Files > PLAN LIMITATION CATEGORY

name

PLAN LIMITATION CATEGORY

number

355.31

location

^IBE(355.31,

description

This table file contains elements that can be checked for an insurance company policy to determine if third party billing is valid. For example, the general categories of coverage the policy may exclude.

Fields

#	Name	Location	Type	Details	Index	Description
.01	name(+)	0;1	FREE TEXT		B	The name of the coverage to be limited
.02	description	0;2	FREE TEXT			A free text description of the type of coverage
.03	rider	0;3	POINTER	355.6		This is the rider that covers this limitation category. If a patient has this rider, this category of coverage will be considered billable for that patient.