- IBINI057 ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQR(355.6) 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
- ;;^UTILITY(U,$J,355.6)
- ;;=^IBE(355.6,
- ;;^UTILITY(U,$J,355.6,0)
- ;;=INSURANCE RIDERS^355.6^18^18
- ;;^UTILITY(U,$J,355.6,1,0)
- ;;=EXTEND COVERAGE TO 365 DAYS
- ;;^UTILITY(U,$J,355.6,1,11,0)
- ;;=^^1^1^2931130^^
- ;;^UTILITY(U,$J,355.6,1,11,1,0)
- ;;=Extends coverage to 365 dates of in-hospital visits.
- ;;^UTILITY(U,$J,355.6,2,0)
- ;;=COVERAGE FOR ACCIDENTAL INJURY
- ;;^UTILITY(U,$J,355.6,2,11,0)
- ;;=^^3^3^2931130^
- ;;^UTILITY(U,$J,355.6,2,11,1,0)
- ;;=Provides first-aid coverage for accidental injuries and coverage
- ;;^UTILITY(U,$J,355.6,2,11,2,0)
- ;;=for certain medical emergency examinations provided in the doctor's
- ;;^UTILITY(U,$J,355.6,2,11,3,0)
- ;;=office, outpatient or emergcy department.
- ;;^UTILITY(U,$J,355.6,3,0)
- ;;=EXTEND DEPENDENTS TO AGE 23
- ;;^UTILITY(U,$J,355.6,3,11,0)
- ;;=^^1^1^2931130^
- ;;^UTILITY(U,$J,355.6,3,11,1,0)
- ;;=Extends age limit for eligible dependents to 23.
- ;;^UTILITY(U,$J,355.6,4,0)
- ;;=AMBULANCE COVERAGE
- ;;^UTILITY(U,$J,355.6,4,11,0)
- ;;=^^2^2^2931130^
- ;;^UTILITY(U,$J,355.6,4,11,1,0)
- ;;=Provides benefits for necessary ambulance servcies to a hospital as ordered
- ;;^UTILITY(U,$J,355.6,4,11,2,0)
- ;;=by a physician or officer of the law.
- ;;^UTILITY(U,$J,355.6,5,0)
- ;;=NO LABORATORY MAXIMUM
- ;;^UTILITY(U,$J,355.6,5,11,0)
- ;;=^^3^3^2931130^
- ;;^UTILITY(U,$J,355.6,5,11,1,0)
- ;;=Removes Laboratory maximum and expands laboratory coverage to include
- ;;^UTILITY(U,$J,355.6,5,11,2,0)
- ;;=those in the doctor's office, outpatient department or independent lab
- ;;^UTILITY(U,$J,355.6,5,11,3,0)
- ;;=with no maximum benefit.
- ;;^UTILITY(U,$J,355.6,6,0)
- ;;=MENTAL HEALTH COVERAGE
- ;;^UTILITY(U,$J,355.6,6,11,0)
- ;;=^^5^5^2931130^
- ;;^UTILITY(U,$J,355.6,6,11,1,0)
- ;;=Provides coverage for specified mental health services provided by
- ;;^UTILITY(U,$J,355.6,6,11,2,0)
- ;;=psychiatrists, psychologists, and certified psychiatric social workers
- ;;^UTILITY(U,$J,355.6,6,11,3,0)
- ;;=when not otherwise covered by a plan.
- ;;^UTILITY(U,$J,355.6,6,11,4,0)
- ;;=
- ;;^UTILITY(U,$J,355.6,6,11,5,0)
- ;;=Inpatient and outpatient maximums may apply.
- ;;^UTILITY(U,$J,355.6,7,0)
- ;;=PRESCRIPTION COVERAGE
- ;;^UTILITY(U,$J,355.6,7,11,0)
- ;;=^^1^1^2931130^
- ;;^UTILITY(U,$J,355.6,7,11,1,0)
- ;;=Provides coverage for medications and nonexperimental therapy.
- ;;^UTILITY(U,$J,355.6,8,0)
- ;;=ELIMINATE PRESCRIPTION COVER
- ;;^UTILITY(U,$J,355.6,8,11,0)
- ;;=^^2^2^2931130^
- ;;^UTILITY(U,$J,355.6,8,11,1,0)
- ;;=Eliminates benefits for prescription drugs and insulin from
- ;;^UTILITY(U,$J,355.6,8,11,2,0)
- ;;=basic contract.
