STANDARD DATA DICTIONARY #367.1 -- HPID/OEID TRANSMISSION QUEUE FILE 3/24/25 PAGE 1
STORED IN ^IBCNH(367.1, *** 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 contains records which have been selected based on specific criteria to generate an HL7 message. These messages will be
sent to the National Insurance File (NIF) for processing.
Per VHA Directive 10-93-142, this file definition should not be modified.
DD ACCESS: @
POINTED TO BY: TRANSMISSION QUEUE field (#.02) of the HPID/OEID RESPONSE File (#367)
CROSS
REFERENCED BY: TRANSACTION NUMBER(B), INSURANCE COMPANY(INS)
367.1,.01 TRANSACTION NUMBER 0;1 NUMBER (Required)
HPID Transmission number
INPUT TRANSFORM: K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAR 13, 2014
HELP-PROMPT: Type a number between 1 and 999999999, 0 decimal digits.
DESCRIPTION: This field is a sequential number used to uniquely identify a record when creating an entry in this
file.
CROSS-REFERENCE: 367.1^B
1)= S ^IBCNH(367.1,"B",$E(X,1,30),DA)=""
2)= K ^IBCNH(367.1,"B",$E(X,1,30),DA)
CROSS-REFERENCE: ^^TRIGGER^367.1^.03
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X
S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBCNH(367.1,DIV(0),0)),DIV=X S $P(^(0),U,3
)=DIV,DIH=367.1,DIG=.03 D ^DICR
2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X
S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBCNH(367.1,DIV(0),0)),DIV=X S $P(^(0),U,3
)=DIV,DIH=367.1,DIG=.03 D ^DICR
CREATE VALUE)= NOW
DELETE VALUE)= NOW
FIELD)= DATE/TIME CREATED
When the transaction is created, this field will be stuffed with the current date and time.
367.1,.02 INSURANCE COMPANY 0;2 POINTER TO INSURANCE COMPANY FILE (#36)
Insurance Company
LAST EDITED: MAR 24, 2014
HELP-PROMPT: Enter the Insurance Company that this message pertains to
DESCRIPTION:
This field is a pointer to the Insurance Company file (file #36).
CROSS-REFERENCE: 367.1^INS
1)= S ^IBCNH(367.1,"INS",$E(X,1,30),DA)=""
2)= K ^IBCNH(367.1,"INS",$E(X,1,30),DA)
This cross-reference allows you to find all transmissions for a particular insurance company ien.
367.1,.03 DATE/TIME CREATED 0;3 DATE
Date/time created
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 24, 2014
HELP-PROMPT: Enter the date and time that the transmission record was created
DESCRIPTION: This is the date and time that the transmission record was created. Records are created when
certain fields in an Insurance Company entry are edited, so that the NIF is notified of new
Insurance Company entries at the site or changes in key fields.
NOTES: TRIGGERED by the TRANSACTION NUMBER field of the HPID/OEID TRANSMISSION QUEUE File
367.1,.04 TRANSMISSION STATUS 0;4 SET
Transmission Status
'A' FOR AWAITING RESPONSE;
'R' FOR RESPONSE PROCESSED;
'X' FOR EXCEPTION REPORT;
'EL' FOR ERROR WITH LEGACY IDS;
'ED' FOR ERROR WITH DATA;
'EXR' FOR ERROR - EXCEPTION REPORT REJECT;
LAST EDITED: APR 21, 2014
HELP-PROMPT: Enter the status of the transmission.
DESCRIPTION: This is the status of the transmission. It lets us know if the message was sent (A), if the NIF
processed the response (R), and if they placed it on the NIF exception report(X). There are also
error statuses of: EL - Error w/ Legacy IDs, ED - Error w/Data & EXR - Exception Report Reject.
If the status is R or EXR, the purge date field will be set allowing this completed transmission
to be purged.
