IBARXEU3 ;ALB/AAS - RX COPAY EXEMPTION PROCESS AR CANCELS ; 8-JAN-93
;;Version 2.0 ; INTEGRATED BILLING ;**16,34**; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
CANCEL ; Cancel Rx copay charges when veteran becomes exempt.
; Required variable input:
; DFN -- Pointer to the patient in file #2
; IBSTAT -- patient is non-exempt (0) or exempt (1)
; IBEVTA -- Zeroth node in #354.1 of CURRENT exemption
; IBEVTP -- Zeroth node in #354.1 of PRIOR exemption
;
N IBDT,IBEDT,IBCODA,IBCODP,IBSITE,IBAFY,IBATYP,IBCHRG,IBXX
N IBCRES,IBERR,IBFAC,IBIL,IBL,IBLAST,IBLDT,IBN,IBND,IBNN,IBNOW,IBFOUND
N IBPARNT,IBPARNT1,IBSEQNO,IBUNIT,IBVLAST,IBCODVL,IBANVD,IBFIL
;
; - veteran must be currently exempt,
I 'IBSTAT G CANCELQ
;
; - due to income < pension,
S IBCODP=$$ACODE^IBARXEU0(IBEVTP),IBCODA=$$ACODE^IBARXEU0(IBEVTA)
G:IBCODA'=120 CANCELQ
;
; - when s/he was previously non-exempt, due to no income data,
I $S(IBCODP="":0,IBCODP=210:0,1:1) G CANCELQ
;
; - after having been exempt due to income < pension.
S IBVLAST=$$LST^IBARXEU0(DFN,+IBEVTP-.01),IBCODVL=$$ACODE^IBARXEU0(IBVLAST)
G:IBCODVL'=120 CANCELQ
;
; - calculate 'anniversary date' from original exemption
S IBANVD=$$PLUS^IBARXEU0(+IBVLAST)
;
; - 'filing' date of new exemption must be within 90 days of this date
S IBFIL=$P($G(^DGMT(408.31,+$$LST^DGMTCOU1(DFN,+IBEVTA,3),0)),"^",7)
I $$FMDIFF^XLFDT(IBFIL,IBANVD)>90 G CANCELQ
;
; - set start date for cancelling at beginning of non-exempt period.
; - end date: today (if the new exemption is the most current), or
; the end of the exemption just started (day before
; the most current exemption)
S IBBDT=+IBEVTA I IBEVTP,+IBEVTP<+IBEVTA S IBBDT=+IBEVTP
S:IBBDT<$$STDATE^IBARXEU IBBDT=$$STDATE^IBARXEU
S IBXX=$$LST^IBARXEU0(DFN)
S IBEDT=$S(+IBXX=+IBEVTA:DT,1:$$FMADD^XLFDT(+IBXX,-1))
;
; - move the start date up past the last cancellation end date
S X=-$O(^IBA(354.1,"ACAN",DFN,""))
I X'<IBBDT S IBBDT=X
;
; - quit if the start date slipped ahead of the end date
I IBEDT<IBBDT G CANCELQ
;
; - quit if there are no charges to cancel
S X=$O(^IB("APTDT",DFN,(IBBDT-.01))) I 'X!(X>(IBEDT+.9)) G CANCELQ
;
; - cancel the charges in billing
S Y=1 D ARPARM^IBAUTL I Y<0 G CANCELQ
;
S IBDATE=IBBDT-.0001,IBFOUND=0
F S IBDATE=$O(^IB("APTDT",DFN,IBDATE)) Q:'IBDATE!((IBEDT+.9)<IBDATE) D
.S IBNN=0 F S IBNN=$O(^IB("APTDT",DFN,IBDATE,IBNN)) Q:'IBNN D BILL
;
