IBAUTL8 ;ALB/MGD - DUPLICATE COPAY TRANSACTION UTILITIES; Sep 30, 2020@15:16:44
;;2.0;INTEGRATED BILLING;**630**;21-MAR-94;Build 39
;;Per VA Directive 6402, this routine should not be modified.
;
; ****************************************************************************
; This routine is designed to implement a series of final checks immediately *
; prior to IB releasing a charge over to Accounts Receivable (AR). *
; IBAUTL9 handles the storing of associated information related to any *
; duplicate copays found by IBAUTL8. *
; These updates are part being released in IB*2.0*630. *
; ****************************************************************************
;
COPAYCHK(IBDFN,IBN,IBINTACT) ;
; Determine if the Copay charge currently being reviewed should be passed over to Accounts Receivable (AR)
; Input:
; IBDFN = Pointer to the Patient in file #2
; IBN = Pointer to the charge in file #350
; IBINTACT = Optional - Flag to indicate when the call is being made from an interactive option.
; 1:Interactive
; For Interactive call, the IEN of the existing copay charge will be passed
; back and this info will be used to display an error message for the
; Release Charges 'On Hold' [IB MT RELEASE CHARGES] option and the Pass a Charge
; action on the Cancel/Edit/Add Patient Charges [IB CANCEL/EDIT/ADD CHARGES] option.
; 0:Non-Interactive
; For Non-Interactive calls, duplicate copay transaction information
; will be stored in ^XTMP("IB TRANS").
; At the end of the IB nightly background job, any duplicate copay info in
; ^XTMP("IB TRANS") will be sent via MailMan to the IB DUPLICATE TRANSACTIONS mail group.
;
; Output: IBACTION = Flag to indicate whether the copay charge being reviewed should be passed to AR.
; Flag # - The IEN of the existing Copay charge for the Patient/Date of interest.
; The charge being reviewed should NOT be passed over to AR.
; 0 - There is no existing Copay charge for this Patient/Date.
; The charge being reviewed should be passed over to AR.
;
; The checks that occur in the software below are prioritized based on the existing VA rules.
;
N IBACTION,IBAT,IBDATA0,IBEVDT
; Initialize return value.
; Defaulting to 0 will cause the charge currently being reviewed to be passed over to AR.
; Currently, there is no existing check to prevent passing duplicates over to AR so setting
; IBACTION = 0 mimics the way the software currently works. Our new checks will set
; IBACTION = IEN of existing copay charge to prevent the duplicates charges from occurring.
S IBACTION=0
; Quit if DFN or IBN not defined
I '+IBDFN!('+IBN) Q IBACTION
; If IBINTACT was not passed in, default it to 0:Non-Interactive
S IBINTACT=$S(IBINTACT'="":IBINTACT,1:0)
; Quit if DFN not valid
I '$D(^DPT(IBDFN)) Q IBACTION
; Load the 0 node from File #350 for this record. QUIT if no 0 node
S IBDATA0=$G(^IB(IBN,0))
I IBDATA0="" Q IBACTION
; Load EVENT DATE (#.17)
S IBEVDT=$P(IBDATA0,U,17)
; If the EVENT DATE is not defined, default to DATE BILLED FROM (#.14)
I IBEVDT'?7N S IBEVDT=$P(IBDATA0,U,14)
; Quit if no valid EVENT DATE or DATE BILLED FROM
I IBEVDT'?7N Q IBACTION
; Load the ACTION TYPE (#.03) for the charge being reviewed
S IBAT=$P(IBDATA0,U,3)
; Quit if Action Type not defined
I +IBAT<=0 Q IBACTION
;
; Perform checks for Outpatient Copays.
; Action Types = 51 - DG OPT COPAY NEW 74 - DG OBSERVATION COPAY NEW
; 136 - CC (OPT) NEW 203 - CC URGENT CARE (OPT) NEW
I "^51^74^136^203^"[("^"_IBAT_"^") D OCPYNEW(IBN,IBEVDT,.IBACTION,IBINTACT) Q IBACTION
;
; Perform checks for Inpatient Per Diem. It is legal to have both an Inpatient Per Diem AND an
; Inpatient Copay on the same day provided they are a correct pairing.
; Correct pairings are checked during the Inpatient checks.
