Select PATCH: FB*3.5*175    PURCHASED CARE CLAIMS COMPLIANCE PHASE 4    UND SS

DEVICE: HOME// ;;999999  SSH VIRTUAL TERMINAL


VistA Patch Display                                                   Page: 1
=============================================================================
Run Date: JUL 18, 2017                      Designation: FB*3.5*175  TEST v5
Package : FEE BASIS                         Priority   : MANDATORY
Version : 3.5                               Status     : UNDER DEVELOPMENT
=============================================================================

Subject:  PURCHASED CARE CLAIMS COMPLIANCE PHASE 4

Category:  DATA DICTIONARY
           ENHANCEMENT

Description:
===========
 
This effort is focused on providing Other Health Insurance (OHI) to users 
of VistA Fee. This will be facilitated through a collaboration with DSS, 
Inc. to transmit data from the central server located at the Health 
Administration Center (HAC) through Fee Basis Claims System (FBCS) and 
into the local facility VistA Fee.
 
The new database fields introduced by the patch are going to be used by 
FBCS application that will be modified by DSS. New FBCS functionality will
make OHI data available for VA users on its Graphical User Interface (GUI)
screens.
 
This patch implements the MUMPS database portion of the project.
 
 
Patch Components:
-----------------
 
Files & Fields Associated:
 
 
File Name (Number)            Field Name (Number)     New/Modified/Deleted
----------------------------  ----------------------  --------------------
Subfile SERVICE PROVIDED
(#162.03)  
                              OHI OTHER SUBSCRIBER INFO (#70)          New
                              OHI SERVICE LINE INFO (#71)              New
 
