- IBINI04U ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQ(355.4) 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(355.4,1.05,21,2,0)
- ;;=included, for example 12/12/93@1300.
- ;;^DD(355.4,1.05,"DT")
- ;;=2930707
- ;;^DD(355.4,1.06,0)
- ;;=LAST EDIT BY^P200'^VA(200,^1;6^Q
- ;;^DD(355.4,1.06,3)
- ;;=
- ;;^DD(355.4,1.06,9)
- ;;=^
- ;;^DD(355.4,1.06,21,0)
- ;;=^^1^1^2930604^
- ;;^DD(355.4,1.06,21,1,0)
- ;;=This is the name of the person who last edited the information.
- ;;^DD(355.4,1.06,"DT")
- ;;=2930520
- ;;^DD(355.4,1.07,0)
- ;;=PERSON CONTACTED^F^^1;7^K:$L(X)>30!($L(X)<3) X
- ;;^DD(355.4,1.07,.1)
- ;;=WHO DID YOU TALK TO AT THE INSURANCE COMPANY
- ;;^DD(355.4,1.07,3)
- ;;=Answer must be 3-30 characters in length.
- ;;^DD(355.4,1.07,21,0)
- ;;=^^2^2^2930607^^
- ;;^DD(355.4,1.07,21,1,0)
- ;;=This is the name of the person who was contacted for verification
- ;;^DD(355.4,1.07,21,2,0)
- ;;=purposes.
- ;;^DD(355.4,1.07,"DT")
- ;;=2930701
- ;;^DD(355.4,1.08,0)
- ;;=COMMENTS^F^^1;8^K:$L(X)>80!($L(X)<3) X
- ;;^DD(355.4,1.08,3)
- ;;=Answer must be 3-80 characters in length.
- ;;^DD(355.4,1.08,21,0)
- ;;=^^1^1^2930607^
- ;;^DD(355.4,1.08,21,1,0)
- ;;=Enter any additional information here.
- ;;^DD(355.4,1.08,"DT")
- ;;=2930520
- ;;^DD(355.4,1.09,0)
- ;;=CONTACT'S PHONE NUMBER^F^^1;9^K:$L(X)>20!($L(X)<7) X
- ;;^DD(355.4,1.09,.1)
- ;;=WHAT WAS THEIR PHONE NUMBER
- ;;^DD(355.4,1.09,3)
- ;;=Answer must be 7-20 characters in length.
- ;;^DD(355.4,1.09,21,0)
- ;;=^^2^2^2930907^^
- ;;^DD(355.4,1.09,21,1,0)
- ;;=Enter the telephone number of the person who was contacted for
- ;;^DD(355.4,1.09,21,2,0)
- ;;=verification purposes.
- ;;^DD(355.4,1.09,"DT")
- ;;=2930907
- ;;^DD(355.4,2.01,0)
- ;;=ANNUAL DEDUCTIBLE (OPT)^NJ9,2^^2;1^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
- ;;^DD(355.4,2.01,3)
- ;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
- ;;^DD(355.4,2.01,21,0)
- ;;=^^3^3^2930607^
- ;;^DD(355.4,2.01,21,1,0)
- ;;=This is the amount that this policy does not cover in claims.
- ;;^DD(355.4,2.01,21,2,0)
- ;;=This information will be used in calculating whether reimbursement
- ;;^DD(355.4,2.01,21,3,0)
- ;;=for claims against this policy are appropriate.
- ;;^DD(355.4,2.01,"DT")
- ;;=2930604
- ;;^DD(355.4,2.02,0)
- ;;=PER VISIT DEDUCTIBLE^NJ8,2^^2;2^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
- ;;^DD(355.4,2.02,3)
- ;;=Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
- ;;^DD(355.4,2.02,21,0)
- ;;=^^2^2^2940213^
- ;;^DD(355.4,2.02,21,1,0)
- ;;=This is the deductible that the patient must pay for each outpatient
- ;;^DD(355.4,2.02,21,2,0)
- ;;=visit.
