IBXPAR ; GENERATED FROM 'IB EDIT MCCR PARM' INPUT TEMPLATE(#2561), FILE 350.9;11/29/04
D DE G BEGIN
DE S DIE="^IBE(350.9,",DIC=DIE,DP=350.9,DL=1,DIEL=0,DU="" K DG,DE,DB Q:$O(^IBE(350.9,DA,""))=""
I $D(^(0)) S %Z=^(0) S %=$P(%Z,U,12) S:%]"" DE(22)=% S %=$P(%Z,U,15) S:%]"" DE(24)=%
I $D(^(1)) S %Z=^(1) S %=$P(%Z,U,1) S:%]"" DE(10)=% S %=$P(%Z,U,2) S:%]"" DE(11)=% S %=$P(%Z,U,4) S:%]"" DE(31)=% S %=$P(%Z,U,5) S:%]"" DE(3)=% S %=$P(%Z,U,6) S:%]"" DE(4)=% S %=$P(%Z,U,7) S:%]"" DE(35)=% S %=$P(%Z,U,8) S:%]"" DE(12)=%
I S %=$P(%Z,U,10) S:%]"" DE(29)=% S %=$P(%Z,U,14) S:%]"" DE(6)=% S %=$P(%Z,U,15) S:%]"" DE(17)=% S %=$P(%Z,U,16) S:%]"" DE(18)=% S %=$P(%Z,U,17) S:%]"" DE(19)=% S %=$P(%Z,U,18) S:%]"" DE(20)=% S %=$P(%Z,U,19) S:%]"" DE(21)=%
I S %=$P(%Z,U,20) S:%]"" DE(30)=% S %=$P(%Z,U,21) S:%]"" DE(5)=% S %=$P(%Z,U,22) S:%]"" DE(15)=% S %=$P(%Z,U,23) S:%]"" DE(16)=% S %=$P(%Z,U,25) S:%]"" DE(7)=% S %=$P(%Z,U,27) S:%]"" DE(34)=% S %=$P(%Z,U,28) S:%]"" DE(23)=%
I S %=$P(%Z,U,29) S:%]"" DE(25)=% S %=$P(%Z,U,30) S:%]"" DE(26)=% S %=$P(%Z,U,31) S:%]"" DE(32)=%
I $D(^(2)) S %Z=^(2) S %=$P(%Z,U,7) S:%]"" DE(33)=%
K %Z Q
;
W W !?DL+DL-2,DLB_": "
Q
O D W W Y W:$X>45 !?9
I $L(Y)>19,'DV,DV'["I",(DV["F"!(DV["K")) G RW^DIR2
W:Y]"" "// " I 'DV,DV["I",$D(DE(DQ))#2 S X="" W " (No Editing)" Q
TR R X:DTIME E S (DTOUT,X)=U W $C(7)
Q
A K DQ(DQ) S DQ=DQ+1
B G @DQ
RE G PR:$D(DE(DQ)) D W,TR
N I X="" G NKEY:$D(^DD("KEY","F",DP,DIFLD)),A:DV'["R",X:'DV,X:D'>0,A
RD G QS:X?."?" I X["^" D D G ^DIE17
I X="@" D D G Z^DIE2
I X=" ",DV["d",DV'["P",$D(^DISV(DUZ,"DIE",DLB)) S X=^(DLB) I DV'["D",DV'["S" W " "_X
T G M^DIE17:DV,^DIE3:DV["V",P:DV'["S" X:$D(^DD(DP,DIFLD,12.1)) ^(12.1) I X?.ANP D SET I 'DDER X:$D(DIC("S")) DIC("S") I W:'$D(DB(DQ)) " "_% G V
K DDER G X
P I DV["P" S DIC=U_DU,DIC(0)=$E("EN",$D(DB(DQ))+1)_"M"_$E("L",DV'["'") S:DIC(0)["L" DLAYGO=+$P(DV,"P",2) G:DV["*" AST^DIED D NOSCR^DIED S X=+Y,DIC=DIE G X:X<0
G V:DV'["N" D D I $L($P(X,"."))>24 K X G Z
I $P(DQ(DQ),U,5)'["$",X?.1"-".N.1".".N,$P(DQ(DQ),U,5,99)["+X'=X" S X=+X
V D @("X"_DQ) K YS
Z K DIC("S"),DLAYGO I $D(X),X'=U D:$G(DE(DW,"INDEX")) SAVEVALS G:'$$KEYCHK UNIQFERR^DIE17 S DG(DW)=X S:DV["d" ^DISV(DUZ,"DIE",DLB)=X G A
