NAME TYPE LENGTH ------------------------------------- ------ FI Claim Action Code CHAR 1 The type of action requested by the intermediary to be taken on an institutional claim. SHORT NAME: ACTIONCD LONG NAME: FI_CLM_ACTN_CD CODES: Fiscal Intermediary Claim Action Table -------------------------------------- 1 = Original debit action (includes non- adjustment RTI correction items) - it will always be a 1 in regular bills. 2 = Cancel by credit adjustment - used only in credit/debit pairs (under HHPPS, updates the RAP). 3 = Secondary debit adjustment - used only in credit/debit pairs (under HHPPS, would be the final claim or an adjustment on a LUPA). 4 = Cancel only adjustment (under HHPPS, RAP/final claim/LUPA). 5 = Force action code 3 6 = Force action code 2 8 = Benefits refused (for inpatient bills, an 'R' nonpayment code must also be present 9 = Payment requested (used on bills that replace previously-submitted benefits- refused bills, action code 8. In such cases a debit/credit pair is not re- quired. For inpatient bills, a 'P' should be entered in the nonpayment code.) SOURCE: CWF