GLOBAL MAP DATA DICTIONARY #9002313.78 -- BPS INSURER DATA FILE                                                   3/24/25    PAGE 1
STORED IN ^BPS(9002313.78,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                  (VERSION 1.0)   
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This file is used to store insurers' details data returned by Integrated Billing package to be used by ECME engine to build claim
requests and reversals and send them to insurers (payers).  Generally there should be few or no entries in this file unless there
are stranded claims, reversal or requests that need to be un-stranded by the user.  
 
Per VHA Directive 2004-038, this file definition should not be modified.  


CROSS
REFERENCED BY: TRANSACTION ID(B)



^BPS(9002313.78,D0,0)= (#.01) TRANSACTION ID [1N] ^ (#.02) B1 PAYER SHEET [2P:9002313.92] ^ (#.03) B2 PAYER SHEET [3P:9002313.92] 
                    ==>^ (#.04) B3 PAYER SHEET [4P:9002313.92] ^ (#.05) CERTIFY MODE [5S] ^ (#.06) CERTIFICATION [6P:9002313.31] 
                    ==>^ (#.07) INSURANCE NAME [7F] ^ (#.08) PLAN ID [8P:355.3] ^ (#.09) COB INDICATOR [9S] ^ (#.1) E1 PAYER 
                    ==>SHEET [10P:9002313.92] ^ (#.11) POLICY NUMBER [11N] ^ 
^BPS(9002313.78,D0,1)= (#1.01) BIN [1F] ^ (#1.02) PCN [2F] ^ (#1.03) GROUP ID [3F] ^ (#1.04) CARDHOLDER ID [4F] ^ (#1.05) PATIENT 
                    ==>RELATIONSHIP CODE [5S] ^ (#1.06) CARDHOLDER FIRST NAME [6F] ^ (#1.07) CARDHOLDER LAST NAME [7F] ^ (#1.08) 
                    ==>HOME PLAN STATE [8F] ^ (#1.09) PERSON CODE [9F] ^ 
^BPS(9002313.78,D0,2)= (#2.01) DISPENSING FEE SUBMITTED [1F] ^ (#2.02) BASIS OF COST DETERMINATION [2S] ^ (#2.03) USUAL & 
                    ==>CUSTOMARY CHARGE [3F] ^ (#2.04) GROSS AMOUNT DUE [4F] ^ (#2.05) ADMINISTRATIVE FEE [5F] ^ (#2.06) SOFTWARE 
                    ==>VENDOR CERT ID [6F] ^ (#2.07) MAXIMUM NCPDP TRANSACTIONS [7N] ^ (#2.08) INGREDIENT COST [8N] ^ 
^BPS(9002313.78,D0,3)= (#3.01) GROUP NAME [1F] ^ (#3.02) INSURANCE CO PHONE # [2F] ^ (#3.03) PHARMACY PLAN ID [3F] ^ (#3.04) 
                    ==>ELIGIBILITY [4S] ^ (#3.05) INSURANCE COMPANY [5P:36] ^ (#3.06) PLAN COB [6S] ^ 
^BPS(9002313.78,D0,4)= (#4.01) B1 PAYER SHEET NAME [1F] ^ (#4.02) B2 PAYER SHEET NAME [2F] ^ (#4.03) B3 PAYER SHEET NAME [3F] ^ 
                    ==>(#4.04) E1 PAYER SHEET NAME [4F] ^ 
^BPS(9002313.78,D0,5)= (#5.01) USER [1P:200] ^ (#5.02) DATE AND TIME WAS CREATED [2D] ^ 


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