- ;;^UTILITY(U,$J,355.6,9,0)
- ;;=PRE-EXISTING COND. 11 MONTHS
- ;;^UTILITY(U,$J,355.6,9,11,0)
- ;;=^^1^1^2931130^
- ;;^UTILITY(U,$J,355.6,9,11,1,0)
- ;;=Imposes an 11 month waiting period for pre-existing conditions.
- ;;^UTILITY(U,$J,355.6,10,0)
- ;;=EXTEND DEPENDENTS TO AGE 25
- ;;^UTILITY(U,$J,355.6,10,11,0)
- ;;=^^1^1^2931130^
- ;;^UTILITY(U,$J,355.6,10,11,1,0)
- ;;=Extends coverage for student dependents to age 25.
- ;;^UTILITY(U,$J,355.6,11,0)
- ;;=ELIMINATE DEDUCTIBLE AND COPAY
- ;;^UTILITY(U,$J,355.6,11,11,0)
- ;;=^^1^1^2931130^
- ;;^UTILITY(U,$J,355.6,11,11,1,0)
- ;;=Eliminates deductibles and copayments for most hospital facility charges.
- ;;^UTILITY(U,$J,355.6,12,0)
- ;;=SUBSTANCE ABUSE 30 DAYS
- ;;^UTILITY(U,$J,355.6,12,11,0)
- ;;=^^2^2^2931130^
- ;;^UTILITY(U,$J,355.6,12,11,1,0)
- ;;=Provides benefits for up to 30 days of inpatient rehabilitation for
- ;;^UTILITY(U,$J,355.6,12,11,2,0)
- ;;=alcoholism or substance abuse during each calendar year.
- ;;^UTILITY(U,$J,355.6,13,0)
- ;;=NURSING HOME COVERAGE
- IBINI057 ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQR(355.6)
- 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^UTILITY(U,$J,355.6)
- +2 ;;=^IBE(355.6,
- +3 ;;^UTILITY(U,$J,355.6,0)
- +4 ;;=INSURANCE RIDERS^355.6^18^18
- +5 ;;^UTILITY(U,$J,355.6,1,0)
- +6 ;;=EXTEND COVERAGE TO 365 DAYS
- +7 ;;^UTILITY(U,$J,355.6,1,11,0)
- +8 ;;=^^1^1^2931130^^
- +9 ;;^UTILITY(U,$J,355.6,1,11,1,0)
- +10 ;;=Extends coverage to 365 dates of in-hospital visits.
- +11 ;;^UTILITY(U,$J,355.6,2,0)
- +12 ;;=COVERAGE FOR ACCIDENTAL INJURY
- +13 ;;^UTILITY(U,$J,355.6,2,11,0)
- +14 ;;=^^3^3^2931130^
- +15 ;;^UTILITY(U,$J,355.6,2,11,1,0)
- +16 ;;=Provides first-aid coverage for accidental injuries and coverage
- +17 ;;^UTILITY(U,$J,355.6,2,11,2,0)
- +18 ;;=for certain medical emergency examinations provided in the doctor's
- +19 ;;^UTILITY(U,$J,355.6,2,11,3,0)
- +20 ;;=office, outpatient or emergcy department.
- +21 ;;^UTILITY(U,$J,355.6,3,0)
- +22 ;;=EXTEND DEPENDENTS TO AGE 23
- +23 ;;^UTILITY(U,$J,355.6,3,11,0)
- +24 ;;=^^1^1^2931130^
- +25 ;;^UTILITY(U,$J,355.6,3,11,1,0)
- +26 ;;=Extends age limit for eligible dependents to 23.
- +27 ;;^UTILITY(U,$J,355.6,4,0)
- +28 ;;=AMBULANCE COVERAGE
- +29 ;;^UTILITY(U,$J,355.6,4,11,0)
- +30 ;;=^^2^2^2931130^
- +31 ;;^UTILITY(U,$J,355.6,4,11,1,0)
- +32 ;;=Provides benefits for necessary ambulance servcies to a hospital as ordered
- +33 ;;^UTILITY(U,$J,355.6,4,11,2,0)
- +34 ;;=by a physician or officer of the law.
