Global: ^IBCN(365

FileMan FileNo	FileMan Filename	Package
365	IIV RESPONSE	Integrated Billing

Package	Total	Routines
Integrated Billing	53	ADDITIONAL MSGS CONTACT INFORMATION CONTACT PERSON ELIGIBILITY/BENEFIT GROUP PROVIDER INFO GROUP REFERENCE INFORMATION HEALTH CARE CODE INFORMATION HEALTHCARE SERVICES DELIVERY IBCNBAR IBCNBCD IBCNBLA1 IBCNBLB IBCNBLE IBCNBLE1 IBCNEBF IBCNEDST IBCNEHL1 IBCNEHL2 IBCNEHL3 IBCNEHL4 IBCNEHL6 IBCNEHLT IBCNEKI2 IBCNEKIT IBCNERP4 IBCNERP5 IBCNERP8 IBCNERPE IBCNERPG IBCNERPM IBCNES IBCNES3 IBCNEUT5 ^IBE(399.6 IBCNEHL5 IBCNES4 IBCNESI IBCNEUT4 IBY602PO ^IBCN(365 IBCNEHLU IBCNERP2 IBCNERPK IBCNESI1 IBCNEUT7 IBMFNHLI IBY497PO IBY778PR REJECT REASONS SERVICE TYPES SUBSCRIBER ADDITIONAL INFO SUBSCRIBER DATES SUBSCRIBER REFERENCE ID

Package	Total	Routines
Integrated Billing	25	IBCNBAR IBCNBLE IBCNEBF IBCNEDEQ IBCNEDST IBCNEHL1 IBCNEHL3 IBCNEHL4 IBCNEHL5 IBCNEHL6 IBCNEHL7 IBCNEHLU IBCNEKIT IBCNERP1 IBCNERPE IBCNERPG IBCNERPM IBCNES IBCNESI1 IBCNESI2 IBCNEUT2 IBCNEUT5 IBY497PO IBY602PO IBY778PR

Package	Total	FileMan Files
Integrated Billing	3	IIV TRANSMISSION QUEUE(#365.1)[#365.16(.03)] EIV EICD TRACKING(#365.18)[.06, #365.185(1.03)] IIV RESPONSE REVIEW(#365.2)[.01]
Registration	1	PATIENT(#2)[#2.312(8.03)]

Package	Total	FileMan Files
Integrated Billing	37	INSURANCE VERIFICATION PROCESSOR(#355.33)[.04] IIV TRANSMISSION QUEUE(#365.1)[.05] PLACE OF SERVICE(#353.1)[#365.29(.02)] X12 271 ELIGIBILITY/BENEFIT(#365.011)[#365.02(.02)] X12 271 COVERAGE LEVEL(#365.012)[#365.02(.03)] X12 271 SERVICE TYPE(#365.013)[.15, #365.02(.04), #365.292(.01)] X12 271 INSURANCE TYPE(#365.014)[#365.02(.05)] X12 271 TIME PERIOD QUALIFIER(#365.015)[#365.02(.07), #365.27(.07)] X12 271 QUANTITY QUALIFIER(#365.016)[#365.02(.1), #365.27(.03)] X12 271 ERROR CONDITION(#365.017)[1.14, #365.06(.03)] X12 271 ERROR ACTION(#365.018)[1.15, #365.06(.04)] X12 271 CONTACT QUALIFIER(#365.021)[#365.03(.02), #365.03(.04), #365.03(.06), #365.26(.04)] X12 271 ENTITY IDENTIFIER CODE(#365.022)[#365.02(3.01)] X12 271 IDENTIFICATION QUALIFIER(#365.023)[#365.02(3.05)] X12 271 PROVIDER CODE(#365.024)[#365.02(5.01), #365.04(.02)] X12 271 DELIVERY FREQUENCY CODE(#365.025)[#365.27(.08)] X12 271 DATE QUALIFIER(#365.026)[#365.07(.03), #365.28(.03)] X12 271 LOOP ID(#365.027)[#365.06(.05), #365.07(.04)] X12 271 REFERENCE IDENTIFICATION(#365.028)[#365.02(5.03), #365.09(.03), #365.291(.03)] X12 271 UNITS OF MEASUREMENT(#365.029)[#365.27(.05)] X12 271 ENTITY RELATIONSHIP CODE(#365.031)[#365.02(3.06)] X12 271 DATE FORMAT QUALIFIER(#365.032)[12.06, #365.28(.04)] X12 271 YES/NO RESPONSE CODE(#365.033)[#365.02(.12), #365.02(.13)] X12 271 LOCATION QUALIFER(#365.034)[#365.02(4.08)] X12 271 PROCEDURE CODING METHOD(#365.035)[#365.02(1.01)] X12 271 DELIVERY PATTERN(#365.036)[#365.27(.09)] X12 271 PATIENT RELATIONSHIP(#365.037)[8.01] X12 271 INJURY CATEGORY(#365.038)[#365.29(.06)] X12 271 MILITARY PERSONNEL INFO STATUS CODE(#365.039)[12.01] X12 271 MILITARY GOVT SERVICE AFFILIATION(#365.041)[12.03] X12 271 MILITARY SERVICE RANK(#365.042)[12.05] X12 271 ENTITY TYPE QUALIFIER(#365.043)[#365.02(3.02)] X12 271 CODE LIST QUALIFIER(#365.044)[#365.29(.04)] X12 271 NATURE OF INJURY CODES(#365.045)[#365.29(.05)] X12 271 MILITARY EMPLOYMENT STATUS CODE(#365.046)[12.02] PAYER(#365.12)[.03] IIV TRANSMISSION STATUS(#365.14)[.06]
DRG Grouper	1	ICD DIAGNOSIS(#80)[#365.29(.03), #365.01(.02)]
Kernel	1	STATE(#5)[5.04, #365.02(4.04)]
Registration	1	PATIENT(#2)[.02]

