STANDARD DATA DICTIONARY #161.4 -- FEE BASIS SITE PARAMETERS FILE 3/24/25 PAGE 1 STORED IN ^FBAA(161.4, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 3.5) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- 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. DD ACCESS: @ RD ACCESS: # WR ACCESS: # DEL ACCESS: # LAYGO ACCESS: # CROSS REFERENCED BY: STATION OF JURISDICTION NAME(B) LAST MODIFIED: JAN 30,2018@14:48:55 161.4,.001 NUMBER NUMBER INPUT TRANSFORM: K:+X'=X!(X>1)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: MAR 18, 1994 HELP-PROMPT: Type a Number between 1 and 1, 0 Decimal Digits DESCRIPTION: This field is used to prevent the addition of more than one entry into the site parameter file. 161.4,.01 STATION OF JURISDICTION NAME 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X'?1P.E)!(X'?.ANP) X LAST EDITED: MAR 18, 1994 HELP-PROMPT: Answer must be 3-30 characters in length. DESCRIPTION: The name of this Clinic of Jurisdiction for which these site parameters are defined. There can be only 1 entry in this file. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 161.4^B 1)= S ^FBAA(161.4,"B",$E(X,1,30),DA)="" 2)= K ^FBAA(161.4,"B",$E(X,1,30),DA) 161.4,1 STATION ADDRESS LINE 1 0;2 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X HELP-PROMPT: ANSWER MUST BE 3-30 CHARACTERS IN LENGTH DESCRIPTION: Street address line 1 of this COJ. This data will be printed on the Authorization form 7079. 161.4,2 STATION ADDRESS LINE 2 0;3 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X HELP-PROMPT: ANSWER MUST BE 3-30 CHARACTERS IN LENGTH DESCRIPTION: Street address line 2 of this COJ. This address line will also print on the Authorization form 7079. 161.4,3 CITY 0;4 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>23!($L(X)<2) X HELP-PROMPT: ANSWER MUST BE 2-23 CHARACTERS IN LENGTH DESCRIPTION: The city in which the COJ receives it's mail. 161.4,4 STATE 0;5 POINTER TO STATE FILE (#5) (Required) DESCRIPTION: The state in which the COJ's mailing address resides. 161.4,5 ZIP 0;6 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>9!($L(X)<5) X HELP-PROMPT: ANSWER MUST BE 5-9 CHARACTERS IN LENGTH DESCRIPTION: Zip code for the COJ. 161.4,5.5 MAIL CODE 1;11 FREE TEXT INPUT TRANSFORM: K:$L(X)>10!($L(X)<2) X LAST EDITED: OCT 12, 2000 HELP-PROMPT: Answer must be 2-10 characters in length. DESCRIPTION: The Mail Code will appear in the upper right corner of Unauthorized Claim letters immediately after the medical center division. 161.4,6 STATION TELEPHONE NUMBER 0;7 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>20!($L(X)<6) X HELP-PROMPT: ANSWER MUST BE 6-20 CHARACTERS IN LENGTH DESCRIPTION: The telephone number where Fee inquiries should be directed. 161.4,7 APPROVING OFFICIAL FOR 7079 0;8 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X HELP-PROMPT: ANSWER MUST BE 3-45 CHARACTERS IN LENGTH DESCRIPTION: The name of the approving official authorizing fee services. This name will be printed on the authorization form 7079. 161.4,8 TITLE OF APPROVING OFFICIAL 0;9 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X HELP-PROMPT: ANSWER MUST BE 3-30 CHARACTERS IN LENGTH DESCRIPTION: The title of the approving official which will also be printed on the authorization form 7079. 161.4,9 MEDICAID DISPENSING FEE 0;10 NUMBER (Required) INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>20)!