IBINI04W ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQ(355.4) 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
;;^DD(355.4,2.11,3)
;;=Type a Number between 0 and 100, 0 Decimal Digits
;;^DD(355.4,2.11,21,0)
;;=^^2^2^2930607^^
;;^DD(355.4,2.11,21,1,0)
;;=If this policy has a benefit for mental health outpatient services,
;;^DD(355.4,2.11,21,2,0)
;;=this is the percentage covered by that benefit.
;;^DD(355.4,2.11,"DT")
;;=2930603
;;^DD(355.4,2.12,0)
;;=PRESCRIPTION (%)^NJ6,0^^2;12^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,2.12,3)
;;=Type a Number between 0 and 999999, 0 Decimal Digits
;;^DD(355.4,2.12,21,0)
;;=^^2^2^2930607^
;;^DD(355.4,2.12,21,1,0)
;;=If this policy has a benefit for prescription services, this is the
;;^DD(355.4,2.12,21,2,0)
;;=percentage covered by that benefit.
;;^DD(355.4,2.12,"DT")
;;=2930513
;;^DD(355.4,2.13,0)
;;=OUTPATIENT SURGERY (%)^NJ6,0^^2;13^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,2.13,3)
;;=Type a Number between 0 and 999999, 0 Decimal Digits
;;^DD(355.4,2.13,21,0)
;;=^^2^2^2930607^
;;^DD(355.4,2.13,21,1,0)
;;=If this policy has a benefit for outpatient surgery services, this
;;^DD(355.4,2.13,21,2,0)
;;=is the percentage covered by that benefit.
;;^DD(355.4,2.13,"DT")
;;=2930513
;;^DD(355.4,2.14,0)
;;=MH OPT. MAX DAYS PER YEAR^NJ3,0^^2;14^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,2.14,3)
;;=Type a Number between 0 and 365, 0 Decimal Digits
;;^DD(355.4,2.14,21,0)
;;=^^3^3^2930708^
;;^DD(355.4,2.14,21,1,0)
;;=If this policy provides a benefit for mental health outpatient
;;^DD(355.4,2.14,21,2,0)
;;=services, this is the maximum number of days per year of this
;;^DD(355.4,2.14,21,3,0)
;;=benefit.
;;^DD(355.4,2.14,"DT")
;;=2930708
;;^DD(355.4,2.15,0)
;;=OUTPATIENT VISITS PER YEAR^NJ3,0^^2;15^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,2.15,3)
;;=Type a Number between 0 and 365, 0 Decimal Digits
;;^DD(355.4,2.15,21,0)
;;=^^2^2^2930825^
;;^DD(355.4,2.15,21,1,0)
;;=If this policy provides outpatient benefits, this is the maximum
;;^DD(355.4,2.15,21,2,0)
;;=number of visits per year.
;;^DD(355.4,2.15,"DT")
;;=2930825
;;^DD(355.4,2.17,0)
;;=ADULT DAY HEALTH CARE^S^0:NO;1:YES;^2;17^Q
;;^DD(355.4,2.17,21,0)
;;=^^2^2^2930827^
;;^DD(355.4,2.17,21,1,0)
;;=This indicates whether the policy has a benefit for Adult Day Health
;;^DD(355.4,2.17,21,2,0)
;;=Care services.
;;^DD(355.4,2.17,"DT")
;;=2930827
;;^DD(355.4,3.01,0)
;;=HOME HEALTH CARE LEVEL^S^0:NONE;1:NURSES AIDE;2:LPN;3:RN;4:THERAPIST/OTHER;^3;1^Q
;;^DD(355.4,3.01,21,0)
;;=^^2^2^2930825^^
;;^DD(355.4,3.01,21,1,0)
;;=If this policy provides home health care, this is the highest level
;;^DD(355.4,3.01,21,2,0)
;;=of nursing care that it will cover.
;;^DD(355.4,3.01,"DT")
;;=2930924
;;^DD(355.4,3.02,0)
;;=HOME HEALTH VISITS PER YEAR^NJ3,0^^3;2^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,3.02,3)
;;=Type a Number between 0 and 365, 0 Decimal Digits
;;^DD(355.4,3.02,21,0)
;;=^^2^2^2930825^^
;;^DD(355.4,3.02,21,1,0)
;;=If this policy provides home health care, this is the maximum
;;^DD(355.4,3.02,21,2,0)
;;=number of visits per year.
;;^DD(355.4,3.02,"DT")
;;=2930513
;;^DD(355.4,3.03,0)
;;=HOME HEALTH MAX DAYS PER YEAR^NJ3,0^^3;3^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
;;^DD(355.4,3.03,3)
;;=Type a Number between 0 and 365, 0 Decimal Digits
;;^DD(355.4,3.03,21,0)
;;=^^2^2^2930607^
;;^DD(355.4,3.03,21,1,0)
;;=If this policy provides home health care, this is the maximum number
;;^DD(355.4,3.03,21,2,0)
;;=of days per year of home health care services.
;;^DD(355.4,3.03,"DT")
;;=2930513
IBINI04W ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQ(355.4)
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 ;;^DD(355.4,2.11,3)
+2 ;;=Type a Number between 0 and 100, 0 Decimal Digits
+3 ;;^DD(355.4,2.11,21,0)
+4 ;;=^^2^2^2930607^^
+5 ;;^DD(355.4,2.11,21,1,0)
+6 ;;=If this policy has a benefit for mental health outpatient services,
+7 ;;^DD(355.4,2.11,21,2,0)
+8 ;;=this is the percentage covered by that benefit.
