STANDARD DATA DICTIONARY #350.1 -- IB ACTION TYPE FILE 6/27/25 PAGE 1
STORED IN ^IBE(350.1, (206 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the types of actions that a service can use with IB. Data in this file provides links from the application to
IB to AR that are associated with the type rather than each entry.
Per VHA Directive 10-93-142, this file definition should not be modified.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
POINTED TO BY: COPAY TRANSACTION TYPE field (#105) of the PRESCRIPTION File (#52)
CHARGE TYPE field (#.01) of the 1ST PARTY AUTO-DECREASE TYPES sub-field (#342.014) of the AR SITE PARAMETER File
(#342)
ACTION TYPE field (#.03) of the INTEGRATED BILLING ACTION File (#350)
CANCELLATION ACTION TYPE field (#.06) of the IB ACTION TYPE File (#350.1)
UPDATE ACTION TYPE field (#.07) of the IB ACTION TYPE File (#350.1)
NEW ACTION TYPE field (#.09) of the IB ACTION TYPE File (#350.1)
IB TRANSACTION TYPE field (#.03) of the IB ACTION CHARGE File (#350.2)
RATE GROUP field (#.03) of the BILLABLE AMBULATORY SURGICAL CODE File (#350.4)
OLD RATE GROUP field (#.03) of the UPDATE BILLABLE AMBULATORY SURGICAL CODE File (#350.41)
NEW RATE GROUP field (#.04) of the UPDATE BILLABLE AMBULATORY SURGICAL CODE File (#350.41)
ACTION TYPE field (#.18) of the IB COPAY TRANSACTIONS File (#354.71)
IB ACTION TYPE (COPAYMENT) field (#.14) of the MCCR UTILITY File (#399.1)
IB ACTION TYPE (PER DIEM) field (#.15) of the MCCR UTILITY File (#399.1)
CROSS
REFERENCED BY: SERVICE(ANEW), SEQUENCE NUMBER(ANEW1), NAME(B), SERVICE(C), ABBREVIATION(D), USER LOOKUP NAME(E)
LAST MODIFIED: AUG 12,2019@15:23:21
350.1,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!(X?.N)!($L(X)<3)!'(X'?1P.E) X
HELP-PROMPT: NAME MUST BE 3-30 CHARACTERS, NOT NUMERIC OR STARTING WITH PUNCTUATION
DESCRIPTION: Enter the unique name of this action type. The name should begin with the namespace of the
application that will use this action type and should describe the function being billed.
DELETE TEST: 1,0)= I 1 W !,"Deleting entries not allowed"
CROSS-REFERENCE: 350.1^B
1)= S ^IBE(350.1,"B",$E(X,1,30),DA)=""
2)= K ^IBE(350.1,"B",$E(X,1,30),DA)
350.1,.02 ABBREVIATION 0;2 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>8!($L(X)<2) X
LAST EDITED: AUG 30, 1991
HELP-PROMPT: Answer must be 2-8 characters in length.
DESCRIPTION:
Enter a short description that can be output on space limited reports.
CROSS-REFERENCE: 350.1^D
1)= S ^IBE(350.1,"D",$E(X,1,30),DA)=""
2)= K ^IBE(350.1,"D",$E(X,1,30),DA)
350.1,.03 CHARGE CATEGORY 0;3 POINTER TO ACCOUNTS RECEIVABLE CATEGORY FILE (#430.2)
DESCRIPTION: This is the pointer to the ACCOUNT RECEIVABLE CATEGORY file. This data will get passed to AR when
an IB ACTION for this ACTION type gets passed to AR.
350.1,.04 SERVICE 0;4 POINTER TO SERVICE/SECTION FILE (#49)
LAST EDITED: FEB 14, 1991
DESCRIPTION: Enter the name of the Service/Section that will be using this action type. This is required by
Accounts Receivable.
CROSS-REFERENCE: 350.1^C
1)= S ^IBE(350.1,"C",$E(X,1,30),DA)=""
2)= K ^IBE(350.1,"C",$E(X,1,30),DA)
CROSS-REFERENCE: 350.1^ANEW^MUMPS
1)= I $P(^IBE(350.1,DA,0),U,5) S ^IBE(350.1,"ANEW",X,$P(^(0),U,5),DA)=""
2)= I $P(^IBE(350.1,DA,0),U,5) K ^IBE(350.1,"ANEW",X,$P(^(0),U,5),DA)
350.1,.05 SEQUENCE NUMBER 0;5 SET
'1' FOR NEW;
'2' FOR CANCEL;
'3' FOR UPDATE;
'81' FOR MEDICARE DEDUCTIBLE;
'82' FOR CHAMPVA LIMIT;
'91' FOR HOSPITAL ADMISSION;
'92' FOR NHCU ADMISSION;
'93' FOR LTC ADMISSION;
LAST EDITED: MAR 05, 2002
HELP-PROMPT: Enter the appropriate entry to indicate the sequencing that this action type should be filed with
AR, or the appropriate code for the non-billable action type.
DESCRIPTION: This field tells the IB filer the order in which to file entries with AR. A new entry must be
filed before it can be cancelled. An update action type will generate two actions, a cancel of
previous entry, and an updated entry containing the correct data. The update will be filed after
the cancel. The ordering must be maintained so that the last full entry in the INTEGRATED BILLING
ACTION file for a parent is the most current entry. (an inverse date x-ref on the parent field
will indicate the most recent entry to the updated parent) Additional numbering series are also
available for IB ACTION TYPES which do not explicitly represent billable charges. These series are
set so that they do not conflict with the ordering required for correct processing of IB ACTION
charges in AR.