(X<.01) X LAST EDITED: JAN 05, 1993 HELP-PROMPT: Type a Dollar Amount between .01 and 20, 2 Decimal Digits DESCRIPTION: The medicaid dispensing fee for this COJ. Dispensing fees vary from COJ to COJ. Medicaid approves dispensing fee's. 161.4,10 NEXT BATCH NUMBER FBNUM;1 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>9999999)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: JAN 19, 2015 HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 1 AND 9999999 DESCRIPTION: The next batch number which will be assigned by the system. This cannot be edited or changed. DELETE AUTHORITY: ~ WRITE AUTHORITY: ~ UNEDITABLE NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 161.4,11 NEXT INVOICE NUMBER FBNUM;2 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>9999999)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: JUL 25, 1994 HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 1 AND 9999999 DESCRIPTION: The next invoice number which will automatically be assigned by the system. This number cannot be edited or deleted. DELETE AUTHORITY: ~ WRITE AUTHORITY: ~ UNEDITABLE 161.4,12 MEDICAL PAYMENT VENDOR DISPLAY 0;11 FREE TEXT DISPLAY VENDOR DEMOGRAPHICS DURING MEDICAL PAYMENT PROCESS INPUT TRANSFORM: I $D(X) D YN^FBAAUTL3 OUTPUT TRANSFORM: D OUTYN^FBAAUTL3 LAST EDITED: MAR 18, 1994 HELP-PROMPT: Answer 'Yes' or '1' for YES and 'No' or '0' for NO. DESCRIPTION: This parameter is used to indicate whether the vendor's demographic data will be displayed and made editable during the entering of a medical payment. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 161.4,13 PHARMACY PAYMNT VENDOR DISPLAY 0;12 FREE TEXT DISPLAY VENDOR DEMOGRAPHICS DURING THE ENTER PHARMACY INVOICE OPTION INPUT TRANSFORM: I $D(X) D YN^FBAAUTL3 OUTPUT TRANSFORM: D OUTYN^FBAAUTL3 LAST EDITED: MAR 18, 1994 HELP-PROMPT: Enter 'Yes' or '1' if you want Vendor Demographics to display during Enter Pharmacy Invoice option, otherwise answer 'No' or '0' for No. DESCRIPTION: If there is a 'Y' in this field, the Vendor Demographics will be displayed during the Enter Pharmacy Invoice option. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 161.4,14 DEFAULT AUTH. TIME RANGE 0;13 NUMBER INPUT TRANSFORM: K:+X'=X!(X>1095)!(X<0)!(X?.E1"."1N.N) X LAST EDITED: FEB 23, 1987 HELP-PROMPT: TYPE A WHOLE NUMBER BETWEEN 0 AND 1095 DESCRIPTION: The number of days that is the usual long term authorization. The data entered here will be added to the Authorization From date and that date will become the default 'To Date' for the authorization. For example, if the normal long term authorization is one year, 364 would be entered in this parameter. 161.4,15 ASK VENDOR DURING AUTH. 1;1 SET 'y' FOR YES; LAST EDITED: SEP 11, 1986 DESCRIPTION: A 'yes' results in asking for Vendor in Enter Authorization. 161.4,16 STATION ADDRESS LINE 3 1;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X LAST EDITED: SEP 22, 1986 HELP-PROMPT: ANSWER MUST BE 3-30 CHARACTERS IN LENGTH DESCRIPTION: Line 3 of the COJ's street address. 161.4,17 MAX # PAYMENT LINE ITEMS FBNUM;3 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>85)!(X<1)!(X?.E1"."1.N) X LAST EDITED: JUL 01, 2009 HELP-PROMPT: Type a number between 1 and 85, 0 Decimal Digits DESCRIPTION: The maximum number of payment line items that will be allowed in a batch. Any number between 1 and 85 is acceptable. This value is checked during the enter payment options and will warn the clerks when they are within 20 of the maximum. It will prevent the clerks from exceeding this number. 161.4,17.1 MAX # CH PAYMENT LINES FBNUM;4 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>42)!(X<1)!(X?.E1"."1.N) X LAST EDITED: JUL 01, 2009 HELP-PROMPT: Type a number between 1 and 42, 0 Decimal Digits DESCRIPTION: The maximum number of payment line items that will be allowed in a contract hospital batch. This value is checked during the enter payment options and will warn the clerks when they are within 5 of the maximum. It will prevent the clerks from exceeding this number. 161.4,17.2 MAX # CNH PAYMENT LINES FBNUM;5 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>61)!(X<1)!(X?.E1"."1.N) X LAST EDITED: JUL 01, 2009 HELP-PROMPT: Type a number between 1 and 61, 0 Decimal Digits DESCRIPTION: The maximum number of payment line items that will be allowed in a community nursing home batch. This value is checked during the enter payment options and will warn the clerks when they are within 5 of the maximum. It will prevent the clerks from exceeding this number. 