- IBINI04V ; ; 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(355.4,2.05,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,2.05,21,1,0)
- ;;=If this policy has a lifetime maximum benefit for mental health services,
- ;;^DD(355.4,2.05,21,2,0)
- ;;=then this is the amount of that benefit.
- ;;^DD(355.4,2.05,"DT")
- ;;=2931028
- ;;^DD(355.4,2.06,0)
- ;;=MH ANNUAL OUTPATIENT MAX.^NJ9,2^^2;6^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
- ;;^DD(355.4,2.06,3)
- ;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
- ;;^DD(355.4,2.06,21,0)
- ;;=^^2^2^2930713^^
- ;;^DD(355.4,2.06,21,1,0)
- ;;=If this policy has a benefit for mental health services,
- ;;^DD(355.4,2.06,21,2,0)
- ;;=then this amount is the maximum of that benefit for one year.
- ;;^DD(355.4,2.06,"DT")
- ;;=2930513
- ;;^DD(355.4,2.07,0)
- ;;=DENTAL COVERAGE TYPE^S^0:NONE;1:PER VISIT AMOUNT;2:PERCENTAGE AMOUNT;^2;7^Q
- ;;^DD(355.4,2.07,1,0)
- ;;=^.1
- ;;^DD(355.4,2.07,1,1,0)
- ;;=^^TRIGGER^355.4^2.08
- ;;^DD(355.4,2.07,1,1,1)
- ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.4,D0,2)):^(2),1:"") S X=$P(Y(1),U,8),X=X S DIU=X K Y S X="" X ^DD(355.4,2.07,1,1,1.4)
- ;;^DD(355.4,2.07,1,1,1.4)
- ;;=S DIH=$S($D(^IBA(355.4,DIV(0),2)):^(2),1:""),DIV=X S $P(^(2),U,8)=DIV,DIH=355.4,DIG=2.08 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- ;;^DD(355.4,2.07,1,1,2)
- ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.4,D0,2)):^(2),1:"") S X=$P(Y(1),U,8),X=X S DIU=X K Y S X="" X ^DD(355.4,2.07,1,1,2.4)
- ;;^DD(355.4,2.07,1,1,2.4)
- ;;=S DIH=$S($D(^IBA(355.4,DIV(0),2)):^(2),1:""),DIV=X S $P(^(2),U,8)=DIV,DIH=355.4,DIG=2.08 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- ;;^DD(355.4,2.07,1,1,"%D",0)
- ;;=^^1^1^2940107^^
- ;;^DD(355.4,2.07,1,1,"%D",1,0)
- ;;=When changing or deleting DENTAL COVERAGE TYPE delete DENTAL COVERAGE $ OR %.
- ;;^DD(355.4,2.07,1,1,"CREATE VALUE")
- ;;=@
- ;;^DD(355.4,2.07,1,1,"DELETE VALUE")
- ;;=@
- ;;^DD(355.4,2.07,1,1,"FIELD")
- ;;=#2.08
- ;;^DD(355.4,2.07,3)
- ;;=
- ;;^DD(355.4,2.07,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,2.07,21,1,0)
- ;;=This indicates whether there is a dental benefit, and if so, the
- ;;^DD(355.4,2.07,21,2,0)
- ;;=per visit or percentage amount.
- ;;^DD(355.4,2.07,"DT")
- ;;=2940107
- ;;^DD(355.4,2.08,0)
- ;;=DENTAL COVERAGE $ OR %^NJ5,0^^2;8^K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.08,3)
- ;;=Type a Number between 0 and 99999, 0 Decimal Digits if coverage is a $ amount, or between 0 and 100 if %.
- ;;^DD(355.4,2.08,5,1,0)
- ;;=355.4^2.07^1
- ;;^DD(355.4,2.08,21,0)
- ;;=^^2^2^2931228^^
- ;;^DD(355.4,2.08,21,1,0)
- ;;=If there is a dental benefit, this number indicates the dollar
- ;;^DD(355.4,2.08,21,2,0)
- ;;=or percentage amount of that benefit.
