IBINI06D.m

IBINI06D	; ; 21-MAR-1994

	;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94

	Q:'DIFQR(356.21)  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,356.21)

	;;=^IBE(356.21,

	;;^UTILITY(U,$J,356.21,0)

	;;=CLAIMS TRACKING DENIAL REASONS^356.21^8^8

	;;^UTILITY(U,$J,356.21,1,0)

	;;=FAILURE TO MEET PAYER ADMISSION CRITERIA^FAIL CRIT

	;;^UTILITY(U,$J,356.21,2,0)

	;;=NO PRE-ADMISSION CERTIFICATION^NO PRE-ADM

	;;^UTILITY(U,$J,356.21,3,0)

	;;=UNTIMELY PRE-ADMISSION CERTIFICATION^UNTIMELY

	;;^UTILITY(U,$J,356.21,4,0)

	;;=OUTPT PROCEDURE/TREATMENT IS MORE APPROPRIATE^OUTPT

	;;^UTILITY(U,$J,356.21,5,0)

	;;=PRE-OP DAYS NOT COVERED^PRE-OP

	;;^UTILITY(U,$J,356.21,6,0)

	;;=NOT MEDICALLY NECESSARY^NOT NECES

	;;^UTILITY(U,$J,356.21,7,0)

	;;=VA A NON PROVIDER (OUT OF NETWORK HMO)^NON PROV

	;;^UTILITY(U,$J,356.21,8,0)

	;;=TREATMENT PROVIDED NOT COVERED BY POLICY^NOT COVER

IBINI06D  ; ; 21-MAR-1994

 +1       ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94

 +2        IF 'DIFQR(356.21)

               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,356.21)

 +2       ;;=^IBE(356.21,

 +3       ;;^UTILITY(U,$J,356.21,0)

 +4       ;;=CLAIMS TRACKING DENIAL REASONS^356.21^8^8

 +5       ;;^UTILITY(U,$J,356.21,1,0)

 +6       ;;=FAILURE TO MEET PAYER ADMISSION CRITERIA^FAIL CRIT

 +7       ;;^UTILITY(U,$J,356.21,2,0)

 +8       ;;=NO PRE-ADMISSION CERTIFICATION^NO PRE-ADM

 +9       ;;^UTILITY(U,$J,356.21,3,0)

 +10      ;;=UNTIMELY PRE-ADMISSION CERTIFICATION^UNTIMELY

 +11      ;;^UTILITY(U,$J,356.21,4,0)

 +12      ;;=OUTPT PROCEDURE/TREATMENT IS MORE APPROPRIATE^OUTPT

 +13      ;;^UTILITY(U,$J,356.21,5,0)

 +14      ;;=PRE-OP DAYS NOT COVERED^PRE-OP

 +15      ;;^UTILITY(U,$J,356.21,6,0)

 +16      ;;=NOT MEDICALLY NECESSARY^NOT NECES

 +17      ;;^UTILITY(U,$J,356.21,7,0)

 +18      ;;=VA A NON PROVIDER (OUT OF NETWORK HMO)^NON PROV

 +19      ;;^UTILITY(U,$J,356.21,8,0)

 +20      ;;=TREATMENT PROVIDED NOT COVERED BY POLICY^NOT COVER