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Sub-Field: 162.11

Package: Fee Basis

FEE BASIS PHARMACY INVOICE(#162.1)-->162.11

Sub-Field: 162.11


Information

Parent File Name Number Package
FEE BASIS PHARMACY INVOICE(#162.1) PRESCRIPTION NUMBER 162.11 Fee Basis

Details

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

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>8!($L(X)<1)!($F(X," "))!(X?1P.E) X
  • LAST EDITED:  OCT 17, 2000
  • HELP-PROMPT:  ANSWER MUST BE 1-8 CHARACTERS IN LENGTH AND NOT CONTAIN BLANKS OR LEADING PUNCTUATION.
  • DESCRIPTION:  
    This is a reference number assigned by a pharmacy provider for a prescription.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
  • CROSS-REFERENCE:  162.11^AB
    1)= S ^FBAA(162.1,DA(1),"RX","AB",$E(X,1,30),DA)=""
    2)= K ^FBAA(162.1,DA(1),"RX","AB",$E(X,1,30),DA)
  • CROSS-REFERENCE:  ^^TRIGGER^162.1^8
    1)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(0)=X I '$D(FBAAOUT) I X S X=DIV S Y(1)=$S($D(^FBAA(162.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X S DIU=X K Y S X=DIV S X=DIU+1 X ^DD(162.11,.01,1,2,1.4)
    1.4)= S DIH=$G(^FBAA(162.1,DIV(0),0)),DIV=X S $P(^(0),U,9)=DIV,DIH=162.1,DIG=8 D ^DICR
    2)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(1)=$S($D(^FBAA(162.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X S DIU=X K Y S X=DIV S X=DIU-1 S DIH=$G(^FBAA(162.1,DIV(0),0)),DIV=X S $P(^(0),U,9)=DIV,DIH=162.1,DIG=8 D ^DICR
    CREATE CONDITION)= I '$D(FBAAOUT)
    CREATE VALUE)= TOTAL LINE COUNT+1
    DELETE VALUE)= TOTAL LINE COUNT-1
    DIC)=
    FIELD)= TOTAL LINE COUNT
    Trigger to maintain the total line count for the invoice.
  • CROSS-REFERENCE:  162.11^B
    1)= S ^FBAA(162.1,DA(1),"RX","B",$E(X,1,30),DA)=""
    2)= K ^FBAA(162.1,DA(1),"RX","B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  162.11^AM^MUMPS
    1)= I $D(^FBAA(162.1,DA(1),0)),$P(^(0),U,4)]"",$D(^FBAA(162.1,DA(1),"RX",DA,0)),$P(^(0),U,3)]"" S ^FBAA(162.1,"AL",$P(^FBAA(162.1,DA(1),0),U,4),$E(X,1,30),$P(^FBAA(162.1,DA(1),"RX",DA,0),U,3),DA(1),DA)=""
    2)= I $D(^FBAA(162.1,DA(1),0)),$P(^(0),U,4)]"",$D(^FBAA(162.1,DA(1),"RX",DA,0)),$P(^(0),U,3)]"" K ^FBAA(162.1,"AL",$P(^FBAA(162.1,DA(1),0),U,4),$E(X,1,30),$P(^FBAA(162.1,DA(1),"RX",DA,0),U,3),DA(1),DA)
    Updates the AL X-Ref on field 2 if there is a change to the prescription number.
1 DRUG NAME 0;2 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>45!($L(X)<3) X
  • HELP-PROMPT:  ANSWER MUST BE 3-45 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This is the name of the medication that was dispensed to the patient by the FEE provider.
1.4 MANUFACTURER 2;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  MAY 05, 1987
  • HELP-PROMPT:  ANSWER MUST BE 3-30 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This is the name of the company whose drug was dispensed to the patient.
1.5 STRENGTH 0;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<2) X
  • LAST EDITED:  FEB 25, 1987
  • HELP-PROMPT:  ANSWER MUST BE 2-20 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This field contains the labeled strength of the medication dispensed to the patient.
1.6 QUANTITY 0;13 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  FEB 25, 1987
  • HELP-PROMPT:  ANSWER MUST BE 1-15 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This is the total number of units dispensed to the patient.
2 DATE PRESCRIPTION FILLED 0;3 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 24, 2000
  • DESCRIPTION:  
    This is the date the provider has filled the prescription for dispensing to the patient.
  • CROSS-REFERENCE:  162.11^AL^MUMPS
    1)= I $D(^FBAA(162.1,DA(1),0)),$P(^(0),U,4)]"" S ^FBAA(162.1,"AL",$P(^FBAA(162.1,DA(1),0),U,4),$P(^FBAA(162.1,DA(1),"RX",DA,0),U,1),$E(X,1,30),DA(1),DA)=""
    2)= I $D(^FBAA(162.1,DA(1),0)),$P(^(0),U,4)]"" K ^FBAA(162.1,"AL",$P(^FBAA(162.1,DA(1),0),U,4),$P(^FBAA(162.1,DA(1),"RX",DA,0),U,1),$E(X,1,30),DA(1),DA)
    X-Referenced to identify the Prescription number and date RX filled.
  • RECORD INDEXES:  AK (#70) (WHOLE FILE #162.1)
3 AMOUNT CLAIMED 0;4 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<.01) X
  • LAST EDITED:  OCT 17, 2000
  • HELP-PROMPT:  Type a Dollar Amount between .01 and 9999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the dollar amount claimed by the FEE provider for the prescription supplied to the patient.
  • CROSS-REFERENCE:  ^^TRIGGER^162.1^6
    1)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(0)=X I '$D(FBAAOUT) I X S X=DIV S Y(1)=$S($D(^FBAA(162.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X=DIV S X=DIU+DIV X ^DD(162.11,3,1,1,1.4)
    1.4)= S DIH=$G(^FBAA(162.1,DIV(0),0)),DIV=X S $P(^(0),U,6)=DIV,DIH=162.1,DIG=6 D ^DICR
    2)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(0)=X I '$D(FBAAOUT) I X S X=DIV S Y(1)=$S($D(^FBAA(162.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X=DIV S X=DIU-X X ^DD(162.11,3,1,1,2.4)
    2.4)= S DIH=$G(^FBAA(162.1,DIV(0),0)),DIV=X S $P(^(0),U,6)=DIV,DIH=162.1,DIG=6 D ^DICR
    CREATE CONDITION)= I '$D(FBAAOUT)
    CREATE VALUE)= TOTAL AMOUNT CLAIMED+AMOUNT CLAIMED
    DELETE CONDITION)= I '$D(FBAAOUT)
    DELETE VALUE)= TOTAL AMOUNT CLAIMED-OLD AMOUNT CLAIMED
    DIC)=
    FIELD)= TOTAL AMOUNT CLAIMED
    Trigger to maintain the total amount claimed for the invoice.
4 PATIENT 0;5 POINTER TO FEE BASIS PATIENT FILE (#161)
************************REQUIRED FIELD************************
FEE BASIS PATIENT(#161)

