ABMER01 ; IHS/ASDST/DMJ - UB92 EMC RECORD 01 (Processor Label Data) ;
;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
;Original;DMJ;07/08/96 4:53 PM
;
; IHS/DSD/LSL - 04/15/98 - NOIS XCA-0498-200040
; Modified to allow a unique transmission
; number in positions 179-184 for Arizona Medicaid.
;
; IHS/ASDS/DMJ - 09/21/01 - V2.4 Patch 9 - NOIS NGA-0901-180084
; AHCCCS Medicaid needs the tax id to be 10 alpha characters.
;
; IHS/ASDS/SDH - 09/27/01 - v2.4 Patch 9 - NOIS XAA-0901-200095
; After moving Kidscare to Page 5 from Page 7 found that there are
; checks that are done for Medicaid that should also be done for
; Kidscare.
;
; *********************************************************************
;
START ;START HERE
K ABMREC(1),ABMR(1)
S ABME("RTYPE")=1
D BCBS^ABMERUTL
D LOOP
K ABME,ABM
Q
LOOP ;LOOP HERE
F I=10:10:240 D
.D @I
.I $D(^ABMEXLM("AA",+$G(ABMP("INS")),+$G(ABMP("EXP")),1,I)) D @(^(I))
.I '$G(ABMP("NOFMT")) S ABMREC(1)=$G(ABMREC(1))_ABMR(1,I)
Q
10 ;Record type
S ABMR(1,10)="01"
Q
20 ;Submitter EIN (SOURCE: FILE=9999999.06, FIELD=.21)
D DIQ2 S ABMR(1,20)=ABM(9999999.06,DUZ(2),.21,"E")
I $$RCID^ABMERUTL(ABMP("INS"))=99999 D
.S ABMR(1,20)=$$FMT^ABMERUTL(ABMR(1,20),10)
I $$RCID^ABMERUTL(ABMP("INS"))'=99999 D
.S ABMR(1,20)=$$FMT^ABMERUTL(ABMR(1,20),"10NR")
S ABMRT(99,20)=ABMR(1,20)
Q
30 ;Multiple Provider Billing
S ABMR(1,30)=1
Q
40 ;Filler (National Use)
S ABMR(1,40)=""
S ABMR(1,40)=$$FMT^ABMERUTL(ABMR(1,40),17)
Q
50 ;Receiver Type Code (SOURCE: FILE=, FIELD=)
S ABMR(1,50)=$S(ABMP("ITYPE")="W":"B",ABMP("ITYPE")="R":"C",ABMP("ITYPE")="D"!(ABMP("ITYPE")="K"):"D",ABMP("ITYPE")="P":"F",ABMP("ITYPE")="C":"H",$G(ABMP("BCBS")):"G",1:"I")
S ABMR(1,50)=$$FMT^ABMERUTL(ABMR(1,50),1)
Q
60 ;Receiver Identification (SOURCE: FILE=9999999.18, FIELD=.08)
S ABMR(1,60)=$$RCID^ABMERUTL(ABMP("INS"))
Q
70 ;Receiver Sub-Identification
S ABMR(1,70)=""
S ABMR(1,70)=$$FMT^ABMERUTL(ABMR(1,70),4)
Q
80 ;Processing Date (SOURCE: CURRENT DATE)
S ABMR(1,80)=$E(DT,4,5)_$E(DT,6,7)_$E(DT,2,3)
Q
90 ;Submitter Name (SOURCE: FILE=9999999.06, FIELD=.01)
D DIQ2 S ABMR(1,90)=ABM(9999999.06,DUZ(2),.01,"E")
S ABMR(1,90)=$$FMT^ABMERUTL(ABMR(1,90),21)
Q
