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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | FB_35_175_V5.zip | patch_descr_FB_35_175_v5.txt | Tue Jul 18 16:38:20 2017 UTC |
| 2 | FB_35_175_V5.zip | patch_descr_FB_35_175_v5.txt | Wed Oct 18 12:24:21 2017 UTC |
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| 1 | Select PAT CH: FB*3.5 *175 PU RCHASED CA RE CLAIMS COMPLIANCE PHASE 4 UND SS | |
| 2 | ||
| 3 | DEVICE: HO ME// ;;999 999 SSH V IRTUAL TER MINAL | |
| 4 | ||
| 5 | ||
| 6 | VistA Patc h Display Page: 1 | |
| 7 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 8 | Run Date: JUL 18, 20 17 Design ation: FB* 3.5*175 T EST v5 | |
| 9 | Package : FEE BASIS Priori ty : MAN DATORY | |
| 10 | Version : 3.5 Status : UND ER DEVELOP MENT | |
| 11 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 12 | ||
| 13 | Subject: PURCHASED CARE CLAIM S COMPLIAN CE PHASE 4 | |
| 14 | ||
| 15 | Category: DATA DICT IONARY | |
| 16 | ENHANCEME NT | |
| 17 | ||
| 18 | Descriptio n: | |
| 19 | ========== = | |
| 20 | ||
| 21 | This effor t is focus ed on prov iding Othe r Health I nsurance ( OHI) to us ers | |
| 22 | of VistA F ee. This w ill be fac ilitated t hrough a c ollaborati on with DS S, | |
| 23 | Inc. to tr ansmit dat a from the central s erver loca ted at the Health | |
| 24 | Administra tion Cente r (HAC) th rough Fee Basis Clai ms System (FBCS) and | |
| 25 | into the l ocal facil ity VistA Fee. | |
| 26 | ||
| 27 | The new da tabase fie lds introd uced by th e patch ar e going to be used b y | |
| 28 | FBCS appli cation tha t will be modified b y DSS. New FBCS func tionality will | |
| 29 | make OHI d ata availa ble for VA users on its Graphi cal User I nterface ( GUI) | |
| 30 | screens. | |
| 31 | ||
| 32 | This patch implement s the MUMP S database portion o f the proj ect. | |
| 33 | ||
| 34 | ||
| 35 | Patch Comp onents: | |
| 36 | ---------- ------- | |
| 37 | ||
| 38 | Files & Fi elds Assoc iated: | |
| 39 | ||
| 40 | ||
| 41 | File Name (Number) Field Name (Number) New/Mo dified/Del eted | |
| 42 | ---------- ---------- -------- ---------- ---------- -- ------ ---------- ---- | |
| 43 | Subfile SE RVICE PROV IDED | |
| 44 | (#162.03) | |
| 45 | OHI OTHER SUBSCRIBER INFO (#70 ) New | |
| 46 | OHI SERVIC E LINE INF O (#71) New | |
| 47 | ||
| 48 | Subfile OH I OTHER SU BSCRIBER | |
| 49 | INFO (#162 .09) | |
| 50 | PAYER RESP SEQUENCE CODE (#.01 ) New | |
| 51 | INDIVIDUAL RELATIONS HIP CODE ( #.02) New | |
| 52 | INSURED GR OUP OR POL NUMBER (# .03) New | |
| 53 | OTHER INSU R GROUP NA ME (#.04) New | |
| 54 | INSURANCE TYPE CODE (#.05) New | |
| 55 | CLAIM FILI NG INDICAT OR CODE (# .06) New | |
| 56 | CLAIM LEVE L ADJUSTME NTS (#1) New | |
| 57 | COB PAYER PAID AMT Q UAL CODE ( #2.01) New | |
| 58 | COB PAYER PAID AMOUN T (#2.02) New | |
| 59 | REMAIN PAT LIAB AMT QUAL CODE (#3.01) New | |