  • LAST EDITED:  OCT 24, 2000
  • DESCRIPTION:  
    This is the name of the patient whose prescription/s are being submitted by the FEE provider for payment.
  • CROSS-REFERENCE:  162.11^C
    1)= S ^FBAA(162.1,DA(1),"RX","C",$E(X,1,30),DA)=""
    2)= K ^FBAA(162.1,DA(1),"RX","C",$E(X,1,30),DA)
  • CROSS-REFERENCE:  162.1^AD^MUMPS
    1)= S ^FBAA(162.1,"AD",$E(X,1,30),9999999-$P(^FBAA(162.1,DA(1),"RX",DA,0),U,3),DA(1),DA)=""
    2)= K ^FBAA(162.1,"AD",$E(X,1,30),9999999-$P(^FBAA(162.1,DA(1),"RX",DA,0),U,3),DA(1),DA)
  • RECORD INDEXES:  AA (#67) (WHOLE FILE #162.1), AG (#68) (WHOLE FILE #162.1), AJ (#69) (WHOLE FILE #162.1), AK (#70) (WHOLE FILE #162.1)
5 RED BOOK COST 0;6 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • LAST EDITED:  AUG 31, 1993
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 9999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the cost of the generic drug dispensed to the patient as listed in the 'RED BOOK'.
6 AMOUNT SUSPENDED 0;7 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • LAST EDITED:  FEB 16, 1988
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 9999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the difference between the amount claimed by the FEE provider and the amount paid by the VA.
6.5 AMOUNT PAID 0;16 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<0) X
  • LAST EDITED:  OCT 17, 2000
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 9999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This field is either the amount claimed by the FEE provider or the sum of RED BOOK cost and the professional dispensing fee - whichever is less.
  • CROSS-REFERENCE:  ^^TRIGGER^162.1^7
    1)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(0)=X I '$D(FBAAOUT) I X S X=DIV S Y(1)=$S($D(^FBAA(162.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X=DIV S X=DIU+DIV X ^DD(162.11,6.5,1,1,1.4)
    1.4)= S DIH=$G(^FBAA(162.1,DIV(0),0)),DIV=X S $P(^(0),U,7)=DIV,DIH=162.1,DIG=7 D ^DICR
    2)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA S Y(0)=X I '$D(FBAAOUT) I X S X=DIV S Y(1)=$S($D(^FBAA(162.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X=DIV S X=DIU-X X ^DD(162.11,6.5,1,1,2.4)
    2.4)= S DIH=$G(^FBAA(162.1,DIV(0),0)),DIV=X S $P(^(0),U,7)=DIV,DIH=162.1,DIG=7 D ^DICR
    CREATE CONDITION)= I '$D(FBAAOUT)
    CREATE VALUE)= TOTAL AMOUNT PAID+AMOUNT PAID
    DELETE CONDITION)= I '$D(FBAAOUT)
    DELETE VALUE)= TOTAL AMOUNT PAID-OLD AMOUNT PAID
    DIC)=
    FIELD)= TOTAL AMOUNT PAID
    Trigger to maintain the total amount paid for the invoice.
7 SUSPEND CODE 0;8 POINTER TO FEE BASIS SUSPENSION FILE (#161.27) FEE BASIS SUSPENSION(#161.27)

