ABMER20 ; IHS/ASDST/DMJ - UB92 EMC RECORD 20 (Patient) ;
;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
;Original;DMJ;02/26/96 5:11 PM
;
; IHS/ASDS/DMJ - 04/20/00 - V2.4 Patch 1 - NOIS HQW-0500-100040
; Modified location code to check for satellite first. If no
; satellite, use parent.
; IHS/ASDS/LSL - 08/02/00 - V2.4 Patch 3 - NOIS NDA-0700-180015
; In order to get bill number on RA from Consultec, bill number
; must be in field 3 and 25.
;
; IHS/ASDS/DMJ - v2.4 p7 - 9/7/01 NOIS HQW-0701-100066
; Modifications made related to Medicare Part B
;
START ;START HERE
K ABMREC(20),ABMR(20)
S ABME("RTYPE")=20
S ABMRT(95,60)=+$G(ABMRT(95,60))+1
K ABMP("SET")
D SET^ABMERUTL,LOOP
D S90^ABMERUTL
K ABME,ABM
Q
;
LOOP ;LOOP HERE
D ^ABMER20A
F I=120:10:260 D
.D @I
.I $D(^ABMEXLM("AA",+$G(ABMP("INS")),+$G(ABMP("EXP")),20,I)) D @(^(I))
.I '$G(ABMP("NOFMT")) S ABMREC(20)=$G(ABMREC(20))_ABMR(20,I)
Q
;
30 ;EP -Patient Control Number
; form locator #3
D PCN^ABMERUTL
S ABMR(20,30)=ABMP("PCN")
Q
;
120 ;EP - Patient Address - Line 1 (SOURCE: FILE=2, FIELD=.111)
; form locator #13
D:'$D(ABME("AD1")) ADR
S ABMR(20,120)=ABME("AD1")
S ABMR(20,120)=$$FMT^ABMERUTL(ABMR(20,120),18)
Q
;
130 ;EP - Patient Address - Line 2 (SOURCE: FILE=2, FIELD=.112)
; form locator #13
D:'$D(ABME("AD2")) ADR
S ABMR(20,130)=ABME("AD2")
S ABMR(20,130)=$$FMT^ABMERUTL(ABMR(20,130),18)
Q
;
140 ;EP - Patient's City (SOURCE: FILE=2, FIELD=.114)
; form locator #13
D:'$D(ABME("AD4")) ADR
S ABMR(20,140)=ABME("AD4")
S ABMR(20,140)=$$FMT^ABMERUTL(ABMR(20,140),15)
Q
;
150 ;EP - Patient's State (SOURCE: FILE=2, FIELD=.115)
; form locator #13
D:'$D(ABME("AD5")) ADR
S ABMR(20,150)=ABME("AD5")
S:ABMR(20,150)="" ABMR(20,150)=" "
Q
;
160 ;EP - Patient's Zip (SOURCE: FILE=2, FIELD=.116)
; form locator #13
D:'$D(ABME("AD6")) ADR
S ABMR(20,160)=ABME("AD6")
I '$G(ABMP("NOFMT")) D
.S:ABME("AD6")="" ABME("AD6")="00000"
S ABMR(20,160)=$E(ABME("AD6"),1,5)_"0000"
S ABMR(20,160)=$$FMT^ABMERUTL(ABMR(20,160),9)
Q
;
ADR ;GET PATIENT ADDRESS FROM FILE 2
; I = 1 - Mailing Address - Street
; 2 - Street Address [line 2]
; 3 - Street Address [line 3]
; 4 - Mailing Address - City
; 5 - Mailing Address - State
; 6 - Mailing Address - Zip
N I
F I=1:1:6 S ABME("AD"_I)=$P($G(^DPT(+ABMP("PDFN"),.11)),"^",I)
S ABME("AD5")=$P($G(^DIC(5,+ABME("AD5"),0)),"^",2)
Q
