| [613] | 1 | IBXPAR ; GENERATED FROM 'IB EDIT MCCR PARM' INPUT TEMPLATE(#505), FILE 350.9;09/24/03 | 
|---|
|  | 2 | D DE G BEGIN | 
|---|
|  | 3 | DE S DIE="^IBE(350.9,",DIC=DIE,DP=350.9,DL=1,DIEL=0,DU="" K DG,DE,DB Q:$O(^IBE(350.9,DA,""))="" | 
|---|
|  | 4 | I $D(^(0)) S %Z=^(0) S %=$P(%Z,U,12) S:%]"" DE(22)=% S %=$P(%Z,U,15) S:%]"" DE(24)=% | 
|---|
|  | 5 | I $D(^(1)) S %Z=^(1) S %=$P(%Z,U,1) S:%]"" DE(10)=% S %=$P(%Z,U,2) S:%]"" DE(11)=% S %=$P(%Z,U,4) S:%]"" DE(31)=% S %=$P(%Z,U,5) S:%]"" DE(3)=% S %=$P(%Z,U,6) S:%]"" DE(4)=% S %=$P(%Z,U,8) S:%]"" DE(12)=% S %=$P(%Z,U,10) S:%]"" DE(29)=% | 
|---|
|  | 6 | I  S %=$P(%Z,U,14) S:%]"" DE(6)=% S %=$P(%Z,U,15) S:%]"" DE(17)=% S %=$P(%Z,U,16) S:%]"" DE(18)=% S %=$P(%Z,U,17) S:%]"" DE(19)=% S %=$P(%Z,U,18) S:%]"" DE(20)=% S %=$P(%Z,U,19) S:%]"" DE(21)=% S %=$P(%Z,U,20) S:%]"" DE(30)=% | 
|---|
|  | 7 | I  S %=$P(%Z,U,21) S:%]"" DE(5)=% S %=$P(%Z,U,22) S:%]"" DE(15)=% S %=$P(%Z,U,23) S:%]"" DE(16)=% S %=$P(%Z,U,25) S:%]"" DE(7)=% S %=$P(%Z,U,27) S:%]"" DE(34)=% S %=$P(%Z,U,28) S:%]"" DE(23)=% S %=$P(%Z,U,29) S:%]"" DE(25)=% | 
|---|
|  | 8 | I  S %=$P(%Z,U,30) S:%]"" DE(26)=% S %=$P(%Z,U,31) S:%]"" DE(32)=% | 
|---|
|  | 9 | I $D(^(2)) S %Z=^(2) S %=$P(%Z,U,7) S:%]"" DE(33)=% | 
|---|
|  | 10 | K %Z Q | 
|---|
|  | 11 | ; | 
|---|
|  | 12 | W W !?DL+DL-2,DLB_": " | 
|---|
|  | 13 | Q | 
|---|
|  | 14 | O D W W Y W:$X>45 !?9 | 
|---|
|  | 15 | I $L(Y)>19,'DV,DV'["I",(DV["F"!(DV["K")) G RW^DIR2 | 
|---|
|  | 16 | W:Y]"" "// " I 'DV,DV["I",$D(DE(DQ))#2 S X="" W "  (No Editing)" Q | 
|---|
|  | 17 | TR R X:DTIME E  S (DTOUT,X)=U W $C(7) | 
|---|
|  | 18 | Q | 
|---|
|  | 19 | A K DQ(DQ) S DQ=DQ+1 | 
|---|
|  | 20 | B G @DQ | 
|---|
|  | 21 | RE G PR:$D(DE(DQ)) D W,TR | 
|---|
|  | 22 | N I X="" G NKEY:$D(^DD("KEY","F",DP,DIFLD)),A:DV'["R",X:'DV,X:D'>0,A | 
|---|
|  | 23 | RD G QS:X?."?" I X["^" D D G ^DIE17 | 
|---|
|  | 24 | I X="@" D D G Z^DIE2 | 
|---|
|  | 25 | I X=" ",DV["d",DV'["P",$D(^DISV(DUZ,"DIE",DLB)) S X=^(DLB) I DV'["D",DV'["S" W "  "_X | 
|---|
|  | 26 | T G M^DIE17:DV,^DIE3:DV["V",P:DV'["S" X:$D(^DD(DP,DIFLD,12.1)) ^(12.1) I X?.ANP D SET I 'DDER X:$D(DIC("S")) DIC("S") I  W:'$D(DB(DQ)) "  "_% G V | 
|---|
|  | 27 | K DDER G X | 
|---|
|  | 28 | P I DV["P" S DIC=U_DU,DIC(0)=$E("EN",$D(DB(DQ))+1)_"M"_$E("L",DV'["'") S:DIC(0)["L" DLAYGO=+$P(DV,"P",2) G:DV["*" AST^DIED D NOSCR^DIED S X=+Y,DIC=DIE G X:X<0 | 