- ;;^DD(355.4,2.02,"DT")
- ;;=2930513
- ;;^DD(355.4,2.03,0)
- ;;=OUTPATIENT LIFETIME MAXIMUM^NJ10,2^^2;3^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
- ;;^DD(355.4,2.03,3)
- ;;=Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
- ;;^DD(355.4,2.03,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,2.03,21,1,0)
- ;;=If this policy has a lifetime maximum benefit for outpatient services,
- ;;^DD(355.4,2.03,21,2,0)
- ;;=then this is the amount of that benefit.
- ;;^DD(355.4,2.03,"DT")
- ;;=2931028
- ;;^DD(355.4,2.04,0)
- ;;=OUTPATIENT ANNUAL MAXIMUM^NJ8,2^^2;4^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
- ;;^DD(355.4,2.04,3)
- ;;=Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
- ;;^DD(355.4,2.04,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,2.04,21,1,0)
- ;;=If this policy has a benefit for outpatient services, then this
- ;;^DD(355.4,2.04,21,2,0)
- ;;=amount is the maxiumum of that benefit for one year.
- ;;^DD(355.4,2.04,"DT")
- ;;=2930513
- ;;^DD(355.4,2.05,0)
- ;;=MH LIFETIME OUTPATIENT MAX.^NJ7,0^^2;5^K:+X'=X!(X>9999999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.05,3)
- ;;=Type a Number between 0 and 9999999, 0 Decimal Digits
- IBINI04U ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQ(355.4)
- 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(355.4,1.05,21,2,0)
- +2 ;;=included, for example 12/12/93@1300.
- +3 ;;^DD(355.4,1.05,"DT")
- +4 ;;=2930707
- +5 ;;^DD(355.4,1.06,0)
- +6 ;;=LAST EDIT BY^P200'^VA(200,^1;6^Q
- +7 ;;^DD(355.4,1.06,3)
- +8 ;;=
- +9 ;;^DD(355.4,1.06,9)
- +10 ;;=^
- +11 ;;^DD(355.4,1.06,21,0)
- +12 ;;=^^1^1^2930604^
- +13 ;;^DD(355.4,1.06,21,1,0)
- +14 ;;=This is the name of the person who last edited the information.
- +15 ;;^DD(355.4,1.06,"DT")
- +16 ;;=2930520
- +17 ;;^DD(355.4,1.07,0)
- +18 ;;=PERSON CONTACTED^F^^1;7^K:$L(X)>30!($L(X)<3) X
- +19 ;;^DD(355.4,1.07,.1)
- +20 ;;=WHO DID YOU TALK TO AT THE INSURANCE COMPANY
- +21 ;;^DD(355.4,1.07,3)
- +22 ;;=Answer must be 3-30 characters in length.
- +23 ;;^DD(355.4,1.07,21,0)
- +24 ;;=^^2^2^2930607^^
- +25 ;;^DD(355.4,1.07,21,1,0)
- +26 ;;=This is the name of the person who was contacted for verification
- +27 ;;^DD(355.4,1.07,21,2,0)
- +28 ;;=purposes.
- +29 ;;^DD(355.4,1.07,"DT")
- +30 ;;=2930701
- +31 ;;^DD(355.4,1.08,0)
- +32 ;;=COMMENTS^F^^1;8^K:$L(X)>80!($L(X)<3) X
- +33 ;;^DD(355.4,1.08,3)
- +34 ;;=Answer must be 3-80 characters in length.
- +35 ;;^DD(355.4,1.08,21,0)
- +36 ;;=^^1^1^2930607^
- +37 ;;^DD(355.4,1.08,21,1,0)
- +38 ;;=Enter any additional information here.
- +39 ;;^DD(355.4,1.08,"DT")
- +40 ;;=2930520
- +41 ;;^DD(355.4,1.09,0)
- +42 ;;=CONTACT'S PHONE NUMBER^F^^1;9^K:$L(X)>20!($L(X)<7) X
- +43 ;;^DD(355.4,1.09,.1)
- +44 ;;=WHAT WAS THEIR PHONE NUMBER
- +45 ;;^DD(355.4,1.09,3)
- +46 ;;=Answer must be 7-20 characters in length.