;
170 ;EP - Admission/Start of Care Date (SOURCE: FILE=9002274.4, FIELD=.71)
; form locator #17
S ABME("FLD")=.71
D DIQ1
S ABMR(20,170)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
S ABMR(20,170)=$$MDY^ABMDUTL(ABMR(20,170))
S ABMR(20,170)=$$FMT^ABMERUTL(ABMR(20,170),"6NR")
Q
;
180 ;EP - Admission Hour (SOURCE: FILE=9002274.4, FIELD=.62)
; form locator #18
S ABME("FLD")=.62
D DIQ1
S ABMR(20,180)=ABM(9002274.4,ABMP("BDFN"),.62,"I")
S ABMR(20,180)=$$FMT^ABMERUTL(ABMR(20,180),"2NR")
Q
;
190 ;EP - Statement Covers Period From (SOURCE: FILE=9002274.4, FIELD=.71)
; form locator #6
S ABME("FLD")=.71
D DIQ1
S ABMR(20,190)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
S ABMR(20,190)=$$MDY^ABMDUTL(ABMR(20,190))
S ABMR(20,190)=$$FMT^ABMERUTL(ABMR(20,190),"6NR")
Q
;
200 ;EP - Statement Covers Period Through (SOURCE: FILE=9002274.4, FIELD=.72)
; form locator #6
S ABME("FLD")=.72
D DIQ1
S ABMR(20,200)=ABM(9002274.4,ABMP("BDFN"),.72,"I")
S ABMR(20,200)=$$MDY^ABMDUTL(ABMR(20,200))
S ABMR(20,200)=$$FMT^ABMERUTL(ABMR(20,200),"6NR")
Q
;
210 ;EP - Patient Status (SOURCE: FILE=9002274.4, FIELD=.53)
; form locator #22
S ABME("FLD")=.53
D DIQ1
S ABMR(20,210)=ABM(9002274.4,ABMP("BDFN"),.53,"E")
; If status is "" and visit is outpatient and insurance type is
; Medicare FI, set status to 1
I ABMR(20,210)="",ABMP("VTYP")=131,ABMP("ITYPE")="R" S ABMR(20,210)=1
S ABMR(20,210)=$$FMT^ABMERUTL(ABMR(20,210),"2NR")
Q
;
220 ;EP - Discharge Hour (SOURCE: FILE=9002274.4, FIELD=.64)
; form locator #21
S ABME("FLD")=.64
D DIQ1
S ABMR(20,220)=ABM(9002274.4,ABMP("BDFN"),.64,"I")
S ABMR(20,220)=$$FMT^ABMERUTL(ABMR(20,220),"2NR")
Q
;
230 ;EP - Patient Has Paid (SOURCE: FILE=9002274.4, FIELD=.99)
S ABME("FLD")=.99
D DIQ1
S ABMR(20,230)=ABM(9002274.4,ABMP("BDFN"),.99,"E")
S ABMR(20,230)=$$FMT^ABMERUTL(ABMR(20,230),"10NRJ2")
Q
;
240 ;EP - Estimated Amount Due (SOURCE: FILE=, FIELD=)
S ABME("FLD")=.21
D DIQ1
S ABMR(20,240)=ABM(9002274.4,ABMP("BDFN"),.21,"E")
S ABMR(20,240)=$$FMT^ABMERUTL(ABMR(20,240),"10NRJ2")
Q
;
250 ;EP - Medical Record Number (SOURCE: FILE=9000001.41, FIELD=.02)
; form locator #23
S ABMR(20,250)=$P($G(^AUPNPAT(+ABMP("PDFN"),41,+ABMP("LDFN"),0)),"^",2)
S ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,250),17)
; if Export is UB-92-E V4 and New Mexico Medicaid, use bill number
