STANDARD DATA DICTIONARY #399.3 -- RATE TYPE FILE 6/27/25 PAGE 1
STORED IN ^DGCR(399.3, (39 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 all of the Rate Types which may be used in MCCR Billing.
Per VHA Directive 10-93-142, this file definition should not be modified.
DD ACCESS: @
IDENTIFIED BY: WHO'S RESPONSIBLE (#.07)
POINTED TO BY: NON-MCCF RATE TYPES FOR PTP field (#.01) of the NON-MCCF RATE TYPES FOR PTP sub-field (#350.928) of the IB SITE
PARAMETERS File (#350.9)
RATE TYPE field (#.02) of the RATE SCHEDULE File (#363)
RATE TYPE SELECTED BY USER field (#7.04) of the EVENT sub-field (#366.141) of the IB NCPDP EVENT LOG File (#366.14)
RATE TYPE DETERMINED field (#.03) of the IB NCPDP PRESCRIPTION File (#366.15)
RATE TYPE field (#.07) of the BILL/CLAIMS File (#399)
RATE TYPE field (#902.29) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.57902) of the BPS LOG OF
TRANSACTIONS File (#9002313.57)
RATE TYPE field (#902.29) of the PATIENT INSURANCE MULTIPLE sub-field (#9002313.59902) of the BPS TRANSACTION File
(#9002313.59)
RATE TYPE field (#1.08) of the BPS REQUESTS File (#9002313.77)
CROSS
REFERENCED BY: NAME(B)
399.3,.001 NUMBER NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
HELP-PROMPT: Enter the internal file number of this entry.
DESCRIPTION:
This is the internal file number of this entry.
399.3,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1)!'(X'?1P.E) X
HELP-PROMPT: Enter the 1-30 character name/description of this rate type.
DESCRIPTION:
This is the name/description of this rate type.
DELETE TEST: .01,0)= I 1 W !,"Deletion of Rate Types not allowed. Use the Inactive field."
CROSS-REFERENCE: 399.3^B
1)= S ^DGCR(399.3,"B",$E(X,1,30),DA)=""
2)= K ^DGCR(399.3,"B",$E(X,1,30),DA)
399.3,.02 BILL NAME 0;2 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1)!'(X'?1P.E) X
HELP-PROMPT: Enter the 1-30 character text which you want to appear on the UB form each time a bill of this rate
type is printed.
DESCRIPTION: This is the text which will appear on the UB claim form each time a bill of this rate type is
printed.
399.3,.03 INACTIVE 0;3 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: APR 05, 1989
HELP-PROMPT: Enter the code which indicates whether or not you would like to inactivate this rate type.
DESCRIPTION:
This indicates whether or not this code has been inactivated.
399.3,.04 ABBREVIATION 0;4 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>8!($L(X)<2)!'(X?1A.ANP) X
HELP-PROMPT: Enter the 2-8 character abbreviation of the name of this rate type which will appear on all of the
billing outputs.
DESCRIPTION: This defines the abbreviation of the name of this rate type which will appear on all of the billing
outputs.
399.3,.05 IS THIS A THIRD PARTY BILL? 0;5 SET (Required)
'0' FOR NO;
'1' FOR YES;
HELP-PROMPT: Enter '1' or 'Yes' if this is a third party bill or '0' or 'No' if a bill of this rate type is not
a third party bill.
DESCRIPTION:
This allows the user to determine whether or not a bill of this rate type is a third party bill.
399.3,.06 ACCOUNTS RECEIVABLE CATEGORY 0;6 POINTER TO ACCOUNTS RECEIVABLE CATEGORY FILE (#430.2) (Required)
INPUT TRANSFORM: S DIC("S")="I $P(^(0),U,7)>9" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: DEC 17, 1993
HELP-PROMPT: Select the 'Accounts Receivable Category' which corresponds to this rate type.
DESCRIPTION:
This points to the corresponding Accounts Receivable category.
