GLOBAL MAP DATA DICTIONARY #392.2 -- BENEFICIARY TRAVEL CERTIFICATION FILE                                        9/29/25    PAGE 1
STORED IN ^DGBT(392.2,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 1.0)   
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 This file contains the income certification data for patients for Beneficiary Travel claims, including amount certified, 
eligibility for for Bene. Travel, and means test status.  


CROSS
REFERENCED BY: DATE CERTIFIED(AENR01), DATE CERTIFIED(B), NAME(C), DATE CERTIFIED(IVM01), NAME(IVM2)



^DGBT(392.2,D0,0)= (#.01) DATE CERTIFIED [1D] ^ (#2) NAME [2P:2] ^ (#3) ELIGIBLE [3S] ^ (#4) AMOUNT CERTIFIED [4N] ^ (#5) EDITED 
                ==>BY [5P:200] ^ (#6) LAST EDITED [6D] ^ 
^DGBT(392.2,D0,A)= (#11) ADDRESS LINE [1] [1F] ^ (#12) ADDRESS LINE [2] [2F] ^ (#13) ADDRESS LINE [3] [3F] ^ (#14) CITY [4F] ^ 
                ==>(#15) STATE [5P:5] ^ (#16) ZIP [6F] ^ (#17) COUNTY CODE [7F] ^ (#18) MEANS TEST STATUS [8F] ^ (#19) PRIMARY 
                ==>ELIGIBILITY [9F] ^ 


INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):