BARADJRC.m

BARADJRC ; 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 PENDING

 ;

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

 ; ;; IEN ;; DESCRIPTION ;; CATEGORY POINTER

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

 ;

PENDING ;

 ;;604;;Code Err Proc Inconst w Mod;;21

 ;;605;;Code Err Proc/BT Inconst w POS;;21

 ;;606;;Code Err Proc Inconst w Pt Age;;21

 ;;607;;Code Err Proc Inconst w Pt Gdr;;21

 ;;608;;Code Err Proc Inconst w ProvTp;;21

 ;;609;;Code Err DX Inconst w Pt Age;;21

 ;;610;;Code Err DX Inconst w Pt Gdr;;21

 ;;611;;Code Err DX Inconst w Procdr;;21

 ;;612;;Code Err DX Inconst w Prov Tp;;21

 ;;613;;Death Precedes Date of Service;;21

 ;;614;;Birth Follows Date of Service;;21

 ;;615;;Pymt Adj Inadeq Auth Number;;21

 ;;616;;Clm/Srvc Lacks Info For Adjud;;21

 ;;617;;Pymt Adj Info Incomplete;;21

 ;;619;;Clm Denied work related injury;;21

 ;;620;;Clm Den Injry Covrd Liab Carr;;21

 ;;621;;Clm Den Injry Covrd NoFlt Carr;;21

 ;;622;;Pymt Adj Care Covrd Diff Payer;;21

 ;;647;;Dx not Covered Missing Invald;;21

 ;;655;;Clm Den Froc/Tx Experimental;;21

 ;;656;;Clm Den Proc not Effc by Payer;;21

 ;;657;;Pymt Den Info submtd Not Suff;;21

 ;;658;;Pymt Adj Tx Prov Invalid POS;;21

 ;;661;;Chrgs Adj Penlty No Secnd Opin;;21

 ;;663;;Correction to Prior Claim;;21

 ;;665;;ProcCode Incorrect PymtRerCorr;;21

 ;;688;;Adj Amt Rep Rec Prior OvrPymt;;21

 ;;698;;Hosp Must File Medicare Claim;;21

 ;;701;;Predetermined Antcptd Pymt;;21

 ;;707;;Clm Den Reltd Srv Not Identifd;;21

 ;;710;;Billing Date Precedes DOS;;21

 ;;725;;Pymt Adj Due to Billing Errors;;21

 ;;733;;Claim Pending Further Review;;21

 ;;740;;Pt ID# & Name do not match;;21

 ;;743;;Portion of Payment Deferred;;21

 ;;862;;Service not documented in MR;;21

 ;;863;;Payment made in prev payment;;21

 ;;866;;PymtAdj New Pt Qualifn Not Met;;21

 ;;868;;Pymt Den Proc Code/Mod Invalid;;21

 ;;872;;Pymt Adj Based on Diagnosis;;21

 ;;873;;Pymt Den Prov Fail Profcy Test;;21

 ;;901;;Clm Den Level of Sublxtn Inadq;;21

 ;;902;;Claim lacks Drug Information;;21

 ;;903;;ClmDen Info on Pt Eqpmt Missng;;21

 ;;904;;Clm Does Not Show Time Period;;21

 ;;905;;Clm Den Lacks Indvdl Lab Codes;;21

 ;;906;;Clm Den Did Not Includ MR Copy;;21

 ;;907;;Clm Den Lacks Date of RecVisit;;21

 ;;908;;ClmDen Lacks Indctr Xray Avlbl;;21

 ;;909;;ClmDen Lacks Inv Crtfy LnsCost;;21

 ;;910;;Clm DEn MD FinRel Form NotFile;;21

 ;;911;;Clm Lacks Compl Pcmkr Reg Form;;21

 ;;912;;Clm Den No Idtfr Who Did DxTst;;21

 ;;913;;Clm Den Ordr MD Has Fin Intrst;;21

 ;;914;;Clm Lacks Tx Plan on File;;21

 ;;END

BARADJRC  ; 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 PENDING

 +5       ;

 +6       ; *********************************************************************

 +7       ; ;; IEN ;; DESCRIPTION ;; CATEGORY POINTER

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

 +9       ;

PENDING   ;

