STANDARD DATA DICTIONARY #365.18 -- EIV EICD TRACKING FILE 3/24/25 PAGE 1
STORED IN ^IBCN(365.18, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file allows VistA to track data associated with the Electronic Insurance Coverage Discovery (EICD) extract process. Both
Identification and Verification EICD transactions (inquires and responses) are detailed and tracked in this file. Per VHA Directive
6402, this file definition should not be modified.
CROSS
REFERENCED BY: EICD TRANSMISSION(B), EICD VER INQ TRANSMISSION(C), EICD VER RESPONSE(D), EICD TRACE NUMBER(E), EICD PATIENT(F)
LAST MODIFIED: JAN 31,2019@16:41:46
365.18,.01 EICD TRANSMISSION 0;1 POINTER TO IIV TRANSMISSION QUEUE FILE (#365.1) (Required)
LAST EDITED: JUN 12, 2018
HELP-PROMPT: Select the IIV TRANSMISSION QUEUE record associated with this EICD Identification inquiry.
DESCRIPTION:
This is the IIV TRANSMISSION QUEUE record associated with this EICD Identification inquiry.
TECHNICAL DESCR:
VistA populates this field with a pointer to the IIV TRANSMISSION QUEUE (#365.1).
CROSS-REFERENCE: 365.18^B
1)= S ^IBCN(365.18,"B",$E(X,1,30),DA)=""
2)= K ^IBCN(365.18,"B",$E(X,1,30),DA)
365.18,.02 EICD DATE CREATED 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: JUN 12, 2018
HELP-PROMPT: Enter the date that the associated IIV TRANSMISSION QUEUE entry was created.
DESCRIPTION: This is the date that the IIV TRANSMISSION QUEUE entry was created for an EICD Identification
inquiry.
TECHNICAL DESCR: This is the date that the IIV TRANSMISSION QUEUE entry pointed to by the EICD TRANSMISSION
(#365.18,.01) field was created.
365.18,.03 EICD PAYER 0;3 POINTER TO PAYER FILE (#365.12)
LAST EDITED: JUN 12, 2018
HELP-PROMPT: Select the EICD Identification inquiry National PAYER.
DESCRIPTION:
This is the National EICD PAYER entry used when creating an EICD Identification inquiry.
TECHNICAL DESCR: When an EICD Identification inquiry is created, this field is populated with The "EICD PAYER" from
IB SITE PARAMETERS (#350.9,51.31) which is a pointer to the proper National PAYER (#365.12).
365.18,.04 EICD TRACE NUMBER 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
MAXIMUM LENGTH: 30
LAST EDITED: JUL 12, 2018
HELP-PROMPT: Enter the EICD Identification response Trace number, must be 3-30 characters in length.
DESCRIPTION: This is the IIV RESPONSE TRACE NUMBER (#365,.09) associated with an EICD Identification response
that traces back to the EICD TRANSMISSION (#365.18,.01) field.
CROSS-REFERENCE: 365.18^E
1)= S ^IBCN(365.18,"E",$E(X,1,30),DA)=""
2)= K ^IBCN(365.18,"E",$E(X,1,30),DA)
3)= DO NOT DELETE
This cross reference allows the entry to be looked up by the EICD TRACE NUMBER.
365.18,.05 EICD PATIENT 0;5 POINTER TO PATIENT FILE (#2)
LAST EDITED: JUL 12, 2018
HELP-PROMPT: Enter the EICD Identification inquiry Patient.
DESCRIPTION:
This is the PATIENT record associated with an EICD Identification inquiry.
CROSS-REFERENCE: 365.18^F
1)= S ^IBCN(365.18,"F",$E(X,1,30),DA)=""
2)= K ^IBCN(365.18,"F",$E(X,1,30),DA)
3)= DO NOT DELETE
This cross reference allows the entry to be looked up by the EICD PATIENT.
365.18,.06 EICD RESPONSE 0;6 POINTER TO IIV RESPONSE FILE (#365)
LAST EDITED: JUN 12, 2018
HELP-PROMPT: Select the IIV RESPONSE entry associated with an EICD Identification.
DESCRIPTION:
This is the IIV RESPONSE file record associated with an EICD Identification response.
365.18,.07 EICD RESPONSE RESULT 0;7 SET
'0' FOR Error;
'1' FOR Active Policies Found;
'2' FOR No Active Policies Found;
'3' FOR Clearinghouse Timeout;
LAST EDITED: JUL 17, 2018
HELP-PROMPT: Enter an EICD Identification response result code.
