- ABMER20 ; IHS/ASDST/DMJ - UB92 EMC RECORD 20 (Patient) ;
- ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
- ;Original;DMJ;02/26/96 5:11 PM
- ;
- ; IHS/ASDS/DMJ - 04/20/00 - V2.4 Patch 1 - NOIS HQW-0500-100040
- ; Modified location code to check for satellite first. If no
- ; satellite, use parent.
- ; IHS/ASDS/LSL - 08/02/00 - V2.4 Patch 3 - NOIS NDA-0700-180015
- ; In order to get bill number on RA from Consultec, bill number
- ; must be in field 3 and 25.
- ;
- ; IHS/ASDS/DMJ - v2.4 p7 - 9/7/01 NOIS HQW-0701-100066
- ; Modifications made related to Medicare Part B
- ;
- START ;START HERE
- K ABMREC(20),ABMR(20)
- S ABME("RTYPE")=20
- S ABMRT(95,60)=+$G(ABMRT(95,60))+1
- K ABMP("SET")
- D SET^ABMERUTL,LOOP
- D S90^ABMERUTL
- K ABME,ABM
- Q
- ;
- LOOP ;LOOP HERE
- D ^ABMER20A
- F I=120:10:260 D
- .D @I
- .I $D(^ABMEXLM("AA",+$G(ABMP("INS")),+$G(ABMP("EXP")),20,I)) D @(^(I))
- .I '$G(ABMP("NOFMT")) S ABMREC(20)=$G(ABMREC(20))_ABMR(20,I)
- Q
- ;
- 30 ;EP -Patient Control Number
- ; form locator #3
- D PCN^ABMERUTL
- S ABMR(20,30)=ABMP("PCN")
- Q
- ;
- 120 ;EP - Patient Address - Line 1 (SOURCE: FILE=2, FIELD=.111)
- ; form locator #13
- D:'$D(ABME("AD1")) ADR
- S ABMR(20,120)=ABME("AD1")
- S ABMR(20,120)=$$FMT^ABMERUTL(ABMR(20,120),18)
- Q
- ;
- 130 ;EP - Patient Address - Line 2 (SOURCE: FILE=2, FIELD=.112)
- ; form locator #13
- D:'$D(ABME("AD2")) ADR
- S ABMR(20,130)=ABME("AD2")
- S ABMR(20,130)=$$FMT^ABMERUTL(ABMR(20,130),18)
- Q
- ;
- 140 ;EP - Patient's City (SOURCE: FILE=2, FIELD=.114)
- ; form locator #13
- D:'$D(ABME("AD4")) ADR
- S ABMR(20,140)=ABME("AD4")
- S ABMR(20,140)=$$FMT^ABMERUTL(ABMR(20,140),15)
- Q
- ;
- 150 ;EP - Patient's State (SOURCE: FILE=2, FIELD=.115)
- ; form locator #13
- D:'$D(ABME("AD5")) ADR
- S ABMR(20,150)=ABME("AD5")
- S:ABMR(20,150)="" ABMR(20,150)=" "
- Q
- ;
- 160 ;EP - Patient's Zip (SOURCE: FILE=2, FIELD=.116)
- ; form locator #13
- D:'$D(ABME("AD6")) ADR
- S ABMR(20,160)=ABME("AD6")
- I '$G(ABMP("NOFMT")) D
- .S:ABME("AD6")="" ABME("AD6")="00000"
- S ABMR(20,160)=$E(ABME("AD6"),1,5)_"0000"
- S ABMR(20,160)=$$FMT^ABMERUTL(ABMR(20,160),9)
- Q
- ;
- ADR ;GET PATIENT ADDRESS FROM FILE 2
- ; I = 1 - Mailing Address - Street
- ; 2 - Street Address [line 2]
- ; 3 - Street Address [line 3]
- ; 4 - Mailing Address - City
- ; 5 - Mailing Address - State
- ; 6 - Mailing Address - Zip
- N I
- F I=1:1:6 S ABME("AD"_I)=$P($G(^DPT(+ABMP("PDFN"),.11)),"^",I)
- S ABME("AD5")=$P($G(^DIC(5,+ABME("AD5"),0)),"^",2)
- Q
