- IBINI02H ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQ(350.9) 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(350.9,1.04,21,0)
- ;;=^^2^2^2940209^^^^
- ;;^DD(350.9,1.04,21,1,0)
- ;;=Enter any remarks that need to appear on every UB claim form. This remark
- ;;^DD(350.9,1.04,21,2,0)
- ;;=will print in the remarks section of every UB-82 and UB-92.
- ;;^DD(350.9,1.04,"DT")
- ;;=2940119
- ;;^DD(350.9,1.05,0)
- ;;=FEDERAL TAX NUMBER^RF^^1;5^K:$L(X)>10!($L(X)<10)!'(X?2N1"-"7N) X
- ;;^DD(350.9,1.05,3)
- ;;=Enter the federal tax number for your facility in NN-NNNNNNN format. Answer must be 10 characters in length.
- ;;^DD(350.9,1.05,21,0)
- ;;=^^2^2^2940209^^^^
- ;;^DD(350.9,1.05,21,1,0)
- ;;=This is your facility federal tax number. If unknown, this may be obtained
- ;;^DD(350.9,1.05,21,2,0)
- ;;=from your Fiscal Service.
- ;;^DD(350.9,1.05,23,0)
- ;;=^^2^2^2940209^^^^
- ;;^DD(350.9,1.05,23,1,0)
- ;;=This is not editable from the billing screens. Printed in Form Locator
- ;;^DD(350.9,1.05,23,2,0)
- ;;=6 of the UB-82 and in Form Locator 5 of the UB-92.
- ;;^DD(350.9,1.05,"DT")
- ;;=2920204
- ;;^DD(350.9,1.06,0)
- ;;=BLUE CROSS/SHIELD PROVIDER #^RF^^1;6^K:$L(X)>13!($L(X)<3) X
- ;;^DD(350.9,1.06,3)
- ;;=Enter the 3-13 character BC/BS Provider Number which will be the default for all billing episodes at this facility. Answer must be 3-13 characters in length.
- ;;^DD(350.9,1.06,21,0)
- ;;=^^2^2^2920204^
- ;;^DD(350.9,1.06,21,1,0)
- ;;=This is the BC/BS Provider Number which Blue Cross has assigned your
- ;;^DD(350.9,1.06,21,2,0)
- ;;=facility.
- ;;^DD(350.9,1.06,"DT")
- ;;=2920204
- ;;^DD(350.9,1.07,0)
- ;;=BILL CANCELLATION MAILGROUP^P3.8'^XMB(3.8,^1;7^Q
- ;;^DD(350.9,1.07,3)
- ;;=Enter the mail group you want notified whenever a third party bill is cancelled. If none is entered no mailman notification will be made.
- ;;^DD(350.9,1.07,21,0)
- ;;=^^3^3^2940209^^^^
- ;;^DD(350.9,1.07,21,1,0)
- ;;=This is the mail group that will recieve automatic notification every
- ;;^DD(350.9,1.07,21,2,0)
- ;;=time a third party bill is cancelled. This must be answered for the
- ;;^DD(350.9,1.07,21,3,0)
- ;;=automatic notification to occur.
- ;;^DD(350.9,1.07,"DT")
- ;;=2940119
- ;;^DD(350.9,1.08,0)
- ;;=BILLING SUPERVISOR NAME^RP200'^VA(200,^1;8^Q
- ;;^DD(350.9,1.08,3)
- ;;=Enter the Person who is the billing supervisor.
- ;;^DD(350.9,1.08,21,0)
- ;;=^^1^1^2920204^
- ;;^DD(350.9,1.08,21,1,0)
- ;;=This is the pointer to the PERSON file for the Billing Supervisor.
- ;;^DD(350.9,1.08,"DT")
- ;;=2920204
- ;;^DD(350.9,1.09,0)
- ;;=BILL DISAPPROVED MAILGROUP^P3.8'^XMB(3.8,^1;9^Q
- ;;^DD(350.9,1.09,3)
- ;;=When a third party bill is disapproved the supervisor and initiator of the bill will be notified. If you want additional people notified create a mailgroup and specify it here.
- ;;^DD(350.9,1.09,21,0)
- ;;=^^5^5^2940209^^^^
- ;;^DD(350.9,1.09,21,1,0)
- ;;=When a third party bill is disapproved the supervisor and initiator of the
- ;;^DD(350.9,1.09,21,2,0)
- ;;=bill will be notified. If you want additional people to be notified that a
- ;;^DD(350.9,1.09,21,3,0)
- ;;=bill has been disapproved then you must create a mail group and add the
- ;;^DD(350.9,1.09,21,4,0)
- ;;=member and then specify the group here. The members of this mail group
- ;;^DD(350.9,1.09,21,5,0)
- ;;=will then recieve the disapproval bulletin.
- ;;^DD(350.9,1.09,"DT")
- ;;=2940119
- ;;^DD(350.9,1.1,0)
- ;;=PRINT '001' FOR TOTAL CHARGES?^S^1:YES;0:NO;^1;10^Q
- ;;^DD(350.9,1.1,3)
- ;;=Enter 'YES' if you want the Revenue Code '001' printed on each third party bill with the total charges.
- ;;^DD(350.9,1.1,21,0)
- ;;=^^2^2^2940209^^^
- ;;^DD(350.9,1.1,21,1,0)
- ;;=The revenue code '001', TOTAL CHARGES, may be printed on each bill with
- IBINI02H ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQ(350.9)
- 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(350.9,1.04,21,0)
- +2 ;;=^^2^2^2940209^^^^
- +3 ;;^DD(350.9,1.04,21,1,0)
- +4 ;;=Enter any remarks that need to appear on every UB claim form. This remark
- +5 ;;^DD(350.9,1.04,21,2,0)
- +6 ;;=will print in the remarks section of every UB-82 and UB-92.
