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Routine: IBDEI019

IBDEI019.m

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  1. IBDEI019	; ; 18-MAR-1994
  1. 	;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
  1. 	Q:'DIFQR(358.5)  F I=1:2 S X=$T(Q+I) Q:X=""  S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,99) S:$A(Y)=61 Y=$E(Y,2,999) X NO E  S @X=Y
  1. Q	Q
  1. 	;;^UTILITY(U,$J,358.5,269,0)
  1. 	;;=COMMENTS^71^2^^^^^^^0^8^4^2^132
  1. 	;;^UTILITY(U,$J,358.5,275,0)
  1. 	;;=PROGRESS NOTES^73^2^^^Progress Notes:   (  ) Attached  (  ) See Chart^^^^0^0^9^2^132
  1. 	;;^UTILITY(U,$J,358.5,276,0)
  1. 	;;=SIGNATURE^73^3
  1. 	;;^UTILITY(U,$J,358.5,276,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,276,2,1,0)
  1. 	;;=Provider Signature:^^^30^9^10^50^50^1
  1. 	;;^UTILITY(U,$J,358.5,277,0)
  1. 	;;=SIGNATURE^74^3
  1. 	;;^UTILITY(U,$J,358.5,277,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,277,2,1,0)
  1. 	;;=Signature of Provider^^^60^4^3^60^40^1
  1. 	;;^UTILITY(U,$J,358.5,278,0)
  1. 	;;=CLINIC^74^5
  1. 	;;^UTILITY(U,$J,358.5,278,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,278,2,1,0)
  1. 	;;=Clinic:^^^0^3^3^8^30^1
  1. 	;;^UTILITY(U,$J,358.5,279,0)
  1. 	;;=ADDRESS LINE 1^75^9^^1
  1. 	;;^UTILITY(U,$J,358.5,279,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,279,2,1,0)
  1. 	;;=Address:^^U^1^1^2^1^45^1
  1. 	;;^UTILITY(U,$J,358.5,280,0)
  1. 	;;=TELEPHONE^75^16
  1. 	;;^UTILITY(U,$J,358.5,280,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,280,2,1,0)
  1. 	;;=Telephone:^^^15^1^1^26^20^1
  1. 	;;^UTILITY(U,$J,358.5,281,0)
  1. 	;;=ADDRESS LINE 2^75^9^^2
  1. 	;;^UTILITY(U,$J,358.5,281,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,281,2,1,0)
  1. 	;;=ADDRESS LINE 2^^I^^^3^1^45^1
  1. 	;;^UTILITY(U,$J,358.5,282,0)
  1. 	;;=ADDRESS LINE 3^75^9^^3
  1. 	;;^UTILITY(U,$J,358.5,282,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,282,2,1,0)
  1. 	;;=ADDRESS LINE 3^^I^^^4^1^45^1
  1. 	;;^UTILITY(U,$J,358.5,283,0)
  1. 	;;=ADDRESS LINE 4^75^9^1^4
  1. 	;;^UTILITY(U,$J,358.5,283,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,283,2,1,0)
  1. 	;;=ADDRESS LINE 4^^I^^^5^1^45^1
  1. 	;;^UTILITY(U,$J,358.5,284,0)
  1. 	;;=INSURED?^75^12
  1. 	;;^UTILITY(U,$J,358.5,284,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,284,2,1,0)
  1. 	;;=Insurance:^^U^1^6^6^12^7^1
  1. 	;;^UTILITY(U,$J,358.5,285,0)
  1. 	;;=INSURANCE 1^75^13^0^1
  1. 	;;^UTILITY(U,$J,358.5,285,2,0)
  1. 	;;=^357.52I^2^2
  1. 	;;^UTILITY(U,$J,358.5,285,2,1,0)
  1. 	;;=COMPANY^^I^^^7^1^28^1
  1. 	;;^UTILITY(U,$J,358.5,285,2,2,0)
  1. 	;;=Policy Number:^^U^30^6^7^30^19^3
  1. 	;;^UTILITY(U,$J,358.5,286,0)
  1. 	;;=INSURANCE 2^75^13^0^2
  1. 	;;^UTILITY(U,$J,358.5,286,2,0)
  1. 	;;=^357.52I^2^2
  1. 	;;^UTILITY(U,$J,358.5,286,2,1,0)
  1. 	;;=COMPANY^^I^^^8^1^28^1
  1. 	;;^UTILITY(U,$J,358.5,286,2,2,0)
  1. 	;;=POLICY #^^I^^^8^30^19^3
  1. 	;;^UTILITY(U,$J,358.5,287,0)
  1. 	;;=INSURANCE 3^75^13^0^3
  1. 	;;^UTILITY(U,$J,358.5,287,2,0)
  1. 	;;=^357.52I^2^2
  1. 	;;^UTILITY(U,$J,358.5,287,2,1,0)
  1. 	;;=COMPANY^^I^^^9^1^28^1
  1. 	;;^UTILITY(U,$J,358.5,287,2,2,0)
  1. 	;;=POLICY #^^I^^^9^30^19^3
  1. 	;;^UTILITY(U,$J,358.5,288,0)
  1. 	;;=INSURANCE 4^75^13^1^4
  1. 	;;^UTILITY(U,$J,358.5,288,2,0)
  1. 	;;=^357.52I^2^2
  1. 	;;^UTILITY(U,$J,358.5,288,2,1,0)
  1. 	;;=COMPANY^^I^^^10^1^28^1
  1. 	;;^UTILITY(U,$J,358.5,288,2,2,0)
  1. 	;;=POLICY #^^I^^^10^30^19^3
  1. 	;;^UTILITY(U,$J,358.5,289,0)
  1. 	;;=MARITAL STATUS^75^17
  1. 	;;^UTILITY(U,$J,358.5,289,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,289,2,1,0)
  1. 	;;=Marital Status:^^^1^11^11^17^15^1
  1. 	;;^UTILITY(U,$J,358.5,290,0)
  1. 	;;=EMPLOYER^75^18
  1. 	;;^UTILITY(U,$J,358.5,290,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,290,2,1,0)
  1. 	;;=Employer:^^U^1^12^13^4^45^1
  1. 	;;^UTILITY(U,$J,358.5,291,0)
  1. 	;;=EMPLOYMENT STATUS^75^19
  1. 	;;^UTILITY(U,$J,358.5,291,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,291,2,1,0)
  1. 	;;=Status:^^^20^12^12^28^20^1
  1. 	;;^UTILITY(U,$J,358.5,292,0)
  1. 	;;=SPOUSE'S EMPLOYER^75^20
  1. 	;;^UTILITY(U,$J,358.5,292,2,0)
  1. 	;;=^357.52I^1^1
  1. 	;;^UTILITY(U,$J,358.5,292,2,1,0)
  1. 	;;=Spouse's Employer:^^U^1^14^15^4^45^1
  1. 	;;^UTILITY(U,$J,358.5,293,0)
  1. 	;;=VITALS^78^3
  1. 	;;^UTILITY(U,$J,358.5,293,2,0)
  1. 	;;=^357.52I^6^5
  1. 	;;^UTILITY(U,$J,358.5,293,2,1,0)
  1. 	;;=WT:^^^5^2^2^9^14^1
  1. 	;;^UTILITY(U,$J,358.5,293,2,2,0)
  1. 	;;=BP:^^^24^2^2^28^14^1
  1. 	;;^UTILITY(U,$J,358.5,293,2,3,0)
  1. 	;;=T:^^^43^2^2^46^14^1