Files > INSURANCE COMPANY

name
INSURANCE COMPANY
number
36
location
^DIC(36,
description
This file contains the names and addresses of insurance companies as needed by the local facility. The data in this file is NOT EDITABLE USING VA FILEMANAGER. If a new entry needs to be made or an existing entry changed the user must be assigned the appropriate MAS or IB module option. Per VHA Directive 10-93-142, this file definition should not be modified.
Fields
#NameLocationTypeDetailsIndexDescription
.01name(+)0;1FREE TEXTBEnter the name of the insurance carrier which at least one patient seen at your facility has. This information must be updated using the 'Insurance Company Entry/Edit' option, NOT using VA FileMan. Editing of this data through a filemanager option could cause negative impacts on the MAS and IB software modules in addition to other DHCP modules.
.05inactive0;5BOOLEAN0:NO
1:YES
If this insurance company is no longer active in your area, enter INACTIVE here. This will disallow users from selecting this insurance company entry.
.06allow multiple bedsections0;6BOOLEAN0:NO
1:YES
This field determines whether this insurance company will accept multiple bedsections on one claim form. If answered 'YES' then selection of the PRIMARY INSURANCE CARRIER in MCCR will trigger revenue codes for all bedsections within the STATEMENT COVERS FROM and STATEMENT COVERS TO dates. If this is answered 'NO' or left blank then only the first bedsection in the date range will be used.
.07different revenue codes to use0;7FREE TEXTThis field is used to replace standard revenue codes used on a bill with revenue codes requested by an insurance company. The standard revenue codes are those codes found in the Charge Master and are used for most bills. Enter the standard revenue code to be replaced followed by ':' followed by the revenue code the insurance company requires: 500:510 will result in revenue code 500 being replaced by 510 on this insurance company bills Separate multiple revenue code replacement sets by a comma: 101:240,500:510
.08one opt. visit on bill only0;8BOOLEAN0:NO
1:YES
If this field is answered 'YES' then only one outpatient visit will be allowed per claim form for this Insurance Company. If it is unanswered or answered 'NO' then multiple (up to 10) outpatient bills will be allowed per claim form.
.09ambulatory surg. rev. code0;9POINTER399.2This is the Revenue Code that will automatically be generated for this insurance company if a billable Ambulatory Surgical Code is listed as a procedure in this this bill.
.1attending physician id.0;10FREE TEXTThis field is no longer used. Provider id's now come from the 355.9 files.
.11*hospital provider number0;11FREE TEXTAn identifier assigned to the facility by the insurance company. It will be printed in form locator 51 of the UB-92 of bills for this insurance company. This field is marked for deletion and can be deleted 11/23/2008.
.111street address [line 1](+).11;1FREE TEXTEnter the first line of this company's street address with 3-35 characters.
.112street address [line 2].11;2FREE TEXTIf the Street Address is longer than one line, enter a second line between 3-30 characters. It can not be the same as Line 1.
.113street address [line 3].11;3FREE TEXTIf the Street Address is longer than two lines, enter a third line between 3-30 characters. It can not be the same as Line 1 or Line 2.
.114city.11;4FREE TEXTEnter the city of the mailing address for this insurance carrier.
.115state.11;5POINTER5Enter the state of the mailing address for this insurance carrier.
.116zip code.11;6FREE TEXTEnter the zip code of the mailing address for this insurance carrier. Answer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
.117billing company name.11;7FREE TEXTEnter the name of the insurance carrier's billing company.
.119fax number.11;9FREE TEXTEnter the fax number of this insurance carrier.
.12filing time frame0;12FREE TEXTEnter the maximum amount of time from the date of service that the insurance company allows for submitting claims. Examples: 60 days, 90 days, 6 months, 1 year, 18 months; March 30 following year of service, June 1 following year of service.
.121claims (inpt) street address 1.12;1FREE TEXTIf the inpatient claims process address of this company is different from its main address, enter Line 1 of the inpatient claims street address. Answer must be 3-30 characters in length.
.122claims (inpt) street address 2.12;2FREE TEXTIf the Inpatient Claims Process Address is longer than one line, enter a second line between 3-30 characters. It can not be the same as Line 1.
.123claims (inpt) street address 3.12;3FREE TEXTIf the Inpatient Claims Process Address is longer than two lines, enter a third line between 3-30 characters. It can not be the same as Line 1 or Line 2.
