BPSPRRX2 ;ALB/SS - ePharmacy secondary billing ;16-DEC-08
;;1.0;E CLAIMS MGMT ENGINE;**8,11**;JUN 2004;Build 27
;;Per VHA Directive 2004-038, this routine should not be modified.
;
;
DISPBILL(BPSPAYSQ,BPSINS,BPSBILL,BPSSTAT,BPSRXIEN,BPSREF,BPSDOS,BPDISTTL) ;
;Display list of bills
;Input:
; BPSPAYSQ-CURRENT BILL PAYER SEQUENCE as text
; BPSINS-INSURANCE name
; BPSBILL-BILL NUMBER to display "Bill #"
; BPSSTAT-A/R bill status
; BPSRXIEN-Prescription (#52) file IEN
; BPSREF-Fill Number
; BPSDOS-Date of Service
; BPDISTTL (optional)- 1= display title and lines
N BPSSTR
S BPSSTR=BPSPAYSQ_": "_BPSINS
I $G(BPDISTTL) W !,?2,"Payer Responsible",?34,"Bill #",?44,"Status" W:$G(BPSDOS) ?55,"Date"
I $G(BPDISTTL) W !,?2,"------------------------------",?34,"--------",?44,"------" W:$G(BPSDOS) ?55,"----------"
W !,?2,$E(BPSSTR,1,30),?34,BPSBILL,?44,BPSSTAT
W:$G(BPSDOS) ?55,$G(BPSDOS)
Q
;
RATETYPE(BPSDEFRT) ;
;Prompt for the rate type
;Input:
; BPSDEFRT (optional) - default rate type
;Return Value:
; -1 - User exited
; "" - Unsuccessful lookup
; Rate Type Name (#.01) selected by the user
N X,Y,DUOUT,DTOUT,BPQUIT
S BPQUIT=0
N DIC
S DIC="^DGCR(399.3,"
S DIC(0)="AEMNQ"
S DIC("A")="SELECT RATE TYPE: "
I $G(BPSDEFRT)>0 S DIC("B")=BPSDEFRT
D ^DIC
I (X="^")!$D(DUOUT)!$D(DTOUT) S BPQUIT=1
I BPQUIT=1 Q -1
I Y=-1,X="" Q ""
Q $P(Y,U)
;
SUBMCLM(RX,FILL,DOS,BWHERE,PAYSEQ,PLAN,COBDATA,RTYPE) ;
;Submit claim and create activity log entry in the Prescription file
;Input:
; RX (r) = Prescription IEN
; FILL (r) = Fill Number
; DOS (o) = Date of Service
; BWHERE (r) = RX action
; PAYSEQ (r) = Payer sequence for the claim: 1-primary, 2-secondary
; PLAN (o) = IEN of the entry in the GROUP INSURANCE PLAN file (#355.3)
; COBDATA (o) = Local array passed by reference. Contains data needed to submit a secondary claim (used by secondary only)
; RTYPE (o) = IEN of the Rate Type file (#399.3)
;Output:
; Submission result, either "" for invalid parameter or the return value from
; EN^BPSNCPDP - RESPONSE^MESSAGE^ELIGIBILITY^CLAIM STATUS
;
N BPSRET
I '$G(RX) Q ""
I $G(FILL)="" Q ""
I $G(BWHERE)="" Q ""
I '$G(PAYSEQ) Q ""
S BPSRET=$$EN^BPSNCPDP(RX,FILL,$G(DOS),BWHERE,"","","","","","",PAYSEQ,"F","","",$G(PLAN),.COBDATA,$G(RTYPE))
D ECMEACT^PSOBPSU1(RX,FILL,"Claim submitted to third party payer: ECME P2 Bill")
Q BPSRET
;
MORE4SEC(BPSMORE,BPSECNDR) ;
; Add COB elements to the MOREDATA array
; Called by BPSNCPD4 and BPSNCPD5
M BPSMORE=BPSECNDR
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HBPSPRRX2 2611 printed Dec 13, 2024@01:52:22 Page 2
BPSPRRX2 ;ALB/SS - ePharmacy secondary billing ;16-DEC-08
+1 ;;1.0;E CLAIMS MGMT ENGINE;**8,11**;JUN 2004;Build 27
