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DBIA949 ICR (949)

DBIA949    ICR (949)

Name Value
NUMBER 949
IA # 949
FILE NUMBER 36
GLOBAL ROOT DIC(36,
DATE CREATED 1994/08/19
CUSTODIAL PACKAGE INTEGRATED BILLING
CUSTODIAL ISC Albany
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA949
GENERAL DESCRIPTION
IVM files patient insurance information into DHCP which
has been received from the IVM Center.  To file a complete policy, it may be
necessary to add entries to the INSURANCE COMPANY (#36) file.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
DIC(36,D0,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Write w/Fileman
It may be necessary to add a new insurance company when
filing a new patient policy.
NAME 0;1
DIC(36,D0,.11)
FIELD NUMBER ACCESS FIELD NAME LOCATION
.111 Write w/Fileman STREET ADDRESS [LINE 1] .11;1
.112 Write w/Fileman STREET ADDRESS [LINE 2] .11;2
.114 Write w/Fileman CITY .11;4
.115 Write w/Fileman STATE .11;5
.116 Write w/Fileman ZIP CODE .11;6
Update of the insurance company address.
DIC(36,D0,.13)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.131 Write w/Fileman
Update of the insurance company phone number.
PHONE NUMBER .13;1
STATUS Active
DURATION Till Otherwise Agreed
ID DIC(36,
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
INCOME VERIFICATION MATCH Albany