| GENERAL DESCRIPTION |
RAI/MDS has requested Integrated Billing add cross
references to 5 Insurance Type (#2.312) fields to monitor changes to the
patient's insurance data. Execution of the cross reference will result in an
entry in the ADT/HL7 PIVOT file (#391.71) and mark it as requiring
transmission of an HL7 demographic A08 update message to the COTS interface.
The local variable DGRUGA08 will be set to 1 if the cross reference is not to
be executed as part of a re-indexing.
Update: IB*2*497 increased the length of the SUBSCRIBER ID 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 this field to a new
Data Dictionary node 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. The ADGRU cross- reference cannot be
implemented at the new field (2.312, 7.02) until the old field (2.312, 1) has
been deleted. Therefore rather than IB*2*497, IB*2*518 will need to implement
the ADGRU cross-reference at the new field and delete ADGRU cross-reference at
the old field. The old and new field are noted in the field list detail of
this ICR.
Fields cross-referenced in the Patient File Insurance Type multiple:
2.312, .01 Insurance Type (x-ref #1)
2.312, .18 Group Plan (x-ref #1)
2.312, 1 *Subscriber ID (x-ref #1)
Note: IB*2*497 - replaced by SUBSCRIBER ID field (7.02)
2.312, 7.02 Subscriber ID (x-ref to be determined by IB*2*518)
2.312, 3 Insurance Expiration Date (x-ref #1)
2.312, 8 Effective Date of Policy (x-ref #1)
The following cross reference is added to all 5 fields:
CROSS-REFERENCE: ADGRUxx
TYPE: MUMPS
SET: D:($T(ADGRU^DGRUDD01)'="") ADGRU^DGRUDD01(DA(1))
KILL: D:($T(ADGRU^DGRUDD01)'="") ADGRU^DGRUDD01(DA(1))
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