- IBINI053 ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQ(355.5) 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(355.5,.1,"DT")
- ;;=2931214
- ;;^DD(355.5,.11,0)
- ;;=MH DEDUCTIBLE (INP) MET?^S^0:NO;1:YES;^0;11^Q
- ;;^DD(355.5,.11,21,0)
- ;;=^^4^4^2940213^^^
- ;;^DD(355.5,.11,21,1,0)
- ;;=If the dollar amount of claims for inpatient mental health services
- ;;^DD(355.5,.11,21,2,0)
- ;;=is less than the policy's annual deductible for these services,
- ;;^DD(355.5,.11,21,3,0)
- ;;=enter "NO". If it is equal to or greater than the annual
- ;;^DD(355.5,.11,21,4,0)
- ;;=deductible for such services, enter "YES".
- ;;^DD(355.5,.11,"DT")
- ;;=2930513
- ;;^DD(355.5,.12,0)
- ;;=AMOUNT OF MH (INP) DED MET^NJ6,0^^0;12^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.5,.12,3)
- ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- ;;^DD(355.5,.12,21,0)
- ;;=^^2^2^2930713^
- ;;^DD(355.5,.12,21,1,0)
- ;;=Enter the dollar amount of claims against this policy for inpatient
- ;;^DD(355.5,.12,21,2,0)
- ;;=mental health services.
- ;;^DD(355.5,.12,"DT")
- ;;=2930513
- ;;^DD(355.5,.13,0)
- ;;=MH DEDUCTIBLE (OPT) MET?^S^0:NO;1:YES;^0;13^Q
- ;;^DD(355.5,.13,3)
- ;;=
- ;;^DD(355.5,.13,21,0)
- ;;=^^4^4^2930713^
- ;;^DD(355.5,.13,21,1,0)
- ;;=If the dollar amount of claims for outpatient mental health services
- ;;^DD(355.5,.13,21,2,0)
- ;;=is less than the policy's annual deductible for these services,
- ;;^DD(355.5,.13,21,3,0)
- ;;=enter "NO". If it is equal to or greater than the annual deductible
- ;;^DD(355.5,.13,21,4,0)
- ;;=for such services, enter "YES".
- ;;^DD(355.5,.13,"DT")
- ;;=2930513
- ;;^DD(355.5,.14,0)
- ;;=AMOUNT OF MH (OPT) DED MET^NJ6,0^^0;14^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- ;;^DD(355.5,.14,3)
- ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- ;;^DD(355.5,.14,21,0)
- ;;=^^2^2^2930713^
- ;;^DD(355.5,.14,21,1,0)
- ;;=Enter the dollar amount of claims against this policy for outpatient
- ;;^DD(355.5,.14,21,2,0)
- ;;=mental health services.
- ;;^DD(355.5,.14,"DT")
- ;;=2930513
- ;;^DD(355.5,.15,0)
- ;;=PRE-EXISTING CONDITIONS^F^^0;15^K:$L(X)>30!($L(X)<3) X
- ;;^DD(355.5,.15,3)
- ;;=Answer must be 3-30 characters in length.
- ;;^DD(355.5,.15,21,0)
- ;;=^^1^1^2930713^
- ;;^DD(355.5,.15,21,1,0)
- ;;=Enter the patient's pre-existing conditions.
- ;;^DD(355.5,.15,"DT")
- ;;=2930513
- ;;^DD(355.5,.16,0)
- ;;=COORDINATION OF BENEFITS DATA^F^^0;16^K:$L(X)>30!($L(X)<3) X
- ;;^DD(355.5,.16,3)
- ;;=Answer must be 3-30 characters in length.
- ;;^DD(355.5,.16,21,0)
- ;;=^^2^2^2930713^
- ;;^DD(355.5,.16,21,1,0)
- ;;=If the patient is included in a policy held by a family member, e.g.
- ;;^DD(355.5,.16,21,2,0)
- ;;=spouse, enter that information here.
