- BPSOSO1 ;BHAM ISC/FCS/DRS - NCPDP Override Main menu ;03/07/08 10:33
- ;;1.0;E CLAIMS MGMT ENGINE;**1,7**;JUN 2004;Build 46
- ;;Per VHA Directive 2004-038, this routine should not be modified.
- ;---------------------------------------------------------------
- ; IHS/SD/lwj 9/3/02 NCPDP 5.1 changes
- ; In 3.2, prior authorization was updated and stored in field 416.
- ; In 5.1, 416 is obsolete, and the information could be stored
- ; in field 461, and 462 or in the prior authorization segment.
- ; For now, the insurer/processors appear to be using 461, and
- ; 462 rather than the segment. In any case, we needed to change
- ; the way we capture prior authorization information - AND - we
- ; have to keep populating 416 since we have to still process 3.2
- ; claims. This routine was changed to call PRIORA in BPSOSo2
- ; rather than EDIT^BPSOSO2 when we are processing a prior auth.
- ;(Field prompts also altered to match 5.1 standards.)
- ;---------------------------------------------------------------
- Q
- TEST D MENU("") Q
- D SETLIST
- N PROMPT S PROMPT(1)="Select which claim data you wish to override."
- S PROMPT(2)="Use ^ to exit this menu."
- N SEL F D Q:'SEL Q:SEL=-1
- . S SEL=$$LIST^BPSOSU4("S",$$LISTROOT,$$ANSROOT,"Override Claim Defaults",.PROMPT,1,20,$S($G(DTOUT):DTOUT,1:300))
- . I SEL W ! H 1 D @$P($T(LIST+SEL),";",4) ;
- Q
- LISTROOT() Q "^TMP("""_$T(+0)_""","_$J_","
- ANSROOT() Q "^TMP("""_$T(+0)_""","_($J+.1)_","
- SETLIST K ^TMP("BPSOSO1",$J),^TMP("BPSOSO1",$J+.1)
- N I,X F I=1:1 D Q:X="*"
- . S X=$T(LIST+I),X=$P(X,";",2,$L(X)) Q:X="*"
- . S ^TMP("BPSOSO1",$J,I,"I")=$P(X,";")
- . S ^TMP("BPSOSO1",$J,I,"E")=$P(X,";",2)
- S ^TMP("BPSOSO1",$J,0)=I-1
- Q
- ;
- ; IHS/SD/lwj 9/3/02 - the following 3 lines were removed from LIST -
- ; new 1 - 3 lines were added to replace them
- ;1;Preauthorization #;EDIT^BPSOSO2(IEN,416)
- ;2;Person Code;EDIT^BPSOSO2(IEN,303)
- ;3;Relationship Code;EDIT^BPSOSO2(IEN,306)
- ;
- ; IHS/SD/lwj 9/3/02 - since still unimplemented, the following
- ; lines were removed from the menu options in LIST
- ;I;Order of insurance;NOTIMP
- ;P;Pricing;NOTIMP
- ;
- LIST ;
- ;1;Prior Authorization;PRIORA^BPSOSO2(IEN) ;IHS/SD/lwj 9/3/02
- ;2;Patient Gender Code;EDIT^BPSOSO2(IEN,303)
- ;3;Patient Relationship Code;EDIT^BPSOSO2(IEN,306)
- ;4;Eligibility Clarification Code;EDIT^BPSOSO2(IEN,309)
- ;*;Enter/edit/override any NCPDP field;EDIT^BPSOSO2(IEN)
- ;*
- NOTIMP W !,"That option isn't yet implemented.",! N % R %:3 Q
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HBPSOSO1 2533 printed Feb 18, 2025@23:18:12 Page 2
- BPSOSO1 ;BHAM ISC/FCS/DRS - NCPDP Override Main menu ;03/07/08 10:33
- +1 ;;1.0;E CLAIMS MGMT ENGINE;**1,7**;JUN 2004;Build 46
- +2 ;;Per VHA Directive 2004-038, this routine should not be modified.
