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

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

IBT(356.1

SUBSCRIBING PACKAGE

SUBSCRIBING PACKAGE	ISC
UTILIZATION MANAGEMENT ROLLUP	Albany