SCREEN: S DIC("S")="I $P(^(0),U,7)>9"
EXPLANATION: Only Accounts Receivable categories may be selected
CROSS-REFERENCE: ^^TRIGGER^399.3^.07
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^DGCR(399.3,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S
DIU=X K Y S X=DIV D ARCAT^IBCU X ^DD(399.3,.06,1,1,1.4)
1.4)= S DIH=$S($D(^DGCR(399.3,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,7)=DIV,DIH=399.3,DIG=.07 D ^D
ICR:$O(^DD(DIH,DIG,1,0))>0
2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^DGCR(399.3,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S
DIU=X K Y S X="" X ^DD(399.3,.06,1,1,2.4)
2.4)= S DIH=$S($D(^DGCR(399.3,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,7)=DIV,DIH=399.3,DIG=.07 D ^D
ICR:$O(^DD(DIH,DIG,1,0))>0
CREATE VALUE)= D ARCAT^IBCU
DELETE VALUE)= S X=""
FIELD)= #.07
This triggers the correct value for WHO's RESPONSIBLE for any AR Category that is entered.
399.3,.07 WHO'S RESPONSIBLE 0;7 SET
'p' FOR PATIENT;
'i' FOR INSURER;
'o' FOR OTHER (INSTITUTION);
LAST EDITED: FEB 14, 1990
HELP-PROMPT: Enter the Expected debtor for this rate type.
DESCRIPTION: This field is triggered when an Accounts Receivable Category is entered. It is used to provide
consistency between packages so the the debtor for the bill is from the correct file. Debtors can
be from the Patient file, the Insurance Company file, or the Institution file.
UNEDITABLE
NOTES: TRIGGERED by the ACCOUNTS RECEIVABLE CATEGORY field of the RATE TYPE File
399.3,.08 REIMBURSABLE INSURANCE? 0;8 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: APR 06, 1992
HELP-PROMPT: Answer '1' or 'YES' if you want the Medicare statement to print on all UB bills of this Rate Type.
DESCRIPTION: This field should be answered 'YES' if this is a Reimbursable Insurance rate type, all other rate
types should be answered 'NO'. This field will be used to determine if a bill is reimbursable
Insurance.
Primarily, this field will be used by the bill print option to determine if the 7 line statement
that begins "For your information..." should be printed on the UB claim form. (Only applies to the
UB form types.)
399.3,.09 NSC STATEMENT ON UB BILLS 0;9 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: JAN 20, 1994
HELP-PROMPT: Enter '1' or 'YES' if you want the statement "The undersigned certifies that treatment rendered is
not for a service connected disablility." to print on UB bills of this rate type.
DESCRIPTION: The statement "The undersigned certifies that treatment rendered is not for a service connected
disablity." will be printed on UB claim forms of this Rate Type if this field is answered 'YES'.
This field should be answered 'YES' for all rate types where the bill can only be for NSC care.
399.3,.1 ELECTRONIC TRANSMIT 0;10 SET
'0' FOR NOT ALLOWED;
'1' FOR ALLOWED;
LAST EDITED: MAR 02, 1999
HELP-PROMPT: Enter the type of electronic transmission (or none) for bills of this rate type.
DESCRIPTION:
The type of transmission allowed, if any, for bills of this rate type.
399.3,.11 BILL RESULTING FROM 0;11 POINTER TO AR DEBT LIST FILE (#430.6)
INPUT TRANSFORM: S DIC("S")="N Z0 S Z0=$P($G(^DGCR(399.3,DA,0)),U,6) Q:+Z0'>0 S Z0=$P(^PRCA(430.2,Z0,0),U,6) I ($P(
^PRCA(430.6,Y,0),U,4)[Z0)!($P(^(0),U,4)[""X"")" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: DEC 17, 2002
HELP-PROMPT: Enter the default that will be used for the BILL RESULTING FROM field when auto-audit is invoked
DESCRIPTION: This is the default value for the BILL RESULTING FROM (#4.5) field in the ACCOUNTS RECEIVABLE file
(#430) that will be used during auto-audit for all bills with this rate type.
SCREEN: S DIC("S")="N Z0 S Z0=$P($G(^DGCR(399.3,DA,0)),U,6) Q:+Z0'>0 S Z0=$P(^PRCA(430.2,Z0,0),U,6) I ($P(
^PRCA(430.6,Y,0),U,4)[Z0)!($P(^(0),U,4)[""X"")"
EXPLANATION: Type for the entry must be compatible with Rate Type/AR Category's Type
FILES POINTED TO FIELDS
ACCOUNTS RECEIVABLE CATEGORY
(#430.2) ACCOUNTS RECEIVABLE CATEGORY (#.06)
AR DEBT LIST (#430.6) BILL RESULTING FROM (#.11)
INPUT TEMPLATE(S):
IB RATE EDIT FEB 06, 1992@14:18 USER #1453
Update Rate Type File.
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):