This project includes enhancements to VistA’s Insurance Buffer, electronic Insurance Verification (eIV), Integrated Billing (IB), Insurance Capture Buffer (ICB), and the National Insurance File (NIF) Interface. It also includes enhancements to Patient Policy Comments, Group Policy Comments, and several reports. Finally, this effort includes a new report, changes to the Medical Care Cost Recovery (MCCR) Site Parameters, and documentation which will map 270 and 271 eIV transactions. Furthermore, a trigger is needed on the Patient file (#2) thus requiring a minor change to the Registration (DG) module as well.