- IBDEI00X ; ; 18-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQR(358.5) F I=1:2 S X=$T(Q+I) Q:X="" S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,99) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
- Q Q
- ;;^UTILITY(U,$J,358.5,23,2,1,0)
- ;;=(__)^^^0^10^10^5^45^1
- ;;^UTILITY(U,$J,358.5,23,2,2,0)
- ;;=% - SERVICE CONNECTED^^I^^^10^51^24^5
- ;;^UTILITY(U,$J,358.5,24,0)
- ;;=INSURED?^6^12
- ;;^UTILITY(U,$J,358.5,24,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,24,2,1,0)
- ;;=Health Insurance:^^^3^12^12^21^7^1
- ;;^UTILITY(U,$J,358.5,25,0)
- ;;=INSURANCE 1^6^13^0^1
- ;;^UTILITY(U,$J,358.5,25,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,25,2,1,0)
- ;;=Insurance^^U^3^13^14^3^30^1
- ;;^UTILITY(U,$J,358.5,25,2,2,0)
- ;;=Policy #^^U^35^13^14^35^20^3
- ;;^UTILITY(U,$J,358.5,25,2,3,0)
- ;;=Group #^^U^58^13^14^58^17^4
- ;;^UTILITY(U,$J,358.5,25,2,4,0)
- ;;=Holder^^U^77^13^14^77^9^7
- ;;^UTILITY(U,$J,358.5,26,0)
- ;;=INSURANCE 2^6^13^0^2
- ;;^UTILITY(U,$J,358.5,26,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,26,2,1,0)
- ;;=COMPANY^^I^^^15^3^30^1
- ;;^UTILITY(U,$J,358.5,26,2,2,0)
- ;;=POLICY #^^I^^^15^35^20^3
- ;;^UTILITY(U,$J,358.5,26,2,3,0)
- ;;=GROUP #^^I^^^15^58^17^4
- ;;^UTILITY(U,$J,358.5,26,2,4,0)
- ;;=HOLDER^^I^^^15^77^9^7
- ;;^UTILITY(U,$J,358.5,27,0)
- ;;=INSURANCE 3^6^13^1^3
- ;;^UTILITY(U,$J,358.5,27,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,27,2,1,0)
- ;;=COMPANY^^I^^^16^3^30^1
- ;;^UTILITY(U,$J,358.5,27,2,2,0)
- ;;=POLICY #^^I^^^16^35^20^3
- ;;^UTILITY(U,$J,358.5,27,2,3,0)
- ;;=GROUP #^^I^^^16^58^17^4
- ;;^UTILITY(U,$J,358.5,27,2,4,0)
- ;;=HOLDER^^I^^^16^77^9^7
- ;;^UTILITY(U,$J,358.5,28,0)
- ;;=FACILITY^6^14
- ;;^UTILITY(U,$J,358.5,28,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,28,2,1,0)
- ;;=FACILITY:^^^90^0^0^100^30^1
- ;;^UTILITY(U,$J,358.5,29,0)
- ;;=ADDRESS LINE 3^6^9^1^3
- ;;^UTILITY(U,$J,358.5,29,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,29,2,1,0)
- ;;=LINE 3^^I^^^2^39^45^1
- ;;^UTILITY(U,$J,358.5,30,0)
- ;;=PROCEDURE NOTE^7^2^^^Procedure Note:^^^^0^0^4^2^132
- ;;^UTILITY(U,$J,358.5,31,0)
- ;;=Preop Dx:^7^2^^^Preop Dx:^^^^0^4^2^2^132