I ABMP("EXP"),$G(ABMRCID)="00MAD" S ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,30),17)
Q
;
260 ;EP - Filler
S ABMR(20,260)=""
S ABMR(20,260)=$$FMT^ABMERUTL(ABMR(20,260),3)
Q
;
DIQ1 ;PULL BILL DATA VIA DIQ1
Q:$D(ABM(9002274.4,ABMP("BDFN"),ABME("FLD")))
N I
S DIQ="ABM("
S DIQ(0)="EI"
S DIC="^ABMDBILL(DUZ(2),"
S DA=ABMP("BDFN")
S DR=".01;.21;.51;.52;.53;.61;.62;.63;.64;.71;.72;.99"
D EN^DIQ1
K DIQ
Q
;
EX(ABMX,ABMY) ;EP - EXTRINSIC FUNCTION HERE
;
; INPUT: ABMX = data element
; Y = bill internal entry number
;
; OUTPUT: Y = bill internal entry number
;
S ABMP("BDFN")=ABMY
D SET^ABMERUTL
I '$G(ABMP("NOFMT")) S ABMP("FMT")=0
D @ABMX
S Y=ABMR(20,ABMX)
K ABMR(20,ABMX),ABMX,ABMY
I $D(ABMP("FMT")) S ABMP("FMT")=1
Q Y
ABMER20 ; IHS/ASDST/DMJ - UB92 EMC RECORD 20 (Patient) ;
+1 ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
+2 ;Original;DMJ;02/26/96 5:11 PM
+3 ;
+4 ; IHS/ASDS/DMJ - 04/20/00 - V2.4 Patch 1 - NOIS HQW-0500-100040
+5 ; Modified location code to check for satellite first. If no
+6 ; satellite, use parent.
+7 ; IHS/ASDS/LSL - 08/02/00 - V2.4 Patch 3 - NOIS NDA-0700-180015
+8 ; In order to get bill number on RA from Consultec, bill number
+9 ; must be in field 3 and 25.
+10 ;
+11 ; IHS/ASDS/DMJ - v2.4 p7 - 9/7/01 NOIS HQW-0701-100066
+12 ; Modifications made related to Medicare Part B
+13 ;
START ;START HERE
+1 KILL ABMREC(20),ABMR(20)
+2 SET ABME("RTYPE")=20
+3 SET ABMRT(95,60)=+$GET(ABMRT(95,60))+1
+4 KILL ABMP("SET")
+5 DO SET^ABMERUTL
DO LOOP
+6 DO S90^ABMERUTL
+7 KILL ABME,ABM
+8 QUIT
+9 ;
LOOP ;LOOP HERE
+1 DO ^ABMER20A
+2 FOR I=120:10:260
Begin DoDot:1
+3 DO @I
+4 IF $DATA(^ABMEXLM("AA",+$GET(ABMP("INS")),+$GET(ABMP("EXP")),20,I))
DO @(^(I))
+5 IF '$GET(ABMP("NOFMT"))
SET ABMREC(20)=$GET(ABMREC(20))_ABMR(20,I)
End DoDot:1
+6 QUIT
+7 ;
30 ;EP -Patient Control Number
+1 ; form locator #3
+2 DO PCN^ABMERUTL
+3 SET ABMR(20,30)=ABMP("PCN")
+4 QUIT
+5 ;
120 ;EP - Patient Address - Line 1 (SOURCE: FILE=2, FIELD=.111)
+1 ; form locator #13
+2 IF '$DATA(ABME("AD1"))
DO ADR
+3 SET ABMR(20,120)=ABME("AD1")
+4 SET ABMR(20,120)=$$FMT^ABMERUTL(ABMR(20,120),18)
+5 QUIT
+6 ;
130 ;EP - Patient Address - Line 2 (SOURCE: FILE=2, FIELD=.112)
+1 ; form locator #13
+2 IF '$DATA(ABME("AD2"))
DO ADR
+3 SET ABMR(20,130)=ABME("AD2")
+4 SET ABMR(20,130)=$$FMT^ABMERUTL(ABMR(20,130),18)
+5 QUIT