  • LAST EDITED:  OCT 24, 2000
  • DESCRIPTION:  
    This is the explanation why the amount claimed by the FEE provider is not the same as the amount paid.These codes are listed in M-1,Part I,Chapter 18,Appendix A for reference.
  • RECORD INDEXES:  AG (#68) (WHOLE FILE #162.1)
8 LINE ITEM STATUS 0;9 SET
************************REQUIRED FIELD************************
  • '1' FOR PENDING PHARMACY DETERMINATION;
  • '2' FOR PENDING MAS COMPLETION;
  • '3' FOR PENDING PAYMENT PROCESS;
  • '4' FOR COMPLETED;
  • '0' FOR COMPLETED, WILL NOT PAY;

  • LAST EDITED:  MAY 15, 1986
  • DESCRIPTION:  
    This tells the current status of review of this line item within the invoice.
  • CROSS-REFERENCE:  162.11^AC
    1)= S ^FBAA(162.1,DA(1),"RX","AC",$E(X,1,30),DA)=""
    2)= K ^FBAA(162.1,DA(1),"RX","AC",$E(X,1,30),DA)
8.5 SUBSTITUTE GENERIC DRUG 0;21 SET
  • 'Y' FOR YES;
  • 'N' FOR NO;

  • LAST EDITED:  APR 20, 2005
  • DESCRIPTION:  
    This field shows if a generic drug was or could have been dispensed to the patient.
9 GENERIC DRUG 0;10 POINTER TO DRUG FILE (#50)
************************REQUIRED FIELD************************
DRUG(#50)

  • LAST EDITED:  DEC 09, 1986
  • DESCRIPTION:  
    This is the name of the generic equivalent found in the VA drug file that was dispensed to the patient.
10 PHARMACY DETERMINATION 0;11 SET
  • '1' FOR APPROVED FOR PAYMENT;
  • '0' FOR DISAPPROVED FOR PAYMENT;