X W:'$D(ZTQUEUED) $C(7),"??" I $D(DB(DQ)) G Z^DIE17
S X="?BAD"
QS S DZ=X D D,QQ^DIEQ G B
D S D=DIFLD,DQ(DQ)=DLB_U_DV_U_DU_U_DW_U_$P($T(@("X"_DQ))," ",2,99) Q
Y I '$D(DE(DQ)) D O G RD:"@"'[X,A:DV'["R"&(X="@"),X:X="@" S X=Y G N
PR S DG=DV,Y=DE(DQ),X=DU I $D(DQ(DQ,2)) X DQ(DQ,2) G RP
R I DG["P",@("$D(^"_X_"0))") S X=+$P(^(0),U,2) G RP:'$D(^(Y,0)) S Y=$P(^(0),U),X=$P(^DD(X,.01,0),U,3),DG=$P(^(0),U,2) G R
I DG["V",+Y,$P(Y,";",2)["(",$D(@(U_$P(Y,";",2)_"0)")) S X=+$P(^(0),U,2) G RP:'$D(^(+Y,0)) S Y=$P(^(0),U) I $D(^DD(+X,.01,0)) S DG=$P(^(0),U,2),X=$P(^(0),U,3) G R
X:DG["D" ^DD("DD") I DG["S" S %=$P($P(";"_X,";"_Y_":",2),";") S:%]"" Y=%
RP D O I X="" S X=DE(DQ) G A:'DV,A:DC<2,N^DIE17
I I DV'["I",DV'["#" G RD
D E^DIE0 G RD:$D(X),PR
Q
SET N DIR S DIR(0)="SV"_$E("o",$D(DB(DQ)))_U_DU,DIR("V")=1
I $D(DB(DQ)),'$D(DIQUIET) N DIQUIET S DIQUIET=1
D ^DIR I 'DDER S %=Y(0),X=Y
Q
SAVEVALS S @DIEZTMP@("V",DP,DIIENS,DIFLD,"O")=$G(DE(DQ)) S:$D(^("F"))[0 ^("F")=$G(DE(DQ))
I $D(DE(DW,"4/")) S @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/")=""
E K @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/")
Q
NKEY W:'$D(ZTQUEUED) "?? Required key field" S X="?BAD" G QS
KEYCHK() Q:$G(DE(DW,"KEY"))="" 1 Q @DE(DW,"KEY")
BEGIN S DNM="IBXPAR",DQ=1
N DIEZTMP,DIEZAR,DIEZRXR,DIIENS,DIXR K DIEFIRE,DIEBADK S DIEZTMP=$$GETTMP^DIKC1("DIEZ")
M DIEZAR=^DIE(2561,"AR") S DICRREC="TRIG^DIE17"
S:$D(DTIME)[0 DTIME=300 S D0=DA,DIIENS=DA_",",DIEZ=2561,U="^"
1 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=1 D X1 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17
X1 I '$D(IBDR) S IBDR="1,2,3,4,5"
Q
2 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=2 D X2 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17
X2 S:IBDR'["1" Y="@2"
Q
3 S DW="1;5",DV="RF",DU="",DLB="FEDERAL TAX NUMBER",DIFLD=1.05
G RE
X3 K:$L(X)>10!($L(X)<10)!'(X?2N1"-"7N) X
I $D(X),X'?.ANP K X
Q
;
4 S DW="1;6",DV="RF",DU="",DLB="BLUE CROSS/SHIELD PROVIDER #",DIFLD=1.06
G RE
X4 K:$L(X)>13!($L(X)<3) X
I $D(X),X'?.ANP K X
Q
;
5 S DW="1;21",DV="F",DU="",DLB="MEDICARE PROVIDER NUMBER",DIFLD=1.21
