Name | Value |
---|---|
NUMBER | 5294 |
IA # | 5294 |
FILE NUMBER | 355.33 |
GLOBAL ROOT | IBA(355.33 |
DATE CREATED | 2008/11/23 |
CUSTODIAL PACKAGE | INTEGRATED BILLING |
USAGE | Private |
TYPE | File |
DBIC APPROVAL STATUS | APPROVED |
NAME | INSURANCE BUFFER FILE ACCESS |
GENERAL DESCRIPTION | Update: IB*2*497 increased the length of the SUBSCRIBER ID field, NAME OF INSURED field, 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 4 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 patch. New fields are noted in the field list detail of this ICR. DSIV requests access to file 355.33 INSURANCE BUFFER to do the following for its Insurance Capture Buffer (ICB) application to add/edit entries. ^IBA(355.33,D0,0) .01 DATE ENTERED 0;1 FileMan read/write .01 DATE ENTERED 0;1 Laygo new entry into file .02 ENTERED BY 0;2 FileMan read/write .03 SOURCE OF INFORMATION 0;3 FileMan read/write .04 STATUS 0;4 FileMan read .05 DATE PROCESSED 0;5 FileMan r,Direct Global r .06 PROCESSED BY 0;6 FileMan read .07 NEW COMPANY 0;7 FileMan read/write .08 NEW GROUP/PLAN 0;8 FileMan read/write .09 NEW POLICY 0;9 FileMan read/write .1 DATE VERIFIED 0;10 FileMan read/write .11 VERIFIED BY 0;11 FileMan read/write .12 IIV STATUS 0;12 FileMan read/write .13 OVERRIDE FRESHNESS FLAG 0;13 FileMan read .14 REMOTE LOCATION 0;14 FileMan read .15 IIV PROCESSED DATE 0;15 FileMan read .17 BPS RESPONSE 0;17 FileMan read ^IBA(355.33,D0,20) 20.01 INSURANCE COMPANY NAME 20;1 FileMan read/write 20.02 PHONE NUMBER 20;2 FileMan read/write 20.03 BILLING PHONE NUMBER 20;3 FileMan read/write 20.04 PRECERTIFICATION PHONE NUMBER 20;4 FileMan read/write 20.05 REIMBURSE? 20;5 FileMan read/write ^IBA(355.33,D0,21) 21.01 STREET ADDRESS [LINE 1] 21;1 FileMan read/write 21.02 STREET ADDRESS [LINE 2] 21;2 FileMan read/write 21.03 STREET ADDRESS [LINE 3] 21;3 FileMan read/write 21.04 CITY 21;4 FileMan read/write 21.05 STATE 21;5 FileMan read/write 21.06 ZIP CODE 21;6 FileMan read/write ^IBA(355.33,D0,40) 40.01 IS THIS A GROUP POLICY? 40;1 FileMan read/write 40.02 *GROUP NAME 40;2 FileMan read/write Note: IB*2*497 - replaced by field 90.01 40.03 *GROUP NUMBER 40;3 FileMan read/write Note: IB*2*497 - replaced by field 90.02 40.04 UTILITZATION REVIEW REQUIRED 40;4 FileMan read/write 40.05 PRECERTIFICATION REQUIRED 40;5 FileMan read/write 40.06 AMBULATORY CARE CERTIFICATION 40;6 FileMan read/write 40.07 EXCLUDE PREEXISTING CONDITION 40;7 FileMan read/write 40.08 BENEFITS ASSIGNABLE 40;8 FileMan read/write 40.09 TYPE OF PLAN 40;9 FileMan read/write 40.1 BANKING IDENTIFICATION NUMBER 40;10 FileMan read/write 40.11 PROCESSOR CONTROL NUMBER (PCN) 40;11 FileMan read/write ^IBA(355.33,D0,60) 60.01 PATIENT NAME 60;1 FileMan read/write 60.02 EFFECTIVE DATE 60;2 FileMan read/write 60.03 EXPIRATION DATE 60;3 FileMan read/write 60.04 *SUBSCRIBER ID 60;4 FileMan read/write Note: IB*2*497 - replaced by field 90.03 60.05 WHOSE INSURANCE 60;5 FileMan read/write 60.06 PT. RELATIONSHIP TO INSURED 60;6 FileMan read/write 60.07 *NAME OF INSURED 60;7 FileMan read/write Note: IB*2*497 - replaced by field 91.01 60.08 INSURED'S DOB 60;8 FileMan read/write 60.09 INSURED'S SSN 60;9 FileMan read/write 60.1 PRIMARY CARE PROVIDER 60;10 FileMan read/write 60.11 PRIMARY PROVIDER PHONE 60;11 FileMan read/write 60.12 COORDINATION OF BENEFITS 60;12 FileMan read/write 60.13 INSURED'S SEX 60;13 FileMan read/write 60.14 PT. RELATIONSHIP - HIPAA 60;14 FileMan read/write ^IBA(355.33,D0,61) 61.01 ESGHP? 61;1 FileMan read/write 61.02 SPONSORING EMPLOYER NAME 61;2 FileMan read/write 61.03 EMPLOYMENT STATUS 61;3 FileMan read/write 61.04 RETIREMENT DATE 61;4 FileMan read/write 61.05 SEND BILL TO EMPLOYER 61;5 FileMan read/write 61.06 EMPLOYER CLAIMS STREET LINE 1 61;6 FileMan read/write 61.07 EMPLOYER CLAIMS STREET LINE 2 61;7 FileMan read/write 61.08 EMPLOYER CLAIMS STREET LINE 3 61;8 FileMan read/write 61.09 EMPLOYER CLAIMS CITY 61;9 FileMan read/write 61.1 EMPLOYER CLAIMS STATE 61;10 FileMan read/write 61.11 EMPLOYER CLAIMS ZIP CODE 61;11 FileMan read/write 61.12 EMPLOYER CLAIMS PHONE NUMBER 61;12 FileMan read/write ^IBA(355.33,D0,62) 62.01 PATIENT ID 62;1 FileMan read/write ^IBA(355.33,D0,90) 90.01 GROUP NAME 90;1 FileMan read/write 90.02 GROUP NUMBER 90;2 FileMan read/write 90.03 SUBSCRIBER ID 90;3 FileMan read/write ^IBA(355.33,D0,91) 91.01 NAME OF INSURED 91;1 FileMan read/write "C" cross reference (Patient) Direct Global read "AEST" cross reference (Status) Direct Global read by Date Entered "E" entries |
STATUS | Active |
DURATION | Till Otherwise Agreed |
ID | IBA(355.33 |
SUBSCRIBING PACKAGE | INSURANCE CAPTURE BUFFER |
DATE ACTIVATED | 2014/02/21 |