$TXT Created by GUSTAFSON,ERIC S at DEVFEY.FO-ALBANY.MED.VA.GOV (KIDS) on Friday, 10/26/07 at 16:42 ============================================================================= Run Date: DEC 20, 2007 Designation: IB*2*371 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #351 Status: Released Compliance Date: JAN 20, 2008 ============================================================================= Associated patches: (v)IB*2*240 <<= must be installed BEFORE `IB*2*371' (v)IB*2*244 <<= must be installed BEFORE `IB*2*371' (v)IB*2*320 <<= must be installed BEFORE `IB*2*371' (v)IB*2*349 <<= must be installed BEFORE `IB*2*371' (v)IB*2*361 <<= must be installed BEFORE `IB*2*371' (v)IB*2*363 <<= must be installed BEFORE `IB*2*371' (v)IB*2*374 <<= must be installed BEFORE `IB*2*371' Subject: E-CLAIMS PLUS ITERATION 3 Category: - Routine - Data Dictionary - Input Template - Other - Enhancement (Mandatory) Description: ============ The eClaims Plus project was divided into multiple iterations. This patch is primarily focused on reducing the number of electronic claim rejections by enhancing the Integrated Billing (IB) edit checks that happen before the claim is authorized. It also includes enhancements to the way in which Patient Insurance is entered and updated. The electronic claim Electronic Data Interface (EDI) data produced by the output formatter also had significant changes. Full list of patch items: 1. Forty new IB error messages have been added to the IB ERROR file (#350.8). These error messages are displayed to the biller whenever the claim fails these IB edit checks. A claim must pass all IB edit checks before it can be authorized. 2. Changes have been made to the entry and update of the patient's insurance information. This is stored in the INSURANCE TYPE multiple (#2.312) of the PATIENT file (#2). The patient's primary ID number field was added when the patient and the subscriber are different and the insurance company assigns unique ID numbers for the subscriber and all dependents. A corresponding field has also been added to the INSURANCE BUFFER file (#355.33). 3. The name of the insured person is now able to be edited even when the patient and the subscriber are the same. When the patient is the subscriber, several of the patient insurance fields (like the name) will be provided as default values from the patient file, but they may be overridden. 4. Support has been added for the data entry of up to 3 secondary ID's and qualifiers for both the patient and for the insurance subscriber. 5. The insurance company editor option has been changed to allow for the storage of additional payer ID's and qualifiers. Also, payer address line 1 and line 2 may no longer be the same thing. 6. For MRA request claims which are split by Medicare, VistA receives 2 or more MRAs. The MRA secondary claim will now include all of the MRAs on file for these claims even when the MRA is denied with $0 of patient responsibility. 7. For CMS-1500 claims, $0 line items are ignored by EDI. However, MRA secondary claims are not constructed properly when the claim has a $0 line item. This patch corrects this problem. 8. EDI support for chiropractic claims has been added by this patch. 9. FL-8a, FL-14, and FL-59 A:C on the UB-04 claim form have been changed by this patch. The patient ID number will now print in FL-8a when the patient is different than the subscriber. For outpatient claims, FL-14, Type of Admission, will now default to the value of "9". The Patient Relationship to the Insured codes that print in FL-59 A:C have been updated. They are now the HIPAA X12 codes instead of the internal VistA codes. 