Produced by Araxis Merge on 9/28/2018 12:31:37 PM Central Daylight Time. See www.araxis.com for information about Merge. This report uses XHTML and CSS2, and is best viewed with a modern standards-compliant browser. For optimum results when printing this report, use landscape orientation and enable printing of background images and colours in your browser.
| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | MCCF_EDI_TAS_IB_2.0_621.zip | TAS+eIns+US3512+SDD+v1.0.docx | Wed Sep 26 22:34:20 2018 UTC |
| 2 | MCCF_EDI_TAS_IB_2.0_621.zip | TAS+eIns+US3512+SDD+v1.0.docx | Wed Sep 26 23:18:57 2018 UTC |
| Description | Between Files 1 and 2 |
|
|---|---|---|
| Text Blocks | Lines | |
| Unchanged | 1 | 126 |
| Changed | 0 | 0 |
| Inserted | 0 | 0 |
| Removed | 0 | 0 |
| Whitespace | |
|---|---|
| Character case | Differences in character case are significant |
| Line endings | Differences in line endings (CR and LF characters) are ignored |
| CR/LF characters | Not shown in the comparison detail |
No regular expressions were active.
| 1 | MCCF EDI T AS EINSURA NCE US3512 | |
| 2 | System Des ign Docume nt | |
| 3 | IB*2.0*602 | |
| 4 | ||
| 5 | ||
| 6 | ||
| 7 | ||
| 8 | Department of Vetera ns Affairs | |
| 9 | December 2 017 | |
| 10 | Version 1. 0 | |
| 11 | User Story Number: U S3512 | |
| 12 | User Story Name: Ele ctronic In surance Co verage Dis covery: Re quest (Out bound Mess age) | |
| 13 | ||
| 14 | Epic Taxon omy | |
| 15 | eBiz Com pliance Port Upd ate Increase No Touch TAS Apps | |
| 16 | Story: | |
| 17 | As a... | |
| 18 | I want to. .. | |
| 19 | So that... | |
| 20 | Consumer o f Electron ic Insuran ce Coverag e Discover y (EICD) f unctionali ty | |
| 21 | Create (in VistA) an EICD Requ est HL7 me ssage for each patie nt include d in the E ICD Extrac t and send it to Fin ancial Ser vices Cent er (FSC) | |
| 22 | The EICD R equest HL7 can be co nverted to an X12 27 0 EICD Req uest and s ent by FSC to TransU nion (TU). | |
| 23 | ||
| 24 | Design: | |
| 25 | The patien t ID will and other data will pulled fro m the IIV transmissi on file (3 65.1). | |
| 26 | Updates fo r IBCNEDEP | |
| 27 | Lines #151 “... I PA YR=$$FIND1 ^DIC(365.1 2,,"X","~N O PAYER") S VNUM=5 Q ” is remo ved | |
| 28 | Lines #241 ,#251,#252 are comme nted out | |
| 29 | (241) .. I VNUM=4 S HLP("CONTP TR")=$G(OM SGID) | |
| 30 | (251) .. I VNUM=4 D( 252) ... I CNT=1 S O MSGID=MSGI D | |
| 31 | If the buf fer, appoi ntment and new trans action are equal in importance set VNUM to 3 other wise set v alue to #1 52 gets se t to 3 and #149 gets set to 4 | |
| 32 | Enable lin e 164 “D I D” for Ide ntificatio n type | |
| 33 | Updates fo r the new file struc ture is st art at lin e tag ID | |
| 34 | Change lin e 222 to u se “IBCNE eIV RQP O UT” – | |
| 35 | Call PROC line tag t o create H L7 message . | |
| 36 | Use variab le EXT=4 t o be insur ance disco very type flag. | |
| 37 | Call curre nt logic t o create t he PID seg ment. Add logic to l ine 24 to check for EXT=4 and allow SSN to be repo rted. | |
| 38 | As a flag, use EXT to set NTE 2 segment to “CD”, this will be pulled from the T Q. A new f ield will be setup t o store th at value, use new f ield numbe r #3.02 . The new fi eld will b e named “S OURCE OF I NFORMATION ” | |
| 39 | Since NTE 3 is only “OHI”, log ic will us e variable EXT set. | |
| 40 | Create new logic for NTE 4 to be called when varia ble EXT is 4. | |
| 41 | Inside of NTE 4 look through t he insuran ce records for the p atient and find vali d expired insurance records to send. (On ly pull th ose expire d that wer e active i n the past year for current da te.) | |
| 42 | Find the l isted data item and string the m together ; this inf ormation w ill be sub dived by at sub del imiter. | |
| 43 | Patient Fu ll Name | |
| 44 | Patient D OB | |
| 45 | Patient S SN | |
| 46 | Patient G ender | |
| 47 | Payer Ide ntifier (T BD VA Nati onal ID, T U Payer ID , Payer Na me) | |
| 48 | Group Num ber | |
| 49 | Subscribe r ID | |
| 50 | Subscribe r Full Nam e (if subs criber not patient) | |
| 51 | Subscribe r DOB (if subscriber not patie nt) | |
| 52 | Subscribe r SSN (if subscriber not patie nt and if known by V A) | |
| 53 | Patient I D (if subs criber not patient | |
| 54 | Patient A ddress lin e 1 (If Di fferent th an PID) – Pull from insurance sub file f or address thru Zip | |
| 55 | Patient A ddress lin e 2 (If Di fferent th an PID) | |
| 56 | City (If Different than PID) | |
| 57 | State (If Different than PID) | |
| 58 | ZIP Code ( If Differe nt than PI D | |
| 59 | ||
| 60 | ||
| 61 | ||
| 62 | Create two new proto cols has f ollows. | |
| 63 | NAME: IBCN E EIV RQI OUT ITEM TEXT: EIV IDENTIFICA TION CLIEN T TYPE: e vent drive r DESCRIP TION: This protocol is for Ide ntificatio n messages SENDING APPLICATI ON: IIV VI STA TRANS ACTION MES SAGE TYPE: RQI EVE NT TYPE: I 04 ACCEPT ACK CODE: AL APPLI CATION ACK TYPE: NE VERSION I D: 2.4 RE SPONSE PRO CESSING RO UTINE: D ^ IBCNEHLI SUBSCRIBER S: IBCNE E IV ID REQU ESTNAME: I BCNE EIV I D REQUEST ITEM TEXT : Insuranc e Identifi cation Req uest TYPE : subscrib er DESCRI PTION: Thi s protocol is for id entificati on message s. RECEI VING APPLI CATION: II V EC TRAN SACTION ME SSAGE TYPE : RQI EVE NT TYPE: I 04 LOGICA L LINK: II V EC VERS ION ID: 2. 4 RESPONS E MESSAGE TYPE: ACK PROCESSIN G ROUTINE: Q SENDIN G FACILITY REQUIRED? : YES REC EIVING FAC ILITY REQU IRED?: YES SECURITY REQUIRED? : NO |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.