- IBINI0AP ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQ(399) 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(399,451,23,0)
- ;;=^^4^4^2931216^^^^
- ;;^DD(399,451,23,1,0)
- ;;=Unlabled Form Locator 11 on the UB-92. On the form the block is two lines
- ;;^DD(399,451,23,2,0)
- ;;=of 12 and 13 characters, with the upper line optional. Therefore, if
- ;;^DD(399,451,23,3,0)
- ;;=string is longer than 13 characters it must be split and printed on both
- ;;^DD(399,451,23,4,0)
- ;;=lines.
- ;;^DD(399,451,"DT")
- ;;=2931216
- ;;^DD(399,452,0)
- ;;=FORM LOCATOR 31^F^^UF3;3^K:$L(X)>11!($L(X)<3) X
- ;;^DD(399,452,3)
- ;;=Answer must be 3-11 characters in length.
- ;;^DD(399,452,21,0)
- ;;=^^2^2^2931216^^^
- ;;^DD(399,452,21,1,0)
- ;;=Printed in Form Locator 31 on the UB-92. If more than 6 characters are
- ;;^DD(399,452,21,2,0)
- ;;=entered this will be printed on two lines.
- ;;^DD(399,452,23,0)
- ;;=^^3^3^2931216^^^
- ;;^DD(399,452,23,1,0)
- ;;=Unlabled Form Locator 31 on the UB-92. On the form the block is two lines
- ;;^DD(399,452,23,2,0)
- ;;=of 5 and 6 characters. Therefore, if the string is longer than 6
- ;;^DD(399,452,23,3,0)
- ;;=characters it must be split and printed on both lines.
- ;;^DD(399,452,"DT")
- ;;=2931216
- ;;^DD(399,453,0)
- ;;=FORM LOCATOR 37A^F^^UF3;4^K:$L(X)>23!($L(X)<3) X
- ;;^DD(399,453,3)
- ;;=Answer must be 3-23 characters in length.
- ;;^DD(399,453,21,0)
- ;;=^^4^4^2931216^^
- ;;^DD(399,453,21,1,0)
- ;;=Unlabled Form Locator 37A on the UB-92. This field is nationally reserved
- ;;^DD(399,453,21,2,0)
- ;;=on adjustment/replacement type bills for the Internal Control
- ;;^DD(399,453,21,3,0)
- ;;=Number (ICN)/Document Control Number (DCN) assigned to the original bill
- ;;^DD(399,453,21,4,0)
- ;;=by the primary payer (in 50A).
- ;;^DD(399,453,"DT")
- ;;=2931216
- ;;^DD(399,454,0)
- ;;=FORM LOCATOR 37B^F^^UF3;5^K:$L(X)>23!($L(X)<3) X
- ;;^DD(399,454,3)
- ;;=Answer must be 3-23 characters in length.
- ;;^DD(399,454,21,0)
- ;;=^^4^4^2931216^^
- ;;^DD(399,454,21,1,0)
- ;;=Unlabled Form Locator 37B on the UB-92. This field is nationally reserved
- ;;^DD(399,454,21,2,0)
- ;;=on adjustment/replacement type bills for the Internal Control
- ;;^DD(399,454,21,3,0)
- ;;=Number (ICN)/Document Control Number (DCN) assigned to the original bill
- ;;^DD(399,454,21,4,0)
- ;;=by the secondary payer (in 50B).
- ;;^DD(399,454,"DT")
- ;;=2931216
- ;;^DD(399,455,0)
- ;;=FORM LOCATOR 37C^F^^UF3;6^K:$L(X)>23!($L(X)<3) X
- ;;^DD(399,455,3)
- ;;=Answer must be 3-23 characters in length.
