Name	Value
NAME	IB2.0348
DATE DISTRIBUTED	2006-12-05 00:00:00
PACKAGE FILE LINK	INTEGRATED BILLING
REQUIRED BUILD	IB2.0260 ACTION: Don't install, leave global IB2.0287 ACTION: Don't install, leave global IB2.0323 ACTION: Don't install, leave global IB2.0335 ACTION: Don't install, leave global IB2.0320 ACTION: Don't install, leave global IB2.0288 ACTION: Don't install, leave global IB2.0226 ACTION: Don't install, leave global IB2.0197 ACTION: Don't install, leave global
TYPE	SINGLE PACKAGE
ALPHA/BETA TESTING	NO
DESCRIPTION OF ENHANCEMENTS	New CMS-1500 claim form
TRACK PACKAGE NATIONALLY	YES
FILE	DD NUMBER: INSURANCE TYPE (sub-file) FIELD NUMBER: INSURED'S DOB INSURED'S BRANCH INSURED'S RANK UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: IB SITE PARAMETERS (File-top level) FIELD NUMBER: MULTIPLE FORM TYPES CMS-1500 ADDRESS COLUMN CMS-1500 PRINT LEGACY ID UB PRINT LEGACY ID FACILITY NAME FOR BILLING BILLING SITE IS OTHER FACILITY UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: PLACE OF SERVICE (File-top level) FIELD NUMBER: CODE UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: TYPE OF SERVICE (File-top level) FIELD NUMBER: CODE UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: IB BILLING PRACTITIONER ID (File-top level) FIELD NUMBER: FORM TYPE APPLIED TO UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: IB INSURANCE CO LEVEL BILLING PROV ID (File-top level) FIELD NUMBER: FORM TYPE APPLIED TO UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: FACILITY BILLING ID (File-top level) FIELD NUMBER: FORM TYPE APPLIED TO UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: IB NON/OTHER VA BILLING PROVIDER (File-top level) FIELD NUMBER: PROVIDER TYPE UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: IB INS CO PROVIDER ID CARE UNIT (File-top level) FIELD NUMBER: FORM TYPE APPLIED TO UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: FULL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: INSURANCE COMPANY (File-top level) FIELD NUMBER: NAME PROFESSIONAL PROVIDER NUMBER ELECTRONIC INSURANCE TYPE PERF PROV SECOND ID TYPE 1500 SECONDARY ID REQUIREMENTS REF PROV SEC ID DEF CMS-1500 REF PROV SEC ID REQ ON CLAIMS ATT/REND ID BILL SEC ID PROF UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: EDI TRANSMISSION BATCH (File-top level) FIELD NUMBER: BILL TYPE UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: IB EDI TRANSMISSION RULE (File-top level) FIELD NUMBER: FORM TYPE TYPE OF RULE UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: NO SEND SECURITY CODE: NO SEND FULL OR PARTIAL DD: FULL RESOLVE POINTERS: YES DATA COMES WITH FILE: YES SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO SCREEN TO SELECT DATA: I $$INCLUDE^IBY348PR(5,Y) UPDATE THE DATA DICTIONARY: NO SEND SECURITY CODE: NO SEND FULL OR PARTIAL DD: FULL RESOLVE POINTERS: YES DATA COMES WITH FILE: YES SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO SCREEN TO SELECT DATA: I $$INCLUDE^IBY348PR(6,Y) UPDATE THE DATA DICTIONARY: NO SEND SECURITY CODE: NO SEND FULL OR PARTIAL DD: FULL RESOLVE POINTERS: YES DATA COMES WITH FILE: YES SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO SCREEN TO SELECT DATA: I $$INCLUDE^IBY348PR(7,Y) DD NUMBER: BILL/CLAIMS (File-top level) FIELD NUMBER: BILL NUMBER FORM TYPE TREATMENT AUTHORIZATION CODE UNABLE TO WORK FROM UNABLE TO WORK TO SECONDARY AUTHORIZATION CODE TERTIARY AUTHORIZATION CODE HOMEBOUND DATE LAST SEEN SPECIAL PROGRAM INDICATOR BLOCK 31 PRINT FACILITY DATA IN BOX 32 FORM LOC 19-UNSPECIFIED DATA PROCEDURES (sub-file) FIELD NUMBER: ASSOCIATED DIAGNOSIS (1) ASSOCIATED DIAGNOSIS (2) ASSOCIATED DIAGNOSIS (3) ASSOCIATED DIAGNOSIS (4) *HCFA BOX 24K (LOCAL USE ONLY) LAST XRAY DATE ATTENDING NOT HOSPICE EMPLOYEE LEVEL OF SUBLUXATION CHIRO TREATMENT SERIES NUM CHIROPRACTIC QUANTITY EPSDT FLAG SERVICE LINE COMMENT SERVICE LINE COMMENT QUALIFIER PLACE OF SERVICE TYPE OF SERVICE OCCURRENCE CODE (sub-file) FIELD NUMBER: STATE REVENUE CODE (sub-file) FIELD NUMBER: PROCEDURE RX PROCEDURE UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO DD NUMBER: MCCR UTILITY (File-top level) FIELD NUMBER: OCC RELATED TO UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO
SEQ#	329
BUILD COMPONENTS	ENTRIES: IBEDIT INS CO1 FILE #36 FILE: File: 1, IEN: 36 ACTION: SEND TO SITE IB SCREEN4 FILE #399 FILE: BILL/CLAIMS ACTION: SEND TO SITE IB EDIT MCCR PARM FILE #350.9 FILE: IB SITE PARAMETERS ACTION: DELETE AT SITE ENTRIES: IB UB-82 TEST PATTERN PRINT ACTION: DELETE AT SITE IB UB-92 TEST PATTERN PRINT ACTION: DELETE AT SITE IB HCFA-1500 TEST PATTERN ACTION: DELETE AT SITE IB MCCR PARAMETER EDIT ACTION: DELETE AT SITE IB PRINT BILL ADDENDUM ACTION: SEND TO SITE IBCE PROVIDER ID QUERY ACTION: SEND TO SITE ENTRIES: IBCU7 ACTION: SEND TO SITE CHECKSUM: B54846939 IBCNSC1 ACTION: SEND TO SITE CHECKSUM: B65055609 IBCBB21 ACTION: SEND TO SITE CHECKSUM: B10727629 IBCFP ACTION: SEND TO SITE CHECKSUM: B12560785 IBCU3 ACTION: SEND TO SITE CHECKSUM: B25333825 IBJPS ACTION: SEND TO SITE CHECKSUM: B5289687 IBJPS2 ACTION: SEND TO SITE CHECKSUM: B48130321 IBCEFG8 ACTION: SEND TO SITE CHECKSUM: B9105707 IBCEF3 ACTION: SEND TO SITE CHECKSUM: B41293059 IBCB ACTION: SEND TO SITE CHECKSUM: B32907944 IBCSCU ACTION: SEND TO SITE CHECKSUM: B11830990 IBCECOB1 ACTION: SEND TO SITE CHECKSUM: B67244551 IBCECOB4 ACTION: SEND TO SITE CHECKSUM: B34131844 IBCEM03 ACTION: SEND TO SITE CHECKSUM: B45045042 IBCEMSR1 ACTION: SEND TO SITE CHECKSUM: B59731831 IBCEP ACTION: SEND TO SITE CHECKSUM: B21502471 IBCEP0 ACTION: SEND TO SITE CHECKSUM: B67684201 IBCEP2A ACTION: SEND TO SITE CHECKSUM: B42797265 IBCEP4 ACTION: SEND TO SITE CHECKSUM: B23219297 IBCEP5 ACTION: SEND TO SITE CHECKSUM: B48252078 IBCEP5B ACTION: SEND TO SITE CHECKSUM: B40601751 IBCEU3 ACTION: SEND TO SITE CHECKSUM: B63577235 IBCEP5C ACTION: SEND TO SITE CHECKSUM: B43594569 IBCEP5D ACTION: SEND TO SITE CHECKSUM: B62434014 IBCEXTRP ACTION: SEND TO SITE CHECKSUM: B21578512 IBCFP1 ACTION: SEND TO SITE CHECKSUM: B33608926 IBCIUT4 ACTION: SEND TO SITE CHECKSUM: B48396208 IBCISC ACTION: SEND TO SITE CHECKSUM: B24145516 IBCEP7 ACTION: SEND TO SITE CHECKSUM: B48408157 IBCEP7C ACTION: SEND TO SITE CHECKSUM: B58965316 IBCEP9 ACTION: SEND TO SITE CHECKSUM: B73005418 IBCSCH ACTION: SEND TO SITE CHECKSUM: B75190513 IBCEPTC ACTION: SEND TO SITE CHECKSUM: B73141787 IBCEPTC0 ACTION: SEND TO SITE CHECKSUM: B19837123 IBCEPTC2 ACTION: SEND TO SITE CHECKSUM: B47676987 IBCEPTR ACTION: SEND TO SITE CHECKSUM: B101915596 IBCEQ1A ACTION: SEND TO SITE CHECKSUM: B62193570 IBCERP6 ACTION: SEND TO SITE CHECKSUM: B24267407 IBCEU5 ACTION: SEND TO SITE CHECKSUM: B87188709 IBCEP5A ACTION: SEND TO SITE CHECKSUM: B21730261 IBCCC2 ACTION: SEND TO SITE CHECKSUM: B57341017 IBCEPU ACTION: SEND TO SITE CHECKSUM: B942471 IBCEF11 ACTION: SEND TO SITE CHECKSUM: B40186930 IBCEP7B ACTION: SEND TO SITE CHECKSUM: B7101591 IBCEF77 ACTION: SEND TO SITE CHECKSUM: B12716914 IBCEPA ACTION: SEND TO SITE CHECKSUM: B50420799 IBCEPB ACTION: SEND TO SITE CHECKSUM: B7318616 IBCEPC ACTION: SEND TO SITE CHECKSUM: B5826861
POST-INSTALL ROUTINE	IBY348PO
DELETE POST-INIT ROUTINE	Yes
PRE-INSTALL ROUTINE	IBY348PR
DELETE PRE-INIT ROUTINE	Yes

IB*2.0*348 (7113) BUILD (9.6)

IB2.0348 (7113) BUILD (9.6)