FBAASL1 ;AISC/GRR-PRINT SUSPENSION LETTERS CONTINUED ;7/NOV/2006
;;3.5;FEE BASIS;**12,23,69,101**;JAN 30, 1995;Build 2
;;Per VHA Directive 2004-038, this routine should not be modified.
N FBACRR,FBSCDT
F K=0:0 S K=$O(^FBAA(162.1,"AG",K)) Q:K'>0 I $S($G(IFN):IFN=K,1:1) S FBSW=1,FBDT=BEGDATE-.001 F ZZ=0:0 S FBDT=$O(^FBAA(162.1,"AG",K,FBDT)) D WPBOT:FBDT'>0&(FBSW=0)!(FBDT>ENDDATE)&(FBSW=0) Q:FBDT'>0!(FBDT>ENDDATE) S FBSCDT=FBDT D MORE
Q
MORE F J=0:0 S J=$O(^FBAA(162.1,"AG",K,FBDT,J)) Q:J'>0 I $S($G(DFN):DFN=J,1:1) D:$D(^DPT(J,0)) GOTP^FBAASLP I $D(^FBAAV(K,0)) D MID
Q
GOTV S Y(0)=^FBAAV(K,0),VNAM=$P(Y(0),"^",1),FBSW=0
I VNAM["," S VNAM=$P(VNAM,",",2)_" "_$P(VNAM,",",1)
S VST1=$P(Y(0),"^",3),VST2=$P(Y(0),"^",14),VCITY=$P(Y(0),"^",4),VSTATE=$S($D(^DIC(5,+$P(Y(0),"^",5),0)):$P(^(0),"^",2),1:" "),VZIP=$P(Y(0),"^",6)
W @IOF,!!!!!!!,?5,VNAM,!,?5,VST1,! I VST2]"" W ?5,VST2,!
W ?5,VCITY," ",VSTATE," ",VZIP,!!!!
WPBEG S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W")
I $D(^FBAA(161.3,FBLET,1,1)) F FBRR=0:0 S FBRR=$O(^FBAA(161.3,FBLET,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
D ^DIWW:$D(FBXX) K FBXX
D HED
Q
MID S FBA=0 F FBAA=0:0 S FBA=$O(^FBAA(162.1,"AG",K,FBDT,J,FBA)) Q:FBA="" I $S(FBSLW=0:1,FBSLW=1&($D(FBAAS(FBA))):1,1:0) D MORE2
Q
MORE2 F L=0:0 S L=$O(^FBAA(162.1,"AG",K,FBDT,J,FBA,L)) Q:L'>0 F M=0:0 S M=$O(^FBAA(162.1,"AG",K,FBDT,J,FBA,L,M)) Q:M'>0 I $D(^FBAA(162.1,L,"RX",M,0)) S Z(0)=^(0) D:$P(Z(0),"^",20)'="R" BOT
Q
WPBOT D:$D(FBACRR) ACT^FBAASLP K FBACRR
S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W") W !!
I $D(^FBAA(161.3,FBLET,2)) F FBRR=0:0 S FBRR=$O(^FBAA(161.3,FBLET,2,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
D ^DIWW:$D(FBXX) K FBXX
Q
BOT Q:$S($G(FBDEN):$P(Z(0),U,16)>0,1:0)
N FBFPPSC S FBFPPSC=$P($G(^FBAA(162.1,L,0)),U,13)
Q:$S(FBENA=2&(FBFPPSC]""):1,FBENA=1&(FBFPPSC=""):1,1:0)
N FBFPPSL,FBX,FBADJLR,FBADJLA,FBRRMKL,T,TAMT,FBJ,FBAC
S FBFPPSL=$P($G(^FBAA(162.1,L,"RX",M,3)),U)
S FBX=$$ADJLRA^FBRXFA(M_","_L_",")
S FBADJLR=$P(FBX,U)
F FBJ=1:1 S FBAC=$P(FBADJLR,",",FBJ) Q:FBAC="" S FBACRR(FBAC)=""
S FBADJLA=$P(FBX,U,2)
S T=$P(Z(0),U,8)
I T]"" S T=$P($G(^FBAA(161.27,+T,0)),U)
S TAMT=$FN($P(Z(0),U,7),"",2)
S FBRRMKL=$$RRL^FBRXFR(M_","_L_",")
I FBSW=1 D GOTV^FBAASLP,HED S FBSW=0,FBGOT=1
S FBDOS=$P(Z(0),"^",3),FBDRUG=$P(Z(0),"^",2)
S FBRX=$P(Z(0),"^",1),A1=$P(Z(0),"^",4)+.0001,A2=$P(Z(0),"^",16)+.0001,A1=$P(A1,".",1)_"."_$E($P(A1,".",2),1,2),A2=$P(A2,".",1)_"."_$E($P(A2,".",2),1,2)
I $Y+4>IOSL W @IOF D HED
W !!,PNAME,?32,PSSN,?47,$$FMTE^XLFDT(FBDOS),?61,FBRX,!,?15,$J(A1,6),?30,$J(A2,6),?50,FBDRUG,!
