STANDARD DATA DICTIONARY #353.3 -- IB ATTACHMENT REPORT TYPE FILE 6/27/25 PAGE 1 STORED IN ^IBE(353.3, (62 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- The IB Attachment Type file contains entries that describe the type of supplemental information available to support a claim for reimbursement for health care services. DD ACCESS: @ RD ACCESS: @ WR ACCESS: @ DEL ACCESS: @ LAYGO ACCESS: @ AUDIT ACCESS: @ IDENTIFIED BY: ATTACHMENT REPORT TYPE NAME (#1) POINTED TO BY: ATTACHMENT REPORT TYPE field (#.02) of the ATTACHMENT ID sub-field (#162.0384) of the SERVICE PROVIDED sub-field (#162.03) of the INITIAL TREATMENT DATE sub-field (#162.02) of the VENDOR sub-field (#162.01) etc... ATTACHMENT REPORT TYPE field (#.02) of the ATTACHMENT ID sub-field (#162.591) of the FEE BASIS INVOICE File (#162.5) ATTACHMENT REPORT TYPE field (#285) of the BILL/CLAIMS File (#399) ATTACHMENT REPORT TYPE field (#71) of the PROCEDURES sub-field (#399.0304) of the BILL/CLAIMS File (#399) CROSS REFERENCED BY: ATTACHMENT REPORT TYPE CODE(B) 353.3,.01 ATTACHMENT REPORT TYPE CODE 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>2!($L(X)<2) X LAST EDITED: OCT 25, 2010 HELP-PROMPT: Answer must be 2 characters in length. DESCRIPTION: The Report Type Code describes the type of documentation that will provide additional information for this claim. Attachment Report Type Code is at both the claim level and line level. CROSS-REFERENCE: 353.3^B 1)= S ^IBE(353.3,"B",$E(X,1,30),DA)="" 2)= K ^IBE(353.3,"B",$E(X,1,30),DA) 353.3,1 ATTACHMENT REPORT TYPE NAME 0;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>80!($L(X)<2) X LAST EDITED: OCT 25, 2010 HELP-PROMPT: Answer must be 2-80 characters in length. DESCRIPTION: This is the descriptive name of the Report Type Code to describe the type of documentation that will provide additional information for this claim. Attachment Report Type is at both the claim level and line level. INPUT TEMPLATE(S): PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):