Billing Rules Test

The description of the test (stays the same for the test).
The invoice specific data (stays the same for the test).
The act specific data. May change for every act. If empty the previous value is taken.
The act specific data. Must be set for every act.

Remove special Consultaions to C1 if not allowed (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	18.95	C54		1

Code	Suffix	Quantity	Amount	TTP
C1		1	39.0

Evening Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	21:00	4.0017	8.22	C5		1

Code	Suffix	Quantity	Amount	TTP
C52		1	51.2

Holiday Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-01	12:00	4.0017	9.87	C2		1

Code	Suffix	Quantity	Amount	TTP
C53		1	51.2

Sunday Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-04	12:00	4.0017	7.73	C3		1

Code	Suffix	Quantity	Amount	TTP
C53		1	51.2

Night Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	22:00	4.0017	9.75	C51		1

Code	Suffix	Quantity	Amount	TTP
C54		1	75.8

Default Consultaion (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	7.73	C7		1

Code	Suffix	Quantity	Amount	TTP
C7		1	30.9

Evening Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	21:00	4.0017	16.33	C7		1

Code	Suffix	Quantity	Amount	TTP
C56		1	65.3

Holiday Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-01	12:00	4.0017	16.33	C6		1

Code	Suffix	Quantity	Amount	TTP
C57		1	65.3

Sunday Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-04	12:00	4.0017	16.33	C55		1

Code	Suffix	Quantity	Amount	TTP
C57		1	65.3

Night Consultation (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	22:00	4.0017	22.43	C6		1

Code	Suffix	Quantity	Amount	TTP
C58		1	89.8

Pediatric consultation (patient under 18) (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE6	no	A	2014-05-05	12:00	4.0017	10.77	C7		1

Code	Suffix	Quantity	Amount	TTP
C6		1	43.1

Pediatric consultation (patient over 18) (Consultation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	7.73	C6		1

Code	Suffix	Quantity	Amount	TTP
C7		1	30.9

100/50/50/0 (Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	9.75	C1	1
							18.94	1C41	1
							25.3	1C42	1
							12.63	1C45	1
							44.09	1C46	1
							9.05	R1	1

Code	Suffix	Quantity	Amount
C1		0	0.0
1C41	R	1	37.9
1C42	R	1	50.6
1C45		0	0.0
1C46		1	176.4
R1		1	36.2

CAC with Section G1.1 (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	7.73	C3	1
							6.31	1C11	1
							2.87	1C11X	1
							17.93	1C24	1
							23.48	1C24X	1

Code	Suffix	Quantity	Amount
C3		1	30.9
1C11	R	1	12.7
1C11X		1	11.5
1C24		1	71.8
1C24X		1	94.0

CAC with Section G1.2 (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	15.34	C30	1
							6.31	1C11	1
							2.87	1C11X	1
							17.93	1C24	1
							23.48	1C24X	1

Code	Suffix	Quantity	Amount
C30		0	0.0
1C11	R	1	12.7
1C11X		1	11.5
1C24		1	71.8
1C24X		1	94.0

CAC with Section G1.3 (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	3.53	C41	1
							6.31	1C11	1
							2.87	1C11X	1
							17.93	1C24	1
							23.48	1C24X	1

Code	Suffix	Quantity	Amount
C41		0	0.0
1C11	R	1	12.7
1C11X		1	11.5
1C24		1	71.8
1C24X		1	94.0

CAC with Section G1.4 (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	9.75	C51	1
							6.31	1C11	1
							2.87	1C11X	1
							17.93	1C24	1
							23.48	1C24X	1

Code	Suffix	Quantity	Amount
C51		1	39.0
1C11	R	1	12.7
1C11X		1	11.5
1C24		1	71.8
1C24X		1	94.0

CAC with Section G1.5 (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	6.51	C61	1
							8.85	1C15	1
							37.83	1C15X	1
							17.93	1C24	1
							23.48	1C24X	1

Code	Suffix	Quantity	Amount
C61		1	26.1
1C15	R	1	17.7
1C15X		1	151.4
1C24		1	71.8
1C24X		1	94.0

