Files > AUTHORIZATION

parent
161
name
AUTHORIZATION
number
161.01
Fields
#NameLocationTypeDetailsIndexDescription
.01from date0;1DATE-TIMEATSTThe beginning date for which the patient is authorized to obtain services from private vendors. For every claim made by a vendor for this patient, this date will be checked to insure that the date the service was provided was on or after this date.
.02to date(+)0;2DATE-TIMEThe date through which the veteran may obtain services from private vendors, and which the VA will reimburse. For every claim submitted by a vendor, this date is compared with the date the service was provided, and service date must be on or before this date.
.021authorization remarks2;0WORD-PROCESSINGUsed to identify limitations or detail specifics regarding the authorization. The information contained here is displayed during the enter payment option and also on patient inquiry option.
.03fee program(+)0;3POINTER161.8Links this authorization to one of the valid Fee programs (ie Medical, Contract Hospital, Community Nursing Home).
.04vendor0;4POINTER161.2The name of the vendor providing the veteran service if the authorization is limited to one specific vendor.
.055associated 7078/5830;9VARIABLE-POINTER162.4, 162.7This field contains the related 7078/583 for the authorization. It points to the 7078 file or the 583 file for an unauthorized claim.
.06discharge type0;15SET OF CODES1:TRANSFER TO VA
2:DEATH WITH AUTOPSY
3:DEATH WITHOUT AUTOPSY
4:DISCHARGE
This field is filled in as part of the disposition process in contract hospital.
.065patient type code0;18SET OF CODES00:SURGICAL
10:MEDICAL
60:HOME NURSING SERVICE
85:PSYCHIATRIC-CONTRACT
86:PSYCHIATRIC
95:NEUROLOGICAL-CONTRACT
96:NEUROLOGICAL
The code which indicates whether the patient is a medical, surgical, psychiatric or one of the other valid codes. See M-1, Part I, Chapter 18 for specific detail.
.07purpose of visit code(+)0;7POINTER161.82Used to indicate the purpose for the visit to the provider. Selection of these are screened based on the Fee program entered earlier. For example, if Outpatient Medical Fee Program is selected Purpose of visit of 'Authorized Contract Hospitalization' could not be selected.
.08dx line 10;8FREE TEXTPatient's diagnosis for which this authorization is being issued. This field is strictly for ICD-9. It may contain free text comments as well as ICD-9 codes.
.085dx line 23;1FREE TEXTAn additional 60 characters to continue the description of patient's diagnosis for which this authorization is being issued. This field is strictly for ICD-9. It may contain free text comments as well as ICD-9 codes.
.086dx line 33;2FREE TEXTAn additional 60 characters to continue describing patient's diagnosis. This is the diagnosis applicable to this authorization. This field is strictly for ICD-9. It may contain free text comments as well as ICD-9 codes.
.087icd diagnosis(+)C;2POINTER80Patient's diagnosis for which this authorization is being issued. This field is only for ICD-10 and later.
.095treatment type code(+)0;13SET OF CODES1:SHORT TERM FEE STATUS
2:HOME NURSING SERVICES
3:I.D. CARD STATUS
4:STATE HOME
Indicates what the type of treatment this authorization is related to. See M-1, Part 1, Chapter 18, for valid entries.
.096accident related (y/n)0;19FREE TEXTThis field allows the fee system to track those authorizations that were issued for an accident related condition.
.097potential cost recovery case(+)0;20FREE TEXTDetermines if payment can be recovered from the veteran's insurance, or if payment can be recovered due to the veteran being a Cat. C patient.
1print authorization (y/n)C;1FREE TEXTUsed to indicate whether a VA Form 7079, Request For Outpatient Services, should be printed at the completion of entering the authorization data.
2type of care0;14SET OF CODES1:C&P
2:OPT NSC
3:OPT SC
Defines whether this authorization is related to OPT/NSC, OPT/SC, or C&P type of care.
3date printed1;2DATE-TIMEThe date the last 7079 was printed for this authorization.
100clerk100;1POINTER200The last user to enter/edit data for this authorization.
101primary service area(+)0;5POINTER4The VA Hospital responsible for the veterans care.
102austin delete flagADEL;1FREE TEXTThis field will be populated when a 'Delete MRA' is transmitted to Austin DPC. This field will also be used to screen out selection for payments made to Austin.
103date delete mra transmittedADEL;2DATE-TIMEThis field will be set internally when a 'Delete Veteran MRA' is sent to Austin. It will be used to screen selection during the enter payment options.
104referring provider0;21POINTER200This field contains the name of the VA provider who referred this patient for service. This is not necessarily the same as the Authorizing Physician although they may be the same in some cases.
105contract0;22POINTER161.43Contract (if any) applicable to all authorized services. If an authorization has a contract, the system will automatically assign that contract to any payments associated with the authorization if the vendor being paid matches the vendor specified on the authorization.
293data auditLOG2;0MULTIPLE161.193The data audit multiple stores historical information for selected fields.

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