STANDARD DATA DICTIONARY #344.62 -- RCDPE CARC-RARC AUTO DEC FILE 3/24/25 PAGE 1
STORED IN ^RCY(344.62, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 4.5)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file will store all of the CARCs or RARCs that can be used during auto-decrease of a patient's bill.
DD ACCESS:
RD ACCESS:
WR ACCESS:
DEL ACCESS:
LAYGO ACCESS:
AUDIT ACCESS:
CROSS
REFERENCED BY: CARC AUTO DECREASE(ACTV), CARC AUTO DECREASE NO-PAY(ACTVN), CARC TRICARE AUTO-DECRS NO-PAY(ACTVNT),
CARC PHARM AUTO DECREASE(ACTVR), CARC TRICARE W PYMNTS AUTO-DEC(ACTVT), CARC/RARC CODE(B)
LAST MODIFIED: NOV 17,2021@14:23:08
344.62,.01 CARC/RARC CODE 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
LAST EDITED: OCT 24, 2014
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: A Claims Adjustment Reason Code (CARC) or a Remittance Advice Reason Code (RARC) that is allowed to
auto-decrease the amount owed on a patients bill.
TECHNICAL DESCR: A Claims Adjustment Reason Code (CARC) or a Remittance Advice Reason Code (RARC) that is allowed to
auto-decrease the amount owed on a patients bill.
CROSS-REFERENCE: 344.62^B
1)= S ^RCY(344.62,"B",$E(X,1,30),DA)=""
2)= K ^RCY(344.62,"B",$E(X,1,30),DA)
344.62,.02 CARC AUTO DECREASE 0;2 SET
'0' FOR NO;
'1' FOR Y;
LAST EDITED: FEB 05, 2019
HELP-PROMPT: Enter Yes to turn on Auto-Decrease of medical claims with payments, No to turn it off.
DESCRIPTION:
A Yes/No prompt defining whether a CARC code can be auto-decreased or not.
CROSS-REFERENCE: 344.62^ACTV
1)= S ^RCY(344.62,"ACTV",$E(X,1,30),DA)=""
2)= K ^RCY(344.62,"ACTV",$E(X,1,30),DA)
3)= Do not delete
Index will be used to obtain a list of the active CARC codes for automatic decrease to be applied
for Medical Claims with payments.
344.62,.03 DATE ADDED 0;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: FEB 06, 2019
HELP-PROMPT: Enter the Date the CARC was originally added.
DESCRIPTION: The date when the CARC or RARC code was originally added for auto-decreasing of medical claims with
payments.
344.62,.04 UPDATED BY 0;4 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: FEB 06, 2019
HELP-PROMPT: Enter the user who added or updated the entry.
DESCRIPTION:
This is the user who added or updated the CARC or RARC code for medical claims with payments.
344.62,.05 DATE LAST UPDATED 0;5 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: FEB 06, 2019
HELP-PROMPT: Enter the data the entry was last updated.
DESCRIPTION:
The date the entry was last updated for medical claims with payments.
344.62,.06 CARC DECREASE AMOUNT 0;6 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
LAST EDITED: FEB 06, 2019
HELP-PROMPT: Type a dollar amount between 0 and 999999999, 2 decimal digits.
DESCRIPTION: This is the maximum number of dollars that the CARC or RARC code can decrease the balance on a
patient's bill for a medical claim with payments.
344.62,.07 COMMENT 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: FEB 06, 2019
HELP-PROMPT: Answer must be 1-50 characters in length.
DESCRIPTION: User comment explaining why auto-decrease was turned on or off, or otherwise changed, for this CARC
or RARC code for medical claims with payments.
344.62,.08 CARC AUTO DECREASE NO-PAY 1;1 SET
'0' FOR No;
'1' FOR Yes;
LAST EDITED: FEB 06, 2019
HELP-PROMPT: Enter Yes to turn on Auto-Decrease of claims with zero payments, No to turn it off.
DESCRIPTION: A Yes/No value indicating whether a CARC code can be auto-decreased for medical claims with no
payments.
CROSS-REFERENCE: 344.62^ACTVN
1)= S ^RCY(344.62,"ACTVN",$E(X,1,30),DA)=""
2)= K ^RCY(344.62,"ACTVN",$E(X,1,30),DA)
3)= Do not delete.
Index will be used to obtain a list of the active CARC codes for automatic decrease to be applied
for medical claims with no payments.
344.62,.09 DATE ADDED NO-PAY 1;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: FEB 07, 2019
HELP-PROMPT: Enter the Date the CARC was originally added.
