IBAMTV4 ;ALB/CPM - FIND CHARGES FOR IVM PATIENTS ; 13-JUN-94
;;Version 2.0 ; INTEGRATED BILLING ;**15**; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
ALL(DFN,IBROOT,IBST,IBEND) ; Find IB Actions and Claims for the IVM Patient
; Input: DFN -- Pointer to the patient in file #2
; IBROOT -- Root in which to place array of charges
; IBST -- Start date used as check for patient charges
; IBEND -- End date used as check for patient charges
;
; Output: Array of charges:
; @IBROOT@(ref #)=1^2^3^4^5^6^7^8^9^10^11, where
; ref # - bill number or field #.01 to #350
; 1 - DFN
; 2 - Classification [1-Inpt,2-Opt,3-Refill,4-Pros]
; 3 - Type [1-Claim,2-Copay,3-Per Diem]
; 4 - Bill From Date
; 5 - Bill To Date
; 6 - Date Bill Created
; 7 - Amt Billed
; 8 - Amt Collected (Claims only)
; 9 - Date Bill Closed (Claims only)
; 10 - Cancelled? [0-No,1-Yes]
; 11 - On Hold? (Patient charges only)
;
I $G(IBROOT)=""!'$G(DFN) G ALLQ
;
; - build patient charge array
I $G(IBST) S Y="" F S Y=$O(^IB("AFDT",DFN,Y)) Q:'Y I -Y'>IBEND S Y1=0 F S Y1=$O(^IB("AFDT",DFN,Y,Y1)) Q:'Y1 D
.S IBDA=0 F S IBDA=$O(^IB("AF",Y1,IBDA)) Q:'IBDA D
..Q:'$D(^IB(IBDA,0)) S IBX=^(0)
..Q:$P(IBX,"^",8)["ADMISSION"
..Q:$P(IBX,"^",9)'=IBDA
..S IBN=$$LAST^IBECEAU(IBDA),IBND=$G(^IB(IBN,0)),IBND1=$G(^(1))
..I $P(IBND,"^",15)<IBST!($P(IBND,"^",14)>IBEND) Q
..;
..; - start building string
..S IBSTR=DFN_"^"_$S($P(IBND,"^",8)["OPT COPAY":2,1:1)
..S IBSTR=IBSTR_"^"_$S($P($G(^IBE(350.1,+$P(IBND,"^",3),0)),"^")["PER DIEM":3,1:2)
..S IBSTR=IBSTR_"^"_$P(IBND,"^",14)_"^"_$P(IBND,"^",15)_"^"_($P(IBND1,"^",4)\1)_"^"_$P(IBND,"^",7)
..S IBSTAT=$G(^IBE(350.21,+$P(IBND,"^",5),0))
..S IBSTR=IBSTR_"^^^"_$P(IBSTAT,"^",5)_"^"_$P(IBSTAT,"^",6)
..I $P(IBSTAT,"^",6) S $P(IBSTR,"^",6)=""
..;
..S @IBROOT@(+IBX)=IBSTR
;
; - build claim array
D CLM(DFN,IBROOT)
;
ALLQ K Y,Y1,IBDA,IBX,IBN,IBND,IBND1,IBSTR,IBSTAT
Q
;
;
INS(IBROOT) ; Find claims for patients with IVM-identified policies.
; Input: IBROOT -- Root in which to place array of charges
; Output: Array of charges as defined above
;
N DFN
I $G(IBROOT)="" G INSQ
S DFN=0 F S DFN=$O(^IBA(354,"AIVM",DFN)) Q:'DFN I '$$CHK^IVMUFNC3(DFN) D CLM(DFN,IBROOT)
INSQ Q
;
;
CLM(DFN,IBROOT) ; Build charge array for insurance claims
; Input: DFN -- Pointer to the patient in file #2
; IBROOT -- Root in which to place array of charges
; Output: Array of charges as defined above
;
I $G(IBROOT)=""!'$G(DFN) G CLMQ
;
N IBN,IBI,IBND,IBX,IBSTR
;
S IBN=0 F S IBN=$O(^DGCR(399,"C",DFN,IBN)) Q:'IBN I $$HOWID^IBRFN2(IBN)=3,$P($G(^DGCR(399,IBN,"S")),"^",12) D
.F IBI=0,"S","U" S IBND(IBI)=$G(^DGCR(399,IBN,IBI))
.;
.; - build string
.S IBSTR=DFN_"^"_$$CLS(IBN,IBND(0))_"^1"
.S IBSTR=IBSTR_"^"_+IBND("U")_"^"_$P(IBND("U"),"^",2)_"^"_$P(IBND("S"),"^",12)
.S IBX=$$ORI^PRCAFN(IBN) ; amt billed
.S IBSTR=IBSTR_"^"_$S(IBX>0:IBX,1:0)
.S IBX=$$TPR^PRCAFN(IBN) ; amt collected
.S IBSTR=IBSTR_"^"_$S(IBX>0:IBX,1:0)
.S IBX=$$CLO^PRCAFN(IBN) ; date bill closed
.S IBSTR=IBSTR_"^"_$S(IBX>0:IBX,1:"")_"^"_$P(IBND("S"),"^",16)
.;
.S @IBROOT@($$BN^PRCAFN(IBN))=IBSTR
;
CLMQ Q
;
CLS(BN,BN0) ; Return a code for the bill classification.
