Produced by Araxis Merge on 3/20/2019 1:04:53 PM Eastern 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 | eInsurance_IB_2.0_602.zip | TAS eIns US180 SDD v2.1.docx | Wed Feb 27 18:49:30 2019 UTC |
2 | eInsurance_IB_2.0_602.zip | TAS eIns US180 SDD v2.1.docx | Wed Mar 20 16:43:00 2019 UTC |
Description | Between Files 1 and 2 |
|
---|---|---|
Text Blocks | Lines | |
Unchanged | 1 | 350 |
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 US180 | |
2 | System Des ign Docume nt | |
3 | IB*2.0*602 | |
4 | ||
5 | ||
6 | ||
7 | ||
8 | Department of Vetera ns Affairs | |
9 | March 2018 | |
10 | Version 2. 1 | |
11 | ||
12 | User Story Number: U S180 | |
13 | User Story Name: Exc el Report Titles Hig h Demand R eports | |
14 | ||
15 | ||
16 | Epic Taxon omy | |
17 | eBiz Com pliance Port Upd ate Increase No Touch TAS Apps | |
18 | Story: | |
19 | As a... | |
20 | I want to. .. | |
21 | So that... | |
22 | Insurance Verificati on User | |
23 | The follow ing report s generate d in Excel format to include t he same id entifying informatio n (with th e exceptio ns of the label “Pag e:” and th e page num ber) as th at present ed in the header of the displa yed report : | |
24 | ||
25 | eIV Payer Link Repor t | |
26 | eIV Respon se Report | |
27 | I can rese arch and i dentify tr ends using the same consistent informati on to comp are one ex port to an other. | |
28 | ||
29 | ||
30 | Design | |
31 | eIV Payer Link Repor t | |
32 | ||
33 | Routines | |
34 | Activities | |
35 | Routine Na me | |
36 | IBCNERPD | |
37 | Enhancemen t Category | |
38 | New | |
39 | Modify | |
40 | Delete | |
41 | No Change | |
42 | RTM | |
43 | ||
44 | Related Op tions | |
45 | eIV Payer Link Repor t [IBCNE I IV PAYER L INK REPORT ] | |
46 | Related Ro utines | |
47 | Routines “ Called By” | |
48 | Routines “ Called” | |
49 | ||
50 | ||
51 | $$S^%ZTLOA D | |
52 | ^DIR | |
53 | $$FO^IBCNE UT1 | |
54 | $$HPD^IBCN HUT1 | |
55 | $$FMTE^XLF DT | |
56 | $$NOW^XLFD T | |
57 | Routines | |
58 | Activities | |
59 | Data Dicti onary (DD) Reference s | |
60 | ||
61 | Related Pr otocols | |
62 | ||
63 | Related In tegration Control Re gistration s (ICRs) | |
64 | ||
65 | Data Passi ng | |
66 | Input | |
67 | Output Re ference | |
68 | Both | |
69 | Global Re ference | |
70 | Local | |
71 | Input Attr ibute Name and Defin ition | |
72 | Name: | |
73 | Definition : | |
74 | Output Att ribute Nam e and Defi nition | |
75 | Name: | |
76 | Definition : | |
77 | Current Lo gic | |
78 | IBCNERPD ; DAOU/RO - eIV PAYER LINK REPOR T PRINT;AU G-2003 | |
79 | ;;2.0;INT EGRATED BI LLING;**18 4,252,416, 521,528**; 21-MAR-94; Build 163 | |
80 | ;;Per VA Directive 6402, this routine s hould not be modifie d. | |
81 | Modified L ogic (Chan ges are in bold) | |
82 | IBCNERPD ; DAOU/RO - eIV PAYER LINK REPOR T PRINT;AU G-2003 | |
83 | ;;2.0;INT EGRATED BI LLING;**18 4,252,416, 521,528,60 2**;21-MAR -94;Build 163 | |
84 | ;;Per VA Directive 6402, this routine s hould not be modifie d. | |
85 | Current Lo gic | |
86 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet | |
87 | N X,HDR ; Added HDR | |
88 | I REP=1 D .S X="Pay er Name^Na tional Pay er ID^# Li nked Ins. Co.^Nation ally Activ e?^Locally Active?^F SC Trusted ?^Professi onal EDI#^ Institutio nal EDI#" .I DET=1 S X=X_"^Lin ked Insura nce Compan y Name^Str eet Addres s^City, ST ^Professio nal EDI#^I nstitution al EDI#^HP ID/OEID" I REP=2 D . S X="Insur ance Compa ny Name^St reet Addre ss^City, S T Zip^# Ac tive Group s^Professi onal EDI#^ Institutio nal EDI#^H PID/OEID^" .S X=X_"L inked Paye r^VA ID^Na tionally A ctive?^Loc ally Activ e?^FSC Tru sted?^Prof essional E DI#^Instit utional ED I#" W !,X Q | |
