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6389 - Label CATC in FBPCR for IB ICR (6389)

6389 - Label CATC in FBPCR for IB    ICR (6389)

Name Value
NUMBER 6389
IA # 6389
DATE CREATED 2016/03/09
CUSTODIAL PACKAGE FEE BASIS
USAGE Private
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE FBPCR
NAME 6389 - Label CATC in FBPCR for IB
GENERAL DESCRIPTION
Integrated Billing (IB) requires use of CATC^FBPCR to
determine if patient is liable for a copayment in the FEE BASIS system. IB
uses this information to seek third party reimbursement for FEE BASIS charges.

STATUS Active
KEYWORDS
  • FBPCR
  • COPAY
  • FEE BASIS
DURATION Till Otherwise Agreed
ID FBPCR
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION VARIABLES
CATC
Determines patient liability for a copayment.
VARIABLES TYPE VARIABLES DESCRIPTION
FBARRLTC Input
This array is required to be populated for this
routine to work properly. The array is created by MKARRLTC^FBPCR4. The output
is array FBARRLTC() with format FBARRLTC(POV code)=value where POV code is a
purpose of visit code (external value) for long term care where value:

= 1 if POV code is for LTC and recoverable from
LTC copayment

= 2 if POV code is for LTC but it is not a
subject of LTC copayment
DFN Input
IEN in Patient File
FBDT Input
Date of service
FBPOV Input
POV Code for LTC determination
$$CATC Output
Copay liability. Possible values are: 0 - the patient
is not liable for any co-pay; 1 - if means test or pending adjudication and
agree to pay deductible; 2 - the patient is liable for LTC co-pay; 3 - no
1010EC on file; 4 - more analysis is needed to determine the patient liability
SUBSCRIBING PACKAGE INTEGRATED BILLING
DATE ACTIVATED 2016/09/20