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
-----------------------------------------------------------------------------------------------------------------------------------
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):