- IBINI04W ; ; 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(355.4,2.11,3)
- ;;=Type a Number between 0 and 100, 0 Decimal Digits
- ;;^DD(355.4,2.11,21,0)
- ;;=^^2^2^2930607^^
- ;;^DD(355.4,2.11,21,1,0)
- ;;=If this policy has a benefit for mental health outpatient services,
- ;;^DD(355.4,2.11,21,2,0)
- ;;=this is the percentage covered by that benefit.
- ;;^DD(355.4,2.11,"DT")
- ;;=2930603
- ;;^DD(355.4,2.12,0)
- ;;=PRESCRIPTION (%)^NJ6,0^^2;12^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.12,3)
- ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- ;;^DD(355.4,2.12,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,2.12,21,1,0)
- ;;=If this policy has a benefit for prescription services, this is the
- ;;^DD(355.4,2.12,21,2,0)
- ;;=percentage covered by that benefit.
- ;;^DD(355.4,2.12,"DT")
- ;;=2930513
- ;;^DD(355.4,2.13,0)
- ;;=OUTPATIENT SURGERY (%)^NJ6,0^^2;13^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.13,3)
- ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- ;;^DD(355.4,2.13,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,2.13,21,1,0)
- ;;=If this policy has a benefit for outpatient surgery services, this
- ;;^DD(355.4,2.13,21,2,0)
- ;;=is the percentage covered by that benefit.
- ;;^DD(355.4,2.13,"DT")
- ;;=2930513
- ;;^DD(355.4,2.14,0)
- ;;=MH OPT. MAX DAYS PER YEAR^NJ3,0^^2;14^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.14,3)
- ;;=Type a Number between 0 and 365, 0 Decimal Digits
- ;;^DD(355.4,2.14,21,0)
- ;;=^^3^3^2930708^
- ;;^DD(355.4,2.14,21,1,0)
- ;;=If this policy provides a benefit for mental health outpatient
- ;;^DD(355.4,2.14,21,2,0)
- ;;=services, this is the maximum number of days per year of this
- ;;^DD(355.4,2.14,21,3,0)
- ;;=benefit.
- ;;^DD(355.4,2.14,"DT")
- ;;=2930708
- ;;^DD(355.4,2.15,0)
- ;;=OUTPATIENT VISITS PER YEAR^NJ3,0^^2;15^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,2.15,3)
- ;;=Type a Number between 0 and 365, 0 Decimal Digits
- ;;^DD(355.4,2.15,21,0)
- ;;=^^2^2^2930825^
- ;;^DD(355.4,2.15,21,1,0)
- ;;=If this policy provides outpatient benefits, this is the maximum
- ;;^DD(355.4,2.15,21,2,0)
- ;;=number of visits per year.
- ;;^DD(355.4,2.15,"DT")
- ;;=2930825
- ;;^DD(355.4,2.17,0)
- ;;=ADULT DAY HEALTH CARE^S^0:NO;1:YES;^2;17^Q
- ;;^DD(355.4,2.17,21,0)
- ;;=^^2^2^2930827^
- ;;^DD(355.4,2.17,21,1,0)
- ;;=This indicates whether the policy has a benefit for Adult Day Health
- ;;^DD(355.4,2.17,21,2,0)
- ;;=Care services.
- ;;^DD(355.4,2.17,"DT")
- ;;=2930827
- ;;^DD(355.4,3.01,0)
- ;;=HOME HEALTH CARE LEVEL^S^0:NONE;1:NURSES AIDE;2:LPN;3:RN;4:THERAPIST/OTHER;^3;1^Q
- ;;^DD(355.4,3.01,21,0)
- ;;=^^2^2^2930825^^
- ;;^DD(355.4,3.01,21,1,0)
- ;;=If this policy provides home health care, this is the highest level
- ;;^DD(355.4,3.01,21,2,0)
- ;;=of nursing care that it will cover.
- ;;^DD(355.4,3.01,"DT")
- ;;=2930924
- ;;^DD(355.4,3.02,0)
- ;;=HOME HEALTH VISITS PER YEAR^NJ3,0^^3;2^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,3.02,3)
- ;;=Type a Number between 0 and 365, 0 Decimal Digits
- ;;^DD(355.4,3.02,21,0)
- ;;=^^2^2^2930825^^
- ;;^DD(355.4,3.02,21,1,0)
- ;;=If this policy provides home health care, this is the maximum
- ;;^DD(355.4,3.02,21,2,0)
- ;;=number of visits per year.
- ;;^DD(355.4,3.02,"DT")
- ;;=2930513
- ;;^DD(355.4,3.03,0)
- ;;=HOME HEALTH MAX DAYS PER YEAR^NJ3,0^^3;3^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.4,3.03,3)
- ;;=Type a Number between 0 and 365, 0 Decimal Digits
- ;;^DD(355.4,3.03,21,0)
- ;;=^^2^2^2930607^
- ;;^DD(355.4,3.03,21,1,0)
- ;;=If this policy provides home health care, this is the maximum number
- ;;^DD(355.4,3.03,21,2,0)
- ;;=of days per year of home health care services.
- ;;^DD(355.4,3.03,"DT")
- ;;=2930513
- IBINI04W ; ; 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(355.4,2.11,3)
- +2 ;;=Type a Number between 0 and 100, 0 Decimal Digits
- +3 ;;^DD(355.4,2.11,21,0)
- +4 ;;=^^2^2^2930607^^
- +5 ;;^DD(355.4,2.11,21,1,0)
- +6 ;;=If this policy has a benefit for mental health outpatient services,
- +7 ;;^DD(355.4,2.11,21,2,0)
- +8 ;;=this is the percentage covered by that benefit.
