# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | billing item(+) | 0;1 | POINTER | 661 | B | Pointer to the Prosthetics ITEM file #661 |
1 | brief description(+) | 0;2 | FREE TEXT | This is the short description of the item purchased. | ||
2 | unit cost(+) | 0;3 | NUMERIC | This is the unit cost of the item to be purchased. | ||
3 | qty(+) | 0;4 | NUMERIC | D | Total amount of units issued for this item. | |
4 | unit of issue(+) | 0;5 | POINTER | 420.5 | This is the Unit of Issue for the item issued. | |
5 | amis flag | 0;6 | BOOLEAN | Y:YES N:NO | When this field is set to NO, AMIS will not be counted for this item. | |
6 | act unit cost | 0;7 | NUMERIC | Contains the Acutal Cost of the Item. This amount is entered upon close-out of the Purchase. | ||
7 | remarks | 0;8 | FREE TEXT | This field stores Remarks entered for the item. Remarks will then print on the patient 10-2319 record. | ||
8 | type of transaction(+) | 0;9 | SET OF CODES | I:INITIAL ISSUE R:REPLACE S:SPARE X:REPAIR 5:RENTAL | This field is the Type of Transaction for the item issued. | |
9 | patient category(+) | 0;10 | SET OF CODES | 1:SC/OP 2:SC/IP 3:NSC/IP 4:NSC/OP | This field stores the Patient Category for this item issued. | |
10 | special category | 0;11 | SET OF CODES | 1:SPECIAL LEGISLATION 2:A&A 3:PHC 4:ELIGIBILITY REFORM | This field stores the patient's Special Category for the item issued. Not a mandatory field. | |
11 | source(+) | 0;12 | SET OF CODES | V:VA C:COMMERCIAL | This field stores the Source of the item issued. | |
12 | appliance/repair | 0;13 | POINTER | 660 | This field is a pointer to file 660. | |
13 | contract # | 0;14 | FREE TEXT | This field stores the Contract Number from the IFCAP Vendor file. | ||
14 | extended description | 1;0 | WORD-PROCESSING | This is a word processing field used to enter additional information describing the item issued. | ||
15 | serial number | 0;15 | FREE TEXT | This field stores the serial number of the item. | ||
15.2 | manufacturer | 2;1 | FREE TEXT | This is the name of the Manufacturer that supplied the item. | ||
15.4 | model | 2;2 | FREE TEXT | The Model name or number of the item. | ||
15.6 | lot # | 2;3 | FREE TEXT | The lot # of the item. | ||
16 | psas hcpcs(+) | 0;16 | POINTER | 661.1 | Health Care Financing Administration Common Procedure Coding System, (HCPCS). This field should have the HCPCS code for the Item you are selecting. HCPCS is a uniform method to report professional services, procedures and supplies for healthcare providers and medical suppliers. | |
16.1 | cpt modifier | 4;2 | FREE TEXT | CPT Modifiers in a comma delimited format, consistent with the HCFA published manuals. | ||
17 | vendor tracking number | 4;1 | FREE TEXT | This field is the Vendor's internal unique tracking number. Some of the small vendors are not automated with VISA, and this tracking number is used to reference this transaction. This tracking number is based on the item, and can be as simple as the vendors item number, or elaborate as the vendors transaction number. This data will be used in the reconciliation process. | ||
18 | exclude/waiver | 2;4 | SET OF CODES | E:EXCLUDE W:WAIVER | Set of codes field E for Exclude W for Waiver pertaining to contracts. | |
19 | number of bids | 0;17 | NUMERIC | The number of bids if any for an item. Some items the number of bids is mandatory. |
Error: Invalid Global File Type: 664.02