IBRSUTL ;ALB/ARH - ASCD INTERFACE UTILITIES ; 23-MAR-07
Source file <IBRSUTL.m>
Name | Comments | DBIA/ICR reference |
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CT(IB0E) | ; Return Claims Tracking record for Outpatient Encounter
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; Output: IEN of Outpatient Encounters Claims Tracking record #356 ; or null if no CT entry found |
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RNBU(IB0E,CHNG) | ; Update Claims Tracking record Reason Not Billable for an Outpatient Encounter
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; CHNG - 1 if Outpatient Encounter changed from NSC to SC ; 2 if Outpatient Encounter changed from SC to NSC ; Output: 1 - Reason Not Billable SC TREATMENT was added to Outpatient Encounters Claims Tracking Record ; also adds CT Billable Finding of NSC TO SC and Last Reviewed By ; 2 - Reason Not Billable SC TREATMENT was deleted from Outpatient Encounters Claims Tracking Record ; also adds CT Billable Finding of SC TO NSC and Last Reviewed By ; 0 - no change made |
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FPBILL(IB0E) | ; Return First Party Bill data for Outpatient Encounter, last encounter transaction if not cancelled
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; Output: First Party AR Bill Number (#350,.11) ^ AR Transaction Number (#350,.12) ^ Total Charge (#350,.07) ; null if no active First Party Bill found for encounter |
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TPBILL(IB0E) | ; Return Third Party Bill numbers for Outpatient Encounter, only not cancelled
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; Output: Third Party Bill Number (#399,.01) ^ Third Party Bill Number (#399,.01) ^ ... ; or null if no Third Party Bill found for encounter |
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FIRST(IB0E) | ; Return true if Outpatient Encounter is Billable for First Party
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; Output: 0 ^ non-billable reason ; 1 if encounter is First Party billable ; |
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THIRD(IB0E) | ; Return true if Outpatient Encounter is Billable for Third Party
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; Output: 0 ^ non-billable reason ; 1 if encounter is Third Party billable |
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TPCHG(IB0E) | ; Return Outpatient Encounters potential Third Party charges, based on encounters procedures
; Input: IB0E - IEN of Outpatient Encounter #409.68 ; Output: Total Institutional Amount ^ Total Professional Amount ; 0 if no encounter billable procedures with charges |
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FileNo | Call Tags |
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^IBT(356 - [#356] | Classic Fileman Calls |