- ;
- 170 ;EP - Admission/Start of Care Date (SOURCE: FILE=9002274.4, FIELD=.71)
- ; form locator #17
- S ABME("FLD")=.71
- D DIQ1
- S ABMR(20,170)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
- S ABMR(20,170)=$$MDY^ABMDUTL(ABMR(20,170))
- S ABMR(20,170)=$$FMT^ABMERUTL(ABMR(20,170),"6NR")
- Q
- ;
- 180 ;EP - Admission Hour (SOURCE: FILE=9002274.4, FIELD=.62)
- ; form locator #18
- S ABME("FLD")=.62
- D DIQ1
- S ABMR(20,180)=ABM(9002274.4,ABMP("BDFN"),.62,"I")
- S ABMR(20,180)=$$FMT^ABMERUTL(ABMR(20,180),"2NR")
- Q
- ;
- 190 ;EP - Statement Covers Period From (SOURCE: FILE=9002274.4, FIELD=.71)
- ; form locator #6
- S ABME("FLD")=.71
- D DIQ1
- S ABMR(20,190)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
- S ABMR(20,190)=$$MDY^ABMDUTL(ABMR(20,190))
- S ABMR(20,190)=$$FMT^ABMERUTL(ABMR(20,190),"6NR")
- Q
- ;
- 200 ;EP - Statement Covers Period Through (SOURCE: FILE=9002274.4, FIELD=.72)
- ; form locator #6
- S ABME("FLD")=.72
- D DIQ1
- S ABMR(20,200)=ABM(9002274.4,ABMP("BDFN"),.72,"I")
- S ABMR(20,200)=$$MDY^ABMDUTL(ABMR(20,200))
- S ABMR(20,200)=$$FMT^ABMERUTL(ABMR(20,200),"6NR")
- Q
- ;
- 210 ;EP - Patient Status (SOURCE: FILE=9002274.4, FIELD=.53)
- ; form locator #22
- S ABME("FLD")=.53
- D DIQ1
- S ABMR(20,210)=ABM(9002274.4,ABMP("BDFN"),.53,"E")
- ; If status is "" and visit is outpatient and insurance type is
- ; Medicare FI, set status to 1
- I ABMR(20,210)="",ABMP("VTYP")=131,ABMP("ITYPE")="R" S ABMR(20,210)=1
- S ABMR(20,210)=$$FMT^ABMERUTL(ABMR(20,210),"2NR")
- Q
- ;
- 220 ;EP - Discharge Hour (SOURCE: FILE=9002274.4, FIELD=.64)
- ; form locator #21
- S ABME("FLD")=.64
- D DIQ1
- S ABMR(20,220)=ABM(9002274.4,ABMP("BDFN"),.64,"I")
- S ABMR(20,220)=$$FMT^ABMERUTL(ABMR(20,220),"2NR")
- Q
- ;
- 230 ;EP - Patient Has Paid (SOURCE: FILE=9002274.4, FIELD=.99)
- S ABME("FLD")=.99
- D DIQ1
- S ABMR(20,230)=ABM(9002274.4,ABMP("BDFN"),.99,"E")
- S ABMR(20,230)=$$FMT^ABMERUTL(ABMR(20,230),"10NRJ2")
- Q
- ;
- 240 ;EP - Estimated Amount Due (SOURCE: FILE=, FIELD=)
- S ABME("FLD")=.21
- D DIQ1
- S ABMR(20,240)=ABM(9002274.4,ABMP("BDFN"),.21,"E")
- S ABMR(20,240)=$$FMT^ABMERUTL(ABMR(20,240),"10NRJ2")
- Q
- ;
- 250 ;EP - Medical Record Number (SOURCE: FILE=9000001.41, FIELD=.02)
- ; form locator #23
- S ABMR(20,250)=$P($G(^AUPNPAT(+ABMP("PDFN"),41,+ABMP("LDFN"),0)),"^",2)
- S ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,250),17)
- ; if Export is UB-92-E V4 and New Mexico Medicaid, use bill number
