| GENERAL DESCRIPTION |
Update: IB*2*497 increased the length of the GROUP NAME
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 2 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. New
fields are noted in the field list detail of this ICR.
DSIV requests access to file 355.3 GROUP INSURANCE PLAN to do the following
for its Insurance Capture Buffer (ICB) application:
As a pointer directly to ^DIC(355.3 in ICB AUDIT FILE file (#19625) - GROUP
PLAN IEN POINTER field (#4.14)
Also these usages:
^IBA(355.3,D0,0)
.01 INSURANCE COMPANY 0;1 Read w/FileMan
.02 IS THIS A GROUP POLICY? 0;2 Read w/FileMan
.03 *GROUP NAME 0;3 Read w/FileMan
Note: IB*2*497 - replaced by GROUP NAME field (2.01)
.04 *GROUP NUMBER 0;4 Read w/FileMan
Note: IB*2*497 - replaced by GROUP NUMBER field (2.02)
.05 IS UTILIZATION REVIEW REQUIRED 0;5 Read w/FileMan
.06 IS PRE-CERTIFICATION REQUIRED? 0;6 Read w/FileMan
.07 EXCLUDE PRE-EXISTING CONDITION 0;7 Read w/FileMan
.08 BENEFITS ASSIGNABLE? 0;8 Read w/FileMan
.09 TYPE OF PLAN 0;9 Read w/FileMan
.1 INDIVIDUAL POLICY PATIENT 0;10 Read w/FileMan
.11 INACTIVE 0;11 Read w/FileMan
.12 AMBULATORY CARE CERTIFICATION 0;12 Read w/FileMan
.13 PLAN FILING TIME FRAME 0;13 Read w/FileMan
.15 ELECTRONIC PLAN TYPE 0;15 Read w/FileMan
^IBA(355.3,D0,2)
2.01 GROUP NAME 2;1 Read w/FileMan
2.02 GROUP NUMBER 2;2 Read w/FileMan
^IBA(355.3,D0,6)
6.02 BANKING IDENTIFICATION NUMBER 6;2 Read w/FileMan
6.03 PROCESSOR CONTROL NUMBER 6;3 Read w/FileMan
^IBA(355.3,D0,11,D1,0)
.01 COMMENTS (WP) 0;1 FileMan read/write
|