Fields, Total: 62

Field #	Name	Loc	Type	Details
.01	MESSAGE CONTROL ID	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1)!'(X'?1P.E) X` LAST EDITED: `MAY 17, 2002` HELP-PROMPT: `HL7 message control ID assigned. Answer must be 1-20 characters in length.` DESCRIPTION: `This is the HL7 message control number that is generated at the time the HL7 message is generated and placed in the outgoing HL7 message queue.` CROSS-REFERENCE: `365^B` `1)= S ^IBCN(365,"B",$E(X,1,30),DA)=""` `2)= K ^IBCN(365,"B",$E(X,1,30),DA)` `This is the standard "B" cross-reference of the HL7 Message Control ID.`
.02	PATIENT	0;2	POINTER TO PATIENT FILE (#2)	PATIENT(#2) LAST EDITED: `AUG 21, 2017` HELP-PROMPT: `Selected patient` DESCRIPTION: `This the patient who was identified on the outgoing HL7 message.` RECORD INDEXES: `AD (#275), AUTO (#481)`
.03	PAYER	0;3	POINTER TO PAYER FILE (#365.12)	PAYER(#365.12) LAST EDITED: `AUG 21, 2017` HELP-PROMPT: `Selected payer` DESCRIPTION: `This is the payer that was selected for either identification or verification.` RECORD INDEXES: `AD (#275), AUTO (#481)`
.04	BUFFER ENTRY	0;4	POINTER TO INSURANCE VERIFICATION PROCESSOR FILE (#355.33)	INSURANCE VERIFICATION PROCESSOR(#355.33) LAST EDITED: `JUN 13, 2002` DESCRIPTION: `This field is a pointer to the Insurance Buffer File if a buffer record exists for this insurance inquiry.` CROSS-REFERENCE: `365^AF` `1)= S ^IBCN(365,"AF",$E(X,1,30),DA)=""` `2)= K ^IBCN(365,"AF",$E(X,1,30),DA)` `This cross-reference is by the Insurance Buffer Entry IEN. Used for error reporting.`
.05	TRANSMISSION QUEUE	0;5	POINTER TO IIV TRANSMISSION QUEUE FILE (#365.1)	IIV TRANSMISSION QUEUE(#365.1) LAST EDITED: `JUN 05, 2002` DESCRIPTION: `This is the reference back to the Transmission Queue File. It provides a link between the inquiry and the response.`
.06	TRANSMISSION STATUS	0;6	POINTER TO IIV TRANSMISSION STATUS FILE (#365.14)	IIV TRANSMISSION STATUS(#365.14) LAST EDITED: `JUN 07, 2002` DESCRIPTION: `This is the status of the response record.` CROSS-REFERENCE: `365^AC` `1)= S ^IBCN(365,"AC",$E(X,1,30),DA)=""` `2)= K ^IBCN(365,"AC",$E(X,1,30),DA)` `This is a standard cross-reference by the Transmission Status. It will be used to determined records being processed.`
.07	DATE/TIME RECEIVED	0;7	DATE	INPUT TRANSFORM: `S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `AUG 21, 2017` DESCRIPTION: `This is the date and time that the HL7 response was received from the payer via the Eligibility Communicator.` RECORD INDEXES: `AD (#275), AUTO (#481)`
.08	DATE/TIME CREATED	0;8	DATE	INPUT TRANSFORM: `S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUN 11, 2002` DESCRIPTION: `This is the date and time that the baseline response record was created when the outgoing HL7 message was generated.` CROSS-REFERENCE: `365^AE` `1)= S ^IBCN(365,"AE",$E(X,1,30),DA)=""` `2)= K ^IBCN(365,"AE",$E(X,1,30),DA)` `Index used for IIV reporting - statistics`
.09	TRACE NUMBER	0;9	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<3) X` LAST EDITED: `FEB 04, 2003` HELP-PROMPT: `Answer must be 3-15 characters in length.` DESCRIPTION: `This field will contain the Trace Number assigned by EC that is used for tracking a message between EC and the vendor.` CROSS-REFERENCE: `365^C` `1)= S ^IBCN(365,"C",$E(X,1,30),DA)=""` `2)= K ^IBCN(365,"C",$E(X,1,30),DA)` `This is the Trace Number assigned to the message from the incoming source.`
.1	RESPONSE TYPE	0;10	SET	'O' FOR Original; 'U' FOR Unsolicited; LAST EDITED: `SEP 06, 2002` DESCRIPTION: `This field identifies whether a response originated from the Transmission Queue file (Original) or was received Unsolicited from the EC.`
.11	DO NOT PURGE	0;11	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `JAN 19, 2016` HELP-PROMPT: `Enter 'YES' to prevent the entry from being purged. Otherwise, enter 'NO'.` DESCRIPTION: `This is not to be edited by a user. If the value is 1, then this record may not be purged as it is being referenced by a patient's insurance record.` TECHNICAL DESCR: `Those records that are being pointed to by the patient's insurance subfile (#2.312) will be marked as DO NOT PURGE (value of 1). The eIV purge routine(s) will honor this flag and not purge these records. (^IBCNEKIT)` `How this value is set: When a user accepts an insurance buffer entry #355.33 and decides to accept the patient's eligibility benefit information, this field for the corresponding record will be marked as DO NOT PURGE...` `(ICB or VistA). The field "EB DISPLAY ENTRY" (#2.312, 8.03) will be set to point to this corresponding record in file #365 so that the data can be displayed in view only mode; thus showing what the payer returned.`
.12	INSUR RECORD IEN	0;12	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 21, 2017` HELP-PROMPT: `Type a number between 1 and 999, 0 decimal digits.` DESCRIPTION: `This field is the IEN of the insurance type record (2.312) which the code has determined is associated with this payer response. The field is used to facilitate various auto-update reporting` TECHNICAL DESCR: `This field is set by incoming RPI messages and accept/reject buffer processing for eIV` RECORD INDEXES: `AUTO (#481)`
.13	EIV AUTO-UPDATE	0;13	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `AUG 21, 2017` HELP-PROMPT: `Set to "YES" to indicate that this response resulted in an auto-update of the patient policy` DESCRIPTION: `Flag that determines whether this response successfully resulted in an auto-update of the patient policy. A value of 1, "YES" means this response did auto-update the policy. A value of 0, "NO" indicates that the policy was` `not auto-updated by this response.` TECHNICAL DESCR: `This flag is set by the incoming RPI message processing code` RECORD INDEXES: `AUTO (#481)`
.14	REQUESTED SERVICE DATE	0;14	DATE	INPUT TRANSFORM: `S %DT="ESTX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `DEC 20, 2021` HELP-PROMPT: `Enter the service date that was sent on the X12 270, insurance inquiry.` DESCRIPTION: `This is the date that was determined by the system to submit to the Payer as the date that service was performed.`
.15	REQUESTED SERVICE TYPE CODE	0;15	POINTER TO X12 271 SERVICE TYPE FILE (#365.013)	X12 271 SERVICE TYPE(#365.013) LAST EDITED: `DEC 20, 2021` HELP-PROMPT: `Enter the service type code that was sent on the X12 270, insurance inquiry.` DESCRIPTION: `Service Type code to be sent with eIV insurance inquiry.`