|---|
|  | 29 | G V:DV'["N" D D I $L($P(X,"."))>24 K X G Z | 
|---|
|  | 30 | I $P(DQ(DQ),U,5)'["$",X?.1"-".N.1".".N,$P(DQ(DQ),U,5,99)["+X'=X" S X=+X | 
|---|
|  | 31 | V D @("X"_DQ) K YS | 
|---|
|  | 32 | Z K DIC("S"),DLAYGO I $D(X),X'=U D:$G(DE(DW,"INDEX")) SAVEVALS G:'$$KEYCHK UNIQFERR^DIE17 S DG(DW)=X S:DV["d" ^DISV(DUZ,"DIE",DLB)=X G A | 
|---|
|  | 33 | X W:'$D(ZTQUEUED) $C(7),"??" I $D(DB(DQ)) G Z^DIE17 | 
|---|
|  | 34 | S X="?BAD" | 
|---|
|  | 35 | QS S DZ=X D D,QQ^DIEQ G B | 
|---|
|  | 36 | D S D=DIFLD,DQ(DQ)=DLB_U_DV_U_DU_U_DW_U_$P($T(@("X"_DQ))," ",2,99) Q | 
|---|
|  | 37 | Y I '$D(DE(DQ)) D O G RD:"@"'[X,A:DV'["R"&(X="@"),X:X="@" S X=Y G N | 
|---|
|  | 38 | PR S DG=DV,Y=DE(DQ),X=DU I $D(DQ(DQ,2)) X DQ(DQ,2) G RP | 
|---|
|  | 39 | R I DG["P",@("$D(^"_X_"0))") S X=+$P(^(0),U,2) G RP:'$D(^(Y,0)) S Y=$P(^(0),U),X=$P(^DD(X,.01,0),U,3),DG=$P(^(0),U,2) G R | 
|---|
|  | 40 | I DG["V",+Y,$P(Y,";",2)["(",$D(@(U_$P(Y,";",2)_"0)")) S X=+$P(^(0),U,2) G RP:'$D(^(+Y,0)) S Y=$P(^(0),U) I $D(^DD(+X,.01,0)) S DG=$P(^(0),U,2),X=$P(^(0),U,3) G R | 
|---|
|  | 41 | X:DG["D" ^DD("DD") I DG["S" S %=$P($P(";"_X,";"_Y_":",2),";") S:%]"" Y=% | 
|---|
|  | 42 | RP D O I X="" S X=DE(DQ) G A:'DV,A:DC<2,N^DIE17 | 
|---|
|  | 43 | I I DV'["I",DV'["#" G RD | 
|---|
|  | 44 | D E^DIE0 G RD:$D(X),PR | 
|---|
|  | 45 | Q | 
|---|
|  | 46 | SET N DIR S DIR(0)="SV"_$E("o",$D(DB(DQ)))_U_DU,DIR("V")=1 | 
|---|
|  | 47 | I $D(DB(DQ)),'$D(DIQUIET) N DIQUIET S DIQUIET=1 | 
|---|
|  | 48 | D ^DIR I 'DDER S %=Y(0),X=Y | 
|---|
|  | 49 | Q | 
|---|
|  | 50 | SAVEVALS S @DIEZTMP@("V",DP,DIIENS,DIFLD,"O")=$G(DE(DQ)) S:$D(^("F"))[0 ^("F")=$G(DE(DQ)) | 
|---|
|  | 51 | I $D(DE(DW,"4/")) S @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/")="" | 
|---|
|  | 52 | E  K @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/") | 
|---|
|  | 53 | Q | 
|---|
|  | 54 | NKEY W:'$D(ZTQUEUED) "??  Required key field" S X="?BAD" G QS | 
|---|
|  | 55 | KEYCHK() Q:$G(DE(DW,"KEY"))="" 1 Q @DE(DW,"KEY") | 
|---|
|  | 56 | BEGIN S DNM="IBXPAR",DQ=1 | 
|---|
|  | 57 | N DIEZTMP,DIEZAR,DIEZRXR,DIIENS,DIXR K DIEFIRE,DIEBADK S DIEZTMP=$$GETTMP^DIKC1("DIEZ") | 
|---|
|  | 58 | M DIEZAR=^DIE(505,"AR") S DICRREC="TRIG^DIE17" | 
|---|