.124claims (inpt) process city.12;4FREE TEXTEnter the city in which this insurance company's inpatient claims office is located.
.125claims (inpt) process state.12;5POINTER5Enter the state in which this insurance company's inpatient claims office is located. Enter state even if it is the same as the state of the company's main address.
.126claims (inpt) process zip.12;6FREE TEXTAnswer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
.127claims (inpt) company name.12;7POINTER36You can only select a company that processes claims. The company specified in this field must be an active insurance company, not the same company as the entry being edited, and must not have another company specified as handling Inpatient Claims for it.
.128another co. process ip claims?.12;8BOOLEAN0:NO
1:YES
Enter "Yes" if another insurance company processes Inpatient Claims.
.129claims (inpt) fax.12;9FREE TEXTEnter the fax number of this insurance carrier's inpatient claims office.
.13type of coverage0;13POINTER355.2If this insurance carrier provides only one type of coverage then select the entry that best describes this carriers type of coverage. If this carrier provides more than one type of coverage then select HEALTH INSURANCE. The default answer if left unanswered is Health Insurance. This is useful information when contacting carriers, when creating claims for reimbursement, and when estimating if the payment received is appropriate. If this field is answered it may affect choices that can be selected when entering policy or benefit information.
.131phone number.13;1FREE TEXTEnter the phone number at which this insurance carrier can be reached.
.1311claims (rx) phone number.13;11FREE TEXTEnter the phone number at which the prescription claims office of this insurance carrier can be reached.
.132billing phone number.13;2FREE TEXTEnter the phone number of the insurance carrier where inquiries about patient billing should be made.
.133precertification phone number.13;3FREE TEXTIf precertification is required prior to a patient being treated, enter the number of the insurance carrier to which this request can be made.
.134verification phone number.13;4FREE TEXTEnter the phone number of the insurance carrier to which a Verification request can be made.
.135claims (inpt) phone number.13;5FREE TEXTEnter the telephone number at which this insurance carrier's inpatient claims office can be reached.
.136claims (opt) phone number.13;6FREE TEXTEnter the phone number at which the outpatient claims office of this insurance carrier can be reached.
.137appeals phone number.13;7FREE TEXTEnter the telephone number at which the appeals office of this insurance carrier can be reached.
.138inquiry phone number.13;8FREE TEXTEnter the telephone number at which the inquiry office of this insurance carrier can be reached.
.139precert company name.13;9POINTER36You can only select a company that processes Precerts. The company specified in this field must be an active insurance company, not the same company specified as handling Precerts for it.
.141appeals address st. [line 1].14;1FREE TEXTIf the appeals address of this company is different from its main address, enter Line 1 of the appeals street address. Answer must be 3-30 characters in length.
.142appeals address st. [line 2].14;2FREE TEXTIf the Appeals Address is longer than one line, enter a second line between 3-30 characters. It can not be the same as Line 1.
.143appeals address st. [line 3].14;3FREE TEXTIf the Appeals Address is longer than two lines, enter a third line between 3-30 characters. It can not be the same as Line 1 or Line 2.
.144appeals address city.14;4FREE TEXTEnter the city in which the appeals office of this insurance company is located.
.145appeals address state.14;5POINTER5Enter the state in which the appeals office of this insurance company is located. Enter state even if it is the same as the state of the company's main address.
.146appeals address zip.14;6FREE TEXTAnswer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
.147appeals company name.14;7POINTER36You can only select a company that processes Appeals. The company specified in this field must be an active insurance company, not the same company as the entry being edited, and must not have another company specified as handling Appeals for it.
.148another co. process appeals?.14;8BOOLEAN0:NO
1:YES
Enter "Yes" if another insurance company processes appeals.
.149appeals fax.14;9FREE TEXTEnter the fax number of the appeals office of this insurance carrier.
.15prescription refill rev. code0;15POINTER399.2This is the Revenue Code that will automatically be generated for this insurance company if a prescription refill is listed on this bill.
.151inquiry address st. [line 1].15;1FREE TEXTIf the inquiry address of this company is different from its main address, enter Line 1 of the inquiry street address. Answer must be 3-30 characters in length.
.152inquiry address st. [line 2].15;2FREE TEXTIf the Inquiry Address is longer than one line, enter a second line between 3-30 characters. It can not be the same as Line 1.
