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INSURANCE REVIEW ACCESS ICR (5340)

INSURANCE REVIEW ACCESS    ICR (5340)

Name Value
NUMBER 5340
IA # 5340
FILE NUMBER 356.2
GLOBAL ROOT IBT(356.2
DATE CREATED 2009/01/12
CUSTODIAL PACKAGE INTEGRATED BILLING
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME INSURANCE REVIEW ACCESS
GENERAL DESCRIPTION
The DSIV package is requesting FileMan read/write
access to file #356.2 INSURANCE REVIEW for the Insurance Capture Buffer
application in order to add and edit entries.

^IBT(356.2,D0,0)
.01  REVIEW DATE                    0;1  FileMan read/write
.01  REVIEW DATE                    0;1  Laygo new entry into file
.02  TRACKING ID                    0;2  FileMan read/write
.03  RELATED REVIEW                 0;3  FileMan read/write
.04  TYPE OF CONTACT                0;4  FileMan read/write
.05  PATIENT                        0;5  FileMan read/write
.06  PERSON CONTACTED               0;6  FileMan read/write
.07  CONTACT PHONE #                0;7  FileMan read/write
.08  INSURANCE COMPANY CONTACTED    0;8  FileMan read/write
.1   APPEAL STATUS                  0;10 FileMan read/write
.11  ACTION                         0;11 FileMan read/write
.12  CARE AUTHORIZED FROM           0;12 FileMan read/write
.13  CARE AUTHORIZED TO             0;13 FileMan read/write
.14  DIAGNOSIS AUTHORIZED           0;14 FileMan read/write
.15  DATES OF DENIAL FROM           0;15 FileMan read/write
.16  DATES OF DENIAL TO             0;16 FileMan read/write
.17  METHOD OF CONTACT              0;17 FileMan read/write
.18  PARENT REVIEW                  0;18 FileMan read/write
.19  REVIEW STATUS                  0;19 FileMan read/write
.2   CASE PENDING                   0;20 FileMan read/write
.21  NO COVERAGE                    0;21 FileMan read/write
.22  FOLLOW-UP WITH APPEAL          0;22 FileMan read/write
.23  TYPE OF APPEAL                 0;23 FileMan read/write
.24  NEXT REVIEW DATE               0;24 FileMan read/write
.25  NUMBER OF DAYS PENDING APPEAL  0;25 FileMan read/write
.26  OUTPATIENT TREATMENT           0;26 FileMan read/write
.27  TREATMENT AUTHORIZED           0;27 FileMan read/write
.29  FINAL OUTCOME OF APPEAL        0;29 FileMan read/write
^IBT(356.2,D0,1)
1.01 DATE ENTERED                   1;1  FileMan read/write
1.02 ENTERED BY                     1;2  FileMan read/write
1.03 DATE LAST EDITED               1;3  FileMan read/write
1.04 LAST EDITED BY                 1;4  FileMan read/write
1.05 HEALTH INSURANCE POLICY        1;5  FileMan read/write
1.07 DENY ENTIRE ADMISSION          1;7  FileMan read/write
1.08 AUTHORIZE ENTIRE ADMISSION     1;8  FileMan read/write
^IBT(356.2,D0,2)
2.01 CALL REFERENCE NUMBER          2;1  FileMan read/write
2.02 AUTHORIZATION NUMBER           2;2  FileMan read/write
^IBT(356.2,D0,11,D1,0)
.01  COMMENTS                       0;1  FileMan read/write
^IBT(356.2,D0,12,D1,0)
.01  REASONS FOR DENIAL             0;1  FileMan read/write
^IBT(356.2,D0,13,D1,0)
.01  PENALTY                        0;1  FileMan read/write
.02  AMOUNT OF PENALTY              0;2  FileMan read/write
^IBT(356.2,D0,14,D1,0)
.01  APPROVE ON APPEAL FROM         0;1  FileMan read/write
.02  APPROVE ON APPEAL TO           0;2  FileMan read/write
STATUS Active
DURATION Till Otherwise Agreed
ID IBT(356.2
SUBSCRIBING PACKAGE INSURANCE CAPTURE BUFFER
DATE ACTIVATED 2013/03/22