DESCRIPTION: This field contains a result code based on response data returned from an EICD Identification
inquiry.
365.18,5 INSURANCE DISCOVERED INS-FND;0 Multiple #365.185 (Add New Entry without Asking)
DESCRIPTION: When an EICD Identification response returns with one or more discovered policies, they are
detailed in this sub-file to be used when creating Verification inquiries.
365.185,.01 PAYER VA ID 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
MAXIMUM LENGTH: 10
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Payer VA ID, must be 1-10 characters in length.
DESCRIPTION: This is the PAYER VA NATIONAL ID returned from an EICD Identification response. The ID could be
"UNKNOWN" and/or not available in the PAYER file. It may be used when creating a Verification
inquiry.
TECHNICAL DESCR: The returned PAYER VA NATIONAL ID may not be a valid entry in the PAYER (#365.12,.02) file. The
ID could also be "UNKNOWN".
CROSS-REFERENCE: 365.185^B
1)= S ^IBCN(365.18,DA(1),"INS-FND","B",$E(X,1,30),DA)=""
2)= K ^IBCN(365.18,DA(1),"INS-FND","B",$E(X,1,30),DA)
365.185,.02 PAYER NAME 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Payer Name, must be 1-80 characters in length.
DESCRIPTION: When the PAYER VA ID (#365.185,.01) is "UNKNOWN", or not found in the PAYER (#365.12) file, this
PAYER NAME will be used to populate the INSURANCE COMPANY NAME when creating an INSURANCE
VERIFICATION PROCESSOR (#355.33) entry for manual processing.
365.185,.03 GROUP NUMBER 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>17!($L(X)<2) X
MAXIMUM LENGTH: 17
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Group Number, must be 2-17 characters in length.
DESCRIPTION: This is the Group number returned in an EICD Identification response, it will be used when
creating a Verification inquiry.
365.185,.04 SUBSCRIBER ID 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<3) X
MAXIMUM LENGTH: 80
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber ID, must be 3-80 characters in length.
DESCRIPTION: This is the Subscriber ID returned in an EICD Identification response, it will be used when
creating a Verification inquiry.
365.185,.05 MEMBER ID 0;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
MAXIMUM LENGTH: 20
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Member ID, must be 1-20 characters in length.
DESCRIPTION: This is the Member ID returned in an EICD Identification response, it will be used when creating
a Verification inquiry.
365.185,.06 SUBSCRIBER SSN 0;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>13!($L(X)<9) X
MAXIMUM LENGTH: 13
LAST EDITED: JUL 03, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber SSN, must be 9-13 characters in length.
DESCRIPTION: This is the Subscriber SSN returned in an EICD Identification response. It may be used to further
research the response.
365.185,.07 INSURED DOB 0;7 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Insured (Subscriber) Date of Birth.
DESCRIPTION: This is the Insured DOB (Subscriber) returned in an EICD Identification response, it will be used
when creating a Verification inquiry.
365.185,.08 INSURED SEX 0;8 SET
'F' FOR FEMALE;
'M' FOR MALE;
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Insured (Subscriber) sex, (M or F).
DESCRIPTION: This is the Insured sex (Subscriber) returned in an EICD Identification response, it will be used
when creating a Verification inquiry.
365.185,.09 NAME OF INSURED 0;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<2) X
MAXIMUM LENGTH: 30
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Insured (Subscriber) name, must be 2-30 characters in
length.
DESCRIPTION: This is the Insured name (Subscriber) returned in an EICD Identification response, it will be
used when creating a Verification inquiry.
365.185,.1 SUBSCRIBER ADDRESS LINE 1 0;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>55!($L(X)<1) X
MAXIMUM LENGTH: 55
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber addr line 1, must be 1-55 characters in length.
DESCRIPTION: This is the Subscriber address line 1 returned in an EICD Identification response, it will be
used when creating a Verification inquiry.
365.185,.11 SUBSCRIBER ADDRESS LINE 2 0;11 FREE TEXT
INPUT TRANSFORM: K:$L(X)>55!($L(X)<1) X
MAXIMUM LENGTH: 55
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber addr line 2, must be 1-55 characters in length.
DESCRIPTION: This is the Subscriber address line 2 returned in an EICD Identification response, it will be
used when creating a Verification inquiry.