; - cancel bills in AR, if at least one charge was cancelled
I IBFOUND S IBARCAN=1 D ARCAN^IBARXEU4(DFN,IBSTAT,IBBDT,IBEDT)
;
CANCELQ Q
;
BILL ; -- process cancelling one bill
S X=$G(^IB(IBNN,0)) Q:X=""
Q:+$P(X,"^",4)'=52 ;quit if not pharmacy co-pay
;
; -- find parent
S IBPARNT=$P(X,"^",9)
;
S IBPARDT=$P($G(^IB(IBPARNT,1)),"^",2) ; get date of parent charge
I $S(IBPARDT="":1,IBPARDT<IBBDT:1,IBPARDT>(IBEDT+.9):1,1:0) Q ; ignore charges started before or after date range
;
; -- get most recent ibaction
S IBPARNT1=IBPARNT F S IBPARNT1=$P($G(^IB(IBPARNT,0)),"^",9) Q:IBPARNT1=IBPARNT S IBPARNT=IBPARNT1 ;gets parent of parents
S IBLAST=$$LAST^IBECEAU(IBPARNT)
;
Q:$P(^IBE(350.1,$P(^IB(IBLAST,0),"^",3),0),"^",5)=2 ;quit if already cancelled
;
S IBCRES=$O(^IBE(350.3,"B","RX COPAY INCOME EXEMPTION",0)) ; get cancellation reason
;
D CANRX
Q
;
CANRX ; -- do actual cancellation without calling ar
; input : iblast := last entry for parnt
; ibparnt := parent charge
; ibnd := ^(0) node of iblast
;
I $D(^IB(IBLAST,0)),$P(^IBE(350.1,$P(^IB(IBLAST,0),"^",3),0),"^",5)=2 G CANRXQ ;already cancelled
S IBND=$G(^IB(+IBLAST,0)),IBDUZ=DUZ
;
S IBATYP=$P(^IBE(350.1,+$P($G(^IB(IBPARNT,0)),"^",3),0),"^",6) ;cancellation action type for parent
I '$D(^IBE(350.1,+IBATYP,0)) G CANRXQ
S IBSEQNO=$P(^IBE(350.1,+IBATYP,0),"^",5) I 'IBSEQNO G CANRXQ
S IBIL=$P($G(^IB(IBPARNT,0)),"^",11)
S IBUNIT=$S($P(IBND,"^",6):$P(IBND,"^",6),$D(^IB(IBPARNT,0)):$P(^(0),"^",6),1:0) I IBUNIT<1 G CANRXQ
S IBCHRG=$S($P(IBND,"^",7):$P(IBND,"^",7),$D(^IB(IBPARNT,0)):$P(^(0),"^",7),1:0) I IBCHRG<1 G CANRXQ
;
D ADD^IBAUTL I +Y<1 G CANRXQ
S $P(^IB(IBN,1),"^",1)=IBDUZ,$P(^IB(IBN,0),"^",2,13)=DFN_"^"_IBATYP_"^"_$P(IBND,"^",4)_"^11^"_IBUNIT_"^"_IBCHRG_"^"_$P(IBND,"^",8)_"^"_IBPARNT_"^"_IBCRES_"^"_IBIL_"^^"_IBFAC
K ^IB("AC",1,IBN)
S DA=IBN,DIK="^IB(" D IX^DIK
S IBFOUND=1
;
; -- update parent to cancelled
; note: parent status=10, cancellation due to exemption reason only
; on charge cancelled so reports work right.
S DIE="^IB(",DA=IBPARNT,DR=".05////10;.1////"_IBCRES D ^DIE K DIE,DA,DR
CANRXQ Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBARXEU3 4773 printed Dec 13, 2024@02:07:24 Page 2
IBARXEU3 ;ALB/AAS - RX COPAY EXEMPTION PROCESS AR CANCELS ; 8-JAN-93
+1 ;;Version 2.0 ; INTEGRATED BILLING ;**16,34**; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
CANCEL ; Cancel Rx copay charges when veteran becomes exempt.
