Text O CP to IHE PIX Address STOP REVIEW HERE Public Health/Population Health Information RISK MANAGEMENT/INFECTION CONTROL – Public Health/ Population Health Information Data Element Name Format/Value Optionality Field Standard Length AHIMA Other AHIMA Other Have you been out of the country in the last three weeks Other public health population health questions? Risk – Management/Infection Control Insurance Information Patient Insurance Information Get from ASC X12 – Data Element Name Format/Value Optionality Field Standard Length AHIMA X12 AHIMA X12 Insurance Provider Name Text R 250 Standards (payer) Insurance Provider Type Number R XXX PHDSC Payer (payer) Typology Insurance ID Number R 250 ADD MORE Payment Information Payment Information Get from ASC X12 – Data Element Name Format/Value Optionality
Address Text O CP to IHE PIX STOP REVIEW HERE Public Health/Population Health Information – RISK MANAGEMENT/INFECTION CONTROL Public Health/ Population Health Information Data Element Name Format/Value Optionality Field Length Standard AHIMA Other AHIMA Other Have you been out of the country in the last three weeks Other public health population health questions? – Risk Management/Infection Control Insurance Information Patient Insurance Information – Get from ASC X12 Data Element Name Format/Value Optionality Field Length Standard AHIMA X12 AHIMA X12 Insurance Provider Name (payer) Text R 250 Standards Insurance Provider Type (payer) Number R XXX PHDSC Payer Typology Insurance ID Number R 250 ADD MORE Payment Information Payment Information – Get from ASC X12 Data Element Name Format/Value Optionality
AHIMAChecklistUse_Cases_08-22-16.docx