; write adjustment reasons, if null then write suspend code
W ?15,$S(FBADJLR]"":FBADJLR,1:T)
; write adjustment amounts, if null then write amount suspended
W ?31,$S(FBADJLA]"":FBADJLA,1:TAMT)
W ?49,FBRRMKL
I FBFPPSC]"" W !,?15,"FPPS Claim ID: ",FBFPPSC,?43,"FPPS Line Item: ",FBFPPSL,!
I FBADJLR="" G:FBA=4&($D(^FBAA(162.1,L,"RX",M,1))) WPFT D
. S DIWL=1,DIWF="WC79",FBI=FBA K ^UTILITY($J,"W")
. F FBRR=0:0 S FBRR=$O(^FBAA(161.27,FBI,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
. D ^DIWW:$D(FBXX) K FBXX
Q
HED W !,"PATIENT NAME",?36,"SSN",?47,"RX DATE",?61,"RX #",!,?15,"AMT CLAIMED",?30,"AMT PAID",?50,"DRUG NAME"
W !,?15,"ADJ CODE",?30,"ADJ AMOUNT",?49,"MEDICARE REMITTANCE REMARK"
W !,UL,! Q
;
GOTP ; Utilize new API for Name Standardization
;
S Y(0)=^DPT(J,0),PNAME=$P(Y(0),"^",1),PSSN=$TR($$SSNL4^FBAAUTL($$SSN^FBAAUTL(J)),"-","")
I PNAME["," D
.N FBNAMES
.S FBNAMES("FILE")=2,FBNAMES("IENS")=J_",",FBNAMES("FIELD")=.01
.S PNAME=$$NAMEFMT^XLFNAME(.FBNAMES)
Q
WPFT S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W")
F FBRR=0:0 S FBRR=$O(^FBAA(162.1,L,"RX",M,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
D ^DIWW:$D(FBXX) K FBXX
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HFBAASL1 3814 printed Sep 23, 2025@19:32:45 Page 2
FBAASL1 ;AISC/GRR-PRINT SUSPENSION LETTERS CONTINUED ;7/NOV/2006
+1 ;;3.5;FEE BASIS;**12,23,69,101**;JAN 30, 1995;Build 2
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 NEW FBACRR,FBSCDT
+4 FOR K=0:0
SET K=$ORDER(^FBAA(162.1,"AG",K))
if K'>0
QUIT
IF $SELECT($GET(IFN):IFN=K,1:1)
SET FBSW=1
SET FBDT=BEGDATE-.001
FOR ZZ=0:0
SET FBDT=$ORDER(^FBAA(162.1,"AG",K,FBDT))
if FBDT'>0&(FBSW=0)!(FBDT>ENDDATE)&(FBSW=0)
DO WPBOT
if FBDT'>0!(FBDT>ENDDATE)
QUIT
SET FBSCDT=FBDT
DO MORE
+5 QUIT
MORE FOR J=0:0
SET J=$ORDER(^FBAA(162.1,"AG",K,FBDT,J))
if J'>0
QUIT
IF $SELECT($GET(DFN):DFN=J,1:1)
if $DATA(^DPT(J,0))
DO GOTP^FBAASLP
IF $DATA(^FBAAV(K,0))
DO MID
+1 QUIT
GOTV SET Y(0)=^FBAAV(K,0)
SET VNAM=$PIECE(Y(0),"^",1)
SET FBSW=0
+1 IF VNAM[","
SET VNAM=$PIECE(VNAM,",",2)_" "_$PIECE(VNAM,",",1)
+2 SET VST1=$PIECE(Y(0),"^",3)
SET VST2=$PIECE(Y(0),"^",14)
SET VCITY=$PIECE(Y(0),"^",4)
SET VSTATE=$SELECT($DATA(^DIC(5,+$PIECE(Y(0),"^",5),0)):$PIECE(^(0),"^",2),1:" ")
SET VZIP=$PIECE(Y(0),"^",6)
+3 WRITE @IOF,!!!!!!!,?5,VNAM,!,?5,VST1,!