161.4,19 *EDIT AUTH. DURING PAYMENT 1;4 FREE TEXT INPUT TRANSFORM: I $D(X) D YN^FBAAUTL3 OUTPUT TRANSFORM: D OUTYN^FBAAUTL3 LAST EDITED: MAR 03, 2014 HELP-PROMPT: OBSOLETE. Answer 'Yes' or '1' for YES and 'No' or '0' for NO. DESCRIPTION: This field is obsolete with patch FB*3.5*154 and no longer has any impact on the behavior of the payment options. This field may be deleted by a future patch. The prior field description follows: This field is used to indicate that editing of the Authorization Remarks field and the 3 DX fields is allowable during the Enter Payment options. Normally used for six months immediately after installing Fee system. This is because the Remarks and DX data was not available for downloading from Central Fee system. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 161.4,21 *ASK PROGRAM SPECIFIC AUTH. 1;6 SET 'Y' FOR YES; LAST EDITED: MAR 18, 1994 DESCRIPTION: A yes answer to this site parameter will show only those authorizations that are program specific. An example would be the display for selection of only Community Nursing Home authorizations when entering CNH payments. 161.4,22 APPROVING OFFICIAL FOR 7078 1;7 FREE TEXT INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X LAST EDITED: FEB 03, 1989 HELP-PROMPT: ANSWER MUST BE 3-45 CHARACTERS IN LENGTH DESCRIPTION: The default approving official for 7078s. 161.4,23 TITLE 7078 APPROVING OFFICIAL 1;8 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X LAST EDITED: FEB 03, 1989 HELP-PROMPT: ANSWER MUST BE 3-30 CHARACTERS IN LENGTH DESCRIPTION: The title of the default approving official for 7078s. 161.4,25 COPIES OF 7078 TO BE PRINTED 1;5 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>5)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: MAR 06, 1990 HELP-PROMPT: Type a Number between 1 and 5, 0 Decimal Digits DESCRIPTION: Indicates the default number of copies to be printed for each 7078 generated. 161.4,27 PSA DEFAULT INSTITUTION 1;3 POINTER TO INSTITUTION FILE (#4) (Required) PRIMARY SERVICE FACILITY LAST EDITED: APR 04, 1990 DESCRIPTION: The station number for the transmission of data to Austin is determined using this field. 161.4,28 7078 DEFAULT AUTH SERVICE TEXT S;0 WORD-PROCESSING #161.428 (NOWRAP) DESCRIPTION: If data exists in this field it will be used as the default for the 'Authorized Services' field on the 7078 for CONTRACT HOSPITAL. LAST EDITED: APR 09, 1990 161.4,29 DATE BATCH PURGE LAST RUN PURGE;1 DATE INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X LAST EDITED: NOV 15, 1990 DESCRIPTION: Indicates the date the last batch purge was run on the system. 161.4,30 OUTPATIENT MONTHLY LIMITATION 1;9 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: MAY 15, 1992 HELP-PROMPT: Type a Number between 1 and 99999, 0 Decimal Digits. This amount is set by the program office. DESCRIPTION: This field should contain the monthly Outpatient Medical dollar limitation set by the program office. TECHNICAL DESCR: This field will replace the hard set dollar amount in the fee routines. By do this, if the program office changes the dollar limitation, a routine patch will not have to be issued. 161.4,31 TRANSMISSION HEADER 1;10 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>3!($L(X)<3) X I $D(X) K:X'="FEN" X LAST EDITED: APR 13, 1994 HELP-PROMPT: Answer must be either 'FEE' or 'FEN', depending upon the version. DESCRIPTION: The Transmission Header field is used as part of the header information for transmissions sent to Austin. Header names change alternately to FEE or FEN in FEE releases which contain changes to transmission data/Austin record layouts. Austin uses the Transmission Header to distinguish the record layout to be used. TECHNICAL DESCR: The variable FBHD is set to this piece. It can be found in the transmission routines subset, FBAAV0:FBAAV6, FBAAV01. WRITE AUTHORITY: @ NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 161.4,32 TRACK INCOMPLETE UNAUTH CLAIM? UC;1 SET TRACK INCOMPLETE UNAUTHORIZED CLAIMS? '1' FOR YES; '0' FOR NO; LAST EDITED: MAR 18, 1993 HELP-PROMPT: Indicate yes if incomplete unauthorized claims will be tracked. DESCRIPTION: Indicate whether or not incomplete unauthorized claims should be tracked. Yes is to track incomplete claims, otherwise can only track complete claims. 