- +3 ;---------------------------------------------------------------
- +4 ; IHS/SD/lwj 9/3/02 NCPDP 5.1 changes
- +5 ; In 3.2, prior authorization was updated and stored in field 416.
- +6 ; In 5.1, 416 is obsolete, and the information could be stored
- +7 ; in field 461, and 462 or in the prior authorization segment.
- +8 ; For now, the insurer/processors appear to be using 461, and
- +9 ; 462 rather than the segment. In any case, we needed to change
- +10 ; the way we capture prior authorization information - AND - we
- +11 ; have to keep populating 416 since we have to still process 3.2
- +12 ; claims. This routine was changed to call PRIORA in BPSOSo2
- +13 ; rather than EDIT^BPSOSO2 when we are processing a prior auth.
- +14 ;(Field prompts also altered to match 5.1 standards.)
- +15 ;---------------------------------------------------------------
- +16 QUIT
- TEST DO MENU("")
- QUIT
- +1 DO SETLIST
- +2 NEW PROMPT
- SET PROMPT(1)="Select which claim data you wish to override."
- +3 SET PROMPT(2)="Use ^ to exit this menu."
- +4 NEW SEL
- FOR
- Begin DoDot:1
- +5 SET SEL=$$LIST^BPSOSU4("S",$$LISTROOT,$$ANSROOT,"Override Claim Defaults",.PROMPT,1,20,$SELECT($GET(DTOUT):DTOUT,1:300))
- +6 ;
- IF SEL
- WRITE !
- HANG 1
- DO @$PIECE($TEXT(LIST+SEL),";",4)
- End DoDot:1
- if 'SEL
- QUIT
- if SEL=-1
- QUIT
- +7 QUIT
- LISTROOT() QUIT "^TMP("""_$TEXT(+0)_""","_$JOB_","
- ANSROOT() QUIT "^TMP("""_$TEXT(+0)_""","_($JOB+.1)_","
- SETLIST KILL ^TMP("BPSOSO1",$JOB),^TMP("BPSOSO1",$JOB+.1)
- +1 NEW I,X
- FOR I=1:1
- Begin DoDot:1
- +2 SET X=$TEXT(LIST+I)
- SET X=$PIECE(X,";",2,$LENGTH(X))
- if X="*"
- QUIT
- +3 SET ^TMP("BPSOSO1",$JOB,I,"I")=$PIECE(X,";")
- +4 SET ^TMP("BPSOSO1",$JOB,I,"E")=$PIECE(X,";",2)
- End DoDot:1
- if X="*"
- QUIT
- +5 SET ^TMP("BPSOSO1",$JOB,0)=I-1
- +6 QUIT
- +7 ;
- +8 ; IHS/SD/lwj 9/3/02 - the following 3 lines were removed from LIST -
- +9 ; new 1 - 3 lines were added to replace them
- +10 ;1;Preauthorization #;EDIT^BPSOSO2(IEN,416)
- +11 ;2;Person Code;EDIT^BPSOSO2(IEN,303)
- +12 ;3;Relationship Code;EDIT^BPSOSO2(IEN,306)
- +13 ;
- +14 ; IHS/SD/lwj 9/3/02 - since still unimplemented, the following
- +15 ; lines were removed from the menu options in LIST
- +16 ;I;Order of insurance;NOTIMP
- +17 ;P;Pricing;NOTIMP
- +18 ;
- LIST ;
- +1 ;1;Prior Authorization;PRIORA^BPSOSO2(IEN) ;IHS/SD/lwj 9/3/02
- +2 ;2;Patient Gender Code;EDIT^BPSOSO2(IEN,303)
- +3 ;3;Patient Relationship Code;EDIT^BPSOSO2(IEN,306)
- +4 ;4;Eligibility Clarification Code;EDIT^BPSOSO2(IEN,309)
- +5 ;*;Enter/edit/override any NCPDP field;EDIT^BPSOSO2(IEN)
- +6 ;*
- NOTIMP WRITE !,"That option isn't yet implemented.",!
- NEW %
- READ %:3
- QUIT