$TXT Created by at DEVFEY.DOMAIN.EXT (KIDS) on Friday, 07/14/17 at 16:19 ============================================================================= Run Date: APR 09, 2018 Designation: FB*3.5*175 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #151 Status: Released Compliance Date: MAY 09, 2018 ============================================================================= Subject: PURCHASED CARE CLAIMS COMPLIANCE PHASE 4 Category: - Data Dictionary - Enhancement (Mandatory) 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: ----------------- N/A 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 (#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 Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A Test Sites: ----------- New Orleans Minneapolis 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: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Title File Name FTP Mode ------------------------------------------------------------------------ FB*3.5*175 Release Notes FB_3_5_P175_RN.pdf 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, 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. If 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 Back-Out Plan: ------------------- See FB_3_5_P175_IG install guide for detailed Back-Out instructions. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JAN 12, 2017 Completed By: Date Completed: APR 04, 2018 Released By : Date Released : APR 09, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT