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Routine: IBCNSU31

Package: Integrated Billing

Routine: IBCNSU31


Information

IBCNSU31 ;ALB/ARH - INSURANCE UTILITY FILING TIME FRAME ; 09-FEB-09

Source Information

Source file <IBCNSU31.m>

Entry Points

Name Comments DBIA/ICR reference
PTFTF(DFN,IBSDT) ; Patient Filing Time Frame: check if service date is within the Filing Time Frame of the patients insurance
; returns true if the date of service is within the FTF of any of the patients active policies
; medicare is included because some secondaries allow their FTF from the MRA submission rather than DOS
PTFTFQ
PLFTF(IBPLN,IBSDT,IBINS) ; Plan/Company Filing Time Frame: check if service date is within Plan or Company Filing Time Frame and Today
; if both the plan and company have a FTF then plan FTF has precedence and is used
; IBPLN - pointer to plan (355.3), will check both the plan and company FTF
; IBSDT - date of service to determine if FTF has expired, ie. FTF plus the service date is before today
; IBINS - optional, if passed only used if there is no plan company
; returns COV ^ DATE where COV is true if the date is covered, DATE of FTF applied, if any
FTF(IBFTF,IBVAL,IBSDT) ; Filing Time Frame: return date at end of Filing Time Frame from Service Date OR null if none/not known
; IBFTF - pointer to standard FTF in 355.13
; IBVAL - value associated with the FTF
; IBSDT - service date
FTFN(IBPLN,IBINS) ; Plan/Company Filing Time Frame Name: return plan or companies standard filing time frame for display
FTFV(IBFTF) ; return true if a Standard Filing Time Frame requires a Value
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