|  | 59 | S:$D(DTIME)[0 DTIME=300 S D0=DA,DIIENS=DA_",",DIEZ=505,U="^" | 
|---|
|  | 60 | 1 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=1 D X1 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 | 
|---|
|  | 61 | X1 I '$D(IBDR) S IBDR="1,2,3,4,5" | 
|---|
|  | 62 | Q | 
|---|
|  | 63 | 2 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=2 D X2 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 | 
|---|
|  | 64 | X2 S:IBDR'["1" Y="@2" | 
|---|
|  | 65 | Q | 
|---|
|  | 66 | 3 S DW="1;5",DV="RF",DU="",DLB="FEDERAL TAX NUMBER",DIFLD=1.05 | 
|---|
|  | 67 | G RE | 
|---|
|  | 68 | X3 K:$L(X)>10!($L(X)<10)!'(X?2N1"-"7N) X | 
|---|
|  | 69 | I $D(X),X'?.ANP K X | 
|---|
|  | 70 | Q | 
|---|
|  | 71 | ; | 
|---|
|  | 72 | 4 S DW="1;6",DV="RF",DU="",DLB="BLUE CROSS/SHIELD PROVIDER #",DIFLD=1.06 | 
|---|
|  | 73 | G RE | 
|---|
|  | 74 | X4 K:$L(X)>13!($L(X)<3) X | 
|---|
|  | 75 | I $D(X),X'?.ANP K X | 
|---|
|  | 76 | Q | 
|---|
|  | 77 | ; | 
|---|
|  | 78 | 5 S DW="1;21",DV="F",DU="",DLB="MEDICARE PROVIDER NUMBER",DIFLD=1.21 | 
|---|
|  | 79 | G RE | 
|---|
|  | 80 | X5 K:$L(X)>8!($L(X)<1) X | 
|---|
|  | 81 | I $D(X),X'?.ANP K X | 
|---|
|  | 82 | Q | 
|---|
|  | 83 | ; | 
|---|
|  | 84 | 6 S DW="1;14",DV="RP49'",DU="",DLB="MAS SERVICE POINTER",DIFLD=1.14 | 
|---|
|  | 85 | S DU="DIC(49," | 
|---|
|  | 86 | G RE | 
|---|
|  | 87 | X6 Q | 
|---|
|  | 88 | 7 S DW="1;25",DV="P40.8'",DU="",DLB="DEFAULT DIVISION",DIFLD=1.25 | 
|---|
|  | 89 | S DU="DG(40.8," | 
|---|
|  | 90 | G RE | 
|---|
|  | 91 | X7 Q | 
|---|
|  | 92 | 8 S DQ=9 ;@2 | 
|---|
|  | 93 | 9 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=9 D X9 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 | 
|---|
|  | 94 | X9 S:IBDR'["2" Y="@3" | 
|---|
|  | 95 | Q | 
|---|
|  | 96 | 10 S DW="1;1",DV="F",DU="",DLB="NAME OF CLAIM FORM SIGNER",DIFLD=1.01 | 
|---|
|  | 97 | G RE | 
|---|
|  | 98 | X10 K:$L(X)>20!($L(X)<2) X | 
|---|
|  | 99 | I $D(X),X'?.ANP K X | 
|---|
|  | 100 | Q | 
|---|
|  | 101 | ; | 
|---|
|  | 102 | 11 S DW="1;2",DV="F",DU="",DLB="TITLE OF CLAIM FORM SIGNER",DIFLD=1.02 | 
|---|
|  | 103 | G RE | 
|---|
|  | 104 | X11 K:$L(X)>20!($L(X)<2) X | 
|---|
|  | 105 | I $D(X),X'?.ANP K X | 
|---|
|  | 106 | Q | 
|---|
|  | 107 | ; | 
|---|
|  | 108 | 12 S DW="1;8",DV="RP200'",DU="",DLB="BILLING SUPERVISOR NAME",DIFLD=1.08 | 
