============================================================================= Run Date: AUG 31, 2011 Designation: IB*2*431 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #418 Status: Released Compliance Date: SEP 30, 2011 ============================================================================= Associated patches: (v)IB*2*400 <<= must be installed BEFORE `IB*2*431' (v)IB*2*407 <<= must be installed BEFORE `IB*2*431' (v)IB*2*417 <<= must be installed BEFORE `IB*2*431' Subject: IB - 5010 ENHANCEMENTS Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ The Chief Business Office (CBO) requested enhancements to the Veterans Health Administration (VHA)'s Veterans Health Integrated Systems Technology Architecture (VistA) Third Party Electronic Data Interchange (EDI) Lockbox module ePayments Enhancement project. These enhancements will increase timely and accurate processing of payments in compliance with Healthcare Insurance Portability and Accountability Act (HIPAA) and VHA fiscal accounting policies. Currently to perform the Accounts Receivable (AR) functions, Veterans Administration Medical Center (VAMC) staff is performing manual workarounds to address limitations of the existing software tools. Addressing ePayments software issues will enable compliance with HIPAA security and administrative regulations as well as VHA Fiscal Accounting policy. The project has two patches (PRCA*4.5*269 and IB*2*431) which are being released in the Kernel Installation and Distribution System (KIDS) multi build distribution EPAYMENTS_5010.KID. APPLICATION/VERSION PATCH -------------------------------------------------------------- ACCOUNTS RECEIVABLE (PRCA) V. 4.5 PRCA*4.5*269 INTEGRATED BILLING (IB) V. 2.0 IB*2*431 Changes made to the INTEGRATED BILLING (IB) application are described below. See PRCA*2*269 for changes made to ACCOUNTS RECEIVABLE application and installation instructions. IB Package changes ------------------ Modifications are made to allow VistA to receive, process and display ERA/EEOB and MRA EOB data from FSC in HIPAA 5010 compatible format. Backward compatibility is supported to allow VistA to also receive messages in the existing HIPAA 4010 format. The data content of EEOB messages is modified to meet HIPAA 5010 standard. Existing EOB Trace #, ICN and Contact Number fields are extended in length and new fields are added for: Claim Received Date Coverage Expiration Date Corrected Priority Payer Name and ID Other Subscriber Name Adjustment/Payer Policy Reference The expanded fields in the 835 messages are also stored in VistA and this requires that the database is reorganized. The Crossed Over Name field is unchanged but is moved to new locations in the VistA database to make space for the extended fields: This data reorganization is performed as part of the post install routine for this patch. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- Request Name: ePayments FY09 Request ID: 20070913 This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- There are no Remedy tickets associated with this patch. Components Sent With Patch -------------------------- Data Dictionary Field Definitions: Field Name (Number) File Name (Number) ------------------- ------------------ TRACE NUMBER (#.07) EXPLANATION OF BENEFITS (#361.1) CROSSED OVER NAME (#.08) EXPLANATION OF BENEFITS (#361.1) ICN (#.14) EXPLANATION OF BENEFITS (#361.1) CLAIM RECEIVED DATE (#1.12) EXPLANATION OF BENEFITS (#361.1) COVERAGE EXPIRATION DATE (#1.13) EXPLANATION OF BENEFITS (#361.1) CORRECTED PRIORITY PAYER NAM (#1.14) EXPLANATION OF BENEFITS (#361.1) CORRECTED PRIORITY PAYER TYP(#1.15) EXPLANATION OF BENEFITS (#361.1) CORRECTED PRIORITY PAYER ID (#1.16) EXPLANATION OF BENEFITS (#361.1) CONTACT NUMBER 1 (#25.02) EXPLANATION OF BENEFITS (#361.1) CONTACT NUMBER 2 (#25.04) EXPLANATION OF BENEFITS (#361.1) CONTACT NUMBER 3 (#25.06) EXPLANATION OF BENEFITS (#361.1) OTHER SUBSCRIBER NAME (#1.17) EXPLANATION OF BENEFITS (#361.1) PAYER POLICY REFERENCE (#.01) EXPLANATION OF BENEFITS (#361.11512) Test Sites: ----------- Central Plains New Jersey HCS VISN 2 Walla Walla Pre/Post Installation Overview ------------------------------ There is a post-install routine associated with this patch named IBP431. The purpose of the post install routine is to move data