100 ;Submitter Address (SOURCE: FILE=9999999.06, FIELD=.14)
D DIQ2 S ABMR(1,100)=ABM(9999999.06,DUZ(2),.14,"E")
S ABMR(1,100)=$$FMT^ABMERUTL(ABMR(1,100),18)
Q
110 ;Submitter City (SOURCE: FILE=9999999.06 FIELD=.15)
D DIQ2 S ABMR(1,110)=ABM(9999999.06,DUZ(2),.15,"E")
S ABMR(1,110)=$$FMT^ABMERUTL(ABMR(1,110),15)
Q
120 ;Submitter State (SOURCE: FILE=9999999.06, FIELD=.16)
D DIQ2 S ABMR(1,120)=ABM(9999999.06,DUZ(2),.16,"I")
S ABMR(1,120)=$P($G(^DIC(5,+ABMR(1,120),0)),"^",2)
S ABMR(1,120)=$$FMT^ABMERUTL(ABMR(1,120),2)
Q
130 ;Submitter Zip (SOURCE: FILE=9999999.06, FIELD=.17)
D DIQ2 S ABMR(1,130)=ABM(9999999.06,DUZ(2),.17,"E")
S ABMR(1,130)=$$FMT^ABMERUTL(ABMR(1,130),9)
Q
140 ;Submitter FAX Number (SOURCE: FILE=, FIELD=)
S ABMR(1,140)=""
S ABMR(1,140)=$$FMT^ABMERUTL(ABMR(1,140),"10R")
Q
150 ;Country Code (SOURCE: FILE= FIELD=)
S ABMR(1,150)=""
S ABMR(1,150)=$$FMT^ABMERUTL(ABMR(1,150),4)
Q
160 ;Submitter Telephone Number (SOURCE: FILE=, FIELD=)
D DIQ2 S ABMR(1,160)=ABM(9999999.06,DUZ(2),.13,"E")
S ABMR(1,160)=$TR(ABMR(1,160),"() -")
S ABMR(1,160)=$$FMT^ABMERUTL(ABMR(1,160),"10R")
Q
170 ;File Sequence & Serial Number (SOURCE: FILE= FIELD=)
S ABMR(1,170)="0000"_$G(ABMP("XMIT"))
S ABMR(1,170)=$E(ABMR(1,170),$L(ABMR(1,170))-3,$L(ABMR(1,170)))
S ABMR(1,170)=$E(DUZ(2),$L(DUZ(2))-1,$L(DUZ(2)))_ABMR(1,170)
S ABMR(1,170)=ABMR(1,170)+1000000
S ABMR(1,170)=$$FMT^ABMERUTL(ABMR(1,170),"7NR")
Q
180 ;Filler (National Use)
S ABMR(1,180)=""
S ABMR(1,180)=$$FMT^ABMERUTL(ABMR(1,180),23)
Q
190 ;Password (166-171)
S ABMR(1,190)=$P($G(^ABMNINS(DUZ(2),ABMP("INS"),0)),"^",3)
S ABMR(1,190)=$$FMT^ABMERUTL(ABMR(1,190),6)
Q
200 ;Submitter ID (172-177)
S ABMR(1,200)=$P($G(^ABMNINS(DUZ(2),ABMP("INS"),0)),"^",2)
S ABMR(1,200)=$$FMT^ABMERUTL(ABMR(1,200),6)
Q
210 ;Test Indicator (178)
S ABMR(1,210)=$P($G(^ABMNINS(DUZ(2),ABMP("INS"),0)),"^",4)
S ABMR(1,210)=$$FMT^ABMERUTL(ABMR(1,210),1)
Q
220 ;Arizona Medicaid Transmission Number (179-184)
;Use the last 6 digits of Batch ID
S ABMR(1,220)=""
I $$RCID^ABMERUTL(ABMP("INS"))=99999 S ABMR(1,220)=$E(ABMR(1,170),2,7)
S ABMR(1,220)=$$FMT^ABMERUTL(ABMR(1,220),"6R")
Q
230 ;Filler (185-189)
S ABMR(1,230)=""
S ABMR(1,230)=$$FMT^ABMERUTL(ABMR(1,230),5)
Q
240 ;Version Code (190-192)
