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Routine: EASEC101

Package: Enrollment Application System

Routine: EASEC101


Information

EASEC101 ;ALB/BRM,LBD - Print 1010EC LTC Enrollment Form ; 9/6/01 9:46am

Source Information

Source file <EASEC101.m>

Call Graph

Call Graph

Call Graph Total: 1

Package Total Call Graph
Enrollment Application System 1 (FT,HDRMAIN)^EASEC10E  

Caller Graph

Legends:

Legend of Colors

Package Component Superscript legend

action A extended action Ea event driver Ed subscriber Su protocol O limited protocol LP run routine RR broker B edit E server Se print P screenman SM inquire I

Caller Graph

Caller Graph Total: 1

Package Total Caller Graph
Enrollment Application System 1 EASEC10E  

Entry Points

Name Comments DBIA/ICR reference
PAGE1(EALNE,EAINFO,EASDFN) ;Print page 1
SEC1 ;print section 1 - General Information
SEC2 ;print section 2 - Insurance Information
SEC3 ;print section 3 - Spouse/Dependent Information
DISCLAIM ;

External References

Name Field # of Occurrence
FT^EASEC10E PAGE1+8
HDRMAIN^EASEC10E PAGE1+3

Interaction Calls

Name Line Occurrences
Function Call: WRITE
  • Prompt: !,"1. Veteran's Name",?100,"|2. Social Security Number"
  • Line Location: SEC1+3
Function Call: WRITE
  • Prompt: !?3,@EAS1@(1),?100,"|",?104,@EAS1@(2),?131,$C(13)
  • Line Location: SEC1+4
Function Call: WRITE
  • Prompt: !?26,"Answer Yes or No where applicable (Otherwise provide the requested information)",?131,$C(13)
  • Line Location: SEC1+6
Function Call: WRITE
  • Prompt: !,"3. Are You Eligible for Medicaid?"
  • Line Location: SEC1+8
Function Call: WRITE
  • Prompt: ?36,"|3A. Are You Enrolled in Medicare Part A (Hospital Insurance)"
  • Line Location: SEC1+9
Function Call: WRITE
  • Prompt: ?100,"|3B. Effective Date (If ""Yes"")"
  • Line Location: SEC1+10
Function Call: WRITE
  • Prompt: !?3,@EAS1@(3),?36,"|",?41,@EAS1@(4),?100,"|",?105,@EAS1@(5),?131,$C(13)
  • Line Location: SEC1+11
Function Call: WRITE
  • Prompt: !,"4. Are You Enrolled in Medicare Part B (Medical Insurance)"
  • Line Location: SEC1+13
Function Call: WRITE
  • Prompt: ?63,"|4A. Effective Date (If ""Yes"")"
  • Line Location: SEC1+14
Function Call: WRITE
  • Prompt: ?97,"|4B. Medicare Claim Number"
  • Line Location: SEC1+15
Function Call: WRITE
  • Prompt: !?3,@EAS1@(6),?63,"|",?68,@EAS1@(7),?97,"|",?102,@EAS1@(8),?131,$C(13)
  • Line Location: SEC1+16
Function Call: WRITE
  • Prompt: !?48,"SECTION II - INSURANCE INFORMATION",!,EALNE("D")
  • Line Location: SEC2+4
Function Call: WRITE
  • Prompt: !,"5. Are You Covered By Health Insurance (including coverage through a spouse)? (If ""Yes"", provide the following information for"
  • Line Location: SEC2+6
Function Call: WRITE
  • Prompt: !?3,"all insurance company(s) providing coverage to you.)"
  • Line Location: SEC2+7
Function Call: WRITE
  • Prompt: !?3,@EAS2@(1),?131,$C(13)
  • Line Location: SEC2+8
Function Call: WRITE
  • Prompt: !?44,"SECTION III - SPOUSE/DEPENDENT INFORMATION",!,EALNE("D")
  • Line Location: SEC3+5
Function Call: WRITE
  • Prompt: !,"We need to collect information regarding income, assets, and "
  • Line Location: DISCLAIM+1
Function Call: WRITE
  • Prompt: "expenses for you and your spouse. If you do not wish to provide this"
  • Line Location: DISCLAIM+2
Function Call: WRITE
  • Prompt: !,"information you must sign agreeing to make copayments and will "
  • Line Location: DISCLAIM+3
Function Call: WRITE
  • Prompt: "be charged the maximum copayment amount for all services. See the"
  • Line Location: DISCLAIM+4
Function Call: WRITE
  • Prompt: !,"top of page 2, read, sign, and date."
  • Line Location: DISCLAIM+5

Label References

Name Line Occurrences
DISCLAIM PAGE1+7
SEC1 PAGE1+4
SEC2 PAGE1+5
SEC3 PAGE1+6

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
EAINFO PAGE1~, PAGE1+8
EAINFO("FORM" SEC3+7, SEC3+16
EAINFO("L" SEC1+4, SEC1+6, SEC1+11, SEC1+16, SEC2+8, SEC2+18, SEC2+25, SEC3+10, SEC3+14, SEC3+18
SEC3+22, SEC3+28, SEC3+31
EALNE PAGE1~, PAGE1+3, PAGE1+8
EALNE("D" SEC2+4, SEC3+5
EAS1 SEC1+1~, SEC1+2*, SEC1+4, SEC1+11, SEC1+16
EAS2 SEC2+1~, SEC2+2*, SEC2+8, SEC2+14, SEC2+15, SEC2+16, SEC2+17, SEC2+18, SEC2+24, SEC2+25
EAS3 SEC3+3~, SEC3+4*, SEC3+10, SEC3+14, SEC3+18, SEC3+22, SEC3+28, SEC3+31
EASDFN PAGE1~, PAGE1+2
EASROOT PAGE1+1~, PAGE1+2*, SEC1+2, SEC2+2, SEC3+4
X PAGE1+1~, SEC2+1~, SEC2+10*, SEC2+11, SEC2+12, SEC2+13, SEC2+14, SEC2+15, SEC2+16, SEC2+17
SEC2+18, SEC2+20, SEC2+21, SEC2+22, SEC2+23, SEC2+24, SEC2+25, SEC3+3~, SEC3+24*, SEC3+25
SEC3+26, SEC3+27, SEC3+28, SEC3+30, SEC3+31
Info |  Source |  Call Graph |  Caller Graph |  Entry Points |  External References |  Interaction Calls |  Label References |  Local Variables  | All