161.4,32.5 'INITIAL ENTRY' STATUS FOR U/C UC;7 SET '1' FOR ACTIVATE; LAST EDITED: JUL 07, 1993 HELP-PROMPT: If you wish to activate the 'INITIAL ENTRY' status then fill in this field. Activation will result in minimum data input when entering in an unauthorized claim. DESCRIPTION: If this field is filled in, then minimum data is required for entering in an unauthorized claim. This is designed for sites who have streamlined their workload, where only one user enters in the unauthorized claims received, and another reviews the claim for completeness and makes the necessary requests, etc. TECHNICAL DESCR: The code in routine FBUCEN, enter routine, will branch depending upon the value of this field. If it is not filled in, the user will be required to enter the necessary data in order to determine if the claim is INCOMPLETE or COMPLETE/PENDING REVIEW. Otherwise, claim is given the INTIAL ENTRY status, which means further follow up by Fee clerk is required. VENDOR and TREATMENT TO DATE fields are optional. 161.4,33 UNAUTHORIZED CLAIM PRINTER UC;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X K:$D(X)&($$DEV^FBUCDD1(X)) X LAST EDITED: SEP 10, 1993 HELP-PROMPT: Enter the name of a default printer to which unauthorized letters will print. The printer name should exactly match a name of a printer in the device file. DESCRIPTION: Field should contain the name of a printer device to which unauthorized claim letters will print, if filled in. Entry in this field is optional. TECHNICAL DESCR: Input transform limits entry to valid device name with a subtype which begins with "P" for printer terminal types. EXECUTABLE HELP: D XHELP^FBUCDD1 NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 161.4,34 UNAUTHORIZED CLAIM LETTER UC;3 SET 'A' FOR AUTOMATIC PRINT; 'B' FOR BATCH PRINT; LAST EDITED: APR 02, 1993 HELP-PROMPT: Enter 'A'utomatic if your printer is dedicated, 'B'atch to print the letters using the option. If automatic, a printer must be designated in the UNAUTHORIZED CLAIM PRINTER parameter. DESCRIPTION: Indicate how you wish your unauthorized claim letters to print. Enter a 'A' if the Unauthorized Claim Printer is dedicated and you always wish a letter to print when it has been changed to the apppropriate status. Enter a 'B' if the Unauthorized Claim Printer is not dedicated, or you wish to batch print letters of claims which have changed to the appropriate status. Do not enter anything if you will be manually generating your own form letter. TECHNICAL DESCR: If value of field is set to 'B'atch or if value is set to 'A'utomatic but the UNAUTHORIZED CLAIM PRINTER has no value, a cross-reference will get set when a letter needs to be printed. 161.4,35 NUMBER OF COPIES UC;4 NUMBER INPUT TRANSFORM: K:+X'=X!(X>5)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: APR 06, 1993 HELP-PROMPT: Enter the default number of copies you wish to print for an unauthorized claim letter. Maximum number of copies allowed is five. DESCRIPTION: The number of copies of a letter to be printed. Maximum number of copies allowed is five. TECHNICAL DESCR: Field is used in printing of unauthorized claim letters. If the user is not prompted for the number of copies, the value in this field will be used. If no value exists, only one copy will print. 