Global: ^IBA(355.93

FileMan FileNo	FileMan Filename	Package
355.93	IB NON/OTHER VA BILLING PROVIDER	Integrated Billing

Package	Total	Routines
Integrated Billing	56	DATE/TIME ALLOW FB UPDATE DATE/TIME LAST FB UPDATE DATE/TIME OF LAST NPI CHANGE IB PROVIDERS FROM FB IB SCREEN102 IB SCREEN10H IB20P402 IB20P436 IBCBB1 IBCEF71 IBCEF73 IBCEF76 IBCEFG1 IBCEFP IBCEFP1 IBCEP2 IBCEP2A IBCEP5 IBCEP5A IBCEP5D IBCEP8 IBCEP81 IBCEP82 IBCEP8A IBCEP8B IBCEP8C IBCEP8C1 IBCEU IBCSCH2 IBFBWL3 IBRFN4 IBXSA21 IBXSA22 IBXSA26 IBXSA27 IBXSAH6 IBY374PO ^DGCR(399 ^IBA(355.93 ^IBA(364.5 IBXSA28 IBXSAH1 IBXSAH10 IBXSAH2 IBXSAH9 IBXSC822 IBXSC823 IBXSC8H IBXSC8H2 IBY137PO IBY343PO IBY343PR IBY358PO TAXONOMY CODE ^IBE(399.6 IBYOPRE
Kernel	2	XUSNPIX3 XUSNPIX4
Accounts Receivable	1	RCXVDC3

Package	Total	Routines
Integrated Billing	32	IB20A436 IB20P436 IBCE837ACC2 IBCE837ACCU IBCEF79 IBCEP5 IBCEP5A IBCEP5B IBCEP5D IBCEP8 IBCEP81 IBCEP82 IBCEP8B IBCEP8C IBCEP8C1 IBCSCH2 IBTRH5I IBTRHLI2 IBXSA22 IBXSA26 IBXSA27 IBXSA28 IBXSAH10 IBXSAH2 IBXSAH6 IBXSAH9 IBXSC823 IBXSC8H2 IBY137PO IBY320PO IBY343PO IBY343PR
Accounts Receivable	2	RCDPEWLD RCXVDC3
Fee Basis	1	FBPAID3B

Package	Total	FileMan Files
Integrated Billing	4	BILL/CLAIMS(#399)[232, #399.0222(.02), #399.0404(.02)] IB BILLING PRACTITIONER ID(#355.9)[.01] IB NON/OTHER VA BILLING PROVIDER(#355.93)[.18] HCS REVIEW TRANSMISSION(#356.22)[#356.2213(.03), #356.22168(.03)]
Fee Basis	1	FEE BASIS PAID TO IB(#161.9)[.07]

Package	Total	FileMan Files
Kernel	3	STATE(#5)[.07, .16] PERSON CLASS(#8932.1)[#355.9342(.01)] NEW PERSON(#200)[#355.9301(.04), #355.935(.02), #355.9351(.03)]
Integrated Billing	2	IB NON/OTHER VA BILLING PROVIDER(#355.93)[.18] IB PROVIDER ID # TYPE(#355.97)[.13]

