IBCNSM9 ;ALB/NLR - INSURANCE MANAGEMENT WORKSHEET7 ; 15-NOV-93
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
BL5 ; -- print rehab & iv mgmt info
W !?5,$TR($J(" ",IOM-12)," ","-")
W !?6,"9.",?33-($L("** REHABILITATION **")\2),"** REHABILITATION **" D VLINE^IBCNSM7
W ?71,"10.",?99-($L("** IV MANAGEMENT **")\2),"** IV MANAGEMENT **"
W !?3,$J("OT Visits/Yr:",23),?28,$J($$DOL^IBCNSM6(355.4,3.06,$P($G(IBCABD3),"^",6),IBLINE),10) D VLINE^IBCNSM7
W ?83,$J("IV Infusion Opt?:",23),?108,$J($$DOL^IBCNSM6(355.4,4.06,$P($G(IBCABD4),"^",6),IBLINE),10)
W !?3,$J("PT Visits/Yr:",23),?28,$J($$DOL^IBCNSM6(355.4,3.07,$P($G(IBCABD3),"^",7),IBLINE),10) D VLINE^IBCNSM7
W ?83,$J("IV Infusion Inpt?:",23),?108,$J($$DOL^IBCNSM6(355.4,4.07,$P($G(IBCABD4),"^",7),IBLINE),10)
W !?3,$J("ST Visits/Yr:",23),?28,$J($$DOL^IBCNSM6(355.4,3.08,$P($G(IBCABD3),"^",8),IBLINE),10) D VLINE^IBCNSM7
W ?83,$J("IV Antibiotics Opt?:",23),?108,$J($$DOL^IBCNSM6(355.4,4.08,$P($G(IBCABD4),"^",8),IBLINE),10)
W !?3,$J("Med Cnslg Visits/Yr:",23),?28,$J($$DOL^IBCNSM6(355.4,3.09,$P($G(IBCABD3),"^",9),IBLINE),10) D VLINE^IBCNSM7
W ?83,$J("IV Antibiotics Inpt?:",23),?108,$J($$DOL^IBCNSM6(355.4,4.09,$P($G(IBCABD4),"^",9),IBLINE),10)
W !?5,$TR($J(" ",IOM-12)," ","-")
Q
BL6 ; -- print rider info
;
D HDR^IBCNSM5
W !?5,$TR($J(" ",IOM-12)," ","-")
D GETRDRS
Q
GETRDRS ; -- get personal riders
N IBPR,IBPRD,I,J
S I=0
I '$G(IBCDFN)!('$G(DFN)) G DISPRQ
W !?5,"11.",?33-($L("** CURRENT PERSONAL RIDERS **")\2),"** CURRENT PERSONAL RIDERS **" D VLINE^IBCNSM7
F S I=$O(^IBA(355.7,"APP",DFN,IBCDFN,I)) Q:'I S J=$O(^(I,0)),IBPR=$G(^IBA(355.7,+J,0)) D
.S IBPRD=$$EXPAND^IBTRE(355.7,.01,+IBPR)
.W !?9,IBPRD D VLINE^IBCNSM7
I 'IBLINE,('$D(IBPRD)) W !?9,"None Indicated" D VLINE^IBCNSM7
I IBLINE,('$D(IBPRD)) W !!?10,$TR($J(" ",(IOM-20))," ","_") W !!?10,$TR($J(" ",(IOM-20))," ","_") W !!?10,$TR($J(" ",(IOM-20))," ","_")
DISPRQ Q
BL7 ; -- print benefits used
;
; -- policy and opt deductibles
;
W !,$TR($J(" ",IOM)," ","=")
W !?66-($L("* BENEFITS USED *")\2),"* BENEFITS USED *"
W !?5,$TR($J(" ",IOM-12)," ","-")
W !?5,"12.",?33-($L("** POLICY **")\2),"** POLICY **" D VLINE^IBCNSM7
W ?71,"13.",?99-($L("** OPT DEDUCTIBLES **")\2),"** OPT DEDUCTIBLES **"
W !?3,$J("Ded Met?:",23),?28,$E($$DOL^IBCNSM6(355.5,.04,$$YN^IBCNSM($P($G(IBCBUD),"^",4),1),IBLINE),1,22) D VLINE^IBCNSM7