.153inquiry address st. [line 3].15;3FREE TEXTIf the Inquiry Address is longer than two lines, enter a third line between 3-30 characters. It can not be the same as Line 1 or Line 2.
.154inquiry address city.15;4FREE TEXTEnter the city in which this insurance company's inquiry address office is located.
.155inquiry address state.15;5POINTER5Enter the state in which this insurance company's inquiry address office is located. Enter state even if it is the same as the state of the company's main address.
.156inquiry address zip code.15;6FREE TEXTAnswer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
.157inquiry company name.15;7POINTER36You can only select a company that processes Inquiries. The company specified in this field must be an active insurance company, not the same company as the entry being edited, and must not have another company specified as handling Inquiries for it.
.158another co. process inquiries?.15;8BOOLEAN0:NO
1:YES
Enter "Yes" if another insurance company processes Inquiries.
.159inquiry fax.15;9FREE TEXTEnter the fax number of the inquiries office of this insurance carrier.
.16repoint patients to0;16POINTER36If an insurance company has been inactivated and the patients repointed to another company then this is the company that they are assigned.
.161claims (opt) street address 1.16;1FREE TEXTIf the outpatient claims process address of this company is different from its main address, enter Line 1 of the outpatient claims street address. Answer must be 3-35 characters in length.
.162claims (opt) street address 2.16;2FREE TEXTIf the Outpatient Claims Process Address is longer than one line, enter a second line between 3-35 characters. It can not be the same as Line 1.
.163claims (opt) street address 3.16;3FREE TEXTIf the Outpatient Claims Process Address is longer than two lines, enter a third line between 3-35 characters. It can not be the same as Line 1 or Line 2.
.164claims (opt) process city.16;4FREE TEXTEnter the city in which this insurance company's outpatient claims office is located.
.165claims (opt) process state.16;5POINTER5Enter the state in which this insurance company's outpatient claims office is located. Enter state even if it is the same as the state of the company's main address.
.166claims (opt) process zip.16;6FREE TEXTAnswer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
.167claims (opt) company name.16;7POINTER36You can only select a company that processes claims. The company specified in this field must be an active insurance company, not the same company as the entry being edited, and must not have another company specified as handling Outpatient Claims for it.
.168another co. process op claims?.16;8BOOLEAN0:NO
1:YES
Enter "Yes" if another insurance company processes Outpatient Claims.
.169claims (opt) fax.16;9FREE TEXTEnter the fax number of the outpatient claims office of this insurance carrier.
.17professional provider number0;17FREE TEXTAn identifier for professional (CMS-1500) bills assigned by the insurance company. This field is a counterpart to the Hospital Provider Number.
.178another co. process precerts?.17;8BOOLEAN0:NO
1:YES
Enter "Yes" if another insurance company processes precerts.
.18standard ftf0;18POINTER355.13This is the standard filing time frame for the insurance company. It may be automatically applied to dates of service.
.181claims (rx) street address 1.18;1FREE TEXTIf the prescription claims address of this company is different from its main address, enter Line 1 of the prescription claims address. Answer must be 3-30 characters in length.
.182claims (rx) street address 2.18;2FREE TEXTIf the Prescription Claims Address is longer than one line, enter a second line between 3-30 characters. It can not be the same as Line 1.
.183claims (rx) street address 3.18;3FREE TEXTIf the Prescription Claims Address is longer than two lines, enter a third line between 3-30 characters. It can not be the same as Line 1 or Line 2.
.184claims (rx) city.18;4FREE TEXTEnter the city in which this insurance company's prescription claims office is located.
.185claims (rx) state.18;5POINTER5Enter the state in which this insurance company's prescription claims office is located. Enter state even if it is the same as the state of the company's main address.
.186claims (rx) zip.18;6FREE TEXTAnswer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
.187claims (rx) company name.18;7POINTER36You can only select a company that processes Prescriptions. The company specified in this field must be an active insurance company, not the same company as the entry being edited, and must not have another company specified as handling Prescriptions for it.
.188another co. process rx claims?.18;8BOOLEAN0:NO
1:YES
Enter "Yes" if another insurance company processes prescription claims.
.189claims (rx) fax.18;9FREE TEXTEnter the fax number of the prescription claims office of this insurance carrier.
.19standard ftf value0;19NUMERICEnter the value corresponding to the Standard Filing Time Frame. For example, for the time frame of Days, enter the number of days.