S ABMR(1,240)="004"
Q
DIQ1 ;PULL BILL DATA VIA DIQ1
Q:$D(ABM(9002274.4,ABMP("BDFN"),ABME("FLD")))
N I S DIQ="ABM(",DIQ(0)="EI",DIC="^ABMDBILL(DUZ(2),",DA=ABMP("BDFN")
S DR=".01;.21;.51;.52;.53;.61;.62;.63;.64;.71;.72;.99"
D EN^DIQ1 K DIQ
Q
DIQ2 ;GET LOCATION INFORMATION
Q:$D(ABM(9999999.06,DUZ(2)))
N I S DIQ="ABM",DIQ(0)="IE",DIC="^AUTTLOC(",DA=DUZ(2)
S DR=".01;.13;.14;.15;.16;.17;.21"
D EN^DIQ1 K DIQ
Q
EX(ABMX,ABMY) ;EXTRINSIC FUNCTION HERE (X=data element, Y=bill internal entry number)
S ABMP("BDFN")=ABMY D SET^ABMERUTL
I '$G(ABMP("NOFMT")) S ABMP("FMT")=0
D @ABMX
S Y=ABMR(20,ABMX)
K ABMR(20,ABMX),ABME,ABM,ABMX,ABMY
I $D(ABMP("FMT")) S ABMP("FMT")=1
Q Y
ABMER01 ; IHS/ASDST/DMJ - UB92 EMC RECORD 01 (Processor Label Data) ;
+1 ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
+2 ;Original;DMJ;07/08/96 4:53 PM
+3 ;
+4 ; IHS/DSD/LSL - 04/15/98 - NOIS XCA-0498-200040
+5 ; Modified to allow a unique transmission
+6 ; number in positions 179-184 for Arizona Medicaid.
+7 ;
+8 ; IHS/ASDS/DMJ - 09/21/01 - V2.4 Patch 9 - NOIS NGA-0901-180084
+9 ; AHCCCS Medicaid needs the tax id to be 10 alpha characters.
+10 ;
+11 ; IHS/ASDS/SDH - 09/27/01 - v2.4 Patch 9 - NOIS XAA-0901-200095
+12 ; After moving Kidscare to Page 5 from Page 7 found that there are
+13 ; checks that are done for Medicaid that should also be done for
+14 ; Kidscare.
+15 ;
+16 ; *********************************************************************
+17 ;
START ;START HERE
+1 KILL ABMREC(1),ABMR(1)
+2 SET ABME("RTYPE")=1
+3 DO BCBS^ABMERUTL
+4 DO LOOP
+5 KILL ABME,ABM
+6 QUIT
LOOP ;LOOP HERE
+1 FOR I=10:10:240
Begin DoDot:1
+2 DO @I
+3 IF $DATA(^ABMEXLM("AA",+$GET(ABMP("INS")),+$GET(ABMP("EXP")),1,I))
DO @(^(I))
+4 IF '$GET(ABMP("NOFMT"))
SET ABMREC(1)=$GET(ABMREC(1))_ABMR(1,I)
End DoDot:1
+5 QUIT
10 ;Record type
+1 SET ABMR(1,10)="01"
+2 QUIT
20 ;Submitter EIN (SOURCE: FILE=9999999.06, FIELD=.21)
+1 DO DIQ2
SET ABMR(1,20)=ABM(9999999.06,DUZ(2),.21,"E")
+2 IF $$RCID^ABMERUTL(ABMP("INS"))=99999
Begin DoDot:1
+3 SET ABMR(1,20)=$$FMT^ABMERUTL(ABMR(1,20),10)
End DoDot:1
+4 IF $$RCID^ABMERUTL(ABMP("INS"))'=99999
Begin DoDot:1
+5 SET ABMR(1,20)=$$FMT^ABMERUTL(ABMR(1,20),"10NR")
End DoDot:1
