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INSURANCE REVIEW ACCESS ICR (5340)

INSURANCE REVIEW ACCESS    ICR (5340)

Name Value
NUMBER 5340
IA # 5340
FILE NUMBER 356.2
GLOBAL ROOT IBT(356.2
DATE CREATED 2009/01/12
CUSTODIAL PACKAGE INTEGRATED BILLING
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME INSURANCE REVIEW ACCESS
GENERAL DESCRIPTION
The DSIV package is requesting FileMan read/write
access to file #356.2 INSURANCE REVIEW for the Insurance Capture Buffer
application in order to add and edit entries.

^IBT(356.2,D0,0)
.01  REVIEW DATE                    0;1  FileMan read/write
.01  REVIEW DATE                    0;1  Laygo new entry into file
.02  TRACKING ID                    0;2  FileMan read/write
.03  RELATED REVIEW                 0;3  FileMan read/write
.04  TYPE OF CONTACT                0;4  FileMan read/write
.05  PATIENT                        0;5  FileMan read/write
.06  PERSON CONTACTED               0;6  FileMan read/write
.07  CONTACT PHONE #                0;7  FileMan read/write
.08  INSURANCE COMPANY CONTACTED    0;8  FileMan read/write
.1   APPEAL STATUS                  0;10 FileMan read/write
.11  ACTION                         0;11 FileMan read/write
.12  CARE AUTHORIZED FROM           0;12 FileMan read/write
.13  CARE AUTHORIZED TO             0;13 FileMan read/write
.14  DIAGNOSIS AUTHORIZED           0;14 FileMan read/write
.15  DATES OF DENIAL FROM           0;15 FileMan read/write
.16  DATES OF DENIAL TO             0;16 FileMan read/write
.17  METHOD OF CONTACT              0;17 FileMan read/write
.18  PARENT REVIEW                  0;18 FileMan read/write
.19  REVIEW STATUS                  0;19 FileMan read/write
.2   CASE PENDING                   0;20 FileMan read/write
.21  NO COVERAGE                    0;21 FileMan read/write
.22  FOLLOW-UP WITH APPEAL          0;22 FileMan read/write
.23  TYPE OF APPEAL                 0;23 FileMan read/write
.24  NEXT REVIEW DATE               0;24 FileMan read/write
.25  NUMBER OF DAYS PENDING APPEAL  0;25 FileMan read/write
.26  OUTPATIENT TREATMENT           0;26 FileMan read/write
.27  TREATMENT AUTHORIZED           0;27 FileMan read/write
.29  FINAL OUTCOME OF APPEAL        0;29 FileMan read/write
^IBT(356.2,D0,1)
1.01 DATE ENTERED                   1;1  FileMan read/write
1.02 ENTERED BY                     1;2  FileMan read/write
1.03 DATE LAST EDITED               1;3  FileMan read/write
1.04 LAST EDITED BY                 1;4  FileMan read/write
1.05 HEALTH INSURANCE POLICY        1;5  FileMan read/write
1.07 DENY ENTIRE ADMISSION          1;7  FileMan read/write
1.08 AUTHORIZE ENTIRE ADMISSION     1;8  FileMan read/write
^IBT(356.2,D0,2)
2.01 CALL REFERENCE NUMBER          2;1  FileMan read/write
2.02 AUTHORIZATION NUMBER           2;2  FileMan read/write
^IBT(356.2,D0,11,D1,0)
.01  COMMENTS                       0;1  FileMan read/write
^IBT(356.2,D0,12,D1,0)
.01  REASONS FOR DENIAL             0;1  FileMan read/write
^IBT(356.2,D0,13,D1,0)
.01  PENALTY                        0;1  FileMan read/write
.02  AMOUNT OF PENALTY              0;2  FileMan read/write
^IBT(356.2,D0,14,D1,0)
.01  APPROVE ON APPEAL FROM         0;1  FileMan read/write
.02  APPROVE ON APPEAL TO           0;2  FileMan read/write
STATUS Active
DURATION Till Otherwise Agreed
ID IBT(356.2
SUBSCRIBING PACKAGE INSURANCE CAPTURE BUFFER
CREATOR CLARK,KAREN Y
DBA Comments
3/22/13 DT: This private agreement will change as follows:
IB*2*458 is making changes to the INSURANCE REVIEW (#356.2) file: .09 CALL
REFERENCE NUMBER (0,9) is being inactivated and will no longer be used.  .28
AUTHORIZATION NUMBER (0,28) is being inactivated and will no longer be used.

Two new fields added to replace to inactivated fields.

2.01  CALL REFERENCE NUMBER (2,1) 2.02  AUTHORIZATION NUMBER (2,2)

ICB is changing their application to use the new fields in DSIV*2.2*8.  ICR
5340 needs to be modified to remove fields .09 and .28 and add fields 2.01 and
2.02 (see edits below).  Also, the node 1 data fields incorrectly say 0;n -
these should be changed to the correct node.

03/22/13 DT: Activate. IB*2*458 and DSIV*2.2*8 will use these changes, planned
release is 6/27/2013.
EDITOR CLARK,KAREN Y
DATE ACTIVATED 2013/03/22
DATE/TIME EDITED
DATE/TIME EDITED ACTION AT THE REQUEST OF WITH CONCURRENCE OF
2009/06/11 08:27 APPROVED CLARK,KAREN HARPER,AMY
2013/03/22 11:28 DEACTIVATED FOR EDITS CLARK,KAREN HARPER,AMY
2013/03/22 12:26 APPROVED CLARK,KAREN HARPER,AMY
Generated from SEP 10, 2019@ IA Listing Descriptions