IBINI05G ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQ(356) 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(356,.12,1,3,2)
;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBT(356,D0,0)):^(0),1:"") S X=$P(Y(1),U,17),X=X S DIU=X K Y S X=DIV S X=$$BILL^IBTUTL(DA) X ^DD(356,.12,1,3,2.4)
;;^DD(356,.12,1,3,2.4)
;;=S DIH=$S($D(^IBT(356,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,17)=DIV,DIH=356,DIG=.17 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
;;^DD(356,.12,1,3,"%D",0)
;;=^^4^4^2940213^^^
;;^DD(356,.12,1,3,"%D",1,0)
;;=Deletes the Earliest Auto Bill Date (.17) if an Other Type of Bill is
;;^DD(356,.12,1,3,"%D",2,0)
;;=entered, the event may need a rate type other than reimbursable ins.
;;^DD(356,.12,1,3,"%D",3,0)
;;=and therefore should not be billed by the automated biller.
;;^DD(356,.12,1,3,"%D",4,0)
;;=Re-sets EABD if Other Type of Bill is deleted.
;;^DD(356,.12,1,3,"CREATE VALUE")
;;=@
;;^DD(356,.12,1,3,"DELETE VALUE")
;;=S X=$$BILL^IBTUTL(DA)
;;^DD(356,.12,1,3,"DT")
;;=2930824
;;^DD(356,.12,1,3,"FIELD")
;;=EARLIEST AUTO BILL DATE
;;^DD(356,.12,21,0)
;;=^^4^4^2940213^^^^
;;^DD(356,.12,21,1,0)
;;=If this claims tracking entry can be billed as other than an insurance
;;^DD(356,.12,21,2,0)
;;=claim or a patient bill enter the type of claim. If a patient has
;;^DD(356,.12,21,3,0)
;;=ever had a claim type other than insurance then special warnings may
;;^DD(356,.12,21,4,0)
;;=be given in the billing and claims tracking package.
;;^DD(356,.12,"DT")
;;=2930824
;;^DD(356,.14,0)
;;=SECOND OPINION REQUIRED^S^1:YES;0:NO;^0;14^Q
;;^DD(356,.14,21,0)
;;=^^2^2^2930712^
;;^DD(356,.14,21,1,0)
;;=If this patient insurance policy requires a second opinion enter 'YES'.
;;^DD(356,.14,21,2,0)
;;=If a second opinion is not required then enter 'NO'.
;;^DD(356,.14,"DT")
;;=2930609
;;^DD(356,.15,0)
;;=SECOND OPINION OBTAINED^S^1:YES;0:NO;^0;15^Q
;;^DD(356,.15,3)
;;=
;;^DD(356,.15,21,0)
;;=^^8^8^2940213^^
;;^DD(356,.15,21,1,0)
;;=If a second opinion was required by this patients' insurance policy,
;;^DD(356,.15,21,2,0)
;;=enter 'YES' if it was obtained or 'NO' if it was not obtained. If
;;^DD(356,.15,21,3,0)
;;=a second opinion was obtained but did not meet the insurance companies
;;^DD(356,.15,21,4,0)
;;=criteria for any reason, enter 'NO'.
;;^DD(356,.15,21,5,0)
;;=
;;^DD(356,.15,21,6,0)
;;=This field will be used to help determine the estimated reimbursement
;;^DD(356,.15,21,7,0)
;;=from the insurance carrier. If a second opinion was not obtained
;;^DD(356,.15,21,8,0)
;;=certain denials and penalties may be assessed.
;;^DD(356,.15,"DT")
;;=2930609
;;^DD(356,.17,0)
;;=EARLIEST AUTO BILL DATE^D^^0;17^S %DT="EX" D ^%DT S X=Y K:Y<1 X
;;^DD(356,.17,1,0)
;;=^.1
;;^DD(356,.17,1,1,0)
;;=356^ABD
;;^DD(356,.17,1,1,1)
;;=S ^IBT(356,"ABD",$E(X,1,30),DA)=""
;;^DD(356,.17,1,1,2)
;;=K ^IBT(356,"ABD",$E(X,1,30),DA)
;;^DD(356,.17,1,1,"%D",0)
;;=^^1^1^2930709^
;;^DD(356,.17,1,1,"%D",1,0)
;;=Regular cross reference of auto bill date field.