DESCRIPTION: The date when the CARC or RARC code was originally added for auto-decreasing of medical claims with
no payments.
344.62,.1 UPDATED BY (NO-PAY) 1;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter the user who added or updated the entry.
DESCRIPTION:
This is the user who added or updated the CARC or RARC code for medical claims with no payments.
344.62,.11 DATE LAST UPDATED NO-PAY 1;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: FEB 07, 2019
HELP-PROMPT: Enter the date this entry was last updated.
DESCRIPTION:
The date the entry was last updated for medical claims with no payments.
344.62,.12 CARC DECREASE AMOUNT NO-PAY 1;5 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0)!(X?.E1"."3.N) X
LAST EDITED: JAN 12, 2018
HELP-PROMPT: Type a dollar amount between 0 and 999999999, 2 decimal digits.
DESCRIPTION: The maximum amount this CARC or RARC code can decrease the balance on a patient's bill for a
medical claim with no payments.
344.62,.13 COMMENT NO-PAY 1;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
MAXIMUM LENGTH: 50
LAST EDITED: JAN 12, 2018
HELP-PROMPT: Answer must be 1-50 characters in length.
DESCRIPTION: User comment explaining why auto-decrease was turned on or off, or otherwise changed, for this CARC
or RARC code for medical claims with no payments.
344.62,2.01 CARC PHARM AUTO DECREASE 2;1 SET
'0' FOR No;
'1' FOR Yes;
LAST EDITED: JAN 10, 2019
HELP-PROMPT: Enter Yes to enable auto-decrease of pharmacy claims with payments, No to disable it.
DESCRIPTION: A Yes/No value indicating whether a CARC or RARC code can be used for auto-decrease of pharmacy
claims with payments.
CROSS-REFERENCE: 344.62^ACTVR
1)= S ^RCY(344.62,"ACTVR",$E(X,1,30),DA)=""
2)= K ^RCY(344.62,"ACTVR",$E(X,1,30),DA)
3)= Do not delete
Index will be used to obtain a list of the active CARC codes for automatic decrease to be applied
to pharmacy claims with payments.
344.62,2.02 PHARM WITH PAYMENTS DATE ADDED 2;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 10, 2019
HELP-PROMPT: Enter the date when the CARC or RARC code was added.
DESCRIPTION: The date when the CARC or RARC code was added or updated for auto-decrease of pharmacy claims with
payments.
344.62,2.03 PHARM WITH PAYMENTS UPDATED BY 2;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 10, 2019
HELP-PROMPT: Enter the user who added or updated the entry.
DESCRIPTION:
The user who last updated the entry for this CARC or RARC code for pharmacy claims with payments.
344.62,2.04 PHARM W. PAYMNTS DT LAST UPDTD 2;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 10, 2019
HELP-PROMPT: Enter the date the entry for pharmacy claims with payments was last updated.
DESCRIPTION: The complete label: PHARM WITH PAYMENTS DATE LAST UPDATED
The date the entry was last updated for pharmacy claims with payments.
344.62,2.05 PHARM W. PAYMNTS CARC DEC AMNT 2;5 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
LAST EDITED: JAN 10, 2019
HELP-PROMPT: Type a dollar amount between 0 and 999999999, 2 decimal digits.
DESCRIPTION: The complete label: PHARM WITH PAYMENTS CARC DECREASE AMOUNT
The maximum amount the CARC or RARC code can decrease the balance on a patient's bill for pharmacy
claims with no payments.
344.62,2.06 PHARM WITH PAYMENTS COMMENT 2;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
MAXIMUM LENGTH: 50
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Answer must be 1-50 characters in length.
DESCRIPTION: User comment explaining why auto-decrease was turned on or off, or otherwise changed, for this CARC
or RARC code for pharmacy claims with payments.
344.62,3.01 CARC TRICARE W PYMNTS AUTO-DEC 3;1 SET
'0' FOR No;
'1' FOR Yes;
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter Yes to enable Auto-Decrease of TRICARE Claims with payments, No to disable.
DESCRIPTION: The complete label: CARC TRICARE WITH PAYMENTS AUTO-DECREASE
A Yes/No value indicating whether or not a CARC code can be auto-decreased for TRICARE claims with
payments.
CROSS-REFERENCE: 344.62^ACTVT
1)= S ^RCY(344.62,"ACTVT",$E(X,1,30),DA)=""
2)= K ^RCY(344.62,"ACTVT",$E(X,1,30),DA)
3)= Do not delete.