- ;;^DD(399,455,21,0)
- ;;=^^4^4^2931216^
- ;;^DD(399,455,21,1,0)
- ;;=Unlabled Form Locator 37C on the UB-92. This field is nationally reserved
- ;;^DD(399,455,21,2,0)
- ;;=on adjustment/replacement type bills for the Internal Control
- ;;^DD(399,455,21,3,0)
- ;;=Number (ICN)/Document Control Number (DCN) assigned to the original bill
- ;;^DD(399,455,21,4,0)
- ;;=by the tertiary payer (in 50C).
- ;;^DD(399,455,"DT")
- ;;=2931216
- ;;^DD(399,456,0)
- ;;=FORM LOCATOR 56^F^^UF3;7^K:$L(X)>69!($L(X)<3) X
- ;;^DD(399,456,3)
- ;;=Answer must be 3-69 characters in length.
- ;;^DD(399,456,21,0)
- ;;=^^2^2^2931216^^
- ;;^DD(399,456,21,1,0)
- ;;=Printed in Form Locator 56 on the UB-92. If more than 14 characters are
- ;;^DD(399,456,21,2,0)
- ;;=entered this will be printed on multiple lines.
- ;;^DD(399,456,23,0)
- ;;=^^4^4^2931216^
- ;;^DD(399,456,23,1,0)
- ;;=Unlabled Form Locator 56 on the UB-92. On the form the block is five lines
- ;;^DD(399,456,23,2,0)
- ;;=of 13 and 14 characters. Therefore, if the string is longer than 14
- ;;^DD(399,456,23,3,0)
- ;;=characters it must be split and printed on multiple lines. The top line of
- ;;^DD(399,456,23,4,0)
- ;;=13 characters will be used last.
- ;;^DD(399,456,"DT")
- ;;=2931216
- IBINI0AP ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQ(399)
- 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 '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(399,451,23,0)
- +2 ;;=^^4^4^2931216^^^^
- +3 ;;^DD(399,451,23,1,0)
- +4 ;;=Unlabled Form Locator 11 on the UB-92. On the form the block is two lines
- +5 ;;^DD(399,451,23,2,0)
- +6 ;;=of 12 and 13 characters, with the upper line optional. Therefore, if
- +7 ;;^DD(399,451,23,3,0)
- +8 ;;=string is longer than 13 characters it must be split and printed on both
- +9 ;;^DD(399,451,23,4,0)
- +10 ;;=lines.
- +11 ;;^DD(399,451,"DT")
- +12 ;;=2931216
- +13 ;;^DD(399,452,0)
- +14 ;;=FORM LOCATOR 31^F^^UF3;3^K:$L(X)>11!($L(X)<3) X
- +15 ;;^DD(399,452,3)
- +16 ;;=Answer must be 3-11 characters in length.
- +17 ;;^DD(399,452,21,0)
- +18 ;;=^^2^2^2931216^^^
- +19 ;;^DD(399,452,21,1,0)
- +20 ;;=Printed in Form Locator 31 on the UB-92. If more than 6 characters are
- +21 ;;^DD(399,452,21,2,0)
- +22 ;;=entered this will be printed on two lines.
- +23 ;;^DD(399,452,23,0)
- +24 ;;=^^3^3^2931216^^^
- +25 ;;^DD(399,452,23,1,0)
- +26 ;;=Unlabled Form Locator 31 on the UB-92. On the form the block is two lines
- +27 ;;^DD(399,452,23,2,0)
- +28 ;;=of 5 and 6 characters. Therefore, if the string is longer than 6
- +29 ;;^DD(399,452,23,3,0)
- +30 ;;=characters it must be split and printed on both lines.
- +31 ;;^DD(399,452,"DT")
- +32 ;;=2931216
- +33 ;;^DD(399,453,0)
- +34 ;;=FORM LOCATOR 37A^F^^UF3;4^K:$L(X)>23!($L(X)<3) X
- +35 ;;^DD(399,453,3)
- +36 ;;=Answer must be 3-23 characters in length.
