STANDARD DATA DICTIONARY #162.93 -- FEE BASIS UNAUTHORIZED REQUESTED INFORMATION FILE                             9/29/25    PAGE 1
STORED IN ^FB(162.93,  (1 ENTRY)   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                                        (VERSION 3.5)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
Data contained in this file pertains to information needed in order to process an unauthorized claim.  Sites have the ability to
add local entries.  The description of the requested information is printed as part of the text in the letter which is mailed to
the submitter requesting the information.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


              DD ACCESS: @
              RD ACCESS: #
              WR ACCESS: #
             DEL ACCESS: #
           LAYGO ACCESS: #
           AUDIT ACCESS: #

POINTED TO BY: INFORMATION REQUESTED field (#.03) of the FEE BASIS UNAUTHORIZED CLAIMS PENDING INFO File (#162.8) 
               

CROSS
REFERENCED BY: REASON(B)



162.93,.001   NUMBER                     NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1N.N) X
              LAST EDITED:      MAR 04, 1993 
              HELP-PROMPT:      Type a Number between 1 and 999999999, 0 Decimal Digits 
              DESCRIPTION:
                                This field contains the internal entry number of the record in this file.  


162.93,.01    REASON                 0;1 FREE TEXT (Required)

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
              LAST EDITED:      MAR 10, 1993 
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This field contains the requested information.  

              CROSS-REFERENCE:  162.93^B 
                                1)= S ^FB(162.93,"B",$E(X,1,30),DA)=""
                                2)= K ^FB(162.93,"B",$E(X,1,30),DA)


162.93,.02    ACTIVE?                0;2 SET

                                '1' FOR YES; 
              LAST EDITED:      NOV 02, 1992 
              HELP-PROMPT:      Indicate if the requested information is active. 
              DESCRIPTION:
                                This field indicates if the requested information is active.  


162.93,1      DESCRIPTION            1;0   WORD-PROCESSING #162.931   (NOWRAP)

              DESCRIPTION:      This field contains a detailed description of the requested information.  The description is
                                printed as part of the text of the letter whenever information is requested.  


                LAST EDITED:      NOV 02, 1992 



162.93,2      POSTSCRIPT             2;0   WORD-PROCESSING #162.932   (NOWRAP)

              DESCRIPTION:      If populated, the postscript is printed as part of the text of the letter whenever the associated
                                information is requested.  It is printed at the end of the letter after the signature.  


                LAST EDITED:      JUL 10, 2001 
                DESCRIPTION:      If populated, the postscript is printed as part of the text of the letter whenever the associated
                                  information is requested.  It is printed at the end of the letter after the signature.  





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