IF VST2]""
WRITE ?5,VST2,!
+4 WRITE ?5,VCITY," ",VSTATE," ",VZIP,!!!!
WPBEG SET DIWL=1
SET DIWF="WC79"
KILL ^UTILITY($JOB,"W")
+1 IF $DATA(^FBAA(161.3,FBLET,1,1))
FOR FBRR=0:0
SET FBRR=$ORDER(^FBAA(161.3,FBLET,1,FBRR))
if FBRR'>0
QUIT
SET FBXX=^(FBRR,0)
SET X=FBXX
DO ^DIWP
+2 if $DATA(FBXX)
DO ^DIWW
KILL FBXX
+3 DO HED
+4 QUIT
MID SET FBA=0
FOR FBAA=0:0
SET FBA=$ORDER(^FBAA(162.1,"AG",K,FBDT,J,FBA))
if FBA=""
QUIT
IF $SELECT(FBSLW=0:1,FBSLW=1&($DATA(FBAAS(FBA))):1,1:0)
DO MORE2
+1 QUIT
MORE2 FOR L=0:0
SET L=$ORDER(^FBAA(162.1,"AG",K,FBDT,J,FBA,L))
if L'>0
QUIT
FOR M=0:0
SET M=$ORDER(^FBAA(162.1,"AG",K,FBDT,J,FBA,L,M))
if M'>0
QUIT
IF $DATA(^FBAA(162.1,L,"RX",M,0))
SET Z(0)=^(0)
if $PIECE(Z(0),"^",20)'="R"
DO BOT
+1 QUIT
WPBOT if $DATA(FBACRR)
DO ACT^FBAASLP
KILL FBACRR
+1 SET DIWL=1
SET DIWF="WC79"
KILL ^UTILITY($JOB,"W")
WRITE !!
+2 IF $DATA(^FBAA(161.3,FBLET,2))
FOR FBRR=0:0
SET FBRR=$ORDER(^FBAA(161.3,FBLET,2,FBRR))
if FBRR'>0
QUIT
SET FBXX=^(FBRR,0)
SET X=FBXX
DO ^DIWP
+3 if $DATA(FBXX)
DO ^DIWW
KILL FBXX
+4 QUIT
BOT if $SELECT($GET(FBDEN)
QUIT
+1 NEW FBFPPSC
SET FBFPPSC=$PIECE($GET(^FBAA(162.1,L,0)),U,13)
+2 if $SELECT(FBENA=2&(FBFPPSC]"")
QUIT
+3 NEW FBFPPSL,FBX,FBADJLR,FBADJLA,FBRRMKL,T,TAMT,FBJ,FBAC
+4 SET FBFPPSL=$PIECE($GET(^FBAA(162.1,L,"RX",M,3)),U)
+5 SET FBX=$$ADJLRA^FBRXFA(M_","_L_",")
+6 SET FBADJLR=$PIECE(FBX,U)
+7 FOR FBJ=1:1
SET FBAC=$PIECE(FBADJLR,",",FBJ)
if FBAC=""
QUIT
SET FBACRR(FBAC)=""
+8 SET FBADJLA=$PIECE(FBX,U,2)
+9 SET T=$PIECE(Z(0),U,8)
+10 IF T]""
SET T=$PIECE($GET(^FBAA(161.27,+T,0)),U)
+11 SET TAMT=$FNUMBER($PIECE(Z(0),U,7),"",2)
+12 SET FBRRMKL=$$RRL^FBRXFR(M_","_L_",")
+13 IF FBSW=1
DO GOTV^FBAASLP
DO HED
SET FBSW=0
SET FBGOT=1
+14 SET FBDOS=$PIECE(Z(0),"^",3)
SET FBDRUG=$PIECE(Z(0),"^",2)
+15 SET FBRX=$PIECE(Z(0),"^",1)
