- IBINI010 ; ; 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,.185,"DT")
- ;;=2940103
- ;;^DD(36,.186,0)
- ;;=CLAIMS (RX) ZIP^FXO^^.18;6^K:$L(X)>20!($L(X)<5) X I $D(X) D ZIPIN^VAFADDR
- ;;^DD(36,.186,2)
- ;;=S Y(0)=Y D ZIPOUT^VAFADDR
- ;;^DD(36,.186,2.1)
- ;;=D ZIPOUT^VAFADDR
- ;;^DD(36,.186,3)
- ;;=If the prescription claims address of this company is different from its main address, enter zip code of the prescription claims address. Answer with either 5 digit or 9 digit zip code.
- ;;^DD(36,.186,21,0)
- ;;=^^1^1^2940103^
- ;;^DD(36,.186,21,1,0)
- ;;=Answer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
- ;;^DD(36,.186,"DT")
- ;;=2940104
- ;;^DD(36,.187,0)
- ;;=CLAIMS (RX) COMPANY NAME^*P36'X^DIC(36,^.18;7^S DIC(0)=DIC(0)_"F",DIC("S")="I '$P(^(0),U,5),'$P($G(^(.18)),U,7),(Y'=DA)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
- ;;^DD(36,.187,5,1,0)
- ;;=36^.188^1
- ;;^DD(36,.187,12)
- ;;=Select a company that processes prescription claims for this company. Must be active, not this company, and process its own prescription claims.
- ;;^DD(36,.187,12.1)
- ;;=S DIC("S")="I '$P(^(0),U,5),'$P($G(^(.18)),U,7),(Y'=DA)"
- ;;^DD(36,.187,21,0)
- ;;=^^4^4^2940103^
- ;;^DD(36,.187,21,1,0)
- ;;=You can only select a company that processes Prescriptions. The company
- ;;^DD(36,.187,21,2,0)
- ;;=specified in this field must be an active insurance company, not the
- ;;^DD(36,.187,21,3,0)
- ;;=same company as the entry being edited, and must not have another company
- ;;^DD(36,.187,21,4,0)
- ;;=specified as handling Prescriptions for it.
- ;;^DD(36,.187,"DT")
- ;;=2940104
- ;;^DD(36,.188,0)
- ;;=ANOTHER CO. PROCESS RX CLAIMS?^S^0:NO;1:YES;^.18;8^Q
- ;;^DD(36,.188,.1)
- ;;=Are Rx Claims Processed by Another Insurance Co.?
- ;;^DD(36,.188,1,0)
- ;;=^.1
- ;;^DD(36,.188,1,1,0)
- ;;=^^TRIGGER^36^.187
- ;;^DD(36,.188,1,1,1)
- ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X='$P($G(^DIC(36,DA,.18)),"^",8) I X S X=DIV S Y(1)=$S($D(^DIC(36,D0,.18)):^(.18),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" X ^DD(36,.188,1,1,1.4)
- ;;^DD(36,.188,1,1,1.4)
- ;;=S DIH=$S($D(^DIC(36,DIV(0),.18)):^(.18),1:""),DIV=X S $P(^(.18),U,7)=DIV,DIH=36,DIG=.187 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- ;;^DD(36,.188,1,1,2)
- ;;=Q
- ;;^DD(36,.188,1,1,"%D",0)
- ;;=^^1^1^2940104^
- ;;^DD(36,.188,1,1,"%D",1,0)
- ;;=Enter "Yes" if another insurance company processes prescription claims.
- ;;^DD(36,.188,1,1,"CREATE CONDITION")
- ;;=S X='$P($G(^DIC(36,DA,.18)),"^",8)
- ;;^DD(36,.188,1,1,"CREATE VALUE")
- ;;=@
- ;;^DD(36,.188,1,1,"DELETE VALUE")
- ;;=NO EFFECT
- ;;^DD(36,.188,1,1,"FIELD")
- ;;=#.187
- ;;^DD(36,.188,21,0)
- ;;=^^1^1^2940121^^^
- ;;^DD(36,.188,21,1,0)
- ;;=Enter "Yes" if another insurance company processes prescription claims.