1.01	*NAME OF INSURED	1;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<1) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `This is the name of the insured person in LastName,FirstName MI format. If the patient is the subscriber, this field is the same. If the patient is a dependent, the subscriber's name is stored here.` `This field is scheduled for deletion in May 2015.` NOTES: `TRIGGERED by the NAME OF INSURED field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^13.01` `1)= X ^DD(365,1.01,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,13)):^(13),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X=DIV S X=$P(^IBCN(365,DA,1),U) X ^DD(365,1.01,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U)'=$E($P($G(^IBCN(365,DA,13)),U),1,30))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),13)),DIV=X S $P(^(13),U,1)=DIV,DIH=365,DIG=13.01 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,13)):^(13),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X="" X ^DD(365,1.01,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),13)),DIV=X S $P(^(13),U,1)=DIV,DIH=365,DIG=13.01 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U)'=$E($P($G(^IBCN(365,DA,13)),U),1,30))` `CREATE VALUE)= S X=$P(^IBCN(365,DA,1),U)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,1),U)="")` `DELETE VALUE)= @` `FIELD)= NAME OF INSURED` `Triggers field 13.01 if first 30 chars of its value differ from the value in this field. Deletes field 13.01 if field 1.01 is deleted.`
1.02	INSURED DOB	1;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>12!($L(X)<1) X` LAST EDITED: `OCT 11, 2002` HELP-PROMPT: `Answer must be 1-12 characters in length` DESCRIPTION: `The date of birth of the insured person.`
1.03	INSURED SSN	1;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>11!($L(X)<1) X` LAST EDITED: `JUL 12, 2002` HELP-PROMPT: `Answer must be 1-11 characters in length` DESCRIPTION: `The social security number of the insured person.`
1.04	INSURED SEX	1;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>6!($L(X)<1) X` LAST EDITED: `OCT 11, 2002` HELP-PROMPT: `Answer must be 1-6 characters in length` DESCRIPTION: `The sex of the insured person.`
1.05	*SUBSCRIBER ID	1;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `The subscriber identification of the insured person.` `This field is scheduled for deletion in May 2015.` NOTES: `TRIGGERED by the SUBSCRIBER ID field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^13.02` `1)= X ^DD(365,1.05,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,13)):^(13),1:"") S X=$P(Y(1),U,2),X=X S DIU=X K Y S X=DIV S X=$P(^IBCN(365,DA,1),U,5) X ^DD(365,1.05,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,5)'=$E($P($G(^IBCN(365,DA,13)),U,2),1,20))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),13)),DIV=X S $P(^(13),U,2)=DIV,DIH=365,DIG=13.02 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,5)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,13)):^(13),1:"") S X=$P(Y(1),U,2),X=X S DIU=X K Y S X="" X ^DD(365,1.05,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),13)),DIV=X S $P(^(13),U,2)=DIV,DIH=365,DIG=13.02 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U,5)'=$E($P($G(^IBCN(365,DA,13)),U,2),1,20))` `CREATE VALUE)= S X=$P(^IBCN(365,DA,1),U,5)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,1),U,5)="")` `DELETE VALUE)= @` `FIELD)= SUBSCRIBER ID` `Triggers field 13.02 if first 20 chars of its value differ from the value in this field. Deletes field 13.02 if field 1.05 is deleted.`
1.06	*GROUP NAME	1;6	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `The name of the group or plan if not an individual policy.` `This field is scheduled for deletion in May 2015.` NOTES: `TRIGGERED by the GROUP NAME field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^14.01` `1)= X ^DD(365,1.06,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,14)):^(14),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X=DIV S X=$P(^IBCN(365,DA,1),U,6) X ^DD(365,1.06,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,6)'=$E($P($G(^IBCN(365,DA,14)),U),1,20))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),14)),DIV=X S $P(^(14),U,1)=DIV,DIH=365,DIG=14.01 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,6)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,14)):^(14),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X="" X ^DD(365,1.06,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),14)),DIV=X S $P(^(14),U,1)=DIV,DIH=365,DIG=14.01 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U,6)'=$E($P($G(^IBCN(365,DA,14)),U),1,20))` `CREATE VALUE)= S X=$P(^IBCN(365,DA,1),U,6)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,1),U,6)="")` `DELETE VALUE)= @` `FIELD)= GROUP NAME` `Triggers field 14.01 if first 20 chars of its value differ from the value in this field. Deletes field 14.01 if field 1.06 is deleted.`
1.07	*GROUP NUMBER	1;7	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>17!($L(X)<1) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-17 characters in length.` DESCRIPTION: `The number that identifies the group or plan.` `This field is scheduled for deletion in May 2015.` NOTES: `TRIGGERED by the GROUP NUMBER field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^14.02` `1)= X ^DD(365,1.07,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,14)):^(14),1:"") S X=$P(Y(1),U,2),X=X S DIU=X K Y S X=DIV S X=$P(^IBCN(365,DA,1),U,7) X ^DD(365,1.07,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,7)'=$E($P($G(^IBCN(365,DA,14)),U,2),1,17))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),14)),DIV=X S $P(^(14),U,2)=DIV,DIH=365,DIG=14.02 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,7)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,14)):^(14),1:"") S X=$P(Y(1),U,2),X=X S DIU=X K Y S X="" X ^DD(365,1.07,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),14)),DIV=X S $P(^(14),U,2)=DIV,DIH=365,DIG=14.02 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U,7)'=$E($P($G(^IBCN(365,DA,14)),U,2),1,17))` `CREATE VALUE)= S X=$P(^IBCN(365,DA,1),U,7)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,1),U,7)="")` `DELETE VALUE)= @` `FIELD)= GROUP NUMBER` `Triggers field 14.02 if first 17 chars of its value differ from the value in this field. Deletes field 14.02 if field 1.07 is deleted.`
1.08	WHOSE INSURANCE	1;8	SET	'v' FOR VETERAN; 's' FOR SPOUSE; 'o' FOR OTHER; LAST EDITED: `JUL 12, 2002` DESCRIPTION: `This is a definition of who is the subscriber of the insurance; the veteran, a spouse or someone else.`
1.09	PT RELATIONSHIP TO INSURED	1;9	SET	'01' FOR PATIENT; '02' FOR SPOUSE; '03' FOR NATURAL CHILD; '08' FOR EMPLOYEE; '09' FOR UNKNOWN; '11' FOR ORGAN DONOR; '15' FOR INJURED PLAINTIFF; '18' FOR PARENT; '34' FOR OTHER ADULT; LAST EDITED: `APR 29, 2010` HELP-PROMPT: `What is patient's relationship to insured?` DESCRIPTION: `This is a definition of the patient's relationship to the insured person.`
1.1	SERVICE DATE	1;10	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:X<1 X` LAST EDITED: `JUL 12, 2002` HELP-PROMPT: `(No range limit on date)` DESCRIPTION: `This is the date of service returned by the Eligibility Communicator. It may be different from the one sent in the original inquiry.`
1.11	EFFECTIVE DATE	1;11	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:X<1 X` LAST EDITED: `JUL 12, 2002` HELP-PROMPT: `(No range limit on date)` DESCRIPTION: `This is the date that the insurance coverage began.`
1.12	EXPIRATION DATE	1;12	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:X<1 X` LAST EDITED: `JUL 12, 2002` HELP-PROMPT: `(No range limit on date)` DESCRIPTION: `This is the date that the insurance coverage ends.`
1.13	COORDINATION OF BENEFITS	1;13	SET	'1' FOR PRIMARY; '2' FOR SECONDARY; '3' FOR TERTIARY; LAST EDITED: `JUL 12, 2002` DESCRIPTION: `If an insurance payer is identified as a primary, secondary or tertiary in the response.`
