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VA Technical Reference Model v 24.4

Document Storage Systems (DSS) Insurance Capture Buffer (ICB)
Document Storage Systems (DSS) Insurance Capture Buffer (ICB) Technology

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Technologies must be operated and maintained in accordance with Federal and Department security and privacy policies and guidelines. More information on the proper use of the TRM can be found on the TRM Proper Use Tab/Section.

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Description: Document Storage Systems (DSS) Insurance Capture Buffer (ICB) is a web-based insurance card scanning and Veterans Information Systems and Technology Architecture (VistA) Buffer File update management system designed to enhance the insurance data collection and verification processes for Veterans Affairs Medical Centers. ICB is integrated with several VistA components such as the Appointment Scheduling and the Patient`s Insurance File. ICB provides an electronic list of Veterans with scheduled appointments whose insurance needs to be verified. The `Patient Update` List is used by check-in and registration clerks to scan insurance cards for those identified. Scanned images are stored and are immediately accessible to verification clerks via the `Insurance Buffer Entries` list. Data from the image can be compared with existing insurance data within VistA. This technology is hosted in the Microsoft Azure Government (MAG) Cloud.

Please note that there is no specific product page for this technology and thus the vendor webpage is used in its place.

This technology utilizes the VistA system database to store data.

VistA is the main system of record. Microsoft Structured Query Language (SQL) Server database is used to store image data `pointers` that tell the ICB application where patient insurance card images are stored on the VA`s media folder. All databases, images, and patient records are stored within the VA`s network.

The TRM decisions in this entry only apply to technologies and versions owned, operated, managed, patched, and version-controlled by VA. This includes technologies deployed as software installations on VMs within VA-controlled cloud environments (e.g. VA Enterprise Cloud (VAEC)). Cloud services provided by the VAEC, which are listed in the VAEC Service Catalog, and those controlled and managed by an external Cloud Service Provider (i.e. SaaS) are not in the purview of the TRM. For more information on the use of cloud services and cloud-based products within VA, including VA private clouds, please see the Enterprise Cloud Solutions Office (ECSO) Portal at:
Technology/Standard Usage Requirements: Users must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6513, and 6517; and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations. Prior to use of this technology, users should check with their supervisor, Information Security Officer (ISO), Facility Chief Information Officer (CIO), or local Office of Information and Technology (OI&T) representative to ensure that all actions are consistent with current VA policies and procedures prior to implementation.
Section 508 Information: This technology has not been assessed by the Section 508 Office. The Implementer of this technology has the responsibility to ensure the version deployed is 508-compliant. Section 508 compliance may be reviewed by the Section 508 Office and appropriate remedial action required if necessary. For additional information or assistance regarding Section 508, please contact the Section 508 Office at
Decision: View Decisions

Decision Source: TRM Mgmt Group
Decision Process: One-VA TRM v23.10
Decision Date: 10/25/2023 at 20:45:49 UTC
Aliases: Insurance Capture Buffer Web (ICBWeb)
Introduced By: TRM Request
Vendor Name: Document Storage Systems, Inc (DSS)
- The information contained on this page is accurate as of the Decision Date (10/25/2023 at 20:45:49 UTC).