+6 SET ABMRT(99,20)=ABMR(1,20)
+7 QUIT
30 ;Multiple Provider Billing
+1 SET ABMR(1,30)=1
+2 QUIT
40 ;Filler (National Use)
+1 SET ABMR(1,40)=""
+2 SET ABMR(1,40)=$$FMT^ABMERUTL(ABMR(1,40),17)
+3 QUIT
50 ;Receiver Type Code (SOURCE: FILE=, FIELD=)
+1 SET ABMR(1,50)=$SELECT(ABMP("ITYPE")="W":"B",ABMP("ITYPE")="R":"C",ABMP("ITYPE")="D"!(ABMP("ITYPE")="K"):"D",ABMP("ITYPE")="P":"F",ABMP("ITYPE")="C":"H",$GET(ABMP("BCBS")):"G",1:"I")
+2 SET ABMR(1,50)=$$FMT^ABMERUTL(ABMR(1,50),1)
+3 QUIT
60 ;Receiver Identification (SOURCE: FILE=9999999.18, FIELD=.08)
+1 SET ABMR(1,60)=$$RCID^ABMERUTL(ABMP("INS"))
+2 QUIT
70 ;Receiver Sub-Identification
+1 SET ABMR(1,70)=""
+2 SET ABMR(1,70)=$$FMT^ABMERUTL(ABMR(1,70),4)
+3 QUIT
80 ;Processing Date (SOURCE: CURRENT DATE)
+1 SET ABMR(1,80)=$EXTRACT(DT,4,5)_$EXTRACT(DT,6,7)_$EXTRACT(DT,2,3)
+2 QUIT
90 ;Submitter Name (SOURCE: FILE=9999999.06, FIELD=.01)
+1 DO DIQ2
SET ABMR(1,90)=ABM(9999999.06,DUZ(2),.01,"E")
+2 SET ABMR(1,90)=$$FMT^ABMERUTL(ABMR(1,90),21)
+3 QUIT
100 ;Submitter Address (SOURCE: FILE=9999999.06, FIELD=.14)
+1 DO DIQ2
SET ABMR(1,100)=ABM(9999999.06,DUZ(2),.14,"E")
+2 SET ABMR(1,100)=$$FMT^ABMERUTL(ABMR(1,100),18)
+3 QUIT
110 ;Submitter City (SOURCE: FILE=9999999.06 FIELD=.15)
+1 DO DIQ2
SET ABMR(1,110)=ABM(9999999.06,DUZ(2),.15,"E")
+2 SET ABMR(1,110)=$$FMT^ABMERUTL(ABMR(1,110),15)
+3 QUIT
120 ;Submitter State (SOURCE: FILE=9999999.06, FIELD=.16)
+1 DO DIQ2
SET ABMR(1,120)=ABM(9999999.06,DUZ(2),.16,"I")
+2 SET ABMR(1,120)=$PIECE($GET(^DIC(5,+ABMR(1,120),0)),"^",2)
+3 SET ABMR(1,120)=$$FMT^ABMERUTL(ABMR(1,120),2)
+4 QUIT
130 ;Submitter Zip (SOURCE: FILE=9999999.06, FIELD=.17)
+1 DO DIQ2
SET ABMR(1,130)=ABM(9999999.06,DUZ(2),.17,"E")
+2 SET ABMR(1,130)=$$FMT^ABMERUTL(ABMR(1,130),9)
+3 QUIT
140 ;Submitter FAX Number (SOURCE: FILE=, FIELD=)
+1 SET ABMR(1,140)=""
+2 SET ABMR(1,140)=$$FMT^ABMERUTL(ABMR(1,140),"10R")
+3 QUIT
150 ;Country Code (SOURCE: FILE= FIELD=)
+1 SET ABMR(1,150)=""
+2 SET ABMR(1,150)=$$FMT^ABMERUTL(ABMR(1,150),4)
+3 QUIT
160 ;Submitter Telephone Number (SOURCE: FILE=, FIELD=)
+1 DO DIQ2
SET ABMR(1,160)=ABM(9999999.06,DUZ(2),.13,"E")
+2 SET ABMR(1,160)=$TRANSLATE(ABMR(1,160),"() -")
