- IBINI00S ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQ(36) 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
- ;;^DD(36,.144,21,0)
- ;;=^^2^2^2930607^^
- ;;^DD(36,.144,21,1,0)
- ;;=Enter the city in which the appeals office of this insurance company
- ;;^DD(36,.144,21,2,0)
- ;;=is located.
- ;;^DD(36,.144,"DT")
- ;;=2930225
- ;;^DD(36,.145,0)
- ;;=APPEALS ADDRESS STATE^P5'^DIC(5,^.14;5^Q
- ;;^DD(36,.145,3)
- ;;=If the appeals address of this company is different from its main address, enter state of the appeals address.
- ;;^DD(36,.145,21,0)
- ;;=^^3^3^2931007^^^^
- ;;^DD(36,.145,21,1,0)
- ;;=Enter the state in which the appeals office of this insurance
- ;;^DD(36,.145,21,2,0)
- ;;=company is located. Enter state even if it is the same as the state
- ;;^DD(36,.145,21,3,0)
- ;;=of the company's main address.
- ;;^DD(36,.145,22)
- ;;=DESCR
- ;;^DD(36,.145,"DT")
- ;;=2931007
- ;;^DD(36,.146,0)
- ;;=APPEALS ADDRESS ZIP^FXO^^.14;6^K:$L(X)>20!($L(X)<5) X I $D(X) D ZIPIN^VAFADDR
- ;;^DD(36,.146,2)
- ;;=S Y(0)=Y D ZIPOUT^VAFADDR
- ;;^DD(36,.146,2.1)
- ;;=D ZIPOUT^VAFADDR
- ;;^DD(36,.146,3)
- ;;=If the appeals address of this company is different from its main address, enter zip code of the appeals address. Answer with either 5 digit or 9 digit zip code.
- ;;^DD(36,.146,21,0)
- ;;=2^^2^2^2930226^^^^
- ;;^DD(36,.146,21,1,0)
- ;;=Answer with either the 5 digit zip code (format 12345) or with the 9
- ;;^DD(36,.146,21,2,0)
- ;;=digit zip code (in format 123456789 or 12345-6789).
- ;;^DD(36,.146,"DT")
- ;;=2930226
- ;;^DD(36,.147,0)
- ;;=APPEALS COMPANY NAME^*P36'X^DIC(36,^.14;7^S DIC(0)=DIC(0)_"F",DIC("S")="I '$P(^(0),U,5),'$P($G(^(.14)),U,7),(Y'=DA)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
- ;;^DD(36,.147,3)
- ;;=
- ;;^DD(36,.147,5,1,0)
- ;;=36^.148^1
- ;;^DD(36,.147,12)
- ;;=Select a company that processes inpatient claims for this company. Must be active, not this company, and process its own inpatient claims.
- ;;^DD(36,.147,12.1)
- ;;=S DIC("S")="I '$P(^(0),U,5),'$P($G(^(.14)),U,7),(Y'=DA)"
- ;;^DD(36,.147,21,0)
- ;;=^^4^4^2931006^^^
- ;;^DD(36,.147,21,1,0)
- ;;=You can only select a company that processes Appeals. The company
- ;;^DD(36,.147,21,2,0)
- ;;=specified in this field must be an active insurance company, not the
- ;;^DD(36,.147,21,3,0)
- ;;=same company as the entry being edited, and must not have another
- ;;^DD(36,.147,21,4,0)
- ;;=company specified as handling Appeals for it.
- ;;^DD(36,.147,"DT")
- ;;=2931006
- ;;^DD(36,.148,0)
- ;;=ANOTHER CO. PROCESS APPEALS?^S^0:NO;1:YES;^.14;8^Q
- ;;^DD(36,.148,.1)
- ;;=Are Appeals Processed by Another Insurance Co.?
