STANDARD DATA DICTIONARY #399.4 -- MCCR INCONSISTENT DATA ELEMENTS FILE 3/24/25 PAGE 1 STORED IN ^DGCR(399.4, (50 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- This file contains a list of all possible reasons why a bill may be disapproved during the review phase of the billing process. Each element in this file corresponds directly to a form locator on the UB-04 form. Per VHA Directive 10-93-142, this file definition should not be modified. DD ACCESS: @ POINTED TO BY: REASON(S) DISAPPROVED-INITIAL field (#.01) of the REASON(S) DISAPPROVED-INITIAL sub-field (#399.044) of the BILL/CLAIMS File (#399) REASON(S) DISAPPROVED-SECOND field (#.01) of the REASON(S) DISAPPROVED-SECOND sub-field (#399.045) of the BILL/CLAIMS File (#399) CROSS REFERENCED BY: NAME(B), NAME(C) 399.4,.001 NUMBER NUMBER INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X HELP-PROMPT: Enter form locator number which corresponds to this entry on the UB-82 form. DESCRIPTION: This number corresponds to the form locator number of this entry on the UB-82 form. 399.4,.01 NAME 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>55!($L(X)<3)!'(X'?1P.E) X HELP-PROMPT: Enter the 3-55 character reason for disapproval. DESCRIPTION: This defines a reason why a bill may be disapproved during the review phase of the billing process. CROSS-REFERENCE: 399.4^B 1)= S ^DGCR(399.4,"B",$E(X,1,30),DA)="" 2)= K ^DGCR(399.4,"B",$E(X,1,30),DA) CROSS-REFERENCE: 399.4^C^KWIC 1)= S %1=1 F %=1:1:$L(X)+1 S I=$E(X,%) I "(,.?! '-/&:;)"[I S I=$E($E(X,%1,%-1),1,30),%1=%+1 I $L(I) >2,^DD("KWIC")'[I S ^DGCR(399.4,"C",I,DA)="" 2)= S %1=1 F %=1:1:$L(X)+1 S I=$E(X,%) I "(,.?! '-/&:;)"[I S I=$E($E(X,%1,%-1),1,30),%1=%+1 I $L(I) >2 K ^DGCR(399.4,"C",I,DA) INPUT TEMPLATE(S): PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):