.####################################### . DATA ELEMENTS FOR AARFACff.TXT FILE . AR Facility Information .####################################### .*************************************** . HEADER-RECORD .*************************************** arfachky init "$$$$$$$$$" .Key to header record arfachk1 dim 9 .Key area 1 arfachu1 dim 36 .10-45 .Unused arfachv1 dim 8 .46-53 .literal:"AR Vers:" arfachv2 dim 10 .54-63 .left-justified version # arfachsa dim 5 .AIMDEX - 100 byte blocks/sec arfachsi dim 5 .INDEX - 100 byte blocks/sec arfachsr dim 5 .REFORMAT - 100 byte blocks/sec arfachvr dim 1 .Version number .*************************************** . DETAIL-RECORD .*************************************** ........................................ .General facility information ........................................ arfac01x list arffrt1 dim 2 . 1-2 Record type arff01f1 dim 7 . 3-9 Blanks arffnam dim 30 . 10-39 Facility name arffncod dim 2 . 40-41 Facility name check digits arffptno dim 5 . 42-46 Patient number next available arffswit dim 60 . 47-106 Facility switches arffadr1 dim 30 . 107-136 Facility address 1 arffadr2 dim 30 . 137-166 Facility address 2 arffcity dim 25 . 167-191 Facility city arffste dim 2 . 192-193 Facility state arffzip dim 10 . 194-203 Facility zip code arffphon dim 10 . 204-213 Facility phone arffhead dim 76 . 214-289 Facility headings arffarhd dim 5 . 290-294 Facility hold AR code .t18651 arffarhs dim 5 . 295-299 Facility hospital AR code .t18651 arffclc dim 6 . 300-305 Facility client code arffphy dim 2 . 306-307 Facility physician code arffcac dim 2 . 308-309 Facility cac file arffarcd dim 2 . 310-311 Facility AR code file arffstat dim 2 . 312-313 Facility state code arffpedt dim 8 . 314-321 Facility period end date .t11781 arfftylt dim 4 . 322-325 Facility type letter arffarlv dim 5 . 326-330 Facility leave AR code .t18651 arffrswt dim 1 . 331-331 Retain detail 'til paid switch arffbano dim 3 . 332-334 Batch Ancillary next batch num arffbcno dim 3 . 335-337 Batch Cash Rec. next batch num arffbadj dim 3 . 338-340 Batch Adjustment next batch number arffdsub dim 8 . 341-348 Default subject description arffcgdl dim 1 . 349-349 Disallow changes and deletions. .ar1206 arffadtr dim 1 . 350-350 Disallow addition of transactions. .ar1206 arffrcfr dim 1 . 351-351 Allow use of "Received From" field .ar1225 arff01fl dim 162 . 352-513 Filler .ar1225.ar1206.t186 ........................................ .Resident types ........................................ arffrt2 dim 2 . 1-2 Record type arfftype dim 1 . 3-3 Facility type arff02f1 dim 6 . 4-9 Blanks arfftdes dim 8 . 10-17 Facility type description arfftgl dim 7 . 18-24 Facility type GL account arfftagy dim 4 . 25-28 Facility type agency arfftdpr dim 7 . 29-35 Facility daily posting rate arfftsub dim 8 . 36-43 Subject description arfftay2 dim 4 . 44-47 part B=Y, agency #2 (arfftagy = #1) arfftay3 dim 4 . 48-51 Y, agency #3 arfftay4 dim 4 . 52-55 Y, agency #4 arfftay5 dim 4 . 56-59 Y, agency #5 arfftay6 dim 4 . 60-63 Y, agency #6 arfftay7 dim 4 . 64-67 Y, agency #7 arfftay8 dim 4 . 68-71 Y, agency #8 arfftay9 dim 4 . 72-75 Y, agency #9 arfftaya dim 4 . 76-79 Y, agency #10 arfftayb dim 4 . 80-83 Y, agency #11 arfftayc dim 4 . 84-87 Y, agency #12 arfftan1 dim 4 . 88-91 part B=N, agency #1 arfftan2 dim 4 . 92-95 N, agency #2 arfftan3 dim 4 . 96-99 N, agency #3 arfftan4 dim 4 . 100-103 N, agency #4 arfftan5 dim 4 . 104-107 N, agency #5 arfftan6 dim 4 . 108-111 N, agency #6 arfftan7 dim 4 . 112-115 N, agency #7 arfftan8 dim 4 . 