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Sub-Field: 365.185

Package: Integrated Billing

EIV EICD TRACKING(#365.18)-->365.185

Sub-Field: 365.185


Information

Parent File Name Number Package
EIV EICD TRACKING(#365.18) INSURANCE DISCOVERED 365.185 Integrated Billing

Details

Field # Name Loc Type Details
.01 PAYER VA ID 0;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
    MAXIMUM LENGTH: 10
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Payer VA ID, must be 1-10 characters in length.
  • DESCRIPTION:  
    This is the PAYER VA NATIONAL ID returned from an EICD Identification response. The ID could be "UNKNOWN" and/or not available in the PAYER file. It may be used when creating a Verification inquiry.
  • TECHNICAL DESCR:  
    The returned PAYER VA NATIONAL ID may not be a valid entry in the PAYER (#365.12,.02) file. The ID could also be "UNKNOWN".
  • CROSS-REFERENCE:  365.185^B
    1)= S ^IBCN(365.18,DA(1),"INS-FND","B",$E(X,1,30),DA)=""
    2)= K ^IBCN(365.18,DA(1),"INS-FND","B",$E(X,1,30),DA)
.02 PAYER NAME 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
    MAXIMUM LENGTH: 80
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Payer Name, must be 1-80 characters in length.
  • DESCRIPTION:  When the PAYER VA ID (#365.185,.01) is "UNKNOWN", or not found in the PAYER (#365.12) file, this PAYER NAME will be used to populate the INSURANCE COMPANY NAME when creating an INSURANCE VERIFICATION PROCESSOR (#355.33)
    entry for manual processing.
.03 GROUP NUMBER 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>17!($L(X)<2) X
    MAXIMUM LENGTH: 17
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Group Number, must be 2-17 characters in length.
  • DESCRIPTION:  
    This is the Group number returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.04 SUBSCRIBER ID 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
    MAXIMUM LENGTH: 80
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber ID, must be 3-80 characters in length.
  • DESCRIPTION:  
    This is the Subscriber ID returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.05 MEMBER ID 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
    MAXIMUM LENGTH: 20
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Member ID, must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the Member ID returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.06 SUBSCRIBER SSN 0;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>13!($L(X)<9) X
    MAXIMUM LENGTH: 13
  • LAST EDITED:  JUL 03, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber SSN, must be 9-13 characters in length.
  • DESCRIPTION:  
    This is the Subscriber SSN returned in an EICD Identification response. It may be used to further research the response.
.07 INSURED DOB 0;7 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Insured (Subscriber) Date of Birth.
  • DESCRIPTION:  
    This is the Insured DOB (Subscriber) returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.08 INSURED SEX 0;8 SET
  • 'F' FOR FEMALE;
  • 'M' FOR MALE;

  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Insured (Subscriber) sex, (M or F).
  • DESCRIPTION:  
    This is the Insured sex (Subscriber) returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.09 NAME OF INSURED 0;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<2) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Insured (Subscriber) name, must be 2-30 characters in length.
  • DESCRIPTION:  
    This is the Insured name (Subscriber) returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.1 SUBSCRIBER ADDRESS LINE 1 0;10 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<1) X
    MAXIMUM LENGTH: 55
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber addr line 1, must be 1-55 characters in length.
  • DESCRIPTION:  
    This is the Subscriber address line 1 returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.11 SUBSCRIBER ADDRESS LINE 2 0;11 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<1) X
    MAXIMUM LENGTH: 55
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber addr line 2, must be 1-55 characters in length.
  • DESCRIPTION:  
    This is the Subscriber address line 2 returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.12 SUBSCRIBER ADDRESS CITY 0;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber addr city, must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the Subscriber address city returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.13 SUBSCRIBER ADDRESS STATE 0;13 POINTER TO STATE FILE (#5) STATE(#5)

  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber addr state.
  • DESCRIPTION:  
    This is the Subscriber address state returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.14 SUBSCRIBER ADDRESS ZIP 0;14 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Identification response Subscriber addr zip, must be 1-15 characters in length.
  • DESCRIPTION:  
    This is the Subscriber address zip returned in an EICD Identification response, it will be used when creating a Verification inquiry.
.15 DEPENDENT POLICY (Y/N?) 0;15 SET
  • '0' FOR N;
  • '1' FOR Y;

  • LAST EDITED:  JUL 03, 2018
  • HELP-PROMPT:  Enter Y if this is a Dependent Policy, otherwise enter N.
  • DESCRIPTION:  
    This field will be set to 1 any time there is a GT1 record associated with an EICD Identification response.
1.01 EICD VER INQ TRANSMISSION 1;1 POINTER TO IIV TRANSMISSION QUEUE FILE (#365.1) IIV TRANSMISSION QUEUE(#365.1)

  • LAST EDITED:  JUL 12, 2018
  • HELP-PROMPT:  Select the IIV TRANSMISSION QUEUE record associated with this EICD Verification inquiry.
  • DESCRIPTION:  
    This is the IIV TRANSMISSION QUEUE record associated with an EICD Verification inquiry.
  • TECHNICAL DESCR:  
    VistA populates this field with a pointer to the IIV TRANSMISSION QUEUE (#365.1) associated with an EICD Verification inquiry.
  • CROSS-REFERENCE:  365.18^C
    1)= S ^IBCN(365.18,"C",$E(X,1,30),DA(1),DA)=""
    2)= K ^IBCN(365.18,"C",$E(X,1,30),DA(1),DA)
    3)= DO NOT DELETE
    The cross-reference allows quickly locating the EICD VER INQ TRANSMISSION record from an IIV TRANSMISSION QUEUE entry.
1.02 EICD VER INQ DATE CREATED 1;2 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the date that the associated IIV TRANSMISSION QUEUE entry was created.
  • DESCRIPTION:  
    This is the date that the IIV Transmission Queue entry was created for an EICD Verification inquiry.
  • TECHNICAL DESCR:  
    This is the date that the IIV TRANSMISSION QUEUE entry pointed to by EICD VER INQ TRANSMISSION (365.185,1.01) field was created.
1.03 EICD VER RESPONSE 1;3 POINTER TO IIV RESPONSE FILE (#365) IIV RESPONSE(#365)

  • LAST EDITED:  JUL 12, 2018
  • HELP-PROMPT:  Select the IIV RESPONSE entry associated with an EICD Verification.
  • DESCRIPTION:  
    This is the IIV RESPONSE file record associated with an EICD Verification response.
  • CROSS-REFERENCE:  365.18^D
    1)= S ^IBCN(365.18,"D",$E(X,1,30),DA(1),DA)=""
    2)= K ^IBCN(365.18,"D",$E(X,1,30),DA(1),DA)
    3)= DO NOT DELETE
    The cross-reference allows quickly locating the EICD VER RESPONSE record from an IIV RESPONSE entry.
1.04 EICD VER RESPONSE RESULT 1;4 SET
  • '0' FOR ERROR;
  • '1' FOR ACTIVE POLICY;
  • '2' FOR INACTIVE POLICY;
  • '3' FOR AMBIGUOUS;

  • LAST EDITED:  JUN 08, 2018
  • HELP-PROMPT:  Enter the EICD Verification response result code.
  • DESCRIPTION:  
    This field contains a result code based on response data returned from an EICD Verification inquiry.
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