  • LAST EDITED:  MAR 27, 1986
  • DESCRIPTION:  
    This is a professional determination by the VA pharmacist to determine if the medication dispensed was for an authorized condition and whether or not the drug is on the 'inactive drug list' .
11 PHARMACIST 0;14 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  APR 05, 1990
  • DESCRIPTION:  
    This is the name of the VA pharmacist who reviewed the patient's prescriptions for appropriateness.
12 DATE OF DETERMINATION 0;15 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  FEB 10, 1986
  • DESCRIPTION:  
    This is the date the VA pharmacist reviewed the prescriptions for appropriateness of payment.
13 BATCH NUMBER 0;17 POINTER TO FEE BASIS BATCH FILE (#161.7)
************************REQUIRED FIELD************************
FEE BASIS BATCH(#161.7)

  • LAST EDITED:  OCT 24, 2000
  • DESCRIPTION:  
    This is the Batch number associated with this line item for payment.
  • CROSS-REFERENCE:  162.1^AE
    1)= S ^FBAA(162.1,"AE",$E(X,1,30),DA(1),DA)=""
    2)= K ^FBAA(162.1,"AE",$E(X,1,30),DA(1),DA)
  • RECORD INDEXES:  AJ (#69) (WHOLE FILE #162.1), AK (#70) (WHOLE FILE #162.1)
14 OBLIGATION NUMBER 0;18 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>6!($L(X)<6) X D:$D(X) CKOB^FBAAUTL1
  • LAST EDITED:  APR 12, 1990
  • HELP-PROMPT:  ANSWER MUST BE 6 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This is the account from which the money is taken to pay the line item.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
15 DATE CERTIFIED FOR PAYMENT 0;19 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 31, 2000
  • DESCRIPTION:  
    This is the date that the line item has been approved, by FEE, for payment.
  • CROSS-REFERENCE:  162.11^AI^MUMPS
    1)= I $D(^FBAA(162.1,DA(1),"RX",DA,0)),$P(^(0),U,17)]"",$D(^(2)),$P(^(2),U,5)]"" S ^FBAA(162.1,"AI",$P(^FBAA(162.1,DA(1),"RX",DA,2),U,5),9999999-$E(X,1,30),DA(1),DA)=""
    2)= I $D(^FBAA(162.1,DA(1),"RX",DA,0)),$P(^(0),U,17)]"",$D(^(2)),$P(^(2),U,5) K ^FBAA(162.1,"AI",$P(^FBAA(162.1,DA(1),"RX",DA,2),U,5),9999999-$E(X,1,30),DA(1),DA)
  • RECORD INDEXES:  AA (#67) (WHOLE FILE #162.1)
16 PAYMENT TYPE CODE 0;20 SET
  • 'V' FOR VENDOR;
  • 'R' FOR REIMBURSEMENT;
  • 'S' FOR STATISTICAL;
  • 'SR' FOR STAT-REIMBURSEMENT;

  • LAST EDITED:  SEP 26, 1994
  • DESCRIPTION:  
    This field represents what type of payment this line item is. The choices are payment to a Vendor, patient Reimbursement or paid 'out-of-system' for Statistical and stat reimbursement reporting.
17 REJECT STATUS FBREJ;1 SET
  • 'P' FOR REJECTED, PENDING;
  • 'C' FOR REJECTED, COMPLETED;

  • LAST EDITED:  AUG 11, 1986
  • DESCRIPTION:  
    This field represents the status of the Rejected line item in the invoice. It would either be Pending or Completed.
18 REJECT REASON FBREJ;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<2) X
  • LAST EDITED:  AUG 11, 1986
  • HELP-PROMPT:  ANSWER MUST BE 2-40 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This is a free text field that allows comment on why Fee rejected this line item payment.
19 OLD BATCH NUMBER FBREJ;3 POINTER TO FEE BASIS BATCH FILE (#161.7) FEE BASIS BATCH(#161.7)

  • LAST EDITED:  AUG 11, 1986
  • DESCRIPTION:  
    When a line item was rejected then assigned to a new batch this field stores the old batch number it belonged to.
  • CROSS-REFERENCE:  162.1^AF
    1)= S ^FBAA(162.1,"AF",$E(X,1,30),DA(1),DA)=""
    2)= K ^FBAA(162.1,"AF",$E(X,1,30),DA(1),DA)
19.3 INTERFACE REJECT FBREJ;4 SET
  • '1' FOR YES;