Fields, Total: 25

Field #	Name	Loc	Type	Details
.01	NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:($L(X)>60)!($L(X)<3) X I $D(X) D PRVFMT^IBCEP8` `MAXIMUM LENGTH: 60` LAST EDITED: `APR 27, 2017` HELP-PROMPT: `Enter the name of a NON-VA provider/facility or other VA. Name must start with a letter and can have letters,numbers,comma,space,dash only. Names aren't valid if they exist in the NEW PERSON file.` DESCRIPTION: `This is the name of either an individual NON-VA provider or a NON-VA or another VA facility that provides services to the V.A. for which the V.A. can in turn bill an insurance company for reimbursement.` `For individual type entries: The name should be entered in LAST,FIRST MIDDLE format. Enter only data that is actually part of the provider's name. Do not include extra titles, identification, flags, local information,` `etc. All individual provider names will be converted to the 'standardized' format. 'Standardized' for individuals means all punctuation except '-' and space are removed, the name is changed to all uppercase, 2 or more` `successive '-' or spaces are converted to a single '-' or space and any words for birth position (1ST-10TH) are changed to their Roman numeral equivalents.` `For facility type entries: The name MUST start with an Alpha character. The name may contain numerals, spaces, commas, periods, and a hyphen or dash. No other punctuation characters are allowed in the name.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `355.93^B` `1)= S ^IBA(355.93,"B",$E(X,1,30),DA)=""` `2)= K ^IBA(355.93,"B",$E(X,1,30),DA)` CROSS-REFERENCE: `^^TRIGGER^355.93^.02` `1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X=IBFLPFLP I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,2),X=X S DIU=X K Y S X=DIV S X=IBFLPFLP X ^DD(355.93,.01,1,2,1.4)` `1.4)= S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,2)=DIV,DIH=355.93,DIG=.02 D ^DICR` `2)= Q` `3)= Do not delete` `CREATE CONDITION)= S X=IBFLPFLP` `CREATE VALUE)= S X=IBFLPFLP` `DELETE VALUE)= NO EFFECT` `FIELD)= PROVIDER TYPE` `Trigger to change provider type based on user input during add/edit of the NAME field (#.01). Population of this field is based on the value of the IBFLPFLP variable returned by the NAME field input transform.`
.02	PROVIDER TYPE	0;2	SET	**********************REQUIRED FIELD********************** '1' FOR FACILITY/GROUP; '2' FOR INDIVIDUAL; INPUT TRANSFORM: `K:$L(X)>1!($L(X)<1) X Q:$G(IBIFN)="" I $$INDIVIDUAL^IBCU4(IBIFN,X,"")=0 K X` LAST EDITED: `MAR 22, 2022` HELP-PROMPT: `Enter 1 or 2 to designate this entry as a facility or an individual.` DESCRIPTION: `This field identifies the type of provider being defined. Facility providers can be used to fill in the name and address of the non-VA facility where services were rendered (box 32 on the CMS-1500). An individual` `provider can be selected as the rendering, attending, referring or operating provider on a bill.` EXECUTABLE HELP: `D INDIVHELP^IBCU4` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the NAME field of the IB NON/OTHER VA BILLING PROVIDER File` CROSS-REFERENCE: `^^TRIGGER^355.93^.03` `1)= Q` `2)= X ^DD(355.93,.02,1,1,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,3)=DIV,DIH=355.93,DIG=.03 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="INDIVIDUAL"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="INDIVIDUAL"` `DELETE VALUE)= @` `FIELD)= CRE` `This trigger deletes the value of the CREDENTIALS field if the type is no longer an individual provider type.` CROSS-REFERENCE: `^^TRIGGER^355.93^.04` `1)= Q` `2)= X ^DD(355.93,.02,1,2,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=355.93,DIG=.04 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="INDIVIDUAL"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="INDIVIDUAL"` `DELETE VALUE)= @` `FIELD)= SPE` `This trigger deletes the value of the SPECIALTY field if the type is no longer an individual provider type.` CROSS-REFERENCE: `^^TRIGGER^355.93^.05` `1)= Q` `2)= X ^DD(355.93,.02,1,3,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,5)=DIV,DIH=355.93,DIG=.05 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="FACILITY/GROUP"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="FACILITY/GROUP"` `DELETE VALUE)= @` `FIELD)= STREET ADDRESS` `This trigger deletes the value of the STREET ADDRESS field if the type is no longer a facility type provider.` CROSS-REFERENCE: `^^TRIGGER^355.93^.06` `1)= Q` `2)= X ^DD(355.93,.02,1,4,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,6)=DIV,DIH=355.93,DIG=.06 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="FACILITY/GROUP"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="FACILITY/GROUP"` `DELETE VALUE)= @` `FIELD)= CITY` `This trigger deletes the value of the CITY field if the type is no longer a facility type provider.