Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Desc |  Directly Accessed By Routines |  Accessed By FileMan Db Calls |  Pointed To By FileMan Files |  Pointer To FileMan Files |  Fields |  ICR |  Found Entries |  External References |  Global Variables Directly Accessed |  Local Variables  | All
Print Page as PDF
Global: ^FB(161.91

Package: Fee Basis

Global: ^FB(161.91


Information

FileMan FileNo FileMan Filename Package
161.91 ADJUSTMENT REASON Fee Basis

Description

Directly Accessed By Routines, Total: 12

Package Total Routines
Fee Basis 12 ADJUSTMENT GROUP    DESCRIPTION EFFECTIVE DATE    FBAAIARC    FBAAPP    FBAAUTL    FBUTL1    FBUTL2    REMITTANCE REMARK
^FB(161.91    FBX2P158    FBXIP104    STATUS EFFECTIVE DATE    

Accessed By FileMan Db Calls, Total: 6

Package Total Routines
Fee Basis 6 FBAAFA    FBCHFA    FBRXFA    FBX2P158    FBXIP104    FBXIP158    

Pointed To By FileMan Files, Total: 3

Package Total FileMan Files
Fee Basis 3 FEE BASIS PHARMACY INVOICE(#162.1)[#162.14(.01)]    FEE BASIS PAYMENT(#162)[#162.07(.01)]    FEE BASIS INVOICE(#162.5)[#162.558(.01)]    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Fee Basis 3 ADJUSTMENT GROUP(#161.92)[#161.917(.01)]    REMITTANCE REMARK(#161.93)[#161.915(.01)]    FEE BASIS SUSPENSION(#161.27)[3]    

Fields, Total: 8

Field # Name Loc Type Details
.01 CODE 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1)!'(X'?1P.E) X
  • LAST EDITED:  JUN 16, 2003
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Code value.
  • CROSS-REFERENCE:  161.91^B
    1)= S ^FB(161.91,"B",$E(X,1,30),DA)=""
    2)= K ^FB(161.91,"B",$E(X,1,30),DA)
1 STATUS EFFECTIVE DATE 1;0 DATE Multiple #161.911 161.911
2 DESCRIPTION EFFECTIVE DATE 2;0 DATE Multiple #161.912 161.912
3 ASSOCIATED SUSPEND CODE 0;2 POINTER TO FEE BASIS SUSPENSION FILE (#161.27) FEE BASIS SUSPENSION(#161.27)

  • LAST EDITED:  JUN 16, 2003
  • HELP-PROMPT:  Select a suspend code that is associated with the adjustment code.
  • DESCRIPTION:  This field should be populated for every adjustment code that is currently applicable for use on fee claims. The software will automatically copy this value to the SUSPEND CODE field in an invoice file after the
    adjustment reason code is specified for the invoice. If more than one adjustment reason is specified, the one with the largest dollar impact will be used to determine the suspend code.
4 SUSPENSION DESCRIPTION 4;0 WORD-PROCESSING #161.914
5 REMITTANCE REMARK RARC;0 POINTER Multiple #161.915 161.915

  • DESCRIPTION:  
    This field contains the sub-set of remittance remarks allowed for this adjustment reason. It should only be modified when updated adjustment reason and remittance remark codes, and their relationships, are released.
6 CORE SCENARIO 0;3 SET
  • '1' FOR Incorrect Documentation;
  • '2' FOR Incorrect Claim Data;
  • '3' FOR Billed Service Not Covered;
  • '4' FOR Benefit for Service Not Payable;

  • LAST EDITED:  JUN 13, 2016
  • HELP-PROMPT:  Enter the CAQH CORE Code Combinations Scenario Number.
  • DESCRIPTION:  
    Used to indicate what business scenario, associated with Phase III CORE 360 Rule, this adjustment reason code is associated with, if any.
7 ADJUSTMENT GROUP 3;0 POINTER Multiple #161.917 161.917

  • DESCRIPTION:  
    Some CARCs have GROUP restrictions. Specify the allowable GROUPS for this CARC here.