10. Box 20 on the CMS-1500 claim form has been changed by this patch. OUTSIDE LAB? will be marked YES if the service facility is a Non-VA facility. Otherwise, OUTSIDE LAB? will be marked NO. The dollar amount on the left side of the $CHARGES field will be the total purchased service charges amount. The right side of the $CHARGES field will always be blank. 11. The Help Text and data entry checks have been enhanced for Value Code values and Occurrence Span dates. An error message has been added to prevent the transmission of a Value Code with no associated value. Value Codes that were made obsolete on 3/1/07 were made unavailable to billers for claims after 3/1/07. 12. The Bill Remarks text will be electronically transmitted for UB-04 claims. This is the text that is locally printed in FL-80. 13. FL-14 will default to a 9 if not present on UB-04. 14. The print status of the printed UB-04 claim will now be displayed in FL-38 above the payer name and address. The available print statuses are "*** SECOND NOTICE ***", "*** THIRD NOTICE ***", "*** COPY OF ORIGINAL BILL ***", and "*** NOT A BILL-MRA NEEDED ***". 15. Claims may not be electronically transmitted to Austin if they have three payers on the claim and the current payer sequence of the claim is either secondary or tertiary. 16. The ability to transmit UB-04 MRA request replacement claims was added. The Medicare ICN/DCN and claim remarks must both be present on the claim. 17. The "*" review in process indicator was added to the CSA print report option. 18. The Creation Date field on the printed UB-04 claim form was changed so that it will show the date the claim was first printed. So when claims are reprinted, this creation date field will not change. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following Remedy Tickets: ---------------------------------------------------- 1. HD64676 FGH-0105-30816 Billing vets and Tri Care 2. HD64841 WPB-0205-30321 COB has wrong payment 3. HD174382 Need to enter 10 characters in VALUE field 399.047,.02 4. HD64505 BAY-1204-30722 SYNTAX ERROR PT1-07 MISSING Overview of Remedy Tickets: --------------------------- 1. HD64676 FGH-0105-30816 Billing vets and Tri Care Problem: -------- When the Rate Type for the claim is Interagency or Sharing Agreement, the payer sequence error message improperly appears at the end of the Enter/Edit Billing Information [IB EDIT BILLING INFO] option. There should be no coordination of benefits required for these types of claims. Resolution: ----------- Modified routine IBCBB1 to eliminate the payer sequence error message in the edit checks for Interagency and Sharing Agreement claims. 2. HD64841 WPB-0205-30321 COB has wrong payment Problem: -------- When using the option Copy for Secondary/Tertiary Bill [IB COPY SECOND/THIRD] to create a secondary or tertiary bill, the prior payment amount extracted from the original bill didn't reflect the true payment that resulted in the bill total to be incorrect. Resolution: ----------- Modified routine IBCEU1 to default the prior payment amount by using the Payer Paid Amt field instead of the Patient Responsible Amt field in the EXPLANATION OF BENEFITS (#361.1) file. 3. HD174382 Need to enter 10 characters in VALUE field 399.047,.02 Problem: -------- The current VistA software only allows 9 characters for the value code value amounts. In terms of dollars and cents, this will allow a maximum value code dollar amount of 999999.99 which includes the decimal point. Some sites have claims larger than $1 million dollars so this field is too small. Resolution: ----------- Increase the size of this field to allow for the data entry of 10 characters. This will allow for a maximum value code dollar amount of 9999999.99. This is the maximum allowed by the VA's electronic claim clearinghouse Emdeon and also the maximum allowed by HIPAA. 