Files > ELIGIBILITY CODE

name
ELIGIBILITY CODE
number
8
location
^DIC(8,
description
The ELIGIBILITY CODE file contains all the eligibility codes that can be assigned to a patient. All entries in this file must be associated with an entry in the MAS ELIGIBILITY CODE file. The MAS ELIGIBILITY CODE(#8.1) file consists of those codes which have been established by VACO MAS. Currently there are 18 eligibility codes in use by the Dept of Veterans Affairs. The site is not allowed to add entries to the MAS ELIGIBILITY CODE file. However, the site is permitted to add local entries to the ELIGIBILITY CODE file. To add/edit eligibility codes use the option 'Eligibility Code Enter/Edit [DG ELIG CODE ENTER/EDIT]'. The option is on the 'Eligibility/ID Maintenance Menu [DG ELIG MAINTENANCE]' menu. Normally, adding local codes is not needed. However, the VA/DOD sharing agreement software, being developed by the Dallas ISC, does need and use this functionality.
applicationGroups
VA
Fields
#NameLocationTypeDetailsIndexDescription
.01name(+)0;1FREE TEXTBThis field contains the site specific name for the eligibility. In most cases the name will be the same as the MAS ELIGIBILITY CODE pointed to by the MAS ELIGIBILITY CODE field of this file.
.12make record sensitive?0;12BOOLEAN1:YES
0:NO
Answer YES if patients with this eligibility should have there records automatically added to the DG SECURITY LOG file so that the patient's record will be listed as sensitive.
1card color(+)0;2SET OF CODESP:PURPLE
B:BLUE
R:RED
This field indicates the color of the patient's card for the MAS eligibility. This field is automatically updated with the value of the 'CARD COLOR' of the MAS ELIGIBILITY CODE(#8.1) entry pointed to by field #8, MAS ELIGIBILITY CODE. This field is uneditable.
2abbreviation0;3FREE TEXTThis field may contain an abbreviation for the eligibility name. It may be used in place of the name in selected prints.
3va code number(+)0;4NUMERICCThis field contains the VA CODE NUMBER that has been assigned to this eligibility. This field is automatically updated with the value of the 'VA CODE NUMBER' of the MAS ELIGIBILITY CODE(#8.1) entry pointed to by field #8, MAS ELIGIBILITY CODE. This field is uneditable.
4type(+)0;5SET OF CODESN:NON-VETERAN
Y:VETERAN
This field indicates the type of patient that can be assigned this eligibility. The patient is either a 'veteran' or a 'non-veteran' type. This field is automatically updated with the value of the 'TYPE' of the MAS ELIGIBILITY CODE(#8.1) entry pointed to by field #8, MAS ELIGIBILITY CODE. This field is uneditable.
5print name(+)0;6FREE TEXTThis field contains a shorten eligibility name that is used for output that has limited space to print.
6inactive0;7BOOLEAN1:YES
If the eligibility is inactive then this field will be set to 'YES'.
7select as additional0;8BOOLEAN0:NO
1:YES
This field indicates whether patients may be assigned this eligibility as an 'additional' eligibility. If the field is set to 'NO' or is not filled in, then the eligibility can only be assigned as a primary eligibility. If set to 'YES', then the eligibility can be used as both a primary and an 'additional' eligibility. This field is automatically updated with the value of the 'SELECT AS ADDITIONAL' of the MAS ELIGIBILITY CODE(FILE #8.1) entry pointed to by field #8, MAS ELIGIBILITY CODE. This field is uneditable.
8mas eligibility code(+)0;9POINTER8.1DThis field is required. All entries in this file must be associated with an entry in the MAS ELIGIBILITY CODE file in order to be valid. This relationship with the MAS ELIGIBILITY CODE is used throughout the MAS software for statistics and reporting purposes. It is very important. When this field is entered or edited, then the fields CARD COLOR(#1), VA CODE NUMBER(#3), TYPE(#4) and SELECT AS ADDITIONAL(#7) are automatically updated. They are updated with the values of same fields entered for the MAS ELIGIBILITY CODE entry that was selected.
9id format(+)0;10POINTER8.2AFThis field indicates which identification format is to be used when setting a patient's ID who has been assigned this eligibility. Most eligibilities should be associated with 'VA STANDARD' format. This format is the patient's Social Security Number. If your site has a DOD/VA sharing agreement AND are running the VA/DOD software developed by the Dallas ISC, then you may have to associate some DOD specific eligibilities with a format other than 'VA STANDARD'.
10synonymS;0MULTIPLE8.01This multiple contains all of the alternative names by which a user may call up this eligibility code. This can be modified at the site level.
11agency0;11POINTER4.11This field contains the AGENCY that is associated with this eligibility. Normally, the agency is the VA.

Referenced by 8 types

  1. PATIENT (2) -- primary eligibility code
  2. PTF (45) -- admitting eligibility
  3. BENEFICIARY TRAVEL CLAIM (392) -- eligibility
  4. PATIENT MOVEMENT (405) -- admitting eligibility
  5. APPOINTMENT TYPE (409.1) -- default eligibility
  6. OUTPATIENT ENCOUNTER (409.68) -- eligibility of encounter
  7. A&SP CLINIC VISIT (509850.6) -- visit eligibility
  8. VISIT (9000010) -- eligibility