116-119 N, agency #8 arfftan9 dim 4 . 120-123 N, agency #9 arfftana dim 4 . 124-127 N, agency #10 arfftanb dim 4 . 128-131 N, agency #11 arfftanc dim 4 . 132-135 N, agency #12 arff02f2 dim 120 . 136-255 filler ........................................ .Paying agencies ........................................ arffrt3 dim 2 . 1-2 Record type arffagy dim 4 . 3-6 Facility agency arff03f1 dim 3 . 7-9 Blanks arffades dim 10 . 10-19 Facility agency description arffaabc dim 1 . 20-20 Facility advance billing code arffagl dim 7 . 21-27 Facility agency GL account arff03ar dim 7 . 28-34 Alternate co-insurance rate arffbcod dim 1 . 35-35 Billing code arffadtc dim 1 . 36-36 Append desc to CR? (Y/N) arff03ty dim 1 . 37-37 agency type .ar-88 arff03f2 dim 26 . 38-63 filler .ar-88 ........................................ .Room and bed information ........................................ arffrt4 dim 2 . 1-2 Record type arffrrom dim 5 . 3-7 Facility room arffrbed dim 1 . 8-8 Facility bed arff04f1 dim 1 . 9-9 Blanks arffrpr dim 1 . 10-10 Facility private room arffrsta dim 1 . 11-11 Facility station arffrun dim 1 . 12-12 Room unit arffrgr dim 7 . 13-19 Room gross rate ........................................ .Medicare provider information ........................................ arffrt5 dim 2 . 1-2 Record type arff05f1 dim 7 . 3-9 Blanks arffmpd dim 7 . 10-16 Medicare per diem arffmcoi dim 7 . 17-23 Medicare co-insurance rate arffldgl dim 7 . 24-30 Medicare late disch GL acct arffprpm dim 7 . 31-37 Facility mcare priv room prem arffprvn dim 11 . 38-48 Facility medicare provider no arffmcu1 dim 1 . 49-49 Medicare certified unit-1 arffmcu2 dim 1 . 50-50 Medicare certified unit-2 arffmcu3 dim 1 . 51-51 Medicare certified unit-3 arffmcu4 dim 1 . 52-52 Medicare certified unit-4 arffmcu5 dim 1 . 53-53 Medicare certified unit-5 arffmcu6 dim 1 . 54-54 Medicare certified unit-6 arffmcu7 dim 1 . 55-55 Medicare certified unit-7 arffmcu8 dim 1 . 56-56 Medicare certified unit-8 arffmcid dim 3 . 57-59 Medicare co-insurance days arffedid dim 10 . 60-69 Federal id # arfflf02 dim 30 . 70-99 Field locator #2 arfflf09 dim 7 . 100-106 Field locator #9 arfflf27 dim 8 . 107-114 Field locator #27 arfflf45 dim 17 . 115-131 Field locator #45 arffalty dim 1 . 132-132 Alternate Part B type arffoutp dim 1 . 133-133 Outpatient type arffnpid dim 13 . 134-146 National provider ID .t18624 arffpbir dim 3 . 147-149 Part B interim rate .t17307 arffppba dim 4 . 150-153 Primary Part B agency arffpstc dim 7 . 154-160 arffoctc dim 7 . 161-167 arff05f2 dim 88 . 168-255 filler ........................................ .Facility bank information ........................................ arffrt7 dim 2 . 1-2 Record type arffbid dim 1 . 3-3 Facility bank ID arff07f1 dim 6 . 4-9 Blanks arffbdsc dim 20 . 10-29 Facility bank description arffbgl dim 7 . 30-36 Facility bank GL account arffbref dim 2 . 37-38 Facility bank reference ........................................ .Facility units ........................................ arffrt8 dim 2 . 1-2 Record type arffunit dim 1 . 3-3 Facility unit arff08f1 dim 6 . 4-9 Blanks arffudes dim 3 . 10-12 Facility unit description ........................................ .Batch cash receipts setup ........................................ arffrt9 dim 2 . 1-2 Record type arff09f1 dim 7 . 3-9 Blanks arffrbrq dim 1 . 10-10 Reimbursement required 1,2,3 arffrbpt dim 1 . 11-11 Reimburse RT account Y or N arffrbcd dim 7 . 12-18 AR code or GL account arffarac dim 20 . 19-38 AR bank account number arffptac dim 20 . 