4. HD64505 BAY-1204-30722 SYNTAX ERROR PT1-07 MISSING Problem: -------- Electronic claims get rejected at Emdeon when the patient or subscriber street address is missing or incomplete. Resolution: ----------- This patch provides many more IB edit checks so that claims may not be transmitted if they have incorrect or incomplete addresses. Components Sent With Patch -------------------------- The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[patch list]**;21-MAR-94;Build 57 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IBCBB 6013547 16870829 80,51,137,288,327, 361,371 IBCBB1 18869205 18815716 27,52,80,93,106, 51,151,148,153,137, 232,280,155,320,343, 349,363,371 IBCBB11 7546898 8243877 51,343,363,371 IBCBB2 18651709 19077504 51,137,210,245,232, 296,320,349,371 IBCBB3 11236455 11950947 51,137,155,349,371 IBCBB5 3394293 4377053 51,137,371 IBCBB9 7671625 7062135 51,137,155,349,371 IBCCC2 22532928 22532976 80,106,124,138,51, 151,137,161,182,211, 245,155,296,320,348, 349,371 IBCE 11030770 12534531 137,283,296,371 IBCECSA3 10729900 11179234 137,320,371 IBCECSA4 12331282 12370936 137,155,320,371 IBCEF 8573333 8842110 52,80,51,137,288, 296,361,371 IBCEF1 13765491 14521139 52,124,51,137,210, 155,349,371 IBCEF11 12869682 12667120 51,137,155,309,335, 348,349,371 IBCEF21 5862025 8320589 51,296,371 IBCEF75 9930182 10003008 320,371 IBCEF78 N/A 1673136 371 IBCEFG1 10545692 10624579 52,51,137,181,197, 232,288,349,371 IBCEM 19052362 19245081 137,191,155,371 IBCEU1 11193439 11517958 137,155,296,349,371 IBCEU3 15440060 14866177 51,137,155,323,348, 371 IBCEU6 3716168 4199961 155,371 IBCNBCD 14252617 14311777 82,251,361,371 IBCNBEE 14892068 15262542 82,184,252,251,356, 361,371 IBCNBLE 22478520 22143949 82,231,184,251,371 IBCNBMI 12434004 12543717 82,184,246,251,299, 345,361,371 IBCNEBF 5914715 6159021 184,271,361,371 IBCNRDV 17863815 17896164 214,231,361,371 IBCNS1 7971407 8006689 28,60,52,85,107, 51,137,240,371 IBCNSC 8868539 9429632 46,137,184,276,320, 371 IBCNSC0 6126055 6121144 371 IBCNSC01 14217042 15757148 52,137,191,184,232, 320,349,371 IBCNSC02 10047343 10042368 320,371 IBCNSC1 15503252 18012234 62,137,232,291,320, 348,349,371 IBCNSEH 4953017 3943876 6,28,371 IBCNSM32 11447037 10453107 28,40,52,85,103, 133,361,371 IBCNSP 10805536 12840759 6,28,43,52,85, 251,363,371 IBCNSP0 11430465 11249258 28,43,52,85,93, 103,137,229,251,363, 371 IBCNSP01 9274444 12027726 43,52,85,251,371 IBCNSP1 5334459 11350174 6,28,40,43,52, 85,103,361,371 IBCNSP2 8950581 9815244 6,28,75,82,155, 371 IBCNSP3 10541198 10877040 28,52,85,251,371 IBCNSU 6499425 7371052 28,103,371 IBCNSU1 3761676 4861316 103,133,244,371 IBCSC8A N/A 3790164 371 IBCSC8H 14517316 14890190 51,137,207,210,232, 155,320,343,349,371 IBCSCE 7360816 7558052 52,80,91,106,51, 137,236,245,287,349, 371 IBCSCH 28408121 28997667 52,80,106,124,138, 51,148,137,161,245, 232,287,348,349,374, 371 IBCU4 7843107 8750885 109,122,137,245,349, 371 IBCU7 22025232 21770355 62,52,106,125,51, 137,210,245,228,260, 348,371 IBCVA0 9526550 7554961 52,361,371 IBCVA1 9925340 10043556 