Files > VA FORM 10-7078

VA FORM 10-7078
This file contains the information associated with a 7078 authorization. Per VHA Directive 10-93-142, this file definition should not be modified.
.01reference number(+)0;1FREE TEXTBThis number is internally generated and tracked by the IFCAP software.
.013user who cancelled0;13POINTER200This field contains the name of the supervisor who cancelled the 7078.
.014date cancelled0;14DATE-TIMEThis field contains the date that a supervisor cancelled the 7078.
.5fee program(+)0;11POINTER161.8This field contains the valid Fee Program associated with this 7078, as defined in the Fee Basis Program file (i.e. Outpatient Medical, Contract Hospital, Community Nursing Home).
1vendor(+)0;2VARIABLE-POINTER161.2CThis is the vendor that is entered in the request/ notification process.
2veteran(+)0;3POINTER2DThis is the veteran that was entered in the request/ notification process.
3authorization from date0;4DATE-TIMEThis is the date that is entered in the 'Authorization From Date' field during the request/notification process.
3.5date of admission0;15DATE-TIMEThis is the date that is entered in the 'Date of Admission' field during the request/notification process.
4authorization to date(+)0;5DATE-TIMEThis is the date you determine the VA will no longer cover the veteran.
4.5date of discharge0;16DATE-TIMEThis is the actual date of discharge.
5authority(+)0;6POINTER43.4This field is the Admitting Authority used for the authorization.
6estimated amount(+)0;7NUMERICThis dollar amount is the best estimate of costs that will be incurred by the veteran. This dollar amount is passed to IFCAP.
7authorized services1;0WORD-PROCESSINGThis is a word processing field that should contain a statement similar to the following: "Hospitalization and Professional care necessary until the patients condition is stabilized or improved enough to permit transfer without hazard to a VA or other Federal facility for continued treatment." or "Hospitalization and Professional Care".
8user entering0;8POINTER200This is the name of the user that enters the authorization.
The status of the 7078/authorization remains 'Incomplete' until a discharge date is entered. At that time the status is updated to complete and a corresponding authorization is built in file 161.
10date of issue0;10DATE-TIMEThis is the date the user sets up the 7078.
12reason for pending disposition0;12SET OF CODES1:FOLLOW-UP/NOT STABLE
If the status of a 7078 is Incomplete, that is the discharge date has not been entered, the user is prompted with this field. Once the status of the 7078 is Complete this field is set to null.
15referring provider0;17POINTER200The VA physician who made the referral on behalf of the veteran to the non-VA hospital for inpatient health care services.
16referring provider npiCOMPUTED

Referenced by 3 types

  1. FEE BASIS CNH AUTHORIZATION RATE (161.23) -- associated 7078
  2. FEE NOTIFICATION/REQUEST (162.2) -- associated 7078
  3. FEE BASIS INVOICE (162.5) -- associated 7078/583