DBIA950 ICR (950)

Name

Value

NUMBER

950

IA #

950

FILE NUMBER

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

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: IB2497 - 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: IB2497 - 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

DPT(

SUBSCRIBING PACKAGE

SUBSCRIBING PACKAGE	ISC
INCOME VERIFICATION MATCH	Albany

DATE ACTIVATED

2014/02/21