- ;;^DD(355.4,2.08,"DT")
- ;;=2930513
- ;;^DD(355.4,2.09,0)
- ;;=OUTPATIENT VISIT (%)^NJ3,0^^2;9^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.09,3)
- ;;=Type a Number between 0 and 100, 0 Decimal Digits
- ;;^DD(355.4,2.09,21,0)
- ;;=^^2^2^2930607^^^
- ;;^DD(355.4,2.09,21,1,0)
- ;;=If this policy has an outpatient benefit, this is the percentage
- ;;^DD(355.4,2.09,21,2,0)
- ;;=coverage per outpatient visit.
- ;;^DD(355.4,2.09,"DT")
- ;;=2930603
- ;;^DD(355.4,2.1,0)
- ;;=EMERGENCY OUTPATIENT (%)^NJ6,0^^2;10^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.1,3)
- ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- ;;^DD(355.4,2.1,21,0)
- ;;=^^2^2^2930607^^^
- ;;^DD(355.4,2.1,21,1,0)
- ;;=If this policy has a benefit for emergency outpatient services,
- ;;^DD(355.4,2.1,21,2,0)
- ;;=this is the percentage covered by that benefit.
- ;;^DD(355.4,2.1,"DT")
- ;;=2930607
- ;;^DD(355.4,2.11,0)
- ;;=MENTAL HEALTH OUTPATIENT (%)^NJ3,0^^2;11^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
- IBINI04V ; ; 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(355.4,2.05,21,0)
- +2 ;;=^^2^2^2930607^
- +3 ;;^DD(355.4,2.05,21,1,0)
- +4 ;;=If this policy has a lifetime maximum benefit for mental health services,
- +5 ;;^DD(355.4,2.05,21,2,0)
- +6 ;;=then this is the amount of that benefit.
- +7 ;;^DD(355.4,2.05,"DT")
- +8 ;;=2931028
- +9 ;;^DD(355.4,2.06,0)
- +10 ;;=MH ANNUAL OUTPATIENT MAX.^NJ9,2^^2;6^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
- +11 ;;^DD(355.4,2.06,3)
- +12 ;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
- +13 ;;^DD(355.4,2.06,21,0)
- +14 ;;=^^2^2^2930713^^
- +15 ;;^DD(355.4,2.06,21,1,0)
- +16 ;;=If this policy has a benefit for mental health services,
- +17 ;;^DD(355.4,2.06,21,2,0)
- +18 ;;=then this amount is the maximum of that benefit for one year.
- +19 ;;^DD(355.4,2.06,"DT")
- +20 ;;=2930513
- +21 ;;^DD(355.4,2.07,0)
- +22 ;;=DENTAL COVERAGE TYPE^S^0:NONE;1:PER VISIT AMOUNT;2:PERCENTAGE AMOUNT;^2;7^Q
- +23 ;;^DD(355.4,2.07,1,0)
- +24 ;;=^.1
- +25 ;;^DD(355.4,2.07,1,1,0)
- +26 ;;=^^TRIGGER^355.4^2.08
- +27 ;;^DD(355.4,2.07,1,1,1)
- +28 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.4,D0,2)):^(2),1:"") S X=$P(Y(1),U,8),X=X S DIU=X K Y S X="" X ^DD(355.4,2.07,1,1,1.4)
- +29 ;;^DD(355.4,2.07,1,1,1.4)
- +30 ;;=S DIH=$S($D(^IBA(355.4,DIV(0),2)):^(2),1:""),DIV=X S $P(^(2),U,8)=DIV,DIH=355.4,DIG=2.08 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- +31 ;;^DD(355.4,2.07,1,1,2)
- +32 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBA(355.4,D0,2)):^(2),1:"") S X=$P(Y(1),U,8),X=X S DIU=X K Y S X="" X ^DD(355.4,2.07,1,1,2.4)
- +33 ;;^DD(355.4,2.07,1,1,2.4)
- +34 ;;=S DIH=$S($D(^IBA(355.4,DIV(0),2)):^(2),1:""),DIV=X S $P(^(2),U,8)=DIV,DIH=355.4,DIG=2.08 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
- +35 ;;^DD(355.4,2.07,1,1,"%D",0)
- +36 ;;=^^1^1^2940107^^
- +37 ;;^DD(355.4,2.07,1,1,"%D",1,0)
- +38 ;;=When changing or deleting DENTAL COVERAGE TYPE delete DENTAL COVERAGE $ OR %.
