Outpatient data are housed in the FeeServiceProvided table. In SQL, these variables can be found in the [Dim]. Each year represents the year in which the claim was processed, not the year in which the service was rendered. For more information call 1-800-396-7929.Claims for Non-VA Emergency CareVeterans need to make sure any bills for non-VA emergency care of non-service connected conditions are submitted to the VA Medical Centers NVCC Office within 90 days. In general, we recommend using the disbursed amount to capture the cost of care, for two reasons. This component communicates with the FBCS MS SQL database and Veterans Health Information Systems and Technology Architecture (VistA) database in real time. American Society of Health-System Pharmacy (ASHP). The amount claimed (PAMTCL) appears in the inpatient (INPT) file alone; there is no claimed amount on the outpatient side. There is no information available in the SAS data that identifies the actual medication dispensed. Sort data by the patient ID, STA3N, VEN13N, and the admission dates. Payment for these types of care falls under the Non-VA Medical Care program. Prescription-related data in the PHARVEN file contain only summary payments by month. This section describes two elements of the program: the range of services covered and the payment rules used to determine the amount that VA will pay (DISAMT). Edward J. Hines, Jr. VA Hospital, Hines, Ill. 2007. In SAS, the cost of an inpatient stay can be determined by summing the cost from DISAMT in the inpatient files with the DISAMT from the ancillary observations that correspond to the inpatient stay; however, the inpatient and ancillary files alone may not be sufficient to account for the entire cost of care. [FeeInitialTreatment], [Fee]. privacy policies and guidelines. These data indicate the specialty code associated with the vendor, such as orthopedic surgery, cardiology, family practice, etc. For example, a technology approved with a decision for 7.x would cover any version of 7. Electronic Data Interchange (EDI): Payer ID for medical and dental claims is VA CCN. Note: A Veterans insurance coverage or lack of insurance coverage does not determine their eligibility for treatment at a VA health care facility.
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