` CROSS-REFERENCE: `^^TRIGGER^355.93^.07` `1)= Q` `2)= X ^DD(355.93,.02,1,5,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,7)=DIV,DIH=355.93,DIG=.07 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="FACILITY/GROUP"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="FACILITY/GROUP"` `DELETE VALUE)= @` `FIELD)= STATE` `This trigger deletes the value of the STATE field if the type is no longer a facility type provider.` CROSS-REFERENCE: `^^TRIGGER^355.93^.08` `1)= Q` `2)= X ^DD(355.93,.02,1,6,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,8),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,8)=DIV,DIH=355.93,DIG=.08 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="FACILITY/GROUP"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="FACILITY/GROUP"` `DELETE VALUE)= @` `FIELD)= ZIP` `This trigger deletes the value of the ZIP CODE field if the type is no longer a facility type provider.` CROSS-REFERENCE: `^^TRIGGER^355.93^.09` `1)= Q` `2)= X ^DD(355.93,.02,1,7,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,9)=DIV,DIH=355.93,DIG=.09 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="FACILITY/GROUP"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="FACILITY/GROUP"` `DELETE VALUE)= @` `FIELD)= FACILITY DEFAULT ID NUMBER` `This trigger deletes the value of the FACILITY DEFAULT ID NUMBER field if the type is no longer a facility type provider.` CROSS-REFERENCE: `^^TRIGGER^355.93^.1` `1)= Q` `2)= X ^DD(355.93,.02,1,8,2.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,10),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,10)=DIV,DIH=355.93,DIG=.1 D ^DICR` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$C(59)_$P($G(^DD(355.93,.02,0)),U,3) S X=$P($P(Y(1),$C(59)_X_":",2),$C(59))="FACILITY/GROUP"` `3)= Do not delete` `CREATE VALUE)= NO EFFECT` `DELETE CONDITION)= OLD PROVIDER TYPE="FACILITY/GROUP"` `DELETE VALUE)= @` `FIELD)= STREET ADDRESS LINE 2` `This trigger deletes the value of the STREET ADDRESS LINE 2 field if the provider type is no longer a facility type provider.` CROSS-REFERENCE: `^^TRIGGER^355.93^.13` `1)= X ^DD(355.93,.02,1,9,1.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,13),X=X S DIU=X K Y S X=DIV S X="16" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,13)=DIV,DIH=355.93,DIG=.13 D ^DICR` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(2)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=Y(0),X=X S X=X="1",Y(1)=$G(X) S X=$P(Y(2),U,9)]"",Y=X,X=Y(1),X=X&Y` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,13),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,13)=DIV,DIH=355.93,DIG=.13 D ^DICR` `CREATE CONDITION)= INTERNAL(PROVIDER TYPE)="1"&(FACILITY DEFAULT ID NUMBER]"")` `CREATE VALUE)= "16"` `DELETE VALUE)= @` `FIELD)= PRIMARY ID QUALIFIER` `This trigger sets the primary id qualifier to the default value of 16 if the provider type is a facility and the FACILITY DEFAULT ID NUMBER is not null.`
.03	CREDENTIALS	0;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>3!($L(X)<1) X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=2 K X` LAST EDITED: `OCT 05, 2000` HELP-PROMPT: `Answer must be 1-3 characters in length.` DESCRIPTION: `This is the 1 to 3 digits that represents the credentials for this provider. This field is only valid for INDIVIDUAL providers.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.04	SPECIALTY	0;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<2) X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=2 K X` LAST EDITED: `OCT 05, 2000` HELP-PROMPT: `Answer must be 2 characters in length.` DESCRIPTION: `This is the 2 digits that represent the specialty for this provider. This field is only valid for INDIVIDUAL providers.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.05	STREET ADDRESS	0;5	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S X=$$UP^XLFSTR(X) K:$L(X)>55!($L(X)<1)!$$BADADD^IBCEP8B(X) X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=1 K X` `MAXIMUM LENGTH: 55` LAST EDITED: `APR 27, 2017` HELP-PROMPT: `Answer must be 1-55 characters in length. Cannot be a post office box.` DESCRIPTION: `This is the street address of the non-VA facility that rendered the care that is being billed by the VA. It is only valid for FACILITY providers. It cannot be a post office box.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.06	CITY	0;6	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1) X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=1 K X` LAST EDITED: `OCT 05, 2000` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `This is the city of the non-VA facility that rendered the care that is being billed by the VA. It is only valid for FACILITY providers.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.07	STATE	0;7	POINTER TO STATE FILE (#5)	STATE(#5) INPUT TRANSFORM: `I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=1 K X` LAST EDITED: `OCT 05, 2000` HELP-PROMPT: `Enter a valid state where the facility is located` DESCRIPTION: `This is the state of the non-VA facility that rendered the care that is being billed by the VA. It is only valid for FACILITY providers.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.08	ZIP CODE	0;8	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>10!($L(X)<9)!'((X?9N)!(X?5N1"-"4N))!($E(X,$L(X)-3,$L(X))="0000") X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=1 K X` LAST EDITED: `MAR 12, 2014` HELP-PROMPT: `Answer must be nine (999999999) or ten digits (99999-9999) in length. The last 4 digits cannot be "0000".` DESCRIPTION: `This is the zip code of the non-VA facility that rendered the care that is being billed by the VA. It is only valid for FACILITY providers. The ZIP code must be a nine digit ZIP code number and not ending in "0000" (four` `consecutive zeros).` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.09	FACILITY DEFAULT ID NUMBER	0;9	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<1) X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=1 K X` LAST EDITED: `MAR 28, 2006` HELP-PROMPT: `Enter the Federal Tax ID of the outside facility.` DESCRIPTION: `Enter the Federal Tax ID of the outside facility.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File` CROSS-REFERENCE: `^^TRIGGER^355.93^.13` `1)= X ^DD(355.93,.09,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,13),X=X S DIU=X K Y S X=DIV S X="16" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,13)=DIV,DIH=355.93,DIG=.13 D ^DICR` `1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,2),X=X S X=X="1",Y(2)=$G(X) S X=Y(0)]"",Y=X,X=Y(2),X=X&Y` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.93,D0,0)):^(0),1:"") S X=$P(Y(1),U,13),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),0)),DIV=X S $P(^(0),U,13)=DIV,DIH=355.93,DIG=.13 D ^DICR` `CREATE CONDITION)= INTERNAL(PROVIDER TYPE)="1"&(FACILITY DEFAULT ID NUMBER]"")` `CREATE VALUE)= "16"` `DELETE VALUE)= @` `FIELD)= PRIMARY ID QUALIFIER`
.1	STREET ADDRESS LINE 2	0;10	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<1) X I $D(X),$P($G(^IBA(355.93,DA,0)),U,2)'=1 K X` LAST EDITED: `JUL 21, 2010` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `This is line 2 of the street address of the non-VA facility that rendered the care that is being billed by the VA. It is only valid for FACILITY providers.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.11	X12 TYPE OF FACILITY	0;11	SET	'77' FOR SERVICE LOCATION; 'FA' FOR FACILITY; 'LI' FOR INDEPENDENT LAB; 'TL' FOR TESTING LAB; LAST EDITED: `JUN 19, 2007` HELP-PROMPT: `Enter a code to describe the type of facility for professional claims. Type Facility (FA) will automatically be sent on institutional claims.` DESCRIPTION: `This is the code for the type of facility as identified in the X12 documents. It is used to describe the type of facility for professional claims. Facility (FA) will automatically be sent on institutional claims.`
.12	STATE LICENSE #	0;12	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<1) X` LAST EDITED: `AUG 25, 2003` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `This is the State license # for the non-VA provider. Note, there can be only 1 state license # on file for non-VA/other VA providers. Enter multiple entries for the provider if multiple state license numbers are required` `(one for each state).` NOTES: `TRIGGERED by the STATE field of the IB NON/OTHER VA BILLING PROVIDER File`
.13	PRIMARY ID QUALIFIER	0;13	POINTER TO IB PROVIDER ID # TYPE FILE (#355.97)	IB PROVIDER ID # TYPE(#355.97) INPUT TRANSFORM: `S DIC("S")="I $P($G(^(1)),U,4)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `MAR 09, 2006` HELP-PROMPT: `The only Qualifier allowed is the TAX ID.` DESCRIPTION: `This is the Qualifier associated with the FACILITY DEFAULT ID NUMBER.` SCREEN: `S DIC("S")="I $P($G(^(1)),U,4)"` EXPLANATION: `Only TAX ID allowed` NOTES: `TRIGGERED by the FACILITY DEFAULT ID NUMBER field of the IB NON/OTHER VA BILLING PROVIDER File` `TRIGGERED by the PROVIDER TYPE field of the IB NON/OTHER VA BILLING PROVIDER File`
.15	MAMMOGRAPHY CERTIFICATION #	0;15	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<3) X` LAST EDITED: `MAR 09, 2006` HELP-PROMPT: `Enter the Mammography Certification Number for this facility. Must be 3-15 characters.` DESCRIPTION: `This is the mammography certification number for the non-VA facility which is used as a default on the claim when mammography services are performed. It is required by some insurance companies.`