1reimburse?(+)0;2SET OF CODESY:WILL REIMBURSE
*:WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR 6060.2(A)
**:DEPENDS ON POLICY, CHECK WITH COMPANY
N:WILL NOT REIMBURSE
Choose from the available list of choices the appropriate code denoting whether or not and under which circumstances this insurance carrier will reimburse the Dept of Veterans Affairs for care received.
2signature required on bill?(+)0;3BOOLEAN0:NO
1:YES
Enter a yes or no in this field denoting whether a signature is required on a bill before being submitted to the insurance carrier.
3.01transmit electronically3;1SET OF CODES0:NO
1:YES-LIVE
2:YES-TEST
This is the flag that says whether or not an insurance company is ready to be billed electronically via 837/EDI functions.
3.02edi id number - prof3;2FREE TEXTThis is the ID number used to identify the Payer on professional claim transmissions. PRNT values are not valid Payer IDs.
3.03bin number3;3FREE TEXTThis field is used for facilities who are billing CHAMPUS prescription charges electronically to the CHAMPUS fiscal intermediary. The Bin number identifies this company as the CHAMPUS FI to the electronic billing system so that the claim is correctly routed to the FI.
3.04edi id number - inst3;4FREE TEXTThis is the ID number used to identify the Payer on institutional claim transmissions. PRNT values are not valid Payer IDs.
3.05last extract date for test3;5DATE-TIMEThe last date that bills for this insurance company were extracted. This date is used to reset the counter for the # of test bills submitted.
3.06max number test bills per day3;6NUMERICThis field is used to indicate the maximum number of test bills to send per day to this insurance company.
3.07number test bills for last dt3;7NUMERICThis is the number of test bills that were sent on the last date when test bills were sent electronically for this insurance company.
3.09electronic insurance type3;9SET OF CODES1:HMO
2:COMMERCIAL
3:MEDICARE
4:MEDICAID
5:GROUP POLICY
9:OTHER
This field contains the code to be used in the electronic transmission of claims to identify the type of insurance company the claim is for. The default, if this field is blank, is Group Policy. If you select GROUP POLICY, this will force a check in the GROUP insurance box of the CMS 1500/BOX 1.
3.1payer3;10POINTER365.12ACThis field points to an entry in the Payer File (#365.12). This field is not required, but it allows the insurance company entry to be able to conduct business electronically by linking the insurance company with a payer for various electronic applications.
3.13ins company link type3;13SET OF CODESP:PARENT
C:CHILD
This field indicates if the insurance company is identified as a Parent insurance company or a Child insurance company. This linkage between parent insurance companies and children insurance companies allows for easier maintenance of billing provider secondary ID's. If this insurance company is currently defined as a Parent insurance company and there are Children insurance companies associated with it, then this field cannot be changed. You must first disassociate the Children from the Parent.
3.14ins company link parent3;14POINTER36APCThis field identifies the parent insurance company link for maintenance of billing provider secondary ID's. This field is only valid for insurance companies identified as children.
4.01perf prov second id type 15004;1POINTER355.97This is the type of performing provider secondary id # that the insurance company expects on CMS-1500 bills received from the V.A. When the payer-specific provider id is extracted, this field is used to determine where to get the default data from if another secondary id is not entered for the claim.
4.02perf prov second id type ub4;2POINTER355.97This is the type of performing provider id # that the insurance company expects on UB-04 bills received from the V.A. When the payer-specific provider id is extracted, this field is used to determine where to get the data from.
4.03secondary id requirements4;3SET OF CODES0:NONE REQUIRED
1:CMS-1500 REQUIRED
2:UB-04 REQUIRED
3:BOTH UB-04 AND CMS-1500 REQUIRED
This field is used to identify if the insurance company requires the performing provider secondary id on the UB-04, the CMS-1500 or both.
4.04ref prov sec id def cms-15004;4POINTER355.97This is the default qualifier for a referring provider if there is a referring provider and the form type is CMS-1500.
4.05ref prov sec id req on claims4;5SET OF CODES1:CMS-1500
0:NONE
Set this field to CMS-1500 if the default ID for a Referring Provider is REQUIRED on a claim.
4.06att/rend id bill sec id prof4;6BOOLEAN0:NO
1:YES
This flag is set for insurance companies that wish to have the attending/rendering provider secondary ID used as a billing provider secondary ID. This applies to CMS-1500 claims.
