STANDARD DATA DICTIONARY #365.011 -- X12 271 ELIGIBILITY/BENEFIT FILE 3/24/25 PAGE 1
STORED IN ^IBE(365.011, (35 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 all the corresponding X.12 271 EB01 codes (Eligibility/Benefits).
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:
IDENTIFIED BY: DESCRIPTION (#.02)
POINTED TO BY: ELIGIBILITY/BENEFIT INFO field (#.02) of the ELIGIBILITY/BENEFIT sub-field (#2.322) of the INSURANCE TYPE sub-field
(#2.312) of the PATIENT File (#2)
ELIGIBILITY/BENEFIT INFO field (#.02) of the ELIGIBILITY/BENEFIT sub-field (#365.02) of the IIV RESPONSE File (#365)
CROSS
REFERENCED BY: CODE(B)
LAST MODIFIED: OCT 22,2023@22:53:55
365.011,.01 CODE 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: MAR 24, 2023
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION: This field is controlled by the Financial Service Center (FSC) and is associated with their table:
X12_ELIGIBILITY_OR_BENEFIT_INFO.
CROSS-REFERENCE: 365.011^B
1)= S ^IBE(365.011,"B",$E(X,1,30),DA)=""
2)= K ^IBE(365.011,"B",$E(X,1,30),DA)
Standard "B" cross-reference
365.011,.02 DESCRIPTION 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>90!($L(X)<1) X
MAXIMUM LENGTH: 90
LAST EDITED: MAR 13, 2023
HELP-PROMPT: Answer must be 1-90 characters in length.
DESCRIPTION: This field is controlled by the Financial Service Center (FSC) and is associated with their table:
X12_ELIGIBILITY_OR_BENEFIT_INFO.
CROSS-REFERENCE: ^^TRIGGER^365.011^.04
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBE(365.011,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X
S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% X ^DD(365.011,.02,1,1,1.4)
1.4)= S DIH=$G(^IBE(365.011,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=365.011,DIG=.04 D ^DICR
2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBE(365.011,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X
S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% X ^DD(365.011,.02,1,1,2.4)
2.4)= S DIH=$G(^IBE(365.011,DIV(0),0)),DIV=X S $P(^(0),U,4)=DIV,DIH=365.011,DIG=.04 D ^DICR
CREATE VALUE)= NOW
DELETE VALUE)= NOW
FIELD)= DATE LAST EDITED
Update the 'DATE LAST EDITED' whenever the Description is changed.
365.011,.03 INACTIVE? 0;3 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: JUN 03, 2002
DESCRIPTION:
This field will be marked inactive if a code is determined to no longer be used by X.12.
365.011,.04 DATE LAST EDITED 0;4 DATE
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 10, 2023
HELP-PROMPT: Enter the date and time the DESCRIPTION was last edited.
DESCRIPTION:
The date and time that the DESCRIPTION for this entry was last edited.
NOTES: TRIGGERED by the DESCRIPTION field of the X12 271 ELIGIBILITY/BENEFIT File
365.011,.05 FSC CONTROLLED 0;5 SET (BOOLEAN Data Type)
LAST EDITED: FEB 13, 2023
HELP-PROMPT: Enter 1 if FSC controlled or 0 if not.
DESCRIPTION:
This field identifies whether or not this file is controlled by FSC.
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):