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Global: ^IBAM(354.75

Package: Integrated Billing

Global: ^IBAM(354.75


Information

FileMan FileNo FileMan Filename Package
354.75 IB COPAY CAPS Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 1

Package Total Routines
Integrated Billing 1 IB20P330    

Fields, Total: 6

Field # Name Loc Type Details
.01 EFFECTIVE DATE 0;1 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 05, 2001
  • HELP-PROMPT:  Answer with an effective date.
  • DESCRIPTION:  
    This is the effective date of this cap entry. Based upon the date of the transaction, this will be used to determine if a billing transaction is above the cap or not.
  • CROSS-REFERENCE:  354.75^B
    1)= S ^IBAM(354.75,"B",$E(X,1,30),DA)=""
    2)= K ^IBAM(354.75,"B",$E(X,1,30),DA)
  • RECORD INDEXES:  AC (#106)
.02 PRIORITY LEVEL 0;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>8)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  MAR 29, 2016
  • HELP-PROMPT:  Answer with a priority level 1 through 8.
  • DESCRIPTION:  
    This is the priority level of the cap. This will be used based upon the patient's priority level to determine what their cap amount is.
  • RECORD INDEXES:  AC (#106)
.03 MONTHLY CAP AMOUNT 0;3 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999.99)!(X<0) X
  • LAST EDITED:  JUN 05, 2001
  • HELP-PROMPT:  Enter the rx copay monthly cap amount.
  • DESCRIPTION:  
    This is the monthly cap amount that will be used to determine if the bill is above the cap or not. This is a total monthly amount that can be billed to a patient for pharmacy copay.
.04 YEARLY CAP AMOUNT 0;4 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>999999.99)!(X<0) X
  • LAST EDITED:  JUN 05, 2001
  • HELP-PROMPT:  Enter the rx copay yearly cap amount.
  • DESCRIPTION:  
    This is the yearly cap amount that will be used to determine if the bill is above the cap or not based on the year basis specified. This is the total yearly amount that can be billed to a patient for pharmacy copay.
.05 TERMINATION DATE 0;5 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 05, 2001
  • HELP-PROMPT:  Answer with the termination date of this cap amount.
  • DESCRIPTION:  
    This is the termination date of this cap amount. This is optional.
.06 YEAR BASIS 0;6 SET
  • 'C' FOR CALENDAR YEAR;
  • 'F' FOR FISCAL YEAR;

  • LAST EDITED:  JUN 05, 2001
  • HELP-PROMPT:  Answer with the year basis for this cap amount.
  • DESCRIPTION:  
    This is the year basis for this cap amount. This will be used to determine the timeframe to calculate the amounts billed to a patient.
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