STANDARD DATA DICTIONARY #161.9 -- FEE BASIS PAID TO IB FILE 3/24/25 PAGE 1
STORED IN ^FB(161.9, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 3.5)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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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.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: PROCESS DATE(AC), PATIENT(B)
161.9,.01 PATIENT 0;1 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Enter the Patient for the paid claim.
DESCRIPTION: This field contains the patient for the paid Fee claim that may have vendor and/or 5010 provider
information automated to IB.
CROSS-REFERENCE: 161.9^B
1)= S ^FB(161.9,"B",$E(X,1,30),DA)=""
2)= K ^FB(161.9,"B",$E(X,1,30),DA)
161.9,.02 PROGRAM 0;2 SET
'3' FOR OUTPATIENT;
'9' FOR INPATIENT;
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Choose the fee program for the claim.
DESCRIPTION: This field identifies the Fee program for the paid claim. Vendor and 5010 provider data is pulled
from either the FEE BASIS PAYMENT(#162) file for Outpatient, or the FEE BASIS INVOICE(#162.5) file
for Inpatient during IB automation.
161.9,.03 FB INTERNAL CONTROL NUMBER 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: MAR 28, 2012
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION: This value is retrieved from the PAID message from Central Fee to identify the payment or invoice.
Outpatient claim control numbers are formatted as comma-delimited strings that point to the
specific line item in a claim. Inpatient claim control numbers are pointers to the FEE BASIS
INVOICE(#162.5) file.
161.9,.04 PROCESS DATE 0;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Enter the date the PAID message was processed from Central Fee.
DESCRIPTION:
This field contains the date the MailMan message from Central Fee was processed by the server.
CROSS-REFERENCE: 161.9^AC
1)= S ^FB(161.9,"AC",$E(X,1,30),DA)=""
2)= K ^FB(161.9,"AC",$E(X,1,30),DA)
This cross-reference is used by 5010 FB PAID TO IB background job to identify records by the date
the PAID message from Central Fee was processed
161.9,.05 LI NUMBER 0;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>35)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Type a number between 1 and 35, 0 decimal digits.
DESCRIPTION:
The Line Item number from the FEE BASIS entry being processed.
161.9,.06 PROVIDER TYPE 0;6 SET
'V' FOR VENDOR;
'A' FOR ATTENDING;
'O' FOR OPERATING;
'R' FOR RENDERING;
'S' FOR SERVICING;
'F' FOR REFERRING;
'L' FOR LI RENDERING;
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Enter a Provider Type for this Line Item.
DESCRIPTION:
This field identifies the provider type that is associated with this Line Item.
161.9,.07 IB NON/OTHER PROVIDER 0;7 POINTER TO IB NON/OTHER VA BILLING PROVIDER FILE (#355.93)
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Select the IB NON/OTHER VA BILLING PROVIDER Name.
DESCRIPTION:
This is the provider of Fee Basis services in the IB file.
161.9,.08 NPI ADDED 0;8 SET
'0' FOR NO NPI UPDATES ATTEMPTED;
'1' FOR NPI DATA INVALID;
'2' FOR NPI MATCHED ACTIVE, NO UPDATES;
'3' FOR NPI MATCHED INACTIVE, NO UPDATES;
'4' FOR NPI MATCHED ACTIVE, IB UPDATED;
'5' FOR NPI NEW, IB RECORD CREATED;
LAST EDITED: MAY 30, 2012
HELP-PROMPT: Enter the code that describes result of NPI processing.
DESCRIPTION: This field provides information about updates to the NPI(#41.01) field of the record in the IB/NON
OTHER VA BILLING PROVIDER (#355.93) file as pointed to by field #.07 in this file.
161.9,.09 TAXONOMY ADDED 0;9 SET
'0' FOR NO TXY UPDATES ATTEMPTED;
'1' FOR TXY CODE NOT FOUND IN 8932.1;
'2' FOR MATCHED PRIMARY, NO UPDATES;
'3' FOR MATCHED NON-PRIMARY, IB TXY UPDATES;
'4' FOR NEW, IB TXY ENTRY CREATED;
LAST EDITED: JUN 06, 2012
HELP-PROMPT: Enter the code that describes the result of TXY processing.
DESCRIPTION: This field provides information about updates to the TAXONOMY CODE(#42) field of the record in the
IB/NON OTHER VA PROVIDER(#355.93) file as pointed to by field #.07 in this file.
FILES POINTED TO FIELDS
IB NON/OTHER VA BILLING PROVID
(#355.93) IB NON/OTHER PROVIDER (#.07)
PATIENT (#2) PATIENT (#.01)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):