- I ABMP("EXP"),$G(ABMRCID)="00MAD" S ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,30),17)
- Q
- ;
- 260 ;EP - Filler
- S ABMR(20,260)=""
- S ABMR(20,260)=$$FMT^ABMERUTL(ABMR(20,260),3)
- Q
- ;
- DIQ1 ;PULL BILL DATA VIA DIQ1
- Q:$D(ABM(9002274.4,ABMP("BDFN"),ABME("FLD")))
- N I
- S DIQ="ABM("
- S DIQ(0)="EI"
- S DIC="^ABMDBILL(DUZ(2),"
- S DA=ABMP("BDFN")
- S DR=".01;.21;.51;.52;.53;.61;.62;.63;.64;.71;.72;.99"
- D EN^DIQ1
- K DIQ
- Q
- ;
- EX(ABMX,ABMY) ;EP - EXTRINSIC FUNCTION HERE
- ;
- ; INPUT: ABMX = data element
- ; Y = bill internal entry number
- ;
- ; OUTPUT: Y = bill internal entry number
- ;
- S ABMP("BDFN")=ABMY
- D SET^ABMERUTL
- I '$G(ABMP("NOFMT")) S ABMP("FMT")=0
- D @ABMX
- S Y=ABMR(20,ABMX)
- K ABMR(20,ABMX),ABMX,ABMY
- I $D(ABMP("FMT")) S ABMP("FMT")=1
- Q Y
- ABMER20 ; IHS/ASDST/DMJ - UB92 EMC RECORD 20 (Patient) ;
- +1 ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
- +2 ;Original;DMJ;02/26/96 5:11 PM
- +3 ;
- +4 ; IHS/ASDS/DMJ - 04/20/00 - V2.4 Patch 1 - NOIS HQW-0500-100040
- +5 ; Modified location code to check for satellite first. If no
- +6 ; satellite, use parent.
- +7 ; IHS/ASDS/LSL - 08/02/00 - V2.4 Patch 3 - NOIS NDA-0700-180015
- +8 ; In order to get bill number on RA from Consultec, bill number
- +9 ; must be in field 3 and 25.
- +10 ;
- +11 ; IHS/ASDS/DMJ - v2.4 p7 - 9/7/01 NOIS HQW-0701-100066
- +12 ; Modifications made related to Medicare Part B
- +13 ;
- START ;START HERE
- +1 KILL ABMREC(20),ABMR(20)
- +2 SET ABME("RTYPE")=20
- +3 SET ABMRT(95,60)=+$GET(ABMRT(95,60))+1
- +4 KILL ABMP("SET")
- +5 DO SET^ABMERUTL
- DO LOOP
- +6 DO S90^ABMERUTL
- +7 KILL ABME,ABM
- +8 QUIT
- +9 ;
- LOOP ;LOOP HERE
- +1 DO ^ABMER20A
- +2 FOR I=120:10:260
- Begin DoDot:1
- +3 DO @I
- +4 IF $DATA(^ABMEXLM("AA",+$GET(ABMP("INS")),+$GET(ABMP("EXP")),20,I))
- DO @(^(I))
- +5 IF '$GET(ABMP("NOFMT"))
- SET ABMREC(20)=$GET(ABMREC(20))_ABMR(20,I)
- End DoDot:1
- +6 QUIT
- +7 ;
- 30 ;EP -Patient Control Number
- +1 ; form locator #3
- +2 DO PCN^ABMERUTL
- +3 SET ABMR(20,30)=ABMP("PCN")
- +4 QUIT
- +5 ;
- 120 ;EP - Patient Address - Line 1 (SOURCE: FILE=2, FIELD=.111)
- +1 ; form locator #13
- +2 IF '$DATA(ABME("AD1"))
- DO ADR
- +3 SET ABMR(20,120)=ABME("AD1")
- +4 SET ABMR(20,120)=$$FMT^ABMERUTL(ABMR(20,120),18)
- +5 QUIT
- +6 ;
- 130 ;EP - Patient Address - Line 2 (SOURCE: FILE=2, FIELD=.112)
- +1 ; form locator #13
- +2 IF '$DATA(ABME("AD2"))
- DO ADR
- +3 SET ABMR(20,130)=ABME("AD2")
- +4 SET ABMR(20,130)=$$FMT^ABMERUTL(ABMR(20,130),18)
- +5 QUIT
- +6 ;
