Global: ^IBA(355.3

Select the insurance company that this policy is with.

1)= S ^IBA(355.3,"B",$E(X,1,30),DA)=""

2)= K ^IBA(355.3,"B",$E(X,1,30),DA)

1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$S($D(^IBA(355.3,D0,1)):^(1),1:"") S X=$P(Y(1),U,1)="" I X S X=DIV S Y(1)=$S($D(^IBA(355.3,D0,1)):^(1),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y X ^DD(355.3,.01,1,2,1.1) X ^DD

(355.3,.01,1,2,1.4)

1.1)= S X=DIV N %I,%H,% D NOW^%DTC S X=%

1.4)= S DIH=$S($D(^IBA(355.3,DIV(0),1)):^(1),1:""),DIV=X S $P(^(1),U,1)=DIV,DIH=355.3,DIG=1.01 D ^DICR:$O(^DD(DIH,DIG,1,0))>0

2)= Q

CREATE CONDITION)= #1.01=""

CREATE VALUE)= NOW

DELETE VALUE)= NO EFFECT

FIELD)= #1.01

Triggers the date/time entered when creating a new entry.

1)= X ^DD(355.3,.01,1,3,1.3) I X S X=DIV S Y(1)=$S($D(^IBA(355.3,D0,1)):^(1),1:"") S X=$P(Y(1),U,2),X=X S DIU=X K Y S X=DIV S X=DUZ X ^DD(355.3,.01,1,3,1.4)

1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$S($D(^IBA(355.3,D0,1)):^(1),1:"") S X=$S('$D(^VA(200,+$P(Y(1),U,2),0)):"",1:$P(^(0),U,1))=""

1.4)= S DIH=$S($D(^IBA(355.3,DIV(0),1)):^(1),1:""),DIV=X S $P(^(1),U,2)=DIV,DIH=355.3,DIG=1.02 D ^DICR:$O(^DD(DIH,DIG,1,0))>0

2)= Q

CREATE CONDITION)= #1.02=""

CREATE VALUE)= S X=DUZ

DELETE VALUE)= NO EFFECT

FIELD)= #1.02

Triggers the user who created this entry.

1)= S:$P(^IBA(355.3,DA,0),U,3) ^IBA(355.3,"AGNA",X,+$P(^(0),U,3),DA)=""

2)= K ^IBA(355.3,"AGNA",X,+$P(^IBA(355.3,DA,0),U,3),DA)

Cross reference of insurance companies and group names.

1)= S:$P(^IBA(355.3,DA,0),U,4) ^IBA(355.3,"AGNU",X,+$P(^(0),U,4),DA)=""

2)= K ^IBA(355.3,"AGNU",X,+$P(^IBA(355.3,DA,0),U,4),DA)

Cross reference of insurance companies and group numbers.

policy.  If this is an individual plan then answer 'NO' and only this patient can be associated with this policy.

appropriate blocks.  It will also be used to help identify this policy so that other patients with the same plan can be associated with it.

1)= S ^IBA(355.3,"D",$E(X,1,30),DA)=""

2)= K ^IBA(355.3,"D",$E(X,1,30),DA)

1)= S:+^IBA(355.3,DA,0) ^IBA(355.3,"AGNA",+^(0),X,DA)=""

2)= K ^IBA(355.3,"AGNA",+^IBA(355.3,DA,0),X,DA)

Cross reference of insurance companies and group names.

If this is a group policy enter the number which identifies this policy, i.e. group number/code that the insurance company uses to identify this plan.  Answer must be between 1 and 17 characters.

1)= S ^IBA(355.3,"E",$E(X,1,30),DA)=""

2)= K ^IBA(355.3,"E",$E(X,1,30),DA)

1)= S:+^IBA(355.3,DA,0) ^IBA(355.3,"AGNU",+^(0),X,DA)=""

2)= K ^IBA(355.3,"AGNU",+^IBA(355.3,DA,0),X,DA)

Cross reference of insurance companies and group names.

is answered "YES".  If the field is answered "NO" then UR follow-up will be considered optional.

the MCCR tracking module.

patient policy comment field.

If this policy will allow assignment of benefits then answer YES, otherwise answer NO.  Normally this field will be answered YES.  However, it may be useful to track policies that do not allow for assignment of benefits.

fields and displays are appropriate for this plan.  If unknown or unsure pick the more general type of plan.

If this is an individual policy, the system will store the patient in this field.  Only one patient may be associated with an individual policy.  Many patients can be associated with a group policy.

This is the date that this policy was entered.  It is triggered by the creation of this entry.

This is the user who created this entry.  It is automatically triggered by the creation of this entry.

insurance company and verified that policy information is correct.

This is the user who last verified that the policy information is correct.

This is the date that this policy was last edited.  It is automatically updated any time a policy is editing using one of the options provided.

This is the user who last edited this policy.  It is automatically updated everytime a policy is edited using one of the options.

Enter comments that are specific to this group plan.  Do not enter comments about a specific patient or patient care here.