Files > CLAIMS TRACKING ROI

name
CLAIMS TRACKING ROI
number
356.25
location
^IBT(356.25,
description
Per VHA Directive 2004-038, this file should not be modified or edited with VA Fileman. This file stores Release of Information (ROI) data collected that relates to a specific patient/drug/insurance combination for the effective dates. A claim that includes a sensitive drug is checked against this file for a billing determination. Claims that do not pass the check are determined to be not ECME billable. Bills that do not pass the check cannot be authorized.
Fields
#NameLocationTypeDetailsIndexDescription
.01roi entry(+)0;1NUMERICBThis is the main ROI entry number. This is DINUM'd to the entry.
.02patient0;2POINTER2This is the patient for this ROI entry.
.03drug(+)0;3POINTER50This is the Drug the ROI has been used for in the past and will be automatically applied to in the future within the effective dates.
.04insurance company(+)0;4POINTER36 Below are the Patient's Insurance Companies. Please select from this list for the Insurance Company this ROI was used for. The Insurance Company will automatically be used for future prescriptions.
.05effective date(+)0;5DATE-TIMEThis is the effective date of the ROI.
.06expiration date(+)0;6DATE-TIMEThis is the date that the ROI expires.
.07active?0;7BOOLEAN1:YES
0:NO
Inactivating an ROI entry has the same effect as deleting an entry except that the entry is left as a history.
1.01date roi added1;1DATE-TIMEThis is the date/time this ROI was added to the file.
1.02user adding entry1;2POINTER200This is the user that added this ROI entry
1.03date roi last updated1;3DATE-TIME
1.04user last updating1;4POINTER200This is the user that last updated this ROI entry.
1.05date last used1;5DATE-TIMEThis was the last time this ROI was used for a claim or a potential claim.
2.01comment2;1FREE TEXT

Not Referenced