+9 ;;^DD(355.4,2.11,"DT")
+10 ;;=2930603
+11 ;;^DD(355.4,2.12,0)
+12 ;;=PRESCRIPTION (%)^NJ6,0^^2;12^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
+13 ;;^DD(355.4,2.12,3)
+14 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
+15 ;;^DD(355.4,2.12,21,0)
+16 ;;=^^2^2^2930607^
+17 ;;^DD(355.4,2.12,21,1,0)
+18 ;;=If this policy has a benefit for prescription services, this is the
+19 ;;^DD(355.4,2.12,21,2,0)
+20 ;;=percentage covered by that benefit.
+21 ;;^DD(355.4,2.12,"DT")
+22 ;;=2930513
+23 ;;^DD(355.4,2.13,0)
+24 ;;=OUTPATIENT SURGERY (%)^NJ6,0^^2;13^K:+X'=X!(X>999999)!(X<0)!(X?.E1"."1N.N) X
+25 ;;^DD(355.4,2.13,3)
+26 ;;=Type a Number between 0 and 999999, 0 Decimal Digits
+27 ;;^DD(355.4,2.13,21,0)
+28 ;;=^^2^2^2930607^
+29 ;;^DD(355.4,2.13,21,1,0)
+30 ;;=If this policy has a benefit for outpatient surgery services, this
+31 ;;^DD(355.4,2.13,21,2,0)
+32 ;;=is the percentage covered by that benefit.
+33 ;;^DD(355.4,2.13,"DT")
+34 ;;=2930513
+35 ;;^DD(355.4,2.14,0)
+36 ;;=MH OPT. MAX DAYS PER YEAR^NJ3,0^^2;14^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
+37 ;;^DD(355.4,2.14,3)
+38 ;;=Type a Number between 0 and 365, 0 Decimal Digits
+39 ;;^DD(355.4,2.14,21,0)
+40 ;;=^^3^3^2930708^
+41 ;;^DD(355.4,2.14,21,1,0)
+42 ;;=If this policy provides a benefit for mental health outpatient
+43 ;;^DD(355.4,2.14,21,2,0)
+44 ;;=services, this is the maximum number of days per year of this
+45 ;;^DD(355.4,2.14,21,3,0)
+46 ;;=benefit.
+47 ;;^DD(355.4,2.14,"DT")
+48 ;;=2930708
+49 ;;^DD(355.4,2.15,0)
+50 ;;=OUTPATIENT VISITS PER YEAR^NJ3,0^^2;15^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
+51 ;;^DD(355.4,2.15,3)
+52 ;;=Type a Number between 0 and 365, 0 Decimal Digits
+53 ;;^DD(355.4,2.15,21,0)
+54 ;;=^^2^2^2930825^
+55 ;;^DD(355.4,2.15,21,1,0)
+56 ;;=If this policy provides outpatient benefits, this is the maximum
+57 ;;^DD(355.4,2.15,21,2,0)
+58 ;;=number of visits per year.
+59 ;;^DD(355.4,2.15,"DT")
+60 ;;=2930825
+61 ;;^DD(355.4,2.17,0)
+62 ;;=ADULT DAY HEALTH CARE^S^0:NO;1:YES;^2;17^Q
+63 ;;^DD(355.4,2.17,21,0)
+64 ;;=^^2^2^2930827^
+65 ;;^DD(355.4,2.17,21,1,0)
+66 ;;=This indicates whether the policy has a benefit for Adult Day Health
+67 ;;^DD(355.4,2.17,21,2,0)
+68 ;;=Care services.
+69 ;;^DD(355.4,2.17,"DT")
+70 ;;=2930827
+71 ;;^DD(355.4,3.01,0)
+72 ;;=HOME HEALTH CARE LEVEL^S^0:NONE;1:NURSES AIDE;2:LPN;3:RN;4:THERAPIST/OTHER;^3;1^Q
+73 ;;^DD(355.4,3.01,21,0)
+74 ;;=^^2^2^2930825^^
+75 ;;^DD(355.4,3.01,21,1,0)
+76 ;;=If this policy provides home health care, this is the highest level
+77 ;;^DD(355.4,3.01,21,2,0)
+78 ;;=of nursing care that it will cover.
+79 ;;^DD(355.4,3.01,"DT")
+80 ;;=2930924
+81 ;;^DD(355.4,3.02,0)
+82 ;;=HOME HEALTH VISITS PER YEAR^NJ3,0^^3;2^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
+83 ;;^DD(355.4,3.02,3)
+84 ;;=Type a Number between 0 and 365, 0 Decimal Digits
+85 ;;^DD(355.4,3.02,21,0)
+86 ;;=^^2^2^2930825^^
+87 ;;^DD(355.4,3.02,21,1,0)
+88 ;;=If this policy provides home health care, this is the maximum
+89 ;;^DD(355.4,3.02,21,2,0)
+90 ;;=number of visits per year.
+91 ;;^DD(355.4,3.02,"DT")
+92 ;;=2930513
+93 ;;^DD(355.4,3.03,0)
+94 ;;=HOME HEALTH MAX DAYS PER YEAR^NJ3,0^^3;3^K:+X'=X!(X>365)!(X<0)!(X?.E1"."1N.N) X
+95 ;;^DD(355.4,3.03,3)
+96 ;;=Type a Number between 0 and 365, 0 Decimal Digits
+97 ;;^DD(355.4,3.03,21,0)
+98 ;;=^^2^2^2930607^
+99 ;;^DD(355.4,3.03,21,1,0)
+100 ;;=If this policy provides home health care, this is the maximum number
+101 ;;^DD(355.4,3.03,21,2,0)
+102 ;;=of days per year of home health care services.
+103 ;;^DD(355.4,3.03,"DT")
+104 ;;=2930513
