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Sub-Field: 162.14

Package: Fee Basis

FEE BASIS PHARMACY INVOICE(#162.1)-->162.11-->162.14

Sub-Field: 162.14


Information

Parent File Name Number Package
162.11 ADJUSTMENT 162.14 Fee Basis

Details

Field # Name Loc Type Details
.01 ADJUSTMENT REASON 0;1 POINTER TO ADJUSTMENT REASON FILE (#161.91) ADJUSTMENT REASON(#161.91)

  • INPUT TRANSFORM:  S DIC("S")="I $P($$AR^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  MAR 26, 2015
  • HELP-PROMPT:  Select a HIPAA Adjustment (suspense) Reason Code.
  • DESCRIPTION:  
    Adjustment reason codes explain why the amount paid differs from the amount claimed.
  • SCREEN:  S DIC("S")="I $P($$AR^FBUTL1(Y),U,4)=1"
  • EXPLANATION:  Only adjustment reasons that are applicable for Fee use can be selected.
  • CROSS-REFERENCE:  162.14^B
    1)= S ^FBAA(162.1,DA(2),"RX",DA(1),4,"B",$E(X,1,30),DA)=""
    2)= K ^FBAA(162.1,DA(2),"RX",DA(1),4,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  162.1^AI^MUMPS
    1)= Q
    2)= D KILLRR^FBRXFR(X,.DA)
    Deletes remittance remarks associated with the adjustment reason when the reason is deleted.
1 ADJUSTMENT GROUP 0;2 POINTER TO ADJUSTMENT GROUP FILE (#161.92) ADJUSTMENT GROUP(#161.92)

  • INPUT TRANSFORM:  S DIC("S")="I $P($$AG^FBUTL1(Y),U,4)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUN 18, 2003
  • HELP-PROMPT:  Select a HIPAA Adjustment Group Code.
  • DESCRIPTION:  
    The Adjustment Group Code pertains to the previously entered adjustment reason code.
  • SCREEN:  S DIC("S")="I $P($$AG^FBUTL1(Y),U,4)=1"
  • EXPLANATION:  Only adjustment groups that are applicable for Fee use can be selected.
2 ADJUSTMENT AMOUNT 0;3 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<.01) X
  • LAST EDITED:  JUN 17, 2003
  • HELP-PROMPT:  Type a Dollar Amount between .01 and 999999, 2 Decimal Digits
  • DESCRIPTION:  
    Enter the dollar amount that is not being paid for this charge per the adjustment reason.
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