ABMDF11X ; IHS/ASDST/DMJ - PRINT UB92 ;
Source file <ABMDF11X.m>
| Package | Total | Caller Graph | 
|---|---|---|
| Third Party Billing | 2 | ABMDF11 ABMDF11Y | 
| Name | Comments | DBIA/ICR reference | 
|---|---|---|
| 11 | ; | |
| 10 | ; | |
| 12 | ; ; If private insurance and relationship of policy holder to patient ; is not self, write name of policy holder | |
| OTHER | ;DO OTHER ROUTINES & QUIT | |
| 1 | ; EP ; Provider name -- form locator #1 | |
| 3 | ; ; Provider city, state, zip -- form locator #1 | |
| 2 | ; ; Provider address, Patient control number, Bill type | |
| 4 | ; | |
| 6 | ; ; Patient's name and mailing address | |
| TEST | ; ; EP;Test forms allignment | |
| 8 | ; | 
| Name | Field # of Occurrence | 
|---|---|
| TEST^ABMDF11W | TEST+2 | 
| WRT^ABMDF11W | 1+7, 2+7, 2+9, 2+11, 3+11, 4+11, 4+14, 4+16, 4+18, 4+21 , 4+23, 4+25, 4+27, 6+15, 6+17, 8+13, 8+15, 8+17, 8+19, 8+21 , 8+24, 8+28, 8+30, 8+32, 8+34, 8+36, 8+38, 8+40, 8+42, 8+44 , 8+46, 8+48, 10+10, 10+12, 10+14, 10+16, 10+18, 10+20, 10+22, 10+24 , 10+26, 10+28, 10+30, 11+10, 11+12, 11+14, 11+16, 11+18, 11+20, 11+22 , 11+24, 11+26, 11+28, 11+30, 11+33, 12+18, 12+40 | 
| ^ABMDF11Y | OTHER+1 | 
| 13^ABMDF11Y | 12+44 | 
| ^ABMDF11Z | OTHER+1 | 
| 110^ABMER10 | 4+2 | 
| 120^ABMER10 | 1+4 | 
| 130^ABMER10 | 2+3 | 
| 140^ABMER10 | 3+3 | 
| 150^ABMER10 | 3+4 | 
| 160^ABMER10 | 3+5 | 
| 40^ABMER10 | 4+3 | 
| 190^ABMER20 | 4+4 | 
| 200^ABMER20 | 4+5 | 
| 30^ABMER20 | 2+4 | 
| 200^ABMER30 | 4+6 | 
| 210^ABMER30 | 4+7 | 
| 220^ABMER30 | 4+8 | 
| 230^ABMER30 | 4+9 | 
| PRVT^ABMERINS | 12+15 | 
| $$EN^ABMVDF | OTHER+2 | 
| Name | Line Occurrences | 
|---|---|
| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Function Call: WRITE | 
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| Name | Line Occurrences (* Changed, ! Killed) | 
|---|---|
| ^ABMDBILL( | 11+31, 12+9, 12+11, 12+12 | 
| ^ABMDEXP(11 | ABMDF11X+29 | 
| ^ABMDPARM( | 12+4 | 
| ^AUTNINS - [#9999999.18] | 8+27, 12+24, 12+25, 12+27, 12+29, 12+30, 12+32, 12+36, 12+37, 12+38 | 
| Name | Line Occurrences | 
|---|---|
| @( | 6+6, 6+9, 8+5, 8+8, 8+11, 10+5, 10+8, 11+5, 11+8 | 
| >> | Not killed explicitly | 
| * | Changed | 
| ! | Killed | 
| ~ | Newed | 
| Name | Field # of Occurrence | 
|---|---|
| ABM | ABMDF11X+28!, OTHER+3! | 