+3 SET ABMR(1,160)=$$FMT^ABMERUTL(ABMR(1,160),"10R")
+4 QUIT
170 ;File Sequence & Serial Number (SOURCE: FILE= FIELD=)
+1 SET ABMR(1,170)="0000"_$GET(ABMP("XMIT"))
+2 SET ABMR(1,170)=$EXTRACT(ABMR(1,170),$LENGTH(ABMR(1,170))-3,$LENGTH(ABMR(1,170)))
+3 SET ABMR(1,170)=$EXTRACT(DUZ(2),$LENGTH(DUZ(2))-1,$LENGTH(DUZ(2)))_ABMR(1,170)
+4 SET ABMR(1,170)=ABMR(1,170)+1000000
+5 SET ABMR(1,170)=$$FMT^ABMERUTL(ABMR(1,170),"7NR")
+6 QUIT
180 ;Filler (National Use)
+1 SET ABMR(1,180)=""
+2 SET ABMR(1,180)=$$FMT^ABMERUTL(ABMR(1,180),23)
+3 QUIT
190 ;Password (166-171)
+1 SET ABMR(1,190)=$PIECE($GET(^ABMNINS(DUZ(2),ABMP("INS"),0)),"^",3)
+2 SET ABMR(1,190)=$$FMT^ABMERUTL(ABMR(1,190),6)
+3 QUIT
200 ;Submitter ID (172-177)
+1 SET ABMR(1,200)=$PIECE($GET(^ABMNINS(DUZ(2),ABMP("INS"),0)),"^",2)
+2 SET ABMR(1,200)=$$FMT^ABMERUTL(ABMR(1,200),6)
+3 QUIT
210 ;Test Indicator (178)
+1 SET ABMR(1,210)=$PIECE($GET(^ABMNINS(DUZ(2),ABMP("INS"),0)),"^",4)
+2 SET ABMR(1,210)=$$FMT^ABMERUTL(ABMR(1,210),1)
+3 QUIT
220 ;Arizona Medicaid Transmission Number (179-184)
+1 ;Use the last 6 digits of Batch ID
+2 SET ABMR(1,220)=""
+3 IF $$RCID^ABMERUTL(ABMP("INS"))=99999
SET ABMR(1,220)=$EXTRACT(ABMR(1,170),2,7)
+4 SET ABMR(1,220)=$$FMT^ABMERUTL(ABMR(1,220),"6R")
+5 QUIT
230 ;Filler (185-189)
+1 SET ABMR(1,230)=""
+2 SET ABMR(1,230)=$$FMT^ABMERUTL(ABMR(1,230),5)
+3 QUIT
240 ;Version Code (190-192)
+1 SET ABMR(1,240)="004"
+2 QUIT
DIQ1 ;PULL BILL DATA VIA DIQ1
+1 IF $DATA(ABM(9002274.4,ABMP("BDFN"),ABME("FLD")))
QUIT
+2 NEW I
SET DIQ="ABM("
SET DIQ(0)="EI"
SET DIC="^ABMDBILL(DUZ(2),"
SET DA=ABMP("BDFN")
+3 SET DR=".01;.21;.51;.52;.53;.61;.62;.63;.64;.71;.72;.99"
+4 DO EN^DIQ1
KILL DIQ
+5 QUIT
DIQ2 ;GET LOCATION INFORMATION
+1 IF $DATA(ABM(9999999.06,DUZ(2)))
QUIT
+2 NEW I
SET DIQ="ABM"
SET DIQ(0)="IE"
SET DIC="^AUTTLOC("
SET DA=DUZ(2)
+3 SET DR=".01;.13;.14;.15;.16;.17;.21"
+4 DO EN^DIQ1
KILL DIQ
+5 QUIT
EX(ABMX,ABMY) ;EXTRINSIC FUNCTION HERE (X=data element, Y=bill internal entry number)
+1 SET ABMP("BDFN")=ABMY
DO SET^ABMERUTL
+2 IF '$GET(ABMP("NOFMT"))
SET ABMP("FMT")=0
+3 DO @ABMX
+4 SET Y=ABMR(20,ABMX)
+5 KILL ABMR(20,ABMX),ABME,ABM,ABMX,ABMY
+6 IF $DATA(ABMP("FMT"))
SET ABMP("FMT")=1
+7 QUIT Y
