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DBIA1351 ICR (1351)

DBIA1351    ICR (1351)

Name Value
NUMBER 1351
IA # 1351
FILE NUMBER 356.1
GLOBAL ROOT IBT(356.1
DATE CREATED 1995/09/21
CUSTODIAL PACKAGE INTEGRATED BILLING
CUSTODIAL ISC Albany
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA1351
GENERAL DESCRIPTION 
The IBQ package needs to retrieve Hospital Review
information out of the HOSPITAL REVIEW File (#356.1) for use in the rollup to
the National Database. The 'C' x-ref is used for the gathering of review
information, given the Claims Tracking entry number from the Claims Tracking
File (#356).  Refer to IA-1350 for the Claims Tracking IEN that is retrieved
from the 'ADIS' x-ref.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
IBT(356.1,'C',IBTRN,
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.03 Direct Global Read & w/Fileman 
This field is used for the Day of Review in the IBQ
package.
DAY OF REVIEW 0;3
.04 Direct Global Read & w/Fileman 
This field is used for Severity of Illness in the IBQ
package.
SEVERITY OF ILLNESS 0;4
.05 Direct Global Read & w/Fileman 
This field is used for Intensity of Service in the IBQ
package.
INTENSITY OF SERVICE 0;5
.06 Direct Global Read & w/Fileman 
This field is used for Acute Admission(Y/N)? in the IBQ
package.
CRITERIA MET IN 24 HOURS? 0;6
.07 Direct Global Read & w/Fileman 
This field will be used to retrieve a pointer to the
FACILITY TREATING SPECIALTY (#45.7) file, which will in turn be used to
determine the Service from the SPECIALTY (#42.4) file.
SPECIALTY FOR REVIEWS 0;7
.08 Direct Global Read & w/Fileman 
This field is used for Severity of Illness in the IBQ
package.
SPECIALIZED UNIT SI 0;8
.09 Direct Global Read & w/Fileman 
This field is used for Intensity of Service in the IBQ
package.
SPECIALIZED UNIT IS 0;9
.1 Direct Global Read & w/Fileman 
This field is used for Provider Interviewed(Y/N) in the
IBQ package.
PROVIDER INTERVIEWED? 0;10
.11 Direct Global Read & w/Fileman 
This field is used for Admission Influenced(Y/N) in the
IBQ package.
ADMISSION DECISION INFLUENCED 0;11
.12 Direct Global Read & w/Fileman 
This field is used for D/C From Continued Stay in the IBQ
package.
D/C SCREEN MET 0;12
.19 Direct Global Read & w/Fileman 
This field is used to check the validity of a review.
ACTIVE 0;19
.21 Direct Global Read & w/Fileman 
This field is used to check the validity of a review.
REVIEW STATUS 0;21
356.112,.01 Direct Global Read & w/Fileman 
This multiple field of reason codes is used for Reasons
for Non-Acute Admission in the IBQ package.
REASONS FOR NON-ACUTE ADMISSION 0;1
356.113,.01 Direct Global Read & w/Fileman 
This multiple field of reason codes is used for Reasons
from Continued Stay in the IBQ package.
REASONS FOR NON-ACUTE DAYS 0;1 
The 'C' x-ref is used to retrieve information on the
days of review, given it's parent Claims Tracking number.
STATUS Active
DURATION Till Otherwise Agreed
ID IBT(356.1
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
UTILIZATION MANAGEMENT ROLLUP Albany