SET A1=$PIECE(Z(0),"^",4)+.0001
SET A2=$PIECE(Z(0),"^",16)+.0001
SET A1=$PIECE(A1,".",1)_"."_$EXTRACT($PIECE(A1,".",2),1,2)
SET A2=$PIECE(A2,".",1)_"."_$EXTRACT($PIECE(A2,".",2),1,2)
+16 IF $Y+4>IOSL
WRITE @IOF
DO HED
+17 WRITE !!,PNAME,?32,PSSN,?47,$$FMTE^XLFDT(FBDOS),?61,FBRX,!,?15,$JUSTIFY(A1,6),?30,$JUSTIFY(A2,6),?50,FBDRUG,!
+18 ; write adjustment reasons, if null then write suspend code
+19 WRITE ?15,$SELECT(FBADJLR]"":FBADJLR,1:T)
+20 ; write adjustment amounts, if null then write amount suspended
+21 WRITE ?31,$SELECT(FBADJLA]"":FBADJLA,1:TAMT)
+22 WRITE ?49,FBRRMKL
+23 IF FBFPPSC]""
WRITE !,?15,"FPPS Claim ID: ",FBFPPSC,?43,"FPPS Line Item: ",FBFPPSL,!
+24 IF FBADJLR=""
if FBA=4&($DATA(^FBAA(162.1,L,"RX",M,1)))
GOTO WPFT
Begin DoDot:1
+25 SET DIWL=1
SET DIWF="WC79"
SET FBI=FBA
KILL ^UTILITY($JOB,"W")
+26 FOR FBRR=0:0
SET FBRR=$ORDER(^FBAA(161.27,FBI,1,FBRR))
if FBRR'>0
QUIT
SET FBXX=^(FBRR,0)
SET X=FBXX
DO ^DIWP
+27 if $DATA(FBXX)
DO ^DIWW
KILL FBXX
End DoDot:1
+28 QUIT
HED WRITE !,"PATIENT NAME",?36,"SSN",?47,"RX DATE",?61,"RX #",!,?15,"AMT CLAIMED",?30,"AMT PAID",?50,"DRUG NAME"
+1 WRITE !,?15,"ADJ CODE",?30,"ADJ AMOUNT",?49,"MEDICARE REMITTANCE REMARK"
+2 WRITE !,UL,!
QUIT
+3 ;
GOTP ; Utilize new API for Name Standardization
+1 ;
+2 SET Y(0)=^DPT(J,0)
SET PNAME=$PIECE(Y(0),"^",1)
SET PSSN=$TRANSLATE($$SSNL4^FBAAUTL($$SSN^FBAAUTL(J)),"-","")
+3 IF PNAME[","
Begin DoDot:1
+4 NEW FBNAMES
+5 SET FBNAMES("FILE")=2
SET FBNAMES("IENS")=J_","
SET FBNAMES("FIELD")=.01
+6 SET PNAME=$$NAMEFMT^XLFNAME(.FBNAMES)
End DoDot:1
+7 QUIT
WPFT SET DIWL=1
SET DIWF="WC79"
KILL ^UTILITY($JOB,"W")
+1 FOR FBRR=0:0
SET FBRR=$ORDER(^FBAA(162.1,L,"RX",M,1,FBRR))
if FBRR'>0
QUIT
SET FBXX=^(FBRR,0)
SET X=FBXX
DO ^DIWP
+2 if $DATA(FBXX)
DO ^DIWW
KILL FBXX
+3 QUIT