.16	LICENSE STATE	0;16	POINTER TO STATE FILE (#5)	STATE(#5) LAST EDITED: `NOV 08, 2011` HELP-PROMPT: `Enter the state which issued the license of the individual or facility.` DESCRIPTION: `This is the state which issued the STATE LICENSE #(#.12) field of the non-VA individual or facility that rendered the care that is being billed by the VA.`
.17	SOLE PROPRIETORSHIP	0;17	SET	'Y' FOR YES; 'N' FOR NO; LAST EDITED: `SEP 15, 2014` HELP-PROMPT: `Enter Y if this is a sole proprietorship, N if it is not.` DESCRIPTION: `A sole proprietorship is a Non-VA facility that is owned by a single Non-VA provider.` TECHNICAL DESCR: `This field provides the ability to mark the organization as a sole proprietorship, which allows use of the single provider's NPI for the organization. Duplicate use of an NPI would otherwise not be permitted.`
.18	NON-VA PROVIDER	0;18	POINTER TO IB NON/OTHER VA BILLING PROVIDER FILE (#355.93)	IB NON/OTHER VA BILLING PROVIDER(#355.93) INPUT TRANSFORM: `S DIC("S")="I $P($G(^(0)),U,2)=2" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X` LAST EDITED: `SEP 08, 2014` HELP-PROMPT: `Enter the Non-VA Provider that functions as the sole-proprietor of this facility.` DESCRIPTION: `Non-VA provider associated with this facility.` SCREEN: `S DIC("S")="I $P($G(^(0)),U,2)=2"` EXPLANATION: `Only individuals can function as a Sole-proprietor.`
1.01	P&C CONTACT NAME	1;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<3) X` LAST EDITED: `JAN 25, 2013` HELP-PROMPT: `Enter the Contact Person (3-30 characters) at this Lab/Facility (Last Name,First Name).` DESCRIPTION: `For use with property and casualty claims, this is the name of the contact person at this Lab/Facility (Last Name, First Name).`
1.02	P&C CONTACT PHONE NUMBER	1;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<10) X` LAST EDITED: `JAN 25, 2013` HELP-PROMPT: `Answer must be 10-15 characters in length.` DESCRIPTION: `For use with property and casualty claims, this is the area code and phone number of the contact person at this facility.` CROSS-REFERENCE: `^^TRIGGER^355.93^1.03` `1)= Q` `2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.93,D0,1)):^(1),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X="" S DIH=$G(^IBA(355.93,DIV(0),1)),DIV=X S $P(^(1),U,3)=DIV,DIH=355.93,DIG=1.03 D ^DICR` `CREATE VALUE)= NO EFFECT` `DELETE VALUE)= S X=""` `FIELD)= CONTACT PHONE EXTENSION` `If Contact Phone is deleted, extension will be deleted also.`
1.03	P&C CONTACT PHONE EXTENSION	1;3	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JAN 25, 2013` HELP-PROMPT: `Type a number between 0 and 9999999999, 0 decimal digits.` DESCRIPTION: `For use with property and casualty claims, this is the phone extension of the contact person at this facility, if known.` NOTES: `TRIGGERED by the P&C CONTACT PHONE NUMBER field of the IB NON/OTHER VA BILLING PROVIDER File`
40	DATE/TIME OF LAST NPI CHANGE	NPISTATUS;0	DATE Multiple #355.9301	355.9301
41.01	NPI	0;14	FREE TEXT	INPUT TRANSFORM: `N IBOLDNPI S IBOLDNPI=$P($G(^IBA(355.93,DA,0)),U,14) K:$L(X)>10!($L(X)<10)!'$$CHKDGT^XUSNPI(X)!$$NPIUSED^IBCEP81(X,IBOLDNPI,DA,$S(X=IBOLDNPI:2,1:0),"XUSNPIMTL") X` LAST EDITED: `MAY 12, 2008` HELP-PROMPT: `Answer must be 10 characters in length and a valid unique NPI number.` DESCRIPTION: `Unique National Provider Identifier. A unique integer assigned to a provider by CMS. This field contains the current NPI for this provider.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `355.93^NPI` `1)= S ^IBA(355.93,"NPI",$E(X,1,30),DA)=""` `2)= K ^IBA(355.93,"NPI",$E(X,1,30),DA)` `This cross reference holds a list of the active NPIs in this file.` CROSS-REFERENCE: `355.93^NPIHISTORY` `1)= S ^IBA(355.93,"NPIHISTORY",$E(X,1,30),DA)=""` `2)= K ^IBA(355.93,"NPIHISTORY",$E(X,1,30),DA)` `3)= An entry into the NPI History cross reference should not be deleted` `This cross reference holds the entire history of the NPIs used in the file.`
42	TAXONOMY CODE	TAXONOMY;0	POINTER Multiple #355.9342	355.9342 IDENTIFIED BY:
50	DATE/TIME LAST FB UPDATE	4;0	DATE Multiple #355.935	355.935 DESCRIPTION: `This multiple tracks updates to this file that are made by the FEE BASIS PAID TO IB background job.`
51	DATE/TIME ALLOW FB UPDATE	3;0	DATE Multiple #355.9351	355.9351 DESCRIPTION: `This multiple stores information that the Fee Basis interface uses to control whether updates to this record should be allowed. Historical information is saved, and the most recent entry is used by the interface.`

