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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

Directly Accessed By Routines, Total: 46

Package Total Routines
Integrated Billing 46 IBCEFP    ^IBE(399.6    IB20P212    IB20P279    IBCEF7    IBCEF71    IBCEF72    IBCEF73
IBCEF74    IBCEF74A    IBCEF75    IBCEF76    IBCEF77    IBCEF80    IBCEMU3    IBCEP
IBCEP2    IBCEP2A    IBCEP2B    IBCEP3    IBCEP4A    IBCEP5A    IBCEP5B    IBCEP5D
IBCEP7    IBCEP7A    IBCEP7C    IBCEP8    IBCEP9    IBCEP9B    IBCEPU    IBCEQ1
IBCU    IBY137PO    IBY155PO    IBY232PO    IBY280PR    IBY320PO    IBY343PR    ^IBA(355.96
^IBE(355.97    IBY320PR    ^IBA(355.9    ^IBA(355.91    ^IBA(364.5    IBY232PR    

Accessed By FileMan Db Calls, Total: 14

Package Total Routines
Integrated Billing 14 IBCBB13    IBCEP0    IBCEP5B    IBCEP5D    IBCEP8    IBCEP8B    IBCNSC1    IBCU
IBY137PO    IBY232PO    IBY232PR    IBY280PR    IBY320PO    IBY343PR    

Pointed To By FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 7 BILL/CLAIMS(#399)[128, 129, 130, #399.0222(.12), #399.0222(.13), #399.0222(.14), #399.0404(.12), #399.0404(.13), #399.0404(.14)]    INSURANCE COMPANY(#36)[4.01, 4.02, 4.04, 4.1]    IB BILLING PRACTITIONER ID(#355.9)[.06]    IB INSURANCE CO LEVEL BILLING PROV ID(#355.91)[.06]    FACILITY BILLING ID(#355.92)[.06]    IB NON/OTHER VA BILLING PROVIDER(#355.93)[.13]    IB INS CO PROVIDER ID CARE UNIT(#355.96)[.06]    

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

NAME: BLUE CROSS    NAME: BLUE SHIELD    NAME: CHAMPUS    NAME: COMMERCIAL    NAME: CLIA #    NAME: EMC ID    NAME: MEDICARE PART A    NAME: MEDICARE PART B    
NAME: EMPLOYER'S IDENTIFICATION #    NAME: DEA #    NAME: PROVIDER PLAN NETWORK    NAME: FEDERAL TAXPAYER'S #    NAME: UPIN    NAME: STATE LICENSE    NAME: PPO NUMBER    NAME: HMO    
NAME: SOCIAL SECURITY NUMBER    NAME: STATE INDUSTRIAL ACCIDENT PROV    NAME: LOCATION NUMBER    NAME: ELECTRONIC PLAN TYPE    NAME: MEDICAID    NAME: USIN    NAME: EIN    NAME: CLINIC NUMBER    
NAME: PROVIDER SITE NUMBER    NAME: NATIONAL PROVIDER ID    

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBE(355.97 - [#355.97] .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K)

Naked Globals

Name Field # of Occurrence
^(0 ID.03+1

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> DA .01(XREF 1S), .01(XREF 1K), .03(XREF 1S), .03(XREF 1K)
U ID.03+1
X .01+1!, .01(XREF 1S), .01(XREF 1K), .03+1!, .03(XREF 1S), .03(XREF 1K), .04+1!
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