ABMDF28X ; IHS/SD/SDR - PRINT UB-04 ;
Source file <ABMDF28X.m>
| Package | Total | Caller Graph | 
|---|---|---|
| Third Party Billing | 2 | ABMDF28 ABMDF28Y | 
| 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-line 1 | |
| 3 | ; ; Provider city, state, zip -- form locator #1-line 3 | |
| 2 | ; | |
| 4 | ; | |
| 6 | ; ; Patient's name and mailing address | |
| TEST | ; ; EP;Test forms allignment | |
| 8 | ; | 
| Name | Field # of Occurrence | 
|---|---|
| TEST^ABMDF28W | TEST+2 | 
| WRT^ABMDF28W | 1+7, 1+10, 1+13, 2+8, 2+13, 2+17, 2+19, 3+17, 3+25, 4+11 , 4+14, 4+16, 4+18, 6+11, 6+16, 6+18, 6+20, 6+22, 8+13, 8+15 , 8+18, 8+20, 8+25, 8+32, 8+34, 8+36, 8+39, 8+41, 8+43, 8+45 , 8+47, 8+49, 8+51, 8+53, 8+55, 8+57, 8+59, 8+62, 10+16, 10+18 , 10+21, 10+23, 10+26, 10+28, 10+31, 10+33, 10+36, 10+38, 10+40, 10+43 , 10+45, 10+47, 10+51, 11+4, 11+6, 11+9, 11+11, 11+14, 11+16, 11+19 , 11+21, 11+24, 11+26, 11+28, 11+31, 11+33, 11+35, 12+23, 12+31, 12+35 , 12+39, 12+46, 12+66 | 
| ^ABMDF28Y | OTHER+1 | 
| 13^ABMDF28Y | 12+70 | 
| ^ABMDF28Z | OTHER+1 | 
| 110^ABMER10 | 4+2 | 
| 120^ABMER10 | 1+4 | 
| 130^ABMER10 | 2+3, 2+9 | 
| 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 | 1+11 | 
| 200^ABMER30 | 4+6 | 
| 210^ABMER30 | 4+7 | 
| 220^ABMER30 | 4+8 | 
| 230^ABMER30 | 4+9 | 
| PRVT^ABMERINS | 12+20 | 
| $$RCID^ABMERUTL | 1+9, 2+11, 3+15, 3+23, 6+14, 8+18, 8+24, 8+30 | 
| ISET^ABMERUTL | 12+28 | 
| $$EN^ABMVDF | OTHER+2 | 
| $$GET1^DIQ | 12+30, 12+34 | 
| 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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| Function Call: WRITE | 
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| FileNo | Call Tags | 
|---|---|
| 9000003.11 | GET1^DIQ | 
| ^AUPNMCD - [#9000004] | GET1^DIQ | 
| Name | Line Occurrences (* Changed, ! Killed) | 
|---|---|
| ^ABMDBILL( | 8+61, 10+49, 12+14, 12+16, 12+17 | 
| ^ABMDCODE - [#9002274.03] | 10+51 | 
| ^ABMDEXP(28 | ABMDF28X+20 | 
| ^ABMDPARM( | 12+7 | 
| ^ABMNINS( | 12+6 | 
| ^AUPNPAT - [#9000001] | 2+14, 2+15 | 
| ^AUTNINS - [#9999999.18] | 8+23, 8+24, 8+29, 8+30, 8+31, 12+50, 12+51, 12+53, 12+55, 12+56 , 12+58, 12+62, 12+63, 12+64 | 
| ^DIC(4 - [#4] | 1+6, 2+5, 2+6, 3+9, 3+10, 3+12 | 
| ^DIC(5 - [#5] | 3+12, 8+62 | 
| Name | Line Occurrences | 
|---|---|
| @( | 6+6, 6+9, 8+5, 8+8, 8+11, 10+5, 10+8, 10+11, 10+14 | 
| >> | Not killed explicitly | 
| * | Changed | 
| ! | Killed | 
| ~ | Newed | 
| Name | Field # of Occurrence | 
|---|---|
| ABM | ABMDF28X+19!, OTHER+3! | 
| ABM( | 12+21, 12+22 | 
| >> ABM38FLG | 12+5*, 12+6*, 12+7*, 12+8, 12+42, 12+68 | 
| >> ABMCDNUM | 12+34 | 