G RE
X5 K:$L(X)>8!($L(X)<1) X
I $D(X),X'?.ANP K X
Q
;
6 S DW="1;14",DV="RP49'",DU="",DLB="MAS SERVICE POINTER",DIFLD=1.14
S DU="DIC(49,"
G RE
X6 Q
7 S DW="1;25",DV="P40.8",DU="",DLB="DEFAULT DIVISION",DIFLD=1.25
S DU="DG(40.8,"
G RE
X7 Q
8 S DQ=9 ;@2
9 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=9 D X9 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17
X9 S:IBDR'["2" Y="@3"
Q
10 S DW="1;1",DV="F",DU="",DLB="NAME OF CLAIM FORM SIGNER",DIFLD=1.01
G RE
X10 K:$L(X)>20!($L(X)<2) X
I $D(X),X'?.ANP K X
Q
;
11 S DW="1;2",DV="F",DU="",DLB="TITLE OF CLAIM FORM SIGNER",DIFLD=1.02
G RE
X11 K:$L(X)>20!($L(X)<2) X
I $D(X),X'?.ANP K X
Q
;
12 S DW="1;8",DV="RP200'",DU="",DLB="BILLING SUPERVISOR NAME",DIFLD=1.08
S DU="VA(200,"
G RE
X12 Q
13 S DQ=14 ;@3
14 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=14 D X14 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17
X14 S:IBDR'["3" Y="@4"
Q
15 S DW="1;22",DV="S",DU="",DLB="MULTIPLE FORM TYPES",DIFLD=1.22
S DU="1:YES;0:NO;"
G RE
X15 Q
16 S DW="1;23",DV="S",DU="",DLB="CAN INITIATOR AUTHORIZE?",DIFLD=1.23
S DU="1:YES;0:NO;"
G RE
X16 Q
17 S DW="1;15",DV="S",DU="",DLB="CAN CLERK ENTER NON-PTF CODES?",DIFLD=1.15
S DU="1:YES;0:NO;"
G RE
X17 Q
18 S DW="1;16",DV="S",DU="",DLB="ASK HINQ IN MCCR",DIFLD=1.16
S DU="1:YES;0:NO;"
G RE
X18 Q
19 S DW="1;17",DV="S",DU="",DLB="USE OP CPT SCREEN?",DIFLD=1.17
S DU="1:YES;0:NO;"
G RE
X19 Q
20 S DW="1;18",DV="*P399.2'",DU="",DLB="DEFAULT AMB SURG REV CODE",DIFLD=1.18
S DU="DGCR(399.2,"
G RE
X20 S DIC("S")="I $P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
Q
;
21 S DW="1;19",DV="S",DU="",DLB="TRANSFER PROCEDURES TO SCHED?",DIFLD=1.19
S DU="1:YES;0:NO;"
G RE
X21 Q
22 S DW="0;12",DV="D",DU="",DLB="PER DIEM START DATE",DIFLD=.12
G RE
X22 S %DT="EX" D ^%DT S X=Y K:3991231<X!(2901105>X) X
Q
;
23 S DW="1;28",DV="*P399.2'",DU="",DLB="DEFAULT RX REFILL REV CODE",DIFLD=1.28
S DU="DGCR(399.2,"
G RE
X23 S DIC("S")="I $P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
Q
;
24 S DW="0;15",DV="S",DU="",DLB="SUPPRESS MT INS BULLETIN",DIFLD=.15
S DU="1:YES;0:NO;"
G RE
X24 Q