89 | Modified L ogic (Chan ges are in bold) | |
90 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet | |
91 | N X,HDR ; Added HDR | |
92 | ; IB*602/H N ; Add re port heade rs to Exce l Spreadsh eets S X=" eIV Payer Link Repor t^"_$$FMTE ^XLFDT($$N OW^XLFDT,1 ) W X S X= "Report Op tion: "_$S (REP=1:"Pa yer List", 1:"Insuran ce Company List") W !,X I REP= 1 D . S HD R=$S(TYP=1 :"Unlinked Payers On ly",TYP=2: "Linked Pa yers Only" ,1:"All Pa yers") . I TYP=3 S H DR=HDR_"^" _$S(DET=1: "With Ins. Co. Detai l",1:"With out Ins. C o. Detail" ) I REP=2 D . S HDR= $S(TYP=1:" Unlinked I nsurance C ompanies O nly",TYP=2 :"Linked I nsurance C ompanies O nly",1:"Al l Insuranc e Companie s") W "^"_ HDR I REP= 2 W !,"'*' indicates the Insur ance Compa ny HPID/OE ID failed validation checks" I REP=1,DET =1 W !,"'* ' indicate s the Link ed Insuran ce Company HPID/OEID failed va lidation c hecks" ; I B*602/HN e nd I REP= 1 D .S X=" Payer Name ^National Payer ID^# Linked In s. Co.^Nat ionally Ac tive?^Loca lly Active ?^FSC Trus ted?^Profe ssional ED I#^Institu tional EDI #" .I DET= 1 S X=X_"^ Linked Ins urance Com pany Name^ Street Add ress^City, ST^Profes sional EDI #^Institut ional EDI# ^HPID/OEID " I REP=2 D .S X="In surance Co mpany Name ^Street Ad dress^City , ST Zip^# Active Gr oups^Profe ssional ED I#^Institu tional EDI #^HPID/OEI D^" .S X=X _"Linked P ayer^VA ID ^Nationall y Active?^ Locally Ac tive?^FSC Trusted?^P rofessiona l EDI#^Ins titutional EDI#" W ! ,X Q | |
93 | ||
94 | ||
95 | eIV Respon se Report | |
96 | ||
97 | Routines | |
98 | Activities | |
99 | Routine Na me | |
100 | IBCNERP3 | |
101 | Enhancemen t Category | |
102 | New | |
103 | Modify | |
104 | Delete | |
105 | No Change | |
106 | RTM | |
107 | ||
108 | Related Op tions | |
109 | eIV Respon se Report [IBCNE IIV RESPONSE REPORT] | |
110 | Related Ro utines | |
111 | Routines “ Called By” | |
112 | Routines “ Called” | |
113 | ||
114 | ||
115 | $$S^%ZTLOA D | |
116 | $$GET1^DIQ | |
117 | ^DIR | |
118 | $$GETSSN^I BCNEDE5 | |
119 | $$GETDOB^I BCNEDEQ | |
120 | $$SSN^IBCN EDEQ | |
121 | DATA^IBCNE RPE | |
122 | $$FO^IBCNE UT1 | |
123 | $$FMTE^XLF DT | |
124 | $$NOW^XLFD T | |
125 | $$TRIM^XLF STR | |
126 | Routines | |
127 | Activities | |
128 | Data Dicti onary (DD) Reference s | |
129 | ||
130 | Related Pr otocols | |
131 | ||
132 | Related In tegration Control Re gistration s (ICRs) | |
133 | ||
134 | Data Passi ng | |
135 | Input | |
136 | Output Re ference | |
137 | Both | |
138 | Global Re ference | |
139 | Local | |
140 | Input Attr ibute Name and Defin ition | |
141 | Name: | |
142 | Definition : | |
143 | Output Att ribute Nam e and Defi nition | |
144 | Name: | |
145 | Definition : | |
146 | Current Lo gic | |
147 | IBCNERP3 ; DAOU/BHS - IBCNE eIV RESPONSE REPORT PRI NT ;03-JUN -2002 ;;2. 0;INTEGRAT ED BILLING ;**184,271 ,416,528** ;21-MAR-94 ;Build 163 ;;Per VA Directive 6402, this routine s hould not be modifie d. ; | |
148 | Modified L ogic (Chan ges are in bold) | |
149 | IBCNERP3 ; DAOU/BHS - IBCNE eIV RESPONSE REPORT PRI NT ;03-JUN -2002 ;;2. 0;INTEGRAT ED BILLING ;**184,271 ,416,528,6 02**;21-MA R-94;Build 163 ;;Per VA Direct ive 6402, this routi ne should not be mod ified. ; | |
150 | Current Lo gic | |
