# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | from date | 0;1 | DATE-TIME | ATST | The 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. | |
.02 | to date(+) | 0;2 | DATE-TIME | The 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. | ||
.021 | authorization remarks | 2;0 | WORD-PROCESSING | Used 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. | ||
.03 | fee program(+) | 0;3 | POINTER | 161.8 | Links this authorization to one of the valid Fee programs (ie Medical, Contract Hospital, Community Nursing Home). | |
.04 | vendor | 0;4 | POINTER | 161.2 | The name of the vendor providing the veteran service if the authorization is limited to one specific vendor. | |
.055 | associated 7078/583 | 0;9 | VARIABLE-POINTER | 162.4, 162.7 | This field contains the related 7078/583 for the authorization. It points to the 7078 file or the 583 file for an unauthorized claim. | |
.06 | discharge type | 0;15 | SET OF CODES | 1: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. | |
.065 | patient type code | 0;18 | SET OF CODES | 00: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. | |
.07 | purpose of visit code(+) | 0;7 | POINTER | 161.82 | Used 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. | |
.08 | dx line 1 | 0;8 | FREE TEXT | 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. | ||
.085 | dx line 2 | 3;1 | FREE TEXT | An 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. | ||
.086 | dx line 3 | 3;2 | FREE TEXT | An 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. | ||
.087 | icd diagnosis(+) | C;2 | POINTER | 80 | Patient's diagnosis for which this authorization is being issued. This field is only for ICD-10 and later. | |
.095 | treatment type code(+) | 0;13 | SET OF CODES | 1: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. | |
.096 | accident related (y/n) | 0;19 | FREE TEXT | This field allows the fee system to track those authorizations that were issued for an accident related condition. | ||
.097 | potential cost recovery case(+) | 0;20 | FREE TEXT | Determines 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. | ||
1 | print authorization (y/n) | C;1 | FREE TEXT | Used to indicate whether a VA Form 7079, Request For Outpatient Services, should be printed at the completion of entering the authorization data. | ||
2 | type of care | 0;14 | SET OF CODES | 1: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. | |
3 | date printed | 1;2 | DATE-TIME | The date the last 7079 was printed for this authorization. | ||
100 | clerk | 100;1 | POINTER | 200 | The last user to enter/edit data for this authorization. | |
101 | primary service area(+) | 0;5 | POINTER | 4 | The VA Hospital responsible for the veterans care. | |
102 | austin delete flag | ADEL;1 | FREE TEXT | This 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. | ||
103 | date delete mra transmitted | ADEL;2 | DATE-TIME | This 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. | ||
104 | referring provider | 0;21 | POINTER | 200 | This 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. | |
105 | contract | 0;22 | POINTER | 161.43 | Contract (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. | |
293 | data audit | LOG2;0 | MULTIPLE | 161.193 | The data audit multiple stores historical information for selected fields. |
Error: Invalid Global File Type: 161.01