25 S DW="1;29",DV="P80'",DU="",DLB="DEFAULT RX REFILL DX",DIFLD=1.29
S DU="ICD9("
G RE
X25 Q
26 S DW="1;30",DV="P81'",DU="",DLB="DEFAULT RX REFILL CPT",DIFLD=1.3
S DU="ICPT("
G RE
X26 Q
27 S DQ=28 ;@4
28 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=28 D X28 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17
X28 S:IBDR'["4" Y="@5"
Q
29 S DW="1;10",DV="S",DU="",DLB="PRINT '001' FOR TOTAL CHARGES?",DIFLD=1.1
S DU="1:YES;0:NO;"
G RE
X29 Q
30 S DW="1;20",DV="S",DU="",DLB="HOLD MT BILLS W/INS",DIFLD=1.2
S DU="1:YES;0:NO;"
G RE
X30 Q
31 S DW="1;4",DV="F",DU="",DLB="REMARKS TO APPEAR ON EACH FORM",DIFLD=1.04
G RE
X31 K:$L(X)>39!($L(X)<2) X
I $D(X),X'?.ANP K X
Q
;
32 S DW="1;31",DV="NJ2,0",DU="",DLB="UB-92 ADDRESS COLUMN",DIFLD=1.31
G RE
X32 K:+X'=X!(X>80)!(X<1)!(X?.E1"."1N.N) X
Q
;
33 S DW="2;7",DV="F",DU="",DLB="CANCELLATION REMARK FOR FISCAL",DIFLD=2.07
G RE
X33 K:$L(X)>75!($L(X)<3)!'(X?1A.E) X
I $D(X),X'?.ANP K X
Q
;
34 S DW="1;27",DV="NJ2,0",DU="",DLB="HCFA 1500 ADDRESS COLUMN",DIFLD=1.27
G RE
X34 K:+X'=X!(X>80)!(X<1)!(X?.E1"."1N.N) X
Q
;
35 S DW="1;7",DV="P3.8'",DU="",DLB="BILL CANCELLATION MAILGROUP",DIFLD=1.07
S DU="XMB(3.8,"
G RE
X35 Q
36 D:$D(DG)>9 F^DIE17 G ^IBXPAR1
IBXPAR ; GENERATED FROM 'IB EDIT MCCR PARM' INPUT TEMPLATE(#2561), FILE 350.9;11/29/04
+1 DO DE
GOTO BEGIN
DE SET DIE="^IBE(350.9,"
SET DIC=DIE
SET DP=350.9
SET DL=1
SET DIEL=0
SET DU=""
KILL DG,DE,DB
IF $ORDER(^IBE(350.9,DA,""))=""
QUIT
+1 IF $DATA(^(0))
SET %Z=^(0)
SET %=$PIECE(%Z,U,12)
IF %]""
SET DE(22)=%
SET %=$PIECE(%Z,U,15)
IF %]""
SET DE(24)=%
+2 IF $DATA(^(1))
SET %Z=^(1)
SET %=$PIECE(%Z,U,1)
IF %]""
SET DE(10)=%
SET %=$PIECE(%Z,U,2)
IF %]""
SET DE(11)=%
SET %=$PIECE(%Z,U,4)
IF %]""
SET DE(31)=%
SET %=$PIECE(%Z,U,5)
IF %]""
SET DE(3)=%
SET %=$PIECE(%Z,U,6)
IF %]""
SET DE(4)=%
SET %=$PIECE(%Z,U,7)
IF %]""
SET DE(35)=%
SET %=$PIECE(%Z,U,8)
IF %]""
SET DE(12)=%
+3 IF $TEST
SET %=$PIECE(%Z,U,10)
IF %]""
SET DE(29)=%
SET %=$PIECE(%Z,U,14)
IF %]""
SET DE(6)=%
SET %=$PIECE(%Z,U,15)
IF %]""
SET DE(17)=%
SET %=$PIECE(%Z,U,16)
IF %]""
SET DE(18)=%
SET %=$PIECE(%Z,U,17)
IF %]""
SET DE(19)=%
SET %=$PIECE(%Z,U,18)