1.14	ERROR CONDITION	1;14	POINTER TO X12 271 ERROR CONDITION FILE (#365.017)	X12 271 ERROR CONDITION(#365.017) LAST EDITED: `JUL 12, 2002` DESCRIPTION: `This is an error value returned from either the payer or the Eligibility Communicator.`
1.15	ERROR ACTION	1;15	POINTER TO X12 271 ERROR ACTION FILE (#365.018)	X12 271 ERROR ACTION(#365.018) LAST EDITED: `JUL 12, 2002` DESCRIPTION: `When an error condition is returned in the response, there may be an action that directs what happens to the response.`
1.16	DATE OF DEATH	1;16	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 12, 2002` DESCRIPTION: `This is the date that the payer indicates that the person that verification was requested for has died.`
1.17	CERTIFICATION DATE	1;17	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 12, 2002` DESCRIPTION: `This field may be returned by the payer and is the date that the insurance coverage was certified.`
1.18	MEMBER ID	1;18	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1) X` LAST EDITED: `OCT 10, 2002` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `The member identification of the insured person.`
1.19	PAYER UPDATED POLICY	1;19	DATE	INPUT TRANSFORM: `S %DT="EST" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 20, 2005` HELP-PROMPT: `Enter the date the payer updated their record of this policy.` DESCRIPTION: `The date/time that the payer indicated they had updated their record of this policy. This date/time was received by IIV from the Eligibility Communicator.`
1.2	POLICY NUMBER	1;20	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<1) X` LAST EDITED: `OCT 07, 2005` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `This field may be returned by the payer. It is the policy number of the insured person.`
2	ELIGIBILITY/BENEFIT	2;0	Multiple #365.02	365.02 DESCRIPTION: `This multiple contains all of the eligibility and benefit data for a specific insured person returned from the Payer.`
3	CONTACT PERSON	3;0	Multiple #365.03	365.03 DESCRIPTION: `This field contains any persons identified by the Payer as a contact name and/or communications number. There could be up to 3 different methods of communication.`
4.01	ERROR TEXT	4;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<1) X` LAST EDITED: `SEP 06, 2002` HELP-PROMPT: `Answer must be 1-80 characters in length.` DESCRIPTION: `This field contains error message text which is sent from the Eligibility Communicator if an error does not fall within one of the standard X.12 error conditions.`
5.01	SUBSCRIBER ADDRESS LINE 1	5;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>55!($L(X)<1) X` LAST EDITED: `SEP 24, 2009` HELP-PROMPT: `Answer must be 1-55 characters in length.` DESCRIPTION: `Subscriber address, line 1.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.1.1.`
5.02	SUBSCRIBER ADDRESS LINE 2	5;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>55!($L(X)<1) X` LAST EDITED: `SEP 24, 2009` HELP-PROMPT: `Answer must be 1-55 characters in length.` DESCRIPTION: `Subscriber address, line 2.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.2.`
5.03	SUBSCRIBER ADDRESS CITY	5;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<1) X` LAST EDITED: `SEP 24, 2009` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `Subscriber address, city.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.3.`
5.04	SUBSCRIBER ADDRESS STATE	5;4	POINTER TO STATE FILE (#5)	STATE(#5) LAST EDITED: `SEP 24, 2009` HELP-PROMPT: `Please select state.` DESCRIPTION: `Subscriber address, state.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.4.`
5.05	SUBSCRIBER ADDRESS ZIP	5;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<1) X` LAST EDITED: `SEP 24, 2009` HELP-PROMPT: `Answer must be 1-15 characters in length.` DESCRIPTION: `Subscriber address, zip code.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.5.`
5.06	SUBSCRIBER ADDRESS COUNTRY	5;6	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>3!($L(X)<2) X` LAST EDITED: `AUG 10, 2010` HELP-PROMPT: `Answer must be 2-3 characters in length.` DESCRIPTION: `Subscriber address, country code.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.6.`
5.07	SUBSCRIBER ADDRESS SUBDIVISION	5;7	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>3!($L(X)<1) X` LAST EDITED: `AUG 10, 2010` HELP-PROMPT: `Answer must be 1-3 characters in length.` DESCRIPTION: `Subscriber address, country subdivision code.` TECHNICAL DESCR: `Source: 271 HL7 message, PID.11.8.`
6	REJECT REASONS	6;0	Multiple #365.06	365.06 DESCRIPTION: `This multiple contains reject reason codes.` TECHNICAL DESCR: `Source: 271 HL7 message, ERR segment(s).`
7	SUBSCRIBER DATES	7;0	Multiple #365.07	365.07 DESCRIPTION: `Subscriber dates multiple. Contains subscriber level dates, as opposed to eligibility/benefit level dates.` TECHNICAL DESCR: `Source: 271 HL7 message, ZTP segment.`
8.01	PT. RELATIONSHIP - HIPAA	8;1	POINTER TO X12 271 PATIENT RELATIONSHIP FILE (#365.037)	X12 271 PATIENT RELATIONSHIP(#365.037) LAST EDITED: `MAR 18, 2013` HELP-PROMPT: `Enter the HIPAA code which indicates the patient's relationship to the injured party.` DESCRIPTION: `This is the HIPAA relationship code that describes the relationship this patient has to the holder of this insurance policy. If the policy belongs to the patient enter '18' for SELF. If the policy belongs to the spouse` `enter '01' for SPOUSE, etc.` TECHNICAL DESCR: `Data comes in the IN1 segment - IN1.17.1`
9	GROUP REFERENCE INFORMATION	9;0	Multiple #365.09	365.09 LAST EDITED: `MAY 22, 2013` DESCRIPTION: `Subscriber/Dependent additional identification data.`
10	GROUP PROVIDER INFO	10;0	Multiple #365.04	365.04 DESCRIPTION: `Entries in this sub-file identify the characteristics of a provider.`
11	HEALTH CARE CODE INFORMATION	11;0	Multiple #365.01	365.01 DESCRIPTION: `To supply information related to the delivery of health care.`
12.01	MILITARY INFO STATUS CODE	12;1	POINTER TO X12 271 MILITARY PERSONNEL INFO STATUS CODE FILE (#365.039)	X12 271 MILITARY PERSONNEL INFO STATUS CODE(#365.039) LAST EDITED: `MAY 14, 2013` HELP-PROMPT: `Enter the military information status code.` DESCRIPTION: `Code to indicate the status of the military information sent by the payer.` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.2`
12.02	MILITARY EMPLOYMENT STATUS	12;2	POINTER TO X12 271 MILITARY EMPLOYMENT STATUS CODE FILE (#365.046)	X12 271 MILITARY EMPLOYMENT STATUS CODE(#365.046) LAST EDITED: `MAY 14, 2013` HELP-PROMPT: `Select the appropriate code for claimant's military employment status.` DESCRIPTION: `Code showing the general military employment status of an employee/claimant.` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.3`
12.03	MILITARY GOVT AFFILIATION CODE	12;3	POINTER TO X12 271 MILITARY GOVT SERVICE AFFILIATION FILE (#365.041)	X12 271 MILITARY GOVT SERVICE AFFILIATION(#365.041) LAST EDITED: `JUN 12, 2013` HELP-PROMPT: `Select the code that supports the claimant's military affiliation.` DESCRIPTION: `Code specifying the military service affiliation.` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.4`