;;^DD(356,.17,1,1,"DT")
;;=2930709
;;^DD(356,.17,1,2,0)
;;=356^ATOBIL1^MUMPS
;;^DD(356,.17,1,2,1)
;;=S:$P(^IBT(356,DA,0),U,2)&($P(^(0),U,18)) ^IBT(356,"ATOBIL",+$P(^(0),U,2),+$P(^(0),U,18),+X,DA)=""
;;^DD(356,.17,1,2,2)
;;=K ^IBT(356,"ATOBIL",+$P(^IBT(356,DA,0),U,2),+$P(^(0),U,18),+X,DA)
;;^DD(356,.17,1,2,"%D",0)
;;=^^3^3^2930824^^
;;^DD(356,.17,1,2,"%D",1,0)
;;=Cross-reference of all billable, non-billed events by patient, event type,
;;^DD(356,.17,1,2,"%D",2,0)
;;=and earliest auto bill date. Only events with entries in this x-ref
;;^DD(356,.17,1,2,"%D",3,0)
;;=will be considered for inclusion on a bill by the automated biller.
IBINI05G ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQ(356)
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 '$TEST
SET @X=Y
Q QUIT
+1 ;;^DD(356,.12,1,3,2)
+2 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBT(356,D0,0)):^(0),1:"") S X=$P(Y(1),U,17),X=X S DIU=X K Y S X=DIV S X=$$BILL^IBTUTL(DA) X ^DD(356,.12,1,3,2.4)
+3 ;;^DD(356,.12,1,3,2.4)
+4 ;;=S DIH=$S($D(^IBT(356,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,17)=DIV,DIH=356,DIG=.17 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
+5 ;;^DD(356,.12,1,3,"%D",0)
+6 ;;=^^4^4^2940213^^^
+7 ;;^DD(356,.12,1,3,"%D",1,0)
+8 ;;=Deletes the Earliest Auto Bill Date (.17) if an Other Type of Bill is
+9 ;;^DD(356,.12,1,3,"%D",2,0)
+10 ;;=entered, the event may need a rate type other than reimbursable ins.
+11 ;;^DD(356,.12,1,3,"%D",3,0)
+12 ;;=and therefore should not be billed by the automated biller.
+13 ;;^DD(356,.12,1,3,"%D",4,0)
+14 ;;=Re-sets EABD if Other Type of Bill is deleted.
+15 ;;^DD(356,.12,1,3,"CREATE VALUE")
+16 ;;=@
+17 ;;^DD(356,.12,1,3,"DELETE VALUE")
+18 ;;=S X=$$BILL^IBTUTL(DA)
+19 ;;^DD(356,.12,1,3,"DT")
+20 ;;=2930824
+21 ;;^DD(356,.12,1,3,"FIELD")
+22 ;;=EARLIEST AUTO BILL DATE
+23 ;;^DD(356,.12,21,0)
+24 ;;=^^4^4^2940213^^^^
+25 ;;^DD(356,.12,21,1,0)
+26 ;;=If this claims tracking entry can be billed as other than an insurance
+27 ;;^DD(356,.12,21,2,0)
+28 ;;=claim or a patient bill enter the type of claim. If a patient has
+29 ;;^DD(356,.12,21,3,0)
+30 ;;=ever had a claim type other than insurance then special warnings may
+31 ;;^DD(356,.12,21,4,0)
+32 ;;=be given in the billing and claims tracking package.