52,80,109,51,137, 210,349,371 IBCVC N/A 2648956 371 IBY371PO N/A deleted** 371 IBY371PR N/A deleted** 371 ** These routines are automatically deleted. Total number of routines: 55 New routines: 5 Modified routines: 50 CHECK1^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IBCBB 14809145 70083781 80,51,137,288,327, 361,371 IBCBB1 70812955 66788213 27,52,80,93,106, 51,151,148,153,137, 232,280,155,320,343, 349,363,371 IBCBB11 14703047 16826545 51,343,363,371 IBCBB2 42055097 43441310 51,137,210,245,232, 296,320,349,371 IBCBB3 37225304 41352216 51,137,155,349,371 IBCBB5 6359548 8194886 51,137,371 IBCBB9 10249958 9034446 51,137,155,349,371 IBCCC2 66228987 66229263 80,106,124,138,51, 151,137,161,182,211, 245,155,296,320,348, 349,371 IBCE 21210962 25142847 137,283,296,371 IBCECSA3 26519666 27586417 137,320,371 IBCECSA4 56824408 57240644 137,155,320,371 IBCEF 53271927 55741819 52,80,51,137,288, 296,361,371 IBCEF1 53245090 58389025 52,124,51,137,210, 155,349,371 IBCEF11 48127699 51577775 51,137,155,309,335, 348,349,371 IBCEF21 11282906 23659732 51,296,371 IBCEF75 30617202 30751276 320,371 IBCEF78 N/A 4445010 371 IBCEFG1 26630861 26758325 52,51,137,181,197, 232,288,349,371 IBCEM 58848548 59477823 137,191,155,371 IBCEU1 41905172 42998590 137,155,296,349,371 IBCEU3 63577235 61357507 51,137,155,323,348, 371 IBCEU6 9821242 10687368 155,371 IBCNBCD 35493538 35866486 82,251,361,371 IBCNBEE 44602878 45297417 82,184,252,251,356, 361,371 IBCNBLE 68938971 69021746 82,231,184,251,371 IBCNBMI 54212603 54899476 82,184,246,251,299, 345,361,371 IBCNEBF 27574081 29002877 184,271,361,371 IBCNRDV 65860108 66590171 214,231,361,371 IBCNS1 34528689 35071030 28,60,52,85,107, 51,137,240,371 IBCNSC 21343309 24159978 46,137,184,276,320, 371 IBCNSC0 9886384 9881323 371 IBCNSC01 48419928 54638863 52,137,191,184,232, 320,349,371 IBCNSC02 55607158 55602026 320,371 IBCNSC1 65094362 79495067 62,137,232,291,320, 348,349,371 IBCNSEH 7694394 5882362 6,28,371 IBCNSM32 28247845 26481916 28,40,52,85,103, 133,361,371 IBCNSP 31460590 42668156 6,28,43,52,85, 251,363,371 IBCNSP0 29977117 32537201 28,43,52,85,93, 103,137,229,251,363, 371 IBCNSP01 19919744 32694224 43,52,85,251,371 IBCNSP1 17268693 54597105 6,28,40,43,52, 85,103,361,371 IBCNSP2 22122714 24458638 6,28,75,82,155, 371 IBCNSP3 34813871 35837178 28,52,85,251,371 IBCNSU 31546366 38899795 28,103,371 IBCNSU1 11956107 18337578 103,133,244,371 IBCSC8A N/A 7456472 371 IBCSC8H 33583237 34954742 51,137,207,210,232, 155,320,343,349,371 IBCSCE 14217145 14634015 52,80,91,106,51, 137,236,245,287,349, 371 IBCSCH 61198859 62017089 52,80,106,124,138, 51,148,137,161,245, 232,287,348,349,374, 371 IBCU4 17693963 20355514 109,122,137,245,349, 371 IBCU7 54846939 54198894 62,52,106,125,51, 137,210,245,228,260, 348,371 IBCVA0 13013773 10445232 52,361,371 IBCVA1 20900613 21105006 52,80,109,51,137, 210,349,371 IBCVC N/A 8423325 371 IBY371PO N/A deleted** 371 IBY371PR N/A deleted** 371 ** These routines are automatically deleted. Total number of routines: 55 New routines: 5 Modified routines: 50 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 36 INSURANCE COMPANY YES YES NO 350.8 IB ERROR NO NO YES OVER NO 355.33 INSURANCE BUFFER YES YES NO 355.93 IB NON/OTH VA BILLING PROVIDER YES YES NO 364.5 IB DATA ELEMENT DEFINITION NO NO YES OVER YES 364.6 IB FORM SKELETON DEFINITION NO NO YES OVER YES 364.7 IB FORM FIELD CONTENT NO NO YES OVER YES 399 BILL/CLAIMS YES YES NO 399.1 MCCR UTILITY YES YES NO The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ------------------- ------------------ SUBSCRIBER ID (1) INSURANCE TYPE (sub-file) (2.312) PATIENT ID (5.01) INSURANCE TYPE (sub-file) (2.312) SUBSCRIBER'S SEC QUALIFIER(1) (5.02) INSURANCE TYPE (sub-file) (2.312) SUBSCRIBER'S SEC ID(1) (5.03) INSURANCE TYPE (sub-file) (2.312) SUBSCRIBER'S SEC QUALIFIER(2) (5.04) INSURANCE TYPE (sub-file) (2.312) SUBSCRIBER'S SEC ID(2) (5.05) INSURANCE TYPE (sub-file) (2.312) SUBSCRIBER'S SEC QUALIFIER(3) (5.06) INSURANCE TYPE (sub-file) (2.312) SUBSCRIBER'S SEC ID(3) (5.07) INSURANCE TYPE (sub-file) (2.312) PATIENT'S SEC QUALIFIER(1) (5.08) INSURANCE TYPE (sub-file) (2.312) PATIENT'S SECONDARY ID(1) (5.09) INSURANCE TYPE (sub-file) (2.312) PATIENT'S SEC QUALIFIER(2) (5.1) INSURANCE TYPE (sub-file) (2.312) PATIENT'S SECONDARY ID(2) (5.11) INSURANCE TYPE (sub-file) (2.312) PATIENT'S SEC QUALIFIER(3) (5.12) INSURANCE TYPE (sub-file) (2.312) PATIENT'S SECONDARY ID(3) (5.13) INSURANCE TYPE (sub-file) (2.312) PT. RELATIONSHIP TO INSURED (16) INSURANCE TYPE (sub-file) (2.312) NAME OF INSURED (17) INSURANCE TYPE (sub-file) (2.312) STREET ADDRESS [LINE 1] (.111) INSURANCE COMPANY (36) STREET ADDRESS [LINE 2] (.112) INSURANCE COMPANY (36) STREET ADDRESS [LINE 3] (.113) INSURANCE COMPANY (36) CLAIMS (INPT) STREET ADDRESS 1 (.121) INSURANCE COMPANY (36) CLAIMS (INPT) STREET ADDRESS 2 (.122) INSURANCE COMPANY (36) CLAIMS (INPT) STREET ADDRESS 3 (.123) INSURANCE COMPANY (36) APPEALS ADDRESS ST. [LINE 1] (.141) INSURANCE COMPANY (36) APPEALS ADDRESS ST. [LINE 2] (.142) INSURANCE COMPANY (36) APPEALS ADDRESS ST. [LINE 3] (.143) INSURANCE COMPANY (36) INQUIRY ADDRESS ST. [LINE 1] (.151) INSURANCE COMPANY (36) INQUIRY ADDRESS ST. [LINE 2] (.152) INSURANCE COMPANY (36) INQUIRY ADDRESS ST. [LINE 3] (.153) INSURANCE COMPANY (36) CLAIMS (OPT) STREET ADDRESS 1 (.161) INSURANCE COMPANY (36) CLAIMS (OPT) STREET ADDRESS 2 (.162) INSURANCE COMPANY (36) CLAIMS (OPT) STREET ADDRESS 3 (.163) INSURANCE COMPANY (36) CLAIMS (RX) STREET ADDRESS 1 (.181) INSURANCE COMPANY (36) CLAIMS (RX) STREET ADDRESS 2 (.182) INSURANCE COMPANY (36) CLAIMS (RX) STREET ADDRESS 3 (.183) INSURANCE COMPANY (36) EDI INST SECONDARY ID QUAL(1) (6.01) INSURANCE COMPANY (36) EDI INST SECONDARY ID(1) (6.02) INSURANCE COMPANY (36) EDI INST SECONDARY ID QUAL(2) (6.03) INSURANCE COMPANY (36) EDI INST SECONDARY ID(2) (6.04) INSURANCE COMPANY (36) EDI PROF SECONDARY ID QUAL(1) (6.05) INSURANCE COMPANY (36) EDI PROF SECONDARY ID(1) (6.06) INSURANCE COMPANY (36) EDI PROF SECONDARY ID QUAL(2) (6.07) INSURANCE COMPANY (36) EDI PROF SECONDARY ID(2) (6.08) INSURANCE COMPANY (36) SUBSCRIBER ID (60.04) INSURANCE BUFFER (355.33) PT. RELATIONSHIP TO INSURED (60.06) INSURANCE BUFFER (355.33) PATIENT ID (62.01) INSURANCE BUFFER (355.33) X12 TYPE OF FACILITY (.11) IB NON/OTHER VA BILLING PROVIDER (355.93) PRIMARY PROVIDER # (122) BILL/CLAIMS (399) SECONDARY PROVIDER # (123) BILL/CLAIMS (399) TERTIARY PROVIDER # (124) BILL/CLAIMS (399) LAST XRAY DATE (245) BILL/CLAIMS (399) DATE OF INITIAL TREATMENT (246) BILL/CLAIMS (399) DATE OF ACUTE MANIFESTATION (247) BILL/CLAIMS (399) PATIENT CONDITION CODE (248) BILL/CLAIMS (399) BILL REMARKS (402) BILL/CLAIMS (399) *LAST XRAY DATE (50.02) PROCEDURES (sub-file) (399.0304) *LEVEL OF SUBLUXATION (50.04) PROCEDURES (sub-file) (399.0304) *CHIRO TREATMENT SERIES NUM (50.05) PROCEDURES (sub-file) (399.0304) *CHIROPRACTIC QUANTITY (50.06) PROCEDURES (sub-file) (399.0304) END DATE (.04) OCCURRENCE CODE (sub-file) (399.041) VALUE CODE (.01) VALUE CODE (sub-file) (399.047) VALUE (.02) VALUE CODE (sub-file) (399.047) VALUE CODE OBSOLETE DATE (.26) MCCR UTILITY (399.1) VALUE CODE HELP TEXT (1) MCCR UTILITY (399.1) The following is a list of templates included in this patch: Template Name Type File Name (Number) ------------- ---- ------------------ IB SCREEN8H INPUT BILL/CLAIMS (399) IBCN PATIENT INSURANCE INPUT INSURANCE TYPE (2.312) IBEDIT INS CO1 INPUT INSURANCE COMPANY (36) The following is a list of protocols included in this patch: Protocol -------- IBCNSC INS CO APPEALS OFFICE SEND TO SITE IBCNSC INS CO ASSOCIATION SEND TO SITE IBCNSC INS CO BILLING PARAMETERS SEND TO SITE IBCNSC INS CO INPT CLAIMS SEND TO SITE IBCNSC INS CO INQUIRY OFFICE SEND TO SITE IBCNSC INS CO MAIN MAILING ADDRESS SEND TO SITE IBCNSC INS CO OPT CLAIMS SEND TO SITE IBCNSC INS CO RX CLAIMS SEND TO SITE IBCNSJ EDIT COVERAGE LIMITS SEND TO SITE IBCNSP ADD COMMENT SEND TO SITE IBCNSP EDIT EFFECTIVE DATES SEND TO SITE IBCNSP EMPLOYER INFO FOR CLAIMS SEND TO SITE IBCNSP INSURANCE CONTACT INF SEND TO SITE IBCNSP SUBSCRIBER UPDATE SEND TO SITE IBCNSP UR INFO SEND TO SITE IBCNSP VERIFY COVERAGE SEND TO SITE Test Sites: ----------- Altoona Memphis VISN 2 Documentation Retrieval ----------------------- The EDI Billing User's Guide has been updated. This guide is available for download at the following websites: http://www.va.gov/vdl/Financial_Admin.asp?appID=45 http://vaww.vistau.med.va.gov/VistaU/e-bp/e-claims.htm The user's guide may also be retrieved from the following OI Field Offices' Anonymous.Software Directories. Use the appropriate FTP capability to retrieve the files and use BINARY format. OI Field Office FTP Address Directory --------------- ----------- --------- ALBANY ftp.fo-albany.med.va.gov anonymous.software HINES ftp.fo-hines.med.va.gov anonymous.software SALT LAKE ftp.fo-slc.med.va.gov anonymous.software FIRST AVAILABLE SERVER download.vista.med.va.gov anonymous.software File Name --------- IB_2_371UG.PDF Pre/Post Installation Overview ------------------------------ Both the pre-installation routine and the post-installation routine are automatically deleted after this patch is installed. The pre-installation routine removes output formatter entries that are included in this patch so they are installed cleanly. It also removes a trigger cross reference which was originally in this patch but was later replaced with a new style cross reference. Since the trigger cross reference had been created at the test site, it needed to be deleted. This will have no effect on sites that did not install the earlier versions of this patch. The post-installation routine recompiles the input templates associated with IB billing screens 3 through 7. It also examines all of the addresses in the INSURANCE COMPANY (#36) file, and removes any duplicate address lines that it finds. It also populates the secondary payer ID for the MEDICARE (WNR) insurance company entry. It adds some help text and the obsolete date field to the value codes. Finally, it adds a new style cross reference to sub-field VALUE CODE (#399.047) which makes sure the VALUE (#.02) field is in the correct format when a VALUE CODE (#.01) is modified. ================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 selection(s) 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. Patient Insurance Info View/Edit [IBCN PATIENT INSURANCE] Insurance Company Entry/Edit [DG INSURANCE COMPANY EDIT] Insurance Company Entry/Edit [IBCN INSURANCE CO EDIT] Process Insurance Buffer [IBCN INSURANCE BUFFER