- +7 ;;^DD(350.9,1.04,"DT")
- +8 ;;=2940119
- +9 ;;^DD(350.9,1.05,0)
- +10 ;;=FEDERAL TAX NUMBER^RF^^1;5^K:$L(X)>10!($L(X)<10)!'(X?2N1"-"7N) X
- +11 ;;^DD(350.9,1.05,3)
- +12 ;;=Enter the federal tax number for your facility in NN-NNNNNNN format. Answer must be 10 characters in length.
- +13 ;;^DD(350.9,1.05,21,0)
- +14 ;;=^^2^2^2940209^^^^
- +15 ;;^DD(350.9,1.05,21,1,0)
- +16 ;;=This is your facility federal tax number. If unknown, this may be obtained
- +17 ;;^DD(350.9,1.05,21,2,0)
- +18 ;;=from your Fiscal Service.
- +19 ;;^DD(350.9,1.05,23,0)
- +20 ;;=^^2^2^2940209^^^^
- +21 ;;^DD(350.9,1.05,23,1,0)
- +22 ;;=This is not editable from the billing screens. Printed in Form Locator
- +23 ;;^DD(350.9,1.05,23,2,0)
- +24 ;;=6 of the UB-82 and in Form Locator 5 of the UB-92.
- +25 ;;^DD(350.9,1.05,"DT")
- +26 ;;=2920204
- +27 ;;^DD(350.9,1.06,0)
- +28 ;;=BLUE CROSS/SHIELD PROVIDER #^RF^^1;6^K:$L(X)>13!($L(X)<3) X
- +29 ;;^DD(350.9,1.06,3)
- +30 ;;=Enter the 3-13 character BC/BS Provider Number which will be the default for all billing episodes at this facility. Answer must be 3-13 characters in length.
- +31 ;;^DD(350.9,1.06,21,0)
- +32 ;;=^^2^2^2920204^
- +33 ;;^DD(350.9,1.06,21,1,0)
- +34 ;;=This is the BC/BS Provider Number which Blue Cross has assigned your
- +35 ;;^DD(350.9,1.06,21,2,0)
- +36 ;;=facility.
- +37 ;;^DD(350.9,1.06,"DT")
- +38 ;;=2920204
- +39 ;;^DD(350.9,1.07,0)
- +40 ;;=BILL CANCELLATION MAILGROUP^P3.8'^XMB(3.8,^1;7^Q
- +41 ;;^DD(350.9,1.07,3)
- +42 ;;=Enter the mail group you want notified whenever a third party bill is cancelled. If none is entered no mailman notification will be made.
- +43 ;;^DD(350.9,1.07,21,0)
- +44 ;;=^^3^3^2940209^^^^
- +45 ;;^DD(350.9,1.07,21,1,0)
- +46 ;;=This is the mail group that will recieve automatic notification every
- +47 ;;^DD(350.9,1.07,21,2,0)
- +48 ;;=time a third party bill is cancelled. This must be answered for the
- +49 ;;^DD(350.9,1.07,21,3,0)
- +50 ;;=automatic notification to occur.
- +51 ;;^DD(350.9,1.07,"DT")
- +52 ;;=2940119
- +53 ;;^DD(350.9,1.08,0)
- +54 ;;=BILLING SUPERVISOR NAME^RP200'^VA(200,^1;8^Q
- +55 ;;^DD(350.9,1.08,3)
- +56 ;;=Enter the Person who is the billing supervisor.
- +57 ;;^DD(350.9,1.08,21,0)
- +58 ;;=^^1^1^2920204^
- +59 ;;^DD(350.9,1.08,21,1,0)
- +60 ;;=This is the pointer to the PERSON file for the Billing Supervisor.
- +61 ;;^DD(350.9,1.08,"DT")
- +62 ;;=2920204
- +63 ;;^DD(350.9,1.09,0)
- +64 ;;=BILL DISAPPROVED MAILGROUP^P3.8'^XMB(3.8,^1;9^Q
- +65 ;;^DD(350.9,1.09,3)
- +66 ;;=When a third party bill is disapproved the supervisor and initiator of the bill will be notified. If you want additional people notified create a mailgroup and specify it here.
- +67 ;;^DD(350.9,1.09,21,0)
- +68 ;;=^^5^5^2940209^^^^
- +69 ;;^DD(350.9,1.09,21,1,0)
- +70 ;;=When a third party bill is disapproved the supervisor and initiator of the
- +71 ;;^DD(350.9,1.09,21,2,0)
- +72 ;;=bill will be notified. If you want additional people to be notified that a
- +73 ;;^DD(350.9,1.09,21,3,0)
- +74 ;;=bill has been disapproved then you must create a mail group and add the
- +75 ;;^DD(350.9,1.09,21,4,0)
- +76 ;;=member and then specify the group here. The members of this mail group
- +77 ;;^DD(350.9,1.09,21,5,0)
- +78 ;;=will then recieve the disapproval bulletin.
- +79 ;;^DD(350.9,1.09,"DT")
- +80 ;;=2940119
- +81 ;;^DD(350.9,1.1,0)
- +82 ;;=PRINT '001' FOR TOTAL CHARGES?^S^1:YES;0:NO;^1;10^Q
- +83 ;;^DD(350.9,1.1,3)
- +84 ;;=Enter 'YES' if you want the Revenue Code '001' printed on each third party bill with the total charges.
- +85 ;;^DD(350.9,1.1,21,0)
- +86 ;;=^^2^2^2940209^^^
- +87 ;;^DD(350.9,1.1,21,1,0)
- +88 ;;=The revenue code '001', TOTAL CHARGES, may be printed on each bill with