; Action Types = 45 - DG INPT PER DIEM NEW 48 - DG NHCU PER DIEM NEW
; 133 - CC (PER DIEM) NEW
I "^45^48^133^"[("^"_IBAT_"^") D IPDNEW^IBAUTL8A(IBN,IBEVDT,.IBACTION,IBINTACT) Q IBACTION
;
; Perform checks for Inpatient Copay. It is legal to have both an Inpatient Per Diem AND an
; Inpatient Copay on the same day provided they are the correct pairings.
; Correct pairings are checked in ICPYNEW.
; Tricare: GEN MED INPT COPAY (#15) - can have more than one per day. Bill all of
; these charges. There is no need to check for them.
; Action Types = 130 - CC (INPT) NEW 16 - DG INPT COPAY (SUR) NEW
; 17 - DG INPT COPAY (SPI) NEW 18 - DG INPT COPAY (PSY) NEW
; 19 - DG INPT COPAY (INT) NEW 20 - DG INPT COPAY (REH) NEW
; 21 - DG INPT COPAY (BLI) NEW 22 - DG INPT COPAY (NEU) NEW
; 23 - DG INPT COPAY (ALC) NEW 24 - DG NHCU COPAY NEW
;
I "^130^16^17^18^19^20^21^22^23^24^"[("^"_IBAT_"^") D ICPYNEW^IBAUTL8C(IBN,IBEVDT,.IBACTION,IBINTACT) Q IBACTION
;
; Perform checks for Long Term Care (LTC) Copay.
; Action Types = 89 - DG LTC OPT ADHC NEW 92 - DG LTC OPT GEM NEW
; 95 - DG LTC OPT RESPITE NEW 105 - DG LTC FEE OPT ADHC NEW
; 108 - DG LTC FEE OPT RESPITE NEW
I "^89^92^95^105^108^"[("^"_IBAT_"^") D LTCNEW^IBAUTL8B(IBN,IBEVDT,.IBACTION,IBINTACT) Q IBACTION
Q IBACTION
;
OCPYNEW(IBN,IBEVDT,IBACTION,IBINTACT) ;
; Perform checks for a new Outpatient Copay charge to determine if this charge should be passed over to AR.
; Input:
; IBN = Pointer to Outpatient Copay charge currently being reviewed in the INTEGRATED BILLING ACTION (#350) file
; IBEVDT = Event Date for the charge currently being reviewed in the INTEGRATED BILLING ACTION (#350) file
; IBACTION = Passed by reference. Passed in as 0:Pass to AR
; IBINTACT = Optional - Flag to indicate when the call is being made from an interactive option.
; 1:Interactive
; 0:Non-Interactive
; For more info see COPAYCHK above
;
; Output: IBACTION = 0 if the current charge being reviewed should be passed over to AR
; # The IEN of the existing Copay charge for the Patient/Date of interest.
; The charge being reviewed should NOT be passed over to AR.
;
; Verify incoming value of IBACTION and default to 0 if not defined
S IBACTION=$S(IBACTION'="":IBACTION,1:0)
; Quit if necessary data was not passed in
I +IBN<=0!(+IBEVDT'?7N) Q
; If IBINTACT was not passed in, default it to 0:Non-Interactive
S IBINTACT=$S(IBINTACT'="":IBINTACT,1:0)
N IBBFI,IBBFO,IBBOB,IBBPD,IBDFN,IBIEN,IBLTC,IBRSN
; Load Patient IEN from IBN passed in
S IBDFN=+$P($G(^IB(IBN,0)),U,2)
; Quit if no IEN in record
I IBDFN<1 Q
; Determine if the Patient has an Inpatient Copay for the Event Date
S IBBFI=$$BFI^IBAUTL8C(IBDFN,IBEVDT,IBN)
; Determine if the Patient has an Per Diem Copay for the Event Date
S IBBPD=$$BFPD^IBAUTL8A(IBDFN,IBEVDT,IBN)
; Determine if the Patient has an Observation Copay for the Event Date
S IBBOB=$$BFOB^IBAUTL8A(IBDFN,IBEVDT,IBN)
; If the Patient has already been charged an Inpatient Copay charge OR an Inpatient Per Diem charge OR
; an Outpatient Observation Copay charge for the Event Date, Don't pass Outpatient Copay to AR
I IBBFI!IBBPD!IBBOB D Q
. ; Set return value to NOT pass the charge over to AR
. S IBACTION=$S(IBBFI:IBBFI,IBBPD:IBBPD,IBBOB:IBBOB,1:0)
. ; Quit if interactive
. Q:IBINTACT
. ; Cancel the Outpatient Copay charge being reviewed with CANCELLATION REASON = 42 - BILLED AT HIGHER TIER RATE
. ; ### Uncomment for Phase 2 D CNCLCHRG^IBAUTL8A(IBN,42)
. ; Determine which Cancellation Reason to include in MailMan message
. I IBBFI>0 S IBIEN=IBBFI,IBRSN="EXISTING INPATIENT COPAY CHARGE WHICH HAS HIGHER PRECEDENCE"
. I IBBPD>0 S IBIEN=IBBPD,IBRSN="EXISTING INPATIENT PER DIEM CHARGE WHICH HAS HIGHER PRECEDENCE"
