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DBIA3302 ICR (3302)

DBIA3302    ICR (3302)

Name Value
NUMBER 3302
IA # 3302
DATE CREATED 2001/01/31
CUSTODIAL PACKAGE INTEGRATED BILLING
CUSTODIAL ISC Albany
USAGE Controlled Subscription
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE IBCNBES1
NAME DBIA3302
GENERAL DESCRIPTION 
The ENROLLMENT APPLICATION SYSTEM (EAS) package
requests use of the function $$BUFF^IBCNBES1 to add new entries to the
INSURANCE BUFFER file (#355.33).

Update: IB*2*497 increased the length of the SUBSCRIBER ID field, NAME OF
INSURED field, and GROUP NUMBER 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 3 fields to new Data Dictionary nodes.

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.  Old and new fields are noted in the field list detail of this ICR.
STATUS Active
DURATION Till Otherwise Agreed
ID IBCNBES1
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION VARIABLES
$$BUFF 
This call adds new entries to the INSURANCE BUFFER
file (#355.33).

Returns 1 if all entries stored; returns 0 if any of the entries encountered
an error while filing.
VARIABLES TYPE VARIABLES DESCRIPTION
IBDATA Input 
Array to be passed by reference, contains Insurance
entries to be added to the INSURANCE BUFFER file (#355.33).

Medicare Only

Patient Name (DFN)      60.01
IBDATA("M","DFN")     pointer to #2
Source of Information   .03
IBDATA("M","SOURCE")
1 - Interview
Effective Date          60.02
IBDATA("M","PART A")
Effective Date          60.02
IBDATA("M","PART B")
Medicare HICN           60.04
IBDATA("M","HICN")
*Name of Insured         60.07
IBDATA("M","NAME")
Note: IB*2*497 - replaced by 91.01
Name of Insured          91.01
IBDATA("M","NAME")

Veteran's Insurance

Patient Name (DFN)      60.01
IBDATA(x,60.01)       pointer to #2
Source of Information   .03
IBDATA(x,.03)
1 - Interview
Whose Insurance         60.05
IBDATA(x,60.05)       'v' for Veteran
Pt. Relationship to     60.06
IBDATA(x,60.06)       '01' for Patient

Insured

Insurance Company Name  20.01
IBDATA(x,20.01)
*Name of Insured        60.07
IBDATA(x,60.07)
Note: IB*2*497 - replaced by 91.01
Name of Insured  91.01
IBDATA(x,91.01)
*Subscriber ID          60.04
IBDATA(x,60.04)
Note: IB*2*497 - replaced by 90.03
Subscriber ID           90.03
IBDATA(x,90.03)
*Group Number           40.03
IBDATA(x,40.03)
Note: IB*2*497 - replaced by 90.02
Group Number            90.02
IBDATA(x,90.02)

Spouse's Insurance

Patient Name (DFN)      60.01
IBDATA(x,60.01)       pointer to #2
Source of Information   .03
IBDATA(x,.03)
1 - Interview
Whose Insurance         60.05
IBDATA(x,60.05)       's' for Spouse
Pt. Relationship to     60.06
IBDATA(x,60.06)       '02' for Spouse

Insured

Insurance Company Name  20.01
IBDATA(x,20.01)
*Name of Insured        60.07
IBDATA(x,60.07)
Note: IB*2*497 - replaced by 91.01
Name of Insured         91.01
IBDATA(x,91.01)
*Subscriber ID          60.04
IBDATA(x,60.04)
Note: IB*2*497 - replaced by 90.03
Subscriber ID           90.03
IBDATA(x,90.03)
*Group Number           40.03
IBDATA(x,40.03)
Note: IB*2*497 - replaced by 90.02
Group Number            90.02
IBDATA(x,90.02)



The entries subscripted by X (w/X=1:1) are regular insurance entries. The
second level subscript contains the data to be filed in the buffer for a
particular insurance policy.  This second level subscript is the field number
of the data field in the INSURANCE BUFFER file (#355.33).  Source of
Information (.03) and Patient Name (60.01) are required.
IBDATA(x) Output 
IBDATA(x,"MESSAGE")
where X="M",1:1

A message node is added to the input array for each insurance company,
including Medicare.  This node will be either the IFN of the new entry in the
buffer file if filing was successful or 0^error message.
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC SUBSCRIBING DETAILS
ENROLLMENT APPLICATION SYSTEM Albany 
DBIA subscriber is ENROLLMENT APPLICATION SYSTEM (EAS),
Electronic 10-10EZ Processor module.
INSURANCE CAPTURE BUFFER 
ADDED JUNE 2009
DATE ACTIVATED 2014/02/21