- ;;^UTILITY(U,$J,358.5,32,0)
- ;;=POSTOP DX^7^2^^^Postop Dx:^^^^0^6^2^2^132
- ;;^UTILITY(U,$J,358.5,33,0)
- ;;=PROCEDURE^7^2^^^Procedure:^^^^0^8^2^2^132
- ;;^UTILITY(U,$J,358.5,34,0)
- ;;=ANESTHESIA^7^2^^^Anesthesia:^^^^0^10^2^2^132
- ;;^UTILITY(U,$J,358.5,35,0)
- ;;=SURGEON^7^2^^^Surgeon:^^^^0^12^2^2^132
- ;;^UTILITY(U,$J,358.5,36,0)
- ;;=ATTENDING^7^2^^^Attending:^^^^0^14^2^2^132
- ;;^UTILITY(U,$J,358.5,37,0)
- ;;=FINDINGS^7^2^^^Findings:^^^^0^16^2^2^132
- ;;^UTILITY(U,$J,358.5,38,0)
- ;;=PLAN^7^2^^^Plan:^^^^0^18^8^2^132
- ;;^UTILITY(U,$J,358.5,39,0)
- ;;=APPT DATE^8^4
- ;;^UTILITY(U,$J,358.5,39,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,39,2,1,0)
- ;;=Appt Date:^^^60^0^0^71^12^2
- ;;^UTILITY(U,$J,358.5,40,0)
- ;;=PAGE NUMBER^8^3
- ;;^UTILITY(U,$J,358.5,40,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,40,2,1,0)
- ;;=PAGE: 1^^^110^0
- ;;^UTILITY(U,$J,358.5,41,0)
- ;;=CLINIC^8^5
- ;;^UTILITY(U,$J,358.5,41,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,41,2,1,0)
- ;;=Clinic:^^^0^0^0^8^30^1
- ;;^UTILITY(U,$J,358.5,42,0)
- ;;=SIGNATURE^9^3
- ;;^UTILITY(U,$J,358.5,42,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,42,2,1,0)
- ;;=Signature of Provider^^^60^4^3^60^40^1
- ;;^UTILITY(U,$J,358.5,43,0)
- ;;=CLINIC^9^5
- ;;^UTILITY(U,$J,358.5,43,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,43,2,1,0)
- ;;=Clinic:^^^0^4^4^8^30^1
- ;;^UTILITY(U,$J,358.5,44,0)
- ;;=PATEINT NAME^11^6
- ;;^UTILITY(U,$J,358.5,44,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,44,2,1,0)
- ;;=NAME^^I^^^0^0^30^1
- ;;^UTILITY(U,$J,358.5,45,0)
- ;;=PID^11^7
- ;;^UTILITY(U,$J,358.5,45,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,45,2,1,0)
- ;;=PID^^I^^^1^0^15^1
- ;;^UTILITY(U,$J,358.5,46,0)
- ;;=ELIGIBILITY^11^8
- ;;^UTILITY(U,$J,358.5,46,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,46,2,1,0)
- ;;=Elig:^^^0^2^2^6^30^1
- IBDEI00X ; ; 18-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQR(358.5)
- QUIT
- FOR I=1:2
- SET X=$TEXT(Q+I)
- IF X=""
- QUIT
- SET Y=$EXTRACT($TEXT(Q+I+1),4,999)
- SET X=$EXTRACT(X,4,999)
- IF $ASCII(Y)=126
- SET I=I+1
- SET Y=$EXTRACT(Y,2,999)_$EXTRACT($TEXT(Q+I+1),5,99)