- ;;^DD(36,.148,1,0)
- ;;=^.1
- ;;^DD(36,.148,1,1,0)
- ;;=^^TRIGGER^36^.147
- ;;^DD(36,.148,1,1,1)
- ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X='$P($G(^DIC(36,DA,.14)),"^",8) I X S X=DIV S Y(1)=$S($D(^DIC(36,D0,.14)):^(.14),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" X ^DD(36,.148,1,1,1.4)
- ;;^DD(36,.148,1,1,1.4)
- ;;=S DIH=$S($D(^DIC(36,DIV(0),.14)):^(.14),1:""),DIV=X S $P(^(.14),U,7)=DIV,DIH=36,DIG=.147 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- ;;^DD(36,.148,1,1,2)
- ;;=Q
- ;;^DD(36,.148,1,1,"CREATE CONDITION")
- ;;=S X='$P($G(^DIC(36,DA,.14)),"^",8)
- ;;^DD(36,.148,1,1,"CREATE VALUE")
- ;;=@
- ;;^DD(36,.148,1,1,"DELETE VALUE")
- ;;=NO EFFECT
- ;;^DD(36,.148,1,1,"DT")
- ;;=2931006
- ;;^DD(36,.148,1,1,"FIELD")
- ;;=#.147
- ;;^DD(36,.148,21,0)
- ;;=^^1^1^2931007^^^
- ;;^DD(36,.148,21,1,0)
- ;;=Enter "Yes" if another insurance company processes appeals.
- ;;^DD(36,.148,"DT")
- ;;=2931007
- ;;^DD(36,.149,0)
- ;;=APPEALS FAX^F^^.14;9^K:$L(X)>20!($L(X)<7) X
- ;;^DD(36,.149,3)
- ;;=Enter the fax number of this insurance carrier's appeals office with 7 - 20 characters, ex. 999-999, 999-999-9999.
- ;;^DD(36,.149,21,0)
- ;;=^^1^1^2931122^^^
- IBINI00S ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQ(36)
- 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(36,.144,21,0)
- +2 ;;=^^2^2^2930607^^
- +3 ;;^DD(36,.144,21,1,0)
- +4 ;;=Enter the city in which the appeals office of this insurance company
- +5 ;;^DD(36,.144,21,2,0)
- +6 ;;=is located.
- +7 ;;^DD(36,.144,"DT")
- +8 ;;=2930225
- +9 ;;^DD(36,.145,0)
- +10 ;;=APPEALS ADDRESS STATE^P5'^DIC(5,^.14;5^Q
- +11 ;;^DD(36,.145,3)
- +12 ;;=If the appeals address of this company is different from its main address, enter state of the appeals address.
- +13 ;;^DD(36,.145,21,0)
- +14 ;;=^^3^3^2931007^^^^
- +15 ;;^DD(36,.145,21,1,0)
- +16 ;;=Enter the state in which the appeals office of this insurance
- +17 ;;^DD(36,.145,21,2,0)
- +18 ;;=company is located. Enter state even if it is the same as the state
- +19 ;;^DD(36,.145,21,3,0)
- +20 ;;=of the company's main address.
- +21 ;;^DD(36,.145,22)
- +22 ;;=DESCR
- +23 ;;^DD(36,.145,"DT")
- +24 ;;=2931007
- +25 ;;^DD(36,.146,0)
- +26 ;;=APPEALS ADDRESS ZIP^FXO^^.14;6^K:$L(X)>20!($L(X)<5) X I $D(X) D ZIPIN^VAFADDR
- +27 ;;^DD(36,.146,2)
- +28 ;;=S Y(0)=Y D ZIPOUT^VAFADDR
- +29 ;;^DD(36,.146,2.1)
- +30 ;;=D ZIPOUT^VAFADDR
- +31 ;;^DD(36,.146,3)
- +32 ;;=If the appeals address of this company is different from its main address, enter zip code of the appeals address. Answer with either 5 digit or 9 digit zip code.
- +33 ;;^DD(36,.146,21,0)
- +34 ;;=2^^2^2^2930226^^^^
- +35 ;;^DD(36,.146,21,1,0)
- +36 ;;=Answer with either the 5 digit zip code (format 12345) or with the 9
- +37 ;;^DD(36,.146,21,2,0)
- +38 ;;=digit zip code (in format 123456789 or 12345-6789).