IF %]""
SET DE(20)=%
SET %=$PIECE(%Z,U,19)
IF %]""
SET DE(21)=%
+4 IF $TEST
SET %=$PIECE(%Z,U,20)
IF %]""
SET DE(30)=%
SET %=$PIECE(%Z,U,21)
IF %]""
SET DE(5)=%
SET %=$PIECE(%Z,U,22)
IF %]""
SET DE(15)=%
SET %=$PIECE(%Z,U,23)
IF %]""
SET DE(16)=%
SET %=$PIECE(%Z,U,25)
IF %]""
SET DE(7)=%
SET %=$PIECE(%Z,U,27)
IF %]""
SET DE(34)=%
SET %=$PIECE(%Z,U,28)
IF %]""
SET DE(23)=%
+5 IF $TEST
SET %=$PIECE(%Z,U,29)
IF %]""
SET DE(25)=%
SET %=$PIECE(%Z,U,30)
IF %]""
SET DE(26)=%
SET %=$PIECE(%Z,U,31)
IF %]""
SET DE(32)=%
+6 IF $DATA(^(2))
SET %Z=^(2)
SET %=$PIECE(%Z,U,7)
IF %]""
SET DE(33)=%
+7 KILL %Z
QUIT
+8 ;
W WRITE !?DL+DL-2,DLB_": "
+1 QUIT
O DO W
WRITE Y
IF $X>45
WRITE !?9
+1 IF $LENGTH(Y)>19
IF 'DV
IF DV'["I"
IF (DV["F"!(DV["K"))
GOTO RW^DIR2
+2 IF Y]""
WRITE "// "
IF 'DV
IF DV["I"
IF $DATA(DE(DQ))#2
SET X=""
WRITE " (No Editing)"
QUIT
TR READ X:DTIME
IF '$TEST
SET (DTOUT,X)=U
WRITE $CHAR(7)
+1 QUIT
A KILL DQ(DQ)
SET DQ=DQ+1
B GOTO @DQ
RE IF $DATA(DE(DQ))
GOTO PR
DO W
DO TR
N IF X=""
IF $DATA(^DD("KEY","F",DP,DIFLD))
GOTO NKEY
IF DV'["R"
GOTO A
IF 'DV
GOTO X
IF D'>0
GOTO X
GOTO A
RD IF X?."?"
GOTO QS
IF X["^"
DO D
GOTO ^DIE17
+1 IF X="@"
DO D
GOTO Z^DIE2
+2 IF X=" "
IF DV["d"
IF DV'["P"
IF $DATA(^DISV(DUZ,"DIE",DLB))
SET X=^(DLB)
IF DV'["D"
IF DV'["S"
WRITE " "_X
T IF DV
GOTO M^DIE17
IF DV["V"
GOTO ^DIE3
IF DV'["S"
GOTO P
IF $DATA(^DD(DP,DIFLD,12.1))
XECUTE ^(12.1)
IF X?.ANP
DO SET
IF 'DDER
IF $DATA(DIC("S"))
XECUTE DIC("S")
IF $TEST
IF '$DATA(DB(DQ))
WRITE " "_%
GOTO V
+1 KILL DDER
GOTO X
P IF DV["P"
SET DIC=U_DU
SET DIC(0)=$EXTRACT("EN",$DATA(DB(DQ))+1)_"M"_$EXTRACT("L",DV'["'")
IF DIC(0)["L"
SET DLAYGO=+$PIECE(DV,"P",2)
IF DV["*"
GOTO AST^DIED
DO NOSCR^DIED
SET X=+Y
SET DIC=DIE
IF X<0
GOTO X
+1 IF DV'["N"
GOTO V
DO D
IF $LENGTH($PIECE(X,"."))>24
KILL X
GOTO Z
+2 IF $PIECE(DQ(DQ),U,5)'["$"
IF X?.1"-".N.1".".N
IF $PIECE(DQ(DQ),U,5,99)["+X'=X"
SET X=+X
V DO @("X"_DQ)
KILL YS
Z KILL DIC("S"),DLAYGO
IF $DATA(X)
IF X'=U
IF $GET(DE(DW,"INDEX"))
DO SAVEVALS
IF '$$KEYCHK
GOTO UNIQFERR^DIE17
SET DG(DW)=X
IF DV["d"
SET ^DISV(DUZ,"DIE",DLB)=X
GOTO A
X IF '$DATA(ZTQUEUED)
WRITE $CHAR(7),"??"