| >> ABMDE | 1+6*, 1+8*, 1+9*, 1+12*, 2+7*, 2+10*, 2+11*, 2+12*, 2+16*, 2+18* , 3+14*, 3+15*, 3+16*, 3+22*, 3+23*, 3+24*, 4+10*, 4+13*, 4+15*, 4+17* , 6+10*, 6+15*, 6+17*, 6+19*, 6+21*, 8+12*, 8+14*, 8+16*, 8+19*, 8+22* , 8+23*, 8+24*, 8+27*, 8+29*, 8+30*, 8+31*, 8+33*, 8+35*, 8+38*, 8+40* , 8+42*, 8+44*, 8+46*, 8+48*, 8+50*, 8+52*, 8+54*, 8+56*, 8+58*, 8+61* , 8+62*, 10+15*, 10+17*, 10+20*, 10+22*, 10+25*, 10+27*, 10+30*, 10+32*, 10+35* , 10+37*, 10+39*, 10+42*, 10+44*, 10+46*, 10+49*, 10+51*, 11+3*, 11+5*, 11+8* , 11+10*, 11+13*, 11+15*, 11+18*, 11+20*, 11+23*, 11+25*, 11+27*, 11+30*, 11+32* , 11+34*, 12+21*, 12+22*, 12+30*, 12+34*, 12+38*, 12+45*, 12+65* | 
| ABME | OTHER+3! | 
| ABME("INS" | 12+17* | 
| ABME("INS#" | 12+29 | 
| ABME("INSIEN" | 12+18*, 12+19 | 
| ABME("PH" | 12+21, 12+22 | 
| >> ABMI | 12+60*, 12+61*, 12+62, 12+63, 12+64 | 
| ABMICTY | 12+62*, OTHER+4! | 
| ABMINM | 12+51*, 12+53*, 12+65, OTHER+4! | 
| >> ABMINMF | 12+48*, 12+52*, 12+55, 12+60 | 
| ABMIST | 12+63*, OTHER+4! | 
| ABMISTR | 12+56*, 12+58*, OTHER+4! | 
| >> ABMISTRF | 12+48*, 12+57*, 12+60 | 
| ABMIZIP | 12+64*, OTHER+4! | 
| >> ABMLCTY | 3+11*, 3+14 | 
| >> ABMLST | 3+12*, 3+14 | 
| >> ABMLZIP | 3+13*, 3+14 | 
| >> ABMORE | 12+69, 12+71 | 
| >> ABMP( | 12+29 | 
| >> ABMP("BDFN" | 8+61, 10+49, 12+14, 12+16, 12+17 | 
| >> ABMP("BTYP" | 2+18 | 
| >> ABMP("CDAYS" | 4+19* | 
| >> ABMP("HRN" | 2+14*, 2+15*, 2+16 | 
| >> ABMP("INS" | 1+9, 2+11, 3+15, 3+23, 6+14, 8+18, 8+23, 8+24, 8+29, 8+30 , 8+31, 12+6, 12+50, 12+51, 12+53, 12+55, 12+56, 12+58, 12+62, 12+63 , 12+64 | 
| >> ABMP("ITYPE" | 12+10, 12+27, 12+33, 12+37, 12+44 | 
| >> ABMP("LDFN" | 1+6, 2+5, 2+6, 2+14, 3+9, 3+10, 3+12, 12+6 | 
| >> ABMP("LM" | ABMDF28X+20* | 
| >> ABMP("NOFMT" | 1+3*, 6+23* | 
| >> ABMP("PDFN" | 2+14, 2+15, 12+29 | 
| >> ABMP("PNAME" | 6+3!, 6+13*, 6+14*, 6+15, 12+38, 12+45 | 
| >> ABMP("VTYP" | 1+5, 2+4, 2+12, 3+16, 3+24, 4+12, 8+18, 8+31, 12+6 | 
| ABMR | 8+2!, 10+2!, OTHER+3! | 
| ABMR(10 | 1+5*, 1+8, 2+4*, 2+10, 3+6, 3+7*, 3+19, 3+20*, 3+22, 4+10 , 4+12*, 4+13 | 
| ABMR(20 | 1+12, 4+15, 4+17, 6+10, 6+13, 6+14, 6+17, 6+19, 6+21, 8+12 , 8+14, 8+16, 8+19, 8+21*, 8+22, 8+23, 8+24, 8+26*, 8+27, 8+29 , 8+30, 8+33, 8+35 | 
| ABMR(30 | 4+19 | 
| ABMR(40 | 10+15, 10+17, 10+20, 10+22, 10+25, 10+27, 10+30, 10+32, 10+35, 10+37 , 10+39, 10+42, 10+44, 10+46, 11+3, 11+5, 11+8, 11+10, 11+13, 11+15 , 11+18, 11+20, 11+23, 11+25, 11+27, 11+30, 11+32, 11+34 | 
| ABMR(41 | 8+38, 8+40, 8+42, 8+44, 8+46, 8+48, 8+50, 8+52, 8+54, 8+56 , 8+58 | 
| ABMREC | OTHER+3! | 
| >> ABMVLOC | 2+6*, 2+7, 3+10*, 3+11, 3+13 | 
| DUZ(2 | 1+5, 2+4, 2+12, 2+15, 3+16, 3+24, 4+12, 8+61, 10+49, 12+7 , 12+14, 12+16, 12+17 | 
| 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, 10+10*, 10+11, 10+12~, 10+13*, 10+14, 11+2~, 12+12~, 12+13*, 12+14* , 12+16, 12+17, 12+18 | 
| >> IENS | 12+29*, 12+30 | 
| U | 1+6, 2+7, 2+14, 2+15, 3+11, 3+12, 3+13, 8+23, 8+24, 8+29 , 8+30, 8+31, 8+61, 8+62, 10+49, 10+51, 12+6, 12+7, 12+17, 12+22 , 12+29, 12+50, 12+51, 12+53, 12+55, 12+56, 12+58, 12+62, 12+63, 12+64 |