CAC with 2 Consultations (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	7.73	C3	1
							14.04	C36	1
							6.31	1C11	1

Code	Quantity	Amount
C3	0	0.0
C36	1	56.2
1C11	0	0.0

CAC with 2 Consultations (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	7.73	C3	1
							14.04	C36	1
							6.31	1C11	1
							2.87	1C11X	1

Code	Quantity	Amount
C3	1	30.9
C36	0	0.0
1C11	1	25.3
1C11X	1	11.5

CAC with 2 Consultations (Cumulation - CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	7.73	C3	1
							14.04	C36	1
							17.93	1C24	1

Code	Quantity	Amount
C3	1	30.9
C36	0	0.0
1C24	1	71.8

Kilometers with section G2.1 (Cumulation - Visists)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	12.48	V1	1
							18.94	1C41	1
							25.3	1C42	1
							12.63	1C45	1
							44.09	1C46	1
							0.47	K1	100

Code	Suffix	Quantity	Amount
V1		1	49.9
1C41	R	1	37.9
1C42	R	1	50.6
1C45		0	0.0
1C46		1	176.4
K1		100	190.0

Kilometers with section G2.2 (Cumulation - Visists)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	14.56	V20	1
							18.94	1C41	1
							25.3	1C42	1
							12.63	1C45	1
							44.09	1C46	1
							0.47	K1	100

Code	Suffix	Quantity	Amount
V20		0	0.0
1C41	R	1	37.9
1C42	R	1	50.6
1C45		0	0.0
1C46		1	176.4
K1		0	0.0

Only CAT acts (Cumulation - CAT)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	9.75	C1	1
							162.65	9F33	1
							162.65	9F48	1
							104.02	9F91	1
							162.65	9F92	1

Code	Quantity	Amount
C1	0	0.0
9F33	1	650.9
9F48	1	650.9
9F91	0	0.0
9F92	1	650.9

CAT & non CAT acts (Cumulation - CAT)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	9.75	C1	1
							175.09	9F35	1
							162.65	9F48	1
							175.04	9F43	1
							162.65	9F92	1

Code	Quantity	Amount
C1	0	0.0
9F35	1	700.7
9F48	1	650.9
9F43	0	0.0
9F92	1	650.9

T8.1 acts are reduced as one (Union acts)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	2.44	8F18M	3
							12.34	8S65	1
							12.48	8A15	1
							15.45	8V23	1
							1.05	8V23X	1
							45.91	8T22	1
							46.39	8N19	1

Code	Suffix	Quantity	Amount
8F18M		3	29.4
8S65	R	1	24.7
8A15	R	1	25.0
8V23	R	1	30.9
8V23X		1	4.2
8T22	R	1	91.9
8N19		1	185.6

T8.1 acts are treated as one (Union acts)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	12.34	8S65	1
							12.48	8A15	1
							17.93	8T13	1

Code	Suffix	Quantity	Amount
8S65		1	49.4
8A15		1	49.9
8T13	R	1	35.9

T8.1 acts are treated as one (only on the same day) (Union acts)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	12.34	8S65	1
				2014-05-06			12.48	8A15	1
							17.93	8T13	1

Code	Suffix	Quantity	Amount
8S65		1	49.4
8A15	R	1	25.0
8T13		1	71.8

T8.1 acts are treated as one (only on the same session) (Union acts)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	12.34	8S65	1
					19:00		12.48	8A15	1
							17.93	8T13	1

Code	Suffix	Quantity	Amount
8S65		1	49.4
8A15	R	1	25.0
8T13		1	71.8

Group excludes (Excludings)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	86.09	6A11	1
							109.04	6A12	1
							63.89	6A14	1
							17.79	6A51	1
							17.79	6A52	1

Code	Quantity	Amount
6A11	0	0.0
6A12	1	436.3
6A14	0	0.0
6A51	1	71.2
6A52	0	0.0

Group excludes with rent (Excludings)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	10.71	8E41	1
							5.17	8E41X	1
							23.82	8E45	1

