- IBINI04H ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQR(355.1) 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,$J,355.1,41,10,7,0)
- ;;=the terms of the health insurance contract. Such a plan is
- ;;^UTILITY(U,$J,355.1,41,10,8,0)
- ;;=one form of a Health maintenance organization.
- ;;^UTILITY(U,$J,355.1,42,0)
- ;;=QUALIFIED IMPAIRMENT INSURANCE^QII
- ;;^UTILITY(U,$J,355.1,42,10,0)
- ;;=2
- ;;^UTILITY(U,$J,355.1,42,10,1,0)
- ;;=A form of substandard or special class insurance that restricts
- ;;^UTILITY(U,$J,355.1,42,10,2,0)
- ;;=benefits to the insured's particular condition.
- ;;^UTILITY(U,$J,355.1,43,0)
- ;;=REGULAR MEDICAL EXPENSE INSURANCE^RMEI
- ;;^UTILITY(U,$J,355.1,43,10,0)
- ;;=^^4^4^2930604^^
- ;;^UTILITY(U,$J,355.1,43,10,1,0)
- ;;=Coverage that provides benefits toward the cost of such services as
- ;;^UTILITY(U,$J,355.1,43,10,2,0)
- ;;=doctor fees for nonsurgical care in the hospital, at home, or in a
- ;;^UTILITY(U,$J,355.1,43,10,3,0)
- ;;=physician's office and x-rays or laboratory tests performed outside
- ;;^UTILITY(U,$J,355.1,43,10,4,0)
- ;;=of the hospital.
- ;;^UTILITY(U,$J,355.1,44,0)
- ;;=SENIOR CITIZEN POLICIES^SCP^1
- ;;^UTILITY(U,$J,355.1,44,10,0)
- ;;=^^3^3^2930604^
- ;;^UTILITY(U,$J,355.1,44,10,1,0)
- ;;=Contracts insuring persons 65 years of age or over. In most cases
- ;;^UTILITY(U,$J,355.1,44,10,2,0)
- ;;=these policies supplement the coverage afforded by the government
- ;;^UTILITY(U,$J,355.1,44,10,3,0)
- ;;=under Medicare.
- ;;^UTILITY(U,$J,355.1,46,0)
- ;;=SPECIAL CLASS INSURANCE^SCI^1
- ;;^UTILITY(U,$J,355.1,46,10,0)
- ;;=^^2^2^2930604^
- ;;^UTILITY(U,$J,355.1,46,10,1,0)
- ;;=Coverage for health insurance applicants who cannot qualify for
- ;;^UTILITY(U,$J,355.1,46,10,2,0)
- ;;=a standard policy because of their health.
- ;;^UTILITY(U,$J,355.1,47,0)
- ;;=SPECIAL RISK INSURANCE^SRI^1
- ;;^UTILITY(U,$J,355.1,47,10,0)
- ;;=^^1^1^2930604^
- ;;^UTILITY(U,$J,355.1,47,10,1,0)
- ;;=Coverage for risks or hazards of a special or unusual nature.
- ;;^UTILITY(U,$J,355.1,48,0)
- ;;=SPECIFIED DISEASE INSURANCE^SDI^1
- ;;^UTILITY(U,$J,355.1,48,10,0)
- ;;=^^3^3^2930604^
- ;;^UTILITY(U,$J,355.1,48,10,1,0)
- ;;=A policy that provides benefits, usually of large amounts, toward
- ;;^UTILITY(U,$J,355.1,48,10,2,0)
- ;;=the expense of the treatment of the disease or diseases named in
- ;;^UTILITY(U,$J,355.1,48,10,3,0)
- ;;=the policy.
- ;;^UTILITY(U,$J,355.1,50,0)
- ;;=SURGICAL EXPENSE INSURANCE^SEI^1
- ;;^UTILITY(U,$J,355.1,50,10,0)
- ;;=^^3^3^2930604^
- ;;^UTILITY(U,$J,355.1,50,10,1,0)
- ;;=A health insurance policy that provides benefits toward the doctor's
- ;;^UTILITY(U,$J,355.1,50,10,2,0)
- ;;=operating fees. Benefits usually consist of scheduled amounts for
- ;;^UTILITY(U,$J,355.1,50,10,3,0)
- ;;=each surgical procedure.
