GLOBAL MAP DATA DICTIONARY #355.93 -- IB NON/OTHER VA BILLING PROVIDER FILE                                       6/27/25    PAGE 1
STORED IN ^IBA(355.93,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 2.0)   
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This file contains data for non-VA facilities that provide services for VA patients who have reimbursable insurance for these
services.  VA pays for these services and in turn submits the charges to the insurance co for reimbursement.  


CROSS
REFERENCED BY: NAME(B), NPI(NPI), NPI(NPIHISTORY), STATUS(TAXSTATUS)

INDEXED BY:    NPI (NPI42)


^IBA(355.93,D0,0)= (#.01) NAME [1F] ^ (#.02) PROVIDER TYPE [2S] ^ (#.03) CREDENTIALS [3F] ^ (#.04) SPECIALTY [4F] ^ (#.05) STREET 
                ==>ADDRESS [5F] ^ (#.06) CITY [6F] ^ (#.07) STATE [7P:5] ^ (#.08) ZIP CODE [8F] ^ (#.09) FACILITY DEFAULT ID 
                ==>NUMBER [9F] ^ (#.1) STREET ADDRESS LINE 2 [10F] ^ (#.11) X12 TYPE OF FACILITY [11S] ^ (#.12) STATE LICENSE # 
                ==>[12F] ^ (#.13) PRIMARY ID QUALIFIER [13P:355.97] ^ (#41.01) NPI [14F] ^ (#.15) MAMMOGRAPHY CERTIFICATION # 
                ==>[15F] ^ (#.16) LICENSE STATE [16P:5] ^ (#.17) SOLE PROPRIETORSHIP [17S] ^ (#.18) NON-VA PROVIDER [18P:355.93] 
                ==>^ 
^IBA(355.93,D0,1)= (#1.01) P&C CONTACT NAME [1F] ^ (#1.02) P&C CONTACT PHONE NUMBER [2F] ^ (#1.03) P&C CONTACT PHONE EXTENSION 
                ==>[3N] ^ 
^IBA(355.93,D0,3,0)=^355.9351DA^^  (#51) DATE/TIME ALLOW FB UPDATE
^IBA(355.93,D0,3,D1,0)= (#.01) DATE/TIME ALLOW FB UPDATE [1D] ^ (#.02) ALLOW UPDATES [2S] ^ (#.03) IB USER WHO CHANGED [3P:200] ^ 
^IBA(355.93,D0,4,0)=^355.935DA^^  (#50) DATE/TIME LAST FB UPDATE
^IBA(355.93,D0,4,D1,0)= (#.01) DATE/TIME LAST FB UPDATE [1D] ^ (#.02) FB SUPERVISOR [2P:200] ^ (#.03) CREATED BY FB PAID TO IB 
                     ==>[3S] ^ 
^IBA(355.93,D0,NPISTATUS,0)=^355.9301DA^^  (#40) DATE/TIME OF LAST NPI CHANGE
^IBA(355.93,D0,NPISTATUS,D1,0)= (#.01) DATE/TIME OF LAST NPI CHANGE [1D] ^ (#.02) STATUS [2S] ^ (#.03) NPI [3F] ^ (#.04) PERSON 
                             ==>AFFECTING LAST CHANGE [4P:200] ^ 
^IBA(355.93,D0,TAXONOMY,0)=^355.9342IP^^  (#42) TAXONOMY CODE
^IBA(355.93,D0,TAXONOMY,D1,0)= (#.01) TAXONOMY CODE [1P:8932.1] ^ (#.02) PRIMARY CODE [2S] ^ (#.03) STATUS [3S] ^ 


INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):
^DIBT(916)= IB PROVIDERS FROM FB    

FORM(S)/BLOCK(S):