Code	Quantity	Amount
8E41	0	0.0
8E41X	0	0.0
8E45	1	95.3

External excludes (Excludings)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	63.89	6A14	1
							18.94	6A32	1
							17.79	6A51	1
							14.56	V20	1

Code	Quantity	Amount
6A14	1	255.7
6A32	0	0.0
6A51	1	71.2
V20	0	0.0

Session Cumulation (Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-05-05	12:00	4.0017	8.31	F21	1
				2014-05-06			6.3	F22	1
				2014-05-07	10:00		7.73	C3	1
							14.87	1C21	1
							23.48	1C21X	1
							6.3	F22	1
					16:00		7.73	C3	1
							14.87	1C21	1
							23.48	1C21X	1
							14.87	1C22	1
							23.48	1C22X	1
							17.93	1C23	1
							23.48	1C23X	1
							17.93	1C24	1
							23.48	1C24X	1
							6.3	F22	1

Code	Suffix	Quantity	Amount	TTP
F21		1	33.3	CNS
F22		1	25.2
C3		0	0.0
1C21		1	59.5
1C21X		1	94.0
F22		0	0.0
C3		0	0.0
1C21	R	1	29.8
1C21X		1	94.0
1C22		0	0.0
1C22X		0	0.0
1C23		1	71.8
1C23X		1	94.0
1C24	R	1	35.9
1C24X		1	94.0
F22		0	0.0

2nd Class (Consultation )

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	15:10	4.0017	6.51	C71	1
				2014-11-04			6.31	1C11	1
				2014-11-04			2.87	1C11X	1
				2014-11-04			3.1	CP1	1

Code	Quantity	Amount
C71	1	26.1
1C11	1	25.3
1C11X	1	11.5
CP1	1	12.4

Ambulant (Consultation )

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	15:10	4.0017	6.51	C71	1
				2014-11-04			6.31	1C11	1
				2014-11-04			2.87	1C11X	1
				2014-11-04			3.1	CP1	1

Code	Quantity	Amount
C71	1	26.1
1C11	1	25.3
1C11X	1	11.5
CP1	1	12.4

Suffix E (Suffixes)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE13	no	A	2014-05-05	12:00	4.0017	27.64	1P51	1
							12.2	1P51X	1
							14.4	5U31	1
							36.2	1G31	1
							11.19	1G31X	1

Code	Suffix	Quantity	Amount
1P51	ER	1	60.8
1P51X		1	48.8
5U31	ER	1	31.7
1G31		1	144.9
1G31X		1	44.8

(Suffixes)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE5	no	A	2014-05-05	12:00	4.0017	27.64	1P51	1
							12.2	1P51X	1
							14.4	5U31	1
							36.2	1G31	1
							11.19	1G31X	1

Code	Suffix	Quantity	Amount
1P51	ER	1	60.8
1P51X		1	48.8
5U31	ER	1	31.7
1G31	E	1	159.4
1G31X		1	44.8

private ambulant (Private insurance)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
RCAM	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	9.75	C1		1

Code	Suffix	Quantity	Amount	TTP
C1		1	44.9

private 1st class (Private insurance)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
RCAM	H2D2,TP100,S1,AGE20	no	1	2014-05-05	12:00	4.0017	9.75	C1		1

Code	Suffix	Quantity	Amount	TTP
C1		1	74.5

Wrong cumulation when changing Hosp. Class (Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	291.73	2E97		1
							291.73	2E97		1

Code	Suffix	Quantity	Amount	TTP
2E97		1	1167.4
2E97	R	1	583.7

(Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-05-05	12:00	4.0017	291.73	2E97		1
							291.73	2E97		1

Code	Suffix	Quantity	Amount	TTP
2E97		1	1167.4	CNS
2E97		1	1167.4

New hospitalisation holiday codes (Hospitalisation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2015-01-01	12:00	4.0017	40.92	F20	1
				2015-05-02			8.31	F21	1
				2015-05-03			44.85	F651	1
				2015-05-04			29.9	F65	1