- ;;^DD(355.5,.16,"DT")
- ;;=2930513
- ;;^DD(355.5,.17,0)
- ;;=PATIENT POLICY POINTER^NJ6,0I^^0;17^K:+X'=X!(X>999999)!(X<1)!(X?.E1"."1N.N) X
- ;;^DD(355.5,.17,1,0)
- ;;=^.1
- ;;^DD(355.5,.17,1,1,0)
- ;;=355.5^APPY3^MUMPS
- ;;^DD(355.5,.17,1,1,1)
- ;;=I $P(^IBA(355.5,DA,0),U,2),+^(0),-$P(^(0),U,3) S ^IBA(355.5,"APPY",+$P(^(0),U,2),+^(0),-$P(^(0),U,3),X,DA)=""
- ;;^DD(355.5,.17,1,1,2)
- ;;=K ^IBA(355.5,"APPY",+$P(^(0),U,2),+^(0),-$P(^(0),U,3),X,DA)
- ;;^DD(355.5,.17,1,1,"%D",0)
- ;;=^^1^1^2930831^^^
- ;;^DD(355.5,.17,1,1,"%D",1,0)
- ;;=Cross-references patients by policy by year.
- ;;^DD(355.5,.17,1,1,"DT")
- ;;=2930831
- ;;^DD(355.5,.17,3)
- ;;=Type a Number between 1 and 999999, 0 Decimal Digits
- ;;^DD(355.5,.17,8.5)
- ;;=^
- ;;^DD(355.5,.17,9)
- ;;=^
- ;;^DD(355.5,.17,"DT")
- ;;=2930831
- ;;^DD(355.5,.18,0)
- ;;=AMT. MH LIFET. MAX USED (INPT)^NJ10,2^^0;18^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
- ;;^DD(355.5,.18,3)
- ;;=Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
- ;;^DD(355.5,.18,21,0)
- ;;=^^2^2^2931214^^^^
- IBINI053 ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQ(355.5)
- QUIT
- FOR I=1:2
- SET X=$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(355.5,.1,"DT")
- +2 ;;=2931214
- +3 ;;^DD(355.5,.11,0)
- +4 ;;=MH DEDUCTIBLE (INP) MET?^S^0:NO;1:YES;^0;11^Q
- +5 ;;^DD(355.5,.11,21,0)
- +6 ;;=^^4^4^2940213^^^
- +7 ;;^DD(355.5,.11,21,1,0)
- +8 ;;=If the dollar amount of claims for inpatient mental health services
- +9 ;;^DD(355.5,.11,21,2,0)
- +10 ;;=is less than the policy's annual deductible for these services,
- +11 ;;^DD(355.5,.11,21,3,0)
- +12 ;;=enter "NO". If it is equal to or greater than the annual
- +13 ;;^DD(355.5,.11,21,4,0)
- +14 ;;=deductible for such services, enter "YES".
- +15 ;;^DD(355.5,.11,"DT")
- +16 ;;=2930513
- +17 ;;^DD(355.5,.12,0)
- +18 ;;=AMOUNT OF MH (INP) DED MET^NJ6,0^^0;12^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- +19 ;;^DD(355.5,.12,3)
- +20 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- +21 ;;^DD(355.5,.12,21,0)
- +22 ;;=^^2^2^2930713^
- +23 ;;^DD(355.5,.12,21,1,0)
- +24 ;;=Enter the dollar amount of claims against this policy for inpatient
- +25 ;;^DD(355.5,.12,21,2,0)
- +26 ;;=mental health services.
- +27 ;;^DD(355.5,.12,"DT")
- +28 ;;=2930513
- +29 ;;^DD(355.5,.13,0)
- +30 ;;=MH DEDUCTIBLE (OPT) MET?^S^0:NO;1:YES;^0;13^Q
- +31 ;;^DD(355.5,.13,3)
- +32 ;;=
- +33 ;;^DD(355.5,.13,21,0)
- +34 ;;=^^4^4^2930713^
- +35 ;;^DD(355.5,.13,21,1,0)
- +36 ;;=If the dollar amount of claims for outpatient mental health services
- +37 ;;^DD(355.5,.13,21,2,0)
- +38 ;;=is less than the policy's annual deductible for these services,
- +39 ;;^DD(355.5,.13,21,3,0)
- +40 ;;=enter "NO". If it is equal to or greater than the annual deductible
- +41 ;;^DD(355.5,.13,21,4,0)
- +42 ;;=for such services, enter "YES".