+6 ;
140 ;EP - Patient's City (SOURCE: FILE=2, FIELD=.114)
+1 ; form locator #13
+2 IF '$DATA(ABME("AD4"))
DO ADR
+3 SET ABMR(20,140)=ABME("AD4")
+4 SET ABMR(20,140)=$$FMT^ABMERUTL(ABMR(20,140),15)
+5 QUIT
+6 ;
150 ;EP - Patient's State (SOURCE: FILE=2, FIELD=.115)
+1 ; form locator #13
+2 IF '$DATA(ABME("AD5"))
DO ADR
+3 SET ABMR(20,150)=ABME("AD5")
+4 IF ABMR(20,150)=""
SET ABMR(20,150)=" "
+5 QUIT
+6 ;
160 ;EP - Patient's Zip (SOURCE: FILE=2, FIELD=.116)
+1 ; form locator #13
+2 IF '$DATA(ABME("AD6"))
DO ADR
+3 SET ABMR(20,160)=ABME("AD6")
+4 IF '$GET(ABMP("NOFMT"))
Begin DoDot:1
+5 IF ABME("AD6")=""
SET ABME("AD6")="00000"
End DoDot:1
+6 SET ABMR(20,160)=$EXTRACT(ABME("AD6"),1,5)_"0000"
+7 SET ABMR(20,160)=$$FMT^ABMERUTL(ABMR(20,160),9)
+8 QUIT
+9 ;
ADR ;GET PATIENT ADDRESS FROM FILE 2
+1 ; I = 1 - Mailing Address - Street
+2 ; 2 - Street Address [line 2]
+3 ; 3 - Street Address [line 3]
+4 ; 4 - Mailing Address - City
+5 ; 5 - Mailing Address - State
+6 ; 6 - Mailing Address - Zip
+7 NEW I
+8 FOR I=1:1:6
SET ABME("AD"_I)=$PIECE($GET(^DPT(+ABMP("PDFN"),.11)),"^",I)
+9 SET ABME("AD5")=$PIECE($GET(^DIC(5,+ABME("AD5"),0)),"^",2)
+10 QUIT
+11 ;
170 ;EP - Admission/Start of Care Date (SOURCE: FILE=9002274.4, FIELD=.71)
+1 ; form locator #17
+2 SET ABME("FLD")=.71
+3 DO DIQ1
+4 SET ABMR(20,170)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
+5 SET ABMR(20,170)=$$MDY^ABMDUTL(ABMR(20,170))
+6 SET ABMR(20,170)=$$FMT^ABMERUTL(ABMR(20,170),"6NR")
+7 QUIT
+8 ;
180 ;EP - Admission Hour (SOURCE: FILE=9002274.4, FIELD=.62)
+1 ; form locator #18
+2 SET ABME("FLD")=.62
+3 DO DIQ1
+4 SET ABMR(20,180)=ABM(9002274.4,ABMP("BDFN"),.62,"I")
+5 SET ABMR(20,180)=$$FMT^ABMERUTL(ABMR(20,180),"2NR")
+6 QUIT
+7 ;
190 ;EP - Statement Covers Period From (SOURCE: FILE=9002274.4, FIELD=.71)
+1 ; form locator #6
+2 SET ABME("FLD")=.71
+3 DO DIQ1
+4 SET ABMR(20,190)=ABM(9002274.4,ABMP("BDFN"),.71,"I")
+5 SET ABMR(20,190)=$$MDY^ABMDUTL(ABMR(20,190))
+6 SET ABMR(20,190)=$$FMT^ABMERUTL(ABMR(20,190),"6NR")
+7 QUIT
+8 ;
200 ;EP - Statement Covers Period Through (SOURCE: FILE=9002274.4, FIELD=.72)
+1 ; form locator #6
+2 SET ABME("FLD")=.72
+3 DO DIQ1
+4 SET ABMR(20,200)=ABM(9002274.4,ABMP("BDFN"),.72,"I")
+5 SET ABMR(20,200)=$$MDY^ABMDUTL(ABMR(20,200))
+6 SET ABMR(20,200)=$$FMT^ABMERUTL(ABMR(20,200),"6NR")