ICR LINK	Subscribing Package(s)	Fields Referenced	Description
ICR #4939	Kernel	STATUS (.02). Access: Direct Global Read & w/Fileman PROVIDER TYPE (.02). Access: Read w/Fileman	Uses "NPI42" x-ref to get IEN (D0) for a given NPINUMBER.Uses "C" x-ref in NPISTATUS node to get IEN (D1) for agiven NPI NUMBER within the 'NPISTATUS' multiple for this IEN (D0).
ICR #4957	Accounts Receivable	NPI (41.01). Access: Direct Global Read & w/Fileman	The IBA(355.93 global holds the demographic data for anon-VA provider, both individual and organizational.
ICR #4965	Kernel	NAME (.01). Access: Direct Global Read & w/Fileman PROVIDER TYPE (.02). Access: Direct Global Read & w/Fileman STREET ADDRESS (.05). Access: Direct Global Read & w/Fileman STREET ADDRESS LINE 2 (.1). Access: Direct Global Read & w/Fileman CITY (.06). Access: Direct Global Read & w/Fileman STATE (.07). Access: Direct Global Read & w/Fileman ZIP CODE (.08). Access: Direct Global Read & w/Fileman FACILITY DEFAULT ID NUMBER (.09). Access: Direct Global Read & w/Fileman STATE LICENSE # (.12). Access: Direct Global Read & w/Fileman	The IBA(355.93 global holds the demographic data for anon-VA provider, both individual and organizational.Uses NPI x-ref to get IEN for a given NPI numberUses B x-ref in NPISTATUS node to check active date fora given NPI numberUses B x-ref in TAXONOMY node to loop through and getdata for all IENs pointing to file 8932.1

