IBINI04G ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQR(355.1) 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
Q Q
;;^UTILITY(U,$J,355.1,30,0)
;;=MEDI-CAL^MCAL^6
;;^UTILITY(U,$J,355.1,30,10,0)
;;=^^1^1^2930604^
;;^UTILITY(U,$J,355.1,30,10,1,0)
;;=California's version of the nationwide program known as Medicaid.
;;^UTILITY(U,$J,355.1,32,0)
;;=MEDICAL EXPENSE INSURANCE^MEI^1
;;^UTILITY(U,$J,355.1,32,10,0)
;;=^^5^5^2940111^^
;;^UTILITY(U,$J,355.1,32,10,1,0)
;;=A form of health insurance that provides benefits for medical care
;;^UTILITY(U,$J,355.1,32,10,2,0)
;;=on an outpatient basis. The company may limit the amount it will
;;^UTILITY(U,$J,355.1,32,10,3,0)
;;=pay per call or the total amount for all calls. It may also exclude
;;^UTILITY(U,$J,355.1,32,10,4,0)
;;=the first few calls made by the physician at the beginning of an
;;^UTILITY(U,$J,355.1,32,10,5,0)
;;=illness.
;;^UTILITY(U,$J,355.1,33,0)
;;=MEDICARE (M)^MR^5
;;^UTILITY(U,$J,355.1,33,10,0)
;;=^^4^4^2930604^
;;^UTILITY(U,$J,355.1,33,10,1,0)
;;=The hospital insurance system and supplementary medical insurance for
;;^UTILITY(U,$J,355.1,33,10,2,0)
;;=the aged created by the 1965 Amendments to the Social Security Act
;;^UTILITY(U,$J,355.1,33,10,3,0)
;;=and operated under the provisions of the act. Benefits are also
;;^UTILITY(U,$J,355.1,33,10,4,0)
;;=extended to the totally disabled and the blind.
;;^UTILITY(U,$J,355.1,34,0)
;;=MEDICARE/MEDICAID (MEDI-CAL)^MM^5
;;^UTILITY(U,$J,355.1,34,10,0)
;;=^^2^2^2930604^
;;^UTILITY(U,$J,355.1,34,10,1,0)
;;=This program, also known as Medi-Medi, covers those persons
;;^UTILITY(U,$J,355.1,34,10,2,0)
;;=protected under both Medicare and Medicaid (or Medi-Cal).
;;^UTILITY(U,$J,355.1,35,0)
;;=MEDIGAP INSURANCE^MG^11
;;^UTILITY(U,$J,355.1,35,10,0)
;;=^^2^2^2931008^^^^
;;^UTILITY(U,$J,355.1,35,10,1,0)
;;=Supplemental insurance designed to fill in some, though never all,
;;^UTILITY(U,$J,355.1,35,10,2,0)
;;=of the gaps in Medicare's coverage. Also known as Medifill.
;;^UTILITY(U,$J,355.1,36,0)
;;=NO-FAULT INSURANCE^^1
;;^UTILITY(U,$J,355.1,36,10,0)
;;=^^4^4^2930604^
;;^UTILITY(U,$J,355.1,36,10,1,0)
;;=Automobile insurance that provides coverage against injury or other
;;^UTILITY(U,$J,355.1,36,10,2,0)
;;=loss without the need to determine responsibility for an accident.
;;^UTILITY(U,$J,355.1,36,10,3,0)
;;=Coverage and benefits vary widely; at present plans exist in many
;;^UTILITY(U,$J,355.1,36,10,4,0)
;;=states.
;;^UTILITY(U,$J,355.1,40,0)
;;=PREFERRED PROVIDER ORGANIZATION (PPO)^PPO^4
;;^UTILITY(U,$J,355.1,40,10,0)
;;=^^4^4^2930604^^
;;^UTILITY(U,$J,355.1,40,10,1,0)
;;=An entity that serves as a broker to contract for comprehensive
;;^UTILITY(U,$J,355.1,40,10,2,0)
;;=health care services, with both hospitals and physicians, on
;;^UTILITY(U,$J,355.1,40,10,3,0)
;;=behalf of an employer or other specific groups of patients,
;;^UTILITY(U,$J,355.1,40,10,4,0)
;;=at prearranged discounted rates or on a fee schedule.