39-58 RT bank account number arffdpnm dim 25 . 59-83 Depositor account name arffdpa1 dim 25 . 84-108 Depositor address line 1 arffdpa2 dim 25 . 109-133 Depositor address line 2 arffdpa3 dim 25 . 134-158 Depositor address line 3 arffbknm dim 25 . 159-183 Bank name arffbrnm dim 25 . 184-208 Bank branch name arffbra1 dim 25 . 209-233 Bank branch address line 1 arffbra2 dim 25 . 234-258 Bank branch address line 2 arff09ar dim 5 . 259-263 AR code if acct # not used .t18651 ........................................ .Bar code interface setup ........................................ arffrt10 dim 2 . 1-2 Record type arff10f1 dim 7 . 3-9 Blanks arff10su dim 1 . 10-10 System used..O=Orbits system arff10fc dim 3 . 11-13 Facility code is in bytes 1,2 arff10sw dim 30 . 14-43 Bar code system integrated? arff10x1 dim 100 . 44-143 Available for expansion arff10x2 dim 100 . 144-243 Available for expansion ........................................ .Retroactive adjustments setup ........................................ arffrt11 dim 2 . 1-2 Record type arff11f1 dim 7 . 3-9 Filler arff11su dim 30 . 10-39 Switches arff11ec dim 2 . 40-41 RAM entry code RX or RY arff11rt dim 2 . 42-43 Months to retain RAMS arff11no dim 3 . 44-46 Next available batch no. arff11x1 dim 29 . 47-75 Area available for expansion arff11x2 dim 100 . 76-175 Area available for expansion arff11x3 dim 100 . 176-275 Area available for expansion ........................................ .AR codes exempt from retroactive .adjustments setup ........................................ arffrt12 dim 2 . 1-2 Record type arff12cd dim 5 . 3-7 AR code arff12f1 dim 2 . 8-9 Filler ........................................ .Account numbers for 7 non-collect .distributions ........................................ arffrt13 dim 2 . 1-2 record type arff13f1 dim 7 . 3-9 filler arff13_x list .an07.1 arff13a1 dim 7 . 10-16 acct # for room charge arff13a2 dim 7 . 17-23 acct # for room and board co-insurance arff13a3 dim 7 . 24-30 acct # for routine ancillary arff13a4 dim 7 . 31-37 acct # for interim rate arff13a5 dim 7 . 38-44 acct # for part B co-insurance arff13a6 dim 7 . 45-51 acct # for HCPCS arff13a7 dim 7 . 52-58 acct # for inventory arff13f2 dim 100 . 59-158 filler ........................................ .Medi-Cal facility information ........................................ arcarec dim 2 . 1-2 Record type arca81f1 dim 7 . 3-9 Blanks to fill key arcaadd1 dim 20 . 10-29 CA facility name address 1/5 arcaadd2 dim 20 . 30-49 CA facility name address 2/5 arcaadd3 dim 20 . 50-69 CA facility name address 3/5 arcaadd4 dim 30 . 70-99 CA facility name address 4/5 arcaadd5 dim 30 . 100-129 CA facility name address 5/5 arcaprov dim 9 . 130-138 CA facility provider number arcaphon dim 10 . 139-148 CA facility phone arcarefr dim 7 . 149-155 CA facility reference arcaliag dim 4 . 156-159 CCA facility resident liab agc arcacovr dim 4 . 160-163 CCA facility other coverage ag arcasubm dim 3 . 164-166 CCA facility submitter number arcapncd dim 1 . 167-167 Provider number check digit arca81f2 dim 88 . 168-255 filler .ar--95 ........................................ .Medi-Cal accommodation codes ........................................ arcarec2 dim 2 . 1-2 Record type arcaleve dim 1 . 3-3 CA facility level arcaunit dim 1 . 4-4 CA facility unit arca82f1 dim 5 . 5-9 Clanks to fill out key arcainac dim 2 . 10-11 CA facility inpatient accom cd arcairat dim 6 . 12-17 CA facility inpatient rate rcaleac dim 2 . 18-19 CA facility leave accom code arcalrat dim 6 . 20-25 CA facility leave rate