GLOBAL MAP DATA DICTIONARY #354 -- BILLING PATIENT FILE 6/27/25 PAGE 1 STORED IN ^IBA(354, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0) ----------------------------------------------------------------------------------------------------------------------------------- DO NOT EDIT THIS FILE. Under normal operation it is not necessary to edit the fields in this file directly. The option Manually Change Copay Exemption (Hardships) can be used to update and correct this entry by creating a new exemption. If many patient records have problems the option Print/Verify Patient Exemption Status can be used to correct the entries. The data in this file is updated each time a new (current) exemption is created for a patient. Exemptions are automatically created when changes in patient information change the exemption status or when an expired (older than 1 year) exemption is encountered when determining the exemption status for pharmacy. This file will contain specific information related to billing about individual patients. Current Status of the Medication Copayment Exemption will be kept in this file. Conceptually this is different than the BILLING EXEMPTIONS File which maintains the audit log and historical data related to billing exemptions. Per VHA Directive 10-93-142, this file definition should not be modified. CROSS REFERENCED BY: COPAY EXEMPTION REASON(AC), COPAY EXEMPTION STATUS DATE(AD), COPAY INCOME EXEMPTION STATUS(AENR04), COPAY INCOME EXEMPTION STATUS(AEX), EVER HAD IVM INSURANCE?(AIVM), NO COVERAGE VERIFICATION DATE(AVDT), PATIENT NAME(B) ^IBA(354,D0,0)= (#.01) PATIENT NAME [1P:2] ^ ^ (#.03) COPAY EXEMPTION STATUS DATE [3D] ^ (#.04) COPAY INCOME EXEMPTION STATUS ==>[4S] ^ (#.05) COPAY EXEMPTION REASON [5P:354.2] ^ ^IBA(354,D0,60)= (#60) NO COVERAGE VERIFICATION DATE [1D] ^ ^IBA(354,D0,IVM)= (#50) EVER HAD IVM INSURANCE? [1S] ^ INPUT TEMPLATE(S): ^DIE(517)= IB CURRENT STATUS Compiled: ^IBXEXS PRINT TEMPLATE(S): ^DIPT(249)= IB BILLING PAT W/INCOME ^DIPT(247)= IB BILLING PATIENT ^DIPT(248)= IB BILLING PATIENT SUMMARY Previously Compiled: ^DIPT(251)= IB DO NOT USE Previously Compiled: ^DIPT(250)= IB PATIENT ADDRESSES SORT TEMPLATE(S): ^DIBT(128)= IB BILLING PAT W/INCOME ^DIBT(127)= IB BILLING PATIENT BY REASON ^DIBT(126)= IB BILLING PATIENT BY STATUS ^DIBT(129)= IB EXEMPT PATIENTS ^DIBT(130)= IB EXEMPTION LETTER FORM(S)/BLOCK(S):