- +39 ;;^DD(36,.146,"DT")
- +40 ;;=2930226
- +41 ;;^DD(36,.147,0)
- +42 ;;=APPEALS COMPANY NAME^*P36'X^DIC(36,^.14;7^S DIC(0)=DIC(0)_"F",DIC("S")="I '$P(^(0),U,5),'$P($G(^(.14)),U,7),(Y'=DA)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
- +43 ;;^DD(36,.147,3)
- +44 ;;=
- +45 ;;^DD(36,.147,5,1,0)
- +46 ;;=36^.148^1
- +47 ;;^DD(36,.147,12)
- +48 ;;=Select a company that processes inpatient claims for this company. Must be active, not this company, and process its own inpatient claims.
- +49 ;;^DD(36,.147,12.1)
- +50 ;;=S DIC("S")="I '$P(^(0),U,5),'$P($G(^(.14)),U,7),(Y'=DA)"
- +51 ;;^DD(36,.147,21,0)
- +52 ;;=^^4^4^2931006^^^
- +53 ;;^DD(36,.147,21,1,0)
- +54 ;;=You can only select a company that processes Appeals. The company
- +55 ;;^DD(36,.147,21,2,0)
- +56 ;;=specified in this field must be an active insurance company, not the
- +57 ;;^DD(36,.147,21,3,0)
- +58 ;;=same company as the entry being edited, and must not have another
- +59 ;;^DD(36,.147,21,4,0)
- +60 ;;=company specified as handling Appeals for it.
- +61 ;;^DD(36,.147,"DT")
- +62 ;;=2931006
- +63 ;;^DD(36,.148,0)
- +64 ;;=ANOTHER CO. PROCESS APPEALS?^S^0:NO;1:YES;^.14;8^Q
- +65 ;;^DD(36,.148,.1)
- +66 ;;=Are Appeals Processed by Another Insurance Co.?
- +67 ;;^DD(36,.148,1,0)
- +68 ;;=^.1
- +69 ;;^DD(36,.148,1,1,0)
- +70 ;;=^^TRIGGER^36^.147
- +71 ;;^DD(36,.148,1,1,1)
- +72 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X='$P($G(^DIC(36,DA,.14)),"^",8) I X S X=DIV S Y(1)=$S($D(^DIC(36,D0,.14)):^(.14),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" X ^DD(36,.148,1,1,1.4)
- +73 ;;^DD(36,.148,1,1,1.4)
- +74 ;;=S DIH=$S($D(^DIC(36,DIV(0),.14)):^(.14),1:""),DIV=X S $P(^(.14),U,7)=DIV,DIH=36,DIG=.147 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- +75 ;;^DD(36,.148,1,1,2)
- +76 ;;=Q
- +77 ;;^DD(36,.148,1,1,"CREATE CONDITION")
- +78 ;;=S X='$P($G(^DIC(36,DA,.14)),"^",8)
- +79 ;;^DD(36,.148,1,1,"CREATE VALUE")
- +80 ;;=@
- +81 ;;^DD(36,.148,1,1,"DELETE VALUE")
- +82 ;;=NO EFFECT
- +83 ;;^DD(36,.148,1,1,"DT")
- +84 ;;=2931006
- +85 ;;^DD(36,.148,1,1,"FIELD")
- +86 ;;=#.147
- +87 ;;^DD(36,.148,21,0)
- +88 ;;=^^1^1^2931007^^^
- +89 ;;^DD(36,.148,21,1,0)
- +90 ;;=Enter "Yes" if another insurance company processes appeals.
- +91 ;;^DD(36,.148,"DT")
- +92 ;;=2931007
- +93 ;;^DD(36,.149,0)
- +94 ;;=APPEALS FAX^F^^.14;9^K:$L(X)>20!($L(X)<7) X
- +95 ;;^DD(36,.149,3)
- +96 ;;=Enter the fax number of this insurance carrier's appeals office with 7 - 20 characters, ex. 999-999, 999-999-9999.
- +97 ;;^DD(36,.149,21,0)
- +98 ;;=^^1^1^2931122^^^
