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DBIA950 ICR (950)

DBIA950    ICR (950)

Name Value
NUMBER 950
IA # 950
FILE NUMBER 2
GLOBAL ROOT DPT(
DATE CREATED 1994/08/19
CUSTODIAL PACKAGE INTEGRATED BILLING
CUSTODIAL ISC Albany
USAGE Controlled Subscription
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA950
GENERAL DESCRIPTION
IVM files patient insurance information into DHCP which
has been received from the IVM Center.  The patient policy is filed in the
PATIENT (#2) file.

Update: IB*2*497 increased the length of the SUBSCRIBER ID field and the NAME
OF INSURED 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 in the INSURANCE TYPE
sub-file.  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 a
IB*2*518. Old and new fields are noted in the field list detail of this ICR.
GLOBAL REFERENCE
GLOBAL REFERENCE FIELD NUMBER GLOBAL DESCRIPTION
DPT(D0,.31)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.3192 Direct Global Read & w/Fileman
The value of this field is needed as input to the call
COVERED^IBCNSM31, which then possibly updates this field.
COVERED BY HEALTH INSURANCE? .31;11
DPT(D0,.312,D1,0)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
.01 Write w/Fileman
This is the insurance company for the new policy.
INSURANCE TYPE 0;1
.18 Write w/Fileman
This a pointer to the group plan in file #355.3.
GROUP PLAN 0;18
1 Write w/Fileman
This field identifies the patient to the insurance
company.  Note: IB*2*497 - replaced by SUBSCRIBER ID field (7.02)


*SUBSCRIBER ID 0;2
3 Write w/Fileman
This is the expiration date of the policy.
INSURANCE EXPIRATION DATE 0;4
6 Write w/Fileman
This field identifies who actually holds the policy.
WHOSE INSURANCE 0;6
8 Write w/Fileman
This is the effective date of the policy.
EFFECTIVE DATE OF POLICY 0;8
17 Write w/Fileman
This field contains the name of the person to which the
policy was issued.  Note: IB*2*497 - replaced by NAME OF INSURED field (7.01)


*NAME OF INSURED 0;17
These are essential data elements which must be filed
with the policy.
DPT(D0,.312,D1,1)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
1.05 Write w/Fileman
This is the date that the policy was last edited.
DATE LAST EDITED 1;5
1.06 Write w/Fileman
This is the user who last edited the policy.
LAST EDITED BY 1;6
1.09 Write w/Fileman
This is the source of the policy.  This value will always
be IVM.
SOURCE OF INFORMATION 1;9
These are essential data elements which must be filed
with the policy.
DPT(D0,.312,D1,7)
FIELD NUMBER ACCESS FIELD DESCRIPTION FIELD NAME LOCATION
7.01 Write w/Fileman
This field contains the name of the person to which the
policy was issued.


NAME OF INSURED 7;1
7.02 Write w/Fileman
This field identifies the patient to the insurance
company.


SUBSCRIBER ID 7;2
STATUS Active
DURATION Till Otherwise Agreed
ID DPT(
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
INCOME VERIFICATION MATCH Albany
DATE ACTIVATED 2014/02/21