IBINI065 ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQ(356.2) 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(356.2,.14,21,5,0)
;;=they approve it for a specific diagnosis. This is the diagnosis that
;;^DD(356.2,.14,21,6,0)
;;=they approved.
;;^DD(356.2,.14,23,0)
;;=^^2^2^2930928^
;;^DD(356.2,.14,23,1,0)
;;=
;;^DD(356.2,.14,23,2,0)
;;=
;;^DD(356.2,.14,"DT")
;;=2930928
;;^DD(356.2,.15,0)
;;=DATES OF DENIAL FROM^RDX^^0;15^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$DFDT^IBTUTL4(DA,X) X
;;^DD(356.2,.15,3)
;;=
;;^DD(356.2,.15,4)
;;=D HELP^IBTUTL3(DA)
;;^DD(356.2,.15,21,0)
;;=^^4^4^2940127^^
;;^DD(356.2,.15,21,1,0)
;;=If the insurance company disapproved or denied pre-approving
;;^DD(356.2,.15,21,2,0)
;;=the care for this patient, this is the beginning date of care
;;^DD(356.2,.15,21,3,0)
;;=that they denied. For some patients there may be both a
;;^DD(356.2,.15,21,4,0)
;;=number of approved and denied days.
;;^DD(356.2,.15,"DT")
;;=2940127
;;^DD(356.2,.16,0)
;;=DATES OF DENIAL TO^RDX^^0;16^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$DTDT^IBTUTL4(DA,X) X
;;^DD(356.2,.16,1,0)
;;=^.1
;;^DD(356.2,.16,1,1,0)
;;=^^TRIGGER^356.2^.24
;;^DD(356.2,.16,1,1,1)
;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBT(356.2,D0,0)):^(0),1:"") S X=$P(Y(1),U,24),X=X S DIU=X K Y S X=DIV S X=$P(^IBT(356.2,DA,0),U,16) X ^DD(356.2,.16,1,1,1.4)
;;^DD(356.2,.16,1,1,1.4)
;;=S DIH=$S($D(^IBT(356.2,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,24)=DIV,DIH=356.2,DIG=.24 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
;;^DD(356.2,.16,1,1,2)
;;=Q
;;^DD(356.2,.16,1,1,"CREATE VALUE")
;;=S X=$P(^IBT(356.2,DA,0),U,16)
;;^DD(356.2,.16,1,1,"DELETE VALUE")
;;=NO EFFECT
;;^DD(356.2,.16,1,1,"FIELD")
;;=#.24
;;^DD(356.2,.16,3)
;;=
;;^DD(356.2,.16,4)
;;=D HELP^IBTUTL3(DA)
;;^DD(356.2,.16,21,0)
;;=^^4^4^2930806^
;;^DD(356.2,.16,21,1,0)
;;=If the insurance company disapproved or denied pre-approving
;;^DD(356.2,.16,21,2,0)
;;=the care for this patient, this is the ending date of care
;;^DD(356.2,.16,21,3,0)
;;=that they denied. For some patients there may be both a
;;^DD(356.2,.16,21,4,0)
;;=number of approved and denied days.
;;^DD(356.2,.16,"DT")
;;=2940127
;;^DD(356.2,.17,0)
;;=METHOD OF CONTACT^S^1:PHONE;2:MAIL;3:OVERNIGHT MAIL;4:PERSONAL;5:VOICE MAIL;6:OTHER;^0;17^Q
;;^DD(356.2,.17,21,0)
;;=^^3^3^2940213^^
;;^DD(356.2,.17,21,1,0)
;;=This is the method that you used to contact the person contacted
;;^DD(356.2,.17,21,2,0)
;;=in this entry. Most contacts will be by phone but many others will
;;^DD(356.2,.17,21,3,0)
;;=be by mail.
