Global: ^IBEMTOP(355.99

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FileMan FileNo	FileMan Filename	Package
355.99	MASTER TYPE OF PLAN	Integrated Billing

FileMan FileNo

FileMan Filename

Package

355.99

MASTER TYPE OF PLAN

Integrated Billing

Description

Master Type of Plan contains standard sources of payment from the the Public Health Data Standards Consortium (PHDSC). Per VHA Directive 2005-044, this file has been "locked down" by Data Standardization (DS). The file definition (i.e. data dictionary) shall not be modified. All additions, changes and deletions to entries in the file shall be done by Enterprise Reference Terminology (ERT) using the Master File Server (MFS), provided by Common Services (CS). Creating and/or editing locally defined fields in the file are not permitted. Use of locally defined fields that were created prior to the VHA Directive's 2005-044 effective date shall not be supported.

Package	Total	FileMan Files
Integrated Billing	2	TYPE OF PLAN(#355.1)[15] MASTER TYPE OF PLAN(#355.99)[2, 99.97]

Package	Total	FileMan Files
Integrated Billing	1	MASTER TYPE OF PLAN(#355.99)[2, 99.97]

Fields, Total: 7

Field #	Name	Loc	Type	Details
.01	PLAN NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>150!($L(X)<3) X` `MAXIMUM LENGTH: 150` LAST EDITED: `AUG 12, 2017` HELP-PROMPT: `Answer must be 3-150 characters in length.` DESCRIPTION: `This is a standard Source of Payment published by the Public Health Data Standards Consortium (PHDSC).` `This is used to associate entries from the TYPE OF PLAN (#355.1) file to standard PHDSC Source of Payment codes and should not be edited.` AUDIT: `YES, ALWAYS` PRE-LOOKUP: `I $G(DIC(0))["L",'$D(XUMF) K X D EN^DDIOL("Entries must be edited via the Master File Server (MFS).","","!?5,$C(7)")` DELETE TEST: `1,0)= D:'$D(XUMF) EN^DDIOL("Entries must be inactivated via the Master File Server (MFS).","","!?5,$C(7)")` LAYGO TEST: `1,0)= D:'$D(XUMF) EN^DDIOL("Entries must be added via the Master File Server (MFS).","","!?5,$C(7)") I $D(XUMF)` `WRITE AUTHORITY: ^` CROSS-REFERENCE: `355.99^B` `1)= S ^IBEMTOP(355.99,"B",$E(X,1,150),DA)=""` `2)= K ^IBEMTOP(355.99,"B",$E(X,1,150),DA)`
1	PHDSC SOURCE OF PAYMENT CODE	0;2	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:+X'=X!(X>99999999)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 09, 2017` HELP-PROMPT: `Type a number between 1 and 99999999, 0 decimal digits.` DESCRIPTION: `This is the Public Health Standards Consortium (PHDSC) Source of Payment code.` `WRITE AUTHORITY: ^` CROSS-REFERENCE: `355.99^C` `1)= S ^IBEMTOP(355.99,"C",$E(X,1,30),DA)=""` `2)= K ^IBEMTOP(355.99,"C",$E(X,1,30),DA)` `This cross references the Public Health Data Standards Consortium (PHDSC) Source of Payment name by the code stored in the PHDSC SOURCE OF PAYMENT CODE (#1) field.`
2	PARENT	0;3	POINTER TO MASTER TYPE OF PLAN FILE (#355.99)	MASTER TYPE OF PLAN(#355.99) LAST EDITED: `AUG 09, 2017` HELP-PROMPT: `Enter the Parent PHDSC Code associated with this entry.` DESCRIPTION: `This is the MASTER TYPE OF PLAN that represents the next higher, or broader, category to which this MASTER TYPE OF PLAN entry belongs.` `An MASTER TYPE OF PLAN's parent code may be computed from its PHDSC SOURCE OF PAYMENT CODE by truncating the code's last digit.` `Example:` `PHDSC SOURCE OF PAYMENT CODE=31, PARENT CODE=3` `PHDSC SOURCE OF PAYMENT CODE=123, PARENT CODE=12.`
99.97	REPLACED BY VHA STANDARD TERM	VUID;3	POINTER TO MASTER TYPE OF PLAN FILE (#355.99)	MASTER TYPE OF PLAN(#355.99) LAST EDITED: `JUN 06, 2017` HELP-PROMPT: `Enter the Term/Concept that replaces this entry.` DESCRIPTION: `This is populated when one Term/Concept replaces another Term/Concept. This field is controlled by standardization and should only be changed by standardization processes. This field contains a pointer to a VHA standard` `term that replaces this entry.` `WRITE AUTHORITY: ^` CROSS-REFERENCE: `355.99^AREPLACETERM` `1)= S ^IBEMTOP(355.99,"AREPLACETERM",$E(X,1,30),DA)=""` `2)= K ^IBEMTOP(355.99,"AREPLACETERM",$E(X,1,30),DA)` `This cross reference can be used to identify the replacement entries associated with a Term/Concept.`
99.98	MASTER ENTRY FOR VUID	VUID;2	SET	**********************REQUIRED FIELD********************** '1' FOR YES; '0' FOR NO; LAST EDITED: `JUN 06, 2017` HELP-PROMPT: `Enter YES if this is the Master entry.` DESCRIPTION: `This field identifies the Master Entry for a VUID associated with a Term/Concept.` `WRITE AUTHORITY: ^` RECORD INDEXES: `AMASTERVUID (#1499)`
99.99	VUID	VUID;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1)!'(X?1.20N) X` `MAXIMUM LENGTH: 20` LAST EDITED: `JUN 15, 2017` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `VHA Unique ID (VUID). A unique, arbitrarily-assigned integer assigned to reference terms VHA wide.` AUDIT: `YES, ALWAYS` `WRITE AUTHORITY: ^` `UNEDITABLE` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `355.99^AVUID` `1)= S ^IBEMTOP(355.99,"AVUID",$E(X,1,30),DA)=""` `2)= K ^IBEMTOP(355.99,"AVUID",$E(X,1,30),DA)` `This cross reference is by VHA Unique ID (VUID).` RECORD INDEXES: `AMASTERVUID (#1499)`
99.991	EFFECTIVE DATE/TIME	TERMSTATUS;0	DATE Multiple #355.9901	355.9901 DESCRIPTION: `Describes the pair Status and Effective Date/Time for each reference term.` `WRITE AUTHORITY: ^`

PLAN NAME: MEDICARE	PLAN NAME: Medicare (Managed Care)	PLAN NAME: Medicare HMO	PLAN NAME: Medicare PPO	PLAN NAME: Medicare POS	PLAN NAME: Medicare Managed Care Other	PLAN NAME: Medicare (Non-managed Care)	PLAN NAME: Medicare FFS
PLAN NAME: Medicare Drug Benefit	PLAN NAME: Medicare Medical Savings Account (MSA)	PLAN NAME: Medicare Non-managed Care Other	PLAN NAME: Medicare Hospice	PLAN NAME: Dual Eligibility Medicare/Medicaid Organization	PLAN NAME: Medicare Other	PLAN NAME: Medicare Pharmacy Benefit Manager

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Package: Integrated Billing

Global: ^IBEMTOP(355.99

Information

Description

Pointed To By FileMan Files, Total: 2

Pointer To FileMan Files, Total: 1

Fields, Total: 7

Found Entries, Total: 15