. I IBBOB>0 S IBIEN=IBBOB,IBRSN="EXISTING OBSERVATION COPAY CHARGE WHICH HAS HIGHER PRECEDENCE"
. ; Record related info into ^XTMP for MailMan message
. I 'IBINTACT D STORE1^IBAUTL9(IBN,IBIEN,IBRSN)
. Q
;
; Determine if the Patient has an Outpatient Copay for the Event Date
S IBBFO=$$BFO^IBAUTL8A(IBDFN,IBEVDT,IBN)
; If the Patient has already been charged an Outpatient Copay for the Event Date, compare current charge being
; reviewed to the existing Outpatient Copay charge and determine what action to take.
I IBBFO D Q
. ; Set IBACTION = IEN of Outpatient Copay
. S IBACTION=IBBFO
. ; Quit if interactive
. Q:IBINTACT
. N IBCTOT,IBETOT
. ; Load dollar amounts from the 2 charges. IBCTOT = Current Charge Being Reviewed Total, IBETOT = Existing Total
. S IBCTOT=+$P($G(^IB(IBN,0)),U,7),IBETOT=+$P($G(^IB(+IBBFO,0)),U,7)
. ; If the current charge being processed is <= to the existing Outpatient Copay charge
. I IBCTOT<=IBETOT D Q
. . ; Cancel current charge being reviewed with CANCELLATION REASON = 4 - ENTERED IN ERROR
. . ; ### Uncomment for Phase 2 D CNCLCHRG^IBAUTL8A(IBN,4)
. . ; Record related info into ^XTMP for MailMan message
. . S IBRSN="EXISTING OUTPATIENT COPAY CHARGE AT SAME OR HIGHER TIER RATE"
. . D STORE1^IBAUTL9(IBN,IBBFO,IBRSN)
. ; If the current charge being processed is > than the existing Outpatient Copay charge
. I IBCTOT>IBETOT D Q
. . ; ### Uncomment for Phase 2
. . ; IBND has to be set to 0 node for call to CANC^IBECEAU4
. . ; ### N IBND S IBND=$G(^IB(IBN,0))
. . ; IBFAC and IBSITE needed by Cancel operation below
. . ; ### N IBFAC,IBSITE
. . ; Calculate site from site parameters
. . ; ### D SITE^IBAUTL
. . ; If not interactive Cancel existing charge with Reason = 42 - BILLED AT HIGHER TIER RATE
. . ; UNCOMMENT THIS AND TEST MORE ON WHAT HAPPENS IN THE CANCELLATION PROCESS
. . ; ### I 'IBINTACT D CANC^IBECEAU4(IBBFO,42,1)
. . ; Record related info into ^XTMP for MailMan message
. . S IBRSN="ANOTHER OUTPATIENT COPAY CHARGE BILLED AT HIGHER TIER RATE"
. . D STORE2^IBAUTL9(IBN,IBBFO,IBRSN)
. . Q
. Q
;
; Determine if the Patient has an Long Term Care Copay for the Event Date
S IBLTC=$$LTC^IBAUTL8B(IBDFN,IBEVDT,IBN)
; If the patient has been charged a Long Term Care Copay for the Event Date, set IBACTION and quit
I IBLTC D Q
. ; Set IBACTION = IEN of Outpatient Copay
. S IBACTION=IBLTC
. ; Quit if interactive
. Q:IBINTACT
. ; Record related info into ^XTMP for MailMan message
. S IBRSN="AN OUTPATIENT COPAY CHARGE BILLED AT HIGHER TIER RATE"
. D STORE2^IBAUTL9(IBN,IBLTC,IBRSN)
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBAUTL8 10926 printed Dec 13, 2024@02:08:11 Page 2
IBAUTL8 ;ALB/MGD - DUPLICATE COPAY TRANSACTION UTILITIES; Sep 30, 2020@15:16:44
+1 ;;2.0;INTEGRATED BILLING;**630**;21-MAR-94;Build 39
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ; ****************************************************************************
+5 ; This routine is designed to implement a series of final checks immediately *
+6 ; prior to IB releasing a charge over to Accounts Receivable (AR). *
+7 ; IBAUTL9 handles the storing of associated information related to any *
+8 ; duplicate copays found by IBAUTL8. *
+9 ; These updates are part being released in IB*2.0*630. *
+10 ; ****************************************************************************
+11 ;
COPAYCHK(IBDFN,IBN,IBINTACT) ;
+1 ; Determine if the Copay charge currently being reviewed should be passed over to Accounts Receivable (AR)
+2 ; Input:
+3 ; IBDFN = Pointer to the Patient in file #2
+4 ; IBN = Pointer to the charge in file #350
+5 ; IBINTACT = Optional - Flag to indicate when the call is being made from an interactive option.
