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DBIA426 ICR (426)

DBIA426    ICR (426)

Name Value
NUMBER 426
IA # 426
FILE NUMBER 2
GLOBAL ROOT DPT(
DATE CREATED 1994/04/05
CUSTODIAL PACKAGE REGISTRATION
CUSTODIAL ISC Albany
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA426
ORIGINAL NUMBER 426
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER
DPT(D0,.11)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.111 Direct Global R/W & w/Fileman 
Printed on screens and bills
STREET ADDRESS [LINE 1] .11;1
.112 Direct Global R/W & w/Fileman 
Printed on screens and bills
STREET ADDRESS [LINE 2] .11;2
.113 Direct Global R/W & w/Fileman 
Printed on screens and bills
STREET ADDRESS [LINE 3] .11;3
.114 Direct Global R/W & w/Fileman 
Printed on screens and bills
CITY .11;4
.115 Direct Global R/W & w/Fileman 
Printed on screens and bills
STATE .11;5
.1112 Direct Global R/W & w/Fileman 
Printed on screens and bills
ZIP+4 .11;12
.117 Write w/Fileman COUNTY .11;7
DPT(D0,.13)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.131 Direct Global R/W & w/Fileman 
Printed on screens and bills
PHONE NUMBER [RESIDENCE] .13;1
.132 Direct Global R/W & w/Fileman 
Printed on screens and bills
PHONE NUMBER [WORK] .13;2
DPT(D0,.121)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.12105 Direct Global R/W & w/Fileman 
Used to determine if the patient's temporary address
should be used on screens and bills.
TEMPORARY ADDRESS ACTIVE? .121;9
.1215 Direct Global R/W & w/Fileman 
Used as an indicator that the temporary address exists.
TEMPORARY STATE .121;5
.1211 Write w/Fileman TEMPORARY STREET [LINE 1] .121;1
.1212 Write w/Fileman TEMPORARY STREET [LINE 2] .121;2
.1213 Write w/Fileman TEMPORARY STREET [LINE 3] .121;3
.1214 Write w/Fileman TEMPORARY CITY .121;4
.1217 Write w/Fileman TEMPORARY ADDRESS START DATE .121;7
.1218 Write w/Fileman TEMPORARY ADDRESS END DATE .121;8
.12112 Write w/Fileman TEMPORARY ZIP+4 .121;12
DPT(D0,.22)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.2205 Direct Global R/W & w/Fileman 
Printed on screens and bills
EMPLOYER ZIP+4 .22;5
.2206 Direct Global R/W & w/Fileman 
Printed on screens and bills
SPOUSE'S EMP ZIP+4 .22;5
DPT(D0,.25)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.251 Direct Global R/W & w/Fileman 
Printed on screens and bills
SPOUSE'S EMPLOYER .25;1
.252 Direct Global R/W & w/Fileman 
Printed on screens and bills
SPOUSE'S EMP STREET [LINE 1] 25;2
.256 Direct Global R/W & w/Fileman 
Printed on screens and bills
SPOUSE'S EMPLOYER'S STATE 25;6
.258 Direct Global R/W & w/Fileman 
Displayed on screens.
SPOUSE'S EMP PHONE NUMBER 25;8
.253 Write w/Fileman SPOUSE'S EMP STREET [LINE W] .25;3
.254 Write w/Fileman SPOUSE'S EMP STREET [LINE 3] .25;4
.255 Write w/Fileman SPOUSE'S EMPLOYER CITY .25;5
DPT(D0,.3)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.301 Direct Global Read & w/Fileman 
Used to determine whether to check for SC related
movements for claims.
SERVICE CONNECTED? 3;1
DPT(D0,.311)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.3111 Direct Global R/W & w/Fileman 
Printed on screens and bills
EMPLOYER NAME .311;1
.31115 Direct Global R/W & w/Fileman 
Printed on screens, and used to determine whether
employer data is printed on a claim.
EMPLOYMENT STATUS .311;15
.3116 Direct Global R/W & w/Fileman 
Printed on screens and bills
EMPLOYER CITY .311;6
.3117 Direct Global R/W & w/Fileman 
Printed on screens and bills
EMPLOYER STATE .311;7
.3119 Direct Global R/W & w/Fileman 
Displayed on screens
EMPLOYER PHONE NUMBER .311;9
.3113 Write w/Fileman EMPLOYER STREET [LINE 1] .311;3
.3114 Write w/Fileman EMPLOYER STREET [LINE 2] .311;4
.3115 Write w/Fileman EMPLOYER STREET [LINE 3] .311;5
DPT(D0,.36)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.361 Direct Global R/W & w/Fileman 
This code is printed on several reports.
PRIMARY ELIGIBILITY CODE .36;1
DPT(D0,.361)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.3611 Direct Global Read & w/Fileman 
This status is used to determine if a HINQ request should
be made.
ELIGIBILITY STATUS .361;1
DPT(D0,.01,D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Direct Global Read & w/Fileman 
Displayed on screens.
ALIAS 0;1
1 Write w/Fileman ALIAS SSN 0;2
DPT(D0,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.02 Write w/Fileman SEX 0;2
.03 Write w/Fileman DATE OF BIRTH 0;3
.05 Write w/Fileman MARITAL STATUS 0;5
.07 Write w/Fileman OCCUPATION 0;7
DPT(D0,'VET')
FIELD NUMBER ACCESS FIELD NAME LOCATION
1901 Write w/Fileman VETERAN (Y/N)? VET;1
DPT(D0,DIS,D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
3 Direct Global Read & w/Fileman 
Used to place registration on correct report when
printing by division.
FACILITY APPLYING TO 0;4
DPT(D0,DIS,D1,2)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
20 Direct Global Read & w/Fileman 
Used to determine if the registration may be claimed as a
Worker's Compensation case.
NEED RELATED TO OCCUPATION 2;1
23 Direct Global Read & w/Fileman 
Used to determine if the registration may be claimed as a
Tort Feasor case.
NEED RELATED TO AN ACCIDENT 2;4
DPT(D0
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.001 Direct Global Read & w/Fileman 
This global reference defines direct global access to the
internal entry number of each entry in file #2.  A full file scan of all
entries in file #2 is required to find all patients who were entered into the
file (using field #.097, DATE ENTERED INTO FILE) within a user-specified date
range.
NUMBER ENTRY IEN
DPT(D0,.38)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.381 Read w/Fileman 
This field is displayed on the First Party Follow-Up
Report [IBJD FOLLOW-UP FIRST PARTY] so that the Accounts Receivable clerk
conducting follow-up activities knows that the patient has been covered under
Medicaid.
ELIGIBLE FOR MEDICAID? .38;1
STATUS Active
DURATION Till Otherwise Agreed
ID DPT(
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
INTEGRATED BILLING Albany