12.04	MILITARY PERSONNEL DESCRIPTION	12;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<1) X` LAST EDITED: `MAY 14, 2013` HELP-PROMPT: `Answer must be 1-80 characters in length.` DESCRIPTION: `Free-form text description that further identifies the exact military unit.` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.5`
12.05	MILITARY SERVICE RANK CODE	12;5	POINTER TO X12 271 MILITARY SERVICE RANK FILE (#365.042)	X12 271 MILITARY SERVICE RANK(#365.042) LAST EDITED: `MAY 21, 2013` HELP-PROMPT: `Select the Military Service Rank code.` DESCRIPTION: `Code specifying the military service rank.` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.6`
12.06	DATE TIME PERIOD FORMAT QUAL	12;6	POINTER TO X12 271 DATE FORMAT QUALIFIER FILE (#365.032)	X12 271 DATE FORMAT QUALIFIER(#365.032) LAST EDITED: `MAY 15, 2013` HELP-PROMPT: `Select the qualifier for the date time period.` DESCRIPTION: `Code qualifier indicating the date format, time format, or date and time format respective of the DATE TIME PERIOD field (#12.07).` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.7`
12.07	DATE TIME PERIOD	12;7	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>17!($L(X)<8)!'(X?8N!(X?8N1"-"8N)) X` LAST EDITED: `MAY 14, 2013` HELP-PROMPT: `Answer must be 8-17 characters in length.` DESCRIPTION: `Expression of a date or range of dates that indicates the date span of military service.` TECHNICAL DESCR: `Source: 271 HL7 message ZMP.8`
13.01	NAME OF INSURED	13;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>130!($L(X)<1)!'$$LENCHK^IBCNEUT1(X,30,0) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `This is the name of the insured person in LastName,FirstName MI format. If the patient is the subscriber, this field is the same. If the patient is a dependent, the subscriber's name is stored here.` TECHNICAL DESCR: `Replaces field 1.01. Length of this field is temporarily limited to 30 characters.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the NAME OF INSURED field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^1.01` `1)= X ^DD(365,13.01,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X=DIV S X=$E($P(^IBCN(365,DA,13),U),1,30) X ^DD(365,13.01,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U)'=$E($P(^IBCN(365,DA,13),U),1,30))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,1)=DIV,DIH=365,DIG=1.01 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,13),U)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X="" X ^DD(365,13.01,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,1)=DIV,DIH=365,DIG=1.01 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U)'=$E($P(^IBCN(365,DA,13),U),1,30))` `CREATE VALUE)= S X=$E($P(^IBCN(365,DA,13),U),1,30)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,13),U)="")` `DELETE VALUE)= @` `FIELD)= NAME OF INSURED` `Triggers field 1.01 if its value differs from first 30 chars of the value in this field. Deletes field 1.01 if field 13.01 is deleted.`
13.02	SUBSCRIBER ID	13;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<1)!'$$LENCHK^IBCNEUT1(X,20,0) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `The subscriber identification of the insured person.` TECHNICAL DESCR: `Replaces field 1.05. Length of this field is temporarily limited to 20 characters.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the SUBSCRIBER ID field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^1.05` `1)= X ^DD(365,13.02,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X=DIV S X=$E($P(^IBCN(365,DA,13),U,2),1,20) X ^DD(365,13.02,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,5)'=$E($P(^IBCN(365,DA,13),U,2),1,20))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,5)=DIV,DIH=365,DIG=1.05 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,13),U,2)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X="" X ^DD(365,13.02,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,5)=DIV,DIH=365,DIG=1.05 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U,5)'=$E($P(^IBCN(365,DA,13),U,2),1,20))` `CREATE VALUE)= S X=$E($P(^IBCN(365,DA,13),U,2),1,20)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,13),U,2)="")` `DELETE VALUE)= @` `FIELD)= SUBSCRIBER ID` `Triggers field 1.05 if its value differs from first 20 chars of the value in this field. Deletes field 1.05 if field 13.02 is deleted.`
14.01	GROUP NAME	14;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<1)!'$$LENCHK^IBCNEUT1(X,20,0) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `The name of the group or plan if not an individual policy.` TECHNICAL DESCR: `Replaces field 1.06. Length of this field is temporarily limited to 20 characters.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the GROUP NAME field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^1.06` `1)= X ^DD(365,14.01,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X=DIV S X=$E($P(^IBCN(365,DA,14),U),1,20) X ^DD(365,14.01,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,6)'=$E($P(^IBCN(365,DA,14),U),1,20))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,6)=DIV,DIH=365,DIG=1.06 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,14),U)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X="" X ^DD(365,14.01,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,6)=DIV,DIH=365,DIG=1.06 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U,6)'=$E($P(^IBCN(365,DA,14),U),1,20))` `CREATE VALUE)= S X=$E($P(^IBCN(365,DA,14),U),1,20)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,14),U)="")` `DELETE VALUE)= @` `FIELD)= GROUP NAME` `Triggers field 1.06 if its value differs from first 20 chars of the value in this field. Deletes field 1.06 if field 14.01 is deleted.`
14.02	GROUP NUMBER	14;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>55!($L(X)<1)!'$$LENCHK^IBCNEUT1(X,17,0) X` LAST EDITED: `NOV 20, 2013` HELP-PROMPT: `Answer must be 1-17 characters in length.` DESCRIPTION: `The number that identifies the group or plan.` TECHNICAL DESCR: `Replaces field 1.07. Length of this field is temporarily limited to 17 characters.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the GROUP NUMBER field of the IIV RESPONSE File` CROSS-REFERENCE: `^^TRIGGER^365^1.07` `1)= X ^DD(365,14.02,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X=DIV S X=$E($P(^IBCN(365,DA,14),U,2),1,17) X ^DD(365,14.02,1,1,1.4)` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,1),U,7)'=$E($P(^IBCN(365,DA,14),U,2),1,17))` `1.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,7)=DIV,DIH=365,DIG=1.07 D ^DICR` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=($P(^IBCN(365,DA,14),U,2)="") I X S X=DIV S Y(1)=$S($D(^IBCN(365,D0,1)):^(1),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" X ^DD(365,14.02,1,1,2.4)` `2.4)= S DIH=$G(^IBCN(365,DIV(0),1)),DIV=X S $P(^(1),U,7)=DIV,DIH=365,DIG=1.07 D ^DICR` `CREATE CONDITION)= S X=($P(^IBCN(365,DA,1),U,7)'=$E($P(^IBCN(365,DA,14),U,2),1,17))` `CREATE VALUE)= S X=$E($P(^IBCN(365,DA,14),U,2),1,17)` `DELETE CONDITION)= S X=($P(^IBCN(365,DA,14),U,2)="")` `DELETE VALUE)= @` `FIELD)= GROUP NUMBER` `Triggers field 1.07 if its value differs from first 17 chars of the value in this field. Deletes field 1.07 if field 14.02 is deleted.`

