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[DOCX File]Appendix 2.1 - Document Identifier Codes
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AP2.1.1. Document Identifier Codes (DIC) (located in record position (rp) 1-3 of transactions) provide a means of identifying a given product (for example, a requisition, referral action, status transaction, follow-up, or cancellation) to the system to which it pertains and further identify such data as to the intended purpose, usage, and operation dictated.
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[DOC File]SPARCS-837 PC Application Data Element Look-Up Reference
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AS, ED, IP OTHER/EMERGENCY DEPARTMENT PHYSICIAN 3 STATE LICENSE NUMBER Claim Information (General Tab): Other Physician License Type use arrow to select and enter License Number then Save. ED, IP Other Procedure Code 1-14 Claim Information (Procedures Tab) Add/Update: Procedure Type use arrow to select “Other” then enter Procedure Code then ...
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[DOCX File]Explanation of Rejection Codes - Veterans Affairs
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The provider billed an excessive amount of hours, based on the relative value units and quantify for each procedure code for this service date. If you can justify the excessive hours, please provide medical documentation supporting the hours billed.
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[DOC File]
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Segment Name Medical Records Identification Segment ID REF Loop ID 2200D Usage Optional Segment Notes This is the Medical Record number submitted on the original claim and should be sent when available from the submitted claim. Use this only if the subscriber is the patient. Example REF*EA*J354789~
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[DOCX File]Appendix A: Medical claims data file layout and dictionary
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ICD-10 procedure code for dates of service after 10/01/2014. Include all characters, (example: B245ZZ3). ICD-9 procedure code for dates of service before 10/01/2015. If ICD-9 include all digits and exclude decimal point (example: 0085). Required only for institutional claims.
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[DOC File]Information Technology Procedure
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Account Lookup From the right hand menu, click on “Register”. Type - Select the appropriate patient type from the drop down menu. For this example, we will use “Inpatient”. Form – Select Short. Under Account Number Search, enter the patient’s name.If the Patient has been here before, an Account Number search will display.
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[DOC File]Code - New Jersey
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id no name of insurance company address address address city st zip notes 001 samsung fire and marine insurance company, ltd. 25 challenger road ridgefield park nj 07660 comm only 002 brotherhood mutual insurance company po box 2227 fort wayne in 46801 comm only 003 mid-century ins company 4680 wilshire blvd los angeles ca 90010 priv pass and comm 004 ace property & casualty ins co 1601 ...
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[DOC File]Information Technology Procedure
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Under Account Number Search, enter the patient’s name. Click Cancel at the account lookup screen since direct Admits will always be a new account (visit). This will take you back to the main Registration Screen. Enter Information Under the Medical Record number search, the name will have prepopulated from the Account number search.
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[DOC File]Patient Record Flags (PRF)
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SEQ LEN DT R/O RP/# TBL# ELEMENT NAME VistA DESCRIPTION 1 4 SI C Set ID – OBR Sequential number 2 22 EI C Placer Order Number Not used 3 22 EI C Filler Order Number + Not used 4 200 CE R Universal Service ID 3 components: 1. Patient Record Flag IEN. 2. Name. 3. PRF table – VA085. Based on field.02/file 26.13
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[DOC File]§4
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Note (2): Only evaluate a revision procedure in the same manner as the original procedure under diagnostic codes 5051-5056 if all the original components are replaced. Note (3): The term “prosthetic replacement” in diagnostic codes 5051- 5053 and 5055-5056 means a total replacement of …
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Medical procedure number lookup