IF $DATA(DB(DQ))
GOTO Z^DIE17
+1 SET X="?BAD"
QS SET DZ=X
DO D
DO QQ^DIEQ
GOTO B
D SET D=DIFLD
SET DQ(DQ)=DLB_U_DV_U_DU_U_DW_U_$PIECE($TEXT(@("X"_DQ))," ",2,99)
QUIT
Y IF '$DATA(DE(DQ))
DO O
IF "@"'[X
GOTO RD
IF DV'["R"&(X="@")
GOTO A
IF X="@"
GOTO X
SET X=Y
GOTO N
PR SET DG=DV
SET Y=DE(DQ)
SET X=DU
IF $DATA(DQ(DQ,2))
XECUTE DQ(DQ,2)
GOTO RP
R IF DG["P"
IF @("$D(^"_X_"0))")
SET X=+$PIECE(^(0),U,2)
IF '$DATA(^(Y,0))
GOTO RP
SET Y=$PIECE(^(0),U)
SET X=$PIECE(^DD(X,.01,0),U,3)
SET DG=$PIECE(^(0),U,2)
GOTO R
+1 IF DG["V"
IF +Y
IF $PIECE(Y,";",2)["("
IF $DATA(@(U_$PIECE(Y,";",2)_"0)"))
SET X=+$PIECE(^(0),U,2)
IF '$DATA(^(+Y,0))
GOTO RP
SET Y=$PIECE(^(0),U)
IF $DATA(^DD(+X,.01,0))
SET DG=$PIECE(^(0),U,2)
SET X=$PIECE(^(0),U,3)
GOTO R
+2 IF DG["D"
XECUTE ^DD("DD")
IF DG["S"
SET %=$PIECE($PIECE(";"_X,";"_Y_":",2),";")
IF %]""
SET Y=%
RP DO O
IF X=""
SET X=DE(DQ)
IF 'DV
GOTO A
IF DC<2
GOTO A
GOTO N^DIE17
I IF DV'["I"
IF DV'["#"
GOTO RD
+1 DO E^DIE0
IF $DATA(X)
GOTO RD
GOTO PR
+2 QUIT
SET NEW DIR
SET DIR(0)="SV"_$EXTRACT("o",$DATA(DB(DQ)))_U_DU
SET DIR("V")=1
+1 IF $DATA(DB(DQ))
IF '$DATA(DIQUIET)
NEW DIQUIET
SET DIQUIET=1
+2 DO ^DIR
IF 'DDER
SET %=Y(0)
SET X=Y
+3 QUIT
SAVEVALS SET @DIEZTMP@("V",DP,DIIENS,DIFLD,"O")=$GET(DE(DQ))
IF $DATA(^("F"))[0
SET ^("F")=$GET(DE(DQ))
+1 IF $DATA(DE(DW,"4/"))
SET @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/")=""
+2 IF '$TEST
KILL @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/")
+3 QUIT
NKEY IF '$DATA(ZTQUEUED)
WRITE "?? Required key field"
SET X="?BAD"
GOTO QS
KEYCHK() IF $GET(DE(DW,"KEY"))=""
QUIT 1
QUIT @DE(DW,"KEY")
BEGIN SET DNM="IBXPAR"
SET DQ=1
+1 NEW DIEZTMP,DIEZAR,DIEZRXR,DIIENS,DIXR
KILL DIEFIRE,DIEBADK
SET DIEZTMP=$$GETTMP^DIKC1("DIEZ")
+2 MERGE DIEZAR=^DIE(2561,"AR")
SET DICRREC="TRIG^DIE17"
+3 IF $DATA(DTIME)[0
SET DTIME=300
SET D0=DA
SET DIIENS=DA_","
SET DIEZ=2561
SET U="^"
1 IF $DATA(DG)>9
DO F^DIE17
DO DE
SET Y=U
SET DQ=1
DO X1
IF $DATA(DIEFIRE)#2
DO FIREREC^DIE17
IF $DATA(Y)[0
GOTO A
IF Y=U
GOTO A
SET X=Y
SET DIC(0)="F"
SET DW=DQ
GOTO OUT^DIE17
X1 IF '$DATA(IBDR)
SET IBDR="1,2,3,4,5"
+1 QUIT
2 IF $DATA(DG)>9
DO F^DIE17
DO DE
SET Y=U
SET DQ=2
DO X2
IF $DATA(DIEFIRE)#2
DO FIREREC^DIE17
IF $DATA(Y)[0
GOTO A
IF Y=U
GOTO A
SET X=Y
SET DIC(0)="F"
SET DW=DQ
GOTO OUT^DIE17
X2 IF IBDR'["1"
SET Y="@2"
+1 QUIT
3 SET DW="1;5"
SET DV="RF"
SET DU=""
SET DLB="FEDERAL TAX NUMBER"
SET DIFLD=1.05
+1 GOTO RE
X3 IF $LENGTH(X)>10!($LENGTH(X)<10)!'(X?2N1"-"7N)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
4 SET DW="1;6"
SET DV="RF"
SET DU=""
SET DLB="BLUE CROSS/SHIELD PROVIDER #"