+33 ;;^DD(356,.12,"DT")
+34 ;;=2930824
+35 ;;^DD(356,.14,0)
+36 ;;=SECOND OPINION REQUIRED^S^1:YES;0:NO;^0;14^Q
+37 ;;^DD(356,.14,21,0)
+38 ;;=^^2^2^2930712^
+39 ;;^DD(356,.14,21,1,0)
+40 ;;=If this patient insurance policy requires a second opinion enter 'YES'.
+41 ;;^DD(356,.14,21,2,0)
+42 ;;=If a second opinion is not required then enter 'NO'.
+43 ;;^DD(356,.14,"DT")
+44 ;;=2930609
+45 ;;^DD(356,.15,0)
+46 ;;=SECOND OPINION OBTAINED^S^1:YES;0:NO;^0;15^Q
+47 ;;^DD(356,.15,3)
+48 ;;=
+49 ;;^DD(356,.15,21,0)
+50 ;;=^^8^8^2940213^^
+51 ;;^DD(356,.15,21,1,0)
+52 ;;=If a second opinion was required by this patients' insurance policy,
+53 ;;^DD(356,.15,21,2,0)
+54 ;;=enter 'YES' if it was obtained or 'NO' if it was not obtained. If
+55 ;;^DD(356,.15,21,3,0)
+56 ;;=a second opinion was obtained but did not meet the insurance companies
+57 ;;^DD(356,.15,21,4,0)
+58 ;;=criteria for any reason, enter 'NO'.
+59 ;;^DD(356,.15,21,5,0)
+60 ;;=
+61 ;;^DD(356,.15,21,6,0)
+62 ;;=This field will be used to help determine the estimated reimbursement
+63 ;;^DD(356,.15,21,7,0)
+64 ;;=from the insurance carrier. If a second opinion was not obtained
+65 ;;^DD(356,.15,21,8,0)
+66 ;;=certain denials and penalties may be assessed.
+67 ;;^DD(356,.15,"DT")
+68 ;;=2930609
+69 ;;^DD(356,.17,0)
+70 ;;=EARLIEST AUTO BILL DATE^D^^0;17^S %DT="EX" D ^%DT S X=Y K:Y<1 X
+71 ;;^DD(356,.17,1,0)
+72 ;;=^.1
+73 ;;^DD(356,.17,1,1,0)
+74 ;;=356^ABD
+75 ;;^DD(356,.17,1,1,1)
+76 ;;=S ^IBT(356,"ABD",$E(X,1,30),DA)=""
+77 ;;^DD(356,.17,1,1,2)
+78 ;;=K ^IBT(356,"ABD",$E(X,1,30),DA)
+79 ;;^DD(356,.17,1,1,"%D",0)
+80 ;;=^^1^1^2930709^
+81 ;;^DD(356,.17,1,1,"%D",1,0)
+82 ;;=Regular cross reference of auto bill date field.
+83 ;;^DD(356,.17,1,1,"DT")
+84 ;;=2930709
+85 ;;^DD(356,.17,1,2,0)
+86 ;;=356^ATOBIL1^MUMPS
+87 ;;^DD(356,.17,1,2,1)
+88 ;;=S:$P(^IBT(356,DA,0),U,2)&($P(^(0),U,18)) ^IBT(356,"ATOBIL",+$P(^(0),U,2),+$P(^(0),U,18),+X,DA)=""
+89 ;;^DD(356,.17,1,2,2)
+90 ;;=K ^IBT(356,"ATOBIL",+$P(^IBT(356,DA,0),U,2),+$P(^(0),U,18),+X,DA)
+91 ;;^DD(356,.17,1,2,"%D",0)
+92 ;;=^^3^3^2930824^^
+93 ;;^DD(356,.17,1,2,"%D",1,0)
+94 ;;=Cross-reference of all billable, non-billed events by patient, event type,
+95 ;;^DD(356,.17,1,2,"%D",2,0)
+96 ;;=and earliest auto bill date. Only events with entries in this x-ref
+97 ;;^DD(356,.17,1,2,"%D",3,0)
+98 ;;=will be considered for inclusion on a bill by the automated biller.