PROCESS] Enter/Edit Billing Information [IB EDIT BILLING INFO] Print Bill [IB PRINT BILL] Print Authorized Bills [IB BATCH PRINT BILLS] View/Print EDI Bill Extract Data [IBCE EDI VIEW/PRINT EXTRACT] **** Do not install this patch when the IB MT NIGHT COMP background job is running. Also, make sure that electronic claims are NOT scheduled to be transmitted via TaskManager while the patch is being installed. It's best to check with your Billing section on this. There is a field called HOURS TO TRANSMIT BILLS (#8.06) in the IB SITE PARAMETERS file (#350.9) that may contain specific times to transmit bills. Any future tasks set up in TaskManager based on the field HOURS TO TRANSMIT BILLS (#8.06) field in the IB SITE PARAMETERS file (#350.9) would appear similar to this: 5310003: FORMOUT^IBCEFG7, OUTPUT FORMATTER - FORM: IB 837 TRANSMISSION. No device. ACT,ACT. From Today at 1:01, By you. Scheduled for Today at 16:00 If there are no specific times set up in this parameter, claims will be transmitted when the Queue Means Test Compilation of Charges [IB MT NIGHT COMP] job runs. Install Time - It can vary between 5 minutes and 30 minutes. The most time consuming part of this install is STEP 5 of the post-install routine which builds a new style cross- reference in the VALUE CODE multiple (399.047) of the BILL/CLAIMS file (399). 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*371): 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 INHIBIT LOGONs during the install? NO//' answer NO c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' answer YES if installing during working hours d. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Patient Insurance Info View/Edit [IBCN PATIENT INSURANCE] Insurance Company Entry/Edit [DG INSURANCE COMPANY EDIT] Insurance Company Entry/Edit [IBCN INSURANCE CO EDIT] Process Insurance Buffer [IBCN INSURANCE BUFFER PROCESS] Enter/Edit Billing Information [IB EDIT BILLING INFO] Print Bill [IB PRINT BILL] Print Authorized Bills [IB BATCH PRINT BILLS] View/Print EDI Bill Extract Data [IBCE EDI VIEW/PRINT EXTRACT] e. 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 57 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCBB Before: B14809145 After: B70083781 **80,51,137,288,327,361,371** Routine Name: IBCBB1 Before: B70812955 After: B66788213 **27,52,80,93,106,51,151,148, 153,137,232,280,155,320,343, 349,363,371** Routine Name: IBCBB11 Before: B14703047 After: B16826545 **51,343,363,371** Routine Name: IBCBB2 Before: B42055097 After: B43441310 **51,137,210,245,232,296,320, 349,371** Routine Name: IBCBB3 Before: B37225304 After: B41352216 **51,137,155,349,371** Routine Name: IBCBB5 Before: B6359548 After: B8194886 **51,137,371** Routine Name: IBCBB9 Before: B10249958 After: B9034446 **51,137,155,349,371** Routine Name: IBCCC2 Before: B66228987 After: B66229263 **80,106,124,138,51,151,137, 161,182,211,245,155,296,320, 348,349,371** Routine Name: IBCE Before: B21210962 After: B25142847 **137,283,296,371** Routine Name: IBCECSA3 Before: B26519666 After: B27586417 **137,320,371** Routine Name: IBCECSA4 Before: B56824408 After: B57240644 **137,155,320,371** Routine Name: IBCEF Before: B53271927 After: B55741819 **52,80,51,137,288,296,361,371** Routine Name: IBCEF1 Before: B53245090 After: B58389025 **52,124,51,137,210,155,349,371** Routine Name: IBCEF11 Before: B48127699 After: B51577775 **51,137,155,309,335,348,349,371** Routine Name: IBCEF21 Before: B11282906 After: B23659732 **51,296,371** Routine Name: IBCEF75 Before: B30617202 