| ACCEPAPI() |
API to be called by the Insurance Capture Buffer
(ICB) application to move buffer data to Insurance Files then cleanup. Usage
of this entry will suppress write statements and interactive fileman calls. In
addition to this, the follow are some difference that will only occur when
this API is used:
1. Allows a new insurance group to be updated into
an existing patient policy entry. If this is
done there is cleanup logic that will delete
obsolete Individual Plans, Repoint Insurance
Reviews if Insurance Company changes, and
Remove any Old Benefits Used.
2. The PAT^IBCNBMI will not be called
Entry point with parameters -
ACCEPAPI(RESULT,IBBUFDA,DFN,IBINSDA,IBGRPDA,IBPOLDA,IBMVINS,
IBMVGRP,IBMVPOL,IBNEWINS,IBNEWGRP,IBNEWPOL,IVMREPTR)
|
| VARIABLES |
TYPE |
VARIABLES DESCRIPTION |
RESULT |
Output |
Returned Parameter Array with IENS of new entries
and/or errors/warnings.
RESULT(0) = -1 ^ error message
RESULT(0) = 0 -Move worked
RESULT(0) = 0 ^ warning message ^ warning message ^ warning message
^ warning message
- Move worked but there may be zero to 4
warning messages
RESULT(1) = "IBINSDA^" IEN of new Insurance Company (#36)
RESULT(1,"ERR",#) - Array with any FM errors when data updated from
file 355.33 to 36.
RESULT(2) = "IBGRPDA^" IEN of new GROUP INSURANCE PLAN (#355.3) File
RESULT(2,"ERR",#) - Array with any FM errors when data updated from
file 355.33 to 355.3.
RESULT(3) = "IBPOLDA^" IEN of new INSURANCE TYPE (#2.312) sub-file
of PATIENT (#2) IEN
RESULT(3,"ERR",#) - Array with any FM errors when data updated from
file 355.33 to 2.312.
RESULT(4) Contains the results of the call to UPDPOL^IBCNICB which is
used to update a new group into an existing patient policy
entry when applicable.
RESULT(4) =-1^error message
RESULT(4) =0 ^ message that process was successful or not required
|
IBBUFDA |
Input |
INSURANCE BUFFER (#355.33) file internal entry number
(IEN). (Required)
|
DFN |
Input |
PATIENT (#2) file IEN. (Required)
|
IBINSDA |
Input |
INSURANCE COMPANY (#36) File IEN if not adding new
entry. (Optional)
|
IBGRPDA |
Input |
GROUP INSURANCE PLAN (#355.3) File IEN if not adding
new entry. (Optional)
|
IBPOLDA |
Input |
INSURANCE TYPE (#2.312) sub-file of PATIENT (#2) IEN
if not adding new entry. (Optional)
|
IBMVINS |
Input |
Move Type for INSURANCE. (Required)
1=Merge, 2=Overwrite, 3=Replace
|
IBMVGRP |
Input |
Move Type for GROUP. (Optional)
1=Merge, 2=Overwrite, 3=Replace
|
IBMVPOL |
Input |
Move Type for POLICY. (Optional)
1=Merge, 2=Overwrite, 3=Replace
|
IBNEWINS |
Input |
Add new INSURANCE COMPANY flag (non-zero means add).
|
IBNEWGRP |
Input |
Add new GROUP INSURANCE PLAN flag (non-zero means
add).
|
IBNEWPOL |
Input |
Add new patient insurance policy (non-zero means
add).
|
IVMREPTR |
Input |
IVM REASONS FOR NOT UPLOADING (#301.91) File internal
entry number. (Optional)
|
|
REJECAPI(RESULT,IBBUFDA,IVMREPTR) |
API to be called by the Insurance Capture Buffer
(ICB) application to reject buffer entry. Usage of this entry will suppress
write statements and interactive fileman calls.
|
| VARIABLES |
TYPE |
VARIABLES DESCRIPTION |
IBBUFDA |
Input |
INSURANCE BUFFER (#355.33) file internal entry
number. (required)
|
IVMREPTR |
Input |
IVM REASONS FOR NOT UPLOADING (#301.91) File internal
entry number. (Optional)
|
RESULT |
Output |
Returned parameter variable with errors messages if
problems with the reject processing. Format for array.
REJECT = -1 ^ error message
REJECT = 0 - Reject worked
REJECT = 0 ^ warning message - Reject process worked but there is a
warning message
|
|
UPDTICB() |
The UPDTICB^IBCNICB API provides functionality to
update the following data elements:
Patient INSURANCE TYPE (#2.312) SUBFILE:
*COMMENT - PATIENT POLICY (#1.08) field
POLICY NOT BILLABLE (#3.04) field
Note: IB*2*528 - COMMENT - PATIENT POLICY (1.08) replaced by
COMMENT-SUBSCRIBER POLICY (2.342).
