GLOBAL MAP DATA DICTIONARY #161.91 -- ADJUSTMENT REASON FILE                                                      3/24/25    PAGE 1
STORED IN ^FB(161.91,  (367 ENTRIES)   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                                    (VERSION 3.5)   
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This file contains a list of claim adjustment reason codes.  These codes are used to indicate why the amount paid is different from
the amount billed on a health care claim.  The source of the codes is the National Health Care Claim Payment/Committee Bulletins. 
It is available from Washington Publishing Company.  The associated suspend code, suspension description, and applicability for use
by VA on fee claims is provided by the Fee Replacement Project Management Office in Denver which represents the VA Chief Business
Office.  
 
This file is exported with data and the contents should not be locally modified.  


CROSS
REFERENCED BY: CODE(B)



^FB(161.91,D0,0)= (#.01) CODE [1F] ^ (#3) ASSOCIATED SUSPEND CODE [2P:161.27] ^ (#6) CORE SCENARIO [3S] ^ 
^FB(161.91,D0,1,0)=^161.911D^^  (#1) STATUS EFFECTIVE DATE
^FB(161.91,D0,1,D1,0)= (#.01) STATUS EFFECTIVE DATE [1D] ^ (#1) STATUS [2S] ^ (#2) FEE USE [3S] ^ 
^FB(161.91,D0,2,0)=^161.912D^^  (#2) DESCRIPTION EFFECTIVE DATE
^FB(161.91,D0,2,D1,0)= (#.01) DESCRIPTION EFFECTIVE DATE [1D] ^ 
^FB(161.91,D0,2,D1,D,0)=^161.9121^^  (#1) DESCRIPTION
^FB(161.91,D0,2,D1,D,D2,0)= (#.01) DESCRIPTION [1W] ^ 
^FB(161.91,D0,3,0)=^161.917PA^^  (#7) ADJUSTMENT GROUP
^FB(161.91,D0,3,D1,0)= (#.01) ADJUSTMENT GROUP [1P:161.92] ^ 
^FB(161.91,D0,4,0)=^161.914^^  (#4) SUSPENSION DESCRIPTION
^FB(161.91,D0,4,D1,0)= (#.01) SUSPENSION DESCRIPTION [1W] ^ 
^FB(161.91,D0,RARC,0)=^161.915PA^^  (#5) REMITTANCE REMARK
^FB(161.91,D0,RARC,D1,0)= (#.01) REMITTANCE REMARK [1P:161.93] ^ 


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