- 140 ;EP - Patient's City (SOURCE: FILE=2, FIELD=.114)
- +1 ; form locator #13
- +2 IF '$DATA(ABME("AD4"))
- DO ADR
- +3 SET ABMR(20,140)=ABME("AD4")
- +4 SET ABMR(20,140)=$$FMT^ABMERUTL(ABMR(20,140),15)
- +5 QUIT
- +6 ;
- 150 ;EP - Patient's State (SOURCE: FILE=2, FIELD=.115)
- +1 ; form locator #13
- +2 IF '$DATA(ABME("AD5"))
- DO ADR
- +3 SET ABMR(20,150)=ABME("AD5")
- +4 IF ABMR(20,150)=""
- SET ABMR(20,150)=" "
- +5 QUIT
- +6 ;
- 160 ;EP - Patient's Zip (SOURCE: FILE=2, FIELD=.116)
- +1 ; form locator #13
- +2 IF '$DATA(ABME("AD6"))
- DO ADR
- +3 SET ABMR(20,160)=ABME("AD6")
- +4 IF '$GET(ABMP("NOFMT"))
- Begin DoDot:1
- +5 IF ABME("AD6")=""
- SET ABME("AD6")="00000"
- End DoDot:1
- +6 SET ABMR(20,160)=$EXTRACT(ABME("AD6"),1,5)_"0000"
- +7 SET ABMR(20,160)=$$FMT^ABMERUTL(ABMR(20,160),9)
- +8 QUIT
- +9 ;
- ADR ;GET PATIENT ADDRESS FROM FILE 2
- +1 ; I = 1 - Mailing Address - Street
- +2 ; 2 - Street Address [line 2]
- +3 ; 3 - Street Address [line 3]
- +4 ; 4 - Mailing Address - City
- +5 ; 5 - Mailing Address - State
- +6 ; 6 - Mailing Address - Zip
- +7 NEW I
- +8 FOR I=1:1:6
- SET ABME("AD"_I)=$PIECE($GET(^DPT(+ABMP("PDFN"),.11)),"^",I)
- +9 SET ABME("AD5")=$PIECE($GET(^DIC(5,+ABME("AD5"),0)),"^",2)
- +10 QUIT
- +11 ;
- 170 ;EP - Admission/Start of Care Date (SOURCE: FILE=9002274.4, FIELD=.71)
- +1 ; form locator #17
- +2 SET ABME("FLD")=.71
- +3 DO DIQ1
- +4 SET ABMR(20,170)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
- +5 SET ABMR(20,170)=$$MDY^ABMDUTL(ABMR(20,170))
- +6 SET ABMR(20,170)=$$FMT^ABMERUTL(ABMR(20,170),"6NR")
- +7 QUIT
- +8 ;
- 180 ;EP - Admission Hour (SOURCE: FILE=9002274.4, FIELD=.62)
- +1 ; form locator #18
- +2 SET ABME("FLD")=.62
- +3 DO DIQ1
- +4 SET ABMR(20,180)=ABM(9002274.4,ABMP("BDFN"),.62,"I")
- +5 SET ABMR(20,180)=$$FMT^ABMERUTL(ABMR(20,180),"2NR")
- +6 QUIT
- +7 ;
- 190 ;EP - Statement Covers Period From (SOURCE: FILE=9002274.4, FIELD=.71)
- +1 ; form locator #6
- +2 SET ABME("FLD")=.71
- +3 DO DIQ1
- +4 SET ABMR(20,190)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
- +5 SET ABMR(20,190)=$$MDY^ABMDUTL(ABMR(20,190))
- +6 SET ABMR(20,190)=$$FMT^ABMERUTL(ABMR(20,190),"6NR")
- +7 QUIT
- +8 ;
- 200 ;EP - Statement Covers Period Through (SOURCE: FILE=9002274.4, FIELD=.72)
- +1 ; form locator #6
- +2 SET ABME("FLD")=.72
- +3 DO DIQ1
- +4 SET ABMR(20,200)=ABM(9002274.4,ABMP("BDFN"),.72,"I")
- +5 SET ABMR(20,200)=$$MDY^ABMDUTL(ABMR(20,200))
- +6 SET ABMR(20,200)=$$FMT^ABMERUTL(ABMR(20,200),"6NR")
- +7 QUIT