+1 ; Required variable input:
+2 ; DFN -- Pointer to the patient in file #2
+3 ; IBSTAT -- patient is non-exempt (0) or exempt (1)
+4 ; IBEVTA -- Zeroth node in #354.1 of CURRENT exemption
+5 ; IBEVTP -- Zeroth node in #354.1 of PRIOR exemption
+6 ;
+7 NEW IBDT,IBEDT,IBCODA,IBCODP,IBSITE,IBAFY,IBATYP,IBCHRG,IBXX
+8 NEW IBCRES,IBERR,IBFAC,IBIL,IBL,IBLAST,IBLDT,IBN,IBND,IBNN,IBNOW,IBFOUND
+9 NEW IBPARNT,IBPARNT1,IBSEQNO,IBUNIT,IBVLAST,IBCODVL,IBANVD,IBFIL
+10 ;
+11 ; - veteran must be currently exempt,
+12 IF 'IBSTAT
GOTO CANCELQ
+13 ;
+14 ; - due to income < pension,
+15 SET IBCODP=$$ACODE^IBARXEU0(IBEVTP)
SET IBCODA=$$ACODE^IBARXEU0(IBEVTA)
+16 if IBCODA'=120
GOTO CANCELQ
+17 ;
+18 ; - when s/he was previously non-exempt, due to no income data,
+19 IF $SELECT(IBCODP="":0,IBCODP=210:0,1:1)
GOTO CANCELQ
+20 ;
+21 ; - after having been exempt due to income < pension.
+22 SET IBVLAST=$$LST^IBARXEU0(DFN,+IBEVTP-.01)
SET IBCODVL=$$ACODE^IBARXEU0(IBVLAST)
+23 if IBCODVL'=120
GOTO CANCELQ
+24 ;
+25 ; - calculate 'anniversary date' from original exemption
+26 SET IBANVD=$$PLUS^IBARXEU0(+IBVLAST)
+27 ;
+28 ; - 'filing' date of new exemption must be within 90 days of this date
+29 SET IBFIL=$PIECE($GET(^DGMT(408.31,+$$LST^DGMTCOU1(DFN,+IBEVTA,3),0)),"^",7)
+30 IF $$FMDIFF^XLFDT(IBFIL,IBANVD)>90
GOTO CANCELQ
+31 ;
+32 ; - set start date for cancelling at beginning of non-exempt period.
+33 ; - end date: today (if the new exemption is the most current), or
+34 ; the end of the exemption just started (day before
+35 ; the most current exemption)
+36 SET IBBDT=+IBEVTA
IF IBEVTP
IF +IBEVTP<+IBEVTA
SET IBBDT=+IBEVTP
+37 if IBBDT<$$STDATE^IBARXEU
SET IBBDT=$$STDATE^IBARXEU
+38 SET IBXX=$$LST^IBARXEU0(DFN)
+39 SET IBEDT=$SELECT(+IBXX=+IBEVTA:DT,1:$$FMADD^XLFDT(+IBXX,-1))
+40 ;
+41 ; - move the start date up past the last cancellation end date
+42 SET X=-$ORDER(^IBA(354.1,"ACAN",DFN,""))
+43 IF X'<IBBDT
SET IBBDT=X
+44 ;
+45 ; - quit if the start date slipped ahead of the end date
+46 IF IBEDT<IBBDT
GOTO CANCELQ
+47 ;
+48 ; - quit if there are no charges to cancel
+49 SET X=$ORDER(^IB("APTDT",DFN,(IBBDT-.01)))
IF 'X!(X>(IBEDT+.9))
GOTO CANCELQ
+50 ;
+51 ; - cancel the charges in billing
+52 SET Y=1
DO ARPARM^IBAUTL
IF Y<0
GOTO CANCELQ
+53 ;
+54 SET IBDATE=IBBDT-.0001
SET IBFOUND=0
+55 FOR
SET IBDATE=$ORDER(^IB("APTDT",DFN,IBDATE))
if 'IBDATE!((IBEDT+.9)<IBDATE)
QUIT
Begin DoDot:1
+56 SET IBNN=0
FOR
SET IBNN=$ORDER(^IB("APTDT",DFN,IBDATE,IBNN))
if 'IBNN
QUIT
DO BILL
End DoDot:1
+57 ;