CROSS-REFERENCE: 350.1^ANEW1^MUMPS
1)= I $P(^IBE(350.1,DA,0),U,4) S ^IBE(350.1,"ANEW",$P(^(0),U,4),X,DA)=""
2)= I $P(^IBE(350.1,DA,0),U,4) K ^IBE(350.1,"ANEW",$P(^(0),U,4),X,DA)
350.1,.06 CANCELLATION ACTION TYPE 0;6 POINTER TO IB ACTION TYPE FILE (#350.1)
LAST EDITED: FEB 13, 1991
DESCRIPTION: This is the IB ACTION TYPE entry that will be the 'CANCEL' type for this entry. If this is a
'CANCEL' type entry, then this will be itself. Every 'NEW' type entry should have an associated
'CANCEL' and 'UPDATE' type entry.
350.1,.07 UPDATE ACTION TYPE 0;7 POINTER TO IB ACTION TYPE FILE (#350.1)
LAST EDITED: FEB 13, 1991
DESCRIPTION: This is the IB ACTION TYPE entry that will be the 'UPDATE' type for this entry. If this entry is
an UPDATE type then it will be itself. For every 'NEW' type of entry, there should be an
associated 'CANCEL' and 'UPDATE' type.
350.1,.08 USER LOOKUP NAME 0;8 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>22!($L(X)<3) X
LAST EDITED: FEB 27, 1992
HELP-PROMPT: Answer must be 3-22 characters in length.
DESCRIPTION: This is the name of the action that may be used for look-up and printing on reports. The name will
only exist for IB ACTION TYPE entries whose SEQUENCE NUMBER is "1" for NEW.
CROSS-REFERENCE: 350.1^E
1)= S ^IBE(350.1,"E",$E(X,1,30),DA)=""
2)= K ^IBE(350.1,"E",$E(X,1,30),DA)
350.1,.09 NEW ACTION TYPE 0;9 POINTER TO IB ACTION TYPE FILE (#350.1)
LAST EDITED: FEB 27, 1992
DESCRIPTION:
This is the IB ACTION TYPE entry that is the 'NEW' type for this entry.
350.1,.1 PLACE ON HOLD 0;10 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: FEB 27, 1992
DESCRIPTION: This field is used to flag those IB Actions (as identified by the IB Action Type) which may be
'held up' in Integrated Billing until reimbursement from an Insurance company for the billing of
the same event has been received.
The field will be set to 'YES' if the Action Type is one which represents a billable action which
may be billed to a patient's insurance company as well as to the patient.
350.1,.11 BILLING GROUP 0;11 SET
'1' FOR INPT/NHCU FEE SERVICE;
'2' FOR INPT/NHCU COPAY;
'3' FOR INPT/NHCU PER DIEM;
'4' FOR OPT COPAY;
'5' FOR RX COPAY;
'6' FOR CHAMPVA;
'7' FOR TRICARE;
'8' FOR LTC OPT;
'9' FOR LTC INPT;
LAST EDITED: MAR 16, 2004
HELP-PROMPT: Enter Group for manual charge processing.
DESCRIPTION:
This field is a set of codes used to enter the group for manual charge processing.
350.1,.12 INACTIVE 0;12 SET (BOOLEAN Data Type)
LAST EDITED: MAR 12, 2018
HELP-PROMPT: Enter the code which indicates whether or not you would like to inactivate this action type.
DESCRIPTION:
This field indicates whether or not this Action Type has been inactivated.
350.1,10 PARENT TRACE LOGIC 10;E1,245 MUMPS
INPUT TRANSFORM: K:$L(X)>245 X D:$D(X) ^DIM
HELP-PROMPT: This is Standard MUMPS code.
DESCRIPTION: This is the executable code that will expand the field RESULTING FROM in the INTEGRATED BILLING
ACTION File to return in Y(n) the zeroth node of the entry creating this entry. If the entry is
caused by a top level entry then Y(0) will equal the zeroth node of the file. If an entry is
caused by a lower level entry then in addition to Y(0), Y(1) will be the zeroth node of the next
lower level, Y(2) will be the zeroth node of the third level, etc. If a node described in the
RESULTING FROM field in file 350 is not present then Y=-1^error code.
350.1,20 SET LOGIC 20;E1,245 MUMPS
INPUT TRANSFORM: K:$L(X)>245 X D:$D(X) ^DIM
HELP-PROMPT: This is Standard MUMPS code.
DESCRIPTION: This is the executable MUMPS code that will calculate the BRIEF DESCRIPTION stored in file 350.
This is used by the IB application interface routines. This may execute the PARENT TRACE LOGIC to
return data from the application.
350.1,30 FULL PROFILE LOGIC 30;E1,245 MUMPS
INPUT TRANSFORM: K:$L(X)>245 X D:$D(X) ^DIM
HELP-PROMPT: This is Standard MUMPS code.
DESCRIPTION: This is the standard MUMPS code that will calculate the full profile of an IB ACTION entry as
approved by the DBA agreements between integrating applications.
350.1,40 ELIGIBILITY LOGIC 40;E1,245 MUMPS
INPUT TRANSFORM: K:$L(X)>245 X D:$D(X) ^DIM
LAST EDITED: FEB 06, 1991
HELP-PROMPT: This is Standard MUMPS code.
DESCRIPTION: This field the standard mumps code to determine eligibility to use the IB ACTION TYPE for the
desired debtor.
FILES POINTED TO FIELDS
ACCOUNTS RECEIVABLE CATEGORY
(#430.2) CHARGE CATEGORY (#.03)
IB ACTION TYPE (#350.1) CANCELLATION ACTION TYPE (#.06)
UPDATE ACTION TYPE (#.07)
NEW ACTION TYPE (#.09)
SERVICE/SECTION (#49) SERVICE (#.04)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):