Files > PAYER

name

PAYER

number

365.12

location

^IBE(365.12,

description

This is a standard file exported by the IB package. It contains all payers which can be communicated with electronically for insurance identification and verification. Do not add, edit or delete these entries except through the provided edit options. At this time, WebMD is the only vendor VISTA is communicating with electronically and so this file will contain those payers with whom WebMD currently electronically communicates. Per VHA Directive 10-93-142, this file definition should not be modified.

Fields

#	Name	Location	Type	Details	Index	Description
.01	payer name(+)	0;1	FREE TEXT		B	This is the Insurance Company Name as named for electronic interface.
.02	va national id	0;2	FREE TEXT		C	This field will be created from the list of payers from the Eligibility Communicator which will be used to uniquely identify the Insurance Payers.
.03	cms national id	0;3	FREE TEXT			If and when the Centers for Medicare and Medicaid services determine what national payer id should be assigned, then this field will get updated with that ID.
.04	date/time created(+)	0;4	DATE-TIME			DATE/TIME THAT THIS ENTRY WAS ADDED TO THE PAYER FILE.
.05	edi id number - prof	0;5	FREE TEXT			This is the ID number used to identify the insurance company for professional claim transmissions.
.06	edi id number - inst	0;6	FREE TEXT			This is the id number used to identify the insurance company for institutional claim transmissions.
1	application	1;0	MULTIPLE	365.121