- +47 ;;^DD(355.4,1.09,21,0)
- +48 ;;=^^2^2^2930907^^
- +49 ;;^DD(355.4,1.09,21,1,0)
- +50 ;;=Enter the telephone number of the person who was contacted for
- +51 ;;^DD(355.4,1.09,21,2,0)
- +52 ;;=verification purposes.
- +53 ;;^DD(355.4,1.09,"DT")
- +54 ;;=2930907
- +55 ;;^DD(355.4,2.01,0)
- +56 ;;=ANNUAL DEDUCTIBLE (OPT)^NJ9,2^^2;1^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
- +57 ;;^DD(355.4,2.01,3)
- +58 ;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
- +59 ;;^DD(355.4,2.01,21,0)
- +60 ;;=^^3^3^2930607^
- +61 ;;^DD(355.4,2.01,21,1,0)
- +62 ;;=This is the amount that this policy does not cover in claims.
- +63 ;;^DD(355.4,2.01,21,2,0)
- +64 ;;=This information will be used in calculating whether reimbursement
- +65 ;;^DD(355.4,2.01,21,3,0)
- +66 ;;=for claims against this policy are appropriate.
- +67 ;;^DD(355.4,2.01,"DT")
- +68 ;;=2930604
- +69 ;;^DD(355.4,2.02,0)
- +70 ;;=PER VISIT DEDUCTIBLE^NJ8,2^^2;2^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
- +71 ;;^DD(355.4,2.02,3)
- +72 ;;=Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
- +73 ;;^DD(355.4,2.02,21,0)
- +74 ;;=^^2^2^2940213^
- +75 ;;^DD(355.4,2.02,21,1,0)
- +76 ;;=This is the deductible that the patient must pay for each outpatient
- +77 ;;^DD(355.4,2.02,21,2,0)
- +78 ;;=visit.
- +79 ;;^DD(355.4,2.02,"DT")
- +80 ;;=2930513
- +81 ;;^DD(355.4,2.03,0)
- +82 ;;=OUTPATIENT LIFETIME MAXIMUM^NJ10,2^^2;3^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
- +83 ;;^DD(355.4,2.03,3)
- +84 ;;=Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
- +85 ;;^DD(355.4,2.03,21,0)
- +86 ;;=^^2^2^2930607^
- +87 ;;^DD(355.4,2.03,21,1,0)
- +88 ;;=If this policy has a lifetime maximum benefit for outpatient services,
- +89 ;;^DD(355.4,2.03,21,2,0)
- +90 ;;=then this is the amount of that benefit.
- +91 ;;^DD(355.4,2.03,"DT")
- +92 ;;=2931028
- +93 ;;^DD(355.4,2.04,0)
- +94 ;;=OUTPATIENT ANNUAL MAXIMUM^NJ8,2^^2;4^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X
- +95 ;;^DD(355.4,2.04,3)
- +96 ;;=Type a Dollar Amount between 0 and 99999, 2 Decimal Digits
- +97 ;;^DD(355.4,2.04,21,0)
- +98 ;;=^^2^2^2930607^
- +99 ;;^DD(355.4,2.04,21,1,0)
- +100 ;;=If this policy has a benefit for outpatient services, then this
- +101 ;;^DD(355.4,2.04,21,2,0)
- +102 ;;=amount is the maxiumum of that benefit for one year.
- +103 ;;^DD(355.4,2.04,"DT")
- +104 ;;=2930513
- +105 ;;^DD(355.4,2.05,0)
- +106 ;;=MH LIFETIME OUTPATIENT MAX.^NJ7,0^^2;5^K:+X'=X!(X>9999999)!(X<0)!(X?.E1"."1N.N) X
- +107 ;;^DD(355.4,2.05,3)
- +108 ;;=Type a Number between 0 and 9999999, 0 Decimal Digits