|---|
|  | 109 | S DU="VA(200," | 
|---|
|  | 110 | G RE | 
|---|
|  | 111 | X12 Q | 
|---|
|  | 112 | 13 S DQ=14 ;@3 | 
|---|
|  | 113 | 14 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=14 D X14 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 | 
|---|
|  | 114 | X14 S:IBDR'["3" Y="@4" | 
|---|
|  | 115 | Q | 
|---|
|  | 116 | 15 S DW="1;22",DV="S",DU="",DLB="MULTIPLE FORM TYPES",DIFLD=1.22 | 
|---|
|  | 117 | S DU="1:YES;0:NO;" | 
|---|
|  | 118 | G RE | 
|---|
|  | 119 | X15 Q | 
|---|
|  | 120 | 16 S DW="1;23",DV="S",DU="",DLB="CAN INITIATOR AUTHORIZE?",DIFLD=1.23 | 
|---|
|  | 121 | S DU="1:YES;0:NO;" | 
|---|
|  | 122 | G RE | 
|---|
|  | 123 | X16 Q | 
|---|
|  | 124 | 17 S DW="1;15",DV="S",DU="",DLB="CAN CLERK ENTER NON-PTF CODES?",DIFLD=1.15 | 
|---|
|  | 125 | S DU="1:YES;0:NO;" | 
|---|
|  | 126 | G RE | 
|---|
|  | 127 | X17 Q | 
|---|
|  | 128 | 18 S DW="1;16",DV="S",DU="",DLB="ASK HINQ IN MCCR",DIFLD=1.16 | 
|---|
|  | 129 | S DU="1:YES;0:NO;" | 
|---|
|  | 130 | G RE | 
|---|
|  | 131 | X18 Q | 
|---|
|  | 132 | 19 S DW="1;17",DV="S",DU="",DLB="USE OP CPT SCREEN?",DIFLD=1.17 | 
|---|
|  | 133 | S DU="1:YES;0:NO;" | 
|---|
|  | 134 | G RE | 
|---|
|  | 135 | X19 Q | 
|---|
|  | 136 | 20 S DW="1;18",DV="*P399.2'",DU="",DLB="*DEFAULT AMB SURG REV CODE",DIFLD=1.18 | 
|---|
|  | 137 | S DU="DGCR(399.2," | 
|---|
|  | 138 | G RE | 
|---|
|  | 139 | X20 S DIC("S")="I $P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X | 
|---|
|  | 140 | Q | 
|---|
|  | 141 | ; | 
|---|
|  | 142 | 21 S DW="1;19",DV="S",DU="",DLB="TRANSFER PROCEDURES TO SCHED?",DIFLD=1.19 | 
|---|
|  | 143 | S DU="1:YES;0:NO;" | 
|---|
|  | 144 | G RE | 
|---|
|  | 145 | X21 Q | 
|---|
|  | 146 | 22 S DW="0;12",DV="D",DU="",DLB="PER DIEM START DATE",DIFLD=.12 | 
|---|
|  | 147 | G RE | 
|---|
|  | 148 | X22 S %DT="EX" D ^%DT S X=Y K:3991231<X!(2901105>X) X | 
|---|
|  | 149 | Q | 
|---|
|  | 150 | ; | 
|---|
|  | 151 | 23 S DW="1;28",DV="*P399.2'",DU="",DLB="*DEFAULT RX REFILL REV CODE",DIFLD=1.28 | 
|---|
|  | 152 | S DU="DGCR(399.2," | 
|---|
|  | 153 | G RE | 
|---|
|  | 154 | X23 S DIC("S")="I $P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X | 
|---|
|  | 155 | Q | 
|---|
|  | 156 | ; | 
|---|
|  | 157 | 24 S DW="0;15",DV="S",DU="",DLB="SUPPRESS MT INS BULLETIN",DIFLD=.15 | 