- ;;^UTILITY(U,$J,355.1,54,0)
- ;;=WORKERS' COMPENSATION INSURANCE^WCI^8
- ;;^UTILITY(U,$J,355.1,54,10,0)
- ;;=^^2^2^2930604^
- ;;^UTILITY(U,$J,355.1,54,10,1,0)
- ;;=A contract that insures a person against on-the-job injury or
- ;;^UTILITY(U,$J,355.1,54,10,2,0)
- ;;=illness. The employer pays the premium for his or her employees.
- ;;^UTILITY(U,$J,355.1,55,0)
- ;;=LABS, PROCEDURES, X-RAY, ETC. (ONLY)^LP^12
- ;;^UTILITY(U,$J,355.1,55,10,0)
- ;;=^^1^1^2940105^
- ;;^UTILITY(U,$J,355.1,55,10,1,0)
- ;;=Insurance policy that pays only for labs, procedures, X-rays, etc.
- ;;^UTILITY(U,$J,355.1,56,0)
- ;;=INDEMNITY^IN^9
- ;;^UTILITY(U,$J,355.1,56,10,0)
- ;;=^^2^2^2940226^^
- ;;^UTILITY(U,$J,355.1,56,10,1,0)
- ;;=A form of health insurance that pays for injuries resulting from a
- ;;^UTILITY(U,$J,355.1,56,10,2,0)
- ;;=third party's negligence.
- ;;^UTILITY(U,$J,355.1,57,0)
- ;;=PRESCRIPTION ONLY^Rx Plan^10
- ;;^UTILITY(U,$J,355.1,57,10,0)
- ;;=^^1^1^2940111^^
- IBINI04H ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQR(355.1)
- QUIT
- FOR I=1:2
- SET X=$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,355.1,41,10,7,0)
- +2 ;;=the terms of the health insurance contract. Such a plan is
- +3 ;;^UTILITY(U,$J,355.1,41,10,8,0)
- +4 ;;=one form of a Health maintenance organization.
- +5 ;;^UTILITY(U,$J,355.1,42,0)
- +6 ;;=QUALIFIED IMPAIRMENT INSURANCE^QII
- +7 ;;^UTILITY(U,$J,355.1,42,10,0)
- +8 ;;=2
- +9 ;;^UTILITY(U,$J,355.1,42,10,1,0)
- +10 ;;=A form of substandard or special class insurance that restricts
- +11 ;;^UTILITY(U,$J,355.1,42,10,2,0)
- +12 ;;=benefits to the insured's particular condition.
- +13 ;;^UTILITY(U,$J,355.1,43,0)
- +14 ;;=REGULAR MEDICAL EXPENSE INSURANCE^RMEI
- +15 ;;^UTILITY(U,$J,355.1,43,10,0)
- +16 ;;=^^4^4^2930604^^
- +17 ;;^UTILITY(U,$J,355.1,43,10,1,0)
- +18 ;;=Coverage that provides benefits toward the cost of such services as
- +19 ;;^UTILITY(U,$J,355.1,43,10,2,0)
- +20 ;;=doctor fees for nonsurgical care in the hospital, at home, or in a
- +21 ;;^UTILITY(U,$J,355.1,43,10,3,0)
- +22 ;;=physician's office and x-rays or laboratory tests performed outside
- +23 ;;^UTILITY(U,$J,355.1,43,10,4,0)
- +24 ;;=of the hospital.
- +25 ;;^UTILITY(U,$J,355.1,44,0)
- +26 ;;=SENIOR CITIZEN POLICIES^SCP^1
- +27 ;;^UTILITY(U,$J,355.1,44,10,0)
- +28 ;;=^^3^3^2930604^
- +29 ;;^UTILITY(U,$J,355.1,44,10,1,0)
- +30 ;;=Contracts insuring persons 65 years of age or over. In most cases
- +31 ;;^UTILITY(U,$J,355.1,44,10,2,0)
- +32 ;;=these policies supplement the coverage afforded by the government
- +33 ;;^UTILITY(U,$J,355.1,44,10,3,0)
- +34 ;;=under Medicare.