- +37 ;;^DD(399,453,21,0)
- +38 ;;=^^4^4^2931216^^
- +39 ;;^DD(399,453,21,1,0)
- +40 ;;=Unlabled Form Locator 37A on the UB-92. This field is nationally reserved
- +41 ;;^DD(399,453,21,2,0)
- +42 ;;=on adjustment/replacement type bills for the Internal Control
- +43 ;;^DD(399,453,21,3,0)
- +44 ;;=Number (ICN)/Document Control Number (DCN) assigned to the original bill
- +45 ;;^DD(399,453,21,4,0)
- +46 ;;=by the primary payer (in 50A).
- +47 ;;^DD(399,453,"DT")
- +48 ;;=2931216
- +49 ;;^DD(399,454,0)
- +50 ;;=FORM LOCATOR 37B^F^^UF3;5^K:$L(X)>23!($L(X)<3) X
- +51 ;;^DD(399,454,3)
- +52 ;;=Answer must be 3-23 characters in length.
- +53 ;;^DD(399,454,21,0)
- +54 ;;=^^4^4^2931216^^
- +55 ;;^DD(399,454,21,1,0)
- +56 ;;=Unlabled Form Locator 37B on the UB-92. This field is nationally reserved
- +57 ;;^DD(399,454,21,2,0)
- +58 ;;=on adjustment/replacement type bills for the Internal Control
- +59 ;;^DD(399,454,21,3,0)
- +60 ;;=Number (ICN)/Document Control Number (DCN) assigned to the original bill
- +61 ;;^DD(399,454,21,4,0)
- +62 ;;=by the secondary payer (in 50B).
- +63 ;;^DD(399,454,"DT")
- +64 ;;=2931216
- +65 ;;^DD(399,455,0)
- +66 ;;=FORM LOCATOR 37C^F^^UF3;6^K:$L(X)>23!($L(X)<3) X
- +67 ;;^DD(399,455,3)
- +68 ;;=Answer must be 3-23 characters in length.
- +69 ;;^DD(399,455,21,0)
- +70 ;;=^^4^4^2931216^
- +71 ;;^DD(399,455,21,1,0)
- +72 ;;=Unlabled Form Locator 37C on the UB-92. This field is nationally reserved
- +73 ;;^DD(399,455,21,2,0)
- +74 ;;=on adjustment/replacement type bills for the Internal Control
- +75 ;;^DD(399,455,21,3,0)
- +76 ;;=Number (ICN)/Document Control Number (DCN) assigned to the original bill
- +77 ;;^DD(399,455,21,4,0)
- +78 ;;=by the tertiary payer (in 50C).
- +79 ;;^DD(399,455,"DT")
- +80 ;;=2931216
- +81 ;;^DD(399,456,0)
- +82 ;;=FORM LOCATOR 56^F^^UF3;7^K:$L(X)>69!($L(X)<3) X
- +83 ;;^DD(399,456,3)
- +84 ;;=Answer must be 3-69 characters in length.
- +85 ;;^DD(399,456,21,0)
- +86 ;;=^^2^2^2931216^^
- +87 ;;^DD(399,456,21,1,0)
- +88 ;;=Printed in Form Locator 56 on the UB-92. If more than 14 characters are
- +89 ;;^DD(399,456,21,2,0)
- +90 ;;=entered this will be printed on multiple lines.
- +91 ;;^DD(399,456,23,0)
- +92 ;;=^^4^4^2931216^
- +93 ;;^DD(399,456,23,1,0)
- +94 ;;=Unlabled Form Locator 56 on the UB-92. On the form the block is five lines
- +95 ;;^DD(399,456,23,2,0)
- +96 ;;=of 13 and 14 characters. Therefore, if the string is longer than 14
- +97 ;;^DD(399,456,23,3,0)
- +98 ;;=characters it must be split and printed on multiple lines. The top line of
- +99 ;;^DD(399,456,23,4,0)
- +100 ;;=13 characters will be used last.
- +101 ;;^DD(399,456,"DT")
- +102 ;;=2931216