4.07*send lab or fac ids for vamc4;7BOOLEAN0:NO
1:YES
This flag determines whether to send the lab/facility IDs and facility data when services are performed at the VAMC. Some payers will not accept the same data in both the Billing Provider and the Service Facility loops. This flag only affects electronic claims and is only valid when one of the "Always use main VAMC as Billing Provider" fields (4.11 or 4.12) is set to "Yes". MRD;IB*2.0*516 - This field has been marked for deletion and can be deleted after 3/15/2018.
4.08att/rend id bill sec id inst4;8BOOLEAN0:NO
1:YES
This flag is set for insurance companies that wish to have the attending/rendering provider secondary ID used as a billing provider secondary ID. This applies to UB claims.
4.09perf prov care unit prompt4;9FREE TEXTThis is the name of the specific care unit this insurance company needs on each claim to determine the correct performing provider id #. For example, if specialty code is the care unit that the provider id # is based on, you would enter SPECIALTY CODE here and, on each claim, enter the actual specialty code in the PROVIDER ID CARE UNIT field for the performing provider.
4.1delete 2006 4.14;10POINTER355.97This is the alternate provider id type to use to find the performing provider's id when the default id as defined by the performing provider id type cannot be found.
4.11*use vamc as bill prov on 15004;11BOOLEAN0:NO
1:YES
Setting this parameter to YES will cause the following to occur: the system will no longer determine the Billing Provider based upon the location of care; the Billing Provider on a professional claim will be the VAMC; the Division on the claim will print/transmit as the Service Facility. MRD;IB*2.0*516 - This field has been marked for deletion and can be deleted after 3/15/2018.
4.12*use vamc as bill prov on ub044;12BOOLEAN0:NO
1:YES
Setting this parameter to YES will cause the following to occur: the system will no longer determine the Billing Provider based upon the location of care; the Billing Provider on an institutional claim will be the VAMC; the Division on the claim will transmit as the Service Facility. MRD;IB*2.0*516 - This field has been marked for deletion and can be deleted after 3/15/2018.
4.13*use bill prov vamc address4;13BOOLEAN0:NO
1:YES
When this parameter is set to YES, the Billing Provider on a claim will be the VAMC but the name and address will be the name and street address from the institution file. When this parameter is set to NO, the Billing Provider on a claim will be the VAMC but the name and address will be the name and address of the VAMC's Pay-to Provider. MRD;IB*2.0*516 - This field has been marked for deletion and can be deleted after 3/15/2018.
5.01scheduled for deletion5;1BOOLEAN0:NO
1:YES
This field will be used if a company is scheduled for deletion. Setting this field to 'Yes' will set a cross-reference which will allow quick retrieval of this company when the deletion clean-up background job begins to run. That job will delete the entire insurance company entry.
5.02repoint deleted company to5;2POINTER36When an Insurance Company is deleted, it may be necessary to repoint billing activity associated with that company to another company. This field stored the pointer to that company.
6.01edi inst secondary id qual(1)6;1SET OF CODES2U:PAYER ID #
FY:CLAIM OFFICE #
NF:NAIC CODE
TJ:FED TAXPAYER #
Enter a secondary payer ID qualifier if provided by the payer.
6.02edi inst secondary id(1)6;2FREE TEXTEnter a secondary payer ID number if provided by the payer.
6.03edi inst secondary id qual(2)6;3SET OF CODES2U:PAYER ID #
FY:CLAIM OFFICE #
NF:NAIC CODE
TJ:FED TAXPAYER #
Enter a secondary payer ID qualifier if provided by the payer.
6.04edi inst secondary id(2)6;4FREE TEXTEnter a secondary payer ID number if provided by the payer.
6.05edi prof secondary id qual(1)6;5SET OF CODES2U:PAYER ID #
FY:CLAIM OFFICE #
NF:NAIC CODE
TJ:FED TAXPAYER #
Enter a secondary payer ID qualifier if provided by the payer.
6.06edi prof secondary id(1)6;6FREE TEXTEnter a secondary payer ID number if provided by the payer.
6.07edi prof secondary id qual(2)6;7SET OF CODES2U:PAYER ID #
FY:CLAIM OFFICE #
NF:NAIC CODE
TJ:FED TAXPAYER #
Enter a secondary payer ID qualifier if provided by the payer.
