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DBIA2780 ICR (2780)

DBIA2780    ICR (2780)

Name Value
NUMBER 2780
IA # 2780
FILE NUMBER 2
GLOBAL ROOT DPT(
DATE CREATED 1999/03/23
CUSTODIAL PACKAGE INTEGRATED BILLING
CUSTODIAL ISC Albany
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA2780
GENERAL DESCRIPTION
Integrated Billing allows PDX to read and write several
patient insurance data elements to support the exchange of insurance
information between facilities.

Update: IB*2*497 increased the length of the SUBSCRIBER ID field and the NAME
OF INSURED field to support the EDI New Standards and Operating Rules for VHA
providers. This required length increase made it necessary to move the
location of these 2 fields to new Data Dictionary nodes in the INSURANCE TYPE
sub-file.  To support this implementation, all subscribers to this ICR will
need to make the necessary changes in their applications to reference the new
fields and remove the references to the old fields.  When all subscribers have
implemented the use of the new fields, the old fields will be deleted with
IB*2*518. New fields are noted in the field list detail of this ICR.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
DPT(D0,.31)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.3192 Both R/W w/Fileman COVERED BY HEALTH INSURANCE? .31;11
DPT(D0,.312,D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Both R/W w/Fileman INSURANCE TYPE 0;1
1 Both R/W w/Fileman
Note: IB*2*497 - replaced by SUBSCRIBER ID field (7.02)


*SUBSCRIBER ID 0;2
2 Both R/W w/Fileman GROUP NUMBER 0;3
3 Both R/W w/Fileman INSURANCE EXPIRATION DATE 0;4
6 Both R/W w/Fileman WHOSE INSURANCE 0;6
7 Both R/W w/Fileman RENEWAL DATE 0;7
8 Both R/W w/Fileman EFFECTIVE DATE OF POLICY 0;8
16 Both R/W w/Fileman PT. RELATIONSHIP TO INSURED 0;16
17 Read w/Fileman
Note: IB*2*497 - replaced by NAME OF INSURED field (7.01)


*NAME OF INSURED 0;17
This agreement also allows PDX to $O through the
insurance multiple.
DPT(D0,.312,D1,7)
FIELD NUMBER ACCESS FIELD NAME LOCATION
7.01 Read w/Fileman NAME OF INSURED 7;1
7.02 Both R/W w/Fileman SUBSCRIBER ID 7;2
STATUS Active
DURATION Till Otherwise Agreed
ID DPT(
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
PATIENT DATA EXCHANGE Oakland
DATE ACTIVATED 2014/02/21