VistA Analysis » VistA Reference » RPCs » DSIF INP ADD EDIT PAYMENT
DSIF INP ADD EDIT PAYMENT
This RPC is a background version of the FBCHEP routine to enter and edit payments for Fee Basis Patients.
Properties
Property | Value |
---|---|
Label | EN |
MUMPS Implementation | DSIFEP |
Return Type | SINGLE VALUE |
Input Parameters
Name | Type | Maximum Data Length | Required | Description |
---|---|---|---|---|
DFN | LITERAL | 99 | true | Pointer to Patient File #2 (Required - also must be in FEE BASIS PATIENT File #161) (On edit this field should = "E") |
FB7078 | LITERAL | 99 | true | Pointer to 7078 File #162.4 (Required) (On edit this field is IEN of FEE BASIS INVOICE File #162.5) |
AUTH | LITERAL | 99 | true | Authorization IEN from AUTHORIZATION multiple of FEE BASIS PATIENT File #161 (Required on Enter only should be null on Edit)2nd piece equals a flag to allow more than 1 invoice for the same authExample: 1;1 (allow) 1; or 1 (Do not allow duplicate) |
DATA | LIST | 512 | true | ; DATA - List of Data formatted FIELD # ^ Internal Value1 ^ Invoice Date Received (Opt - FM Date)2 ^ Vendor (Opt - IEN to file 161.2 or changed)5 ^ Treatment from date (Opt - FM date);1 (Special flag for 6 ^ Treatment to date (Opt - FM date)6.5 ^ Dsch Type Code (Opt - Pntr to FEE BASIS DISPOSITION CODE File6.6 ^ Billed Charges (Req - Numeric - Dollar Amount between .01 and6.7 ^ Payment by Medicare/Fed Agency (Req - Y = Yes, N = No)7 ^ Amount Claimed (Req - Numeric - Dollar Amount between .01 8 ^ AMOUNT PAID11 ^ Fee Program (Req - IEN 161.8) [6 for B9 batches]12 ^ Payment type code (Req, set of 20 ^ Batch IEN (Req - Pntr to file #161.7, must be a "B9" type 21 ^ Purpose of Visit (Req - IEN of file 22 ^ Patient type code (Req - set of 23 ^ Primary Service facility (Req - IEN of file24 ^ Dsch DRG (Opt - Pntr to DRG File #80.2 use Dsch date of 7078 for code set versioning)(NOTE: This field should contain the discharge DRG that is returned from the Austin Pricer System.)24.5 ^ DRG Weight (Req - Type a Number between 0 and 25 ^ Resubmission (Opt - 1 = Yes)26 ^ NVH PRICER AMOUNT26 ^ NVH PRICER AMOUNT30 ^ ICD1 (Req - Pntr to ICD-9 File #80 30.02 ^ POA131 ^ ICD2 (Opt - Pntr to ICD-9 File #80 *)31.02 ^ POA232 ^ ICD3 (Opt - Pntr to ICD-9 File #80 **)32.02 ^ POA333 ^ ICD4 (Opt - Pntr to ICD-9 File #80 **)33.02 ^ POA434 ^ ICD5 (Opt - Pntr to ICD-9 File #80 **) 34.02 ^ POA535 ^ ICD6 (Opt - Pntr to ICD-9 File #80 **) 35.02 ^ POA6 35.1 ^ ICD7 (Opt - Pntr to ICD-9 File #80 **) 35.12 ^ POA7 35.2 ^ ICD8 (Opt - Pntr to ICD-9 File #80 **) 35.22 ^ POA8 35.3 ^ ICD9 (Opt - Pntr to ICD-9 File #80 **) 35.32 ^ POA9 35.4 ^ ICD10 (Opt - Pntr to ICD-9 File #80 **) 35.42 ^ POA10 35.5 ^ ICD11 (Opt - Pntr to ICD-9 File #80 **) 35.52 ^ POA11 35.6 ^ ICD12 (Opt - Pntr to ICD-9 File #80 **) 35.62 ^ POA12 35.7 ^ ICD13 (Opt - Pntr to ICD-9 File #80 **) 35.72 ^ POA13 35.8 ^ ICD14 (Opt - Pntr to ICD-9 File #80 **) 35.82 ^ POA14 35.9 ^ ICD15 (Opt - Pntr to ICD-9 File #80 **) 35.92 ^ POA15 36 ^ ICD16 (Opt - Pntr to ICD-9 File #80 **) 36.02 ^ POA16 36.1 ^ ICD17 (Opt - Pntr to ICD-9 File #80 **) 36.12 ^ POA17 36.2 ^ ICD18 (Opt - Pntr to ICD-9 File #80 **) 36.22 ^ POA18 36.3 ^ ICD19 (Opt - Pntr to ICD-9 File #80 **) 36.32 ^ POA19 36.4 ^ ICD20 (Opt - Pntr to ICD-9 File #80 **) 36.42 ^ POA20 36.5 ^ ICD21 (Opt - Pntr to ICD-9 File #80 **) 36.52 ^ POA21 36.6 ^ ICD22 (Opt - Pntr to ICD-9 File #80 **) 36.62 ^ POA22 36.7 ^ ICD23 (Opt - Pntr to ICD-9 File #80 **) 36.72 ^ POA23 36.8 ^ ICD24 (Opt - Pntr to ICD-9 File #80 **) 36.82 ^ POA24 36.9 ^ ICD25 (Opt - Pntr to ICD-9 File #80 **) 36.92 ^ POA25 39 ^ ADMITTING DIAGNOSIS40 ^ PROC1 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)41 ^ PROC2 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)42 ^ PROC3 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)43 ^ PROC4 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44 ^ PROC5 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.06 ^ PROC6 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.07 ^ PROC7 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.08 ^ PROC8 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.09 ^ PROC9 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.1 ^ PROC10 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.11 ^ PROC11 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.12 ^ PROC12 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.13 ^ PROC13 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.14 ^ PROC14 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.15 ^ PROC15 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.16 ^ PROC16 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.17 ^ PROC17 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.18 ^ PROC18 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.19 ^ PROC19 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.2 ^ PROC20 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.21 ^ PROC21 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.22 ^ PROC22 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.23 ^ PROC23 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.24 ^ PROC24 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)44.25 ^ PROC25 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **)58 ^ .01 ^ Adj Reason (Req if Amount Paid not equal to Amount Claimed -58 ^ 1 ^ Adj Group (Req as Adj Reason - Pntr to ADJUSTMENT GROUP File58 ^ 2 ^ Adj Amount (Req as Adj Reason - Numeric : Amount Claimed - Amount59 ^ Seq # (1 or 2) ^ Remittance Remark (Opt - Pntr to REM REMITTANCE60 ^ CONTRACT ;Added fields 60-79 with DSIF3.2*261 ^ ROUTING NUMBER62 ^ ACCOUNT NUMBER63 ^ FINANCIAL INSTITUTION64 ^ ATTENDING PROV NAME65 ^ ATTENDING PROV NPI66 ^ ATTENDING PROV TAXONOMY CODE67 ^ OPERATING PROV NAME68 ^ OPERATING PROV NPI69 ^ RENDERING PROV NAME70 ^ RENDERING PROV NPI71 ^ RENDERING PROV TAXONOMY CODE72 ^ SERVICING PROV NAME73 ^ SERVICING PROV NPI74 ^ REFERRING PROV NAME75 ^ REFERRING PROV NPI79 ^ .01 ^ LINE ITEM NUMBER79 ^ .02 ^ FEE BASIS INVOICE (162.579) RENDERING PROV NAME79 ^ .03 ^ FEE BASIS INVOICE (162.579) RENDERING PROV NPI79 ^ .04 ^ FEE BASIS INVOICE (162.579) RENDERING PROV TAXONOMY CODE REMITTANCE REMARK File #161.93. For Inpatient Invoices there is a max of 2 remarks) ; 42 ^ PROC3 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 43 ^ PROC4 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44 ^ PROC5 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.06 ^ PROC6 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.07 ^ PROC7 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.08 ^ PROC8 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.09 ^ PROC9 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.1 ^ PROC10 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.11 ^ PROC11 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.12 ^ PROC12 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.13 ^ PROC13 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.14 ^ PROC14 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.15 ^ PROC15 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.16 ^ PROC16 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.17 ^ PROC17 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.18 ^ PROC18 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.19 ^ PROC19 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.2 ^ PROC20 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.21 ^ PROC21 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.22 ^ PROC22 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.23 ^ PROC23 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.24 ^ PROC24 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 44.25 ^ PROC25 (Opt - Pntr to ICD OPERATION/PROCEDURE File #80.1 **) ; 46 ^ Vendor Invoice Date (Req - FM Date) ; 47 ^ Prompt Pay Type (Opt -"" = No, 1 = Yes, Default = "") ; 54 ^ Covered Days (Opt, minimum = 1 - Calculated with FM if not passed) ; 55 ^ Patient Control Number (Req - Free Text 1 - 20 characters) ; 56 ^ FPPS CLAIM ID (Opt - Enter a non-zero number from 1 to 32 digits long, 0 decimal digits) ; 57 ^ FPPS LINE ITEM (Opt - This response must be a number or a list or range or ALL, e.g., 1,3,5 or 2-4,8) ; ** NOTE: Use Dsch date of 7078 for code set versioning ; ;Note the following have 3 pieces ; 58 ^ .01 ^ Adj Reason (Req if Amount Paid not equal to Amount Claimed - Pntr to ADJUSTMENT REASON File #161.91) ; 58 ^ 1 ^ Adj Group (Req as Adj Reason - Pntr to ADJUSTMENT GROUP File #161.92) ; 58 ^ 2 ^ Adj Amount (Req as Adj Reason - Numeric : Amount Claimed - Amount Paid) ; 59 ^ Seq # (1 or 2) ^ Remittance Remark (Opt - Pntr to REMITTANCE REMARK File #161.93) ; (For Inpatient Invoices there is a max of 2 remarks) ; 60 ^ Contract Number |
Document generated on August 31st 2022, 2:55:43 pm