>>	Not killed explicitly
*	Changed
!	Killed
~	Newed

Name	Field # of Occurrence
>> D0	.01(XREF 2S), .02(XREF 1K), .02(XREF 1n2.3), .02(XREF 2K), .02(XREF 2n2.3), .02(XREF 3K), .02(XREF 3n2.3), .02(XREF 4K), .02(XREF 4n2.3), .02(XREF 5K) , .02(XREF 5n2.3), .02(XREF 6K), .02(XREF 6n2.3), .02(XREF 7K), .02(XREF 7n2.3), .02(XREF 8K), .02(XREF 8n2.3), .02(XREF 9S), .02(XREF 9n1.3), .02(XREF 9K) , .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K), 1.02(XREF 1K)
>> DA	IXNPI42SL+1, IXNPI42KL+1, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .02(XREF 1n2.3), .02(XREF 2n2.3), .02(XREF 3n2.3), .02(XREF 4n2.3), .02(XREF 5n2.3) , .02(XREF 6n2.3), .02(XREF 7n2.3), .02(XREF 8n2.3), .02(XREF 9n1.3), .02(XREF 9K), .03+1, .04+1, .05+1, .06+1, .07+1 , .08+1, .09+1, .09(XREF 1n1.3), .09(XREF 1K), .1+1, 1.02(XREF 1K), 41.01+1, 41.01(XREF 1S), 41.01(XREF 1K), 41.01(XREF 2S) , 41.01(XREF 2K)
>> DA(1	IXNPI42SL+1, IXNPI42KL+1
DIC	ID.02+1, .13+1!, .18+1!
DIC("S"	.13+1, .13SCR+1, .18+1, .18SCR+1
>> DIE	.13+1, .18+1
>> DIG	.01(XREF 2n1.4), .02(XREF 1K), .02(XREF 2K), .02(XREF 3K), .02(XREF 4K), .02(XREF 5K), .02(XREF 6K), .02(XREF 7K), .02(XREF 8K), .02(XREF 9S) , .02(XREF 9K), .09(XREF 1S), .09(XREF 1K), 1.02(XREF 1K)
>> DIH	.01(XREF 2n1.4), .02(XREF 1K), .02(XREF 2K), .02(XREF 3K), .02(XREF 4K), .02(XREF 5K), .02(XREF 6K), .02(XREF 7K), .02(XREF 8K), .02(XREF 9S) , .02(XREF 9K), .09(XREF 1S), .09(XREF 1K), 1.02(XREF 1K)
>> DIU	.01(XREF 2S), .02(XREF 1K), .02(XREF 2K), .02(XREF 3K), .02(XREF 4K), .02(XREF 5K), .02(XREF 6K), .02(XREF 7K), .02(XREF 8K), .02(XREF 9S) , .02(XREF 9K), .09(XREF 1S), .09(XREF 1K), 1.02(XREF 1K)
DIV	.01(XREF 2S), .01(XREF 2n1.4), .02(XREF 1K), .02(XREF 1n2.3), .02(XREF 2K), .02(XREF 2n2.3), .02(XREF 3K), .02(XREF 3n2.3), .02(XREF 4K), .02(XREF 4n2.3) , .02(XREF 5K), .02(XREF 5n2.3), .02(XREF 6K), .02(XREF 6n2.3), .02(XREF 7K), .02(XREF 7n2.3), .02(XREF 8K), .02(XREF 8n2.3), .02(XREF 9S), .02(XREF 9n1.3) , .02(XREF 9K), .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K), 1.02(XREF 1K)
DIV(0	.01(XREF 2S), .01(XREF 2n1.4), .02(XREF 1K), .02(XREF 1n2.3), .02(XREF 2K), .02(XREF 2n2.3), .02(XREF 3K), .02(XREF 3n2.3), .02(XREF 4K), .02(XREF 4n2.3) , .02(XREF 5K), .02(XREF 5n2.3), .02(XREF 6K), .02(XREF 6n2.3), .02(XREF 7K), .02(XREF 7n2.3), .02(XREF 8K), .02(XREF 8n2.3), .02(XREF 9S), .02(XREF 9n1.3) , .02(XREF 9K), .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K), 1.02(XREF 1K)
>> IBFLPFLP	.01(XREF 2S)
IBOLDNPI	41.01+1~*
U	.01(XREF 2S), .01(XREF 2n1.4), .02(XREF 1K), .02(XREF 1n2.3), .02(XREF 2K), .02(XREF 2n2.3), .02(XREF 3K), .02(XREF 3n2.3), .02(XREF 4K), .02(XREF 4n2.3) , .02(XREF 5K), .02(XREF 5n2.3), .02(XREF 6K), .02(XREF 6n2.3), .02(XREF 7K), .02(XREF 7n2.3), .02(XREF 8K), .02(XREF 8n2.3), .02(XREF 9S), .02(XREF 9n1.3) , .02(XREF 9K), .03+1, .04+1, .05+1, .06+1, .07+1, .08+1, .09+1, .09(XREF 1S), .09(XREF 1n1.3) , .09(XREF 1K), .1+1, 1.02(XREF 1K), 41.01+1
X	IXNPI42SL+1, IXNPI42KL+1, .01+1!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2n1.4), .02(XREF 1K), .02(XREF 1n2.3), .02(XREF 2K) , .02(XREF 2n2.3), .02(XREF 3K), .02(XREF 3n2.3), .02(XREF 4K), .02(XREF 4n2.3), .02(XREF 5K), .02(XREF 5n2.3), .02(XREF 6K), .02(XREF 6n2.3), .02(XREF 7K) , .02(XREF 7n2.3), .02(XREF 8K), .02(XREF 8n2.3), .02(XREF 9S), .02(XREF 9n1.3), .02(XREF 9K), .03+1!, .04+1!, .05+1!, .06+1! , .07+1!, .08+1!, .09+1!, .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K), .1+1!, .12+1!, .13+1!, .15+1! , .18+1*!, 1.01+1!, 1.02+1!, 1.02(XREF 1K), 1.03+1!, 41.01+1!, 41.01(XREF 1S), 41.01(XREF 1K), 41.01(XREF 2S), 41.01(XREF 2K)
Y	.01(XREF 2S), .02(XREF 1K), .02(XREF 2K), .02(XREF 3K), .02(XREF 4K), .02(XREF 5K), .02(XREF 6K), .02(XREF 7K), .02(XREF 8K), .02(XREF 9S) , .02(XREF 9n1.3), .02(XREF 9K), .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K), .13+1, .18+1, 1.02(XREF 1K)
Y(0	.01(XREF 2S), .02(XREF 1n2.3), .02(XREF 2n2.3), .02(XREF 3n2.3), .02(XREF 4n2.3), .02(XREF 5n2.3), .02(XREF 6n2.3), .02(XREF 7n2.3), .02(XREF 8n2.3), .02(XREF 9n1.3) , .09(XREF 1n1.3)
Y(1	.01(XREF 2S), .02(XREF 1K), .02(XREF 1n2.3), .02(XREF 2K), .02(XREF 2n2.3), .02(XREF 3K), .02(XREF 3n2.3), .02(XREF 4K), .02(XREF 4n2.3), .02(XREF 5K) , .02(XREF 5n2.3), .02(XREF 6K), .02(XREF 6n2.3), .02(XREF 7K), .02(XREF 7n2.3), .02(XREF 8K), .02(XREF 8n2.3), .02(XREF 9S), .02(XREF 9n1.3), .02(XREF 9K) , .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K), 1.02(XREF 1K)
Y(2	.02(XREF 9n1.3), .09(XREF 1n1.3)

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Package: Integrated Billing

Global: ^IBA(355.93

Information

Description

Directly Accessed By Routines, Total: 64

Accessed By FileMan Db Calls, Total: 35

Pointed To By FileMan Files, Total: 5

Pointer To FileMan Files, Total: 5

Fields, Total: 25

ICR, Total: 3

External References

Global Variables Directly Accessed

Naked Globals

Local Variables

Legend:

Name	Field # of Occurrence
^DIC	.13+1, .18+1
^DICR	.01(XREF 2n1.4), .02(XREF 1K), .02(XREF 2K), .02(XREF 3K), .02(XREF 4K), .02(XREF 5K), .02(XREF 6K), .02(XREF 7K), .02(XREF 8K), .02(XREF 9S) , .02(XREF 9K), .09(XREF 1S), .09(XREF 1K), 1.02(XREF 1K)
PRVFMT^IBCEP8	.01+1
$$NPIUSED^IBCEP81	41.01+1
$$BADADD^IBCEP8B	.05+1
INDIVHELP^IBCU4	.02(HELP )
$$UP^XLFSTR	.05+1
$$CHKDGT^XUSNPI	41.01+1

Name	Field # of Occurrence
^(0	.01(XREF 2S), .01(XREF 2n1.4), .02(XREF 1K), .02(XREF 2K), .02(XREF 3K), .02(XREF 4K), .02(XREF 5K), .02(XREF 6K), .02(XREF 7K), .02(XREF 8K) , .02(XREF 9S), .02(XREF 9n1.3), .02(XREF 9K), .09(XREF 1S), .09(XREF 1n1.3), .09(XREF 1K)
^(1	1.02(XREF 1K)