ICR LINK	Subscribing Package(s)	Fields Referenced	Description
ICR #5297	Insurance Capture Buffer	MESSAGE CONTROL ID (.01). Access: Read w/Fileman PATIENT (.02). Access: Read w/Fileman PAYER (.03). Access: Read w/Fileman BUFFER ENTRY (.04). Access: Read w/Fileman TRANSMISSION QUEUE (.05). Access: Read w/Fileman TRANSMISSION STATUS (.06). Access: Read w/Fileman DATE/TIME RECEIVED (.07). Access: Read w/Fileman DATE/TIME CREATED (.08). Access: Read w/Fileman	Direct Global read of the Buffer Entry cross reference.
ICR #7308	Lighthouse	MESSAGE CONTROL ID (.01). Access: Both R/W w/Fileman PATIENT (.02). Access: Both R/W w/Fileman PAYER (.03). Access: Both R/W w/Fileman BUFFER ENTRY (.04). Access: Read w/Fileman TRANSMISSION QUEUE (.05). Access: Read w/Fileman TRANSMISSION STATUS (.06). Access: Both R/W w/Fileman DATE/TIME RECEIVED (.07). Access: Both R/W w/Fileman DATE/TIME CREATED (.08). Access: Both R/W w/Fileman TRACE NUMBER (.09). Access: Both R/W w/Fileman RESPONSE TYPE (.1). Access: Both R/W w/Fileman DO NOT PURGE (.11). Access: Read w/Fileman INSUR RECORD IEN (.12). Access: Both R/W w/Fileman EIV AUTO-UPDATE (.13). Access: Both R/W w/Fileman INSURED DOB (1.02). Access: Both R/W w/Fileman INSURED SSN (1.03). Access: Both R/W w/Fileman INSURED SEX (1.04). Access: Both R/W w/Fileman WHOSE INSURANCE (1.08). Access: Both R/W w/Fileman PT RELATIONSHIP TO INSURED (1.09). Access: Both R/W w/Fileman SERVICE DATE (1.1). Access: Both R/W w/Fileman EFFECTIVE DATE (1.11). Access: Both R/W w/Fileman EXPIRATION DATE (1.12). Access: Both R/W w/Fileman COORDINATION OF BENEFITS (1.13). Access: Both R/W w/Fileman ERROR CONDITION (1.14). Access: Both R/W w/Fileman ERROR ACTION (1.15). Access: Both R/W w/Fileman DATE OF DEATH (1.16). Access: Both R/W w/Fileman CERTIFICATION DATE (1.17). Access: Both R/W w/Fileman MEMBER ID (1.18). Access: Both R/W w/Fileman PAYER UPDATED POLICY (1.19). Access: Both R/W w/Fileman POLICY NUMBER (1.2). Access: Both R/W w/Fileman EB NUMBER (.01). Access: Both R/W w/Fileman ELIGIBILITY/BENEFIT INFO (.02). Access: Both R/W w/Fileman COVERAGE LEVEL (.03). Access: Both R/W w/Fileman INSURANCE TYPE (.05). Access: Both R/W w/Fileman PLAN COVERAGE DESCRIPTION (.06). Access: Both R/W w/Fileman TIME PERIOD QUALIFIER (.07). Access: Both R/W w/Fileman MONETARY AMOUNT (.08). Access: Both R/W w/Fileman PERCENT (.09). Access: Both R/W w/Fileman QUANTITY QUALIFIER (.1). Access: Both R/W w/Fileman QUANTITY (.11). Access: Both R/W w/Fileman AUTHORIZATION/CERTIFICATION (.12). Access: Both R/W w/Fileman IN PLAN (.13). Access: Both R/W w/Fileman PROCEDURE CODING METHOD (1.01). Access: Both R/W w/Fileman PROCEDURE CODE (1.02). Access: Both R/W w/Fileman PROCEDURE MODIFIER 1 (1.03). Access: Both R/W w/Fileman PROCEDURE MODIFIER 2 (1.04). Access: Both R/W w/Fileman PROCEDURE MODIFIER 3 (1.05). Access: Both R/W w/Fileman PROCEDURE MODIFIER 4 (1.06). Access: Both R/W w/Fileman ENTITY ID CODE (3.01). Access: Both R/W w/Fileman ENTITY TYPE (3.02). Access: Both R/W w/Fileman NAME (3.03). Access: Both R/W w/Fileman ENTITY ID (3.04). Access: Both R/W w/Fileman ENTITY ID QUALIFIIER (ENTITY ID QUALIFIER). Access: Read w/Fileman ENTITY ID QUALIFIER (3.05). Access: Both R/W w/Fileman ENTITY RELATIONSHIP CODE (3.06). Access: Both R/W w/Fileman ADDRESS LINE 1 (4.01). Access: Both R/W w/Fileman ADDRESS LINE 2 (4.02). Access: Both R/W w/Fileman CITY (4.03). Access: Both R/W w/Fileman STATE (4.04). Access: Both R/W w/Fileman ZIP (4.05). Access: Both R/W w/Fileman COUNTRY CODE (4.06). Access: Both R/W w/Fileman LOCATION (4.07). Access: Both R/W w/Fileman LOCATION QUALIFIER (4.08). Access: Both R/W w/Fileman SUBDIVISION CODE (4.09). Access: Both R/W w/Fileman PROVIDER CODE (5.01). Access: Both R/W w/Fileman REFERENCE ID (5.02). Access: Both R/W w/Fileman REFERENCE ID QUALIFIER (5.03). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman NAME (.02). Access: Both R/W w/Fileman COMMUNICATION QUALIFIER (.04). Access: Both R/W w/Fileman COMMUNICATION NUMBER (1). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman BENEFIT QUANTITY (.02). Access: Both R/W w/Fileman QUANTITY QUALIFIER (.03). Access: Both R/W w/Fileman SAMPLE SELECTION MODULUS (.04). Access: Both R/W w/Fileman UNITS OF MEASUREMENT (.05). Access: Both R/W w/Fileman TIME PERIODS (.06). Access: Both R/W w/Fileman TIME PERIOD QUALIFIER (.07). Access: Both R/W w/Fileman DELIVERY FREQUENCY (.08). Access: Both R/W w/Fileman DELIVERY PATTERN (.09). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman DATE (.02). Access: Both R/W w/Fileman DATE QUALIFIER (.03). Access: Both R/W w/Fileman DATE FORMAT (.04). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman PLACE OF SERVICE (.02). Access: Both R/W w/Fileman DIAGNOSIS (.03). Access: Both R/W w/Fileman QUALIFIER (.04). Access: Both R/W w/Fileman NATURE OF INJURY CODE (.05). Access: Both R/W w/Fileman NATURE OF INJURY CATEGORY (.06). Access: Both R/W w/Fileman NATURE OF INJURY TEXT (.07). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman REFERENCE ID (.02). Access: Both R/W w/Fileman REFERENCE ID QUALIFIER (.03). Access: Both R/W w/Fileman DESCRIPTION (.04). Access: Both R/W w/Fileman SERVICE TYPES (.01). Access: Both R/W w/Fileman CONTACT PERSON (.01). Access: Both R/W w/Fileman COMMUNICATION QUALIFIER #1 (.02). Access: Both R/W w/Fileman COMMUNICATION QUALIFIER #2 (.04). Access: Both R/W w/Fileman COMMUNICATION QUALIFIER #3 (.06). Access: Both R/W w/Fileman COMMUNICATION NUMBER #2 (2). Access: Both R/W w/Fileman COMMUNICATION NUMBER #1 (1). Access: Both R/W w/Fileman COMMUNICATION NUMBER #3 (3). Access: Both R/W w/Fileman ERROR TEXT (4.01). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS LINE 1 (5.01). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS LINE 2 (5.02). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS CITY (5.03). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS STATE (5.04). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS ZIP (5.05). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS COUNTRY (5.06). Access: Both R/W w/Fileman SUBSCRIBER ADDRESS SUBDIVISION (5.07). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman ERROR LOCATION (.02). Access: Both R/W w/Fileman REJECT REASON (.03). Access: Both R/W w/Fileman ACTION CODE (.04). Access: Both R/W w/Fileman LOOP ID (.05). Access: Both R/W w/Fileman SOURCE (.06). Access: Both R/W w/Fileman ADDITIONAL MSG (.01). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman DATE (.02). Access: Both R/W w/Fileman DATE QUALIFIER (.03). Access: Both R/W w/Fileman LOOP ID (.04). Access: Both R/W w/Fileman PT. RELATIONSHIP - HIPAA (8.01). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman REFERENCE ID (GROUP) (.02). Access: Both R/W w/Fileman REF ID QUALIFIER (GROUP) (.03). Access: Both R/W w/Fileman DESCRIPTION (.04). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman PROVIDER CODE (.02). Access: Both R/W w/Fileman PROV REFERENCE ID (.03). Access: Both R/W w/Fileman SEQUENCE (.01). Access: Both R/W w/Fileman DIAGNOSIS CODE (.02). Access: Both R/W w/Fileman DIAGNOSIS CODE QUALIFIER (.03). Access: Both R/W w/Fileman PRIMARY OR SECONDARY (.04). Access: Both R/W w/Fileman MILITARY INFO STATUS CODE (12.01). Access: Both R/W w/Fileman MILITARY EMPLOYMENT STATUS (12.02). Access: Both R/W w/Fileman MILITARY GOVT AFFILIATION CODE (12.03). Access: Both R/W w/Fileman MILITARY PERSONNEL DESCRIPTION (12.04). Access: Both R/W w/Fileman MILITARY SERVICE RANK CODE (12.05). Access: Both R/W w/Fileman DATE TIME PERIOD FORMAT QUAL (12.06). Access: Both R/W w/Fileman DATE TIME PERIOD (12.07). Access: Both R/W w/Fileman NAME OF INSURED (13.01). Access: Both R/W w/Fileman SUBSCRIBER ID (13.02). Access: Both R/W w/Fileman GROUP NAME (14.01). Access: Both R/W w/Fileman GROUP NUMBER (14.02). Access: Both R/W w/Fileman	ELIGIBILITY/BENEFIT (Multiple-365.02)CONTACT INFORMATION (Multiple-365.26)HEALTHCARE SERVICES DELIVERY (Multiple-365.27)SUBSCRIBER DATES (Multiple-365.28)SUBSCRIBER ADDITIONAL INFO (Multiple-365.29)SUBSCRIBER REFERENCE ID (Multiple-365.291)SERVICE TYPES (Multiple-365.292)CONTACT PERSON (Multiple-365.03)REJECT REASONS (Multiple-365.06)ADDITIONAL MSGS (Multiple-365.061)SUBSCRIBER DATES (Multiple-365.07)GROUP REFERENCE INFORMATION (Multiple-365.09)GROUP PROVIDER INFO (Multiple-365.04)HEALTH CARE CODE INFORMATION (Multiple-365.01)