;;^UTILITY(U,$J,355.1,41,0)
;;=PREPAID GROUP PRACTICE PLAN^PGPP^3
;;^UTILITY(U,$J,355.1,41,10,0)
;;=^^8^8^2930604^^
;;^UTILITY(U,$J,355.1,41,10,1,0)
;;=A plan under which specified health services are rendered by
;;^UTILITY(U,$J,355.1,41,10,2,0)
;;=participating physicians to an enrolled group of persons, with
;;^UTILITY(U,$J,355.1,41,10,3,0)
;;=fixed periodic payments made in advance, by or on behalf of
;;^UTILITY(U,$J,355.1,41,10,4,0)
;;=each person or family. If a health insurance carrier is
;;^UTILITY(U,$J,355.1,41,10,5,0)
;;=involved, it contracts to pay in advance for the full range
;;^UTILITY(U,$J,355.1,41,10,6,0)
;;=of health services to which the insured is entitled under
IBINI04G ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQR(355.1)
QUIT
FOR I=1:2
SET X=$TEXT(Q+I)
IF X=""
QUIT
SET Y=$EXTRACT($TEXT(Q+I+1),4,999)
SET X=$EXTRACT(X,4,999)
IF $ASCII(Y)=126
SET I=I+1
SET Y=$EXTRACT(Y,2,999)_$EXTRACT($TEXT(Q+I+1),5,99)
IF $ASCII(Y)=61
SET Y=$EXTRACT(Y,2,999)
XECUTE NO
IF '$TEST
SET @X=Y
Q QUIT
+1 ;;^UTILITY(U,$J,355.1,30,0)
+2 ;;=MEDI-CAL^MCAL^6
+3 ;;^UTILITY(U,$J,355.1,30,10,0)
+4 ;;=^^1^1^2930604^
+5 ;;^UTILITY(U,$J,355.1,30,10,1,0)
+6 ;;=California's version of the nationwide program known as Medicaid.
+7 ;;^UTILITY(U,$J,355.1,32,0)
+8 ;;=MEDICAL EXPENSE INSURANCE^MEI^1
+9 ;;^UTILITY(U,$J,355.1,32,10,0)
+10 ;;=^^5^5^2940111^^
+11 ;;^UTILITY(U,$J,355.1,32,10,1,0)
+12 ;;=A form of health insurance that provides benefits for medical care
+13 ;;^UTILITY(U,$J,355.1,32,10,2,0)
+14 ;;=on an outpatient basis. The company may limit the amount it will
+15 ;;^UTILITY(U,$J,355.1,32,10,3,0)
+16 ;;=pay per call or the total amount for all calls. It may also exclude
+17 ;;^UTILITY(U,$J,355.1,32,10,4,0)
+18 ;;=the first few calls made by the physician at the beginning of an
+19 ;;^UTILITY(U,$J,355.1,32,10,5,0)
+20 ;;=illness.
+21 ;;^UTILITY(U,$J,355.1,33,0)
+22 ;;=MEDICARE (M)^MR^5
+23 ;;^UTILITY(U,$J,355.1,33,10,0)
+24 ;;=^^4^4^2930604^
+25 ;;^UTILITY(U,$J,355.1,33,10,1,0)
+26 ;;=The hospital insurance system and supplementary medical insurance for
+27 ;;^UTILITY(U,$J,355.1,33,10,2,0)
+28 ;;=the aged created by the 1965 Amendments to the Social Security Act
+29 ;;^UTILITY(U,$J,355.1,33,10,3,0)
+30 ;;=and operated under the provisions of the act. Benefits are also
+31 ;;^UTILITY(U,$J,355.1,33,10,4,0)
+32 ;;=extended to the totally disabled and the blind.
