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LIGHTHOUSE GROUP INSURANCE PLAN ICR ICR (7304)

LIGHTHOUSE GROUP INSURANCE PLAN ICR    ICR (7304)

Name Value
NUMBER 7304
IA # 7304
FILE NUMBER 355.3
GLOBAL ROOT IBA(355.3,
DATE CREATED 2021/10/15
CUSTODIAL PACKAGE INTEGRATED BILLING
USAGE Private
TYPE File
NAME LIGHTHOUSE GROUP INSURANCE PLAN ICR
GENERAL DESCRIPTION 
Lighthouse requires access to the GROUP INSURANCE PLAN
file #355.3 to support the AMCMS/WellHive Insurance Capture initiative.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER
IBA(355.3,D0,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Both R/W w/Fileman INSURANCE COMPANY 0;1
.02 Both R/W w/Fileman IS THIS A GROUP POLICY 0;2
.05 Both R/W w/Fileman IS UTILIZATION REVIEW REQUIRED 0;5
.06 Both R/W w/Fileman IS PRE-CERTIFICATION REQUIRED? 0;7
.08 Both R/W w/Fileman BENEFITS ASSIGNABLE? 0;8
.09 Both R/W w/Fileman TYPE OF PLAN 0;9
.1 Both R/W w/Fileman INDIVIDUAL POLICY PATIENT 0;10
.11 Read w/Fileman INACTIVE 0;11
.12 Both R/W w/Fileman AMBULATORY CARE CERTIFICATION 0;12
.13 Both R/W w/Fileman PLAN FILING TIME FRAME 0;13
.14 Both R/W w/Fileman PLAN CATEGORY 0;14
.15 Both R/W w/Fileman ELECTRONIC PLAN TYPE 0;15
.16 Both R/W w/Fileman PLAN STANDARD FTF 0;16
.17 Both R/W w/Fileman PLAN STANDARD FTF VALUE 0;17
IBA(355.3,D0,1)
FIELD NUMBER ACCESS FIELD NAME LOCATION
1.03 Write w/Fileman DATE LAST VERIFIED 1;3
1.04 Write w/Fileman VERIFIED BY 1;4
1.05 Write w/Fileman DATE LAST EDITED 1;5
1.06 Write w/Fileman LAST EDITED BY 1;6
IBA(355.3,D0,2)
FIELD NUMBER ACCESS FIELD NAME LOCATION
2.01 Both R/W w/Fileman GROUP NAME 2;1
2.02 Both R/W w/Fileman GROUP NUMBER 2;2
IBA(355.3,D0,6)
FIELD NUMBER ACCESS FIELD NAME LOCATION
6.01 Both R/W w/Fileman PLAN ID 6;1
6.02 Both R/W w/Fileman BANKING IDENTIFICATION NUMBER 6;2
6.03 Both R/W w/Fileman PROCESSOR CONTROL NUMBER 6;3
IBA(355.3,D0,11,D1,0)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.01 Both R/W w/Fileman COMMENTS 0;1
STATUS Withdrawn
DURATION Till Otherwise Agreed
ID IBA(355.3,
SUBSCRIBING PACKAGE LIGHTHOUSE