Code	Quantity	Amount	TTP
F201	1	163.7	CNS
F21	1	33.3
F651	1	179.5
F65	1	119.7

Cumulation mode: normal (Hospitalisation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D0,TP100,S1,AGE20	no	2	2014-05-05	10:00	4.0017	8.31	F21	1
							8.85	1C15	1
							14.87	1C21	1
							7.73	C3	1

Code	Suffix	Quantity	Amount
F21		0	0.0
1C15	R	1	17.7
1C21		1	59.5
C3		0	0.0

Cumulation mode: Full with F-act (Hospitalisation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D1,TP100,S1,AGE20	no	2	2014-05-05	10:00	4.0017	8.31	F21	1
							8.85	1C15	1
							14.87	1C21	1
							7.73	C3	1

Code	Quantity	Amount	TTP
F21	1	33.3	CNS
1C15	1	35.4
1C21	1	59.5
C3	1	30.9

Cumulation mode: Full with F-act (Hospitalisation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D1,TP100,S1,AGE20	no	2	2014-05-05	10:00	4.0017	8.85	1C15	1
							14.87	1C21	1
							7.73	C3	1

Code	Suffix	Quantity	Amount
1C15	R	1	17.7
1C21		1	59.5
C3		0	0.0

Cumulation mode: Full (Hospitalisation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-05-05	10:00	4.0017	8.31	F21	1
							8.85	1C15	1
							14.87	1C21	1
							7.73	C3	1

Code	Quantity	Amount	TTP
F21	1	33.3	CNS
1C15	1	35.4
1C21	1	59.5
C3	1	30.9

Cumulation mode: Full (Hospitalisation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-05-05	10:00	4.0017	8.85	1C15	1
							14.87	1C21	1
							7.73	C3	1

Code	Quantity	Amount	TTP
1C15	1	35.4	CNS
1C21	1	59.5
C3	1	30.9

Minimum with CNS (Anaesthesie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	10:00	4.0017	29.22	3N61	A	1
							16.21	7A22	A	1
							18.32	7A24		1
					12:00		29.22	3N61	A	1
							42.33	3N66	A	1
					21:00		29.22	3N61	A	1
							16.21	7A22	A	1
					22:00		29.22	3N61	A	1
							42.33	3N66	A	1

Code	Suffix	Quantity	Amount
3N61	A	1	86.6
7A22	A	0	0.0
7A24		1	73.3
3N61	AR	1	26.3
3N66	A	1	76.2
3N61	AN	1	173.2
7A22	AN	0	0.0
3N61	ANR	1	52.6
3N66	AN	1	152.5

Minimum with RCAM in 1st Class at first day (Anaesthesie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
RCAM	H2D2,TP100,S1,AGE20	no	1	2014-05-05	10:00	4.0017	29.22	3N61	A	1
							16.21	7A22	A	1
					12:00		29.22	3N61	A	1
							42.33	3N66	A	1
					21:00		29.22	3N61	A	1
							16.21	7A22	A	1
					22:00		29.22	3N61	A	1
							42.33	3N66	A	1

Code	Suffix	Quantity	Amount
3N61	A	1	165.3
7A22	A	0	0.0
3N61	A	1	100.4
3N66	A	1	145.5
3N61	AN	1	330.6
7A22	AN	0	0.0
3N61	AN	1	200.8
3N66	AN	1	291.0

Unlimited Cumulation (Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	10:00	4.0017	91.63	7A21	A	1
							16.21	7A22	A	1
							39.89	7A61	A	1
							66.96	7A71	A	1
							2.44	8F18M	A	10

Code	Suffix	Quantity	Amount
7A21	A	1	165.0
7A22	A	1	29.2
7A61	A	1	71.8
7A71	A	1	120.6
8F18M	A	10	44.1

24 hour rule over several chapters (Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2015-03-02	15:00	4.0017	49.88	F61	1
				2015-03-03	14:00		49.88	F61	1
				2015-03-04	13:00		57.5	F75	1
				2015-03-05	12:00		57.5	F75	1
				2015-03-06	11:00		57.5	F76	1
				2015-03-07	10:00		113.62	F71	1
				2015-03-08	08:00		170.43	F711	1

