IBINI04H ; ; 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,$J,355.1,41,10,7,0)
;;=the terms of the health insurance contract. Such a plan is
;;^UTILITY(U,$J,355.1,41,10,8,0)
;;=one form of a Health maintenance organization.
;;^UTILITY(U,$J,355.1,42,0)
;;=QUALIFIED IMPAIRMENT INSURANCE^QII
;;^UTILITY(U,$J,355.1,42,10,0)
;;=2
;;^UTILITY(U,$J,355.1,42,10,1,0)
;;=A form of substandard or special class insurance that restricts
;;^UTILITY(U,$J,355.1,42,10,2,0)
;;=benefits to the insured's particular condition.
;;^UTILITY(U,$J,355.1,43,0)
;;=REGULAR MEDICAL EXPENSE INSURANCE^RMEI
;;^UTILITY(U,$J,355.1,43,10,0)
;;=^^4^4^2930604^^
;;^UTILITY(U,$J,355.1,43,10,1,0)
;;=Coverage that provides benefits toward the cost of such services as
;;^UTILITY(U,$J,355.1,43,10,2,0)
;;=doctor fees for nonsurgical care in the hospital, at home, or in a
;;^UTILITY(U,$J,355.1,43,10,3,0)
;;=physician's office and x-rays or laboratory tests performed outside
;;^UTILITY(U,$J,355.1,43,10,4,0)
;;=of the hospital.
;;^UTILITY(U,$J,355.1,44,0)
;;=SENIOR CITIZEN POLICIES^SCP^1
;;^UTILITY(U,$J,355.1,44,10,0)
;;=^^3^3^2930604^
;;^UTILITY(U,$J,355.1,44,10,1,0)
;;=Contracts insuring persons 65 years of age or over. In most cases
;;^UTILITY(U,$J,355.1,44,10,2,0)
;;=these policies supplement the coverage afforded by the government
;;^UTILITY(U,$J,355.1,44,10,3,0)
;;=under Medicare.
;;^UTILITY(U,$J,355.1,46,0)
;;=SPECIAL CLASS INSURANCE^SCI^1
;;^UTILITY(U,$J,355.1,46,10,0)
;;=^^2^2^2930604^
;;^UTILITY(U,$J,355.1,46,10,1,0)
;;=Coverage for health insurance applicants who cannot qualify for
;;^UTILITY(U,$J,355.1,46,10,2,0)
;;=a standard policy because of their health.
;;^UTILITY(U,$J,355.1,47,0)
;;=SPECIAL RISK INSURANCE^SRI^1
;;^UTILITY(U,$J,355.1,47,10,0)
;;=^^1^1^2930604^
;;^UTILITY(U,$J,355.1,47,10,1,0)
;;=Coverage for risks or hazards of a special or unusual nature.
;;^UTILITY(U,$J,355.1,48,0)
;;=SPECIFIED DISEASE INSURANCE^SDI^1
;;^UTILITY(U,$J,355.1,48,10,0)
;;=^^3^3^2930604^
;;^UTILITY(U,$J,355.1,48,10,1,0)
;;=A policy that provides benefits, usually of large amounts, toward
;;^UTILITY(U,$J,355.1,48,10,2,0)
;;=the expense of the treatment of the disease or diseases named in
;;^UTILITY(U,$J,355.1,48,10,3,0)
;;=the policy.
;;^UTILITY(U,$J,355.1,50,0)
;;=SURGICAL EXPENSE INSURANCE^SEI^1
;;^UTILITY(U,$J,355.1,50,10,0)
;;=^^3^3^2930604^
;;^UTILITY(U,$J,355.1,50,10,1,0)
;;=A health insurance policy that provides benefits toward the doctor's
;;^UTILITY(U,$J,355.1,50,10,2,0)
;;=operating fees. Benefits usually consist of scheduled amounts for
;;^UTILITY(U,$J,355.1,50,10,3,0)
;;=each surgical procedure.
