| DESCRIPTION OF ENHANCEMENTS |
The Health Eligibility Center (HEC) requested modifications to the
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Due to the Income Verification Match (IVM) process, the BT CLAIMS
PROCESSING Mailgroup will be automatically created in VistA with the
installation of this patch at each VistA Site. VistA users are
responsible for adding the appropriate members to the Mailgroup. The
appropriate VistA staff are added to the Mailgroup when they want to be
notified of a change in the Veteran's BT Financial Indicator status.
The bulletin that will be loaded with this patch is called EAS BT CLAIMS
PROCESSING.
Enrollment System (ES) and VistA Registration, Enrollment and
The bulletin will be sent to each member of the Mailgroup and will
contain the following information:
Mail Message From: Health EligibilityCenter Date: MM/DD/YYYY HH:MM
Subject: IVM-Beneficiary Travel Financial Indicator upload FOR<DFN>
An Income Verification Match verified Beneficiary Travel information
has been uploaded for the following patient.
Patient Name:
Eligibility (VistA REE) software to support the requirements of the
LAST 4 OF SSN:
ICN:
DFN:
STATION NUMBER:
Prev Category:
New Category:
Date of Test:
Income Year of Conversion:
- When a converted/reversal Rx Copay Test is received from IVM, a
Veterans Financial Assessment (VFA) projects.
check will be done to see if the new copay exemption status is
different than the old copay exemption status (e.g. the new status is
NON-EXEMPT and the old status is EXEMPT, or the new status is EXEMPT
and the old status is NON-EXEMPT).
- If the status has changed, a check will be done to see if the
Beneficiary Travel indicator has changed. If indicator changed, a
a bulletin will be sent to the BT CLAIMS PROCESSING Mailgroup.
HL7 Changes
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This patch supports HL7 enhancements that sends BT Financial Indicator
Z06 ZMT-32 and Contributed to Spouse Z10 ZIR-2 and stores them in the
database. Supports HL7 Z07 ZIR-15 that sends VistA Contributed to Spouse
changes to ES. Patch DG*5.3*890 will be released in conjunction with
this EAS patch.
Modified Z07 message builder to include the Contributed to Spouse
indicator on the ORU Z07 ZIR segment.
Added a trigger for an ORF Z07 message when a change is made to
the Contributed to Spouse indicator.
This patch modifies the Enrollment Application System V1.0 application
as described below:
Add a Beneficiary Travel Bulletin.
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