- ;;^DD(36,.188,"DT")
- ;;=2940104
- ;;^DD(36,.189,0)
- ;;=CLAIMS (RX) FAX^F^^.18;9^K:$L(X)>20!($L(X)<7) X
- ;;^DD(36,.189,3)
- ;;=Enter the fax number of the prescription claims office with 7-20 characters, ex. 999-9999, 999-999-9999.
- ;;^DD(36,.189,21,0)
- ;;=^^1^1^2940103^^
- ;;^DD(36,.189,21,1,0)
- ;;=Enter the fax number of the prescription claims office of this insurance carrier.
- ;;^DD(36,.189,"DT")
- ;;=2940103
- ;;^DD(36,1,0)
- ;;=REIMBURSE?^RS^Y:WILL REIMBURSE;*:WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR 6060.2(A);**:DEPENDS ON POLICY, CHECK WITH COMPANY;N:WILL NOT REIMBURSE;^0;2^Q
- ;;^DD(36,1,21,0)
- ;;=^^3^3^2930927^^
- ;;^DD(36,1,21,1,0)
- ;;=Choose from the available list of choices the appropriate code denoting
- ;;^DD(36,1,21,2,0)
- ;;=whether or not and under which circumstances this insurance carrier will
- ;;^DD(36,1,21,3,0)
- ;;=reimburse the Dept of Veterans Affairs for care received.
- IBINI010 ; ; 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(36,.185,"DT")
- +2 ;;=2940103
- +3 ;;^DD(36,.186,0)
- +4 ;;=CLAIMS (RX) ZIP^FXO^^.18;6^K:$L(X)>20!($L(X)<5) X I $D(X) D ZIPIN^VAFADDR
- +5 ;;^DD(36,.186,2)
- +6 ;;=S Y(0)=Y D ZIPOUT^VAFADDR
- +7 ;;^DD(36,.186,2.1)
- +8 ;;=D ZIPOUT^VAFADDR
- +9 ;;^DD(36,.186,3)
- +10 ;;=If the prescription claims address of this company is different from its main address, enter zip code of the prescription claims address. Answer with either 5 digit or 9 digit zip code.
- +11 ;;^DD(36,.186,21,0)
- +12 ;;=^^1^1^2940103^
- +13 ;;^DD(36,.186,21,1,0)
- +14 ;;=Answer with either the 5 digit zip code (format 12345) or with the 9 digit zip code (in format 123456789 or 12345-6789).
- +15 ;;^DD(36,.186,"DT")
- +16 ;;=2940104
- +17 ;;^DD(36,.187,0)
- +18 ;;=CLAIMS (RX) COMPANY NAME^*P36'X^DIC(36,^.18;7^S DIC(0)=DIC(0)_"F",DIC("S")="I '$P(^(0),U,5),'$P($G(^(.18)),U,7),(Y'=DA)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
- +19 ;;^DD(36,.187,5,1,0)
- +20 ;;=36^.188^1
- +21 ;;^DD(36,.187,12)
- +22 ;;=Select a company that processes prescription claims for this company. Must be active, not this company, and process its own prescription claims.
- +23 ;;^DD(36,.187,12.1)
- +24 ;;=S DIC("S")="I '$P(^(0),U,5),'$P($G(^(.18)),U,7),(Y'=DA)"
- +25 ;;^DD(36,.187,21,0)
- +26 ;;=^^4^4^2940103^
- +27 ;;^DD(36,.187,21,1,0)
- +28 ;;=You can only select a company that processes Prescriptions. The company
- +29 ;;^DD(36,.187,21,2,0)
- +30 ;;=specified in this field must be an active insurance company, not the
- +31 ;;^DD(36,.187,21,3,0)
- +32 ;;=same company as the entry being edited, and must not have another company
- +33 ;;^DD(36,.187,21,4,0)
- +34 ;;=specified as handling Prescriptions for it.