+7 QUIT
+8 ;
210 ;EP - Patient Status (SOURCE: FILE=9002274.4, FIELD=.53)
+1 ; form locator #22
+2 SET ABME("FLD")=.53
+3 DO DIQ1
+4 SET ABMR(20,210)=ABM(9002274.4,ABMP("BDFN"),.53,"E")
+5 ; If status is "" and visit is outpatient and insurance type is
+6 ; Medicare FI, set status to 1
+7 IF ABMR(20,210)=""
IF ABMP("VTYP")=131
IF ABMP("ITYPE")="R"
SET ABMR(20,210)=1
+8 SET ABMR(20,210)=$$FMT^ABMERUTL(ABMR(20,210),"2NR")
+9 QUIT
+10 ;
220 ;EP - Discharge Hour (SOURCE: FILE=9002274.4, FIELD=.64)
+1 ; form locator #21
+2 SET ABME("FLD")=.64
+3 DO DIQ1
+4 SET ABMR(20,220)=ABM(9002274.4,ABMP("BDFN"),.64,"I")
+5 SET ABMR(20,220)=$$FMT^ABMERUTL(ABMR(20,220),"2NR")
+6 QUIT
+7 ;
230 ;EP - Patient Has Paid (SOURCE: FILE=9002274.4, FIELD=.99)
+1 SET ABME("FLD")=.99
+2 DO DIQ1
+3 SET ABMR(20,230)=ABM(9002274.4,ABMP("BDFN"),.99,"E")
+4 SET ABMR(20,230)=$$FMT^ABMERUTL(ABMR(20,230),"10NRJ2")
+5 QUIT
+6 ;
240 ;EP - Estimated Amount Due (SOURCE: FILE=, FIELD=)
+1 SET ABME("FLD")=.21
+2 DO DIQ1
+3 SET ABMR(20,240)=ABM(9002274.4,ABMP("BDFN"),.21,"E")
+4 SET ABMR(20,240)=$$FMT^ABMERUTL(ABMR(20,240),"10NRJ2")
+5 QUIT
+6 ;
250 ;EP - Medical Record Number (SOURCE: FILE=9000001.41, FIELD=.02)
+1 ; form locator #23
+2 SET ABMR(20,250)=$PIECE($GET(^AUPNPAT(+ABMP("PDFN"),41,+ABMP("LDFN"),0)),"^",2)
+3 SET ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,250),17)
+4 ; if Export is UB-92-E V4 and New Mexico Medicaid, use bill number
+5 IF ABMP("EXP")
IF $GET(ABMRCID)="00MAD"
SET ABMR(20,250)=$$FMT^ABMERUTL(ABMR(20,30),17)
+6 QUIT
+7 ;
260 ;EP - Filler
+1 SET ABMR(20,260)=""
+2 SET ABMR(20,260)=$$FMT^ABMERUTL(ABMR(20,260),3)
+3 QUIT
+4 ;
DIQ1 ;PULL BILL DATA VIA DIQ1
+1 IF $DATA(ABM(9002274.4,ABMP("BDFN"),ABME("FLD")))
QUIT
+2 NEW I
+3 SET DIQ="ABM("
+4 SET DIQ(0)="EI"
+5 SET DIC="^ABMDBILL(DUZ(2),"
+6 SET DA=ABMP("BDFN")
+7 SET DR=".01;.21;.51;.52;.53;.61;.62;.63;.64;.71;.72;.99"
+8 DO EN^DIQ1
+9 KILL DIQ
+10 QUIT
+11 ;
EX(ABMX,ABMY) ;EP - EXTRINSIC FUNCTION HERE
+1 ;
+2 ; INPUT: ABMX = data element
+3 ; Y = bill internal entry number
+4 ;
+5 ; OUTPUT: Y = bill internal entry number
+6 ;
+7 SET ABMP("BDFN")=ABMY
+8 DO SET^ABMERUTL
+9 IF '$GET(ABMP("NOFMT"))
SET ABMP("FMT")=0
+10 DO @ABMX
+11 SET Y=ABMR(20,ABMX)
+12 KILL ABMR(20,ABMX),ABMX,ABMY
+13 IF $DATA(ABMP("FMT"))
SET ABMP("FMT")=1
+14 QUIT Y
