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Routine: IBCNSU3

Package: Integrated Billing

Routine: IBCNSU3


Information

IBCNSU3 ;ALB/TMP - Functions for billing decisions; 08-AUG-95

Source Information

Source file <IBCNSU3.m>

Call Graph

Call Graph

Call Graph Total: 1

Package Total Call Graph
Integrated Billing 1 ALL^IBCNS1  

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: 25

Package Total Caller Graph
Integrated Billing 22 IBCBB  IBCD  IBCNBAR  IBCNS  IBCNS3  IBCNSM  IBCONS2  IBCU82  
IBEFURT  IBNCPDP1  IBNCPDPU  IBNCPDS1  IBNCPIV  IBNCPNB  IBRUTL  IBTRE2  
IBTRKR  IBTRKR2  IBTRKR3  IBTRKR41  IBTRKR5  IBTUBOU  
Outpatient Pharmacy 3 PSOCIDC3  PSOCPBK4  PSOCPIB5  

Entry Points

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)=""
  • ICR #4115
    • Status: Active
    • Usage: Private
    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
    RIDERS(DFN,IBCDFN,RIDERS) ; Returns all Riders (355.7) associated with a patient's policy in array if RIDERS is passed by reference

    External References

    Name Field # of Occurrence
    ALL^IBCNS1 PTCOV+15

    Global Variables Directly Accessed

    Name Line Occurrences  (* Changed,  ! Killed)
    ^IBA(355.32 - [#355.32] PLCOV+6, PLCOV+7, PLCOV+8
    ^IBA(355.7 - [#355.7] PTCOV+21, RIDERS+2
    ^IBE(355.31 - [#355.31] PTCOV+13, PTCOV+21
    ^IBE(355.6 - [#355.6] RIDERS+2

    Label References

    Name Line Occurrences
    $$PLCOV PTCOV+20
    PTCOVQ PTCOV+12, PTCOV+13

    Local Variables

    Legend:

    >> Not killed explicitly
    * Changed
    ! Killed
    ~ Newed

    Name Field # of Occurrence
    ANYINS PTCOV~, PTCOV+11*, PTCOV+16*
    CATLIM PLCOV+5~, PLCOV+6*, PLCOV+7, PLCOV+8
    COMMENT PLCOV~, PLCOV+5!, PLCOV+8*
    COMMENT( PLCOV+8*
    DFN PTCOV~, PTCOV+12, PTCOV+15, PTCOV+21, RIDERS~, RIDERS+2
    IBCAT PTCOV~, PTCOV+12, PTCOV+13*, PTCOV+20, PTCOV+21, PLCOV~, PLCOV+6
    IBCDFN RIDERS~, RIDERS+2
    IBCOV PTCOV+10~, PTCOV+11*, PTCOV+17, PTCOV+20*, PTCOV+21*, PTCOVQ
    IBDD PTCOV+10~
    IBDD( PTCOV+17, PTCOV+18, PTCOV+19
    IBDD(0 PTCOV+16
    IBPL PLCOV~, PLCOV+6
    IBVDT PTCOV~, PTCOV+12, PTCOV+14*, PTCOV+15, PTCOV+20, PLCOV~, PLCOV+6
    INSONBIL PTCOV~, PTCOV+19
    INSONBIL( PTCOV+19
    PLAN PTCOV+10~, PTCOV+18*, PTCOV+20
    POLCY PTCOV+10~, PTCOV+17*, PTCOV+18, PTCOV+19, PTCOV+21
    RIDERS RIDERS~, RIDERS+1!
    RIDERS( RIDERS+2*
    U PTCOV+18, PTCOV+19, PTCOV+21, PLCOV+7, RIDERS+2
    X PLCOV+5~, PLCOV+7*, PLCOV+8, PLCOV+9
    Y PLCOV+5~, PLCOV+8*, RIDERS+1~, RIDERS+2*
    Info |  Source |  Call Graph |  Caller Graph |  Entry Points |  External References |  Global Variables Directly Accessed |  Label References |  Local Variables  | All