Code	Quantity	Amount	TTP
F61	1	199.6	CNS
F61	1	199.6
F75	1	230.1
F75	1	230.1
F76	1	230.1
F71	1	454.7
F711	1	682.0

24 hour rule not for not-anesthetic fees (Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2015-03-02	12:00	4.0017	8.31	F21		1
				2015-03-03	11:00		6.3	F22		1

Code	Suffix	Quantity	Amount	TTP
F21		1	33.3
F22		1	25.2

24 hour rule not for not-anesthetic fees (Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2015-03-02	12:00	4.0017	3.34	F31		1
				2015-03-03	11:00		3.34	F31		1

Code	Suffix	Quantity	Amount	TTP
F31		1	13.4
F31		1	13.4

24 hour rule for anesthetic fees (Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2015-03-02	12:00	4.0017	49.88	F61		1
				2015-03-03	11:00		49.88	F61		1

Code	Suffix	Quantity	Amount	TTP
F61		1	199.6	CNS
F61		0	0.0

24 hour rule for anesthetic fees (Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2015-03-02	12:00	4.0017	49.88	F61	1
				2015-03-03	11:00		49.88	F61	1
				2015-03-04	10:00		57.5	F75	1

Code	Quantity	Amount	TTP
F61	1	199.6	CNS
F61	1	199.6
F75	1	230.1

(Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-05-05	10:00	4.0017	8.31	F21		1
				2014-05-06	09:00		6.3	F22		1

Code	Suffix	Quantity	Amount	TTP
F21		1	33.3
F22		1	25.2

Cumulation after anesthetic hospitalization (Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D0,TP100,S1,AGE20	no	2	2014-05-06	12:00	4.0017	57.5	F75		1
				2014-05-07			57.5	F75		1
				2014-05-08			57.5	F76		1
							27.98	8A31	A	1
							27.98	8A32	A	1
							33.48	8E31	A	1

Code	Suffix	Quantity	Amount	TTP
F75		1	230.1	CNS
F75		1	230.1
F76		1	230.1
8A31	A	1	50.4
8A32	A	1	50.4
8E31	AR	1	30.2

MR with non valid Act (keep MR) (Médecin Référent)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	14.04	MR01	1
							6.51	C61	1
							0.47	K1	5

Code	Quantity	Amount
MR01	1	56.2
C61	0	0.0
K1	0	0.0

MR with non valid Act (keep others) (Médecin Référent)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	14.04	MR01	1
							9.75	C51	1
							12.48	1N11	1

Code	Quantity	Amount
MR01	0	0.0
C51	1	39.0
1N11	1	49.9

MR with valid Act (Médecin Référent)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	14.04	MR01	1
							12.48	V1	1
							0.47	K1	20

Code	Quantity	Amount
MR01	1	56.2
V1	1	49.9
K1	20	38.0

MR with MR (Médecin Référent)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.0017	14.04	MR01		1
							24.71	MR02		1

Code	Suffix	Quantity	Amount	TTP
MR01		0	0.0
MR02		1	98.9

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	07:00	4.0017	6.51	C74	A	1
					07:30		78.48	4G62	A	1
					08:30		29.9	F65	A	1

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1	CNS
4G62	A	1	141.3
F65		1	119.7

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	07:00	4.0017	6.51	C74		1
					08:30		78.48	4G62	A	1
							78.48	4G62	A	1
							78.48	4G62	A	1

Code	Suffix	Quantity	Amount
C74		1	26.1
4G62	A	1	141.3
4G62	AR	1	70.7
4G62	AR	1	70.7

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	07:10	4.0017	6.51	C74		1
					09:10		76.52	3N62	A	1
							42.33	3N66	A	1
							42.33	3N66	A	1
							42.33	3N66	A	1
							42.33	3N66	A	1

Code	Suffix	Quantity	Amount
C74		1	26.1
3N62	A	1	137.8
3N66	AR	1	38.1
3N66	AR	1	38.1
3N66	A	0	0.0
3N66	A	0	0.0