W ?83,$J("Ded Met?:",23),?108,$E($$DOL^IBCNSM6(355.5,.08,$$YN^IBCNSM($P($G(IBCBUD),"^",8),1),IBLINE),1,22)
W !?3,$J("Amt of Ded Met ($):",23),?28,$E($$DOL^IBCNSM6(355.5,.05,$P($G(IBCBUD),"^",5),IBLINE),1,22) D VLINE^IBCNSM7
W ?83,$J("Amt of Ded Met ($):",23),?108,$E($$DOL^IBCNSM6(355.5,.09,$P($G(IBCBUD),"^",9),IBLINE),1,22)
W !?3,$J("Pre-exist Cond:",23),?28,$E($$DOL^IBCNSM6(355.5,.15,$P($G(IBCBUD),"^",15),IBLINE),1,22) D VLINE^IBCNSM7
W ?83,$J("MH Ded (Opt) Met?:",23),?108,$E($$DOL^IBCNSM6(355.5,.13,$$YN^IBCNSM($P($G(IBCBUD),"^",13),1),IBLINE),1,22)
W !?3,$J("Coord of Ben Data:",23),?28,$E($$DOL^IBCNSM6(355.5,.16,$P($G(IBCBUD),"^",16),IBLINE),1,22) D VLINE^IBCNSM7
W ?83,$J("Amt of MH Ded Met ($):",23),?108,$E($$DOL^IBCNSM6(355.5,.14,$P($G(IBCBUD),"^",14),IBLINE),1,22)
W ! D VLINE^IBCNSM7 W ?83,$J("Amt Lifet Max Used ($):",23),?108,$E($$DOL^IBCNSM6(355.5,.1,$P($G(IBCBUD),"^",10),IBLINE),1,22)
;
; inpt deductibles
;
W !?5,$TR($J(" ",IOM-12)," ","-")
W !?5,"14.",?33-($L("** INPT DEDUCTIBLES **")\2),"** INPT DEDUCTIBLES **" D VLINE^IBCNSM7
W !?3,$J("Ded Met?:",23),?28,$E($$DOL^IBCNSM6(355.5,.11,$$YN^IBCNSM($P($G(IBCBUD),"^",6),1),IBLINE),1,22) D VLINE^IBCNSM7
W !?3,$J("Amt of Ded Met ($):",23),?28,$$DOL^IBCNSM6(355.5,.07,$P($G(IBCBUD),"^",7),IBLINE) D VLINE^IBCNSM7
W !?3,$J("MH Ded (Inpt) Met?:",23),?28,$E($$DOL^IBCNSM6(355.5,.11,$$YN^IBCNSM($P($G(IBCBUD),"^",11),1),IBLINE),1,22) D VLINE^IBCNSM7
W !?3,$J("Amt of MH Ded Met ($):",23),?28,$E($$DOL^IBCNSM6(355.5,.12,$P($G(IBCBUD),"^",12),IBLINE),1,22) D VLINE^IBCNSM7
W !?3,$J("Amt Lifet Max Used ($):",23),?28,$E($$DOL^IBCNSM6(355.5,.18,$P($G(IBCBUD),"^",18),IBLINE),1,22) D VLINE^IBCNSM7
W !,$TR($J(" ",IOM)," ","=")
Q
;
IBCNSM9 ;ALB/NLR - INSURANCE MANAGEMENT WORKSHEET7 ; 15-NOV-93
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
BL5 ; -- print rehab & iv mgmt info
+1 WRITE !?5,$TRANSLATE($JUSTIFY(" ",IOM-12)," ","-")
+2 WRITE !?6,"9.",?33-($LENGTH("** REHABILITATION **")\2),"** REHABILITATION **"
DO VLINE^IBCNSM7
+3 WRITE ?71,"10.",?99-($LENGTH("** IV MANAGEMENT **")\2),"** IV MANAGEMENT **"
+4 WRITE !?3,$JUSTIFY("OT Visits/Yr:",23),?28,$JUSTIFY($$DOL^IBCNSM6(355.4,3.06,$PIECE($GET(IBCABD3),"^",6),IBLINE),10)
DO VLINE^IBCNSM7
