$TXT Created by CARPENTER,KEVIN at CARVDD.FO-ALBANY.MED.VA.GOV (KIDS) on Friday, 07/08/11 at 10:18 ============================================================================= Run Date: AUG 26, 2011 Designation: IB*2*438 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #417 Status: Released Compliance Date: SEP 26, 2011 ============================================================================= Associated patches: (v)IB*2*399 <<= must be installed BEFORE `IB*2*438' (v)IB*2*416 <<= must be installed BEFORE `IB*2*438' (v)IB*2*444 <<= must be installed BEFORE `IB*2*438' Subject: E-IV ENHANCEMENTS - PHASE 3 ITERATION 2 Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch contains electronic insurance verification (eIV) enhancements, which allows VistA to fully comply with Health Insurance Portability and Accountability Act (HIPAA) guidelines by allowing the generation of service type specific transactions. It will also further enhance the eIV process by modifying existing reports and providing new notification for tracking payer links. This patch also includes real-time insurance verification functionality and changes to eIV inquiries and responses designed to accommodate for transmission of extra information and improved error handling. Complete list of patch items: 1. Eligibility inquiry and response messages are now compliant with HIPAA 5010 X12 electronic transaction standards. 2. Inquiries may now be sent for multiple service codes, specified by user. Responses also include multiple service codes. The selection of service codes is now available in the following options: MCCR Site Parameter Display/Edit [IBJ MCCR SITE PARAMETERS] Request Electronic Insurance Inquiry [IBCNE REQUEST INQUIRY] 3. More detailed error information and information about insurance related dates are now available in the eIV Response Report [IBCNE IIV RESPONSE REPORT] option. 4. Address information now includes country code and country sub-division code for all addresses received in the eligibility/benefit response message. 5. Additional qualifiers for various pieces of data have been added. 6. Automatic periodic check for unlinked/locally inactive payers has been added that sends reminders via Mailman messages to make necessary changes to payer maintenance. 7. Real-time insurance verification functionality is now available. Verification inquiries will be generated and transmitted right after the creation of insurance buffer entry. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- 20080221 - eIV Phase 3 Iteration 2 This patch addresses the following Remedy Tickets: -------------------------------------------------- There are no Remedy tickets associated with this patch. Components Sent With Patch -------------------------- The following is a list of files included in this patch: UP SEND DATA DATE SEC. COMES SITE RSLV FILE # NAME DD CODE W/FILE DATA PTS ------------------------------------------------------------------- 2 PATIENT YES YES NO 350.9 IB SITE PARAMETERS YES YES NO 353.1 PLACE OF SERVICE YES YES YES OVER NO 355.33 INSURANCE BUFFER YES YES NO 365 IIV RESPONSE YES YES NO 365.1 IIV TRANSMISSION QUEUE YES YES NO 365.013 X12 271 SERVICE TYPE YES YES YES OVER NO 365.016 X12 271 QUANTITY QUALIFIER YES YES YES OVER NO 365.021 X12 271 CONTACT QUALIFIER YES YES YES OVER NO 365.026 X12 271 DATE QUALIFIER YES YES YES OVER NO 365.027 X12 271 LOOP ID YES YES YES OVER NO 365.028 X12 271 REF IDENTIFICATION YES YES YES OVER NO The following is a list of fields included in this patch: (Some of the names are abbreviated) Field Name (Number) File Name (Number) ------------------- ------------------ INSURED'S COUNTRY (3.13) INSURANCE TYPE (sub-file) (2.312) INSURED'S COUNTRY SUBDIV (3.14) INSURANCE TYPE (sub-file) (2.312) *SERVICE TYPE (.04) ELIGIBIL/BENEFIT (sub-file) (2.322) SUBDIVISION CODE (4.09) ELIGIBIL/BENEFIT (sub-file) (2.322) ***ALL SUBFIELDS*** SERVICE TYPES (sub-file) (2.32292) DEF SERVICE TYPE CODE 1 (60.01) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 2 (60.02) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 3 (60.03) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 4 (60.04) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 5 (60.05) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 6 (60.06) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 7 (60.07) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 8 (60.08) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 