ABME5AMT.m

ABME5AMT ; IHS/ASDST/DMJ - 837 AMT Segment 

 ;;2.6;IHS Third Party Billing System;**6,8**;NOV 12, 2009

 ;Transaction Set Header

 ;

EP(X) ;EP HERE

 ; x=entity identifier

 S ABMEIC=X

 K ABMREC("AMT"),ABMR("AMT")

 S ABME("RTYPE")="AMT"

 D LOOP

 K ABME,ABM,ABMEIC

 Q

LOOP ;LOOP HERE

 F I=10:10:40 D

 .D @I

 .I $D(^ABMEXLM("AA",+$G(ABMP("INS")),+$G(ABMP("EXP")),ABME("RTYPE"),I)) D @(^(I))

 .I $G(ABMREC("AMT"))'="" S ABMREC("AMT")=ABMREC("AMT")_"*"

 .S ABMREC("AMT")=$G(ABMREC("AMT"))_ABMR("AMT",I)

 Q

10 ;segment

 S ABMR("AMT",10)="AMT"

 Q

20 ;AMT01 - Amount Qualifier Code

 S ABMR("AMT",20)=ABMEIC

 Q

30 ;AMT02 - Monetary Amount

 ; prior payment - actual

 I ABMEIC="D" D

 .D PAYED^ABMERUTL

 .S ABMR("AMT",30)=$G(ABMP("PAYED",+$G(ABMP("INS",ABMPST))))  ;pymt for that insurer

 ;

 ; payer estimated amount

 I ABMEIC="C5" D

 .D PAYED^ABMERUTL

 .S ABMR("AMT",30)=$P(ABMB2,U)

 .S ABMR("AMT",30)=ABMR("AMT",30)-$G(ABMP("PAYED"))

 .S ABMR("AMT",30)=ABMR("AMT",30)-$P(ABMB9,"^",9)

 ;

 ; patient paid amount

 I ABMEIC="F5" S ABMR("AMT",30)=$P(ABMB7,"^",23)

 ;

 I ABMEIC="F2" D

 .S ABMR("AMT",30)=ABMF2AMT

 ;

 S ABMR("AMT",30)=$FN(ABMR("AMT",30),"-")

 S ABMR("AMT",30)=$J(ABMR("AMT",30),0,2)

 ;

 Q

40 ;AMT03 - Credit/Debit Flag Code-not used

 S ABMR("AMT",40)=""

 Q

ABME5AMT  ; IHS/ASDST/DMJ - 837 AMT Segment 

 +1       ;;2.6;IHS Third Party Billing System;**6,8**;NOV 12, 2009

 +2       ;Transaction Set Header

 +3       ;

EP(X)     ;EP HERE

 +1       ; x=entity identifier

 +2        SET ABMEIC=X

 +3        KILL ABMREC("AMT"),ABMR("AMT")

 +4        SET ABME("RTYPE")="AMT"

 +5        DO LOOP

 +6        KILL ABME,ABM,ABMEIC

 +7        QUIT 

LOOP      ;LOOP HERE

 +1        FOR I=10:10:40

               Begin DoDot:1

 +2                DO @I

 +3                IF $DATA(^ABMEXLM("AA",+$GET(ABMP("INS")),+$GET(ABMP("EXP")),ABME("RTYPE"),I))

                       DO @(^(I))

 +4                IF $GET(ABMREC("AMT"))'=""

                       SET ABMREC("AMT")=ABMREC("AMT")_"*"

 +5                SET ABMREC("AMT")=$GET(ABMREC("AMT"))_ABMR("AMT",I)

               End DoDot:1

 +6        QUIT 

10        ;segment

 +1        SET ABMR("AMT",10)="AMT"

 +2        QUIT 

20        ;AMT01 - Amount Qualifier Code

 +1        SET ABMR("AMT",20)=ABMEIC

 +2        QUIT 

30        ;AMT02 - Monetary Amount

 +1       ; prior payment - actual

 +2        IF ABMEIC="D"

               Begin DoDot:1

 +3                DO PAYED^ABMERUTL

 +4       ;pymt for that insurer

                   SET ABMR("AMT",30)=$GET(ABMP("PAYED",+$GET(ABMP("INS",ABMPST))))

               End DoDot:1

 +5       ;

 +6       ; payer estimated amount

 +7        IF ABMEIC="C5"

               Begin DoDot:1

 +8                DO PAYED^ABMERUTL

 +9                SET ABMR("AMT",30)=$PIECE(ABMB2,U)

 +10               SET ABMR("AMT",30)=ABMR("AMT",30)-$GET(ABMP("PAYED"))

 +11               SET ABMR("AMT",30)=ABMR("AMT",30)-$PIECE(ABMB9,"^",9)

               End DoDot:1

 +12      ;

 +13      ; patient paid amount

 +14       IF ABMEIC="F5"

               SET ABMR("AMT",30)=$PIECE(ABMB7,"^",23)

 +15      ;

 +16       IF ABMEIC="F2"

               Begin DoDot:1

 +17               SET ABMR("AMT",30)=ABMF2AMT

               End DoDot:1

 +18      ;

 +19       SET ABMR("AMT",30)=$FNUMBER(ABMR("AMT",30),"-")

 +20       SET ABMR("AMT",30)=$JUSTIFY(ABMR("AMT",30),0,2)

 +21      ;

 +22       QUIT 

40        ;AMT03 - Credit/Debit Flag Code-not used

 +1        SET ABMR("AMT",40)=""

 +2        QUIT