STANDARD DATA DICTIONARY #399.4 -- MCCR INCONSISTENT DATA ELEMENTS FILE 9/29/25 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
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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):