- +39 ;;^DD(355.4,2.07,1,1,"CREATE VALUE")
- +40 ;;=@
- +41 ;;^DD(355.4,2.07,1,1,"DELETE VALUE")
- +42 ;;=@
- +43 ;;^DD(355.4,2.07,1,1,"FIELD")
- +44 ;;=#2.08
- +45 ;;^DD(355.4,2.07,3)
- +46 ;;=
- +47 ;;^DD(355.4,2.07,21,0)
- +48 ;;=^^2^2^2930607^
- +49 ;;^DD(355.4,2.07,21,1,0)
- +50 ;;=This indicates whether there is a dental benefit, and if so, the
- +51 ;;^DD(355.4,2.07,21,2,0)
- +52 ;;=per visit or percentage amount.
- +53 ;;^DD(355.4,2.07,"DT")
- +54 ;;=2940107
- +55 ;;^DD(355.4,2.08,0)
- +56 ;;=DENTAL COVERAGE $ OR %^NJ5,0^^2;8^K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1N.N) X
- +57 ;;^DD(355.4,2.08,3)
- +58 ;;=Type a Number between 0 and 99999, 0 Decimal Digits if coverage is a $ amount, or between 0 and 100 if %.
- +59 ;;^DD(355.4,2.08,5,1,0)
- +60 ;;=355.4^2.07^1
- +61 ;;^DD(355.4,2.08,21,0)
- +62 ;;=^^2^2^2931228^^
- +63 ;;^DD(355.4,2.08,21,1,0)
- +64 ;;=If there is a dental benefit, this number indicates the dollar
- +65 ;;^DD(355.4,2.08,21,2,0)
- +66 ;;=or percentage amount of that benefit.
- +67 ;;^DD(355.4,2.08,"DT")
- +68 ;;=2930513
- +69 ;;^DD(355.4,2.09,0)
- +70 ;;=OUTPATIENT VISIT (%)^NJ3,0^^2;9^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
- +71 ;;^DD(355.4,2.09,3)
- +72 ;;=Type a Number between 0 and 100, 0 Decimal Digits
- +73 ;;^DD(355.4,2.09,21,0)
- +74 ;;=^^2^2^2930607^^^
- +75 ;;^DD(355.4,2.09,21,1,0)
- +76 ;;=If this policy has an outpatient benefit, this is the percentage
- +77 ;;^DD(355.4,2.09,21,2,0)
- +78 ;;=coverage per outpatient visit.
- +79 ;;^DD(355.4,2.09,"DT")
- +80 ;;=2930603
- +81 ;;^DD(355.4,2.1,0)
- +82 ;;=EMERGENCY OUTPATIENT (%)^NJ6,0^^2;10^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- +83 ;;^DD(355.4,2.1,3)
- +84 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- +85 ;;^DD(355.4,2.1,21,0)
- +86 ;;=^^2^2^2930607^^^
- +87 ;;^DD(355.4,2.1,21,1,0)
- +88 ;;=If this policy has a benefit for emergency outpatient services,
- +89 ;;^DD(355.4,2.1,21,2,0)
- +90 ;;=this is the percentage covered by that benefit.
- +91 ;;^DD(355.4,2.1,"DT")
- +92 ;;=2930607
- +93 ;;^DD(355.4,2.11,0)
- +94 ;;=MENTAL HEALTH OUTPATIENT (%)^NJ3,0^^2;11^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