9 (60.09) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 10 (60.1) IB SITE PARAMETERS (350.9) DEF SERVICE TYPE CODE 11 (60.11) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 1 (61.01) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 2 (61.02) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 3 (61.03) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 4 (61.04) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 5 (61.05) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 6 (61.06) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 7 (61.07) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 8 (61.08) IB SITE PARAMETERS (350.9) SITE SEL SERVICE CODE 9 (61.09) IB SITE PARAMETERS (350.9) ***FULL DD BEING SENT*** PLACE OF SERVICE (353.1) SUBSCR ADDRESS COUNTRY (62.07) INSURANCE BUFFER (355.33) SUBSCR ADDRESS SUBDIV (62.08) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 1 (80.01) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 2 (80.02) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 3 (80.03) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 4 (80.04) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 5 (80.05) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 6 (80.06) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 7 (80.07) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 8 (80.08) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 9 (80.09) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 10 (80.1) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 11 (80.11) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 12 (80.12) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 13 (80.13) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 14 (80.14) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 15 (80.15) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 16 (80.16) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 17 (80.17) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 18 (80.18) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 19 (80.19) INSURANCE BUFFER (355.33) INQ SERVICE TYPE CODE 20 (80.2) INSURANCE BUFFER (355.33) SUBSCRIBER ADDRESS CNTRY (5.06) IIV RESPONSE (365) SUBSCRIBER ADDRESS SUBDIV (5.07) IIV RESPONSE (365) PT. RELATIONSHIP - HIPAA (8.01) IIV RESPONSE (365) *SERVICE TYPE (.04) ELIGIBLT/BENEFIT (sub-file) (365.02) SUBDIVISION CODE (4.09) ELIGIBLT/BENEFIT (sub-file) (365.02) ***ALL SUBFIELDS*** REJECT REASONS (sub-file) (365.06) ***ALL SUBFIELDS*** SUBSCRIBER DATES (sub-file) (365.07) ***ALL SUBFIELDS*** SERVICE TYPES (sub-file) (365.292) MANUAL REQUEST DATE/TIME (3.01) IIV TRANSMISSION QUEUE (365.1) ***FULL DD BEING SENT*** X12 271 SERVICE TYPE (365.013) ***FULL DD BEING SENT*** X12 271 QUANTITY QUALIFIER (365.016) ***FULL DD BEING SENT*** X12 271 CONTACT QUALIFIER (365.021) ***FULL DD BEING SENT*** X12 271 DATE QUALIFIER (365.026) ***FULL DD BEING SENT*** X12 271 LOOP ID (365.027) ***FULL DD BEING SENT*** X12 271 REF IDENTIFICATION (365.028) The following is a list of protocols included in this patch: IBJ EXIT SEND TO SITE IBJP IB SITE SELECTED SERVICE CODES SEND TO SITE IBJP IIV BATCH EXTRACT EDIT DELETE AT SITE IBJP IIV GENERAL EDIT SEND TO SITE IBJP INS VER MENU SEND TO SITE The following is a list of List Templates included in this patch: IBJP IIV SITE PARAMETERS SEND TO SITE IBJP MCCR PARAMETERS SEND TO SITE The following is a list of Options included in this patch: IBCNE EIV PAYER LINK NOTIFY SEND TO SITE ZTMQUEUABLE OPTIONS USE AS LINK Documentation Retrieval ----------------------- Sites may elect to retrieve documentation, using the appropriate FTP capability, and in Binary format, directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov First available server download.vista.med.va.gov File Name --------- IB_2_P438_UM_R0811.pdf IB_2_P438_TM.pdf IB_2_P438_RN.pdf Documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address: http://www.va.gov/vdl. Test Sites: ----------- Amarillo Madison Heartland East HCS Tennessee Valley HCS White River Junction Wilmington DE Pre/Post Installation Overview ------------------------------ The Post-Install routine is automatically deleted after this patch is installed. The Post-Install routine sends a site registration message to the Financial Services Center (FSC), and schedules the payer link notification option to be run weekly. ================INSTALLATION INSTRUCTIONS ================= It is