+6 ; 1:Interactive
+7 ; For Interactive call, the IEN of the existing copay charge will be passed
+8 ; back and this info will be used to display an error message for the
+9 ; Release Charges 'On Hold' [IB MT RELEASE CHARGES] option and the Pass a Charge
+10 ; action on the Cancel/Edit/Add Patient Charges [IB CANCEL/EDIT/ADD CHARGES] option.
+11 ; 0:Non-Interactive
+12 ; For Non-Interactive calls, duplicate copay transaction information
+13 ; will be stored in ^XTMP("IB TRANS").
+14 ; At the end of the IB nightly background job, any duplicate copay info in
+15 ; ^XTMP("IB TRANS") will be sent via MailMan to the IB DUPLICATE TRANSACTIONS mail group.
+16 ;
+17 ; Output: IBACTION = Flag to indicate whether the copay charge being reviewed should be passed to AR.
+18 ; Flag # - The IEN of the existing Copay charge for the Patient/Date of interest.
+19 ; The charge being reviewed should NOT be passed over to AR.
+20 ; 0 - There is no existing Copay charge for this Patient/Date.
+21 ; The charge being reviewed should be passed over to AR.
+22 ;
+23 ; The checks that occur in the software below are prioritized based on the existing VA rules.
+24 ;
+25 NEW IBACTION,IBAT,IBDATA0,IBEVDT
+26 ; Initialize return value.
+27 ; Defaulting to 0 will cause the charge currently being reviewed to be passed over to AR.
+28 ; Currently, there is no existing check to prevent passing duplicates over to AR so setting
+29 ; IBACTION = 0 mimics the way the software currently works. Our new checks will set
+30 ; IBACTION = IEN of existing copay charge to prevent the duplicates charges from occurring.
+31 SET IBACTION=0
+32 ; Quit if DFN or IBN not defined
+33 IF '+IBDFN!('+IBN)
QUIT IBACTION
+34 ; If IBINTACT was not passed in, default it to 0:Non-Interactive
+35 SET IBINTACT=$SELECT(IBINTACT'="":IBINTACT,1:0)
+36 ; Quit if DFN not valid
+37 IF '$DATA(^DPT(IBDFN))
QUIT IBACTION
+38 ; Load the 0 node from File #350 for this record. QUIT if no 0 node
+39 SET IBDATA0=$GET(^IB(IBN,0))
+40 IF IBDATA0=""
QUIT IBACTION
+41 ; Load EVENT DATE (#.17)
+42 SET IBEVDT=$PIECE(IBDATA0,U,17)
+43 ; If the EVENT DATE is not defined, default to DATE BILLED FROM (#.14)
+44 IF IBEVDT'?7N
SET IBEVDT=$PIECE(IBDATA0,U,14)
+45 ; Quit if no valid EVENT DATE or DATE BILLED FROM
+46 IF IBEVDT'?7N
QUIT IBACTION
+47 ; Load the ACTION TYPE (#.03) for the charge being reviewed
+48 SET IBAT=$PIECE(IBDATA0,U,3)
+49 ; Quit if Action Type not defined
+50 IF +IBAT<=0
QUIT IBACTION
+51 ;
+52 ; Perform checks for Outpatient Copays.