After: B30751276 **320,371** Routine Name: IBCEF78 Before: n/a After: B4445010 **371** Routine Name: IBCEFG1 Before: B26630861 After: B26758325 **52,51,137,181,197,232,288,349,371** Routine Name: IBCEM Before: B58848548 After: B59477823 **137,191,155,371** Routine Name: IBCEU1 Before: B41905172 After: B42998590 **137,155,296,349,371** Routine Name: IBCEU3 Before: B63577235 After: B61357507 **51,137,155,323,348,371** Routine Name: IBCEU6 Before: B9821242 After: B10687368 **155,371** Routine Name: IBCNBCD Before: B35493538 After: B35866486 **82,251,361,371** Routine Name: IBCNBEE Before: B44602878 After: B45297417 **82,184,252,251,356,361,371** Routine Name: IBCNBLE Before: B68938971 After: B69021746 **82,231,184,251,371** Routine Name: IBCNBMI Before: B54212603 After: B54899476 **82,184,246,251,299,345,361,371** Routine Name: IBCNEBF Before: B27574081 After: B29002877 **184,271,361,371** Routine Name: IBCNRDV Before: B65860108 After: B66590171 **214,231,361,371** Routine Name: IBCNS1 Before: B34528689 After: B35071030 **28,60,52,85,107,51,137,240,371** Routine Name: IBCNSC Before: B21343309 After: B24159978 **46,137,184,276,320,371** Routine Name: IBCNSC0 Before: B9886384 After: B9881323 **371** Routine Name: IBCNSC01 Before: B48419928 After: B54638863 **52,137,191,184,232,320,349,371** Routine Name: IBCNSC02 Before: B55607158 After: B55602026 **320,371** Routine Name: IBCNSC1 Before: B65094362 After: B79495067 **62,137,232,291,320,348,349,371** Routine Name: IBCNSEH Before: B7694394 After: B5882362 **6,28,371** Routine Name: IBCNSM32 Before: B28247845 After: B26481916 **28,40,52,85,103,133,361,371** Routine Name: IBCNSP Before: B31460590 After: B42668156 **6,28,43,52,85,251,363,371** Routine Name: IBCNSP0 Before: B29977117 After: B32537201 **28,43,52,85,93,103,137,229, 251,363,371** Routine Name: IBCNSP01 Before: B19919744 After: B32694224 **43,52,85,251,371** Routine Name: IBCNSP1 Before: B17268693 After: B54597105 **6,28,40,43,52,85,103,361,371** Routine Name: IBCNSP2 Before: B22122714 After: B24458638 **6,28,75,82,155,371** Routine Name: IBCNSP3 Before: B34813871 After: B35837178 **28,52,85,251,371** Routine Name: IBCNSU Before: B31546366 After: B38899795 **28,103,371** Routine Name: IBCNSU1 Before: B11956107 After: B18337578 **103,133,244,371** Routine Name: IBCSC8A Before: n/a After: B7456472 **371** Routine Name: IBCSC8H Before: B33583237 After: B34954742 **51,137,207,210,232,155,320, 343,349,371** Routine Name: IBCSCE Before: B14217145 After: B14634015 **52,80,91,106,51,137,236,245, 287,349,371** Routine Name: IBCSCH Before: B61198859 After: B62017089 **52,80,106,124,138,51,148,137, 161,245,232,287,348,349,374, 371** Routine Name: IBCU4 Before: B17693963 After: B20355514 **109,122,137,245,349,371** Routine Name: IBCU7 Before: B54846939 After: B54198894 **62,52,106,125,51,137,210,245, 228,260,348,371** Routine Name: IBCVA0 Before: B13013773 After: B10445232 **52,361,371** Routine Name: IBCVA1 Before: B20900613 After: B21105006 **52,80,109,51,137,210,349,371** Routine Name: IBCVC Before: n/a After: B8423325 **371** Routine Name: IBY371PO Before: n/a After:B100442292 **371** Routine Name: IBY371PR Before: n/a After: B24403844 **371** ============================================================================= User Information: Entered By : GUSTAFSON,ERIC S Date Entered : MAR 02, 2007 Completed By: ROBBINS,BRADLEY Date Completed: DEC 11, 2007 Released By : CAULFIELD,MARY Date Released : DEC 20, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT