Home Package List Routine Alphabetical List Global Alphabetical List FileMan Files List FileMan Sub-Files List Package Component Lists Package-Namespace Mapping

Info | Desc | Accessed By FileMan Db Calls | Pointed To By FileMan Files | Fields | Found Entries | All

Print Page as PDF

Global: ^IBE(355.97

Package: Integrated Billing

Global: ^IBE(355.97

Information

FileMan FileNo	FileMan Filename	Package
355.97	IB PROVIDER ID # TYPE	Integrated Billing

Description

There can be many different kinds of provider id numbers that may need to be reported when billing for hospital and professional services. This file contains entries that will be used to classify or identify the valid kinds of provider ids that the V.A. will use. This is needed specifically for the transmission of bills so the proper interpretation of the ID's can be made electronically.

Accessed By FileMan Db Calls, Total: 13

Pointed To By FileMan Files, Total: 7

Fields, Total: 17

Field #	Name	Loc	Type	Details
.01	NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X` LAST EDITED: `JUL 24, 2001` HELP-PROMPT: `Answer must be 3-30 characters in length.` DESCRIPTION: `This is the name used to describe the provider id type.` CROSS-REFERENCE: `355.97^B` `1)= S ^IBE(355.97,"B",$E(X,1,30),DA)=""` `2)= K ^IBE(355.97,"B",$E(X,1,30),DA)`
.02	SOURCE LEVEL MINIMUM	0;2	SET	**********************REQUIRED FIELD********************** '0' FOR NONE; '1' FOR LICENSING/GOVT AGENCY - EACH PROV; '2' FOR FACILITY - ALL PROV; '3' FOR INSURANCE CO - ALL PROV; '4' FOR INSURANCE CO - EACH PROV; '5' FOR INSURANCE CO - ALL PROV BY CARE UNIT; LAST EDITED: `DEC 17, 2003` HELP-PROMPT: `Enter the code that describes how this id type MUST be assigned or 0 for NO minimum requirements` DESCRIPTION: `This is the minimum level or criteria of data that MUST be used to search for this type of ID number for a provider. If this field is zero or blank, there are no minimum data requirements to search for an ID for this id` `type.`
.03	X12 CODE	0;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<1) X` LAST EDITED: `DEC 08, 2005` HELP-PROMPT: `Answer must be 1-2 characters in length.` DESCRIPTION: `This is the X12 code that determines the qualifier to be output in the X12 data stream when reporting this type of provider ID number.` CROSS-REFERENCE: `355.97^C` `1)= S ^IBE(355.97,"C",$E(X,1,30),DA)=""` `2)= K ^IBE(355.97,"C",$E(X,1,30),DA)`
.04	FACILITY'S DEFAULT ID #	0;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<1) X` LAST EDITED: `SEP 07, 2000` HELP-PROMPT: `Answer must be 1-15 characters in length.` DESCRIPTION: `This is the number that will be the default for all providers for the id type at the facility if no number exists for the specific provider/ins. co/care unit combination.`
.05	RESTRICT EDITING	0;5	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `FEB 07, 2001` HELP-PROMPT: `Enter 1 (YES) to prevent users from editing this id type's id #'s at the facility level` DESCRIPTION: `This field controls whether or not users may edit the id #'s for the provider type at the facility level.`
.06	VALID FOR PERFORMING PROVIDER	0;6	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `MAY 09, 2001` HELP-PROMPT: `ENTER YES (1) IF THE ID TYPE IS VALID FOR PERFORMING ID` DESCRIPTION: `This field indicates whether the id type is valid for performing provider ids.`
.07	ALLOWABLE FORM TYPE	0;7	SET	'I' FOR INSTITUTIONAL; 'P' FOR PROFESSIONAL; 'B' FOR BOTH INSTITUTIONAL AND PROFESSIONAL; LAST EDITED: `OCT 25, 2006` HELP-PROMPT: `Enter I if this is used on UB type forms, P if used on CMS type forms, or B if used on either type.` DESCRIPTION: `This is a flag used to determine what type of form this qualifier is valid for. It is used to validate provider id file set-up.`
.08	ACTIVE	0;8	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `APR 19, 2006` HELP-PROMPT: `Enter YES if this entry is Active or NO if it is In-Active` DESCRIPTION: `This field must be set to YES to allow this qualifier to be selected. Old entries that are no longer allowed should be set to NO.`
1.01	STATE DEA#	1;1	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `SEP 07, 2000` HELP-PROMPT: `Enter a 1 (yes) if this is a state DEA # id type` DESCRIPTION: `This is the flag that tells the system this id type is a state DEA # and the data is stored in the NEW PERSON file by state.` `UNEDITABLE`
1.02	FEDERAL DEA#	1;2	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `JAN 08, 2001` HELP-PROMPT: `Enter a 1 (yes) if this is a federal DEA # id type` DESCRIPTION: `This is the flag that tells the system this id type is a federal DEA # and the data is stored in the NEW PERSON file.` `UNEDITABLE`
1.03	STATE LICENSE #	1;3	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `SEP 07, 2000` HELP-PROMPT: `Enter a 1 (yes) if this is a state license # id type` DESCRIPTION: `This is the flag that tells the system this id type is a state license # and the data is stored in the NEW PERSON file by state.` `UNEDITABLE`
1.04	FEDERAL TAX # - FACILITY	1;4	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `SEP 07, 2000` HELP-PROMPT: `Enter a 1 (yes) if this is a facility federal tax id # id type` DESCRIPTION: `This is the flag that tells the system this id type is a facility federal tax id and the data is stored in the IB SITE PARAMETERS file.` `UNEDITABLE`
1.05	EMC ID TYPE	1;5	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `SEP 13, 2000` HELP-PROMPT: `Enter yes if this type is for EMC ID #` DESCRIPTION: `This is a flag to indicate if the record is for an EMC ID #`
1.06	NETWORK ID TYPE	1;6	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `SEP 13, 2000` HELP-PROMPT: `Enter yes if this type is for Network ID #` DESCRIPTION: `This is a flag to indicate if the record is for a network id #.`
1.07	PROVIDER'S OWN ID	1;7	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `APR 27, 2001` HELP-PROMPT: `ENTER YES (1) IF THE ID IS A PROVIDER'S PERSONAL #` DESCRIPTION: `This is the flag that designates an id type is a personal # for the provider, not assigned by the facility or an insurance co`
1.08	STORED OUTSIDE OF BILLING	1;8	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `APR 27, 2001` HELP-PROMPT: `ENTER 1 IF THIS PROVIDER ID DATA IS NOT STORED IN IB FILES` DESCRIPTION: `This is the flag that specifies the provider id data is not stored in an IB file.`
1.09	BILLING PROVIDER PRIMARY ID	1;9	SET	'0' FOR NO; '1' FOR YES; LAST EDITED: `JUN 11, 2004` HELP-PROMPT: `Enter a 1 if this is the billing provider's primary id record` DESCRIPTION: `This field is a 1 (YES) if this is the provider id type that represents the billing provider's primary id.`

Found Entries, Total: 26

Info | Desc | Accessed By FileMan Db Calls | Pointed To By FileMan Files | Fields | Found Entries | All