IBINI04Y ; ; 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(355.4,4.02,21,2,0)
;;=maximum amount of coverage for one year.
;;^DD(355.4,4.02,"DT")
;;=2930513
;;^DD(355.4,4.03,0)
;;=HOSPICE INPT. LIFETIME MAX^NJ10,2^^4;3^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
;;^DD(355.4,4.03,3)
;;=Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
;;^DD(355.4,4.03,21,0)
;;=^^2^2^2930607^
;;^DD(355.4,4.03,21,1,0)
;;=If this policy provides hospice inpatient services, this is the
;;^DD(355.4,4.03,21,2,0)
;;=maximum amount over the life of the policy for this benefit.
;;^DD(355.4,4.03,"DT")
;;=2931028
;;^DD(355.4,4.04,0)
;;=ROOM AND BOARD (%)^NJ3,0^^4;4^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,4.04,3)
;;=Type a Number between 0 and 100, 0 Decimal Digits
;;^DD(355.4,4.04,21,0)
;;=^^2^2^2930607^^^^
;;^DD(355.4,4.04,21,1,0)
;;=If this policy provides a room and board benefit, this is the
;;^DD(355.4,4.04,21,2,0)
;;=percentage of the charges that the policy will cover.
;;^DD(355.4,4.04,"DT")
;;=2930513
;;^DD(355.4,4.05,0)
;;=OTHER INPATIENT CHARGES (%)^NJ3,0^^4;5^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,4.05,3)
;;=Type a Number between 0 and 100, 0 Decimal Digits
;;^DD(355.4,4.05,21,0)
;;=^^2^2^2930607^
;;^DD(355.4,4.05,21,1,0)
;;=If this policy provides a benefit for other inpatient charges, this
;;^DD(355.4,4.05,21,2,0)
;;=is the percentage covered by that benefit.
;;^DD(355.4,4.05,"DT")
;;=2930513
;;^DD(355.4,4.06,0)
;;=IV INFUSION OPT.^S^0:NO;1:YES;^4;6^Q
;;^DD(355.4,4.06,21,0)
;;=^^2^2^2930826^
;;^DD(355.4,4.06,21,1,0)
;;=This indicates whether the policy has a benefit for outpatient IV
;;^DD(355.4,4.06,21,2,0)
;;=Infusion services.
;;^DD(355.4,4.06,"DT")
;;=2930826
;;^DD(355.4,4.07,0)
;;=IV INFUSION INPT.^S^0:NO;1:YES;^4;7^Q
;;^DD(355.4,4.07,21,0)
;;=^^2^2^2930826^
;;^DD(355.4,4.07,21,1,0)
;;=This indicates whether the policy has a benefit for inpatient IV
;;^DD(355.4,4.07,21,2,0)
;;=Infusion services.
;;^DD(355.4,4.07,"DT")
;;=2930826
;;^DD(355.4,4.08,0)
;;=IV ANTIBIOTICS OPT.^S^0:NO;1:YES;^4;8^Q
;;^DD(355.4,4.08,21,0)
;;=^^2^2^2930826^
;;^DD(355.4,4.08,21,1,0)
;;=This indicates whether the policy has a benefit for outpatient IV
;;^DD(355.4,4.08,21,2,0)
;;=Antibiotics services.
;;^DD(355.4,4.08,"DT")
;;=2930826
;;^DD(355.4,4.09,0)
;;=IV ANTIBIOTICS INPT.^S^0:NO;1:YES;^4;9^Q
;;^DD(355.4,4.09,3)
;;=
;;^DD(355.4,4.09,21,0)
;;=^^2^2^2931001^^^
;;^DD(355.4,4.09,21,1,0)
;;=This indicates whether the policy has a benefit for inpatient IV
;;^DD(355.4,4.09,21,2,0)
;;=Antibiotics.
;;^DD(355.4,4.09,"DT")
;;=2930907
;;^DD(355.4,5.01,0)
;;=ANNUAL DEDUCTIBLE (INPATIENT)^NJ9,2^^5;1^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
;;^DD(355.4,5.01,3)
;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
;;^DD(355.4,5.01,21,0)
;;=^^4^4^2930607^
;;^DD(355.4,5.01,21,1,0)
;;=If this policy provides for inpatient services, this is the amount
;;^DD(355.4,5.01,21,2,0)
;;=that the policy does not cover in claims. This information will
;;^DD(355.4,5.01,21,3,0)
;;=be used in calculating whether reimburseent for claims against
;;^DD(355.4,5.01,21,4,0)
;;=this policy are appropriate.
;;^DD(355.4,5.01,"DT")
;;=2930604
;;^DD(355.4,5.02,0)
;;=PER ADMISSION DEDUCTIBLE^NJ9,2^^5;2^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
;;^DD(355.4,5.02,3)
;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
;;^DD(355.4,5.02,21,0)
;;=^^2^2^2930713^^
;;^DD(355.4,5.02,21,1,0)
;;=This is the dollar amount that this policy does not cover in claims
IBINI04Y ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQ(355.4)
QUIT
FOR I=1:2
SET X=$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 '$TEST
SET @X=Y
Q QUIT
+1 ;;^DD(355.4,4.02,21,2,0)
+2 ;;=maximum amount of coverage for one year.
+3 ;;^DD(355.4,4.02,"DT")
+4 ;;=2930513
+5 ;;^DD(355.4,4.03,0)
+6 ;;=HOSPICE INPT. LIFETIME MAX^NJ10,2^^4;3^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
+7 ;;^DD(355.4,4.03,3)
+8 ;;=Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
+9 ;;^DD(355.4,4.03,21,0)
+10 ;;=^^2^2^2930607^
+11 ;;^DD(355.4,4.03,21,1,0)
+12 ;;=If this policy provides hospice inpatient services, this is the
+13 ;;^DD(355.4,4.03,21,2,0)
+14 ;;=maximum amount over the life of the policy for this benefit.
