source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSM6.m@ 1046

Last change on this file since 1046 was 613, checked in by George Lilly, 15 years ago

initial load of WorldVistAEHR

File size: 2.4 KB
Line 
1IBCNSM6 ;ALB/NLR - INSURANCE MANAGEMENT WORKSHEET, AN BEN ; 30-JUL-93
2 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
3 ;;Per VHA Directive 10-93-142, this routine should not be modified.
4 ;
5BL1 ; --print subscriber's employer info, policy info, insurance co.
6 ;
7 W !,$TR($J(" ",IOM)," ","=")
8 W !?66-($L("* PLAN *")\2),"* PLAN *"
9 W !?5,$TR($J(" ",IOM-12)," ","-")
10 W !?6,"1.",?33-($L("** INSURANCE COMPANY **")\2),"** INSURANCE COMPANY **"
11 D VLINE^IBCNSM7
12 W ?72,"2.",?99-($L("** PLAN INFO, UR **")\2),"** PLAN INFO, UR **"
13 W !?3,$J("Company:",23),?28,$E($$DOL(36,.01,$P($G(^DIC(36,+IBCDFND,0)),"^"),IBLINE),1,22) D VLINE^IBCNSM7
14 W ?83,$J("Require UR?:",23),?108,$$DOL(355.3,.05,$$YN^IBCNSM($P(IBCPOLD,"^",5),1),IBLINE)
15 W !?3,$J("Street:",23),?28,$E($$DOL(36,.111,$P($G(IBCDFNDA),"^"),IBLINE),1,22) D VLINE^IBCNSM7
16 W ?83,$J("Require Pre-cert?:",23),?108,$$DOL(355.3,.06,$$YN^IBCNSM($P(IBCPOLD,"^",6),1),IBLINE)
17 W !?3,$J("Street 2:",23),?28,$E($$DOL(36,.112,$P($G(IBCDFNDA),"^",2),IBLINE),1,22) D VLINE^IBCNSM7
18 W ?83,$J("Benefits Assignable?:",23),?108,$$DOL(355.3,.08,$$YN^IBCNSM($P(IBCPOLD,"^",8),1),IBLINE)
19 W !?3,$J("City:",23),?28,$E($$DOL(36,.114,$P(IBCDFNDA,"^",4),IBLINE),1,22) D VLINE^IBCNSM7
20 W ?83,$J("Effective Date:",23),?108,$$DOL(FILE,8,$$DAT1^IBOUTL($P(IBCDFND,"^",8)),IBLINE)
21 W !?3,$J("State:",23),?28,$E($$DOL(36,.115,$P(IBCDFNDA,"^",5),IBLINE),1,22) D VLINE^IBCNSM7
22 W ?83,$J("Expiration Date:",23),?108,$$DOL(FILE,3,$$DAT1^IBOUTL($P(IBCDFND,"^",4)),IBLINE)
23 W !,?3,$J("Phone:",23),?28,$$DOL(36,.131,$P(IBCDFNDB,"^",1),IBLINE) D VLINE^IBCNSM7
24 W ?83,$J("Whose Insurance:",23),?108,$$EXPAND^IBTRE(2.312,6,$$DOL(FILE,6,$P($G(IBCDFND),"^",6),IBLINE))
25 W !?3,$J("Precert Phone:",23),?28,$$DOL(36,.133,$$PHONE^IBCNSC01(IBCDFNDB),IBLINE) D VLINE^IBCNSM7
26 W ?83,$J("Subscriber ID:",23),?108,$$DOL(FILE,1,$P($G(IBCDFND),"^",2),IBLINE)
27 W !?3,$J("Verification Phone:",23),?28,$$DOL(36,.134,$P(IBCDFNDB,"^",4),IBLINE) D VLINE^IBCNSM7
28 W ?83,$J("Insured's Name:",23),?108,$E($$DOL(FILE,17,$P($G(IBCDFND),"^",17),IBLINE),1,23)
29 W !,?3,$J("Filing Time Frame:",23),?28,$$DOL(36,.12,$P($G(^DIC(36,+IBCDFND,0)),"^",12),IBLINE) D VLINE^IBCNSM7
30 Q
31 ;
32 ;
33DOL(FILE,FIELD,VALUE,LINE) ; -- data or line
34 ; -- expand data if it exists or else print a blank line
35 ; if $g(line) print a line for worksheet
36 N X
37 ;S:VALUE'="" LINE=0 S X=""
38 I VALUE="" S X=$S(LINE:"_______________________",1:"") G DOLQ
39 ;I VALUE=""!(LINE) G DOLQ
40 S X=$$EXPAND^IBTRE(FILE,FIELD,VALUE)
41DOLQ Q X
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