;;^DD(356.2,.17,"DT")
;;=2930915
;;^DD(356.2,.18,0)
;;=PARENT REVIEW^*P356.2'^IBT(356.2,^0;18^S DIC("S")="N TYPE S TYPE=$P(^IBE(356.7,+$P(^(0),U,11),0),U,3) I TYPE=20!(TYPE=30)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
;;^DD(356.2,.18,1,0)
;;=^.1
;;^DD(356.2,.18,1,1,0)
;;=356.2^AP
;;^DD(356.2,.18,1,1,1)
;;=S ^IBT(356.2,"AP",$E(X,1,30),DA)=""
;;^DD(356.2,.18,1,1,2)
;;=K ^IBT(356.2,"AP",$E(X,1,30),DA)
;;^DD(356.2,.18,1,1,"DT")
;;=2930811
;;^DD(356.2,.18,12)
;;=Only penalties and denials can be appealed.
;;^DD(356.2,.18,12.1)
;;=S DIC("S")="N TYPE S TYPE=$P(^IBE(356.7,+$P(^(0),U,11),0),U,3) I TYPE=20!(TYPE=30)"
;;^DD(356.2,.18,21,0)
;;=^^3^3^2940213^^^^
;;^DD(356.2,.18,21,1,0)
;;=This is the first contact in a series of contacts. This field will
;;^DD(356.2,.18,21,2,0)
;;=generally be system generated. When adding an appeal to a denied
;;^DD(356.2,.18,21,3,0)
;;=claim, this will be the denial contact that is being appealed.
;;^DD(356.2,.18,"DT")
;;=2930907
;;^DD(356.2,.19,0)
;;=REVIEW STATUS^S^0:INACTIVE;1:ENTERED;2:PENDING;10:COMPLETE;^0;19^Q
IBINI065 ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQ(356.2)
QUIT
FOR I=1:2
SET X=$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(356.2,.14,21,5,0)
+2 ;;=they approve it for a specific diagnosis. This is the diagnosis that
+3 ;;^DD(356.2,.14,21,6,0)
+4 ;;=they approved.
+5 ;;^DD(356.2,.14,23,0)
+6 ;;=^^2^2^2930928^
+7 ;;^DD(356.2,.14,23,1,0)
+8 ;;=
+9 ;;^DD(356.2,.14,23,2,0)
+10 ;;=
+11 ;;^DD(356.2,.14,"DT")
+12 ;;=2930928
+13 ;;^DD(356.2,.15,0)
+14 ;;=DATES OF DENIAL FROM^RDX^^0;15^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$DFDT^IBTUTL4(DA,X) X
+15 ;;^DD(356.2,.15,3)
+16 ;;=
+17 ;;^DD(356.2,.15,4)
+18 ;;=D HELP^IBTUTL3(DA)
+19 ;;^DD(356.2,.15,21,0)
+20 ;;=^^4^4^2940127^^
+21 ;;^DD(356.2,.15,21,1,0)
+22 ;;=If the insurance company disapproved or denied pre-approving
+23 ;;^DD(356.2,.15,21,2,0)
+24 ;;=the care for this patient, this is the beginning date of care
+25 ;;^DD(356.2,.15,21,3,0)
+26 ;;=that they denied. For some patients there may be both a
+27 ;;^DD(356.2,.15,21,4,0)
+28 ;;=number of approved and denied days.
