GLOBAL MAP DATA DICTIONARY #366.03 -- PLAN FILE 3/24/25 PAGE 1
STORED IN ^IBCNR(366.03, (7676 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 Plan is a Payer's medical health care insurance product that defines benefits and their delivery to organizations and individuals
that enroll in the Plan. A Plan is uniquely identified by its' identifier (VA National Plan ID).
Per VHA Directive 10-93-142, this file definition should not be modified.
CROSS
REFERENCED BY: PKEY(AB), PKEY(AC), ID(B), NAME(C), BANKING IDENTIFICATION NUMBER(D), PROCESSOR CONTROL NUMBER (PCN)(E)
INDEXED BY: BANKING IDENTIFICATION NUMBER & PROCESSOR CONTROL NUMBER (PCN) (F)
^IBCNR(366.03,D0,0)= (#.01) ID [1F] ^ (#.02) NAME [2F] ^ ^ (#.04) NAME - SHORT [4F] ^ (#.05) TYPE [5S] ^ (#.06) REGION [6F] ^
==>(#.07) DATE/TIME CREATED [7D] ^
^IBCNR(366.03,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(366.03,D0,2,0)=^366.032^^ (#2) CONTACT MEANS
^IBCNR(366.03,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(366.03,D0,3,0)=^366.033P^^ (#3) APPLICATION
^IBCNR(366.03,D0,3,D1,0)= (#.01) APPLICATION [1P:366.13] ^ (#.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] ^
^IBCNR(366.03,D0,10)= (#10.01) PHARMACY BENEFITS MANAGER NAME [1P:366.02] ^ (#10.02) BANKING IDENTIFICATION NUMBER [2F] ^
==>(#10.03) PROCESSOR CONTROL NUMBER (PCN) [3F] ^ (#10.04) NCPDP PROCESSOR NAME [4P:366.01] ^ (#10.05)
==>ENABLED? [5S] ^ (#10.06) SOFTWARE VENDOR ID [6F] ^ (#10.07) BILLING PAYER SHEET NAME [7P:9002313.92] ^
==>(#10.08) REVERSAL PAYER SHEET NAME [8P:9002313.92] ^ (#10.09) REBILL PAYER SHEET NAME [9P:9002313.92] ^
==>(#10.1) MAXIMUM NCPDP TRANSACTIONS [10N] ^ (#10.11) TEST BILLING PAYER SHEET [11P:9002313.92] ^ (#10.12)
==>TEST REVERSAL PAYER SHEET NAME [12P:9002313.92] ^ (#10.13) TEST REBILL PAYER SHEET NAME [13P:9002313.92] ^
==>(#10.14) TEST ELIGIBILITY SHEET NAME [14P:9002313.92] ^ (#10.15) ELIGIBILITY PAYER SHEET NAME
==>[15P:9002313.92] ^
^IBCNR(366.03,D0,11)= (#11.01) RX PRIMARY CONTACT NAME [1F] ^ (#11.02) RX PRIMARY CONTACT PREFIX [2F] ^ (#11.03) RX PRIMARY
==>CONTACT DEGREE [3F] ^ (#11.04) RX ALTERNATE CONTACT NAME [4F] ^ (#11.05) RX ALTERNATE CONTACT PREFIX [5F] ^
==>(#11.06) RX ALTERNATE CONTACT DEGREE [6F] ^
^IBCNR(366.03,D0,12,0)=^366.0312^^ (#12) RX CONTACT MEANS
^IBCNR(366.03,D0,12,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] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):