- IF $ASCII(Y)=61
- SET Y=$EXTRACT(Y,2,999)
- XECUTE NO
- IF '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^UTILITY(U,$J,358.5,23,2,1,0)
- +2 ;;=(__)^^^0^10^10^5^45^1
- +3 ;;^UTILITY(U,$J,358.5,23,2,2,0)
- +4 ;;=% - SERVICE CONNECTED^^I^^^10^51^24^5
- +5 ;;^UTILITY(U,$J,358.5,24,0)
- +6 ;;=INSURED?^6^12
- +7 ;;^UTILITY(U,$J,358.5,24,2,0)
- +8 ;;=^357.52I^1^1
- +9 ;;^UTILITY(U,$J,358.5,24,2,1,0)
- +10 ;;=Health Insurance:^^^3^12^12^21^7^1
- +11 ;;^UTILITY(U,$J,358.5,25,0)
- +12 ;;=INSURANCE 1^6^13^0^1
- +13 ;;^UTILITY(U,$J,358.5,25,2,0)
- +14 ;;=^357.52I^4^4
- +15 ;;^UTILITY(U,$J,358.5,25,2,1,0)
- +16 ;;=Insurance^^U^3^13^14^3^30^1
- +17 ;;^UTILITY(U,$J,358.5,25,2,2,0)
- +18 ;;=Policy #^^U^35^13^14^35^20^3
- +19 ;;^UTILITY(U,$J,358.5,25,2,3,0)
- +20 ;;=Group #^^U^58^13^14^58^17^4
- +21 ;;^UTILITY(U,$J,358.5,25,2,4,0)
- +22 ;;=Holder^^U^77^13^14^77^9^7
- +23 ;;^UTILITY(U,$J,358.5,26,0)
- +24 ;;=INSURANCE 2^6^13^0^2
- +25 ;;^UTILITY(U,$J,358.5,26,2,0)
- +26 ;;=^357.52I^4^4
- +27 ;;^UTILITY(U,$J,358.5,26,2,1,0)
- +28 ;;=COMPANY^^I^^^15^3^30^1
- +29 ;;^UTILITY(U,$J,358.5,26,2,2,0)
- +30 ;;=POLICY #^^I^^^15^35^20^3
- +31 ;;^UTILITY(U,$J,358.5,26,2,3,0)
- +32 ;;=GROUP #^^I^^^15^58^17^4
- +33 ;;^UTILITY(U,$J,358.5,26,2,4,0)
- +34 ;;=HOLDER^^I^^^15^77^9^7
- +35 ;;^UTILITY(U,$J,358.5,27,0)
- +36 ;;=INSURANCE 3^6^13^1^3
- +37 ;;^UTILITY(U,$J,358.5,27,2,0)
- +38 ;;=^357.52I^4^4
- +39 ;;^UTILITY(U,$J,358.5,27,2,1,0)
- +40 ;;=COMPANY^^I^^^16^3^30^1
- +41 ;;^UTILITY(U,$J,358.5,27,2,2,0)
- +42 ;;=POLICY #^^I^^^16^35^20^3
- +43 ;;^UTILITY(U,$J,358.5,27,2,3,0)
- +44 ;;=GROUP #^^I^^^16^58^17^4
- +45 ;;^UTILITY(U,$J,358.5,27,2,4,0)
- +46 ;;=HOLDER^^I^^^16^77^9^7
- +47 ;;^UTILITY(U,$J,358.5,28,0)
- +48 ;;=FACILITY^6^14
- +49 ;;^UTILITY(U,$J,358.5,28,2,0)
- +50 ;;=^357.52I^1^1
- +51 ;;^UTILITY(U,$J,358.5,28,2,1,0)
- +52 ;;=FACILITY:^^^90^0^0^100^30^1
- +53 ;;^UTILITY(U,$J,358.5,29,0)
- +54 ;;=ADDRESS LINE 3^6^9^1^3
- +55 ;;^UTILITY(U,$J,358.5,29,2,0)
- +56 ;;=^357.52I^1^1
- +57 ;;^UTILITY(U,$J,358.5,29,2,1,0)
- +58 ;;=LINE 3^^I^^^2^39^45^1
- +59 ;;^UTILITY(U,$J,358.5,30,0)
- +60 ;;=PROCEDURE NOTE^7^2^^^Procedure Note:^^^^0^0^4^2^132