- +8 ;
- 210 ;EP - Patient Status (SOURCE: FILE=9002274.4, FIELD=.53)
- +1 ; form locator #22
- +2 SET ABME("FLD")=.53
- +3 DO DIQ1
- +4 SET ABMR(20,210)=ABM(9002274.4,ABMP("BDFN"),.53,"E")
- +5 ; If status is "" and visit is outpatient and insurance type is
- +6 ; Medicare FI, set status to 1
- +7 IF ABMR(20,210)=""
- IF ABMP("VTYP")=131
- IF ABMP("ITYPE")="R"
- SET ABMR(20,210)=1
- +8 SET ABMR(20,210)=$$FMT^ABMERUTL(ABMR(20,210),"2NR")
- +9 QUIT
- +10 ;
- 220 ;EP - Discharge Hour (SOURCE: FILE=9002274.4, FIELD=.64)
- +1 ; form locator #21
- +2 SET ABME("FLD")=.64
- +3 DO DIQ1
- +4 SET ABMR(20,220)=ABM(9002274.4,ABMP("BDFN"),.64,"I")
- +5 SET ABMR(20,220)=$$FMT^ABMERUTL(ABMR(20,220),"2NR")
- +6 QUIT
- +7 ;
- 230 ;EP - Patient Has Paid (SOURCE: FILE=9002274.4, FIELD=.99)
- +1 SET ABME("FLD")=.99
- +2 DO DIQ1
- +3 SET ABMR(20,230)=ABM(9002274.4,ABMP("BDFN"),.99,"E")
- +4 SET ABMR(20,230)=$$FMT^ABMERUTL(ABMR(20,230),"10NRJ2")
- +5 QUIT
- +6 ;
- 240 ;EP - Estimated Amount Due (SOURCE: FILE=, FIELD=)
- +1 SET ABME("FLD")=.21
- +2 DO DIQ1
- +3 SET ABMR(20,240)=ABM(9002274.4,ABMP("BDFN"),.21,"E")
- +4 SET ABMR(20,240)=$$FMT^ABMERUTL(ABMR(20,240),"10NRJ2")
- +5 QUIT
- +6 ;
- 250 ;EP - Medical Record Number (SOURCE: FILE=9000001.41, FIELD=.02)
- +1 ; form locator #23
- +2 SET ABMR(20,250)=$PIECE($GET(^AUPNPAT(+ABMP("PDFN"),41,+ABMP("LDFN"),0)),"^",2)
- +3 SET ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,250),17)
- +4 ; if Export is UB-92-E V4 and New Mexico Medicaid, use bill number
- +5 IF ABMP("EXP")
- IF $GET(ABMRCID)="00MAD"
- SET ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,30),17)
- +6 QUIT
- +7 ;
- 260 ;EP - Filler
- +1 SET ABMR(20,260)=""
- +2 SET ABMR(20,260)=$$FMT^ABMERUTL(ABMR(20,260),3)
- +3 QUIT
- +4 ;
- DIQ1 ;PULL BILL DATA VIA DIQ1
- +1 IF $DATA(ABM(9002274.4,ABMP("BDFN"),ABME("FLD")))
- QUIT
- +2 NEW I
- +3 SET DIQ="ABM("
- +4 SET DIQ(0)="EI"
- +5 SET DIC="^ABMDBILL(DUZ(2),"
- +6 SET DA=ABMP("BDFN")
- +7 SET DR=".01;.21;.51;.52;.53;.61;.62;.63;.64;.71;.72;.99"
- +8 DO EN^DIQ1
- +9 KILL DIQ
- +10 QUIT
- +11 ;
- EX(ABMX,ABMY) ;EP - EXTRINSIC FUNCTION HERE
- +1 ;
- +2 ; INPUT: ABMX = data element
- +3 ; Y = bill internal entry number
- +4 ;
- +5 ; OUTPUT: Y = bill internal entry number
- +6 ;
- +7 SET ABMP("BDFN")=ABMY
- +8 DO SET^ABMERUTL
- +9 IF '$GET(ABMP("NOFMT"))
- SET ABMP("FMT")=0
- +10 DO @ABMX
- +11 SET Y=ABMR(20,ABMX)
- +12 KILL ABMR(20,ABMX),ABMX,ABMY
- +13 IF $DATA(ABMP("FMT"))
- SET ABMP("FMT")=1
- +14 QUIT Y