| 60 | REMAIN PAT LIAB AMOU NT (#3.02) New | |
| 61 | COB TOT NO N-COV AMT QUAL CODE (#4.01) New | |
| 62 | COB TOT NO N-COV AMOU NT (#4.02) New | |
| 63 | OTH INS BE NEF ASSIGN CERT INFO (#5.01) New | |
| 64 | OTH INS PA T SIGNAT S OURCE CODE (#5.02) New | |
| 65 | OTH INS RO I CODE (#5 .03) New | |
| 66 | INP ADJ QU ANT COV DA YS VIS CNT (#6.01) New | |
| 67 | INP ADJ LI FETIME PSY CH CNT (#6 .02) New | |
| 68 | INP ADJ RE M PAT LIAB AMOUNT (# 6.03) New | |
| 69 | INP ADJ RE F ID-REM C ODE MIA05 (#6.04) New | |
| 70 | INP ADJ AM T-CLM DISP R SHARE (# 6.05) New | |
| 71 | INP ADJ AM T-CLM MSP PASS (#6.0 6) New | |
| 72 | INP ADJ AM T-CLM PPS CAPITAL (# 6.07) New | |
| 73 | INP ADJ AM T-PPS CAP FSP DRG (# 6.08) New | |
| 74 | INP ADJ AM T-PPS CAP HSP DRG (# 7.01) New | |
| 75 | INP ADJ AM T-PPS CAP DSH DRG (# 7.02) New | |
| 76 | INP ADJ AM T-OLD CAPI TAL AMN (# 7.03) New | |
| 77 | INP ADJ AM T-PPS CAPI T IME AMT (#7.04) New | |
| 78 | INP ADJ AM T-PPS OPER HOSP DRG (#7.05) New | |
| 79 | INP ADJ CO ST REPORT DAY COUNT (#7.06) New | |
| 80 | INP ADJ AM T-PPS OP F ED SPE DRG (#7.07) New | |
| 81 | INP ADJ AM T-CLM PPS CAPIT OUTL (#7.08) New | |
| 82 | INP ADJ AM T-CLM INDI R TEACHING (#7.09) New | |
| 83 | INP ADJ AM T-NON-PAY PROF BILLD (#7.1) New | |
| 84 | INP ADJ RE F ID-REM C ODE MIA20 (#8.01) New | |
| 85 | INP ADJ RE F ID-REM C ODE MIA21 (#8.02) New | |
| 86 | INP ADJ RE F ID-REM C ODE MIA22 (#8.03) New | |
| 87 | INP ADJ RE F ID-REM C ODE MIA23 (#8.04) New | |
| 88 | INP ADJ AM T-PPS CAPI TAL EXCEPT (#8.05) New | |
| 89 | OUTP ADJ R EIMBURSE R ATE (#9.01 ) New | |
| 90 | OUTP ADJ H CPCS PAYAB LE AMT (#9 .02) New | |
| 91 | OUTP ADJ R EF ID-REM COD MOA03 (#9.03) New | |
| 92 | OUTP ADJ R EF ID-REM COD MOA04 (#9.04) New | |
| 93 | OUTP ADJ R EF ID-REM COD MOA05 (#10.01) New | |
| 94 | OUTP ADJ R EF ID-REM COD MOA06 (#10.02) New | |
| 95 | OUTP ADJ R EF ID-REM COD MOA07 (#10.03) New | |
| 96 | OUTP ADJ E SRD PAYM A MT (#10.04 ) New | |
| 97 | OUTP ADJ N ON PAY PRO F BILLED ( #10.05) New | |
| 98 | OTH SUB EN TITY ID CO DE (#11.01 ) New | |
| 99 | OTH SUB EN TITY TYPE QUAL (#11. 02) New | |
| 100 | OTH SUB LA ST NAME (# 11.03) New | |
| 101 | OTH SUB FI RST NAME ( #11.04) New | |
| 102 | OTH SUB MI DDLE NAME (#11.05) New | |
| 103 | OTH SUB NA ME SUFFIX (#11.06) New | |
| 104 | OTH SUB ID CODE QUAL (#11.07) New | |
| 105 | OTH SUB IN SURED ID ( #11.08) New | |
| 106 | OTH SUB AD DR LINE 1 (#12.01) New | |
| 107 | OTH SUB AD DR LINE 2 (#12.02) New | |
| 108 | OTH SUB CI TY NAME (# 12.03) New | |
| 109 | OTH SUB ST ATE CODE ( #12.04) New | |
| 110 | OTH SUB PO STAL ZIP ( #12.05) New | |
| 111 | OTH SUB CO UNTRY CODE (#12.06) New | |
| 112 | OTH SUB CO UNTRY SUBD IV CODE (# 12.07) New | |
| 113 | OTH SUB 2N D ID REF Q UAL 1 (#13 .01) New | |
| 114 | OTH SUB 2N D ID-ADDTN L ID 1 (#1 3.02) New | |
