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LTC co-pay API ICR (3600)

LTC co-pay API    ICR (3600)

Name Value
NUMBER 3600
IA # 3600
DATE CREATED 2002/06/24
CUSTODIAL PACKAGE ENROLLMENT APPLICATION SYSTEM
CUSTODIAL ISC Albany
USAGE Controlled Subscription
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE EASECCAL
NAME LTC co-pay API
GENERAL DESCRIPTION 
$$COPAY^EASECCAL(DFN,MNTH,LOS) This extrinsic function
returns LTC status and maximal monthly LTC copay amounts for the patient for
specific month if applicable. It is used in calculation of LTC copays in IB
package.
STATUS Active
KEYWORDS
  • LTC
  • COPAY
DURATION Till Otherwise Agreed
ID EASECCAL
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT VARIABLES
$$COPAY
VARIABLES TYPE VARIABLES DESCRIPTION
DFN Input 
Patient IEN.
MNTH Input 
Last day of month for the LTC co-pay calculation in
FM format (e.g. 3020131).
LOS Input 
(Length of stay) The number of days in the patient's
LTC episode.
$$COPAY Output 
function returns 0 or compound string with "^"
delimiters.  "0" return value indicates that no completed LTC co-pay test on
file (there is no 1010EC form) for patient for the month.  if returns
string then:
piece 1: LTC co-pay test status (1=Exempt; 2=Non-Exempt)
piece 2: If Exempt, Reason for Exemption  (IEN of file
#714.1)
piece 3: Calculated LTC co-payment for inpatient care for
LOS = 1-180 days.
piece 4: Calculated LTC co-payment for inpatient care for
LOS = 181+ days.
piece 5: Calculated LTC co-payment for outpatients.
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
INTEGRATED BILLING Albany
FEE BASIS