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE76	no	A	2014-11-04	23:00	4.0017	16.97	C64		1
					23:15		76.52	3N62	A	1

Code	Suffix	Quantity	Amount	TTP
C64		1	67.9
3N62	ANV	1	344.5

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	07:30	4.0017	6.51	C74		1
					11:00		29.22	3N61	A	1

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1
3N61	A	1	86.6

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	22:50	4.0017	16.97	C64		1
					23:15		29.22	3N61	A	1

Code	Suffix	Quantity	Amount	TTP
C64		1	67.9
3N61	AN	1	173.2

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE13	no	A	2014-11-04	03:00	4.0017	16.97	C64		1
					03:15		29.22	3N61	A	1
							16.21	7A22		1

Code	Suffix	Quantity	Amount
C64		1	67.9
3N61	ANV	1	216.5
7A22	N	1	129.8

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	07:30	4.0017	6.51	C74		1
					11:45		114.78	3N72	A	1
					13:15		102.58	5A66	A	1

Code	Suffix	Quantity	Amount
C74		1	26.1
3N72	A	1	206.7
5A66	A	1	184.7

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	11:45	4.0017	29.22	3N61	A	1
					13:15		102.58	5A66	A	1

Code	Suffix	Quantity	Amount	TTP
3N61	A	1	86.6
5A66	A	1	184.7

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	21:00	4.0017	111.81	7A95	L	1
					23:15		105.26	6A61	A	1
				2014-11-05	00:45		29.9	F65		1

Code	Suffix	Quantity	Amount	TTP
7A96	L	1	514.5	CNS
6A61	AN	1	379.1
F65		1	119.7

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-05	07:30	4.0017	6.51	C74		1
				2014-11-04	08:00		63.89	7A95	L	1
					10:45		105.26	6A61	A	1
					12:15		29.9	F65		1

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1	CNS
7A95	L	1	294.1
6A61	A	1	189.5
F65		1	119.7

(Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	07:00	4.0017	29.9	F65	1
				2014-11-05			29.9	F65	1
				2014-11-06			29.9	F66	1
				2014-11-07			29.9	F66	1

Code	Quantity	Amount	TTP
F65	1	119.7	CNS
F65	1	119.7
F66	1	119.7
F66	1	119.7

(Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	12:00	4.0017	29.9	F65		1
				2014-11-05	07:00		29.9	F65		1

Code	Suffix	Quantity	Amount	TTP
F65		1	119.7	CNS
F65		0	0.0

(Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	07:00	4.0017	57.5	F75	1
				2014-11-05			57.5	F75	1
				2014-11-06			57.5	F76	1
				2014-11-07			57.5	F76	1
				2014-11-08	05:00		57.5	F77	1

Code	Quantity	Amount	TTP
F75	1	230.1	CNS
F75	1	230.1
F76	1	230.1
F76	1	230.1
F77	1	230.1

(Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	12:00	4.0017	57.5	F75		1
				2014-11-05	07:00		57.5	F75		1

Code	Suffix	Quantity	Amount	TTP
F75		1	230.1	CNS
F75		0	0.0

(Hospitalization)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	07:00	4.0017	113.62	F71	1
				2014-11-05			113.62	F71	1
				2014-11-06			56.81	F72	1
				2014-11-07			56.81	F72	1
				2014-11-08	05:00		34.03	F73	1

Code	Quantity	Amount	TTP
F71	1	454.7	CNS
F71	1	454.7
F72	1	227.3
F72	1	227.3
F73	1	136.2

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	07:00	4.0017	6.51	C74		1
					07:30		213.97	2E90	A	1
							18.32	7A24		1
							29.9	F65		1
				2014-11-05			19.44	F69		1
				2014-11-06			19.44	F69		1
				2014-11-07			19.44	F69		1

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1	CNS
2E90	A	1	385.3
7A24		1	73.3
F65		1	119.7
F69		1	77.8
F69		1	77.8
F69		1	77.8

(Anesthésie)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	2	2014-11-04	12:00	4.0017	49.88	F61		1
				2014-11-05	07:00		49.88	F61		1

