Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Source |  Call Graph |  Caller Graph |  Entry Points |  External References |  FileMan Files Accessed Via FileMan Db Call |  Global Variables Directly Accessed |  Label References |  Local Variables |  Marked Items  | All
Print Page as PDF
Routine: IBCEMQC

Package: Integrated Billing

Routine: IBCEMQC


Information

IBCEMQC ;ALB/ESG - MRA EOB CRITERIA FOR AUTO-AUTHORIZE ; 11/1/06 10:34am

Source Information

Source file <IBCEMQC.m>

Call Graph

Call Graph

Call Graph Total: 5

Package Total Call Graph
Integrated Billing 4 $$PTRESPI^IBCECOB1  $$FT^IBCEF  $$SPLIT^IBCEMU1  ($$MSEDT,$$MSPRE)^IBCEMU4  
VA FileMan 1 $$GET1^DIQ  

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 IBCESRV3  

Entry Points

Name Comments DBIA/ICR reference
CRIT(IBEOB) ; Function to determine if EOB entry meets the criteria for
; auto-authorization and secondary claim submission
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
$$GET1^DIQ CRIT+15
$$PTRESPI^IBCECOB1 CRIT+40
$$FT^IBCEF CRIT+40
$$SPLIT^IBCEMU1 CRIT+32
$$MSEDT^IBCEMU4 CRIT+42
$$MSPRE^IBCEMU4 CRIT+42

FileMan Files Accessed Via FileMan Db Call

FileNo Call Tags
^IBM(361.1 - [#361.1] GET1^DIQ

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBE(350.9 - [#350.9] CRIT+46, CRIT+47
^IBM(361.1 - [#361.1] CRIT+13, CRIT+14, CRIT+22, CRIT+24, CRIT+25, CRIT+39, CAS+29, CAS+39, CAS+41

Label References

Name Line Occurrences
$$CAS CRIT+36
ADJCHK CAS+30, CAS+42
BUILD CAS+20
CASX CAS+34, CAS+47, CAS+50
CRITX CRIT+13, CRIT+14, CRIT+15, CRIT+17, CRIT+29, CRIT+32, CRIT+36, CRIT+43, CRIT+46, CRIT+47

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
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
IBEOB CRIT~, CRIT+11*, CRIT+13, CRIT+14, CRIT+15, CRIT+23, CRIT+32, CRIT+36, CRIT+39, CRIT+40
, CAS~, CAS+18*, CAS+29, CAS+39, CAS+41
IBIFN CRIT+9~, CRIT+21*, CRIT+22, CRIT+40, CRIT+42
IBM CRIT+9~, CRIT+13*, CRIT+15, CRIT+17, CRIT+21
IBM3 CRIT+9~
IBM5 CRIT+9~
IBPTRESP CRIT+9~, CRIT+39*, CRIT+40*, CRIT+42*, CRIT+43
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+9~, CRIT+11*, CRIT+50*, CRITX+1, 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*
PCE CRIT+9~
R BUILD+3~, BUILD+9*, BUILD+10
REASON CRIT+9~, CRIT+11*, CRIT+13*, CRIT+14*, CRIT+15*, CRIT+17*, CRIT+26*, CRIT+32*, CRIT+36, CRIT+43*
, CRIT+46*, CRIT+47*, CRIT+50*, CRITX+1, CAS~, CAS+24*, CAS+50*, CAS+53*, ADJCHK+12*, ADJCHK+22*
REMC CRIT+9~
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 CRIT+9~, CRIT+21*, CRIT+22, CRIT+27*, CRIT+29, CAS+16~, CAS+22*, CAS+34, CAS+39, CAS+47
ADJCHK+8, ADJCHK+12*, ADJCHK+14, ADJCHK+22*
U CRIT+15, CRIT+17, CRIT+24, CRIT+25, CRIT+39, CRIT+46, CRIT+47, CRITX+1, ADJCHK+9, ADJCHK+15
Z CRIT+9~, CRIT+21*, CRIT+22*, CRIT+23, CRIT+24, CRIT+25, CRIT+26

Marked Items

Name Field # of Occurrence
$T(OKCOMBO+LN BUILD+6
Info |  Source |  Call Graph |  Caller Graph |  Entry Points |  External References |  FileMan Files Accessed Via FileMan Db Call |  Global Variables Directly Accessed |  Label References |  Local Variables |  Marked Items  | All