- +35 ;;^UTILITY(U,$J,355.6,5,0)
- +36 ;;=NO LABORATORY MAXIMUM
- +37 ;;^UTILITY(U,$J,355.6,5,11,0)
- +38 ;;=^^3^3^2931130^
- +39 ;;^UTILITY(U,$J,355.6,5,11,1,0)
- +40 ;;=Removes Laboratory maximum and expands laboratory coverage to include
- +41 ;;^UTILITY(U,$J,355.6,5,11,2,0)
- +42 ;;=those in the doctor's office, outpatient department or independent lab
- +43 ;;^UTILITY(U,$J,355.6,5,11,3,0)
- +44 ;;=with no maximum benefit.
- +45 ;;^UTILITY(U,$J,355.6,6,0)
- +46 ;;=MENTAL HEALTH COVERAGE
- +47 ;;^UTILITY(U,$J,355.6,6,11,0)
- +48 ;;=^^5^5^2931130^
- +49 ;;^UTILITY(U,$J,355.6,6,11,1,0)
- +50 ;;=Provides coverage for specified mental health services provided by
- +51 ;;^UTILITY(U,$J,355.6,6,11,2,0)
- +52 ;;=psychiatrists, psychologists, and certified psychiatric social workers
- +53 ;;^UTILITY(U,$J,355.6,6,11,3,0)
- +54 ;;=when not otherwise covered by a plan.
- +55 ;;^UTILITY(U,$J,355.6,6,11,4,0)
- +56 ;;=
- +57 ;;^UTILITY(U,$J,355.6,6,11,5,0)
- +58 ;;=Inpatient and outpatient maximums may apply.
- +59 ;;^UTILITY(U,$J,355.6,7,0)
- +60 ;;=PRESCRIPTION COVERAGE
- +61 ;;^UTILITY(U,$J,355.6,7,11,0)
- +62 ;;=^^1^1^2931130^
- +63 ;;^UTILITY(U,$J,355.6,7,11,1,0)
- +64 ;;=Provides coverage for medications and nonexperimental therapy.
- +65 ;;^UTILITY(U,$J,355.6,8,0)
- +66 ;;=ELIMINATE PRESCRIPTION COVER
- +67 ;;^UTILITY(U,$J,355.6,8,11,0)
- +68 ;;=^^2^2^2931130^
- +69 ;;^UTILITY(U,$J,355.6,8,11,1,0)
- +70 ;;=Eliminates benefits for prescription drugs and insulin from
- +71 ;;^UTILITY(U,$J,355.6,8,11,2,0)
- +72 ;;=basic contract.
- +73 ;;^UTILITY(U,$J,355.6,9,0)
- +74 ;;=PRE-EXISTING COND. 11 MONTHS
- +75 ;;^UTILITY(U,$J,355.6,9,11,0)
- +76 ;;=^^1^1^2931130^
- +77 ;;^UTILITY(U,$J,355.6,9,11,1,0)
- +78 ;;=Imposes an 11 month waiting period for pre-existing conditions.
- +79 ;;^UTILITY(U,$J,355.6,10,0)
- +80 ;;=EXTEND DEPENDENTS TO AGE 25
- +81 ;;^UTILITY(U,$J,355.6,10,11,0)
- +82 ;;=^^1^1^2931130^
- +83 ;;^UTILITY(U,$J,355.6,10,11,1,0)
- +84 ;;=Extends coverage for student dependents to age 25.
- +85 ;;^UTILITY(U,$J,355.6,11,0)
- +86 ;;=ELIMINATE DEDUCTIBLE AND COPAY
- +87 ;;^UTILITY(U,$J,355.6,11,11,0)
- +88 ;;=^^1^1^2931130^
- +89 ;;^UTILITY(U,$J,355.6,11,11,1,0)
- +90 ;;=Eliminates deductibles and copayments for most hospital facility charges.
- +91 ;;^UTILITY(U,$J,355.6,12,0)
- +92 ;;=SUBSTANCE ABUSE 30 DAYS
- +93 ;;^UTILITY(U,$J,355.6,12,11,0)
- +94 ;;=^^2^2^2931130^
- +95 ;;^UTILITY(U,$J,355.6,12,11,1,0)
- +96 ;;=Provides benefits for up to 30 days of inpatient rehabilitation for
- +97 ;;^UTILITY(U,$J,355.6,12,11,2,0)
- +98 ;;=alcoholism or substance abuse during each calendar year.
- +99 ;;^UTILITY(U,$J,355.6,13,0)
- +100 ;;=NURSING HOME COVERAGE
