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INSURANCE CO AND PROVIDER ID ICR (4960)

INSURANCE CO AND PROVIDER ID    ICR (4960)

Name Value
NUMBER 4960
IA # 4960
FILE NUMBER 355.9
GLOBAL ROOT IBA(355.9
CUSTODIAL PACKAGE INTEGRATED BILLING
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME INSURANCE CO AND PROVIDER ID
GENERAL DESCRIPTION 
The NPI Extract needs to extract the INSURANCE CO and
PROVIDER ID from the IB BILLING PRACTITIONER ID file (#355.9). This is a
read-only action and does not modify any fields in the file.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
IBA(355.9,D0
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.02 Direct Global Read & w/Fileman 
Pointer to the INSURANCE COMPANY file(#36). This is the
insurance company that has assigned a specific ID to the provider. If this
data is not entered, the ID number will be assumed to apply to all insurance
companies for the provider.
INSURANCE CO 0;2
.07 Direct Global Read & w/Fileman 
The provider ID that will be used for a claim when all
criteria defined on the record have been met.
PROVIDER ID 0;7 
The IBA(355.9 global contains one record for each unique
billing provider ID number that an individual provider (practitioner) is
assigned by an insurance company or by a licensing or government entity.
IBA(355.9,B,PRACTITIONER,IEN) 
Uses B x-ref to get IEN for given practitioner
STATUS Active
KEYWORDS
  • NPI
  • Extract
  • practitioner
  • ID
DURATION Till Otherwise Agreed
ID IBA(355.9
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE SUBSCRIBING DETAILS
KERNEL 
The NPI Extract extracts IB billing practitioner data
during its run. The extract was developed as part of the HIPAA NPI project.
The INSURANCE CO and PROVIDER ID need to be extracted and included as part of
the NPI Extract process.
DATE ACTIVATED 2007/02/01