Sub-Field: 367.01

Parent File	Name	Number	Package
HPID/OEID RESPONSE(#367)	IDENTIFIERS	367.01	Integrated Billing

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	INSURANCE COMPANY ID TYPE	0;1	POINTER TO INSURANCE COMPANY ID TYPE FILE (#367.11)	INSURANCE COMPANY ID TYPE(#367.11) LAST EDITED: `MAR 10, 2014` HELP-PROMPT: `Enter the type of Insurance Company ID received in the response from the NIF.` DESCRIPTION: `This is the type of INSURANCE COMPANY ID received in the response from the NIF (National Insurance File).` CROSS-REFERENCE: `367.01^B` `1)= S ^IBCNH(367,DA(1),1,"B",$E(X,1,30),DA)=""` `2)= K ^IBCNH(367,DA(1),1,"B",$E(X,1,30),DA)` CROSS-REFERENCE: `367^D` `1)= S ^IBCNH(367,"D",$E(X,1,30),DA(1),DA)=""` `2)= K ^IBCNH(367,"D",$E(X,1,30),DA(1),DA)`
.02	ID	0;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>30!($L(X)<1) X` LAST EDITED: `MAR 19, 2014` HELP-PROMPT: `Answer must be 1-30 characters in length.` DESCRIPTION: `This is the Insurance Company ID sent from the NIF. The data can be an EDI number, a VA National ID, a NIF ID or an HPID/OEID.`
.03	SECONDARY ID QUALIFIER	0;3	SET	'2U' FOR PAYER ID #; 'FY' FOR CLAIM OFFICE #; 'NF' FOR NAIC CODE; 'TJ' FOR FED TAXPAYER #; LAST EDITED: `MAR 06, 2014` HELP-PROMPT: `If the ID is a Secondary Payer ID, enter the Qualifier` DESCRIPTION: `If the ID type is a SECONDARY ID, you must enter a qualifier to indicate the type of secondary payer ID that it is. You can not use the same qualifier multiple times for the same secondary ID type.`

INSURANCE COMPANY ID TYPE

0;1

POINTER TO INSURANCE COMPANY ID TYPE FILE (#367.11)

LAST EDITED: MAR 10, 2014
HELP-PROMPT: Enter the type of Insurance Company ID received in the response from the NIF.
DESCRIPTION:
This is the type of INSURANCE COMPANY ID received in the response from the NIF (National Insurance File).
CROSS-REFERENCE: 367.01^B
1)= S ^IBCNH(367,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^IBCNH(367,DA(1),1,"B",$E(X,1,30),DA)
CROSS-REFERENCE: 367^D
1)= S ^IBCNH(367,"D",$E(X,1,30),DA(1),DA)=""
2)= K ^IBCNH(367,"D",$E(X,1,30),DA(1),DA)

0;2

FREE TEXT

INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: MAR 19, 2014
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION:
This is the Insurance Company ID sent from the NIF. The data can be an EDI number, a VA National ID, a NIF ID or an HPID/OEID.

SECONDARY ID QUALIFIER

0;3

SET

LAST EDITED: MAR 06, 2014
HELP-PROMPT: If the ID is a Secondary Payer ID, enter the Qualifier
DESCRIPTION:
If the ID type is a SECONDARY ID, you must enter a qualifier to indicate the type of secondary payer ID that it is. You can not use the same qualifier multiple times for the same secondary ID type.