SET DIFLD=1.06
+1 GOTO RE
X4 IF $LENGTH(X)>13!($LENGTH(X)<3)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
5 SET DW="1;21"
SET DV="F"
SET DU=""
SET DLB="MEDICARE PROVIDER NUMBER"
SET DIFLD=1.21
+1 GOTO RE
X5 IF $LENGTH(X)>8!($LENGTH(X)<1)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
6 SET DW="1;14"
SET DV="RP49'"
SET DU=""
SET DLB="MAS SERVICE POINTER"
SET DIFLD=1.14
+1 SET DU="DIC(49,"
+2 GOTO RE
X6 QUIT
7 SET DW="1;25"
SET DV="P40.8"
SET DU=""
SET DLB="DEFAULT DIVISION"
SET DIFLD=1.25
+1 SET DU="DG(40.8,"
+2 GOTO RE
X7 QUIT
8 ;@2
SET DQ=9
9 IF $DATA(DG)>9
DO F^DIE17
DO DE
SET Y=U
SET DQ=9
DO X9
IF $DATA(DIEFIRE)#2
DO FIREREC^DIE17
IF $DATA(Y)[0
GOTO A
IF Y=U
GOTO A
SET X=Y
SET DIC(0)="F"
SET DW=DQ
GOTO OUT^DIE17
X9 IF IBDR'["2"
SET Y="@3"
+1 QUIT
10 SET DW="1;1"
SET DV="F"
SET DU=""
SET DLB="NAME OF CLAIM FORM SIGNER"
SET DIFLD=1.01
+1 GOTO RE
X10 IF $LENGTH(X)>20!($LENGTH(X)<2)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
11 SET DW="1;2"
SET DV="F"
SET DU=""
SET DLB="TITLE OF CLAIM FORM SIGNER"
SET DIFLD=1.02
+1 GOTO RE
X11 IF $LENGTH(X)>20!($LENGTH(X)<2)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
12 SET DW="1;8"
SET DV="RP200'"
SET DU=""
SET DLB="BILLING SUPERVISOR NAME"
SET DIFLD=1.08
+1 SET DU="VA(200,"
+2 GOTO RE
X12 QUIT
13 ;@3
SET DQ=14
14 IF $DATA(DG)>9
DO F^DIE17
DO DE
SET Y=U
SET DQ=14
DO X14
IF $DATA(DIEFIRE)#2
DO FIREREC^DIE17
IF $DATA(Y)[0
GOTO A
IF Y=U
GOTO A
SET X=Y
SET DIC(0)="F"
SET DW=DQ
GOTO OUT^DIE17
X14 IF IBDR'["3"
SET Y="@4"
+1 QUIT
15 SET DW="1;22"
SET DV="S"
SET DU=""
SET DLB="MULTIPLE FORM TYPES"
SET DIFLD=1.22
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X15 QUIT
16 SET DW="1;23"
SET DV="S"
SET DU=""
SET DLB="CAN INITIATOR AUTHORIZE?"
SET DIFLD=1.23
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X16 QUIT
17 SET DW="1;15"
SET DV="S"
SET DU=""
SET DLB="CAN CLERK ENTER NON-PTF CODES?"
SET DIFLD=1.15
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X17 QUIT
18 SET DW="1;16"
SET DV="S"
SET DU=""
SET DLB="ASK HINQ IN MCCR"
SET DIFLD=1.16
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X18 QUIT
19 SET DW="1;17"
SET DV="S"
SET DU=""
SET DLB="USE OP CPT SCREEN?"
SET DIFLD=1.17
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X19 QUIT
20 SET DW="1;18"
SET DV="*P399.2'"
SET DU=""
SET DLB="DEFAULT AMB SURG REV CODE"
SET DIFLD=1.18
+1 SET DU="DGCR(399.2,"
+2 GOTO RE
X20 SET DIC("S")="I $P(^(0),U,3)"
DO ^DIC
KILL DIC
SET DIC=DIE
SET X=+Y
IF Y<0
KILL X
+1 QUIT
+2 ;
21 SET DW="1;19"
SET DV="S"
SET DU=""
SET DLB="TRANSFER PROCEDURES TO SCHED?"