|---|
|  | 158 | S DU="1:YES;0:NO;" | 
|---|
|  | 159 | G RE | 
|---|
|  | 160 | X24 Q | 
|---|
|  | 161 | 25 S DW="1;29",DV="*P80'",DU="",DLB="DEFAULT RX REFILL DX",DIFLD=1.29 | 
|---|
|  | 162 | S DU="ICD9(" | 
|---|
|  | 163 | G RE | 
|---|
|  | 164 | X25 S DIC("S")="I $$ICD9ACT^IBACSV(+Y)" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X | 
|---|
|  | 165 | Q | 
|---|
|  | 166 | ; | 
|---|
|  | 167 | 26 S DW="1;30",DV="*P81'",DU="",DLB="DEFAULT RX REFILL CPT",DIFLD=1.3 | 
|---|
|  | 168 | S DU="ICPT(" | 
|---|
|  | 169 | G RE | 
|---|
|  | 170 | X26 S DIC("S")="I $$CPTACT^IBACSV(+Y)" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X | 
|---|
|  | 171 | Q | 
|---|
|  | 172 | ; | 
|---|
|  | 173 | 27 S DQ=28 ;@4 | 
|---|
|  | 174 | 28 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=28 D X28 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 | 
|---|
|  | 175 | X28 S:IBDR'["4" Y="@5" | 
|---|
|  | 176 | Q | 
|---|
|  | 177 | 29 S DW="1;10",DV="S",DU="",DLB="PRINT '001' FOR TOTAL CHARGES?",DIFLD=1.1 | 
|---|
|  | 178 | S DU="1:YES;0:NO;" | 
|---|
|  | 179 | G RE | 
|---|
|  | 180 | X29 Q | 
|---|
|  | 181 | 30 S DW="1;20",DV="S",DU="",DLB="HOLD MT BILLS W/INS",DIFLD=1.2 | 
|---|
|  | 182 | S DU="1:YES;0:NO;" | 
|---|
|  | 183 | G RE | 
|---|
|  | 184 | X30 Q | 
|---|
|  | 185 | 31 S DW="1;4",DV="F",DU="",DLB="REMARKS TO APPEAR ON EACH FORM",DIFLD=1.04 | 
|---|
|  | 186 | G RE | 
|---|
|  | 187 | X31 K:$L(X)>39!($L(X)<2) X | 
|---|
|  | 188 | I $D(X),X'?.ANP K X | 
|---|
|  | 189 | Q | 
|---|
|  | 190 | ; | 
|---|
|  | 191 | 32 S DW="1;31",DV="NJ2,0",DU="",DLB="UB-92 ADDRESS COLUMN",DIFLD=1.31 | 
|---|
|  | 192 | G RE | 
|---|
|  | 193 | X32 K:+X'=X!(X>80)!(X<1)!(X?.E1"."1N.N) X | 
|---|
|  | 194 | Q | 
|---|
|  | 195 | ; | 
|---|
|  | 196 | 33 S DW="2;7",DV="F",DU="",DLB="CANCELLATION REMARK FOR FISCAL",DIFLD=2.07 | 
|---|
|  | 197 | G RE | 
|---|
|  | 198 | X33 K:$L(X)>75!($L(X)<3)!'(X?1A.E) X | 
|---|
|  | 199 | I $D(X),X'?.ANP K X | 
|---|
|  | 200 | Q | 
|---|
|  | 201 | ; | 
|---|
|  | 202 | 34 S DW="1;27",DV="NJ2,0",DU="",DLB="HCFA 1500 ADDRESS COLUMN",DIFLD=1.27 | 
|---|
|  | 203 | G RE | 
|---|
|  | 204 | X34 K:+X'=X!(X>80)!(X<1)!(X?.E1"."1N.N) X | 
|---|
|  | 205 | Q | 
|---|
|  | 206 | ; | 
|---|
|  | 207 | 35 D:$D(DG)>9 F^DIE17 G ^IBXPAR1 | 
|---|