>>	Not killed explicitly
*	Changed
!	Killed
~	Newed

Name	Field # of Occurrence
>> %DT	.07+1, .08+1, .14+1, 1.1+1, 1.11+1, 1.12+1, 1.16+1, 1.17+1, 1.19+1*
>> D0	1.01(XREF 1S), 1.01(XREF 1n1.3), 1.01(XREF 1K), 1.05(XREF 1S), 1.05(XREF 1n1.3), 1.05(XREF 1K), 1.06(XREF 1S), 1.06(XREF 1n1.3), 1.06(XREF 1K), 1.07(XREF 1S) , 1.07(XREF 1n1.3), 1.07(XREF 1K), 13.01(XREF 1S), 13.01(XREF 1n1.3), 13.01(XREF 1K), 13.02(XREF 1S), 13.02(XREF 1n1.3), 13.02(XREF 1K), 14.01(XREF 1S), 14.01(XREF 1n1.3) , 14.01(XREF 1K), 14.02(XREF 1S), 14.02(XREF 1n1.3), 14.02(XREF 1K)
>> DA	IXADSL+1, IXADKL+1, IXAUTOSL+1, IXAUTOKL+1, .01(XREF 1S), .01(XREF 1K), .04(XREF 1S), .04(XREF 1K), .06(XREF 1S), .06(XREF 1K) , .08(XREF 1S), .08(XREF 1K), .09(XREF 1S), .09(XREF 1K), 1.01(XREF 1S), 1.01(XREF 1n1.3), 1.01(XREF 1K), 1.05(XREF 1S), 1.05(XREF 1n1.3), 1.05(XREF 1K) , 1.06(XREF 1S), 1.06(XREF 1n1.3), 1.06(XREF 1K), 1.07(XREF 1S), 1.07(XREF 1n1.3), 1.07(XREF 1K), 13.01(XREF 1S), 13.01(XREF 1n1.3), 13.01(XREF 1K), 13.02(XREF 1S) , 13.02(XREF 1n1.3), 13.02(XREF 1K), 14.01(XREF 1S), 14.01(XREF 1n1.3), 14.01(XREF 1K), 14.02(XREF 1S), 14.02(XREF 1n1.3), 14.02(XREF 1K)
>> DIG	1.01(XREF 1n1.4), 1.01(XREF 1n2.4), 1.05(XREF 1n1.4), 1.05(XREF 1n2.4), 1.06(XREF 1n1.4), 1.06(XREF 1n2.4), 1.07(XREF 1n1.4), 1.07(XREF 1n2.4), 13.01(XREF 1n1.4), 13.01(XREF 1n2.4) , 13.02(XREF 1n1.4), 13.02(XREF 1n2.4), 14.01(XREF 1n1.4), 14.01(XREF 1n2.4), 14.02(XREF 1n1.4), 14.02(XREF 1n2.4)
>> DIH	1.01(XREF 1n1.4), 1.01(XREF 1n2.4), 1.05(XREF 1n1.4), 1.05(XREF 1n2.4), 1.06(XREF 1n1.4), 1.06(XREF 1n2.4), 1.07(XREF 1n1.4), 1.07(XREF 1n2.4), 13.01(XREF 1n1.4), 13.01(XREF 1n2.4) , 13.02(XREF 1n1.4), 13.02(XREF 1n2.4), 14.01(XREF 1n1.4), 14.01(XREF 1n2.4), 14.02(XREF 1n1.4), 14.02(XREF 1n2.4)
>> DIU	1.01(XREF 1S), 1.01(XREF 1K), 1.05(XREF 1S), 1.05(XREF 1K), 1.06(XREF 1S), 1.06(XREF 1K), 1.07(XREF 1S), 1.07(XREF 1K), 13.01(XREF 1S), 13.01(XREF 1K) , 13.02(XREF 1S), 13.02(XREF 1K), 14.01(XREF 1S), 14.01(XREF 1K), 14.02(XREF 1S), 14.02(XREF 1K)
DIV	1.01(XREF 1S), 1.01(XREF 1n1.3), 1.01(XREF 1n1.4), 1.01(XREF 1K), 1.01(XREF 1n2.4), 1.05(XREF 1S), 1.05(XREF 1n1.3), 1.05(XREF 1n1.4), 1.05(XREF 1K), 1.05(XREF 1n2.4) , 1.06(XREF 1S), 1.06(XREF 1n1.3), 1.06(XREF 1n1.4), 1.06(XREF 1K), 1.06(XREF 1n2.4), 1.07(XREF 1S), 1.07(XREF 1n1.3), 1.07(XREF 1n1.4), 1.07(XREF 1K), 1.07(XREF 1n2.4) , 13.01(XREF 1S), 13.01(XREF 1n1.3), 13.01(XREF 1n1.4), 13.01(XREF 1K), 13.01(XREF 1n2.4), 13.02(XREF 1S), 13.02(XREF 1n1.3), 13.02(XREF 1n1.4), 13.02(XREF 1K), 13.02(XREF 1n2.4) , 14.01(XREF 1S), 14.01(XREF 1n1.3), 14.01(XREF 1n1.4), 14.01(XREF 1K), 14.01(XREF 1n2.4), 14.02(XREF 1S), 14.02(XREF 1n1.3), 14.02(XREF 1n1.4), 14.02(XREF 1K), 14.02(XREF 1n2.4)
DIV(0	1.01(XREF 1n1.3), 1.01(XREF 1n1.4), 1.01(XREF 1K), 1.01(XREF 1n2.4), 1.05(XREF 1n1.3), 1.05(XREF 1n1.4), 1.05(XREF 1K), 1.05(XREF 1n2.4), 1.06(XREF 1n1.3), 1.06(XREF 1n1.4) , 1.06(XREF 1K), 1.06(XREF 1n2.4), 1.07(XREF 1n1.3), 1.07(XREF 1n1.4), 1.07(XREF 1K), 1.07(XREF 1n2.4), 13.01(XREF 1n1.3), 13.01(XREF 1n1.4), 13.01(XREF 1K), 13.01(XREF 1n2.4) , 13.02(XREF 1n1.3), 13.02(XREF 1n1.4), 13.02(XREF 1K), 13.02(XREF 1n2.4), 14.01(XREF 1n1.3), 14.01(XREF 1n1.4), 14.01(XREF 1K), 14.01(XREF 1n2.4), 14.02(XREF 1n1.3), 14.02(XREF 1n1.4) , 14.02(XREF 1K), 14.02(XREF 1n2.4)
U	1.01(XREF 1S), 1.01(XREF 1n1.3), 1.01(XREF 1n1.4), 1.01(XREF 1K), 1.01(XREF 1n2.4), 1.05(XREF 1S), 1.05(XREF 1n1.3), 1.05(XREF 1n1.4), 1.05(XREF 1K), 1.05(XREF 1n2.4) , 1.06(XREF 1S), 1.06(XREF 1n1.3), 1.06(XREF 1n1.4), 1.06(XREF 1K), 1.06(XREF 1n2.4), 1.07(XREF 1S), 1.07(XREF 1n1.3), 1.07(XREF 1n1.4), 1.07(XREF 1K), 1.07(XREF 1n2.4) , 13.01(XREF 1S), 13.01(XREF 1n1.3), 13.01(XREF 1n1.4), 13.01(XREF 1K), 13.01(XREF 1n2.4), 13.02(XREF 1S), 13.02(XREF 1n1.3), 13.02(XREF 1n1.4), 13.02(XREF 1K), 13.02(XREF 1n2.4) , 14.01(XREF 1S), 14.01(XREF 1n1.3), 14.01(XREF 1n1.4), 14.01(XREF 1K), 14.01(XREF 1n2.4), 14.02(XREF 1S), 14.02(XREF 1n1.3), 14.02(XREF 1n1.4), 14.02(XREF 1K), 14.02(XREF 1n2.4)
X	IXAUTOSCC+1, .01+1!, .01(XREF 1S), .01(XREF 1K), .04(XREF 1S), .04(XREF 1K), .06(XREF 1S), .06(XREF 1K), .07+1!, .08+1! , .08(XREF 1S), .08(XREF 1K), .09+1!, .09(XREF 1S), .09(XREF 1K), .12+1!, .14+1!, 1.01+1!, 1.01(XREF 1S), 1.01(XREF 1n1.3) , 1.01(XREF 1n1.4), 1.01(XREF 1K), 1.01(XREF 1n2.4), 1.02+1!, 1.03+1!, 1.04+1!, 1.05+1!, 1.05(XREF 1S), 1.05(XREF 1n1.3), 1.05(XREF 1n1.4) , 1.05(XREF 1K), 1.05(XREF 1n2.4), 1.06+1!, 1.06(XREF 1S), 1.06(XREF 1n1.3), 1.06(XREF 1n1.4), 1.06(XREF 1K), 1.06(XREF 1n2.4), 1.07+1!, 1.07(XREF 1S) , 1.07(XREF 1n1.3), 1.07(XREF 1n1.4), 1.07(XREF 1K), 1.07(XREF 1n2.4), 1.1+1!, 1.11+1!, 1.12+1!, 1.16+1!, 1.17+1!, 1.18+1! , 1.19+1!, 1.2+1!, 4.01+1!, 5.01+1!, 5.02+1!, 5.03+1!, 5.05+1!, 5.06+1!, 5.07+1!, 12.04+1! , 12.07+1!, 13.01+1!, 13.01(XREF 1S), 13.01(XREF 1n1.3), 13.01(XREF 1n1.4), 13.01(XREF 1K), 13.01(XREF 1n2.4), 13.02+1!, 13.02(XREF 1S), 13.02(XREF 1n1.3) , 13.02(XREF 1n1.4), 13.02(XREF 1K), 13.02(XREF 1n2.4), 14.01+1!, 14.01(XREF 1S), 14.01(XREF 1n1.3), 14.01(XREF 1n1.4), 14.01(XREF 1K), 14.01(XREF 1n2.4), 14.02+1! , 14.02(XREF 1S), 14.02(XREF 1n1.3), 14.02(XREF 1n1.4), 14.02(XREF 1K), 14.02(XREF 1n2.4)
X(1	IXADSL+1, IXADKL+1, IXAUTOSL+1, IXAUTOKL+1
X(2	IXADSL+1, IXADKL+1, IXAUTOSL+1, IXAUTOKL+1
X(3	IXADSL+1, IXADKL+1, IXAUTOSL+1, IXAUTOKL+1
X(4	IXAUTOSL+1, IXAUTOSCC+1, IXAUTOKL+1
X(5	IXAUTOSL+1, IXAUTOSCC+1, IXAUTOKL+1
Y	.07+1, .08+1, .14+1, 1.01(XREF 1S), 1.01(XREF 1K), 1.05(XREF 1S), 1.05(XREF 1K), 1.06(XREF 1S), 1.06(XREF 1K), 1.07(XREF 1S) , 1.07(XREF 1K), 1.1+1, 1.11+1, 1.12+1, 1.16+1, 1.17+1, 1.19+1, 13.01(XREF 1S), 13.01(XREF 1K), 13.02(XREF 1S) , 13.02(XREF 1K), 14.01(XREF 1S), 14.01(XREF 1K), 14.02(XREF 1S), 14.02(XREF 1K)
Y(0	1.01(XREF 1n1.3), 1.01(XREF 1K), 1.05(XREF 1n1.3), 1.05(XREF 1K), 1.06(XREF 1n1.3), 1.06(XREF 1K), 1.07(XREF 1n1.3), 1.07(XREF 1K), 13.01(XREF 1n1.3), 13.01(XREF 1K) , 13.02(XREF 1n1.3), 13.02(XREF 1K), 14.01(XREF 1n1.3), 14.01(XREF 1K), 14.02(XREF 1n1.3), 14.02(XREF 1K)
Y(1	1.01(XREF 1S), 1.01(XREF 1K), 1.05(XREF 1S), 1.05(XREF 1K), 1.06(XREF 1S), 1.06(XREF 1K), 1.07(XREF 1S), 1.07(XREF 1K), 13.01(XREF 1S), 13.01(XREF 1K) , 13.02(XREF 1S), 13.02(XREF 1K), 14.01(XREF 1S), 14.01(XREF 1K), 14.02(XREF 1S), 14.02(XREF 1K)

