GLOBAL MAP DATA DICTIONARY #366.02 -- PHARMACY BENEFITS MANAGER (PBM) FILE 9/29/25 PAGE 1
STORED IN ^IBCNR(366.02, (104 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
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This Integrated Billing (IB) file was created for the e-Pharmacy Project. It is maintained centrally, via real time HL7 Table
Update Messages, using the WebMD database. Never maintain locally, except via a designated and secured option that edits selected
APPLICATION Subfile fields, such as LOCAL ACTIVE?.
A Pharmacy Benefits Manager (PBM) administers a plan on behalf of the insurance company payer. A PBM is typically a separate,
contracted entity, but it may be the insurance company payer. A PBM is uniquely identified by its' name.
Per VHA Directive 10-93-142, this file definition should not be modified.
CROSS
REFERENCED BY: PKEY(AB), NAME(B)
^IBCNR(366.02,D0,0)= (#.01) NAME [1F] ^ (#.02) DATE/TIME CREATED [2D] ^
^IBCNR(366.02,D0,1)= (#1.01) PRIMARY CONTACT NAME [1F] ^ (#1.02) PRIMARY CONTACT PREFIX [2F] ^ (#1.03) PRIMARY CONTACT DEGREE
==>[3F] ^ (#1.04) ALTERNATE CONTACT NAME [4F] ^ (#1.05) ALTERNATE CONTACT PREFIX [5F] ^ (#1.06) ALTERNATE
==>CONTACT DEGREE [6F] ^
^IBCNR(366.02,D0,2,0)=^366.022^^ (#2) CONTACT MEANS
^IBCNR(366.02,D0,2,D1,0)= (#.01) PKEY [1F] ^ (#.02) TYPE [2S] ^ (#.03) TELECOMMUNICATION USE [3S] ^ (#.04) TELECOMMUNICATION
==>EQUIPMENT [4S] ^ (#.05) EMAIL ADDRESS [5F] ^ (#.06) TELEPHONE NUMBER [6F] ^ (#.07) COMMENT [7F] ^
^IBCNR(366.02,D0,3,0)=^366.023P^^ (#3) APPLICATION
^IBCNR(366.02,D0,3,D1,0)= (#.01) APPLICATION [1P:366.12] ^ (#.02) NATIONAL ACTIVE? [2S] ^ (#.03) LOCAL ACTIVE? [3S] ^ (#.04) USER
==>EDITED LOCAL [4P:200] ^ (#.05) DATE/TIME LOCAL EDITED [5D] ^ (#.06) DATE/TIME NATIONAL EDITED [6D] ^
==>(#.07) AUTO-ACCEPT? [7S] ^ (#.08) IDENT REQUIRES SUBSCRIBER ID? [8S] ^ (#.09) USE SSN FOR SUBSCRIBER
==>ID? [9S] ^ (#.1) TRANSMIT SSN? [10S] ^ (#.11) DEACTIVATED? [11S] ^ (#.12) DATE/TIME DEACTIVATED [12D] ^
==>(#.13) DATE/TIME CREATED [13D] ^ (#.14) FUTURE SERVICE DAYS [14N] ^ (#.15) PAST SERVICE DAYS [15N] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):