  • LAST EDITED:  DEC 12, 2011
  • HELP-PROMPT:  Enter YES if the line item was rejected by Central Fee.
  • DESCRIPTION:  This field is populated by the FBAA BATCH SERVER and FBAA REJECT SERVER server options when a payment line item is rejected via the interface with Central Fee. This field is used to distinguish line items that were
    locally rejected from those that were rejected by a downstream system.  This field is not populated for a local reject.
19.6 REJECT CODE FBREJC;0 Multiple #162.111 162.111

  • DESCRIPTION:  The REJECT CODE multiple is populated with one to four reject codes by the FBAA BATCH SERVER and FBAA REJECT SERVER server options when a line item is rejected via the interface with Central Fee. The REJECT CODE
    multiple is not used for local rejects.  The reason for a local reject is entered into the REJECT REASON (#18) field.
20 SUSPENSION DESCRIPTION 1;0 WORD-PROCESSING #162.12

  • DESCRIPTION:  
    This field allows the entry of a description of why the amount claimed for a prescription is not the same as the amount paid .
21 GENERIC DRUG ONLY STATUS 2;1 SET

  • LAST EDITED:  DEC 09, 1986
  • DESCRIPTION:  
    This field reflects whether or not pharmacy has made the match with the drug dispensed in the VA Drug File.
  • CROSS-REFERENCE:  162.1^AH
    1)= S ^FBAA(162.1,"AH",$E(X,1,30),DA(1),DA)=""
    2)= K ^FBAA(162.1,"AH",$E(X,1,30),DA(1),DA)
22 PHARMACY REMARKS 0;22 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  FEB 25, 1987
  • HELP-PROMPT:  ANSWER MUST BE 3-30 CHARACTERS IN LENGTH
  • DESCRIPTION:  
    This allows pharmacy service to enter in remarks on their decision for payment of the prescription.
23 VOID PAYMENT 2;3 SET

  • LAST EDITED:  MAR 31, 1988
  • DESCRIPTION:  
    This field shows if a Fee supervisor voided this payment after the invoice had been completed.
23.5 REASON FOR VOIDED PAYMENT R;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>75!($L(X)<3) X
  • LAST EDITED:  AUG 31, 1992
  • HELP-PROMPT:  Answer must be 3-75 characters in length.
  • DESCRIPTION:  
    This field is used by the supervisor to enter a reason why a payment had to be voided.
24 SUPERVISOR 2;4 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  APR 05, 1990
  • DESCRIPTION:  
    This field stores the supervisor who voided a payment.
25 PRIMARY SERVICE FACILITY 2;5 POINTER TO INSTITUTION FILE (#4) INSTITUTION(#4)

  • LAST EDITED:  APR 19, 1990
  • DESCRIPTION:  
    The VA Hospital responsible for the veterans care.
26 ASSOCIATED 7078/583 2;6 VARIABLE POINTER VA FORM 10-7078(#162.4)  FEE BASIS UNAUTHORIZED CLAIMS(#162.7)  

  • LAST EDITED:  JAN 11, 1993
  • DESCRIPTION:  
    This field contains the related 7078 or 583 if an unauthorized claim.
  • CROSS-REFERENCE:  162.1^AO
    1)= S ^FBAA(162.1,"AO",$E(X,1,30),DA(1),DA)=""
    2)= K ^FBAA(162.1,"AO",$E(X,1,30),DA(1),DA)
27 AUTHORIZATION POINTER 2;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 03, 1992
  • HELP-PROMPT:  Type a Number between 1 and 9999999, 0 Decimal Digits
  • DESCRIPTION:  
    This field is set internally to the patient's authorization in the Fee Basis Patient file. It is used to display only the authorization associated with the prescription to the pharmacist during their review.
28 DATE PAID 2;8 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 16, 1994
  • HELP-PROMPT:  This is the date of the check, as issued by the treasury.
  • DESCRIPTION:  This is the date of the check, as issued by the treasury. This information will be passed back to DHCP from the Financial Management System (FMS) when the check is issued to the vendor. This field will use the check
    date beginning with version 3.5 of Fee Basis.
29 PROMPT PAY TYPE 2;9 SET

