IBINI0AN ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQ(399) 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(399,212,5,1,0)
;;=399^210^1
;;^DD(399,212,9)
;;=^
;;^DD(399,212,21,0)
;;=^^2^2^2880901^
;;^DD(399,212,21,1,0)
;;=These are the charges incurred during the second fiscal year associated
;;^DD(399,212,21,2,0)
;;=with this bill.
;;^DD(399,212,"DT")
;;=2880708
;;^DD(399,213,0)
;;=FORM LOCATOR 92^F^^U1;13^K:$L(X)>32!($L(X)<3) X
;;^DD(399,213,3)
;;=Answer must be 3-32 characters in length.
;;^DD(399,213,21,0)
;;=^^4^4^2940214^^^^
;;^DD(399,213,21,1,0)
;;=This is the Attending Physician ID (UPIN) and is printed on the UB-82 in
;;^DD(399,213,21,2,0)
;;=form locator 92 and form locator 82 on the UB-92. This field will be
;;^DD(399,213,21,3,0)
;;=loaded with the ATTENDING PHYSICIAN ID code required by the primary
;;^DD(399,213,21,4,0)
;;=insurer, if that insurer has a code defined.
;;^DD(399,213,23,0)
;;=^^5^5^2940214^^^^
;;^DD(399,213,23,1,0)
;;=This field may be null or a value the billing clerk inserted while editing
;;^DD(399,213,23,2,0)
;;=on screen 8 or a value that the primary insurer requires to print in form
;;^DD(399,213,23,3,0)
;;=locator 92 of the UB-82 or FL 82 of the UB-92. If the field is null
;;^DD(399,213,23,4,0)
;;=then the print routines print the string 'Dept. of Veterans Affairs' in
;;^DD(399,213,23,5,0)
;;=form locator 82/92.
;;^DD(399,213,"DT")
;;=2931216
;;^DD(399,214,0)
;;=FORM LOCATOR 93^F^^U1;14^K:$L(X)>32!($L(X)<3) X
;;^DD(399,214,3)
;;=Answer must be 3-32 characters in length.
;;^DD(399,214,21,0)
;;=^^4^4^2940120^^^^
;;^DD(399,214,21,1,0)
;;=Enter the 'Other Physician ID'. The name and/or number of the licensed
;;^DD(399,214,21,2,0)
;;=physician other than the attending physician or what the primary insurer
;;^DD(399,214,21,3,0)
;;=requires in this field on the form. Will print in form locator 93 on the
;;^DD(399,214,21,4,0)
;;=UB-82 and form locator 83 on the UB-92.
;;^DD(399,214,"DT")
;;=2931216
;;^DD(399,215,0)
;;=ADMITTING DIAGNOSIS^P80'^ICD9(^U2;1^Q
;;^DD(399,215,3)
;;=Enter the code for the admitting diagnosis.
;;^DD(399,215,21,0)
;;=^^4^4^2931220^^^^
;;^DD(399,215,21,1,0)
;;=The ICD-9 diagnosis code provided at the time of admission as stated
;;^DD(399,215,21,2,0)
;;=by the physician.
;;^DD(399,215,21,3,0)
;;=
;;^DD(399,215,21,4,0)
;;=The admitting diagnosis code will be printed in Form Locator 76 on the UB-92.
;;^DD(399,215,"DT")
;;=2931220
;;^DD(399,216,0)
;;=COVERED DAYS^NJ3,0^^U2;2^K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
;;^DD(399,216,3)
;;=Type a Number between 0 and 999, 0 Decimal Digits
;;^DD(399,216,21,0)
;;=^^4^4^2940201^
;;^DD(399,216,21,1,0)
;;=The number of days covered by the primary payer, as qualified by the payer
;;^DD(399,216,21,2,0)
;;=organization.
;;^DD(399,216,21,3,0)
;;=
;;^DD(399,216,21,4,0)
;;=Form Locator 7 on the UB-92.
;;^DD(399,216,"DT")
;;=2940201
;;^DD(399,217,0)
;;=NON-COVERED DAYS^NJ4,0^^U2;3^K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
;;^DD(399,217,3)
;;=Type a Number between 0 and 9999, 0 Decimal Digits
;;^DD(399,217,21,0)
;;=^^1^1^2940201^
;;^DD(399,217,21,1,0)
;;=Days of care not covered by the primary payer. Form Locator 8 on the UB-92.
;;^DD(399,217,"DT")
;;=2940201
;;^DD(399,301,0)
;;=PRIMARY NODE^RF^^I1;E1,240^K:$L(X)>240!($L(X)<1) X
;;^DD(399,301,3)
;;=This is the information pertaining to the primary insurance carrier associated with this bill.
;;^DD(399,301,21,0)
;;=^^2^2^2930622^^
;;^DD(399,301,21,1,0)
;;=This is the information pertaining to the primary insurance carrier which
;;^DD(399,301,21,2,0)
;;=is associated with this bill.
IBINI0AN ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQ(399)
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 '$TEST
SET @X=Y
Q QUIT
+1 ;;^DD(399,212,5,1,0)
+2 ;;=399^210^1
+3 ;;^DD(399,212,9)
+4 ;;=^
+5 ;;^DD(399,212,21,0)
+6 ;;=^^2^2^2880901^
+7 ;;^DD(399,212,21,1,0)
+8 ;;=These are the charges incurred during the second fiscal year associated
+9 ;;^DD(399,212,21,2,0)
+10 ;;=with this bill.
