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VA Code in Flight Submission - Integrated Billing Patches (IB*2*516 and IB*2*517)
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11061
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 03-18-2015.
Integrated Billing patch IB*2*516 introduces changes to VistA's Electronic Claims processing in order to meet the Committee on Operating Rules for Information Exchange (CORE) Operating Rules.

Integrated Billing patch IB*2*517 provides the capability to send and receive X12N 5010 Health Care Services Review - Request for Review and Response transactions (278X217) in addition to X12N 5010 Health Care Services Review - Inquiry and Response transactions (278X215) for the purpose of obtaining referral certification and authorization numbers. The numbers will then be used by IB personnel when creating claims for reimbursement from third-party payers.

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