GLOBAL MAP DATA DICTIONARY #161.9 -- FEE BASIS PAID TO IB FILE                                                    9/29/25    PAGE 1
STORED IN ^FB(161.9,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                        (VERSION 3.5)   
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This file contains temporary information for the automation of Fee Basis Vendor and 5010 Providers to the IB NON/OTHER VA BILLING
PROVIDER (#355.93) file.  The automation assists IB clerks in the creation of bills to third party insurance companies for paid fee
claims.  


CROSS
REFERENCED BY: PROCESS DATE(AC), PATIENT(B)



^FB(161.9,D0,0)= (#.01) PATIENT [1P:2] ^ (#.02) PROGRAM [2S] ^ (#.03) FB INTERNAL CONTROL NUMBER [3F] ^ (#.04) PROCESS DATE [4D] 
              ==>^ (#.05) LI NUMBER [5N] ^ (#.06) PROVIDER TYPE [6S] ^ (#.07) IB NON/OTHER PROVIDER [7P:355.93] ^ (#.08) NPI 
              ==>ADDED [8S] ^ (#.09) TAXONOMY ADDED [9S] ^ 


INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):