Code	Suffix	Quantity	Amount	TTP
F61		1	199.6	CNS
F61		0	0.0

Anesthetic minimum (Dentists: Anesthetic)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-04	07:30	4.0017	6.51	C74		1
				2014-11-05	11:45	4.8667	7.39	DS14	A	5

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1
DS14	A	5	86.6

Anesthetic minimum for Children younger than 14 (Dentists: Anesthetic)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE13	no	A	2014-11-04	07:30	4.0017	6.51	C74		1
				2014-11-05	11:45	4.8667	7.39	DS14	A	5

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1
DS14	AV	5	108.3

Normal dental technical acts (Dentists: Anesthetic)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-05	07:30	4.0017	6.51	C74		1
					08:00	4.8667	7.39	DS14	A	7

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1
DS14	A	7	113.4

Normal dental technical acts for Children younger than 14 (Dentists: Anesthetic)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE75	no	A	2014-11-05	07:30	4.0017	6.51	C74		1
					08:00	4.8667	7.39	DS14	A	7

Code	Suffix	Quantity	Amount	TTP
C74		1	26.1
DS14	AV	7	141.8

Dental and medical technical acts (Dentists: Anesthetic)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-11-05	07:30	4.0017	6.51	C74		1
					08:00	4.8667	7.39	DS14	A	7
						4.0017	104.93	9S57	A	1
							56.96	9S71	A	1

Code	Suffix	Quantity	Amount
C74		1	26.1
DS14	A	7	113.4
9S57	A	1	189.0
9S71	AR	1	51.3

Dental cumulation (Dentists: Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	37.02	DS88	1
							46.54	DS89	1
							77.34	DS93	1

Code	Suffix	Quantity	Amount
DS88		0	0.0
DS89	R	1	113.3
DS93		1	376.4

Dental cumulation including others (with lower value) than chapter 3 (Dentists: Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	37.02	DS88	1
							46.54	DS89	1
							6.1	DS1	1

Code	Suffix	Quantity	Amount
DS88	R	1	90.1
DS89		1	226.5
DS1		1	29.7

Dental cumulation including others (with higher value) than chapter 3 (Dentists: Cumulation)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	37.02	DS88	1
							46.54	DS89	1
							49.7	DB24	1

Code	Suffix	Quantity	Amount
DS88	R	1	90.1
DS89		1	226.5
DB24		1	241.9

One 1 consultaion / visit / … allowed (Dentists: General Acts)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	6.33	DC1	1
							3.3	DC2	1
							13.44	DV1	1
							5.54	DF10	1
							11.98	DE1	1

Code	Quantity	Amount
DC1	0	0.0
DC2	0	0.0
DV1	1	65.4
DF10	0	0.0
DE1	0	0.0

Consultaion & CAC (Dentists: CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	6.33	DC1		1
							6.1	DS1		1

Code	Suffix	Quantity	Amount	TTP
DC1		1	30.8
DS1		1	29.7

Consultaion & non-CAC (consultaion higher) (Dentists: CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	6.33	DC1		1
							3.14	DS2		1

Code	Suffix	Quantity	Amount	TTP
DC1		1	30.8
DS2		0	0.0

Consultaion & non-CAC (consultaion lower) (Dentists: CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	6.33	DC1		1
							3.14	DS2		3

Code	Suffix	Quantity	Amount	TTP
DC1		0	0.0
DS2		3	45.9

DC2 consultaion & CAC (Dentists: CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	3.3	DC2		1
							6.1	DS1		1

Code	Suffix	Quantity	Amount	TTP
DC2		0	0.0
DS1		1	29.7

Visit & CAC (Dentists: CAC)

Insurance	Options	1.ClR	Class	Date	Time	Key Value	Coefficient	Code	Suffix	Quantity
CNS	H2D2,TP100,S1,AGE20	no	A	2014-05-05	12:00	4.8667	13.44	DV1		1
							6.1	DS1		1

Code	Suffix	Quantity	Amount	TTP
DV1		1	65.4
DS1		0	0.0