| ABM( | 12+16, 12+17 | 
| >> ABM38FLG | 12+4*, 12+5, 12+21, 12+42 | 
| >> ABMDE | 1+6*, 2+6*, 2+8*, 2+10*, 3+9*, 3+10*, 4+10*, 4+13*, 4+15*, 4+17* , 4+19*, 4+22*, 4+24*, 4+26*, 6+14*, 6+16*, 8+12*, 8+14*, 8+16*, 8+18* , 8+20*, 8+23*, 8+26*, 8+27*, 8+29*, 8+31*, 8+33*, 8+35*, 8+37*, 8+39* , 8+41*, 8+43*, 8+45*, 8+47*, 10+9*, 10+11*, 10+13*, 10+15*, 10+17*, 10+19* , 10+21*, 10+23*, 10+25*, 10+27*, 10+29*, 11+9*, 11+11*, 11+13*, 11+15*, 11+17* , 11+19*, 11+21*, 11+23*, 11+25*, 11+27*, 11+29*, 11+31*, 11+32*, 12+16*, 12+17* , 12+39* | 
| ABME | OTHER+3! | 
| ABME("INS" | 12+12* | 
| ABME("INSIEN" | 12+13*, 12+14 | 
| ABME("PH" | 12+16, 12+17 | 
| >> ABMI | 12+34*, 12+35*, 12+36, 12+37, 12+38 | 
| ABMICTY | 12+36*, OTHER+4! | 
| ABMINM | 12+25*, 12+27*, 12+39, OTHER+4! | 
| >> ABMINMF | 12+22*, 12+26*, 12+29, 12+34 | 
| ABMIST | 12+37*, OTHER+4! | 
| ABMISTR | 12+30*, 12+32*, OTHER+4! | 
| >> ABMISTRF | 12+22*, 12+31*, 12+34 | 
| ABMIZIP | 12+38*, OTHER+4! | 
| >> ABMORE | 12+43, 12+45 | 
| >> ABMP("BDFN" | 11+31, 12+9, 12+11, 12+12 | 
| >> ABMP("BTYP" | 2+10 | 
| >> ABMP("CDAYS" | 4+20* | 
| >> ABMP("INS" | 8+27, 12+24, 12+25, 12+27, 12+29, 12+30, 12+32, 12+36, 12+37, 12+38 | 
| >> ABMP("ITYPE" | 12+6 | 
| >> ABMP("LM" | ABMDF11X+29* | 
| >> ABMP("NOFMT" | 1+3*, 6+18* | 
| >> ABMP("PNAME" | 6+3!, 6+13*, 6+14 | 
| >> ABMP("VTYP" | 1+5, 2+5, 3+10, 4+12, 8+27 | 
| ABMR | 8+2!, 10+2!, 11+2!, OTHER+3! | 
| ABMR(10 | 1+5*, 1+6, 2+5*, 2+6, 3+6, 3+7*, 3+9, 4+10, 4+12*, 4+13 | 
| ABMR(20 | 2+8, 4+15, 4+17, 6+10, 6+11*, 6+13, 6+16, 8+12, 8+14, 8+16 , 8+18, 8+20, 8+22*, 8+23, 8+25*, 8+26, 8+29, 8+31, 8+33 | 
| ABMR(30 | 4+19, 4+20, 4+21, 4+22, 4+23, 4+24, 4+26 | 
| ABMR(40 | 10+9, 10+11, 10+13, 10+15, 10+17, 10+19, 10+21, 10+23, 10+25, 10+27 , 10+29, 11+9, 11+11, 11+13, 11+15, 11+17, 11+19, 11+21, 11+23, 11+25 , 11+27, 11+29 | 
| ABMR(41 | 8+35, 8+37, 8+39, 8+41, 8+43, 8+45, 8+47 | 
| ABMREC | OTHER+3! | 
| DUZ(2 | 1+5, 2+5, 3+10, 4+12, 11+31, 12+4, 12+9, 12+11, 12+12 | 
| I | 6+4~, 6+5*, 6+6, 6+7~, 6+8*, 6+9, 8+3~, 8+4*, 8+5, 8+6~ , 8+7*, 8+8, 8+9~, 8+10*, 8+11, 10+3~, 10+4*, 10+5, 10+6~, 10+7* , 10+8, 11+3~, 11+4*, 11+5, 11+6~, 11+7*, 11+8, 12+7~, 12+8*, 12+9* , 12+11, 12+12, 12+13 | 
| U | 8+27, 11+31, 12+4, 12+17, 12+24, 12+25, 12+27, 12+29, 12+30, 12+32 , 12+36, 12+37, 12+38 |