| 115 | OTH SUB 2N D ID REF Q UAL 2 (#13 .03) New | |
| 116 | OTH SUB 2N D ID-ADDTN L ID 2 (#1 3.04) New | |
| 117 | OTH PAYER ENTITY ID CODE (#14. 01) New | |
| 118 | OTH PAYER ENTITY TYP E QUAL (#1 4.02) New | |
| 119 | OTH PAYER LAST OR OR G NAME (#1 4.03) New | |
| 120 | OTH PAYER ID CODE QU ALIFIER (# 14.04) New | |
| 121 | OTH PAYER PRIMARY ID ENTIFIER ( #14.05) New | |
| 122 | OTH PAYER ADDR LINE 1 (#15.01) New | |
| 123 | OTH PAYER ADDR LINE 2 (#15.02) New | |
| 124 | OTH PAYER CITY NAME (#15.03) New | |
| 125 | OTH PAYER STATE CODE (#15.04) New | |
| 126 | OTH PAYER POSTAL ZIP (#15.05) New | |
| 127 | OTH PAYER COUNTRY CO DE (#15.06 ) New | |
| 128 | OTH PAYER COUNTRY SU BDIV CODE (#15.07) New | |
| 129 | OTH PAYER DATE TIME QUAL (#16. 01) New | |
| 130 | OTH PAYER DTIME PER FORM QUAL (#16.02) New | |
| 131 | OTH PAYER ADJ OR PAY MENT DATE (#16.03) New | |
| 132 | OTH PAYER 2ND REF ID QUAL 1 (# 17.01) New | |
| 133 | OTH PAYER 2NDARY ID 1 (#17.02) New | |
| 134 | OTH PAYER 2ND REF ID QUAL 2 (# 17.03) New | |
| 135 | OTH PAYER 2NDARY ID 2 (#17.04) New | |
| 136 | OTH PAYER PR AUTH RE F ID QUAL (#17.05) New | |
| 137 | OTH PAYER PRIOR AUTH NUM (#17. 06) New | |
| 138 | OTH PAYER REFFERL RE F ID QUAL (#17.07) New | |
| 139 | OTH PAYER REFFERAL N UMBER (#17 .08) New | |
| 140 | OTH PAYER CLM ADJ RE F ID QUAL (#18.01) New | |
| 141 | OTH PAYER CLAIM ADJ INDICATOR (#18.02) New | |
| 142 | OTH PAYER CLM CTRL R EF ID QUAL (#18.03) New | |
| 143 | OTH PAYER CLAIM CTRL NUMBER (# 18.04) New | |
| 144 | ||
| 145 | Subfile CL AIM LEVEL | |
| 146 | ADJUSTMENT S INFO (#1 62.13) | |
| 147 | CLAIM ADJU STMENT GRO UP CODE (# .01) New | |
| 148 | ADJ REASON CODE 1 (# 1.01) New | |
| 149 | ADJ REASON CODE 2 (# 1.02) New | |
| 150 | ADJ REASON CODE 3 (# 1.03) New | |
| 151 | ADJ REASON CODE 4 (# 1.04) New | |
| 152 | ADJ REASON CODE 5 (# 1.05) New | |
| 153 | ADJ REASON CODE 6 (# 1.06) New | |
| 154 | ADJ AMOUNT 1 (#2.01) New | |
| 155 | ADJ AMOUNT 2 (#2.02) New | |
| 156 | ADJ AMOUNT 3 (#2.03) New | |
| 157 | ADJ AMOUNT 4 (#2.04) New | |
| 158 | ADJ AMOUNT 5 (#2.05) New | |
| 159 | ADJ AMOUNT 6 (#2.06) New | |
| 160 | ADJ QUANTI TY 1 (#3.0 1) New | |
| 161 | ADJ QUANTI TY 2 (#3.0 2) New | |
| 162 | ADJ QUANTI TY 3 (#3.0 3) New | |
| 163 | ADJ QUANTI TY 4 (#3.0 4) New | |
| 164 | ADJ QUANTI TY 5 (#3.0 5) New | |
| 165 | ADJ QUANTI TY 6 (#3.0 6) New | |
| 166 | ||
| 167 | Subfile OH I SERVICE LINE INFO | |
| 168 | (#162.371) | |
| 169 | SERVICE LI NE NUMBER (#.01) New | |
| 170 | LINE ADJUD ICATION IN FORMATION (#1) New | |
| 171 | ||
| 172 | Subfile LI NE ADJUDIC ATION | |
| 173 | INFORMATIO N (#162.37 11) | |
| 174 | OTHER PRIM ARY PAYER ID (#.01) New | |
| 175 | SERVICE LI NE PAID AM T (#.02) New | |
| 176 | PROD OR SE RV ID QUAL (#1.01) New | |
| 177 | PROCEDURE CODE (#1.0 2) New | |
