GLOBAL MAP DATA DICTIONARY #355.3 -- GROUP INSURANCE PLAN FILE                                                    3/24/25    PAGE 1
STORED IN ^IBA(355.3,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                       (VERSION 2.0)   
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This file contains the relevent data for Group insurance plans.  The data in this file is specific to the plan itself.  
 
This is in contrast to the patient file which contains data about patient's policies, where the policy may be for a group or Health 
Insurance Plan.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


CROSS
REFERENCED BY: *GROUP NAME(ACCP), *GROUP NUMBER(ACCP1), INSURANCE COMPANY(ACCP2), INSURANCE COMPANY(ACCP3), 
               *GROUP NUMBER(AENR04), *GROUP NAME(AGNA), INSURANCE COMPANY(AGNA1), *GROUP NUMBER(AGNU), 
               INSURANCE COMPANY(AGNU1), INSURANCE COMPANY(B), *GROUP NAME(D), *GROUP NUMBER(E)



^IBA(355.3,D0,0)= (#.01) INSURANCE COMPANY [1P:36] ^ (#.02) IS THIS A GROUP POLICY? [2S] ^ (#.03) *GROUP NAME [3F] ^ (#.04) 
               ==>*GROUP NUMBER [4F] ^ (#.05) IS UTILIZATION REVIEW REQUIRED [5S] ^ (#.06) IS PRE-CERTIFICATION REQUIRED? [6S] ^ 
               ==>(#.07) EXCLUDE PRE-EXISTING CONDITION [7S] ^ (#.08) BENEFITS ASSIGNABLE? [8S] ^ (#.09) TYPE OF PLAN [9P:355.1] 
               ==>^ (#.1) INDIVIDUAL POLICY PATIENT [10P:2] ^ (#.11) INACTIVE [11S] ^ (#.12) AMBULATORY CARE CERTIFICATION [12S] 
               ==>^ (#.13) PLAN FILING TIME FRAME [13F] ^ (#.14) PLAN CATEGORY [14S] ^ (#.15) ELECTRONIC PLAN TYPE [15S] ^ (#.16) 
               ==>PLAN STANDARD FTF [16P:355.13] ^ (#.17) PLAN STANDARD FTF VALUE [17N] ^ 
^IBA(355.3,D0,1)= (#1.01) DATE ENTERED [1D] ^ (#1.02) ENTERED BY [2P:200] ^ (#1.03) DATE LAST VERIFIED [3D] ^ (#1.04) VERIFIED BY 
               ==>[4P:200] ^ (#1.05) DATE LAST EDITED [5D] ^ (#1.06) LAST EDITED BY [6P:200] ^ (#1.07) DATE LAST MATCHED [7D] ^ 
               ==>(#1.08) LAST MATCHED BY [8P:200] ^ 
^IBA(355.3,D0,2)= (#2.01) GROUP NAME [1F] ^ (#2.02) GROUP NUMBER [2F] ^ 
^IBA(355.3,D0,6)= (#6.01) PLAN ID [1P:366.03] ^ (#6.02) BANKING IDENTIFICATION NUMBER [2F] ^ (#6.03) PROCESSOR CONTROL NUMBER 
               ==>(PCN) [3F] ^ 
^IBA(355.3,D0,11,0)=^355.311^^  (#11) COMMENTS
^IBA(355.3,D0,11,D1,0)= (#.01) COMMENTS [1W] ^ 


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