151 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet ; 5 28 N X S P GC=1 S X=$ S(SRT=1:"P ayer",1:"P atient")_U _$S(SRT=1: "Patient", 1:"Payer") _"^Patient SSN^Patie nt DOB^Sub scriber^Su bscriber I D^Subscrib er DOB^Sub scriber SS N^Subscrib er Sex^Gro up Name^Gr oup ID" S X=X_"^Whos e Insuranc e^Pt Relat ionship to Subscribe r^Member I D^COB^Serv ice Date^D ate of Dea th^Effecti ve Date^Ce rtificatio n Date^Exp iration Da te^Payer U pdated Pol icy" S X=X _"^Respons e Date^Tra ce #^Polic y Number^R eference I D Qualifie r^Referenc e ID^Refer ence ID De scription^ Provider C ode^Refere nce ID^Pri mary Diagn osis Code^ Military I nfo Status " W X S X= "^Employme nt Status^ Government Affiliati on^Date Ti me Period^ Service Ra nk^Desc" W X Q | |
152 | Modified L ogic (Chan ges are in bold) | |
153 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet ; 5 28 N X ; I B*602/HN ; Add repor t headers to Excel S preadsheet s S EHDR=$ S($G(IPRF) =1:"eIV In active Pol icy Report ",$G(IPRF) =2:"eIV Am biguous Po licy Repor t",1:"eIV Response R eport") I TRC'="" S EHDR=EHDR_ "^by Trace #" W !,EH DR_"^"_$$F MTE^XLFDT( $$NOW^XLFD T,1) ; I T RC'="" S H DR="Trace #: "_TRC W !,HDR I T RC="" D . S EHDR="So rted by: " _$S(SRT=1: "Payer",1: "Patient") _" Name" . S EHDR=EH DR_"^Respo nses Displ ayed: "_$S (TYP="M":" Most Recen t",1:"All" ) . W !,EH DR S EHDR= "" . I $G( IPRF)=1 W !,"Earlies t Policy E xpiration Date: ",$$ FMTE^XLFDT (EXP,"5Z") . S EHDR= $$FMTE^XLF DT(BDT,"5Z ")_" - "_$ $FMTE^XLFD T(EDT,"5Z" ) . W !,EH DR . ; Dis p SORT1 rn g . S EHDR ="" . I SR T=1,PYR="" S EHDR="A ll Payers" . I SRT=2 ,PAT="" S EHDR="All Patients" . I EHDR=" " D .. I S RT=1 S EHD R=$P($G(^I BE(365.12, PYR,0)),U, 1) Q .. S EHDR=$P($G (^DPT(PAT, 0)),U,1) . W !,EHDR . ; Disp S ORT2 rng . S EHDR="" . I SRT=1 ,PAT="" S EHDR="All Patients" . I SRT=2, PYR="" S E HDR="All P ayers" . I EHDR="" D .. I SRT= 1 S EHDR=$ P($G(^DPT( PAT,0)),U, 1) Q .. S EHDR=$P($G (^IBE(365. 12,PYR,0)) ,U,1) . W !,EHDR W ! ; Build disp I SOR T1'="",SOR T2'="" D . W !,$$FO^ IBCNEUT1($ S(TRC'=""! (SRT=1):" Payer: ",1 :"Patient: "),9)_$E( PRT1,1,69) . W !,$$F O^IBCNEUT1 ($S(TRC'=" "!(SRT=1): "Patient: ",1:" Paye r: "),9)_$ E(PRT2,1,6 9) . W ! | |
154 | K EHDR ; ; IB*602/HN end S PGC =1 S X=$S( SRT=1:"Pay er",1:"Pat ient")_U_$ S(SRT=1:"P atient",1: "Payer")_" ^Patient S SN^Patient DOB^Subsc riber^Subs criber ID^ Subscriber DOB^Subsc riber SSN^ Subscriber Sex^Group Name^Grou p ID" S X= X_"^Whose Insurance^ Pt Relatio nship to S ubscriber^ Member ID^ COB^Servic e Date^Dat e of Death ^Effective Date^Cert ification Date^Expir ation Date ^Payer Upd ated Polic y" S X=X_" ^Response Date^Trace #^Policy Number^Ref erence ID Qualifier^ Reference ID^Referen ce ID Desc ription^Pr ovider Cod e^Referenc e ID^Prima ry Diagnos is Code^Mi litary Inf o Status" W X S X="^ Employment Status^Go vernment A ffiliation ^Date Time Period^Se rvice Rank ^Desc" W X Q | |
155 | ||
156 | ||
157 | Revision H istory | |
158 | Date | |
159 | Version | |
160 | Descriptio n | |
161 | Author | |
162 | April 2017 | |
163 | 1.0 | |
164 | Initial dr aft – had about 15 r eports lis ted | |
165 | Unknown | |
166 | 03/09/2018 | |
167 | 2.0 | |
168 | User story was rewri tten in Fe bruary 201 8. The sc ope of the story has been redu ced to 2 r eports. T he updated acceptanc e criteria for the u pdated sto ry require d a rework to the SD D make sur e the head ers that a ppear on t he screen match the headers as they appe ar in exce l and to r educe the scope to t he two req uested rep orts. | |
169 | Henry Norm and | |
170 | 03/21/2018 | |
171 | 2.1 | |
172 | After Code Review | |
173 | Henry Norm and | |
174 | ||
175 |
Araxis Merge (but not the data content of this report) is Copyright © 1993-2016 Araxis Ltd (www.araxis.com). All rights reserved.