;;^UTILITY(U,$J,355.1,54,0)
;;=WORKERS' COMPENSATION INSURANCE^WCI^8
;;^UTILITY(U,$J,355.1,54,10,0)
;;=^^2^2^2930604^
;;^UTILITY(U,$J,355.1,54,10,1,0)
;;=A contract that insures a person against on-the-job injury or
;;^UTILITY(U,$J,355.1,54,10,2,0)
;;=illness. The employer pays the premium for his or her employees.
;;^UTILITY(U,$J,355.1,55,0)
;;=LABS, PROCEDURES, X-RAY, ETC. (ONLY)^LP^12
;;^UTILITY(U,$J,355.1,55,10,0)
;;=^^1^1^2940105^
;;^UTILITY(U,$J,355.1,55,10,1,0)
;;=Insurance policy that pays only for labs, procedures, X-rays, etc.
;;^UTILITY(U,$J,355.1,56,0)
;;=INDEMNITY^IN^9
;;^UTILITY(U,$J,355.1,56,10,0)
;;=^^2^2^2940226^^
;;^UTILITY(U,$J,355.1,56,10,1,0)
;;=A form of health insurance that pays for injuries resulting from a
;;^UTILITY(U,$J,355.1,56,10,2,0)
;;=third party's negligence.
;;^UTILITY(U,$J,355.1,57,0)
;;=PRESCRIPTION ONLY^Rx Plan^10
;;^UTILITY(U,$J,355.1,57,10,0)
;;=^^1^1^2940111^^
IBINI04H ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQR(355.1)
QUIT
FOR I=1:2
SET X=$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,355.1,41,10,7,0)
+2 ;;=the terms of the health insurance contract. Such a plan is
+3 ;;^UTILITY(U,$J,355.1,41,10,8,0)
+4 ;;=one form of a Health maintenance organization.
+5 ;;^UTILITY(U,$J,355.1,42,0)
+6 ;;=QUALIFIED IMPAIRMENT INSURANCE^QII
+7 ;;^UTILITY(U,$J,355.1,42,10,0)
+8 ;;=2
+9 ;;^UTILITY(U,$J,355.1,42,10,1,0)
+10 ;;=A form of substandard or special class insurance that restricts
+11 ;;^UTILITY(U,$J,355.1,42,10,2,0)
+12 ;;=benefits to the insured's particular condition.
+13 ;;^UTILITY(U,$J,355.1,43,0)
+14 ;;=REGULAR MEDICAL EXPENSE INSURANCE^RMEI
+15 ;;^UTILITY(U,$J,355.1,43,10,0)
+16 ;;=^^4^4^2930604^^
+17 ;;^UTILITY(U,$J,355.1,43,10,1,0)
+18 ;;=Coverage that provides benefits toward the cost of such services as
+19 ;;^UTILITY(U,$J,355.1,43,10,2,0)
+20 ;;=doctor fees for nonsurgical care in the hospital, at home, or in a
+21 ;;^UTILITY(U,$J,355.1,43,10,3,0)
+22 ;;=physician's office and x-rays or laboratory tests performed outside
+23 ;;^UTILITY(U,$J,355.1,43,10,4,0)
+24 ;;=of the hospital.
+25 ;;^UTILITY(U,$J,355.1,44,0)
+26 ;;=SENIOR CITIZEN POLICIES^SCP^1
+27 ;;^UTILITY(U,$J,355.1,44,10,0)
+28 ;;=^^3^3^2930604^
+29 ;;^UTILITY(U,$J,355.1,44,10,1,0)
+30 ;;=Contracts insuring persons 65 years of age or over. In most cases
+31 ;;^UTILITY(U,$J,355.1,44,10,2,0)
+32 ;;=these policies supplement the coverage afforded by the government
+33 ;;^UTILITY(U,$J,355.1,44,10,3,0)
+34 ;;=under Medicare.