| 178 | PROC MODIF SVD03-3 ( #1.03) New | |
| 179 | PROC MODIF SVD03-4 ( #1.04) New | |
| 180 | PROC MODIF SVD03-5 ( #1.05) New | |
| 181 | PROC MODIF SVD03-6 ( #1.06) New | |
| 182 | PROC CODE DESCRIPTIO N (#1.07) New | |
| 183 | PRODUCT OR SERV ID ( #1.08) New | |
| 184 | PAID SERV UNIT CNT ( #1.09) New | |
| 185 | BUNDL OR U NBUNDL LIN E NUM (#1. 1) New | |
| 186 | LINE ADJUS TMENT (#2) New | |
| 187 | LN CHK DAT E TIME QUA LIFIER (#3 .01) New | |
| 188 | LN CHK DAT E TIME PER FORM QUAL (#3.02) New | |
| 189 | LN CHK ADJ OR PAYMEN T DATE (#3 .03) New | |
| 190 | REMAIN PAT LIAB AMT QUAL CODE (#4.01) New | |
| 191 | REMAIN PAT LIABILITY AMOUNT (# 4.02) New | |
| 192 | ||
| 193 | Subfile LI NE ADJUSTM ENT | |
| 194 | (#162.3711 2) | |
| 195 | CLAIM ADJU STMENT GRO UP CODE (# .01) New | |
| 196 | ADJ REASON CODE 1 (# 1.01) New | |
| 197 | ADJ REASON CODE 2 (# 1.02) New | |
| 198 | ADJ REASON CODE 3 (# 1.03) New | |
| 199 | ADJ REASON CODE 4 (# 1.04) New | |
| 200 | ADJ REASON CODE 5 (# 1.05) New | |
| 201 | ADJ REASON CODE 6 (# 1.06) New | |
| 202 | ADJ AMOUNT 1 (#2.01) New | |
| 203 | ADJ AMOUNT 2 (#2.02) New | |
| 204 | ADJ AMOUNT 3 (#2.03) New | |
| 205 | ADJ AMOUNT 4 (#2.04) New | |
| 206 | ADJ AMOUNT 5 (#2.05) New | |
| 207 | ADJ AMOUNT 6 (#2.06) New | |
| 208 | ADJ QUANTI TY 1 (#3.0 1) New | |
| 209 | ADJ QUANTI TY 2 (#3.0 2) New | |
| 210 | ADJ QUANTI TY 3 (#3.0 3) New | |
| 211 | ADJ QUANTI TY 4 (#3.0 4) New | |
| 212 | ADJ QUANTI TY 5 (#3.0 5) New | |
| 213 | ADJ QUANTI TY 6 (#3.0 6) New | |
| 214 | ||
| 215 | ||
| 216 | ||
| 217 | New Servic e Requests (NSRs): | |
| 218 | ---------- ---------- -------- | |
| 219 | N/A | |
| 220 | ||
| 221 | ||
| 222 | Test Sites : | |
| 223 | ---------- - | |
| 224 | TBD | |
| 225 | ||
| 226 | ||
| 227 | Software a nd Documen tation Ret rieval Ins tructions: | |
| 228 | ---------- ---------- ---------- ------- | |
| 229 | The softwa re is dist ributed in the PackM an message generated from the | |
| 230 | National P atch Modul e on Forum . Document ation desc ribing new | |
| 231 | functional ity introd uced by th is patch i s availabl e. | |
| 232 | ||
| 233 | Sites may retrieve d ocumentati on directl y using Se cure File Transfer | |
| 234 | Protocol ( SFTP) from the ANONY MOUS.SOFTW ARE direct ory at the following | |
| 235 | OI Field O ffices: | |
| 236 | ||
| 237 | Albany: DNS . URL | |
| 238 | Hines: DNS .U RL | |
| 239 | Salt Lake City:
|
|
| 240 | ||
| 241 | Documentat ion can al so be foun d on the V A Software Documenta tion Libra ry | |
| 242 | at: http:/ / URL / | |
| 243 | ||
| 244 | Title File Nam e FTP Mo de | |
| 245 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 246 | FB*3.5*175 Release N otes fb_3_5_p 175_rn.doc x binary | |
| 247 | FB*3.5*175 Deploymen t, Install ation, fb_3_5_p 175_ig.pdf binary | |
| 248 | Back-Out, and Rollba ck Guide | |