Used to obtain a list of the active CARC codes for automatic decrease to be applied for TRICARE
claims with payments.
344.62,3.02 TRICARE W. PAYMENTS DATE ADDED 3;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 12, 2019
HELP-PROMPT: Enter the date when the CARC or RARC code was added for Tricare claims with payments auto-decrease.
DESCRIPTION: The date when the CARC or RARC code was added for Tricare claims with payments automatic
decreasing.
344.62,3.03 TRICARE W. PAYMENTS UPDATED BY 3;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter the user who added or updated the entry.
DESCRIPTION: The user who last updated the entry for the specific CARC or RARC code for TRICARE claims with
payments.
344.62,3.04 TRICARE W. PAYMENTS LAST UPDTD 3;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter the date the entry was last updated for Tricare claims with payments.
DESCRIPTION: The complete label: TRICARE WITH PAYMENTS DATE LAST UPDATED
The date the entry was last updated for Tricare claims with payments.
344.62,3.05 TRICARE W PYMNTS CARC DEC AMNT 3;5 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Type a dollar amount between 0 and 999999999, 2 decimal digits.
DESCRIPTION: The complete label: TRICARE WITH PAYMENTS CARC DECREASE AMOUNT
The maximum amount the CARC or RARC code can decrease the amount for Tricare claims with payments
of the patient's bill.
344.62,3.06 TRICARE WITH PAYMENTS COMMENT 3;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
MAXIMUM LENGTH: 50
LAST EDITED: MAR 12, 2019
HELP-PROMPT: Answer must be 1-50 characters in length.
DESCRIPTION: A comment explaining why the CARC or RARC was allowed to be auto-decreased or why auto-decrease was
disabled for Tricare claims.
344.62,3.07 CARC TRICARE AUTO-DECRS NO-PAY 3;7 SET
'0' FOR No;
'1' FOR Yes;
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter Yes to enable auto-decrease of Tricare claims with no payments, No to disable.
DESCRIPTION: The complete label: CARC TRICARE AUTO-DECREASE NO-PAY
A Yes/No value indicating whether a CARC code can be auto-decreased for Tricare claims with no
payments.
CROSS-REFERENCE: 344.62^ACTVNT
1)= S ^RCY(344.62,"ACTVNT",$E(X,1,30),DA)=""
2)= K ^RCY(344.62,"ACTVNT",$E(X,1,30),DA)
3)= Do not delete.
Used to obtain a list of the active CARC codes for automatic decrease to be applied for TRICARE
claims with no payments.
344.62,3.08 DATE ADDED TRICARE NO-PAY 3;8 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter the date the CARC or RARC code was added for Tricare claims with no payments.
DESCRIPTION:
The date when the CARC or RARC code was added for auto-decreasing Tricare claims with no payments.
344.62,3.09 TRICARE NO-PAY UPDATED BY 3;9 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Enter the user who updated the entry.
DESCRIPTION:
The user who updated the CARC or RARC code for Tricare claims with no payments.
344.62,3.1 TRICARE DATE LAST UPDTD NO-PAY 3;10 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
HELP-PROMPT: Enter the date the entry was last updated for Tricare claims with no payments.
DESCRIPTION: The complete label: TRICARE DATE LAST UPDATED NO-PAY
The date the entry was last updated for Tricare claims with no payments.
344.62,3.11 CARC DECR AMNT TRICARE NO-PAY 3;11 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999999)!(X<0) X
LAST EDITED: JAN 11, 2019
HELP-PROMPT: Type a dollar amount between 0 and 999999999, 2 decimal digits.
DESCRIPTION: The complete label: CARC DECREASE AMOUNT TRICARE NO-PAY
The maximum amount the CARC or RARC code can decrease the amount of the patient's bill.
344.62,3.12 COMMENT TRICARE NO-PAY 3;12 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
MAXIMUM LENGTH: 50
LAST EDITED: OCT 18, 2019
HELP-PROMPT: Answer must be 1-50 characters in length.
DESCRIPTION: For Tricare claims with no payments, a comment explaining why the CARC or RARC code was enabled or
disabled.
FILES POINTED TO FIELDS
NEW PERSON (#200) UPDATED BY (#.04)
UPDATED BY (NO-PAY) (#.1)
PHARM WITH PAYMENTS UPDATED BY (#2.03)
TRICARE W. PAYMENTS UPDATED BY (#3.03)
TRICARE NO-PAY UPDATED BY (#3.09)
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