SET DIFLD=1.19
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X21 QUIT
22 SET DW="0;12"
SET DV="D"
SET DU=""
SET DLB="PER DIEM START DATE"
SET DIFLD=.12
+1 GOTO RE
X22 SET %DT="EX"
DO ^%DT
SET X=Y
IF 3991231<X!(2901105>X)
KILL X
+1 QUIT
+2 ;
23 SET DW="1;28"
SET DV="*P399.2'"
SET DU=""
SET DLB="DEFAULT RX REFILL REV CODE"
SET DIFLD=1.28
+1 SET DU="DGCR(399.2,"
+2 GOTO RE
X23 SET DIC("S")="I $P(^(0),U,3)"
DO ^DIC
KILL DIC
SET DIC=DIE
SET X=+Y
IF Y<0
KILL X
+1 QUIT
+2 ;
24 SET DW="0;15"
SET DV="S"
SET DU=""
SET DLB="SUPPRESS MT INS BULLETIN"
SET DIFLD=.15
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X24 QUIT
25 SET DW="1;29"
SET DV="P80'"
SET DU=""
SET DLB="DEFAULT RX REFILL DX"
SET DIFLD=1.29
+1 SET DU="ICD9("
+2 GOTO RE
X25 QUIT
26 SET DW="1;30"
SET DV="P81'"
SET DU=""
SET DLB="DEFAULT RX REFILL CPT"
SET DIFLD=1.3
+1 SET DU="ICPT("
+2 GOTO RE
X26 QUIT
27 ;@4
SET DQ=28
28 IF $DATA(DG)>9
DO F^DIE17
DO DE
SET Y=U
SET DQ=28
DO X28
IF $DATA(DIEFIRE)#2
DO FIREREC^DIE17
IF $DATA(Y)[0
GOTO A
IF Y=U
GOTO A
SET X=Y
SET DIC(0)="F"
SET DW=DQ
GOTO OUT^DIE17
X28 IF IBDR'["4"
SET Y="@5"
+1 QUIT
29 SET DW="1;10"
SET DV="S"
SET DU=""
SET DLB="PRINT '001' FOR TOTAL CHARGES?"
SET DIFLD=1.1
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X29 QUIT
30 SET DW="1;20"
SET DV="S"
SET DU=""
SET DLB="HOLD MT BILLS W/INS"
SET DIFLD=1.2
+1 SET DU="1:YES;0:NO;"
+2 GOTO RE
X30 QUIT
31 SET DW="1;4"
SET DV="F"
SET DU=""
SET DLB="REMARKS TO APPEAR ON EACH FORM"
SET DIFLD=1.04
+1 GOTO RE
X31 IF $LENGTH(X)>39!($LENGTH(X)<2)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
32 SET DW="1;31"
SET DV="NJ2,0"
SET DU=""
SET DLB="UB-92 ADDRESS COLUMN"
SET DIFLD=1.31
+1 GOTO RE
X32 IF +X'=X!(X>80)!(X<1)!(X?.E1"."1N.N)
KILL X
+1 QUIT
+2 ;
33 SET DW="2;7"
SET DV="F"
SET DU=""
SET DLB="CANCELLATION REMARK FOR FISCAL"
SET DIFLD=2.07
+1 GOTO RE
X33 IF $LENGTH(X)>75!($LENGTH(X)<3)!'(X?1A.E)
KILL X
+1 IF $DATA(X)
IF X'?.ANP
KILL X
+2 QUIT
+3 ;
34 SET DW="1;27"
SET DV="NJ2,0"
SET DU=""
SET DLB="HCFA 1500 ADDRESS COLUMN"
SET DIFLD=1.27
+1 GOTO RE
X34 IF +X'=X!(X>80)!(X<1)!(X?.E1"."1N.N)
KILL X
+1 QUIT
+2 ;
35 SET DW="1;7"
SET DV="P3.8'"
SET DU=""
SET DLB="BILL CANCELLATION MAILGROUP"
SET DIFLD=1.07
+1 SET DU="XMB(3.8,"
+2 GOTO RE
X35 QUIT
36 IF $DATA(DG)>9
DO F^DIE17
GOTO ^IBXPAR1