6.08edi prof secondary id(2)6;8FREE TEXTEnter a secondary payer ID number if provided by the payer.
6.09print sec/tert auto claims?6;9BOOLEAN0:NO
1:YES
YES means that automatically-processed secondary or tertiary claims to this payer must be printed locally.
6.1print sec med claims w/o mra?6;10BOOLEAN0:NO
1:YES
YES means that secondary Medicare claims to this payer which have not been transmitted to Medicare and for which no MRA has been received, must be printed locally.
8.01hpid/oeid8;1FREE TEXTAHODThe HPID/OEID is a 10-digit, all-numeric identifier following the ISO Standard 7812 format with a Luhn check-digit as the tenth digit. The start digit of the HPID/OEID signals whether the identifier has been provided to a health plan and not to an "other entity". If the start digit is a seven (7) then it is an HPID and identifies a health plan, a six (6) indicates an "other entity" (OEID). The OEID serves as the identifier for entities that are not health plans, healthcare providers, or individuals (persons) who are not eligible for the HPID or National Provider Identifier (NPI),yet they need to be identified in standard transactions and for other lawful purposes.
8.02chp/shp8;2SET OF CODESC:Controlling Health Plan (CHP)
S:Subhealth Plan (SHP)
Define whether this health plan is a Controlling Health Plan (CHP) or a Sub-health Plan (SHP). CHP is a health plan that controls its own business activities, actions, or policies. A plan can have 0 to many sub-health plans associated to it. SHP is a health plan whose business activities, actions, or policies are directed by a CHP.
8.03parent chp (hpid)8;3FREE TEXTOnly enter data IF this insurance company entry is NOT the parent CHP for this HPID/OEID. This would be the HPID of the parent Insurance Company.
8.04nif id8;4FREE TEXTANIFThis is the internal identifier of the correlated entry in the FSC NIF. The NIF ID associates the new HPID/OEID data element with their correlated entry in the NIF (National Insurance File) so that there will be a linkage between VA/VistA and the FSC's NIF.
10synonym10;0MULTIPLE36.03
11remarks11;0WORD-PROCESSINGYou may enter unlimited free text comments about this insurance company. It may be helpful to date ongoing comments and identify the source of the comments.
13plan types no bill prv sec id13;0MULTIPLE36.013Enter all the Electronic plan types which will suppress Billing Provider Secondary and Additional IDs from being sent.

Referenced by 22 types

  1. INSURANCE COMPANY (36) -- claims (inpt) company name, precert company name, appeals company name, inquiry company name, repoint patients to, claims (opt) company name, claims (rx) company name, ins company link parent, repoint deleted company to
  2. AR DEBTOR (340) -- debtor
  3. IB SITE PARAMETERS (350.9) -- patient or insurance company, insurance company
  4. GROUP INSURANCE PLAN (355.3) -- insurance company
  5. IB BILLING PRACTITIONER ID (355.9) -- insurance co
  6. IB INSURANCE CO LEVEL BILLING PROV ID (355.91) -- insurance co
  7. FACILITY BILLING ID (355.92) -- insurance company
  8. IB PROVIDER ID CARE UNIT (355.95) -- insurance company
  9. IB INS CO PROVIDER ID CARE UNIT (355.96) -- insurance company
  10. INSURANCE REVIEW (356.2) -- insurance company contacted
  11. CLAIMS TRACKING ROI (356.25) -- insurance company
  12. EXPLANATION OF BENEFITS (361.1) -- payer name
  13. EDI TRANSMISSION BATCH (364.1) -- insurance company
  14. IB FORM FIELD CONTENT (364.7) -- insurance company
  15. HPID/OEID TRANSMISSION QUEUE (367.1) -- insurance company
  16. HEALTH CARE CLAIM RFAI (277) (368) -- payer name [d]
  17. BILL/CLAIMS (399) -- primary insurance carrier, secondary insurance carrier, tertiary insurance carrier, bill payer carrier
  18. ACCOUNTS RECEIVABLE (430) -- secondary insurance carrier, tertiary insurance carrier
  19. APPLICANT (453) -- insurance co
  20. PRESCRIPTION EXTRACT (727.81) -- sharing agreement insurance
  21. PROSTHETICS EXTRACT (727.826) -- sharing agreement insurance
  22. BPS INSURER DATA (9002313.78) -- insurance company