Files > IB INS CO PROVIDER ID CARE UNIT

name

IB INS CO PROVIDER ID CARE UNIT

number

355.96

location

^IBA(355.96,

description

This file defines the 'list' of care units that an insurance company uses to assign provider id's. Each record must have an insurance company, a provider type and a care unit entry. The sum total of all the records in this file for a given insurance company comprises the complete list of care units the insurance company requires the V.A. to use when determining provider id's for any claims sent to them.

Fields

#	Name	Location	Type	Details	Index	Description
.01	care unit(+)	0;1	POINTER	355.95	B	This is the care unit for which the insurance company requires a specific provider id number.
.03	insurance company(+)	0;3	POINTER	36		This is the insurance company that is associated with the selected care type.
.04	form type applied to(+)	0;4	SET OF CODES	0:BOTH UB-04 AND CMS-1500 FORMS 1:UB-04 FORM ONLY 2:CMS-1500 FORM ONLY		This designates whether the id number is to be used for just UB-04 form types, just CMS-1500 form types or both form types.
.05	bill care type(+)	0;5	SET OF CODES	0:BOTH INPATIENT AND OUTPATIENT 1:INPATIENT ONLY 2:OUTPATIENT ONLY 3:PRESCRIPTION ONLY		This designates whether the id number is to be used for just inpatient bills, just outpatient bills, both inpatient and outpatient bills or just prescriptions.
.06	id type(+)	0;6	POINTER	355.97	C	This is the type of provider ID that the set of care unit is being defined for.