IBCNSU3 ;ALB/TMP - Functions for billing decisions; 08-AUG-95
Source file <IBCNSU3.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| PTCOV(DFN,IBVDT,IBCAT,ANYINS,INSONBIL) | ; Determine if patient is covered for coverage category on a visit dt
; Function returns 1 if covered, 0 if not covered ; DFN - ifn of patient (req) ; IBVDT - fileman format visit date (req) ; IBCAT - entry in file 355.31 limitation of coverage category (req) ; ANYINS - optional parameter, but if passed by reference, returns 0 if ; no active insurance at all and 1 if any active insurance found ; INSONBIL - this is an array of insurances on the bill. if it is sent, only those insurances will be checked. ; INSONBIL(INS CO IEN)="" |
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| PTCOVQ | ||
| PLCOV(IBPL,IBVDT,IBCAT,COMMENT) | ; Determine if a specific plan covers a category of coverage as of a date and returns comments
; IBPL - pointer to file 355.3 group insurance plan (req) ; IBVDT - fileman format visit date (req) ; IBCAT - pointer to file 355.31 limitation of coverage category (req) ; COMMENT - if passed by reference and the coverage is conditional will contain limitation comments |
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| RIDERS(DFN,IBCDFN,RIDERS) | ; Returns all Riders (355.7) associated with a patient's policy in array if RIDERS is passed by reference
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