+15 ;;^DD(355.4,4.03,"DT")
+16 ;;=2931028
+17 ;;^DD(355.4,4.04,0)
+18 ;;=ROOM AND BOARD (%)^NJ3,0^^4;4^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
+19 ;;^DD(355.4,4.04,3)
+20 ;;=Type a Number between 0 and 100, 0 Decimal Digits
+21 ;;^DD(355.4,4.04,21,0)
+22 ;;=^^2^2^2930607^^^^
+23 ;;^DD(355.4,4.04,21,1,0)
+24 ;;=If this policy provides a room and board benefit, this is the
+25 ;;^DD(355.4,4.04,21,2,0)
+26 ;;=percentage of the charges that the policy will cover.
+27 ;;^DD(355.4,4.04,"DT")
+28 ;;=2930513
+29 ;;^DD(355.4,4.05,0)
+30 ;;=OTHER INPATIENT CHARGES (%)^NJ3,0^^4;5^K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
+31 ;;^DD(355.4,4.05,3)
+32 ;;=Type a Number between 0 and 100, 0 Decimal Digits
+33 ;;^DD(355.4,4.05,21,0)
+34 ;;=^^2^2^2930607^
+35 ;;^DD(355.4,4.05,21,1,0)
+36 ;;=If this policy provides a benefit for other inpatient charges, this
+37 ;;^DD(355.4,4.05,21,2,0)
+38 ;;=is the percentage covered by that benefit.
+39 ;;^DD(355.4,4.05,"DT")
+40 ;;=2930513
+41 ;;^DD(355.4,4.06,0)
+42 ;;=IV INFUSION OPT.^S^0:NO;1:YES;^4;6^Q
+43 ;;^DD(355.4,4.06,21,0)
+44 ;;=^^2^2^2930826^
+45 ;;^DD(355.4,4.06,21,1,0)
+46 ;;=This indicates whether the policy has a benefit for outpatient IV
+47 ;;^DD(355.4,4.06,21,2,0)
+48 ;;=Infusion services.
+49 ;;^DD(355.4,4.06,"DT")
+50 ;;=2930826
+51 ;;^DD(355.4,4.07,0)
+52 ;;=IV INFUSION INPT.^S^0:NO;1:YES;^4;7^Q
+53 ;;^DD(355.4,4.07,21,0)
+54 ;;=^^2^2^2930826^
+55 ;;^DD(355.4,4.07,21,1,0)
+56 ;;=This indicates whether the policy has a benefit for inpatient IV
+57 ;;^DD(355.4,4.07,21,2,0)
+58 ;;=Infusion services.
+59 ;;^DD(355.4,4.07,"DT")
+60 ;;=2930826
+61 ;;^DD(355.4,4.08,0)
+62 ;;=IV ANTIBIOTICS OPT.^S^0:NO;1:YES;^4;8^Q
+63 ;;^DD(355.4,4.08,21,0)
+64 ;;=^^2^2^2930826^
+65 ;;^DD(355.4,4.08,21,1,0)
+66 ;;=This indicates whether the policy has a benefit for outpatient IV
+67 ;;^DD(355.4,4.08,21,2,0)
+68 ;;=Antibiotics services.
+69 ;;^DD(355.4,4.08,"DT")
+70 ;;=2930826
+71 ;;^DD(355.4,4.09,0)
+72 ;;=IV ANTIBIOTICS INPT.^S^0:NO;1:YES;^4;9^Q
+73 ;;^DD(355.4,4.09,3)
+74 ;;=
+75 ;;^DD(355.4,4.09,21,0)
+76 ;;=^^2^2^2931001^^^
+77 ;;^DD(355.4,4.09,21,1,0)
+78 ;;=This indicates whether the policy has a benefit for inpatient IV
+79 ;;^DD(355.4,4.09,21,2,0)
+80 ;;=Antibiotics.
+81 ;;^DD(355.4,4.09,"DT")
+82 ;;=2930907
+83 ;;^DD(355.4,5.01,0)
+84 ;;=ANNUAL DEDUCTIBLE (INPATIENT)^NJ9,2^^5;1^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
+85 ;;^DD(355.4,5.01,3)
+86 ;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
+87 ;;^DD(355.4,5.01,21,0)
+88 ;;=^^4^4^2930607^
+89 ;;^DD(355.4,5.01,21,1,0)
+90 ;;=If this policy provides for inpatient services, this is the amount
+91 ;;^DD(355.4,5.01,21,2,0)
+92 ;;=that the policy does not cover in claims. This information will
+93 ;;^DD(355.4,5.01,21,3,0)
+94 ;;=be used in calculating whether reimburseent for claims against
+95 ;;^DD(355.4,5.01,21,4,0)
+96 ;;=this policy are appropriate.
+97 ;;^DD(355.4,5.01,"DT")
+98 ;;=2930604
+99 ;;^DD(355.4,5.02,0)
+100 ;;=PER ADMISSION DEDUCTIBLE^NJ9,2^^5;2^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999)!(X<0) X
+101 ;;^DD(355.4,5.02,3)
+102 ;;=Type a Dollar Amount between 0 and 999999, 2 Decimal Digits
+103 ;;^DD(355.4,5.02,21,0)
+104 ;;=^^2^2^2930713^^
+105 ;;^DD(355.4,5.02,21,1,0)
+106 ;;=This is the dollar amount that this policy does not cover in claims