in the EXPLANATION OF BENEFITS file (361.1) to new locations within the file specified in the released data dictionary changes. This process runs in foreground and will take several minutes to run on larger sites. On completion a bulletin is sent to the installer with the number of entries moved. The post-install routine is not deleted. ================INSTALLATION INSTRUCTIONS ================= THIS PATCH MUST BE LOADED AFTER NORMAL WORKING HOURS. Extensive changes are made to Accounts Receivable so it should not be in use during the install. The install should take approximately 10 minutes. It is important to make sure that all Accounts Receivable users are logged off the system BEFORE INSTALLATION of this patch. You must also disable the following menu options BEFORE INSTALLATION of this patch: Clerk's AR Menu [PRCA CLERK MENU] Supervisor's AR Menu [PRCAF SUPERVISOR MENU] EDI Lockbox [RCDPE EDI LOCKBOX MENU] MRA Management [IBCE MRA MANAGEMENT] Return Message Filing Exceptions [IBCE RETURN MSG PROCESSING] Be sure that the following background task is not running when you install this patch: Accounts Receivable Nightly Process Background Job [PRCA NIGHTLY PROCESS] 1. OBTAIN PATCHES -------------- Obtain the host file EPAYMENTS_5010.KID, which contains the following two patch installs: PRCA*4.5*269 IB*2.0*431 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.med.va.gov This will transmit the files from the first available FTP server. Sites may also elect to retrieve software 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 The EPAYMENTS_5010.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu option [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. LOAD TRANSPORT GLOBAL FOR MULTI-BUILD ------------------------------------- From the Installation menu, select the Load a Distribution option. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file EPAYMENTS_5010.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]EPAYMENTS_5010.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... PRCA IB BUNDLE 1.0 PRCA*4.5*269 IB*2.0*431 Use INSTALL NAME: PRCA IB BUNDLE 1.0 to install this Distribution. 4. RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD ------------------------------------------------- From the Installation menu, you may select to use the following options: (when prompted for the INSTALL NAME, enter PRCA IB BUNDLE 1.0) 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. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of the KIDS patches. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter PRCA IB BUNDLE 1.0 c. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', respond NO. d. When prompted to DISABLE Scheduled Options, Menu Options, and Protocols YES//', respond NO. 6. Post-Installation Instructions ---------------------------------------- Enable the options disabled at the beginning of the INSTALLATION INSTRUCTIONS. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 106 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCE835 Before: B38860252 After: B40332409 **137,135,155,377,431** Routine Name: IBCE835A Before: B6339242 After: B9804553 **135,431** Routine Name: IBCECSA6 Before: B88419993 After:B133569108 **137,135,155,417,431** Routine Name: IBCEMRAA Before: B59796110 After: B59972826 **155,323,349,400,431** Routine Name: IBCEMRAB Before: B48715323 After: B49859211 **155,323,349,400,431** Routine Name: IBCEOB Before: B58398383 After: B81821331 **137,135,265,155,377,407,431** Routine Name: IBCEOB0 Before: B60096537 After: B83008311 **135,280,155,431** Routine Name: IBCEOB00 Before: B75423000 After: B76540225 **155,349,377,431** Routine Name: IBCEOB1 Before: B69169596 After: B69809131 **137,135,155,296,356,349,431** Routine Name: IBJTTC Before: B21337725 After: B51819511 **39,377,431** Routine Name: IBP431 Before: n/a After: B8517081 **431** Routine list of preceding patches: 400, 407, 417 ============================================================================= User Information: Entered By : ANDERSON,DOUGLAS W Date Entered : MAY 17, 2010 Completed By: ROBBINS,BRADLEY Date Completed: AUG 03, 2011 Released By : BATIE,NADINE Date Released : AUG 31, 2011 ============================================================================= Packman Mail Message: =====================