- +61 ;;^UTILITY(U,$J,358.5,31,0)
- +62 ;;=Preop Dx:^7^2^^^Preop Dx:^^^^0^4^2^2^132
- +63 ;;^UTILITY(U,$J,358.5,32,0)
- +64 ;;=POSTOP DX^7^2^^^Postop Dx:^^^^0^6^2^2^132
- +65 ;;^UTILITY(U,$J,358.5,33,0)
- +66 ;;=PROCEDURE^7^2^^^Procedure:^^^^0^8^2^2^132
- +67 ;;^UTILITY(U,$J,358.5,34,0)
- +68 ;;=ANESTHESIA^7^2^^^Anesthesia:^^^^0^10^2^2^132
- +69 ;;^UTILITY(U,$J,358.5,35,0)
- +70 ;;=SURGEON^7^2^^^Surgeon:^^^^0^12^2^2^132
- +71 ;;^UTILITY(U,$J,358.5,36,0)
- +72 ;;=ATTENDING^7^2^^^Attending:^^^^0^14^2^2^132
- +73 ;;^UTILITY(U,$J,358.5,37,0)
- +74 ;;=FINDINGS^7^2^^^Findings:^^^^0^16^2^2^132
- +75 ;;^UTILITY(U,$J,358.5,38,0)
- +76 ;;=PLAN^7^2^^^Plan:^^^^0^18^8^2^132
- +77 ;;^UTILITY(U,$J,358.5,39,0)
- +78 ;;=APPT DATE^8^4
- +79 ;;^UTILITY(U,$J,358.5,39,2,0)
- +80 ;;=^357.52I^1^1
- +81 ;;^UTILITY(U,$J,358.5,39,2,1,0)
- +82 ;;=Appt Date:^^^60^0^0^71^12^2
- +83 ;;^UTILITY(U,$J,358.5,40,0)
- +84 ;;=PAGE NUMBER^8^3
- +85 ;;^UTILITY(U,$J,358.5,40,2,0)
- +86 ;;=^357.52I^1^1
- +87 ;;^UTILITY(U,$J,358.5,40,2,1,0)
- +88 ;;=PAGE: 1^^^110^0
- +89 ;;^UTILITY(U,$J,358.5,41,0)
- +90 ;;=CLINIC^8^5
- +91 ;;^UTILITY(U,$J,358.5,41,2,0)
- +92 ;;=^357.52I^1^1
- +93 ;;^UTILITY(U,$J,358.5,41,2,1,0)
- +94 ;;=Clinic:^^^0^0^0^8^30^1
- +95 ;;^UTILITY(U,$J,358.5,42,0)
- +96 ;;=SIGNATURE^9^3
- +97 ;;^UTILITY(U,$J,358.5,42,2,0)
- +98 ;;=^357.52I^1^1
- +99 ;;^UTILITY(U,$J,358.5,42,2,1,0)
- +100 ;;=Signature of Provider^^^60^4^3^60^40^1
- +101 ;;^UTILITY(U,$J,358.5,43,0)
- +102 ;;=CLINIC^9^5
- +103 ;;^UTILITY(U,$J,358.5,43,2,0)
- +104 ;;=^357.52I^1^1
- +105 ;;^UTILITY(U,$J,358.5,43,2,1,0)
- +106 ;;=Clinic:^^^0^4^4^8^30^1
- +107 ;;^UTILITY(U,$J,358.5,44,0)
- +108 ;;=PATEINT NAME^11^6
- +109 ;;^UTILITY(U,$J,358.5,44,2,0)
- +110 ;;=^357.52I^1^1
- +111 ;;^UTILITY(U,$J,358.5,44,2,1,0)
- +112 ;;=NAME^^I^^^0^0^30^1
- +113 ;;^UTILITY(U,$J,358.5,45,0)
- +114 ;;=PID^11^7
- +115 ;;^UTILITY(U,$J,358.5,45,2,0)
- +116 ;;=^357.52I^1^1
- +117 ;;^UTILITY(U,$J,358.5,45,2,1,0)
- +118 ;;=PID^^I^^^1^0^15^1
- +119 ;;^UTILITY(U,$J,358.5,46,0)
- +120 ;;=ELIGIBILITY^11^8
- +121 ;;^UTILITY(U,$J,358.5,46,2,0)
- +122 ;;=^357.52I^1^1
- +123 ;;^UTILITY(U,$J,358.5,46,2,1,0)
- +124 ;;=Elig:^^^0^2^2^6^30^1
