BARADJRB.m

BARADJRB ; IHS/SD/LSL - data values for BARADJRA ;

 ;;1.8;IHS ACCOUNTS RECEIVABLE;;OCT 26, 2005

 ;

 ; IHS/SD/LSL - 10/07/2003 - V1.7 Patch 4

 ;      Contains $T values for BARADJRA in regards to DEDUCTIBLE,

 ;      CO-PAY, PENALTY, GENERAL INFORMATION, GROUPER ALLOWANCE,

 ;      WRITE OFF and REFUND.

 ;

 ; *********************************************************************

 ; ;; IEN ;; DESCRIPTION ;; CATEGORY POINTER

 ; *********************************************************************

 ;

WRITEOFF ;

 ;;691;;Dispensing Fee Adj;;3

 ;;15;;Wrkrs comp State Fee Sched Adj;;3

 ;;135;;Duplicate Claim/Service;;3

 ;;END

 ;

DEDUCT ;

 ;;29;;Deductible Amount;;13

 ;;666;;Blood Deductible;;13

 ;;726;;Deductible - Major Medical;;13

 ;;END

 ;

COPAY ;

 ;;602;;Coinsurance Amount;;14

 ;;27;;Co-Payment Amount;;14

 ;;672;;Coinsurance Day;;14

 ;;727;;Coinsurance - Major Medical;;14

 ;;END

 ;

PENALTY ;

 ;;92;;Pymt Den/Reducd No Precrt Auth;;15

 ;;854;;Late Filing Penalty;;15

 ;;END

 ;

GRPALLOW ;

 ;;93;;DRG Weight;;16

 ;;694;;Processed in Excess of Charges;;16

 ;;END

 ;

REFUND ;

 ;;800;;Patient Refund Amount;;19

 ;;END

 ;

GENINFO ;

 ;;664;;Denial Reversed per Med Review;;22

 ;;692;;Claim Paid in Full;;22

 ;;693;;No Claim Level Adjustments;;22

 ;;723;;Payer Refund Due to Overpymt;;22

 ;;724;;Payer Refund Amt - Not Our Pt;;22

 ;;END

BARADJRB  ; IHS/SD/LSL - data values for BARADJRA ;

 +1       ;;1.8;IHS ACCOUNTS RECEIVABLE;;OCT 26, 2005

 +2       ;

 +3       ; IHS/SD/LSL - 10/07/2003 - V1.7 Patch 4

 +4       ;      Contains $T values for BARADJRA in regards to DEDUCTIBLE,

 +5       ;      CO-PAY, PENALTY, GENERAL INFORMATION, GROUPER ALLOWANCE,

 +6       ;      WRITE OFF and REFUND.

 +7       ;

 +8       ; *********************************************************************

 +9       ; ;; IEN ;; DESCRIPTION ;; CATEGORY POINTER

 +10      ; *********************************************************************

 +11      ;

WRITEOFF  ;

 +1       ;;691;;Dispensing Fee Adj;;3

 +2       ;;15;;Wrkrs comp State Fee Sched Adj;;3

 +3       ;;135;;Duplicate Claim/Service;;3

 +4       ;;END

 +5       ;

DEDUCT    ;

 +1       ;;29;;Deductible Amount;;13

 +2       ;;666;;Blood Deductible;;13

 +3       ;;726;;Deductible - Major Medical;;13

 +4       ;;END

 +5       ;

COPAY     ;

 +1       ;;602;;Coinsurance Amount;;14

 +2       ;;27;;Co-Payment Amount;;14

 +3       ;;672;;Coinsurance Day;;14

 +4       ;;727;;Coinsurance - Major Medical;;14

 +5       ;;END

 +6       ;

PENALTY   ;

 +1       ;;92;;Pymt Den/Reducd No Precrt Auth;;15

 +2       ;;854;;Late Filing Penalty;;15

 +3       ;;END

 +4       ;

GRPALLOW  ;

 +1       ;;93;;DRG Weight;;16

 +2       ;;694;;Processed in Excess of Charges;;16

 +3       ;;END

 +4       ;

REFUND    ;

 +1       ;;800;;Patient Refund Amount;;19

 +2       ;;END

 +3       ;

GENINFO   ;

 +1       ;;664;;Denial Reversed per Med Review;;22

 +2       ;;692;;Claim Paid in Full;;22

 +3       ;;693;;No Claim Level Adjustments;;22

 +4       ;;723;;Payer Refund Due to Overpymt;;22

 +5       ;;724;;Payer Refund Amt - Not Our Pt;;22

 +6       ;;END