GLOBAL MAP DATA DICTIONARY #365.18 -- EIV EICD TRACKING FILE 3/24/25 PAGE 1
STORED IN ^IBCN(365.18, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
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This file allows VistA to track data associated with the Electronic Insurance Coverage Discovery (EICD) extract process. Both
Identification and Verification EICD transactions (inquires and responses) are detailed and tracked in this file. Per VHA Directive
6402, this file definition should not be modified.
CROSS
REFERENCED BY: EICD TRANSMISSION(B), EICD VER INQ TRANSMISSION(C), EICD VER RESPONSE(D), EICD TRACE NUMBER(E), EICD PATIENT(F)
^IBCN(365.18,D0,0)= (#.01) EICD TRANSMISSION [1P:365.1] ^ (#.02) EICD DATE CREATED [2D] ^ (#.03) EICD PAYER [3P:365.12] ^ (#.04)
==>EICD TRACE NUMBER [4F] ^ (#.05) EICD PATIENT [5P:2] ^ (#.06) EICD RESPONSE [6P:365] ^ (#.07) EICD RESPONSE
==>RESULT [7S] ^
^IBCN(365.18,D0,INS-FND,0)=^365.185A^^ (#5) INSURANCE DISCOVERED
^IBCN(365.18,D0,INS-FND,D1,0)= (#.01) PAYER VA ID [1F] ^ (#.02) PAYER NAME [2F] ^ (#.03) GROUP NUMBER [3F] ^ (#.04) SUBSCRIBER ID
==>[4F] ^ (#.05) MEMBER ID [5F] ^ (#.06) SUBSCRIBER SSN [6F] ^ (#.07) INSURED DOB [7D] ^ (#.08)
==>INSURED SEX [8S] ^ (#.09) NAME OF INSURED [9F] ^ (#.1) SUBSCRIBER ADDRESS LINE 1 [10F] ^ (#.11)
==>SUBSCRIBER ADDRESS LINE 2 [11F] ^ (#.12) SUBSCRIBER ADDRESS CITY [12F] ^ (#.13) SUBSCRIBER ADDRESS
==>STATE [13P:5] ^ (#.14) SUBSCRIBER ADDRESS ZIP [14F] ^ (#.15) DEPENDENT POLICY (Y/N?) [15S] ^
^IBCN(365.18,D0,INS-FND,D1,1)= (#1.01) EICD VER INQ TRANSMISSION [1P:365.1] ^ (#1.02) EICD VER INQ DATE CREATED [2D] ^ (#1.03)
==>EICD VER RESPONSE [3P:365] ^ (#1.04) EICD VER RESPONSE RESULT [4S] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):