recommended that this patch be installed outside of normal working hours when no Integrated Billing users are on the system. However, if installed during the normal workday, it is recommended that the following selections in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. MCCR Site Parameter Display/Edit [IBJ MCCR SITE PARAMETERS] Request Electronic Insurance Inquiry [IBCNE REQUEST INQUIRY] Process Insurance Buffer [IBCN INSURANCE BUFFER PROCESS] eIV Menu [IBCNE IIV MENU] **** Do not install this patch when the [IBCNE IIV BATCH PROCESS] nightly eIV background job is running or scheduled to run. **** Install Time - less than 5 minutes 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter IB*2.0*438): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' Answer YES, unless your system does this in a nightly TaskMan process. c. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' answer NO d. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' answer YES if installing during working hours e. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: MCCR Site Parameter Display/Edit [IBJ MCCR SITE PARAMETERS] Request Electronic Insurance Inquiry [IBCNE REQUEST INQUIRY] Process Insurance Buffer [IBCN INSURANCE BUFFER PROCESS] eIV Menu [IBCNE IIV MENU] f. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 52 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCNBCD Before: B84472806 After: B85841141 **82,251,361,371,416,438** Routine Name: IBCNBEE Before: B45989984 After: B46140166 **82,184,252,251,356,361,371, 377,416,438** Routine Name: IBCNBES Before: B5872961 After: B7989957 **82,184,345,438** Routine Name: IBCNBLA1 Before: B77705604 After: B83105620 **82,133,149,184,252,271,416,438** Routine Name: IBCNBLL Before: B90593913 After: B91467926 **82,149,153,183,184,271,345, 416,438** Routine Name: IBCNBMI Before: B85358524 After: B88135696 **82,184,246,251,299,345,361, 371,413,416,438** Routine Name: IBCNBU1 Before: B27592089 After: B33733092 **82,184,263,438** Routine Name: IBCNEBF Before: B36248866 After: B46987961 **184,271,361,371,416,438** Routine Name: IBCNEDE Before: B20320433 After: B19636990 **184,271,300,416,438** Routine Name: IBCNEDE1 Before: B37016330 After: B38997890 **184,271,416,438** Routine Name: IBCNEDE2 Before: B58601408 After: B60928994 **184,271,249,345,416,438** Routine Name: IBCNEDE3 Before: B57677467 After: B56996333 **184,271,416,438** Routine Name: IBCNEDE7 Before: B24335491 After: B24645310 **271,416,438** Routine Name: IBCNEDEP Before: B83667847 After: B86075479 **184,271,300,416,438** Routine Name: IBCNEDEQ Before: B27902088 After: B28120431 **184,271,300,416,438** Routine Name: IBCNEHL1 Before:B227587441 After:B244020766 **300,345,416,444,438** Routine Name: IBCNEHL2 Before: B53025337 After: B62824990 **300,345,416,438** Routine Name: IBCNEHL4 Before: B96805218 After:B136544352 **300,416,438** Routine Name: IBCNEHLM Before: B21127175 After: B21127231 **184,251,300,416,438** Routine Name: IBCNEHLQ Before: B38577924 After: B43538189 **184,271,300,361,416,438** Routine Name: IBCNEHLT Before: B77352947 After: B77895122 **184,251,271,300,416,438** Routine Name: IBCNEHLU Before: B30725766 After: B53561238 **184,300,416,438** Routine Name: IBCNEML Before: n/a After: B14674015 **438** Routine Name: IBCNEQU Before: B82573317 After:B109122026 **184,271,416,438** Routine Name: IBCNERPE Before: B36361133 After: B42391865 **271,300,416,438** Routine Name: IBCNERTQ Before: n/a After: B44031881 **438** Routine Name: IBCNES Before: B24997316 After: B25439392 **416,438** Routine Name: IBCNES1 Before:B103884237 After:B120790247 **416,438** Routine Name: IBCNSP0 Before: B33094001 After: B33972429 **28,43,52,85,93,103,137,229, 251,363,371,399,438** Routine Name: IBJPI Before: B20701382 After: B22090434 **184,271,316,416,438** Routine Name: IBJPI2 Before: B5452535 After: B2442412 **184,271,316,416,438** Routine Name: IBJPI5 Before: n/a After: B37149088 **438** Routine Name: IBJPM Before: B10531686 After: B10881232 **39,137,184,271,316,416,438** Routine Name: IBY438PO Before: n/a After: B16573994 **438** Routine list of preceding patches: 263, 399, 444 ============================================================================= User Information: Entered By : GURTOVOY,YAN Date Entered : AUG 02, 2010 Completed By: ROBBINS,BRADLEY Date Completed: AUG 23, 2011 Released By : POST,HELEN Date Released : AUG 26, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT