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Routine: IBCAPP1

Package: Integrated Billing

Routine: IBCAPP1


Information

IBCAPP1 ;ALB/WCJ - Claims Auto Processing Utilities;27-AUG-10

Source Information

Source file <IBCAPP1.m>

Call Graph

Call Graph

Call Graph Total: 2

Package Total Call Graph
Integrated Billing 2 $$TOT^IBCECOB2  $$SPLIT^IBCEMU1  

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
Integrated Billing 1 IBCAPP  

Entry Points

Name Comments DBIA/ICR reference
AWAY
CRIT(IBIFN,IBEOB) ; Function to determine if a claim meets the criteria for auto-authorization and
; secondary/tertiary claim submission for NON MEDICARE claims
CRITX ;
CAS(IBEOB,ADJFLAG,REASON) ; This function determines if the EOB
; adjustment group codes and reason codes from file 361.1 (either
; claim level or line level or both) meet the criteria for auto-
; authorization and secondary claim submission.
CASX ;
ADJCHK ; This procedure checks the adjustments for this EOB. The group codes
; and reason codes are in the EOBADJ array structures from file 361.1.
ADJCHKX ;
BUILD ; This procedure builds the OKCOMBO array which identifies which
; combinations of group codes and reason codes are acceptable
BUILDX ;
OKCOMBO ; This section lists OK combinations of adjustment category group codes
; and associated reason codes.
; The format is as follows - semi-colon delimiter
; [3] Adjustment category (group code)
; [4] List of acceptable reason codes - comma delimiter

External References

Name Field # of Occurrence
$$TOT^IBCECOB2 CRIT+71
$$SPLIT^IBCEMU1 CRIT+61

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBE(350.9 - [#350.9] CRIT+26
^IBM(361.1 - [#361.1] CRIT+29, CRIT+33, CRIT+34, CRIT+37, CRIT+38, CRIT+41, CRIT+42, CRIT+55, CRIT+57, CRIT+64
, CAS+29, CAS+39, CAS+41

Label References

Name Line Occurrences
$$CAS CRIT+68
ADJCHK CAS+30, CAS+42
AWAY IBCAPP1+3
BUILD CAS+20
CASX CAS+34, CAS+47, CAS+50
CRITX CRIT+23, CRIT+26, CRIT+29, CRIT+48, CRIT+49, CRIT+55, CRIT+58, CRIT+61, CRIT+64, CRIT+68
, CRIT+72

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
ADJFLAG CAS~, CAS+19*, CAS+27, CAS+37
ADJIEN ADJCHK+6~, ADJCHK+7*, ADJCHK+8*, ADJCHK+9, ADJCHK+14, ADJCHK+15
EOBADJ CAS+16~, CAS+28!, CAS+29*, CAS+40!, CAS+41*
EOBADJ( ADJCHK+8, ADJCHK+9, ADJCHK+14, ADJCHK+15
ERR CRIT+19~, CRIT+48*, CRIT+49*, CRIT+52*
GROUP ADJCHK+6~, ADJCHK+9*, ADJCHK+10, ADJCHK+11*, ADJCHK+12, ADJCHK+18, ADJCHK+19, ADJCHK+22, ADJCHK+25, BUILD+3~
BUILD+7*, BUILD+11
IB0 CRIT+19~, CRIT+34*, CRIT+35, CRIT+36, CRIT+42*, CRIT+43, CRIT+44, CRIT+57*, CRIT+58
IBCT CRIT+19~, CRIT+32*, CRIT+38*, CRIT+45*, CRIT+49
IBEOB CRIT~, CRIT+20*, CRIT+53*, CRIT+55, CRIT+57, CRIT+61, CRIT+64, CRIT+68, CAS~, CAS+18*
, CAS+29, CAS+39, CAS+41
IBI CRIT+19~, CRIT+32*, CRIT+33*, CRIT+34, CRIT+37, CRIT+38, CRIT+40*, CRIT+41*, CRIT+42, CRIT+45
, CRIT+46
IBIFN CRIT~, CRIT+23, CRIT+29, CRIT+33, CRIT+41, CRIT+64, CRIT+71
IBILLCNT CRIT+19~
IBPTRESP CRIT+19~, CRIT+71*, CRIT+72
IBSHEOB CRIT+19~, CRIT+48
IBSHEOB( CRIT+38*, CRIT+45, CRIT+46*
IBSHEOB(0 CRIT+53
LINE BUILD+3~, BUILD+5, BUILD+6*, BUILD+7, BUILD+8
LN BUILD+3~, BUILD+5*
LNIEN CAS+16~, CAS+38*, CAS+39*, CAS+41
OK CRIT+20*, CRIT+75*, CRITX+2, CAS+16~, CAS+23*, CAS+53*, CASX+1
OKCOMBO CAS+16~, BUILD+4!, BUILD+5
OKCOMBO( ADJCHK+12, ADJCHK+22, BUILD+11*
PATRESP CAS+16~, CAS+21*, CAS+50, ADJCHK+25*
R BUILD+3~, BUILD+9*, BUILD+10
REASON CRIT+19~, CRIT+20*, CRIT+23*, CRIT+26*, CRIT+29*, CRIT+48*, CRIT+49*, CRIT+55*, CRIT+58*, CRIT+61*
, CRIT+64*, CRIT+68*, CRIT+72*, CRIT+75*, CRITX+2, CAS~, CAS+24*, CAS+50*, CAS+53*, ADJCHK+12*
ADJCHK+22*
RSN BUILD+3~, BUILD+10*, BUILD+11
RSNCODE ADJCHK+6~, ADJCHK+15*, ADJCHK+18, ADJCHK+19, ADJCHK+21*, ADJCHK+22
RSNIEN ADJCHK+6~, ADJCHK+13*, ADJCHK+14*, ADJCHK+15
RSNLST BUILD+3~, BUILD+8*, BUILD+9, BUILD+10
STOP CAS+16~, CAS+22*, CAS+34, CAS+39, CAS+47, ADJCHK+8, ADJCHK+12*, ADJCHK+14, ADJCHK+22*
U CRIT+26, CRIT+36, CRIT+44, CRIT+58, CRIT+64, CRITX+2, ADJCHK+9, ADJCHK+15
Z CRIT+19~, CRIT+37*, CRIT+38, CRIT+64*

Marked Items

Name Field # of Occurrence
$T(OKCOMBO+LN BUILD+6
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