+11 ;;^DD(399,212,"DT")
+12 ;;=2880708
+13 ;;^DD(399,213,0)
+14 ;;=FORM LOCATOR 92^F^^U1;13^K:$L(X)>32!($L(X)<3) X
+15 ;;^DD(399,213,3)
+16 ;;=Answer must be 3-32 characters in length.
+17 ;;^DD(399,213,21,0)
+18 ;;=^^4^4^2940214^^^^
+19 ;;^DD(399,213,21,1,0)
+20 ;;=This is the Attending Physician ID (UPIN) and is printed on the UB-82 in
+21 ;;^DD(399,213,21,2,0)
+22 ;;=form locator 92 and form locator 82 on the UB-92. This field will be
+23 ;;^DD(399,213,21,3,0)
+24 ;;=loaded with the ATTENDING PHYSICIAN ID code required by the primary
+25 ;;^DD(399,213,21,4,0)
+26 ;;=insurer, if that insurer has a code defined.
+27 ;;^DD(399,213,23,0)
+28 ;;=^^5^5^2940214^^^^
+29 ;;^DD(399,213,23,1,0)
+30 ;;=This field may be null or a value the billing clerk inserted while editing
+31 ;;^DD(399,213,23,2,0)
+32 ;;=on screen 8 or a value that the primary insurer requires to print in form
+33 ;;^DD(399,213,23,3,0)
+34 ;;=locator 92 of the UB-82 or FL 82 of the UB-92. If the field is null
+35 ;;^DD(399,213,23,4,0)
+36 ;;=then the print routines print the string 'Dept. of Veterans Affairs' in
+37 ;;^DD(399,213,23,5,0)
+38 ;;=form locator 82/92.
+39 ;;^DD(399,213,"DT")
+40 ;;=2931216
+41 ;;^DD(399,214,0)
+42 ;;=FORM LOCATOR 93^F^^U1;14^K:$L(X)>32!($L(X)<3) X
+43 ;;^DD(399,214,3)
+44 ;;=Answer must be 3-32 characters in length.
+45 ;;^DD(399,214,21,0)
+46 ;;=^^4^4^2940120^^^^
+47 ;;^DD(399,214,21,1,0)
+48 ;;=Enter the 'Other Physician ID'. The name and/or number of the licensed
+49 ;;^DD(399,214,21,2,0)
+50 ;;=physician other than the attending physician or what the primary insurer
+51 ;;^DD(399,214,21,3,0)
+52 ;;=requires in this field on the form. Will print in form locator 93 on the
+53 ;;^DD(399,214,21,4,0)
+54 ;;=UB-82 and form locator 83 on the UB-92.
+55 ;;^DD(399,214,"DT")
+56 ;;=2931216
+57 ;;^DD(399,215,0)
+58 ;;=ADMITTING DIAGNOSIS^P80'^ICD9(^U2;1^Q
+59 ;;^DD(399,215,3)
+60 ;;=Enter the code for the admitting diagnosis.
+61 ;;^DD(399,215,21,0)
+62 ;;=^^4^4^2931220^^^^
+63 ;;^DD(399,215,21,1,0)
+64 ;;=The ICD-9 diagnosis code provided at the time of admission as stated
+65 ;;^DD(399,215,21,2,0)
+66 ;;=by the physician.
+67 ;;^DD(399,215,21,3,0)
+68 ;;=
+69 ;;^DD(399,215,21,4,0)
+70 ;;=The admitting diagnosis code will be printed in Form Locator 76 on the UB-92.
+71 ;;^DD(399,215,"DT")
+72 ;;=2931220
+73 ;;^DD(399,216,0)
+74 ;;=COVERED DAYS^NJ3,0^^U2;2^K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
+75 ;;^DD(399,216,3)
+76 ;;=Type a Number between 0 and 999, 0 Decimal Digits
+77 ;;^DD(399,216,21,0)
+78 ;;=^^4^4^2940201^
+79 ;;^DD(399,216,21,1,0)
+80 ;;=The number of days covered by the primary payer, as qualified by the payer
+81 ;;^DD(399,216,21,2,0)
+82 ;;=organization.
+83 ;;^DD(399,216,21,3,0)
+84 ;;=
+85 ;;^DD(399,216,21,4,0)
+86 ;;=Form Locator 7 on the UB-92.
+87 ;;^DD(399,216,"DT")
+88 ;;=2940201
+89 ;;^DD(399,217,0)
+90 ;;=NON-COVERED DAYS^NJ4,0^^U2;3^K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
+91 ;;^DD(399,217,3)
+92 ;;=Type a Number between 0 and 9999, 0 Decimal Digits
+93 ;;^DD(399,217,21,0)
+94 ;;=^^1^1^2940201^
+95 ;;^DD(399,217,21,1,0)
+96 ;;=Days of care not covered by the primary payer. Form Locator 8 on the UB-92.
+97 ;;^DD(399,217,"DT")
+98 ;;=2940201
+99 ;;^DD(399,301,0)
+100 ;;=PRIMARY NODE^RF^^I1;E1,240^K:$L(X)>240!($L(X)<1) X
+101 ;;^DD(399,301,3)
+102 ;;=This is the information pertaining to the primary insurance carrier associated with this bill.
+103 ;;^DD(399,301,21,0)
+104 ;;=^^2^2^2930622^^
+105 ;;^DD(399,301,21,1,0)
+106 ;;=This is the information pertaining to the primary insurance carrier which
+107 ;;^DD(399,301,21,2,0)
+108 ;;=is associated with this bill.