- +9 ;;^DD(355.4,2.11,"DT")
- +10 ;;=2930603
- +11 ;;^DD(355.4,2.12,0)
- +12 ;;=PRESCRIPTION (%)^NJ6,0^^2;12^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- +13 ;;^DD(355.4,2.12,3)
- +14 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- +15 ;;^DD(355.4,2.12,21,0)
- +16 ;;=^^2^2^2930607^
- +17 ;;^DD(355.4,2.12,21,1,0)
- +18 ;;=If this policy has a benefit for prescription services, this is the
- +19 ;;^DD(355.4,2.12,21,2,0)
- +20 ;;=percentage covered by that benefit.
- +21 ;;^DD(355.4,2.12,"DT")
- +22 ;;=2930513
- +23 ;;^DD(355.4,2.13,0)
- +24 ;;=OUTPATIENT SURGERY (%)^NJ6,0^^2;13^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- +25 ;;^DD(355.4,2.13,3)
- +26 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- +27 ;;^DD(355.4,2.13,21,0)
- +28 ;;=^^2^2^2930607^
- +29 ;;^DD(355.4,2.13,21,1,0)
- +30 ;;=If this policy has a benefit for outpatient surgery services, this
- +31 ;;^DD(355.4,2.13,21,2,0)
- +32 ;;=is the percentage covered by that benefit.
- +33 ;;^DD(355.4,2.13,"DT")
- +34 ;;=2930513
- +35 ;;^DD(355.4,2.14,0)
- +36 ;;=MH OPT. MAX DAYS PER YEAR^NJ3,0^^2;14^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- +37 ;;^DD(355.4,2.14,3)
- +38 ;;=Type a Number between 0 and 365, 0 Decimal Digits
- +39 ;;^DD(355.4,2.14,21,0)
- +40 ;;=^^3^3^2930708^
- +41 ;;^DD(355.4,2.14,21,1,0)
- +42 ;;=If this policy provides a benefit for mental health outpatient
- +43 ;;^DD(355.4,2.14,21,2,0)
- +44 ;;=services, this is the maximum number of days per year of this
- +45 ;;^DD(355.4,2.14,21,3,0)
- +46 ;;=benefit.
- +47 ;;^DD(355.4,2.14,"DT")
- +48 ;;=2930708
- +49 ;;^DD(355.4,2.15,0)
- +50 ;;=OUTPATIENT VISITS PER YEAR^NJ3,0^^2;15^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- +51 ;;^DD(355.4,2.15,3)
- +52 ;;=Type a Number between 0 and 365, 0 Decimal Digits
- +53 ;;^DD(355.4,2.15,21,0)
- +54 ;;=^^2^2^2930825^
- +55 ;;^DD(355.4,2.15,21,1,0)
- +56 ;;=If this policy provides outpatient benefits, this is the maximum
- +57 ;;^DD(355.4,2.15,21,2,0)
- +58 ;;=number of visits per year.
- +59 ;;^DD(355.4,2.15,"DT")
- +60 ;;=2930825
- +61 ;;^DD(355.4,2.17,0)
- +62 ;;=ADULT DAY HEALTH CARE^S^0:NO;1:YES;^2;17^Q
- +63 ;;^DD(355.4,2.17,21,0)
- +64 ;;=^^2^2^2930827^
- +65 ;;^DD(355.4,2.17,21,1,0)
- +66 ;;=This indicates whether the policy has a benefit for Adult Day Health
- +67 ;;^DD(355.4,2.17,21,2,0)
- +68 ;;=Care services.
- +69 ;;^DD(355.4,2.17,"DT")
- +70 ;;=2930827
- +71 ;;^DD(355.4,3.01,0)
- +72 ;;=HOME HEALTH CARE LEVEL^S^0:NONE;1:NURSES AIDE;2:LPN;3:RN;4:THERAPIST/OTHER;^3;1^Q
- +73 ;;^DD(355.4,3.01,21,0)
- +74 ;;=^^2^2^2930825^^
- +75 ;;^DD(355.4,3.01,21,1,0)
- +76 ;;=If this policy provides home health care, this is the highest level
- +77 ;;^DD(355.4,3.01,21,2,0)
- +78 ;;=of nursing care that it will cover.
- +79 ;;^DD(355.4,3.01,"DT")
- +80 ;;=2930924
- +81 ;;^DD(355.4,3.02,0)
- +82 ;;=HOME HEALTH VISITS PER YEAR^NJ3,0^^3;2^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- +83 ;;^DD(355.4,3.02,3)
- +84 ;;=Type a Number between 0 and 365, 0 Decimal Digits
- +85 ;;^DD(355.4,3.02,21,0)
- +86 ;;=^^2^2^2930825^^
- +87 ;;^DD(355.4,3.02,21,1,0)
- +88 ;;=If this policy provides home health care, this is the maximum
- +89 ;;^DD(355.4,3.02,21,2,0)
- +90 ;;=number of visits per year.
- +91 ;;^DD(355.4,3.02,"DT")
- +92 ;;=2930513
- +93 ;;^DD(355.4,3.03,0)
- +94 ;;=HOME HEALTH MAX DAYS PER YEAR^NJ3,0^^3;3^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
- +95 ;;^DD(355.4,3.03,3)
- +96 ;;=Type a Number between 0 and 365, 0 Decimal Digits
- +97 ;;^DD(355.4,3.03,21,0)
- +98 ;;=^^2^2^2930607^
- +99 ;;^DD(355.4,3.03,21,1,0)
- +100 ;;=If this policy provides home health care, this is the maximum number
- +101 ;;^DD(355.4,3.03,21,2,0)
- +102 ;;=of days per year of home health care services.
- +103 ;;^DD(355.4,3.03,"DT")
- +104 ;;=2930513