Subfile OHI OTHER SUBSCRIBER 
INFO (#162.09) 
                              PAYER RESP SEQUENCE CODE (#.01)          New
                              INDIVIDUAL RELATIONSHIP CODE (#.02)      New
                              INSURED GROUP OR POL NUMBER (#.03)       New
                              OTHER INSUR GROUP NAME (#.04)            New
                              INSURANCE TYPE CODE (#.05)               New
                              CLAIM FILING INDICATOR CODE (#.06)       New
                              CLAIM LEVEL ADJUSTMENTS (#1)             New
                              COB PAYER PAID AMT QUAL CODE (#2.01)     New
                              COB PAYER PAID AMOUNT (#2.02)            New
                              REMAIN PAT LIAB AMT QUAL CODE (#3.01)    New
                              REMAIN PAT LIAB AMOUNT (#3.02)           New
                              COB TOT NON-COV AMT QUAL CODE (#4.01)    New
                              COB TOT NON-COV AMOUNT (#4.02)           New
                              OTH INS BENEF ASSIGN CERT INFO (#5.01)   New
                              OTH INS PAT SIGNAT SOURCE CODE (#5.02)   New
                              OTH INS ROI CODE (#5.03)                 New
                              INP ADJ QUANT COV DAYS VIS CNT (#6.01)   New
                              INP ADJ LIFETIME PSYCH CNT (#6.02)       New
                              INP ADJ REM PAT LIAB AMOUNT (#6.03)      New
                              INP ADJ REF ID-REM CODE MIA05 (#6.04)    New
                              INP ADJ AMT-CLM DISPR SHARE (#6.05)      New
                              INP ADJ AMT-CLM MSP PASS (#6.06)         New
                              INP ADJ AMT-CLM PPS CAPITAL (#6.07)      New
                              INP ADJ AMT-PPS CAP FSP DRG (#6.08)      New
                              INP ADJ AMT-PPS CAP HSP DRG (#7.01)      New
                              INP ADJ AMT-PPS CAP DSH DRG (#7.02)      New
                              INP ADJ AMT-OLD CAPITAL AMN (#7.03)      New
                              INP ADJ AMT-PPS CAPIT IME AMT (#7.04)    New
                              INP ADJ AMT-PPS OPER HOSP DRG (#7.05)    New
                              INP ADJ COST REPORT DAY COUNT (#7.06)    New
                              INP ADJ AMT-PPS OP FED SPE DRG (#7.07)   New
                              INP ADJ AMT-CLM PPS CAPIT OUTL (#7.08)   New
                              INP ADJ AMT-CLM INDIR TEACHING (#7.09)   New
                              INP ADJ AMT-NON-PAY PROF BILLD (#7.1)    New
                              INP ADJ REF ID-REM CODE MIA20 (#8.01)    New
                              INP ADJ REF ID-REM CODE MIA21 (#8.02)    New
                              INP ADJ REF ID-REM CODE MIA22 (#8.03)    New
                              INP ADJ REF ID-REM CODE MIA23 (#8.04)    New
                              INP ADJ AMT-PPS CAPITAL EXCEPT (#8.05)   New
                              OUTP ADJ REIMBURSE RATE (#9.01)          New
                              OUTP ADJ HCPCS PAYABLE AMT (#9.02)       New
                              OUTP ADJ REF ID-REM COD MOA03 (#9.03)    New
                              OUTP ADJ REF ID-REM COD MOA04 (#9.04)    New
                              OUTP ADJ REF ID-REM COD MOA05 (#10.01)   New
                              OUTP ADJ REF ID-REM COD MOA06 (#10.02)   New
                              OUTP ADJ REF ID-REM COD MOA07 (#10.03)   New
                              OUTP ADJ ESRD PAYM AMT (#10.04)          New
                              OUTP ADJ NON PAY PROF BILLED (#10.05)    New
                              OTH SUB ENTITY ID CODE (#11.01)          New
                              OTH SUB ENTITY TYPE QUAL (#11.02)        New
                              OTH SUB LAST NAME (#11.03)               New
                              OTH SUB FIRST NAME (#11.04)              New
                              OTH SUB MIDDLE NAME (#11.05)             New
                              OTH SUB NAME SUFFIX (#11.06)             New
                              OTH SUB ID CODE QUAL (#11.07)            New
                              OTH SUB INSURED ID (#11.08)              New
                              OTH SUB ADDR LINE 1 (#12.01)             New
                              OTH SUB ADDR LINE 2 (#12.02)             New
                              OTH SUB CITY NAME (#12.03)               New
                              OTH SUB STATE CODE (#12.04)              New
                              OTH SUB POSTAL ZIP (#12.05)              New
                              OTH SUB COUNTRY CODE (#12.06)            New
                              OTH SUB COUNTRY SUBDIV CODE (#12.07)     New
                              OTH SUB 2ND ID REF QUAL 1 (#13.01)       New
                              OTH SUB 2ND ID-ADDTNL ID 1 (#13.02)      New
                              OTH SUB 2ND ID REF QUAL 2 (#13.03)       New
                              OTH SUB 2ND ID-ADDTNL ID 2 (#13.04)      New
                              OTH PAYER ENTITY ID CODE (#14.01)        New
                              OTH PAYER ENTITY TYPE QUAL (#14.02)      New
                              OTH PAYER LAST OR ORG NAME (#14.03)      New
                              OTH PAYER ID CODE QUALIFIER (#14.04)     New
                              OTH PAYER PRIMARY IDENTIFIER (#14.05)    New
                              OTH PAYER ADDR LINE 1 (#15.01)           New
                              OTH PAYER ADDR LINE 2 (#15.02)           New
                              OTH PAYER CITY NAME (#15.03)             New
                              OTH PAYER STATE CODE (#15.04)            New
                              OTH PAYER POSTAL ZIP (#15.05)            New
                              OTH PAYER COUNTRY CODE (#15.06)          New
                              OTH PAYER COUNTRY SUBDIV CODE (#15.07)   New
                              OTH PAYER DATE TIME QUAL (#16.01)        New
                              OTH PAYER DTIME PER FORM QUAL (#16.02)   New
                              OTH PAYER ADJ OR PAYMENT DATE (#16.03)   New
                              OTH PAYER 2ND REF ID QUAL 1 (#17.01)     New
                              OTH PAYER 2NDARY ID 1 (#17.02)           New
                              OTH PAYER 2ND REF ID QUAL 2 (#17.03)     New
                              OTH PAYER 2NDARY ID 2 (#17.04)           New
                              OTH PAYER PR AUTH REF ID QUAL (#17.05)   New
                              OTH PAYER PRIOR AUTH NUM (#17.06)        New
                              OTH PAYER REFFERL REF ID QUAL (#17.07)   New
                              OTH PAYER REFFERAL NUMBER (#17.08)       New
                              OTH PAYER CLM ADJ REF ID QUAL (#18.01)   New
                              OTH PAYER CLAIM ADJ INDICATOR (#18.02)   New
                              OTH PAYER CLM CTRL REF ID QUAL (#18.03)  New
                              OTH PAYER CLAIM CTRL NUMBER (#18.04)     New
 
Subfile CLAIM LEVEL 
ADJUSTMENTS INFO (#162.13) 
                              CLAIM ADJUSTMENT GROUP CODE (#.01)       New
                              ADJ REASON CODE 1 (#1.01)                New
                              ADJ REASON CODE 2 (#1.02)                New
                              ADJ REASON CODE 3 (#1.03)                New
                              ADJ REASON CODE 4 (#1.04)                New
                              ADJ REASON CODE 5 (#1.05)                New
                              ADJ REASON CODE 6 (#1.06)                New
                              ADJ AMOUNT 1 (#2.01)                     New
                              ADJ AMOUNT 2 (#2.02)                     New
                              ADJ AMOUNT 3 (#2.03)                     New
                              ADJ AMOUNT 4 (#2.04)                     New
                              ADJ AMOUNT 5 (#2.05)                     New
                              ADJ AMOUNT 6 (#2.06)                     New
                              ADJ QUANTITY 1 (#3.01)                   New
                              ADJ QUANTITY 2 (#3.02)                   New
                              ADJ QUANTITY 3 (#3.03)                   New
                              ADJ QUANTITY 4 (#3.04)                   New
                              ADJ QUANTITY 5 (#3.05)                   New
                              ADJ QUANTITY 6 (#3.06)                   New
 
Subfile OHI SERVICE LINE INFO
(#162.371) 
                              SERVICE LINE NUMBER (#.01)               New
                              LINE ADJUDICATION INFORMATION (#1)       New
 