- +35 ;;^DD(36,.187,"DT")
- +36 ;;=2940104
- +37 ;;^DD(36,.188,0)
- +38 ;;=ANOTHER CO. PROCESS RX CLAIMS?^S^0:NO;1:YES;^.18;8^Q
- +39 ;;^DD(36,.188,.1)
- +40 ;;=Are Rx Claims Processed by Another Insurance Co.?
- +41 ;;^DD(36,.188,1,0)
- +42 ;;=^.1
- +43 ;;^DD(36,.188,1,1,0)
- +44 ;;=^^TRIGGER^36^.187
- +45 ;;^DD(36,.188,1,1,1)
- +46 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S X='$P($G(^DIC(36,DA,.18)),"^",8) I X S X=DIV S Y(1)=$S($D(^DIC(36,D0,.18)):^(.18),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X="" X ^DD(36,.188,1,1,1.4)
- +47 ;;^DD(36,.188,1,1,1.4)
- +48 ;;=S DIH=$S($D(^DIC(36,DIV(0),.18)):^(.18),1:""),DIV=X S $P(^(.18),U,7)=DIV,DIH=36,DIG=.187 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- +49 ;;^DD(36,.188,1,1,2)
- +50 ;;=Q
- +51 ;;^DD(36,.188,1,1,"%D",0)
- +52 ;;=^^1^1^2940104^
- +53 ;;^DD(36,.188,1,1,"%D",1,0)
- +54 ;;=Enter "Yes" if another insurance company processes prescription claims.
- +55 ;;^DD(36,.188,1,1,"CREATE CONDITION")
- +56 ;;=S X='$P($G(^DIC(36,DA,.18)),"^",8)
- +57 ;;^DD(36,.188,1,1,"CREATE VALUE")
- +58 ;;=@
- +59 ;;^DD(36,.188,1,1,"DELETE VALUE")
- +60 ;;=NO EFFECT
- +61 ;;^DD(36,.188,1,1,"FIELD")
- +62 ;;=#.187
- +63 ;;^DD(36,.188,21,0)
- +64 ;;=^^1^1^2940121^^^
- +65 ;;^DD(36,.188,21,1,0)
- +66 ;;=Enter "Yes" if another insurance company processes prescription claims.
- +67 ;;^DD(36,.188,"DT")
- +68 ;;=2940104
- +69 ;;^DD(36,.189,0)
- +70 ;;=CLAIMS (RX) FAX^F^^.18;9^K:$L(X)>20!($L(X)<7) X
- +71 ;;^DD(36,.189,3)
- +72 ;;=Enter the fax number of the prescription claims office with 7-20 characters, ex. 999-9999, 999-999-9999.
- +73 ;;^DD(36,.189,21,0)
- +74 ;;=^^1^1^2940103^^
- +75 ;;^DD(36,.189,21,1,0)
- +76 ;;=Enter the fax number of the prescription claims office of this insurance carrier.
- +77 ;;^DD(36,.189,"DT")
- +78 ;;=2940103
- +79 ;;^DD(36,1,0)
- +80 ;;=REIMBURSE?^RS^Y:WILL REIMBURSE;*:WILL REIMBURSE IF TREATED UNDER VAR 6046(C) OR VAR 6060.2(A);**:DEPENDS ON POLICY, CHECK WITH COMPANY;N:WILL NOT REIMBURSE;^0;2^Q
- +81 ;;^DD(36,1,21,0)
- +82 ;;=^^3^3^2930927^^
- +83 ;;^DD(36,1,21,1,0)
- +84 ;;=Choose from the available list of choices the appropriate code denoting
- +85 ;;^DD(36,1,21,2,0)
- +86 ;;=whether or not and under which circumstances this insurance carrier will
- +87 ;;^DD(36,1,21,3,0)
- +88 ;;=reimburse the Dept of Veterans Affairs for care received.
