Name | Value |
---|---|
NUMBER | 5293 |
IA # | 5293 |
FILE NUMBER | 355.3 |
GLOBAL ROOT | IBA(355.3 |
DATE CREATED | 2008/11/23 |
CUSTODIAL PACKAGE | INTEGRATED BILLING |
USAGE | Private |
TYPE | File |
DBIC APPROVAL STATUS | APPROVED |
NAME | GROUP INSURANCE PLAN ACCESS |
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 |
STATUS | Active |
DURATION | Till Otherwise Agreed |
ID | IBA(355.3 |
SUBSCRIBING PACKAGE | INSURANCE CAPTURE BUFFER |
DATE ACTIVATED | 2014/02/21 |