GLOBAL MAP DATA DICTIONARY #161.4 -- FEE BASIS SITE PARAMETERS FILE                                               6/27/25    PAGE 1
STORED IN ^FBAA(161.4,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 3.5)   
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Contains the site specific data for Fee basis functionality. One and only one entry can exist in this file per installation.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


CROSS
REFERENCED BY: STATION OF JURISDICTION NAME(B)



^FBAA(161.4,D0,0)= (#.01) STATION OF JURISDICTION NAME [1F] ^ (#1) STATION ADDRESS LINE 1 [2F] ^ (#2) STATION ADDRESS LINE 2 [3F] 
                ==>^ (#3) CITY [4F] ^ (#4) STATE [5P:5] ^ (#5) ZIP [6F] ^ (#6) STATION TELEPHONE NUMBER [7F] ^ (#7) APPROVING 
                ==>OFFICIAL FOR 7079 [8F] ^ (#8) TITLE OF APPROVING OFFICIAL [9F] ^ (#9) MEDICAID DISPENSING FEE [10N] ^ (#12) 
                ==>MEDICAL PAYMENT VENDOR DISPLAY [11F] ^ (#13) PHARMACY PAYMNT VENDOR DISPLAY [12F] ^ (#14) DEFAULT AUTH. TIME 
                ==>RANGE [13N] ^ 
^FBAA(161.4,D0,1)= (#15) ASK VENDOR DURING AUTH. [1S] ^ (#16) STATION ADDRESS LINE 3 [2F] ^ (#27) PSA DEFAULT INSTITUTION [3P:4] 
                ==>^ (#19) *EDIT AUTH. DURING PAYMENT [4F] ^ (#25) COPIES OF 7078 TO BE PRINTED [5N] ^ (#21) *ASK PROGRAM 
                ==>SPECIFIC AUTH. [6S] ^ (#22) APPROVING OFFICIAL FOR 7078 [7F] ^ (#23) TITLE 7078 APPROVING OFFICIAL [8F] ^ 
                ==>(#30) OUTPATIENT MONTHLY LIMITATION [9N] ^ (#31) TRANSMISSION HEADER [10F] ^ (#5.5) MAIL CODE [11F] ^ 
^FBAA(161.4,D0,2)= (#36) FPPS TRANSMIT START [1D] ^ (#37) FPPS TRANSMIT END [2D] ^ (#39) UNIQUE CLAIM IDENTIFIER SEQ [3F] ^ (#40) 
                ==>ALLOW FB PAID TO IB [4S] ^ 
^FBAA(161.4,D0,ARCH)= (#38) PROJECT ARCH REMINDER DELAY [1N] ^ 
^FBAA(161.4,D0,FBNUM)= (#10) NEXT BATCH NUMBER [1N] ^ (#11) NEXT INVOICE NUMBER [2N] ^ (#17) MAX # PAYMENT LINE ITEMS [3N] ^ 
                    ==>(#17.1) MAX # CH PAYMENT LINES [4N] ^ (#17.2) MAX # CNH PAYMENT LINES [5N] ^ 
^FBAA(161.4,D0,IPAC)= (#80) LAST IPAC NUMBER [1N] ^ 
^FBAA(161.4,D0,PURGE)= (#29) DATE BATCH PURGE LAST RUN [1D] ^ 
^FBAA(161.4,D0,S,0)=^161.428^^  (#28) 7078 DEFAULT AUTH SERVICE TEXT
^FBAA(161.4,D0,S,D1,0)= (#.01) 7078 DEFAULT AUTH SERVICE TEXT [1W] ^ 
^FBAA(161.4,D0,UC)= (#32) TRACK INCOMPLETE UNAUTH CLAIM? [1S] ^ (#33) UNAUTHORIZED CLAIM PRINTER [2F] ^ (#34) UNAUTHORIZED CLAIM 
                 ==>LETTER [3S] ^ (#35) NUMBER OF COPIES [4N] ^  ^  ^ (#32.5) 'INITIAL ENTRY' STATUS FOR U/C [7S] ^ (#35.5) PRINT 
                 ==>U/C ON LETTERHEAD? [8S] ^ (#35.6) STATION NAME (EDITABLE) [9F] ^ (#35.7) UC LETTER LINES AFTER CC [10N] ^ 


INPUT TEMPLATE(S):
^DIE(1021)= FBAA SITE PARAMETERS    

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):