+58 ; - cancel bills in AR, if at least one charge was cancelled
+59 IF IBFOUND
SET IBARCAN=1
DO ARCAN^IBARXEU4(DFN,IBSTAT,IBBDT,IBEDT)
+60 ;
CANCELQ QUIT
+1 ;
BILL ; -- process cancelling one bill
+1 SET X=$GET(^IB(IBNN,0))
if X=""
QUIT
+2 ;quit if not pharmacy co-pay
if +$PIECE(X,"^",4)'=52
QUIT
+3 ;
+4 ; -- find parent
+5 SET IBPARNT=$PIECE(X,"^",9)
+6 ;
+7 ; get date of parent charge
SET IBPARDT=$PIECE($GET(^IB(IBPARNT,1)),"^",2)
+8 ; ignore charges started before or after date range
IF $SELECT(IBPARDT="":1,IBPARDT<IBBDT:1,IBPARDT>(IBEDT+.9):1,1:0)
QUIT
+9 ;
+10 ; -- get most recent ibaction
+11 ;gets parent of parents
SET IBPARNT1=IBPARNT
FOR
SET IBPARNT1=$PIECE($GET(^IB(IBPARNT,0)),"^",9)
if IBPARNT1=IBPARNT
QUIT
SET IBPARNT=IBPARNT1
+12 SET IBLAST=$$LAST^IBECEAU(IBPARNT)
+13 ;
+14 ;quit if already cancelled
if $PIECE(^IBE(350.1,$PIECE(^IB(IBLAST,0),"^",3),0),"^",5)=2
QUIT
+15 ;
+16 ; get cancellation reason
SET IBCRES=$ORDER(^IBE(350.3,"B","RX COPAY INCOME EXEMPTION",0))
+17 ;
+18 DO CANRX
+19 QUIT
+20 ;
CANRX ; -- do actual cancellation without calling ar
+1 ; input : iblast := last entry for parnt
+2 ; ibparnt := parent charge
+3 ; ibnd := ^(0) node of iblast
+4 ;
+5 ;already cancelled
IF $DATA(^IB(IBLAST,0))
IF $PIECE(^IBE(350.1,$PIECE(^IB(IBLAST,0),"^",3),0),"^",5)=2
GOTO CANRXQ
+6 SET IBND=$GET(^IB(+IBLAST,0))
SET IBDUZ=DUZ
+7 ;
+8 ;cancellation action type for parent
SET IBATYP=$PIECE(^IBE(350.1,+$PIECE($GET(^IB(IBPARNT,0)),"^",3),0),"^",6)
+9 IF '$DATA(^IBE(350.1,+IBATYP,0))
GOTO CANRXQ
+10 SET IBSEQNO=$PIECE(^IBE(350.1,+IBATYP,0),"^",5)
IF 'IBSEQNO
GOTO CANRXQ
+11 SET IBIL=$PIECE($GET(^IB(IBPARNT,0)),"^",11)
+12 SET IBUNIT=$SELECT($PIECE(IBND,"^",6):$PIECE(IBND,"^",6),$DATA(^IB(IBPARNT,0)):$PIECE(^(0),"^",6),1:0)
IF IBUNIT<1
GOTO CANRXQ
+13 SET IBCHRG=$SELECT($PIECE(IBND,"^",7):$PIECE(IBND,"^",7),$DATA(^IB(IBPARNT,0)):$PIECE(^(0),"^",7),1:0)
IF IBCHRG<1
GOTO CANRXQ
+14 ;
+15 DO ADD^IBAUTL
IF +Y<1
GOTO CANRXQ
+16 SET $PIECE(^IB(IBN,1),"^",1)=IBDUZ
SET $PIECE(^IB(IBN,0),"^",2,13)=DFN_"^"_IBATYP_"^"_$PIECE(IBND,"^",4)_"^11^"_IBUNIT_"^"_IBCHRG_"^"_$PIECE(IBND,"^",8)_"^"_IBPARNT_"^"_IBCRES_"^"_IBIL_"^^"_IBFAC
+17 KILL ^IB("AC",1,IBN)
+18 SET DA=IBN
SET DIK="^IB("
DO IX^DIK
+19 SET IBFOUND=1
+20 ;
+21 ; -- update parent to cancelled
+22 ; note: parent status=10, cancellation due to exemption reason only
+23 ; on charge cancelled so reports work right.
+24 SET DIE="^IB("
SET DA=IBPARNT
SET DR=".05////10;.1////"_IBCRES
DO ^DIE
KILL DIE,DA,DR
CANRXQ QUIT