365.185,.12 SUBSCRIBER ADDRESS CITY 0;12 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber addr city, must be 1-30 characters in length.
DESCRIPTION: This is the Subscriber address city returned in an EICD Identification response, it will be used
when creating a Verification inquiry.
365.185,.13 SUBSCRIBER ADDRESS STATE 0;13 POINTER TO STATE FILE (#5)
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber addr state.
DESCRIPTION: This is the Subscriber address state returned in an EICD Identification response, it will be used
when creating a Verification inquiry.
365.185,.14 SUBSCRIBER ADDRESS ZIP 0;14 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
MAXIMUM LENGTH: 15
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Identification response Subscriber addr zip, must be 1-15 characters in length.
DESCRIPTION: This is the Subscriber address zip returned in an EICD Identification response, it will be used
when creating a Verification inquiry.
365.185,.15 DEPENDENT POLICY (Y/N?) 0;15 SET
'0' FOR N;
'1' FOR Y;
LAST EDITED: JUL 03, 2018
HELP-PROMPT: Enter Y if this is a Dependent Policy, otherwise enter N.
DESCRIPTION: This field will be set to 1 any time there is a GT1 record associated with an EICD Identification
response.
365.185,1.01 EICD VER INQ TRANSMISSION 1;1 POINTER TO IIV TRANSMISSION QUEUE FILE (#365.1)
LAST EDITED: JUL 12, 2018
HELP-PROMPT: Select the IIV TRANSMISSION QUEUE record associated with this EICD Verification inquiry.
DESCRIPTION:
This is the IIV TRANSMISSION QUEUE record associated with an EICD Verification inquiry.
TECHNICAL DESCR: VistA populates this field with a pointer to the IIV TRANSMISSION QUEUE (#365.1) associated with
an EICD Verification inquiry.
CROSS-REFERENCE: 365.18^C
1)= S ^IBCN(365.18,"C",$E(X,1,30),DA(1),DA)=""
2)= K ^IBCN(365.18,"C",$E(X,1,30),DA(1),DA)
3)= DO NOT DELETE
The cross-reference allows quickly locating the EICD VER INQ TRANSMISSION record from an IIV
TRANSMISSION QUEUE entry.
365.185,1.02 EICD VER INQ DATE CREATED 1;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the date that the associated IIV TRANSMISSION QUEUE entry was created.
DESCRIPTION: This is the date that the IIV Transmission Queue entry was created for an EICD Verification
inquiry.
TECHNICAL DESCR: This is the date that the IIV TRANSMISSION QUEUE entry pointed to by EICD VER INQ TRANSMISSION
(365.185,1.01) field was created.
365.185,1.03 EICD VER RESPONSE 1;3 POINTER TO IIV RESPONSE FILE (#365)
LAST EDITED: JUL 12, 2018
HELP-PROMPT: Select the IIV RESPONSE entry associated with an EICD Verification.
DESCRIPTION:
This is the IIV RESPONSE file record associated with an EICD Verification response.
CROSS-REFERENCE: 365.18^D
1)= S ^IBCN(365.18,"D",$E(X,1,30),DA(1),DA)=""
2)= K ^IBCN(365.18,"D",$E(X,1,30),DA(1),DA)
3)= DO NOT DELETE
The cross-reference allows quickly locating the EICD VER RESPONSE record from an IIV RESPONSE
entry.
365.185,1.04 EICD VER RESPONSE RESULT 1;4 SET
'0' FOR ERROR;
'1' FOR ACTIVE POLICY;
'2' FOR INACTIVE POLICY;
'3' FOR AMBIGUOUS;
LAST EDITED: JUN 08, 2018
HELP-PROMPT: Enter the EICD Verification response result code.
DESCRIPTION: This field contains a result code based on response data returned from an EICD Verification
inquiry.
FILES POINTED TO FIELDS
IIV RESPONSE (#365) EICD RESPONSE (#.06)
INSURANCE DISCOVERED:EICD VER RESPONSE (#1.03)
IIV TRANSMISSION QUEUE (#365.1) EICD TRANSMISSION (#.01)
INSURANCE DISCOVERED:EICD VER INQ TRANSMISSION (#1.01)
PATIENT (#2) EICD PATIENT (#.05)
PAYER (#365.12) EICD PAYER (#.03)
STATE (#5) INSURANCE DISCOVERED:SUBSCRIBER ADDRESS STATE (#.13)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):