; Input: BN -- Pointer to the bill in file #399
; BN0 -- Zeroth node of bill in file #399
N X S X="O"
I $G(BN)=""!($G(BN0)="") G CLSQ
S X=$$BTYP^IBCOIVM1(BN,BN0)
CLSQ Q $S(X="I":1,X="O":2,X="R":3,X="P":4,1:2)
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBAMTV4 3870 printed Dec 13, 2024@02:06:50 Page 2
IBAMTV4 ;ALB/CPM - FIND CHARGES FOR IVM PATIENTS ; 13-JUN-94
+1 ;;Version 2.0 ; INTEGRATED BILLING ;**15**; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
ALL(DFN,IBROOT,IBST,IBEND) ; Find IB Actions and Claims for the IVM Patient
+1 ; Input: DFN -- Pointer to the patient in file #2
+2 ; IBROOT -- Root in which to place array of charges
+3 ; IBST -- Start date used as check for patient charges
+4 ; IBEND -- End date used as check for patient charges
+5 ;
+6 ; Output: Array of charges:
+7 ; @IBROOT@(ref #)=1^2^3^4^5^6^7^8^9^10^11, where
+8 ; ref # - bill number or field #.01 to #350
+9 ; 1 - DFN
+10 ; 2 - Classification [1-Inpt,2-Opt,3-Refill,4-Pros]
+11 ; 3 - Type [1-Claim,2-Copay,3-Per Diem]
+12 ; 4 - Bill From Date
+13 ; 5 - Bill To Date
+14 ; 6 - Date Bill Created
+15 ; 7 - Amt Billed
+16 ; 8 - Amt Collected (Claims only)
+17 ; 9 - Date Bill Closed (Claims only)
+18 ; 10 - Cancelled? [0-No,1-Yes]
+19 ; 11 - On Hold? (Patient charges only)
+20 ;
+21 IF $GET(IBROOT)=""!'$GET(DFN)
GOTO ALLQ
+22 ;
+23 ; - build patient charge array
+24 IF $GET(IBST)
SET Y=""
FOR
SET Y=$ORDER(^IB("AFDT",DFN,Y))
if 'Y
QUIT
IF -Y'>IBEND
SET Y1=0
FOR
SET Y1=$ORDER(^IB("AFDT",DFN,Y,Y1))
if 'Y1
QUIT
Begin DoDot:1
+25 SET IBDA=0
FOR
SET IBDA=$ORDER(^IB("AF",Y1,IBDA))
if 'IBDA
QUIT
Begin DoDot:2
+26 if '$DATA(^IB(IBDA,0))
QUIT
SET IBX=^(0)
+27 if $PIECE(IBX,"^",8)["ADMISSION"
QUIT
+28 if $PIECE(IBX,"^",9)'=IBDA
QUIT
+29 SET IBN=$$LAST^IBECEAU(IBDA)
SET IBND=$GET(^IB(IBN,0))
SET IBND1=$GET(^(1))
+30 IF $PIECE(IBND,"^",15)<IBST!($PIECE(IBND,"^",14)>IBEND)
QUIT
+31 ;
+32 ; - start building string
+33 SET IBSTR=DFN_"^"_$SELECT($PIECE(IBND,"^",8)["OPT COPAY":2,1:1)
+34 SET IBSTR=IBSTR_"^"_$SELECT($PIECE($GET(^IBE(350.1,+$PIECE(IBND,"^",3),0)),"^")["PER DIEM":3,1:2)
+35 SET IBSTR=IBSTR_"^"_$PIECE(IBND,"^",14)_"^"_$PIECE(IBND,"^",15)_"^"_($PIECE(IBND1,"^",4)\1)_"^"_$PIECE(IBND,"^",7)
+36 SET IBSTAT=$GET(^IBE(350.21,+$PIECE(IBND,"^",5),0))
+37 SET IBSTR=IBSTR_"^^^"_$PIECE(IBSTAT,"^",5)_"^"_$PIECE(IBSTAT,"^",6)
+38 IF $PIECE(IBSTAT,"^",6)
SET $PIECE(IBSTR,"^",6)=""
+39 ;
+40 SET @IBROOT@(+IBX)=IBSTR
End DoDot:2
End DoDot:1
+41 ;
+42 ; - build claim array
+43 DO CLM(DFN,IBROOT)
+44 ;
ALLQ KILL Y,Y1,IBDA,IBX,IBN,IBND,IBND1,IBSTR,IBSTAT
+1 QUIT
+2 ;
+3 ;
INS(IBROOT) ; Find claims for patients with IVM-identified policies.