+29 ;;^DD(356.2,.15,"DT")
+30 ;;=2940127
+31 ;;^DD(356.2,.16,0)
+32 ;;=DATES OF DENIAL TO^RDX^^0;16^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$DTDT^IBTUTL4(DA,X) X
+33 ;;^DD(356.2,.16,1,0)
+34 ;;=^.1
+35 ;;^DD(356.2,.16,1,1,0)
+36 ;;=^^TRIGGER^356.2^.24
+37 ;;^DD(356.2,.16,1,1,1)
+38 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBT(356.2,D0,0)):^(0),1:"") S X=$P(Y(1),U,24),X=X S DIU=X K Y S X=DIV S X=$P(^IBT(356.2,DA,0),U,16) X ^DD(356.2,.16,1,1,1.4)
+39 ;;^DD(356.2,.16,1,1,1.4)
+40 ;;=S DIH=$S($D(^IBT(356.2,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,24)=DIV,DIH=356.2,DIG=.24 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
+41 ;;^DD(356.2,.16,1,1,2)
+42 ;;=Q
+43 ;;^DD(356.2,.16,1,1,"CREATE VALUE")
+44 ;;=S X=$P(^IBT(356.2,DA,0),U,16)
+45 ;;^DD(356.2,.16,1,1,"DELETE VALUE")
+46 ;;=NO EFFECT
+47 ;;^DD(356.2,.16,1,1,"FIELD")
+48 ;;=#.24
+49 ;;^DD(356.2,.16,3)
+50 ;;=
+51 ;;^DD(356.2,.16,4)
+52 ;;=D HELP^IBTUTL3(DA)
+53 ;;^DD(356.2,.16,21,0)
+54 ;;=^^4^4^2930806^
+55 ;;^DD(356.2,.16,21,1,0)
+56 ;;=If the insurance company disapproved or denied pre-approving
+57 ;;^DD(356.2,.16,21,2,0)
+58 ;;=the care for this patient, this is the ending date of care
+59 ;;^DD(356.2,.16,21,3,0)
+60 ;;=that they denied. For some patients there may be both a
+61 ;;^DD(356.2,.16,21,4,0)
+62 ;;=number of approved and denied days.
+63 ;;^DD(356.2,.16,"DT")
+64 ;;=2940127
+65 ;;^DD(356.2,.17,0)
+66 ;;=METHOD OF CONTACT^S^1:PHONE;2:MAIL;3:OVERNIGHT MAIL;4:PERSONAL;5:VOICE MAIL;6:OTHER;^0;17^Q
+67 ;;^DD(356.2,.17,21,0)
+68 ;;=^^3^3^2940213^^
+69 ;;^DD(356.2,.17,21,1,0)
+70 ;;=This is the method that you used to contact the person contacted
+71 ;;^DD(356.2,.17,21,2,0)
+72 ;;=in this entry. Most contacts will be by phone but many others will
+73 ;;^DD(356.2,.17,21,3,0)
+74 ;;=be by mail.
+75 ;;^DD(356.2,.17,"DT")
+76 ;;=2930915
+77 ;;^DD(356.2,.18,0)
+78 ;;=PARENT REVIEW^*P356.2'^IBT(356.2,^0;18^S DIC("S")="N TYPE S TYPE=$P(^IBE(356.7,+$P(^(0),U,11),0),U,3) I TYPE=20!(TYPE=30)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
+79 ;;^DD(356.2,.18,1,0)
+80 ;;=^.1
+81 ;;^DD(356.2,.18,1,1,0)
+82 ;;=356.2^AP
+83 ;;^DD(356.2,.18,1,1,1)
+84 ;;=S ^IBT(356.2,"AP",$E(X,1,30),DA)=""
+85 ;;^DD(356.2,.18,1,1,2)
+86 ;;=K ^IBT(356.2,"AP",$E(X,1,30),DA)
+87 ;;^DD(356.2,.18,1,1,"DT")
+88 ;;=2930811
+89 ;;^DD(356.2,.18,12)
+90 ;;=Only penalties and denials can be appealed.
+91 ;;^DD(356.2,.18,12.1)
+92 ;;=S DIC("S")="N TYPE S TYPE=$P(^IBE(356.7,+$P(^(0),U,11),0),U,3) I TYPE=20!(TYPE=30)"
+93 ;;^DD(356.2,.18,21,0)
+94 ;;=^^3^3^2940213^^^^
+95 ;;^DD(356.2,.18,21,1,0)
+96 ;;=This is the first contact in a series of contacts. This field will
+97 ;;^DD(356.2,.18,21,2,0)
+98 ;;=generally be system generated. When adding an appeal to a denied
+99 ;;^DD(356.2,.18,21,3,0)
+100 ;;=claim, this will be the denial contact that is being appealed.
+101 ;;^DD(356.2,.18,"DT")
+102 ;;=2930907
+103 ;;^DD(356.2,.19,0)
+104 ;;=REVIEW STATUS^S^0:INACTIVE;1:ENTERED;2:PENDING;10:COMPLETE;^0;19^Q