Found Entries, Total: 367

CODE: 10    CODE: 100    CODE: 107    CODE: 108    CODE: 109    CODE: 11    CODE: 110    CODE: 111    
CODE: 112    CODE: 114    CODE: 115    CODE: 116    CODE: 117    CODE: 119    CODE: 12    CODE: 122    
CODE: 125    CODE: 128    CODE: 129    CODE: 13    CODE: 131    CODE: 132    CODE: 133    CODE: 134    
CODE: 135    CODE: 138    CODE: 139    CODE: 14    CODE: 140    CODE: 141    CODE: 142    CODE: 143    
CODE: 146    CODE: 147    CODE: 148    CODE: 149    CODE: 15    CODE: 150    CODE: 151    CODE: 152    
CODE: 153    CODE: 154    CODE: 155    CODE: 157    CODE: 158    CODE: 159    CODE: 16    CODE: 160    
CODE: 163    CODE: 164    CODE: 165    CODE: 166    CODE: 167    CODE: 168    CODE: 169    CODE: 170    
CODE: 171    CODE: 172    CODE: 173    CODE: 174    CODE: 175    CODE: 176    CODE: 177    CODE: 178    
CODE: 179    CODE: 18    CODE: 180    CODE: 181    CODE: 182    CODE: 183    CODE: 184    CODE: 185    
CODE: 188    CODE: 189    CODE: 19    CODE: 190    CODE: 194    CODE: 197    CODE: 198    CODE: 199    
CODE: 20    CODE: 200    CODE: 201    CODE: 202    CODE: 203    CODE: 204    CODE: 206    CODE: 207    
CODE: 208    CODE: 21    CODE: 210    CODE: 212    CODE: 213    CODE: 22    CODE: 222    CODE: 224    
CODE: 228    CODE: 23    CODE: 231    CODE: 233    CODE: 234    CODE: 236    CODE: 238    CODE: 239    
CODE: 24    CODE: 240    CODE: 242    CODE: 243    CODE: 246    CODE: 249    CODE: 250    CODE: 251    
CODE: 252    CODE: 254    CODE: 255    CODE: 256    CODE: 258    CODE: 259    CODE: 26    CODE: 260    
CODE: 261    CODE: 262    CODE: 263    CODE: 264    CODE: 266    CODE: 267    CODE: 268    CODE: 269    
CODE: 27    CODE: 270    CODE: 272    CODE: 273    CODE: 274    CODE: 276    CODE: 29    CODE: 30    
CODE: 31    CODE: 32    CODE: 33    CODE: 34    CODE: 35    CODE: 38    CODE: 39    CODE: 4    
CODE: 40    CODE: 42    CODE: 45    CODE: 47    CODE: 49    CODE: 5    CODE: 50    CODE: 51    
CODE: 52    CODE: 53    CODE: 54    CODE: 55    CODE: 56    CODE: 57    CODE: 58    CODE: 59    
CODE: 6    CODE: 60    CODE: 61    CODE: 62    CODE: 66    CODE: 69    CODE: 7    CODE: 78    
CODE: 8    CODE: 85    CODE: 88    CODE: 89    CODE: 9    CODE: 94    CODE: 95    CODE: 96    
CODE: 97    CODE: A0    CODE: A1    CODE: A2    CODE: A3    CODE: A4    CODE: A5    CODE: A6    
CODE: A7    CODE: A8    CODE: B1    CODE: B10    CODE: B11    CODE: B12    CODE: B13    CODE: B14    
CODE: B15    CODE: B16    CODE: B17    CODE: B18    CODE: B19    CODE: B2    CODE: B20    CODE: B21    
CODE: B22    CODE: B23    CODE: B3    CODE: B4    CODE: B5    CODE: B6    CODE: B7    CODE: B8    
CODE: B9    CODE: D1    CODE: D10    CODE: D11    CODE: D12    CODE: D13    CODE: D14    CODE: D15    
CODE: D16    CODE: D17    CODE: D18    CODE: D19    CODE: D2    CODE: D20    CODE: D21    CODE: D22    
CODE: D23    CODE: D3    CODE: D4    CODE: D5    CODE: D6    CODE: D7    CODE: D8    CODE: D9    
CODE: P1    CODE: P10    CODE: P11    CODE: P12    CODE: P13    CODE: P14    CODE: P15    CODE: P16    
CODE: P17    CODE: P18    CODE: P19    CODE: P2    CODE: P20    CODE: P21    CODE: P22    CODE: P23    
CODE: P3    CODE: P4    CODE: P5    CODE: P6    CODE: P7    CODE: P8    CODE: P9    CODE: W1    
CODE: W2    CODE: W3    CODE: W4    CODE: W5    CODE: W6    CODE: W7    CODE: W8    CODE: W9    
CODE: Y1    CODE: Y2    CODE: Y3    Entry: 100    Entry: 101    Entry: 102    Entry: 103    Entry: 104    
Entry: 105    Entry: 106    Entry: 107    Entry: 109    Entry: 110    Entry: 111    Entry: 112    Entry: 113    
Entry: 114    Entry: 115    Entry: 116    Entry: 117    Entry: 118    Entry: 119    Entry: 120    Entry: 122    
Entry: 123    Entry: 124    Entry: 125    Entry: 126    Entry: 127    Entry: 128    Entry: 129    Entry: 135    
Entry: 139    Entry: 140    Entry: 141    Entry: 142    Entry: 143    Entry: 144    Entry: 145    Entry: 148    
Entry: 151    Entry: 152    Entry: 154    Entry: 155    Entry: 163    Entry: 168    Entry: 169    Entry: 193    
Entry: 194    Entry: 198    Entry: 199    Entry: 2    Entry: 200    Entry: 202    Entry: 203    Entry: 212    
Entry: 216    Entry: 218    Entry: 221    Entry: 222    Entry: 223    Entry: 224    Entry: 225    Entry: 226    
Entry: 227    Entry: 228    Entry: 230    Entry: 232    Entry: 233    Entry: 234    Entry: 236    Entry: 237    
Entry: 239    Entry: 291    Entry: 293    Entry: 297    Entry: 3    Entry: 300    Entry: 301    Entry: 303    
Entry: 304    Entry: 316    Entry: 319    Entry: 327    Entry: 362    Entry: 366    Entry: 368    Entry: 4    
Entry: 71    Entry: 76    Entry: 8    Entry: 80    Entry: 81    Entry: 84    Entry: 85    Entry: 86    
Entry: 87    Entry: 88    Entry: 94    Entry: 95    Entry: 96    Entry: 97    Entry: 98    

ICR, Total: 1

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #5393
  • Fee Basis
  • External References

    Name Field # of Occurrence
    ARCDES^FBUTL3 IDCDES+1

    Global Variables Directly Accessed

    Name Line Occurrences  (* Changed,  ! Killed)
    ^FB(161.91 - [#161.91] .01(XREF 1S), .01(XREF 1K)

    Local Variables

    Legend:

    >> Not killed explicitly
    * Changed
    ! Killed
    ~ Newed

    Name Field # of Occurrence
    >> DA .01(XREF 1S), .01(XREF 1K)
    X .01+1!, .01(XREF 1S), .01(XREF 1K)
    Info |  Desc |  Directly Accessed By Routines |  Accessed By FileMan Db Calls |  Pointed To By FileMan Files |  Pointer To FileMan Files |  Fields |  ICR |  Found Entries |  External References |  Global Variables Directly Accessed |  Local Variables  | All