 +1       ;;604;;Code Err Proc Inconst w Mod;;21

 +2       ;;605;;Code Err Proc/BT Inconst w POS;;21

 +3       ;;606;;Code Err Proc Inconst w Pt Age;;21

 +4       ;;607;;Code Err Proc Inconst w Pt Gdr;;21

 +5       ;;608;;Code Err Proc Inconst w ProvTp;;21

 +6       ;;609;;Code Err DX Inconst w Pt Age;;21

 +7       ;;610;;Code Err DX Inconst w Pt Gdr;;21

 +8       ;;611;;Code Err DX Inconst w Procdr;;21

 +9       ;;612;;Code Err DX Inconst w Prov Tp;;21

 +10      ;;613;;Death Precedes Date of Service;;21

 +11      ;;614;;Birth Follows Date of Service;;21

 +12      ;;615;;Pymt Adj Inadeq Auth Number;;21

 +13      ;;616;;Clm/Srvc Lacks Info For Adjud;;21

 +14      ;;617;;Pymt Adj Info Incomplete;;21

 +15      ;;619;;Clm Denied work related injury;;21

 +16      ;;620;;Clm Den Injry Covrd Liab Carr;;21

 +17      ;;621;;Clm Den Injry Covrd NoFlt Carr;;21

 +18      ;;622;;Pymt Adj Care Covrd Diff Payer;;21

 +19      ;;647;;Dx not Covered Missing Invald;;21

 +20      ;;655;;Clm Den Froc/Tx Experimental;;21

 +21      ;;656;;Clm Den Proc not Effc by Payer;;21

 +22      ;;657;;Pymt Den Info submtd Not Suff;;21

 +23      ;;658;;Pymt Adj Tx Prov Invalid POS;;21

 +24      ;;661;;Chrgs Adj Penlty No Secnd Opin;;21

 +25      ;;663;;Correction to Prior Claim;;21

 +26      ;;665;;ProcCode Incorrect PymtRerCorr;;21

 +27      ;;688;;Adj Amt Rep Rec Prior OvrPymt;;21

 +28      ;;698;;Hosp Must File Medicare Claim;;21

 +29      ;;701;;Predetermined Antcptd Pymt;;21

 +30      ;;707;;Clm Den Reltd Srv Not Identifd;;21

 +31      ;;710;;Billing Date Precedes DOS;;21

 +32      ;;725;;Pymt Adj Due to Billing Errors;;21

 +33      ;;733;;Claim Pending Further Review;;21

 +34      ;;740;;Pt ID# & Name do not match;;21

 +35      ;;743;;Portion of Payment Deferred;;21

 +36      ;;862;;Service not documented in MR;;21

 +37      ;;863;;Payment made in prev payment;;21

 +38      ;;866;;PymtAdj New Pt Qualifn Not Met;;21

 +39      ;;868;;Pymt Den Proc Code/Mod Invalid;;21

 +40      ;;872;;Pymt Adj Based on Diagnosis;;21

 +41      ;;873;;Pymt Den Prov Fail Profcy Test;;21

 +42      ;;901;;Clm Den Level of Sublxtn Inadq;;21

 +43      ;;902;;Claim lacks Drug Information;;21

 +44      ;;903;;ClmDen Info on Pt Eqpmt Missng;;21

 +45      ;;904;;Clm Does Not Show Time Period;;21

 +46      ;;905;;Clm Den Lacks Indvdl Lab Codes;;21

 +47      ;;906;;Clm Den Did Not Includ MR Copy;;21

 +48      ;;907;;Clm Den Lacks Date of RecVisit;;21

 +49      ;;908;;ClmDen Lacks Indctr Xray Avlbl;;21

 +50      ;;909;;ClmDen Lacks Inv Crtfy LnsCost;;21

 +51      ;;910;;Clm DEn MD FinRel Form NotFile;;21

 +52      ;;911;;Clm Lacks Compl Pcmkr Reg Form;;21

 +53      ;;912;;Clm Den No Idtfr Who Did DxTst;;21

 +54      ;;913;;Clm Den Ordr MD Has Fin Intrst;;21

 +55      ;;914;;Clm Lacks Tx Plan on File;;21

 +56      ;;END