- +35 ;;^UTILITY(U,$J,355.1,46,0)
- +36 ;;=SPECIAL CLASS INSURANCE^SCI^1
- +37 ;;^UTILITY(U,$J,355.1,46,10,0)
- +38 ;;=^^2^2^2930604^
- +39 ;;^UTILITY(U,$J,355.1,46,10,1,0)
- +40 ;;=Coverage for health insurance applicants who cannot qualify for
- +41 ;;^UTILITY(U,$J,355.1,46,10,2,0)
- +42 ;;=a standard policy because of their health.
- +43 ;;^UTILITY(U,$J,355.1,47,0)
- +44 ;;=SPECIAL RISK INSURANCE^SRI^1
- +45 ;;^UTILITY(U,$J,355.1,47,10,0)
- +46 ;;=^^1^1^2930604^
- +47 ;;^UTILITY(U,$J,355.1,47,10,1,0)
- +48 ;;=Coverage for risks or hazards of a special or unusual nature.
- +49 ;;^UTILITY(U,$J,355.1,48,0)
- +50 ;;=SPECIFIED DISEASE INSURANCE^SDI^1
- +51 ;;^UTILITY(U,$J,355.1,48,10,0)
- +52 ;;=^^3^3^2930604^
- +53 ;;^UTILITY(U,$J,355.1,48,10,1,0)
- +54 ;;=A policy that provides benefits, usually of large amounts, toward
- +55 ;;^UTILITY(U,$J,355.1,48,10,2,0)
- +56 ;;=the expense of the treatment of the disease or diseases named in
- +57 ;;^UTILITY(U,$J,355.1,48,10,3,0)
- +58 ;;=the policy.
- +59 ;;^UTILITY(U,$J,355.1,50,0)
- +60 ;;=SURGICAL EXPENSE INSURANCE^SEI^1
- +61 ;;^UTILITY(U,$J,355.1,50,10,0)
- +62 ;;=^^3^3^2930604^
- +63 ;;^UTILITY(U,$J,355.1,50,10,1,0)
- +64 ;;=A health insurance policy that provides benefits toward the doctor's
- +65 ;;^UTILITY(U,$J,355.1,50,10,2,0)
- +66 ;;=operating fees. Benefits usually consist of scheduled amounts for
- +67 ;;^UTILITY(U,$J,355.1,50,10,3,0)
- +68 ;;=each surgical procedure.
- +69 ;;^UTILITY(U,$J,355.1,54,0)
- +70 ;;=WORKERS' COMPENSATION INSURANCE^WCI^8
- +71 ;;^UTILITY(U,$J,355.1,54,10,0)
- +72 ;;=^^2^2^2930604^
- +73 ;;^UTILITY(U,$J,355.1,54,10,1,0)
- +74 ;;=A contract that insures a person against on-the-job injury or
- +75 ;;^UTILITY(U,$J,355.1,54,10,2,0)
- +76 ;;=illness. The employer pays the premium for his or her employees.
- +77 ;;^UTILITY(U,$J,355.1,55,0)
- +78 ;;=LABS, PROCEDURES, X-RAY, ETC. (ONLY)^LP^12
- +79 ;;^UTILITY(U,$J,355.1,55,10,0)
- +80 ;;=^^1^1^2940105^
- +81 ;;^UTILITY(U,$J,355.1,55,10,1,0)
- +82 ;;=Insurance policy that pays only for labs, procedures, X-rays, etc.
- +83 ;;^UTILITY(U,$J,355.1,56,0)
- +84 ;;=INDEMNITY^IN^9
- +85 ;;^UTILITY(U,$J,355.1,56,10,0)
- +86 ;;=^^2^2^2940226^^
- +87 ;;^UTILITY(U,$J,355.1,56,10,1,0)
- +88 ;;=A form of health insurance that pays for injuries resulting from a
- +89 ;;^UTILITY(U,$J,355.1,56,10,2,0)
- +90 ;;=third party's negligence.
- +91 ;;^UTILITY(U,$J,355.1,57,0)
- +92 ;;=PRESCRIPTION ONLY^Rx Plan^10
- +93 ;;^UTILITY(U,$J,355.1,57,10,0)
- +94 ;;=^^1^1^2940111^^