+1 ; Input: IBROOT -- Root in which to place array of charges
+2 ; Output: Array of charges as defined above
+3 ;
+4 NEW DFN
+5 IF $GET(IBROOT)=""
GOTO INSQ
+6 SET DFN=0
FOR
SET DFN=$ORDER(^IBA(354,"AIVM",DFN))
if 'DFN
QUIT
IF '$$CHK^IVMUFNC3(DFN)
DO CLM(DFN,IBROOT)
INSQ QUIT
+1 ;
+2 ;
CLM(DFN,IBROOT) ; Build charge array for insurance claims
+1 ; Input: DFN -- Pointer to the patient in file #2
+2 ; IBROOT -- Root in which to place array of charges
+3 ; Output: Array of charges as defined above
+4 ;
+5 IF $GET(IBROOT)=""!'$GET(DFN)
GOTO CLMQ
+6 ;
+7 NEW IBN,IBI,IBND,IBX,IBSTR
+8 ;
+9 SET IBN=0
FOR
SET IBN=$ORDER(^DGCR(399,"C",DFN,IBN))
if 'IBN
QUIT
IF $$HOWID^IBRFN2(IBN)=3
IF $PIECE($GET(^DGCR(399,IBN,"S")),"^",12)
Begin DoDot:1
+10 FOR IBI=0,"S","U"
SET IBND(IBI)=$GET(^DGCR(399,IBN,IBI))
+11 ;
+12 ; - build string
+13 SET IBSTR=DFN_"^"_$$CLS(IBN,IBND(0))_"^1"
+14 SET IBSTR=IBSTR_"^"_+IBND("U")_"^"_$PIECE(IBND("U"),"^",2)_"^"_$PIECE(IBND("S"),"^",12)
+15 ; amt billed
SET IBX=$$ORI^PRCAFN(IBN)
+16 SET IBSTR=IBSTR_"^"_$SELECT(IBX>0:IBX,1:0)
+17 ; amt collected
SET IBX=$$TPR^PRCAFN(IBN)
+18 SET IBSTR=IBSTR_"^"_$SELECT(IBX>0:IBX,1:0)
+19 ; date bill closed
SET IBX=$$CLO^PRCAFN(IBN)
+20 SET IBSTR=IBSTR_"^"_$SELECT(IBX>0:IBX,1:"")_"^"_$PIECE(IBND("S"),"^",16)
+21 ;
+22 SET @IBROOT@($$BN^PRCAFN(IBN))=IBSTR
End DoDot:1
+23 ;
CLMQ QUIT
+1 ;
CLS(BN,BN0) ; Return a code for the bill classification.
+1 ; Input: BN -- Pointer to the bill in file #399
+2 ; BN0 -- Zeroth node of bill in file #399
+3 NEW X
SET X="O"
+4 IF $GET(BN)=""!($GET(BN0)="")
GOTO CLSQ
+5 SET X=$$BTYP^IBCOIVM1(BN,BN0)
CLSQ QUIT $SELECT(X="I":1,X="O":2,X="R":3,X="P":4,1:2)