  • LAST EDITED:  MAR 18, 1994
  • HELP-PROMPT:  Set equal to 1 if payment is subject to interest payments.
  • DESCRIPTION:  
    Field is set to 1 if the payment is subject to interest payments (prompt pay).  Otherwise it remains blank.
30 CHECK NUMBER 2;10 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>8!($L(X)<1)!'(X?.AN) X
  • LAST EDITED:  APR 25, 1994
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    Contains the check number as issued by the treasury.  This field is updated after the check is issued, through a server option that records actual payment information for each Fee payment made.
  • CROSS-REFERENCE:  162.1^ACK^MUMPS
    1)= S ^FBAA(162.1,"ACK",X,DA(1),DA)=""
    2)= K ^FBAA(162.1,"ACK",X,DA(1),DA)
    This cross-reference is used to find payment line items for a specific check number.
31 CANCELLATION DATE 2;11 DATE

  • INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 16, 1994
  • HELP-PROMPT:  The date the check was cancelled by the treasury.
  • DESCRIPTION:  
    This is the date the treasury cancelled the check.  This field is updated through a server option that records cancellations of previously recorded payment data.
32 REASON CODE 2;12 POINTER TO FEE BASIS CHECK CANCELLATION REASON FILE (#162.95) FEE BASIS CHECK CANCELLATION REASON(#162.95)

  • LAST EDITED:  MAR 16, 1994
  • HELP-PROMPT:  Enter the reason the check was cancelled.
  • DESCRIPTION:  
    This field contains a pointer to the Fee Basis Check Cancellation Reason file.  It is populated through a server option that updates the payment record when the treasury cancels a check that was previously payed.
33 CANCELLATION ACTIVITY 2;13 SET

  • LAST EDITED:  APR 26, 1994
  • HELP-PROMPT:  Field will contain cancellation code if there has been cancellation activity on this payment.
  • DESCRIPTION:  This field is populated when a cancellation is recorded for the payment referenced. This field will always remain populated, to indicate that there was cancellation activity on this payment at one time. New payments
    will replace the cancellation date and reason code fields, but the cancellation activity flag will not be overwritten.  This flag will allow the user to know that previous cancellation activity existed, and to review
    the cancellation history output for further information.
34 DISBURSED AMOUNT 2;14 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
  • LAST EDITED:  APR 21, 1994
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
  • DESCRIPTION:  
    This is the dollar amount paid by the treasury, less any interest paid.
35 INTEREST AMOUNT 2;15 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
  • LAST EDITED:  APR 21, 1994
  • HELP-PROMPT:  Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
  • DESCRIPTION:  
    The interest amount paid on this line item by the treasury.
36 FPPS LINE ITEM 3;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  JUN 17, 2003
  • HELP-PROMPT:  This response must be a number or a list or range, e.g., 1,3,5 or 2-4,8.
  • DESCRIPTION:  Enter the line item sequence number associated with this charge. Each charge on the FPPS invoice document will have a line item sequence number associated with it. A line item can be entered individually or a group
    of charges from multiple lines can be entered.  If all line items in a group are in numerical sequence, you may enter the first line item sequence number followed by a hyphen and the last line item sequence number.  If
    the grouped charges are not in sequential order, each line item must be entered individually, followed by a comma.
37 ADJUSTMENT 4;0 POINTER Multiple #162.14 162.14
38 REMITTANCE REMARK 5;0 POINTER Multiple #162.15 162.15
39 DoD INVOICE NUMBER 6;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>22!($L(X)<3) X
  • LAST EDITED:  JAN 30, 2014
  • HELP-PROMPT:  Answer must be 3-22 characters in length.
  • DESCRIPTION:  
    This is the DoD invoice number that is found in box 3a on the UB04 form or box 26 on the CMS 1500 form.
  • CROSS-REFERENCE:  162.1^DODI
    1)= S ^FBAA(162.1,"DODI",$E(X,1,30),DA(1),DA)=""
    2)= K ^FBAA(162.1,"DODI",$E(X,1,30),DA(1),DA)
    This is the DoD invoice number cross reference
40 AUTHORIZATION NUMBER 3;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  MAY 27, 2015
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This field holds the authorization numbers transmitted from FBCS.
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