COMMENT - SUBSCRIBER POLICY (#2.342) SUB-FILE:
COMMENT DATE/TIME (2.342,.01)
LAST EDITED BY (2.342,.02)
COMMENT (2.342,.03)
GROUP INSURANCE PLAN (#355.3) file:
PLAN FILING TIME FRAME (#.13) field
ELECTRONIC PLAN TYPE (#.15) field
PLAN STANDARD FTF (#.16) field
PLAN STANDARD FTF VALUE (#.17) field
COMMENTS (#11) word-processing field
Entry point with parameters -
UPDTICB(RESULT,DFN,IBPOLDA,IBGRPDA,IBPOLCOM,IBPOLBIL,
IBPLAN,IBELEC,IBGPCOM,IBFTF,IBFTFVAL)
|
| VARIABLES |
TYPE |
VARIABLES DESCRIPTION |
DFN |
Input |
PATIENT (#2) file Internal Entry Number. (Required
if IBPOLCOM or IBPOLBIL variables passed)
|
IBPOLDA |
Input |
INSURANCE TYPE (#2.312) sub-file of PATIENT (#2)
internal entry number. (Required if IBPOLCOM or IBPOLBIL variables passed)
|
IBGRPDA |
Input |
GROUP INSURANCE PLAN (#355.3) File internal entry
number (Required if IBPLAN, IBELEC, IBGPCOM, IBFTF, or IBFTFVAL variables
passed)
|
IBPOLCOM |
Input |
Data to be filed into the *COMMENT - PATIENT POLICY
(#1.08) file of the 2.312 sub-file. (Optional) Note: IB*2*528 -patch will
implement the filing of the patient policy comment data and related fields
into the fields defined to the COMMENT-SUBSCRIBER POLICY multiple (2.342):
COMMENT DATE/TIME (2.342,.01)
LAST EDITED BY (2.342,.02)
COMMENT (2.342,.03)
|
IBPOLBIL |
Input |
Data to be filed into the POLICY NOT BILLABLE (#3.04)
field of the 2.312 sub-file. (Optional)
Corresponds to the Internal codes in 3.04 field of 2.312 sub-file:
'0' FOR NO
'1' FOR YES
|
IBPLAN |
Input |
Data to be filed in PLAN FILING TIME FRAME (#.13)
field of 355.3 file. (Optional)
|
IBELEC |
Input |
Data to be file in ELECTRONIC PLAN TYPE (#.15) field
of 355.3 file. (Optional)
Corresponds to the Internal Codes in .15 field of 355.3 file:
'16' FOR HMO MEDICARE;
'MX' FOR MEDICARE A or B;
'TV' FOR TITLE V;
'MC' FOR MEDICAID;
'BL' FOR BC/BS;
'CH' FOR TRICARE;
'15' FOR INDEMNITY;
'CI' FOR COMMERCIAL;
'HM' FOR HMO;
'DS' FOR DISABILITY;
'12' FOR PPO;
'13' FOR POS;
'ZZ' FOR OTHER;
|
IBGPCOM |
Input |
Group Plan Comment array that contains the word
processing data to be filed the COMMENTS (#11) word-processing field of 355.3
file. (Optional)
Example:
IBGPCOM(1)="This is line 1"
IBGPCOM(2)="This is line 2"
|
IBFTF |
Input |
Data to be filed in the PLAN STANDARD FTF (#.16)
field of 355.3 file. (Optional)
Corresponds to the Internal Entry Number of the entry in the INSURANCE FILING
TIME FRAME (#355.13) File.
1 - DAYS (Requires Plan Standard FTF Value)
2 - MONTH(S) (Requires FTF Value)
3 - YEAR(S) (Requires FTF Value)
4 - DAYS PLUS ONE YEAR (Requires FTF Value)
5 - DAYS OF FOLLOWING YEAR (Requires FTF Value)
6 - MONTHS OF FOLLOWING YEAR (Requires FTF Value)
7 - END OF FOLLOWING YEAR
8 - NO FILING TIME FRAME LIMIT
|
IBFTFVAL |
Input |
Data to be filed in the PLAN STANDARD FTF VALUE
(#.17) field of 355.3 file (Optional - Calling application responsible to pass
value if required for Plan Standard FTF)
|
RESULT |
Output |
RESULT - Returned Parameter Array with results of
call
RESULT = 0 ^ No data to update
RESULT(1) = -1 ^ error with Insurance Type (#2.312) file update
RESULT(1) = 0 - Insurance Type update worked
RESULT(2) = -1 ^ error with GROUP INSURANCE PLAN (#355.3) file update
RESULT(2) = 0 - Group Insurance Plan update worked
|
|