NOTES: TRIGGERED by the PROCESSING STATUS field of the HPID/OEID RESPONSE File
CROSS-REFERENCE: ^^TRIGGER^367.1^.05
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X
S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBCNH(367.1,DIV(0),0)),DIV=X S $P(^(0),U,5
)=DIV,DIH=367.1,DIG=.05 D ^DICR
2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBCNH(367.1,D0,0)):^(0),1:"") S X=$P(Y(1),U,5),X=X
S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% S DIH=$G(^IBCNH(367.1,DIV(0),0)),DIV=X S $P(^(0),U,5
)=DIV,DIH=367.1,DIG=.05 D ^DICR
CREATE VALUE)= NOW
DELETE VALUE)= NOW
FIELD)= STATUS DATE/TIME
367.1,.05 STATUS DATE/TIME 0;5 DATE
Status Date/Time
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 25, 2014
HELP-PROMPT: Enter the date/time the TRANSMISSION STATUS field was updated.
DESCRIPTION:
This is the date/time that the TRANSMISSION STATUS field was updated.
NOTES: TRIGGERED by the TRANSMISSION STATUS field of the HPID/OEID TRANSMISSION QUEUE File
367.1,.07 RESPONSE 0;7 POINTER TO HPID/OEID RESPONSE FILE (#367)
Response
LAST EDITED: MAR 17, 2014
HELP-PROMPT: Enter the HPID/OEID Response entry associated with this transaction.
DESCRIPTION: When an HL7 message is created, a corresponding "stub" response message will be created at the same
time. This is a pointer to that "stub" message.
367.1,1 IDENTIFIERS 1;0 POINTER Multiple #367.12 (Add New Entry without Asking)
DESCRIPTION:
This is a record of all INSURANCE COMPANY IDs sent to the NIF (National Insurance File).
367.12,.01 INSURANCE COMPANY ID TYPE 0;1 POINTER TO INSURANCE COMPANY ID TYPE FILE (#367.11)
Insurance Company ID Type
LAST EDITED: MAR 24, 2014
HELP-PROMPT: Enter the type of INSURANCE COMPANY ID sent in the inquiry to the NIF.
DESCRIPTION: This is the type of Insurance Company ID sent to the NIF. The data can be an EDI number, a VA
National ID, a NIF ID or an HPID/OEID.
CROSS-REFERENCE: 367.12^B
1)= S ^IBCNH(367.1,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^IBCNH(367.1,DA(1),1,"B",$E(X,1,30),DA)
367.12,.02 ID 0;2 FREE TEXT
Identifier
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: MAR 24, 2014
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION: This is the actual data sent to the NIF from the insurance company entry in the INSURANCE COMPANY
file.
TECHNICAL DESCR: Here are the possible data fields that could be sent from file #36: (#3.02) EDI ID NUMBER - PROF,
(#3.04) EDI ID NUMBER - INST (#6.02) EDI INST SECONDARY ID(1), (#6.04) EDI INST SECONDARY
ID(2), (#6.06) EDI PROF SECONDARY ID(1), (#6.08) EDI PROF SECONDARY ID(2), (#8.01) HPID/OEID,
(#8.04) NIF ID, (#3.1) VA NATIONAL ID.
367.12,.03 SECONDARY ID QUALIFIER 0;3 SET
'2U' FOR PAYER ID #;
'FY' FOR CLAIM OFFICE #;
'NF' FOR NAIC CODE;
'TJ' FOR FED TAXPAYER #;
LAST EDITED: MAR 13, 2014
HELP-PROMPT: If the ID is a Secondary Payer ID, enter the qualifier.
DESCRIPTION: If the ID type is a SECONDARY ID, you must enter a qualifier to indicate
the type of secondary payer ID that it is. You can not use the same
qualifier multiple times for the same secondary ID type.
367.1,2.01 STREET ADDRESS [LINE 1] 2;1 FREE TEXT
Street Address [Line 1]
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: MAR 12, 2014
HELP-PROMPT: Answer must be 3-35 characters in length.
