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Sub-Field: 9999999.183901

Package: Utility Tables

INSURER(#9999999.18)-->9999999.183901

Sub-Field: 9999999.183901


Information

Parent File Name Number Package
INSURER(#9999999.18) VISIT TYPE 9999999.183901 Utility Tables

Details

Field # Name Loc Type Details
.01 VISIT TYPE 0;1 POINTER TO 3P VISIT TYPE FILE (#9002274.8) 3P VISIT TYPE(#9002274.8)

  • INPUT TRANSFORM:  S DINUM=X
  • LAST EDITED:  MAY 29, 1991
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
  • CROSS-REFERENCE:  9999999.183901^B
    1)= S ^AUTNINS(DA(1),39,"B",$E(X,1,30),DA)=""
    2)= K ^AUTNINS(DA(1),39,"B",$E(X,1,30),DA)
.02 PROCEDURE CODING METHOD 0;2 SET
  • 'C' FOR CPT;
  • 'I' FOR ICD;
  • 'A' FOR ADA;

  • LAST EDITED:  SEP 06, 1994
.03 REVENUE CODE 0;3 POINTER TO REVENUE CODES FILE (#9999999.72) REVENUE CODES(#9999999.72)

  • INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,5)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUL 23, 1990
  • HELP-PROMPT:  The REVENUE CODE field is applicable and mandatory when the billing is to be done in a Flat Rate (All Inclusive) manner.
  • SCREEN:  S DIC("S")="I $P(^(0),U,5)"
  • EXPLANATION:  REVENUE CODE MUST APPLY TO ALL INCLUSIVE RATE
.04 MODE OF EXPORT 0;4 POINTER TO 3P EXPORT MODE FILE (#9002274.08) 3P EXPORT MODE(#9002274.08)

  • LAST EDITED:  MAR 05, 1991
  • HELP-PROMPT:  The default MODE OF EXPORT used by the Third Party Billing System is a UB-82 for Inpatient and HCFA-1500 for all other visits. If the default is inaccurate enter the appropriate Mode of Export.
.05 FEE SCHEDULE 0;5 POINTER TO 3P FEE TABLE FILE (#9002274.01) 3P FEE TABLE(#9002274.01)

  • LAST EDITED:  JUL 23, 1990
  • HELP-PROMPT:  The default FEE SCHEDULE used by the Billing System is Fee Schedule Number 1. If this schedule is inaccurate specify the appropriate Fee Schedule accordingly.
.06 BILL PROF. COMPONENT SEPARATE 0;6 SET
  • 'Y' FOR YES;
  • 'N' FOR NO;

  • LAST EDITED:  AUG 05, 1990
  • HELP-PROMPT:  If the PROFESSIONAL COMPONENT is to be produced separate to the Hospital Services answer YES, otherwise answer NO.
.07 BILLABLE (Y/N) 0;7 SET
  • 'Y' FOR YES;
  • 'N' FOR NO;

  • LAST EDITED:  OCT 24, 1990
  • HELP-PROMPT:  If this Visit Type is BILLABLE for this particular Insurer then answer this field YES, otherwise answer it NO.
.08 INSURER ASSIGNED NUMBER 0;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>13!($L(X)<3) X
  • LAST EDITED:  MAR 04, 1991
  • HELP-PROMPT:  If the Insurer has Assigned a PROVIDER NUMBER based on Visit Type then enter it, otherwise leave this field blank. Answer must be 3-13 characters in length.
.09 REVENUE DESCRIPTION 0;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>37!($L(X)<3) X
  • LAST EDITED:  MAY 29, 1991
  • HELP-PROMPT:  The REVENUE DESCRIPTION which is displayed in Block 50 of the UB-82 corresponds to either that specified in this field or to the selected Revenue Code description. Answer can't exceed 37 characters.
.11 UB82 BILL TYPE 0;11 POINTER TO 3P CODES FILE (#9002274.03) 3P CODES(#9002274.03)

  • INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,2)=""B""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUN 23, 1992
  • SCREEN:  S DIC("S")="I $P(^(0),U,2)=""B"""
  • EXPLANATION:  Allows for Bill Type Codes only.
.12 ITEMIZED UB-92? 0;12 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  APR 06, 1994
.13 AUTO APPROVE? 0;13 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 03, 1994
.16 CPT CODE 0;16 POINTER TO CPT FILE (#81) CPT(#81)

  • LAST EDITED:  OCT 14, 1997
11 START DATE 11;0 DATE Multiple #9999999.18390111 9999999.18390111
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