161.4,35.5 PRINT U/C ON LETTERHEAD? UC;8 SET '1' FOR Y; LAST EDITED: JUL 07, 1993 HELP-PROMPT: Enter a value in this field if your unauthorized claims letters will print on VA letterhead. If there is no entry, the station name and address from the FEE BASIS SITE PARAMETERS file will print. DESCRIPTION: Answer 'Yes' if you will be printing Unauthorized Claims' letters on VHA letterhead. EXECUTABLE HELP: W !,"No entry is necessary if you will not be printing letters." 161.4,35.6 STATION NAME (EDITABLE) UC;9 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X LAST EDITED: SEP 11, 1993 HELP-PROMPT: Enter the first line of return address, 3-30 characters. DESCRIPTION: First line of return address. Data pulled from .01; but is editable. 161.4,35.7 UC LETTER LINES AFTER CC UC;10 NUMBER INPUT TRANSFORM: K:+X'=X!(X>20)!(X<0)!(X?.E1"."1N.N) X LAST EDITED: NOV 07, 2001 HELP-PROMPT: Type a Number between 0 and 20, 0 Decimal Digits DESCRIPTION: Number of blank lines after the carbon copy address on a disposition letter. This value may be changed to adjust the spacing from the bottom of the page. If a number is not specified here then 0 is used as the default value. 161.4,36 FPPS TRANSMIT START 2;1 DATE INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: APR 22, 2011 HELP-PROMPT: Please enter a Date & Time including seconds. DESCRIPTION: Enter the start date and time for the beginning of the FB FPPS TRANSMIT menu option. This value will be auto-populated by the menu option to help track when the last time a batch was started. 161.4,37 FPPS TRANSMIT END 2;2 DATE [A INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 17, 2011 HELP-PROMPT: Please enter a Date & Time including seconds. DESCRIPTION: Enter the finish date and time for the FB FPPS TRANSMIT menu option. This value will be auto-populated by the menu option to help track when the last time a batch finished. 161.4,38 PROJECT ARCH REMINDER DELAY ARCH;1 NUMBER INPUT TRANSFORM: K:+X'=X!(X>180)!(X<1)!(X?.E1"."1.N) X LAST EDITED: DEC 07, 2011 HELP-PROMPT: Type a number between 1 and 180, 0 decimals. DESCRIPTION: The number of days to delay the Project ARCH Clinical Reminder from becoming due once the patient has either declined the services offered, or rejected the services offered due to travel distance to a non-VA contracted provider being further than the closest VA facility. The acceptable values are 1 day to 180 days with 1 day being the default if no value is entered. This field is only used by the Project ARCH National Clinical Reminder. 161.4,39 UNIQUE CLAIM IDENTIFIER SEQ 2;3 FREE TEXT INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: MAY 30, 2012 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: The sequence number for the UNIQUE CLAIM IDENTIFER that is used to identify individual claims. The UNIQUE CLAIM IDENTIFIER field is present in the FEE BASIS PAYMENT (#162) file, field #81 and in the FEE BASIS INVOICE (#162.5) file, field #85. 161.4,40 ALLOW FB PAID TO IB 2;4 SET '0' FOR NO; '1' FOR YES; LAST EDITED: MAY 30, 2012 HELP-PROMPT: Enter YES if the FB PAID TO IB option should be processed. DESCRIPTION: This field allows the site to turn on the FB to IB Provider automation. The scheduled option, Fee Basis Payment to IB [FB PAID TO IB] also needs to be scheduled to run each night. The background process will check this parameter to determine if FB providers in Fee Invoice and Payment entries should be created and/or updated in the IB NON/OTHER VA BILLING PROVIDER (#355.93) file. 161.4,80 LAST IPAC NUMBER IPAC;1 NUMBER INPUT TRANSFORM: K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1.N) X LAST EDITED: SEP 25, 2013 HELP-PROMPT: Type a number between 1 and 999999999, 0 decimal digits. DESCRIPTION: This is the last number used to create the ID# field in the IPAC VENDOR AGREEMENT file (#161.95). This number is automatically incremented for each new IPAC vendor agreement that is created. FILES POINTED TO FIELDS INSTITUTION (#4) PSA DEFAULT INSTITUTION (#27) STATE (#5) STATE (#4) INPUT TEMPLATE(S): FBAA SITE PARAMETERS OCT 07, 2014@10:34 USER #0 PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):