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 ;
+4 ;
DISPBILL(BPSPAYSQ,BPSINS,BPSBILL,BPSSTAT,BPSRXIEN,BPSREF,BPSDOS,BPDISTTL) ;
+1 ;Display list of bills
+2 ;Input:
+3 ; BPSPAYSQ-CURRENT BILL PAYER SEQUENCE as text
+4 ; BPSINS-INSURANCE name
+5 ; BPSBILL-BILL NUMBER to display "Bill #"
+6 ; BPSSTAT-A/R bill status
+7 ; BPSRXIEN-Prescription (#52) file IEN
+8 ; BPSREF-Fill Number
+9 ; BPSDOS-Date of Service
+10 ; BPDISTTL (optional)- 1= display title and lines
+11 NEW BPSSTR
+12 SET BPSSTR=BPSPAYSQ_": "_BPSINS
+13 IF $GET(BPDISTTL)
WRITE !,?2,"Payer Responsible",?34,"Bill #",?44,"Status"
if $GET(BPSDOS)
WRITE ?55,"Date"
+14 IF $GET(BPDISTTL)
WRITE !,?2,"------------------------------",?34,"--------",?44,"------"
if $GET(BPSDOS)
WRITE ?55,"----------"
+15 WRITE !,?2,$EXTRACT(BPSSTR,1,30),?34,BPSBILL,?44,BPSSTAT
+16 if $GET(BPSDOS)
WRITE ?55,$GET(BPSDOS)
+17 QUIT
+18 ;
RATETYPE(BPSDEFRT) ;
+1 ;Prompt for the rate type
+2 ;Input:
+3 ; BPSDEFRT (optional) - default rate type
+4 ;Return Value:
+5 ; -1 - User exited
+6 ; "" - Unsuccessful lookup
+7 ; Rate Type Name (#.01) selected by the user
+8 NEW X,Y,DUOUT,DTOUT,BPQUIT
+9 SET BPQUIT=0
+10 NEW DIC
+11 SET DIC="^DGCR(399.3,"
+12 SET DIC(0)="AEMNQ"
+13 SET DIC("A")="SELECT RATE TYPE: "
+14 IF $GET(BPSDEFRT)>0
SET DIC("B")=BPSDEFRT
+15 DO ^DIC
+16 IF (X="^")!$DATA(DUOUT)!$DATA(DTOUT)
SET BPQUIT=1
+17 IF BPQUIT=1
QUIT -1
+18 IF Y=-1
IF X=""
QUIT ""
+19 QUIT $PIECE(Y,U)
+20 ;
SUBMCLM(RX,FILL,DOS,BWHERE,PAYSEQ,PLAN,COBDATA,RTYPE) ;
+1 ;Submit claim and create activity log entry in the Prescription file
+2 ;Input:
+3 ; RX (r) = Prescription IEN
+4 ; FILL (r) = Fill Number
+5 ; DOS (o) = Date of Service
+6 ; BWHERE (r) = RX action
+7 ; PAYSEQ (r) = Payer sequence for the claim: 1-primary, 2-secondary
+8 ; PLAN (o) = IEN of the entry in the GROUP INSURANCE PLAN file (#355.3)
+9 ; COBDATA (o) = Local array passed by reference. Contains data needed to submit a secondary claim (used by secondary only)
+10 ; RTYPE (o) = IEN of the Rate Type file (#399.3)
+11 ;Output:
+12 ; Submission result, either "" for invalid parameter or the return value from
+13 ; EN^BPSNCPDP - RESPONSE^MESSAGE^ELIGIBILITY^CLAIM STATUS
+14 ;
+15 NEW BPSRET
+16 IF '$GET(RX)
QUIT ""
+17 IF $GET(FILL)=""
QUIT ""
+18 IF $GET(BWHERE)=""
QUIT ""
+19 IF '$GET(PAYSEQ)
QUIT ""
+20 SET BPSRET=$$EN^BPSNCPDP(RX,FILL,$GET(DOS),BWHERE,"","","","","","",PAYSEQ,"F","","",$GET(PLAN),.COBDATA,$GET(RTYPE))
+21 DO ECMEACT^PSOBPSU1(RX,FILL,"Claim submitted to third party payer: ECME P2 Bill")
+22 QUIT BPSRET
+23 ;
MORE4SEC(BPSMORE,BPSECNDR) ;
+1 ; Add COB elements to the MOREDATA array
+2 ; Called by BPSNCPD4 and BPSNCPD5
+3 MERGE BPSMORE=BPSECNDR
+4 QUIT
+5 ;
