STANDARD DATA DICTIONARY #364.91 -- ACC X12 CLAIM FAILURES FILE 5/26/26 PAGE 1
STORED IN ^IBA(364.91, (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 is a list of reasons an automated community care VistA claim could not be auto-created or auto-billed.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY:
"W.02": W " ",$P(^(0),U,2)
POINTED TO BY: REASON NOT AUTOBILLED field (#.01) of the REASONS NOT AUTOBILLED sub-field (#364.95) of the ACC X12 ENCOUNTERS File
(#364.9)
INITIAL REASON NOT AUTOBILLED field (#.01) of the INITIAL REASON NOT AUTOBILLED sub-field (#364.97) of the ACC X12
ENCOUNTERS File (#364.9)
CROSS
REFERENCED BY: REASON CODE(B), DESCRIPTION(C)
LAST MODIFIED: MAY 26,2026@00:41:53
364.91,.01 REASON CODE 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JAN 02, 2025
HELP-PROMPT: Enter a numeric value to be used as a failure reason code.
DESCRIPTION: This is a code that identifies the reason an automated community care VistA claim could not be
auto-created or auto-billed.
TECHNICAL DESCR:
This field is not intended for end user entering or editing.
CROSS-REFERENCE: 364.91^B
1)= S ^IBA(364.91,"B",$E(X,1,30),DA)=""
2)= K ^IBA(364.91,"B",$E(X,1,30),DA)
364.91,.02 DESCRIPTION 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<3) X
MAXIMUM LENGTH: 40
LAST EDITED: FEB 07, 2025
HELP-PROMPT: Enter the description of the reason a VistA claim could not be auto-created or auto-billed.
DESCRIPTION: This is the description of the reason an automated community care encounter did not auto-create a
VistA claim or did not auto-bill the VistA claim when the encounter was automatically imported into
VistA.
TECHNICAL DESCR:
This field is not intended for end user entering or editing.
CROSS-REFERENCE: 364.91^C
1)= S ^IBA(364.91,"C",$E(X,1,30),DA)=""
2)= K ^IBA(364.91,"C",$E(X,1,30),DA)
This lookup will be used to allow users to choose an entry by entering the description and not just
a code number.
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):