Subfile LINE ADJUDICATION 
INFORMATION (#162.3711) 
                              OTHER PRIMARY PAYER ID (#.01)            New
                              SERVICE LINE PAID AMT (#.02)             New
                              PROD OR SERV ID QUAL (#1.01)             New
                              PROCEDURE CODE (#1.02)                   New
                              PROC MODIF SVD03-3 (#1.03)               New
                              PROC MODIF SVD03-4 (#1.04)               New
                              PROC MODIF SVD03-5 (#1.05)               New
                              PROC MODIF SVD03-6 (#1.06)               New
                              PROC CODE DESCRIPTION (#1.07)            New
                              PRODUCT OR SERV ID (#1.08)               New
                              PAID SERV UNIT CNT (#1.09)               New
                              BUNDL OR UNBUNDL LINE NUM (#1.1)         New
                              LINE ADJUSTMENT (#2)                     New
                              LN CHK DATE TIME QUALIFIER (#3.01)       New
                              LN CHK DATE TIME PER FORM QUAL (#3.02)   New
                              LN CHK ADJ OR PAYMENT DATE (#3.03)       New
                              REMAIN PAT LIAB AMT QUAL CODE (#4.01)    New
                              REMAIN PAT LIABILITY AMOUNT (#4.02)      New
 
Subfile LINE ADJUSTMENT 
(#162.37112) 
                              CLAIM ADJUSTMENT GROUP CODE (#.01)       New
                              ADJ REASON CODE 1 (#1.01)                New
                              ADJ REASON CODE 2 (#1.02)                New
                              ADJ REASON CODE 3 (#1.03)                New
                              ADJ REASON CODE 4 (#1.04)                New
                              ADJ REASON CODE 5 (#1.05)                New
                              ADJ REASON CODE 6 (#1.06)                New
                              ADJ AMOUNT 1 (#2.01)                     New
                              ADJ AMOUNT 2 (#2.02)                     New
                              ADJ AMOUNT 3 (#2.03)                     New
                              ADJ AMOUNT 4 (#2.04)                     New
                              ADJ AMOUNT 5 (#2.05)                     New
                              ADJ AMOUNT 6 (#2.06)                     New
                              ADJ QUANTITY 1 (#3.01)                   New
                              ADJ QUANTITY 2 (#3.02)                   New
                              ADJ QUANTITY 3 (#3.03)                   New
                              ADJ QUANTITY 4 (#3.04)                   New
                              ADJ QUANTITY 5 (#3.05)                   New
                              ADJ QUANTITY 6 (#3.06)                   New
 
 
 
New Service Requests (NSRs):
----------------------------
N/A
 
 
Test Sites:
-----------
TBD
 
 
Software and Documentation Retrieval Instructions:
-------------------------------------
The software is distributed in the PackMan message generated from the
National Patch Module on Forum. Documentation describing new 
functionality introduced by this patch is available.
 
Sites may retrieve documentation directly using Secure File Transfer 
Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following 
OI Field Offices:
 
Albany:         DNS      .URL       
Hines:          DNS     .URL         
Salt Lake City:       .URL       
 
Documentation can also be found on the VA Software Documentation Library
at: http://URL            /
 
Title                                     File Name             FTP Mode
------------------------------------------------------------------------
FB*3.5*175 Release Notes                  fb_3_5_p175_rn.docx   binary
FB*3.5*175 Deployment, Installation,      fb_3_5_p175_ig.pdf    binary
Back-Out, and Rollback Guide
 
 
Patch Installation:
 
 
Pre/Post Installation Overview
------------------------------
 
There are no Pre/Post installation routine processes.
 
 
Pre-Installation Instructions
-----------------------------
This patch may be installed with users on the system although it is 
recommended that it be installed during non-peak hours to minimize
potential disruption to users.  This patch should take less than 
5 minutes to install.
 
 
Installation Instructions
-------------------------
1.  Choose the PackMan message containing this patch.
 
2.  Choose the INSTALL/CHECK MESSAGE PackMan option.
 
3.  From the Kernel Installation and Distribution System Menu, select
    the Installation Menu.  From this menu, you may elect to use the
    following option. When prompted for the INSTALL enter the patch #
    (FB*3.5*175):
 
    a. Compare Transport Global to Current System - This option will
       allow you to view all changes that will be made when this patch
       is installed.  It compares all components of this patch
       (routines, DD's, templates, etc.).
 
4.  From the Installation Menu, select the Install Package(s) option and
    choose the patch to install. Enter FB*3.5*175.
 
5.  When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
    Install? NO//', respond NO.
 
6.  When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//',
    respond NO.
 
7.  When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
    Protocols? NO//', respond NO.
 
8.  If prompted 'Delay Install (Minutes):  (0 - 60): 0//', respond 0.
 
Post-Installation Instructions
------------------------------
N/A


Routine Information:
====================


No routines included.


=============================================================================
User Information:  
  Entered By  :   SHAMUKHAMEDOV,SHAVKA Date Entered  :   JAN 12,2017
  Completed By:                        Date Completed:   
  Released By :                        Date Released :   
=============================================================================


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