- +43 ;;^DD(355.5,.13,"DT")
- +44 ;;=2930513
- +45 ;;^DD(355.5,.14,0)
- +46 ;;=AMOUNT OF MH (OPT) DED MET^NJ6,0^^0;14^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
- +47 ;;^DD(355.5,.14,3)
- +48 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
- +49 ;;^DD(355.5,.14,21,0)
- +50 ;;=^^2^2^2930713^
- +51 ;;^DD(355.5,.14,21,1,0)
- +52 ;;=Enter the dollar amount of claims against this policy for outpatient
- +53 ;;^DD(355.5,.14,21,2,0)
- +54 ;;=mental health services.
- +55 ;;^DD(355.5,.14,"DT")
- +56 ;;=2930513
- +57 ;;^DD(355.5,.15,0)
- +58 ;;=PRE-EXISTING CONDITIONS^F^^0;15^K:$L(X)>30!($L(X)<3) X
- +59 ;;^DD(355.5,.15,3)
- +60 ;;=Answer must be 3-30 characters in length.
- +61 ;;^DD(355.5,.15,21,0)
- +62 ;;=^^1^1^2930713^
- +63 ;;^DD(355.5,.15,21,1,0)
- +64 ;;=Enter the patient's pre-existing conditions.
- +65 ;;^DD(355.5,.15,"DT")
- +66 ;;=2930513
- +67 ;;^DD(355.5,.16,0)
- +68 ;;=COORDINATION OF BENEFITS DATA^F^^0;16^K:$L(X)>30!($L(X)<3) X
- +69 ;;^DD(355.5,.16,3)
- +70 ;;=Answer must be 3-30 characters in length.
- +71 ;;^DD(355.5,.16,21,0)
- +72 ;;=^^2^2^2930713^
- +73 ;;^DD(355.5,.16,21,1,0)
- +74 ;;=If the patient is included in a policy held by a family member, e.g.
- +75 ;;^DD(355.5,.16,21,2,0)
- +76 ;;=spouse, enter that information here.
- +77 ;;^DD(355.5,.16,"DT")
- +78 ;;=2930513
- +79 ;;^DD(355.5,.17,0)
- +80 ;;=PATIENT POLICY POINTER^NJ6,0I^^0;17^K:+X'=X!(X>999999)!(X<1)!(X?.E1"."1N.N) X
- +81 ;;^DD(355.5,.17,1,0)
- +82 ;;=^.1
- +83 ;;^DD(355.5,.17,1,1,0)
- +84 ;;=355.5^APPY3^MUMPS
- +85 ;;^DD(355.5,.17,1,1,1)
- +86 ;;=I $P(^IBA(355.5,DA,0),U,2),+^(0),-$P(^(0),U,3) S ^IBA(355.5,"APPY",+$P(^(0),U,2),+^(0),-$P(^(0),U,3),X,DA)=""
- +87 ;;^DD(355.5,.17,1,1,2)
- +88 ;;=K ^IBA(355.5,"APPY",+$P(^(0),U,2),+^(0),-$P(^(0),U,3),X,DA)
- +89 ;;^DD(355.5,.17,1,1,"%D",0)
- +90 ;;=^^1^1^2930831^^^
- +91 ;;^DD(355.5,.17,1,1,"%D",1,0)
- +92 ;;=Cross-references patients by policy by year.
- +93 ;;^DD(355.5,.17,1,1,"DT")
- +94 ;;=2930831
- +95 ;;^DD(355.5,.17,3)
- +96 ;;=Type a Number between 1 and 999999, 0 Decimal Digits
- +97 ;;^DD(355.5,.17,8.5)
- +98 ;;=^
- +99 ;;^DD(355.5,.17,9)
- +100 ;;=^
- +101 ;;^DD(355.5,.17,"DT")
- +102 ;;=2930831
- +103 ;;^DD(355.5,.18,0)
- +104 ;;=AMT. MH LIFET. MAX USED (INPT)^NJ10,2^^0;18^S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X
- +105 ;;^DD(355.5,.18,3)
- +106 ;;=Type a Dollar Amount between 0 and 9999999, 2 Decimal Digits
- +107 ;;^DD(355.5,.18,21,0)
- +108 ;;=^^2^2^2931214^^^^