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Package: Integrated Billing

Global: ^IBCN(365

Information

Description

Directly Accessed By Routines, Total: 61

Accessed By FileMan Db Calls, Total: 25

Pointed To By FileMan Files, Total: 4

Pointer To FileMan Files, Total: 40

Fields, Total: 62

ICR, Total: 2

External References

Global Variables Directly Accessed

Naked Globals

Local Variables

Legend:

Name	Field # of Occurrence
^%DT	.07+1, .08+1, .14+1, 1.1+1, 1.11+1, 1.12+1, 1.16+1, 1.17+1, 1.19+1
^DICR	1.01(XREF 1n1.4), 1.01(XREF 1n2.4), 1.05(XREF 1n1.4), 1.05(XREF 1n2.4), 1.06(XREF 1n1.4), 1.06(XREF 1n2.4), 1.07(XREF 1n1.4), 1.07(XREF 1n2.4), 13.01(XREF 1n1.4), 13.01(XREF 1n2.4) , 13.02(XREF 1n1.4), 13.02(XREF 1n2.4), 14.01(XREF 1n1.4), 14.01(XREF 1n2.4), 14.02(XREF 1n1.4), 14.02(XREF 1n2.4)
$$LENCHK^IBCNEUT1	13.01+1, 13.02+1, 14.01+1, 14.02+1

Name	Field # of Occurrence
^(1	13.01(XREF 1S), 13.01(XREF 1n1.4), 13.01(XREF 1K), 13.01(XREF 1n2.4), 13.02(XREF 1S), 13.02(XREF 1n1.4), 13.02(XREF 1K), 13.02(XREF 1n2.4), 14.01(XREF 1S), 14.01(XREF 1n1.4) , 14.01(XREF 1K), 14.01(XREF 1n2.4), 14.02(XREF 1S), 14.02(XREF 1n1.4), 14.02(XREF 1K), 14.02(XREF 1n2.4)
^(13	1.01(XREF 1S), 1.01(XREF 1n1.4), 1.01(XREF 1K), 1.01(XREF 1n2.4), 1.05(XREF 1S), 1.05(XREF 1n1.4), 1.05(XREF 1K), 1.05(XREF 1n2.4)
^(14	1.06(XREF 1S), 1.06(XREF 1n1.4), 1.06(XREF 1K), 1.06(XREF 1n2.4), 1.07(XREF 1S), 1.07(XREF 1n1.4), 1.07(XREF 1K), 1.07(XREF 1n2.4)