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IB ACCESS TO FB #161 ICR (6384)

IB ACCESS TO FB #161    ICR (6384)

Name Value
NUMBER 6384
IA # 6384
FILE NUMBER 161
GLOBAL ROOT FBAAA
DATE CREATED 2016/03/03
CUSTODIAL PACKAGE FEE BASIS
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME IB ACCESS TO FB #161
GENERAL DESCRIPTION 
Integrated Billing (IB) accesses the Fee Basis Payment
File (#161) 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 GLOBAL DESCRIPTION
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
101 Read w/Fileman PRIMARY SERVICE AREA 0;5
.07 Read w/Fileman PURPOSE OF VISIT CODE 0;7
.08 Read w/Fileman DX LINE 1 0;8
.055 Read w/Fileman ASSOCIATED 7078/583 0;9
.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 RECOVERY CASE 0;20
104 Read w/Fileman REFERRING PROVIDER 0;21
105 Read w/Fileman CONTRACT 0;22
FBAAA(D0,1,D1,2,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.021 Read w/Fileman AUTHORIZATION REMARKS 2;0 
Used to identify limitations or detail specifics
regarding the authorization. The information contained here is displayed
during the enter payment option and also on patient inquiry option.
FBAAA(D0,1,D1,3)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.085 Read w/Fileman DX LINE 2 3;1
.086 Read w/Fileman DX LINE 3 3;2
FBAAA(D0,1,D1,C)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.087 Read w/Fileman ICD DIAGNOSIS C;2
STATUS Active
KEYWORDS
  • 161
  • FBAA
  • FEE BASIS CONTRACT FILE
DURATION Till Otherwise Agreed
ID FBAAA
SUBSCRIBING PACKAGE INTEGRATED BILLING
DATE ACTIVATED 2016/05/09