+35 ;;^UTILITY(U,$J,355.1,46,0)
+36 ;;=SPECIAL CLASS INSURANCE^SCI^1
+37 ;;^UTILITY(U,$J,355.1,46,10,0)
+38 ;;=^^2^2^2930604^
+39 ;;^UTILITY(U,$J,355.1,46,10,1,0)
+40 ;;=Coverage for health insurance applicants who cannot qualify for
+41 ;;^UTILITY(U,$J,355.1,46,10,2,0)
+42 ;;=a standard policy because of their health.
+43 ;;^UTILITY(U,$J,355.1,47,0)
+44 ;;=SPECIAL RISK INSURANCE^SRI^1
+45 ;;^UTILITY(U,$J,355.1,47,10,0)
+46 ;;=^^1^1^2930604^
+47 ;;^UTILITY(U,$J,355.1,47,10,1,0)
+48 ;;=Coverage for risks or hazards of a special or unusual nature.
+49 ;;^UTILITY(U,$J,355.1,48,0)
+50 ;;=SPECIFIED DISEASE INSURANCE^SDI^1
+51 ;;^UTILITY(U,$J,355.1,48,10,0)
+52 ;;=^^3^3^2930604^
+53 ;;^UTILITY(U,$J,355.1,48,10,1,0)
+54 ;;=A policy that provides benefits, usually of large amounts, toward
+55 ;;^UTILITY(U,$J,355.1,48,10,2,0)
+56 ;;=the expense of the treatment of the disease or diseases named in
+57 ;;^UTILITY(U,$J,355.1,48,10,3,0)
+58 ;;=the policy.
+59 ;;^UTILITY(U,$J,355.1,50,0)
+60 ;;=SURGICAL EXPENSE INSURANCE^SEI^1
+61 ;;^UTILITY(U,$J,355.1,50,10,0)
+62 ;;=^^3^3^2930604^
+63 ;;^UTILITY(U,$J,355.1,50,10,1,0)
+64 ;;=A health insurance policy that provides benefits toward the doctor's
+65 ;;^UTILITY(U,$J,355.1,50,10,2,0)
+66 ;;=operating fees. Benefits usually consist of scheduled amounts for
+67 ;;^UTILITY(U,$J,355.1,50,10,3,0)
+68 ;;=each surgical procedure.
+69 ;;^UTILITY(U,$J,355.1,54,0)
+70 ;;=WORKERS' COMPENSATION INSURANCE^WCI^8
+71 ;;^UTILITY(U,$J,355.1,54,10,0)
+72 ;;=^^2^2^2930604^
+73 ;;^UTILITY(U,$J,355.1,54,10,1,0)
+74 ;;=A contract that insures a person against on-the-job injury or
+75 ;;^UTILITY(U,$J,355.1,54,10,2,0)
+76 ;;=illness. The employer pays the premium for his or her employees.
+77 ;;^UTILITY(U,$J,355.1,55,0)
+78 ;;=LABS, PROCEDURES, X-RAY, ETC. (ONLY)^LP^12
+79 ;;^UTILITY(U,$J,355.1,55,10,0)
+80 ;;=^^1^1^2940105^
+81 ;;^UTILITY(U,$J,355.1,55,10,1,0)
+82 ;;=Insurance policy that pays only for labs, procedures, X-rays, etc.
+83 ;;^UTILITY(U,$J,355.1,56,0)
+84 ;;=INDEMNITY^IN^9
+85 ;;^UTILITY(U,$J,355.1,56,10,0)
+86 ;;=^^2^2^2940226^^
+87 ;;^UTILITY(U,$J,355.1,56,10,1,0)
+88 ;;=A form of health insurance that pays for injuries resulting from a
+89 ;;^UTILITY(U,$J,355.1,56,10,2,0)
+90 ;;=third party's negligence.
+91 ;;^UTILITY(U,$J,355.1,57,0)
+92 ;;=PRESCRIPTION ONLY^Rx Plan^10
+93 ;;^UTILITY(U,$J,355.1,57,10,0)
+94 ;;=^^1^1^2940111^^