| 249 | ||
| 250 | ||
| 251 | Patch Inst allation: | |
| 252 | ||
| 253 | ||
| 254 | Pre/Post I nstallatio n Overview | |
| 255 | ---------- ---------- ---------- | |
| 256 | ||
| 257 | There are no Pre/Pos t installa tion routi ne process es. | |
| 258 | ||
| 259 | ||
| 260 | Pre-Instal lation Ins tructions | |
| 261 | ---------- ---------- --------- | |
| 262 | This patch may be in stalled wi th users o n the syst em althoug h it is | |
| 263 | recommende d that it be install ed during non-peak h ours to mi nimize | |
| 264 | potential disruption to users. This pat ch should take less than | |
| 265 | 5 minutes to install . | |
| 266 | ||
| 267 | ||
| 268 | Installati on Instruc tions | |
| 269 | ---------- ---------- ----- | |
| 270 | 1. Choose the PackM an message containin g this pat ch. | |
| 271 | ||
| 272 | 2. Choose the INSTA LL/CHECK M ESSAGE Pac kMan optio n. | |
| 273 | ||
| 274 | 3. From t he Kernel Installati on and Dis tribution System Men u, select | |
| 275 | the In stallation Menu. Fr om this me nu, you ma y elect to use the | |
| 276 | follow ing option . When pro mpted for the INSTAL L enter th e patch # | |
| 277 | (FB*3. 5*175): | |
| 278 | ||
| 279 | a. Com pare Trans port Globa l to Curre nt System - This opt ion will | |
| 280 | all ow you to view all c hanges tha t will be made when this patch | |
| 281 | is installed. It compa res all co mponents o f this pat ch | |
| 282 | (ro utines, DD 's, templa tes, etc.) . | |
| 283 | ||
| 284 | 4. From t he Install ation Menu , select t he Install Package(s ) option a nd | |
| 285 | choose the patch to instal l. Enter F B*3.5*175. | |
| 286 | ||
| 287 | 5. When p rompted 'W ant KIDS t o Rebuild Menu Trees Upon Comp letion of | |
| 288 | Instal l? NO//', respond NO . | |
| 289 | ||
| 290 | 6. When p rompted 'W ant KIDS t o INHIBIT LOGONs dur ing the in stall? NO/ /', | |
| 291 | respon d NO. | |
| 292 | ||
| 293 | 7. When p rompted 'W ant to DIS ABLE Sched uled Optio ns, Menu O ptions, an d | |
| 294 | Protoc ols? NO//' , respond NO. | |
| 295 | ||
| 296 | 8. If pro mpted 'Del ay Install (Minutes) : (0 - 60 ): 0//', r espond 0. | |
| 297 | ||
| 298 | Post-Insta llation In structions | |
| 299 | ---------- ---------- ---------- | |
| 300 | N/A | |
| 301 | ||
| 302 | ||
| 303 | Routine In formation: | |
| 304 | ========== ========== | |
| 305 | ||
| 306 | ||
| 307 | No routine s included . | |
| 308 | ||
| 309 | ||
| 310 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 311 | User Infor mation: | |
| 312 | Entered By : SH AMUKHAMEDO V,SHAVKA D ate Entere d : JAN 12,2017 | |
| 313 | Complete d By: D ate Comple ted: | |
| 314 | Released By : D ate Releas ed : | |
| 315 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 316 | ||
| 317 | ||
| 318 | Select PAT CH: |
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