+5 WRITE ?83,$JUSTIFY("IV Infusion Opt?:",23),?108,$JUSTIFY($$DOL^IBCNSM6(355.4,4.06,$PIECE($GET(IBCABD4),"^",6),IBLINE),10)
+6 WRITE !?3,$JUSTIFY("PT Visits/Yr:",23),?28,$JUSTIFY($$DOL^IBCNSM6(355.4,3.07,$PIECE($GET(IBCABD3),"^",7),IBLINE),10)
DO VLINE^IBCNSM7
+7 WRITE ?83,$JUSTIFY("IV Infusion Inpt?:",23),?108,$JUSTIFY($$DOL^IBCNSM6(355.4,4.07,$PIECE($GET(IBCABD4),"^",7),IBLINE),10)
+8 WRITE !?3,$JUSTIFY("ST Visits/Yr:",23),?28,$JUSTIFY($$DOL^IBCNSM6(355.4,3.08,$PIECE($GET(IBCABD3),"^",8),IBLINE),10)
DO VLINE^IBCNSM7
+9 WRITE ?83,$JUSTIFY("IV Antibiotics Opt?:",23),?108,$JUSTIFY($$DOL^IBCNSM6(355.4,4.08,$PIECE($GET(IBCABD4),"^",8),IBLINE),10)
+10 WRITE !?3,$JUSTIFY("Med Cnslg Visits/Yr:",23),?28,$JUSTIFY($$DOL^IBCNSM6(355.4,3.09,$PIECE($GET(IBCABD3),"^",9),IBLINE),10)
DO VLINE^IBCNSM7
+11 WRITE ?83,$JUSTIFY("IV Antibiotics Inpt?:",23),?108,$JUSTIFY($$DOL^IBCNSM6(355.4,4.09,$PIECE($GET(IBCABD4),"^",9),IBLINE),10)
+12 WRITE !?5,$TRANSLATE($JUSTIFY(" ",IOM-12)," ","-")
+13 QUIT
BL6 ; -- print rider info
+1 ;
+2 DO HDR^IBCNSM5
+3 WRITE !?5,$TRANSLATE($JUSTIFY(" ",IOM-12)," ","-")
+4 DO GETRDRS
+5 QUIT
GETRDRS ; -- get personal riders
+1 NEW IBPR,IBPRD,I,J
+2 SET I=0
+3 IF '$GET(IBCDFN)!('$GET(DFN))
GOTO DISPRQ
+4 WRITE !?5,"11.",?33-($LENGTH("** CURRENT PERSONAL RIDERS **")\2),"** CURRENT PERSONAL RIDERS **"
DO VLINE^IBCNSM7
+5 FOR
SET I=$ORDER(^IBA(355.7,"APP",DFN,IBCDFN,I))
IF 'I
QUIT
SET J=$ORDER(^(I,0))
SET IBPR=$GET(^IBA(355.7,+J,0))
Begin DoDot:1
+6 SET IBPRD=$$EXPAND^IBTRE(355.7,.01,+IBPR)
+7 WRITE !?9,IBPRD
DO VLINE^IBCNSM7
End DoDot:1
+8 IF 'IBLINE
IF ('$DATA(IBPRD))
WRITE !?9,"None Indicated"
DO VLINE^IBCNSM7
+9 IF IBLINE
IF ('$DATA(IBPRD))
WRITE !!?10,$TRANSLATE($JUSTIFY(" ",(IOM-20))," ","_")
WRITE !!?10,$TRANSLATE($JUSTIFY(" ",(IOM-20))," ","_")
WRITE !!?10,$TRANSLATE($JUSTIFY(" ",(IOM-20))," ","_")
DISPRQ QUIT
BL7 ; -- print benefits used
+1 ;
+2 ; -- policy and opt deductibles
+3 ;
+4 WRITE !,$TRANSLATE($JUSTIFY(" ",IOM)," ","=")
+5 WRITE !?66-($LENGTH("* BENEFITS USED *")\2),"* BENEFITS USED *"
+6 WRITE !?5,$TRANSLATE($JUSTIFY(" ",IOM-12)," ","-")
+7 WRITE !?5,"12.",?33-($LENGTH("** POLICY **")\2),"** POLICY **"
DO VLINE^IBCNSM7
+8 WRITE ?71,"13.",?99-($LENGTH("** OPT DEDUCTIBLES **")\2),"** OPT DEDUCTIBLES **"
+9 WRITE !?3,$JUSTIFY("Ded Met?:",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.04,$$YN^IBCNSM($PIECE($GET(IBCBUD),"^",4),1),IBLINE),1,22)
