis payments. This is read only access.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER
FBAAC(D0,1,D1,1,D2,1,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
2 Read w/Fileman SERVICE PROVIDED 0;1
FBAAC(D0,1,D1,1,D2,1,D3,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Read w/Fileman SERVICE PROVIDED 0;1
2 Read w/Fileman AMOUNT PAID 0;3
23 Read w/Fileman FEE PROGRAM 0;9
26 Read w/Fileman PRIMARY SERVICE FACILITY 0;12
27 Read w/Fileman ASSOCIATED 7078/583 0;13
12 Read w/Fileman DATE PAID 0;14
14 Read w/Fileman INVOICE NUMBER 0;16
16 Read w/Fileman PURPOSE OF VISIT 0;18
28 Read w/Fileman PRIMARY DIAGNOSIS 0;23
FBAAC(D0,1,D1,1,D2,1,D3,3)
FIELD NUMBER ACCESS FIELD NAME LOCATION
15.5 Read w/Fileman AUTHORIZATION POINTER 3;9
FBAAC(D0,1,D1,1,D2,1,D3,4)
FIELD NUMBER ACCESS FIELD NAME LOCATION
63 Read w/Fileman RENDERING PROV NAME 4;6
64 Read w/Fileman RENDERING PROV NPI 4;7
65 Read w/Fileman RENDERING PROV TAXONOMY CODE 4;8
FBAAC(D0,1,D1,1,D2,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Read w/Fileman INITIAL TREATMENT DATE 0;1
STATUS Active
KEYWORDS
  • IB
  • FB
  • FBAAC
  • 162
  • 162.03
  • FEE BASIS PAYMENT
DURATION Till Otherwise Agreed
ID FBAAC
SUBSCRIBING PACKAGE INTEGRATED BILLING
DATE ACTIVATED 2016/05/18