Files > CLAIMS TRACKING TYPE

name
CLAIMS TRACKING TYPE
number
356.6
location
^IBE(356.6,
description
This file contains the types of events that can be stored in Claims Tracking. It also contains data on how the automated biller is to handle each type of event. Do NOT add, edit, or delete entries in this file without instructions from your ISC. Per VHA Directive 10-93-142, this file definition should not be modified.
Fields
#NameLocationTypeDetailsIndexDescription
.01name(+)0;1FREE TEXTBThis is the name of the type of event that can be stored in Claims Tracking. Only certain types of events or visits are known to Claims Tracking. Adding or deleting entries can have unwanted effects on the IB package. Currently only inpatient, outpatient, prosthetics, and Rx Refill visits are known to IB. Future plans call for adding Fee Basis visits. This is limited to those areas that we currently have legislative authority to bill.
.02abbreviation0;2FREE TEXTEnter the 3-8 character abbreviation for this entry that will be used on display screens and outputs.
.03type code0;3SET OF CODES1:INPATIENT CARE
2:OUTPATIENT CARE
3:RX REFILL
4:PROSTHETICS
ACODEEnter the correct type code for this entry. This type code is used internally by the Claims Tracking Module. Do not edit this field.
.04automate billing0;4BOOLEAN1:YES
This will control the automated creation of bills for each type of care. If this is "Y"es then the Earliest Auto Bill date will be automatically added to billable events. These events can then be added to bills by the automated biller.
.05billing cycle0;5NUMERICThis is the maximum number of days allowed on a single bill for this type of care. For example, if outpatient bills have a billing cycle of 7 days then one bill will be created for a seven day period, which may contain 1 visit or seven. If this is left blank and the event type can be automatically billed then the bills will be created in one month intervals.
.06days delay0;6NUMERICThis is the minimum number of days delay that apparently billable visits (for this type of event type) should wait for auto billing. This field works in conjunction with the field BILLING CYCLE to determine what visits are included on a bill and when those bills can be created.
.08entry code0;8NUMERICACThis field is designed to be used internally by the claims tracking module to uniquely identify an entry. This number will intially be the same as the internal entry number. It should not be edited.

Referenced by 1 types

  1. CLAIMS TRACKING (356) -- event type