DO VLINE^IBCNSM7
+10 WRITE ?83,$JUSTIFY("Ded Met?:",23),?108,$EXTRACT($$DOL^IBCNSM6(355.5,.08,$$YN^IBCNSM($PIECE($GET(IBCBUD),"^",8),1),IBLINE),1,22)
+11 WRITE !?3,$JUSTIFY("Amt of Ded Met ($):",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.05,$PIECE($GET(IBCBUD),"^",5),IBLINE),1,22)
DO VLINE^IBCNSM7
+12 WRITE ?83,$JUSTIFY("Amt of Ded Met ($):",23),?108,$EXTRACT($$DOL^IBCNSM6(355.5,.09,$PIECE($GET(IBCBUD),"^",9),IBLINE),1,22)
+13 WRITE !?3,$JUSTIFY("Pre-exist Cond:",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.15,$PIECE($GET(IBCBUD),"^",15),IBLINE),1,22)
DO VLINE^IBCNSM7
+14 WRITE ?83,$JUSTIFY("MH Ded (Opt) Met?:",23),?108,$EXTRACT($$DOL^IBCNSM6(355.5,.13,$$YN^IBCNSM($PIECE($GET(IBCBUD),"^",13),1),IBLINE),1,22)
+15 WRITE !?3,$JUSTIFY("Coord of Ben Data:",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.16,$PIECE($GET(IBCBUD),"^",16),IBLINE),1,22)
DO VLINE^IBCNSM7
+16 WRITE ?83,$JUSTIFY("Amt of MH Ded Met ($):",23),?108,$EXTRACT($$DOL^IBCNSM6(355.5,.14,$PIECE($GET(IBCBUD),"^",14),IBLINE),1,22)
+17 WRITE !
DO VLINE^IBCNSM7
WRITE ?83,$JUSTIFY("Amt Lifet Max Used ($):",23),?108,$EXTRACT($$DOL^IBCNSM6(355.5,.1,$PIECE($GET(IBCBUD),"^",10),IBLINE),1,22)
+18 ;
+19 ; inpt deductibles
+20 ;
+21 WRITE !?5,$TRANSLATE($JUSTIFY(" ",IOM-12)," ","-")
+22 WRITE !?5,"14.",?33-($LENGTH("** INPT DEDUCTIBLES **")\2),"** INPT DEDUCTIBLES **"
DO VLINE^IBCNSM7
+23 WRITE !?3,$JUSTIFY("Ded Met?:",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.11,$$YN^IBCNSM($PIECE($GET(IBCBUD),"^",6),1),IBLINE),1,22)
DO VLINE^IBCNSM7
+24 WRITE !?3,$JUSTIFY("Amt of Ded Met ($):",23),?28,$$DOL^IBCNSM6(355.5,.07,$PIECE($GET(IBCBUD),"^",7),IBLINE)
DO VLINE^IBCNSM7
+25 WRITE !?3,$JUSTIFY("MH Ded (Inpt) Met?:",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.11,$$YN^IBCNSM($PIECE($GET(IBCBUD),"^",11),1),IBLINE),1,22)
DO VLINE^IBCNSM7
+26 WRITE !?3,$JUSTIFY("Amt of MH Ded Met ($):",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.12,$PIECE($GET(IBCBUD),"^",12),IBLINE),1,22)
DO VLINE^IBCNSM7
+27 WRITE !?3,$JUSTIFY("Amt Lifet Max Used ($):",23),?28,$EXTRACT($$DOL^IBCNSM6(355.5,.18,$PIECE($GET(IBCBUD),"^",18),IBLINE),1,22)
DO VLINE^IBCNSM7
+28 WRITE !,$TRANSLATE($JUSTIFY(" ",IOM)," ","=")
+29 QUIT
+30 ;
