STANDARD DATA DICTIONARY #350.3 -- IB CHARGE REMOVE REASONS FILE 3/24/25 PAGE 1
STORED IN ^IBE(350.3, (77 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the reasons that an IB ACTION entry was cancelled.
This file comes pre-loaded with data and should not be edited or added to by sites.
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: CANCELLATION REASON field (#.1) of the INTEGRATED BILLING ACTION File (#350)
CANCELLATION REASON field (#.19) of the IB COPAY TRANSACTIONS File (#354.71)
CROSS
REFERENCED BY: NAME(B), ABBREVIATION(C)
LAST MODIFIED: DEC 15,2024@11:57:36
350.3,.001 NUMBER NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: APR 19, 1991
HELP-PROMPT: Type a Number between 1 and 9999, 0 Decimal Digits
DESCRIPTION:
A number which is used to uniquely identify the entry in this file.
350.3,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!(X?.N)!($L(X)<3)!'(X'?1P.E) X
HELP-PROMPT: NAME MUST BE 3-30 CHARACTERS, NOT NUMERIC OR STARTING WITH PUNCTUATION
DESCRIPTION:
Enter the reason that the charges are being cancelled.
CROSS-REFERENCE: 350.3^B
1)= S ^IBE(350.3,"B",$E(X,1,30),DA)=""
2)= K ^IBE(350.3,"B",$E(X,1,30),DA)
350.3,.02 ABBREVIATION 0;2 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>10!($L(X)<2) X
HELP-PROMPT: Answer must be 2-10 characters in length.
DESCRIPTION: Enter a unique abbreviation for this cancellation reason that can assist in quick lookup of this
entry.
CROSS-REFERENCE: 350.3^C
1)= S ^IBE(350.3,"C",$E(X,1,30),DA)=""
2)= K ^IBE(350.3,"C",$E(X,1,30),DA)
350.3,.03 LIMIT 0;3 SET
'1' FOR RX;
'2' FOR OP MEANS TEST;
'3' FOR GENERIC;
'4' FOR OTHER;
LAST EDITED: JAN 30, 1992
DESCRIPTION: This field is a set of codes that identifies which type of charge the IB Charge Removal Reason can
be used for.
350.3,.04 CAN CANCEL URGENT CARE 0;4 SET (BOOLEAN Data Type)
LAST EDITED: MAR 17, 2020
HELP-PROMPT: Select Yes or 1 to allow this Cancellation Reason for Urgent Care Copay, N or 0 or to not
allow
DESCRIPTION: This field determines whether or not the cancellation reason can be used when cancelling an Urgent
Care Copay. Yes means that the Urgent Care Care Copay (CC URGENT CARE) can be cancelled using that
reason.
350.3,.05 UC VISIT PROCESSING 0;5 SET
'1' FOR REMOVE-ERROR;
'2' FOR VISIT ONLY;
'3' FOR FREE OR VISIT ONLY;
'4' FOR REMOVE-DUPLICATE;
LAST EDITED: MAR 17, 2020
HELP-PROMPT: USE 1 to set the visit processing status to REMOVED/ENTERED IN ERROR, 2 TO VISIT ONLY, 3 TO FREE OR
VISIT ONLY, OR 4 REMOVED/DUPLICATE VISIT
DESCRIPTION: This field tells the CC option within IB CANCEL/EDIT/ADD CHARGE how to update the Urgent Care Visit
Tracking DB (351.82) if an Urgent Care Copay (i.e. CC URGENT CARE) is cancelled. The visit update
options after the copay is cancelled are:
1: Status becomes REMOVED with a reason of ENTERED IN ERROR
2: Status becomes VISIT ONLY with a reason of NO COPAY ADDED
3: Status becomes (<3 Free visit) FREE with a reason MISSION ACT or
(All free visits used) VISIT ONLY with NO COPAY ADDED
4: Status becomes REMOVED with a reason of DUPLICATE VISIT
350.3,.06 INACTIVE 0;6 SET (BOOLEAN Data Type)
LAST EDITED: MAR 17, 2020
HELP-PROMPT: Select Y or 1 to inactivate reason, N or 0 or to reactivate
DESCRIPTION: This field will inactivate the Cancellation reason and prevent it from being used to cancel
copayments.
Yes: The Cancellation reason is Inactive
No or Blank: The Cancellation reason is Active.
350.3,.07 MH VISIT PROCESSING 0;7 SET
'1' FOR REMOVE-ERROR;
'2' FOR VISIT ONLY;
'3' FOR FREE OR VISIT ONLY;
'4' FOR REMOVE-DUPLICATE;
LAST EDITED: MAY 16, 2023
HELP-PROMPT: Please select MH visit processing status.
DESCRIPTION: This field tells the CC option within IB CANCEL/EDIT/ADD CHARGE how to update the MH Visit Tracking
file (351.82) if a Mental Health Copay is cancelled.
350.3,.08 CAN CANCEL MH VISIT 0;8 SET (BOOLEAN Data Type)
LAST EDITED: DEC 07, 2023
HELP-PROMPT: Select Yes or 1 to allow this Cancellation Reason for Cleland Dole eligible Copays, N or 0 or
to not allow.
DESCRIPTION: This field determines whether or not the cancellation reason can be used when cancelling a Cleland
Dole eligible Copay. Yes means that the Cleland Dole eligible Copay can be cancelled using that
reason.
350.3,.09 EFFECTIVE DATE 0;9 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUL 25, 2024
HELP-PROMPT: Enter the start date for Charge Remove Reason.
DESCRIPTION: This field contains the start date for a Charge Remove Reason, if one exists. If none exists, then
set the field to NULL.
350.3,.1 END DATE 0;10 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUL 25, 2024
HELP-PROMPT: Enter the end date for a Charge Remove Reason.
DESCRIPTION: This field contains the end date for a Charge Remove Reason, if one exists. If none exists, then
set the field to NULL.
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):