+33 ;;^UTILITY(U,$J,355.1,34,0)
+34 ;;=MEDICARE/MEDICAID (MEDI-CAL)^MM^5
+35 ;;^UTILITY(U,$J,355.1,34,10,0)
+36 ;;=^^2^2^2930604^
+37 ;;^UTILITY(U,$J,355.1,34,10,1,0)
+38 ;;=This program, also known as Medi-Medi, covers those persons
+39 ;;^UTILITY(U,$J,355.1,34,10,2,0)
+40 ;;=protected under both Medicare and Medicaid (or Medi-Cal).
+41 ;;^UTILITY(U,$J,355.1,35,0)
+42 ;;=MEDIGAP INSURANCE^MG^11
+43 ;;^UTILITY(U,$J,355.1,35,10,0)
+44 ;;=^^2^2^2931008^^^^
+45 ;;^UTILITY(U,$J,355.1,35,10,1,0)
+46 ;;=Supplemental insurance designed to fill in some, though never all,
+47 ;;^UTILITY(U,$J,355.1,35,10,2,0)
+48 ;;=of the gaps in Medicare's coverage. Also known as Medifill.
+49 ;;^UTILITY(U,$J,355.1,36,0)
+50 ;;=NO-FAULT INSURANCE^^1
+51 ;;^UTILITY(U,$J,355.1,36,10,0)
+52 ;;=^^4^4^2930604^
+53 ;;^UTILITY(U,$J,355.1,36,10,1,0)
+54 ;;=Automobile insurance that provides coverage against injury or other
+55 ;;^UTILITY(U,$J,355.1,36,10,2,0)
+56 ;;=loss without the need to determine responsibility for an accident.
+57 ;;^UTILITY(U,$J,355.1,36,10,3,0)
+58 ;;=Coverage and benefits vary widely; at present plans exist in many
+59 ;;^UTILITY(U,$J,355.1,36,10,4,0)
+60 ;;=states.
+61 ;;^UTILITY(U,$J,355.1,40,0)
+62 ;;=PREFERRED PROVIDER ORGANIZATION (PPO)^PPO^4
+63 ;;^UTILITY(U,$J,355.1,40,10,0)
+64 ;;=^^4^4^2930604^^
+65 ;;^UTILITY(U,$J,355.1,40,10,1,0)
+66 ;;=An entity that serves as a broker to contract for comprehensive
+67 ;;^UTILITY(U,$J,355.1,40,10,2,0)
+68 ;;=health care services, with both hospitals and physicians, on
+69 ;;^UTILITY(U,$J,355.1,40,10,3,0)
+70 ;;=behalf of an employer or other specific groups of patients,
+71 ;;^UTILITY(U,$J,355.1,40,10,4,0)
+72 ;;=at prearranged discounted rates or on a fee schedule.
+73 ;;^UTILITY(U,$J,355.1,41,0)
+74 ;;=PREPAID GROUP PRACTICE PLAN^PGPP^3
+75 ;;^UTILITY(U,$J,355.1,41,10,0)
+76 ;;=^^8^8^2930604^^
+77 ;;^UTILITY(U,$J,355.1,41,10,1,0)
+78 ;;=A plan under which specified health services are rendered by
+79 ;;^UTILITY(U,$J,355.1,41,10,2,0)
+80 ;;=participating physicians to an enrolled group of persons, with
+81 ;;^UTILITY(U,$J,355.1,41,10,3,0)
+82 ;;=fixed periodic payments made in advance, by or on behalf of
+83 ;;^UTILITY(U,$J,355.1,41,10,4,0)
+84 ;;=each person or family. If a health insurance carrier is
+85 ;;^UTILITY(U,$J,355.1,41,10,5,0)
+86 ;;=involved, it contracts to pay in advance for the full range
+87 ;;^UTILITY(U,$J,355.1,41,10,6,0)
+88 ;;=of health services to which the insured is entitled under
