| 1 | IBCNSM7 ;ALB/NLR - INSURANCE MANAGEMENT WORKSHEET3 ; 9-AUG-93
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| 2 |  ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
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| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 |  ;
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| 5 |  ; -- print comments
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| 6 |  ;
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| 7 |  ;W !,$TR($J(" ",IOM)," ","-")
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| 8 |  ;W !?3,"COMMENTS",!?6,$P($G(IBCBUD1),U,8)
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| 9 |  ;W !!!!
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| 10 |  ;Q
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| 11 |  ;
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| 12 | R1Q ;
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| 13 |  Q
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| 14 |  ;
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| 15 | BL2 ; -- print inpatient & outpatient info, annual benefits
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| 16 |  ;
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| 17 |  W !,$TR($J(" ",IOM)," ","=")
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| 18 |  W !?66-($L("* ANNUAL BENEFITS *")\2),"* ANNUAL BENEFITS *"
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| 19 |  W !?5,$TR($J(" ",IOM-12)," ","-")
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| 20 |  W !?6,"3.",?33-($L("** INPATIENT ANNUAL BENEFITS **")\2),"** INPATIENT ANNUAL BENEFITS **"
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| 21 |  D VLINE W ?72,"4.",?99-($L("** OUTPATIENT ANNUAL BENEFITS **")\2),"** OUTPATIENT ANNUAL BENEFITS **"
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| 22 |  W !?3,$J("Annual Ded ($):",23),?28,$J($$DOL^IBCNSM6(355.4,5.01,$P($G(IBCABD5),"^"),IBLINE),10) D VLINE
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| 23 |  W ?83,$J("Annual Ded ($):",23),?108,$J($$DOL^IBCNSM6(355.4,2.01,$P($G(IBCABD2),"^"),IBLINE),10)
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| 24 |  W !?3,$J("Per Admis Ded ($):",23),?28,$J($$DOL^IBCNSM6(355.4,5.02,$P($G(IBCABD5),"^",2),IBLINE),10) D VLINE
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| 25 |  W ?83,$J("Per Visit Ded ($):",23),?108,$J($$DOL^IBCNSM6(355.4,2.02,$P($G(IBCABD2),"^",2),IBLINE),10)
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| 26 |  W !?3,$J("Inpt Lifet Max ($):",23),?28,$J($$DOL^IBCNSM6(355.4,5.03,$P($G(IBCABD5),"^",3),IBLINE),10) D VLINE
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| 27 |  W ?83,$J("Lifet Max ($):",23),?108,$J($$DOL^IBCNSM6(355.4,2.03,$P($G(IBCABD2),"^",3),IBLINE),10)
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| 28 |  W !?3,$J("Inpt Annual Max ($):",23),?28,$J($$DOL^IBCNSM6(355.4,5.04,$P($G(IBCABD5),"^",4),IBLINE),10),?60 D VLINE
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| 29 |  W ?83,$J("Annual Max ($):",23),?108,$J($$DOL^IBCNSM6(355.4,2.04,$P($G(IBCABD2),"^",4),IBLINE),10)
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| 30 |  W !?3,$J("Room & Board (%):",23),?28,$J($$DOL^IBCNSM6(355.4,5.09,$P($G(IBCABD5),"^",9),IBLINE),10),?60 D VLINE
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| 31 |  W ?83,$J("Visit (%):",23),?108,$J($$DOL^IBCNSM6(355.4,2.09,$P($G(IBCABD2),"^",9),IBLINE),10)
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| 32 |  W !?3,$J("Drug/Alc Lifet Max ($):",23),?28,$J($$DOL^IBCNSM6(355.4,5.07,$P($G(IBCABD5),"^",7),IBLINE),10) D VLINE
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| 33 |  W ?83,$J("Max Visits/Yr:",23),?108,$J($$DOL^IBCNSM6(355.4,2.15,$P($G(IBCABD2),"^",15),IBLINE),10)
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| 34 |  W !?3,$J("Drug/Alc An Max ($):",23),?28,$J($$DOL^IBCNSM6(355.4,5.08,$P($G(IBCABD5),"^",8),IBLINE),10) D VLINE
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| 35 |  W ?83,$J("Surgery (%):",23),?108,$J($$DOL^IBCNSM6(355.4,2.13,$P($G(IBCABD2),"^",13),IBLINE),10)
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| 36 |  W !?3,$J("Nursing Home (%):",23),?28,$J($$DOL^IBCNSM6(355.4,5.1,$P($G(IBCABD5),"^",10),IBLINE),10) D VLINE
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| 37 |  W ?83,$J("Emergency (%):",23),?108,$J($$DOL^IBCNSM6(355.4,2.10,$P($G(IBCABD2),"^",10),IBLINE),10)
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| 38 |  W !?3,$J("Other Inpt Charges (%):",23),?28,$J($$DOL^IBCNSM6(355.4,5.12,$P($G(IBCABD5),"^",12),IBLINE),10) D VLINE
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| 39 |  W ?83,$J("Prescription (%):",23),?108,$J($$DOL^IBCNSM6(355.4,2.12,$P($G(IBCABD2),"^",12),IBLINE),10)
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| 40 |  W ! D VLINE W ?83,$J("Adult Day Health Care?:",23),?108,$J($$DOL^IBCNSM6(355.4,2.17,$P($G(IBCABD2),"^",17),IBLINE),10)
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| 41 |  W ! D VLINE W ?67,$J("Dnt Cov Type (NONE/PER VIS $ / % AMT):",39)
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| 42 |  I $P($G(IBCABD2),"^",7)="" W ?108,$J($$DOL^IBCNSM6(355.4,2.07,$P($G(IBCABD2),"^",7),IBLINE),10) G DEN
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| 43 |  W ?(117-($L($$DOL^IBCNSM6(355.4,2.07,$P($G(IBCABD2),"^",7),IBLINE))\2)),$$DOL^IBCNSM6(355.4,2.07,$P($G(IBCABD2),"^",7),IBLINE)
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| 44 |  ;
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| 45 | DEN I $P(IBCABD2,"^",7)=0!('($G(IBLINE))&($P(IBCABD2,"^",7)="")) G IOQ
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| 46 |  N IBX
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| 47 |  S IBX=$S($P($G(IBCABD2),U,7)=1:"Dental Cov ($):",$P($G(IBCABD2),U,7)=2:"Dental Cov (%):",1:"Dental Cov $ Or %:")
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| 48 |  W ! D VLINE W ?$S($P($G(IBCABD2),U,7)=1!2:83,1:80),$J(IBX,23),?108,$J($$DOL^IBCNSM6(355.4,2.08,$P($G(IBCABD2),"^",8),IBLINE),10)
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| 49 | IOQ Q
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| 50 | VLINE ; create a vertical line between blocks
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| 51 |  W ?66,"|"
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| 52 |  Q
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