DESCRIPTION: This is the first line of this company's street address in the INSURANCE COMPANY file that was
sent to the NIF (National Insurance File).
TECHNICAL DESCR:
Field # .111 in file 36.
367.1,2.02 STREET ADDRESS [LINE 2] 2;2 FREE TEXT
Street Address [Line 2]
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAR 24, 2014
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: This is the second line of this Insurance Company's street address in the INSURANCE COMPANY file
that was sent to the NIF (National Insurance File). It can not be the same as Line 1 and only
contains data if the Street Address is longer than one line.
TECHNICAL DESCR:
Field # .112 from file #36.
367.1,2.03 CITY 2;3 FREE TEXT
City
INPUT TRANSFORM: K:$L(X)>25!($L(X)<2) X
LAST EDITED: MAR 12, 2014
HELP-PROMPT: Answer must be 2-25 characters in length.
DESCRIPTION:
The city of the mailing address for this insurance carrier.
TECHNICAL DESCR:
Corresponds to field #.114 in file #36.
367.1,2.04 STATE 2;4 POINTER TO STATE FILE (#5)
State
LAST EDITED: MAR 12, 2014
HELP-PROMPT: Enter the state of the Insurance Company's mailing address.
DESCRIPTION:
The state of the mailing address for this insurance carrier.
TECHNICAL DESCR:
Corresponds to field #.115 in file #36.
367.1,2.05 ZIP CODE 2;5 FREE TEXT
Zip Code
INPUT TRANSFORM: K:$L(X)>20!($L(X)<5) X I $D(X) D ZIPIN^VAFADDR
OUTPUT TRANSFORM: D ZIPOUT^VAFADDR
LAST EDITED: MAR 06, 2014
HELP-PROMPT: Enter the 5 or 9 digit zip code, with or without the hyphen.
DESCRIPTION: The zip code of the mailing address for this insurance carrier. User may enter the 5 or 9 digit
zip code, with or without the hyphen.
TECHNICAL DESCR:
Corresponds to field #.116 in file #36.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
367.1,2.06 BILLING COMPANY NAME 2;6 FREE TEXT
Billing Company Name
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAR 12, 2014
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
The name of the insurance carrier's billing company.
TECHNICAL DESCR:
Corresponds to field #.117 in file #36.
367.1,2.07 TYPE OF COVERAGE 2;7 POINTER TO TYPE OF INSURANCE COVERAGE FILE (#355.2)
Type Of Coverage
LAST EDITED: MAR 06, 2014
HELP-PROMPT: Select the entry that best describes this carriers type of coverage.
DESCRIPTION: If this insurance carrier provides only one type of coverage then select the entry that best
describes this carriers type of coverage. If this carrier provides more than one type of coverage
then select HEALTH INSURANCE.
TECHNICAL DESCR:
Corresponds to field #.13 in file #36.
367.1,2.08 PHONE NUMBER 2;8 FREE TEXT
Phone Number
INPUT TRANSFORM: K:$L(X)>20!($L(X)<7) X
LAST EDITED: MAR 12, 2014
HELP-PROMPT: Answer must be 7-20 characters in length.
DESCRIPTION: The phone number at which this insurance carrier can be reached. Examples: 800-555-1212 or
303-555-1212 ext 123 or 18665551212 x123
TECHNICAL DESCR:
Corresponds to field #.131 in file #36.
FILES POINTED TO FIELDS
HPID/OEID RESPONSE (#367) RESPONSE (#.07)
INSURANCE COMPANY (#36) INSURANCE COMPANY (#.02)
INSURANCE COMPANY ID TYPE
(#367.11) IDENTIFIERS:INSURANCE COMPANY ID TYPE (#.01)
STATE (#5) STATE (#2.04)
TYPE OF INSURANCE COVERAGE
(#355.2) TYPE OF COVERAGE (#2.07)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):