+53 ; Action Types = 51 - DG OPT COPAY NEW 74 - DG OBSERVATION COPAY NEW
+54 ; 136 - CC (OPT) NEW 203 - CC URGENT CARE (OPT) NEW
+55 IF "^51^74^136^203^"[("^"_IBAT_"^")
DO OCPYNEW(IBN,IBEVDT,.IBACTION,IBINTACT)
QUIT IBACTION
+56 ;
+57 ; Perform checks for Inpatient Per Diem. It is legal to have both an Inpatient Per Diem AND an
+58 ; Inpatient Copay on the same day provided they are a correct pairing.
+59 ; Correct pairings are checked during the Inpatient checks.
+60 ; Action Types = 45 - DG INPT PER DIEM NEW 48 - DG NHCU PER DIEM NEW
+61 ; 133 - CC (PER DIEM) NEW
+62 IF "^45^48^133^"[("^"_IBAT_"^")
DO IPDNEW^IBAUTL8A(IBN,IBEVDT,.IBACTION,IBINTACT)
QUIT IBACTION
+63 ;
+64 ; Perform checks for Inpatient Copay. It is legal to have both an Inpatient Per Diem AND an
+65 ; Inpatient Copay on the same day provided they are the correct pairings.
+66 ; Correct pairings are checked in ICPYNEW.
+67 ; Tricare: GEN MED INPT COPAY (#15) - can have more than one per day. Bill all of
+68 ; these charges. There is no need to check for them.
+69 ; Action Types = 130 - CC (INPT) NEW 16 - DG INPT COPAY (SUR) NEW
+70 ; 17 - DG INPT COPAY (SPI) NEW 18 - DG INPT COPAY (PSY) NEW
+71 ; 19 - DG INPT COPAY (INT) NEW 20 - DG INPT COPAY (REH) NEW
+72 ; 21 - DG INPT COPAY (BLI) NEW 22 - DG INPT COPAY (NEU) NEW
+73 ; 23 - DG INPT COPAY (ALC) NEW 24 - DG NHCU COPAY NEW
+74 ;
+75 IF "^130^16^17^18^19^20^21^22^23^24^"[("^"_IBAT_"^")
DO ICPYNEW^IBAUTL8C(IBN,IBEVDT,.IBACTION,IBINTACT)
QUIT IBACTION
+76 ;
+77 ; Perform checks for Long Term Care (LTC) Copay.
+78 ; Action Types = 89 - DG LTC OPT ADHC NEW 92 - DG LTC OPT GEM NEW
+79 ; 95 - DG LTC OPT RESPITE NEW 105 - DG LTC FEE OPT ADHC NEW
+80 ; 108 - DG LTC FEE OPT RESPITE NEW
+81 IF "^89^92^95^105^108^"[("^"_IBAT_"^")
DO LTCNEW^IBAUTL8B(IBN,IBEVDT,.IBACTION,IBINTACT)
QUIT IBACTION
+82 QUIT IBACTION
+83 ;
OCPYNEW(IBN,IBEVDT,IBACTION,IBINTACT) ;
+1 ; Perform checks for a new Outpatient Copay charge to determine if this charge should be passed over to AR.
+2 ; Input:
+3 ; IBN = Pointer to Outpatient Copay charge currently being reviewed in the INTEGRATED BILLING ACTION (#350) file
+4 ; IBEVDT = Event Date for the charge currently being reviewed in the INTEGRATED BILLING ACTION (#350) file
+5 ; IBACTION = Passed by reference. Passed in as 0:Pass to AR
+6 ; IBINTACT = Optional - Flag to indicate when the call is being made from an interactive option.
+7 ; 1:Interactive
+8 ; 0:Non-Interactive
+9 ; For more info see COPAYCHK above
+10 ;
+11 ; Output: IBACTION = 0 if the current charge being reviewed should be passed over to AR
+12 ; # The IEN of the existing Copay charge for the Patient/Date of interest.
+13 ; The charge being reviewed should NOT be passed over to AR.
+14 ;
+15 ; Verify incoming value of IBACTION and default to 0 if not defined
+16 SET IBACTION=$SELECT(IBACTION'="":IBACTION,1:0)
+17 ; Quit if necessary data was not passed in
+18 IF +IBN<=0!(+IBEVDT'?7N)
QUIT
+19 ; If IBINTACT was not passed in, default it to 0:Non-Interactive
+20 SET IBINTACT=$SELECT(IBINTACT'="":IBINTACT,1:0)
+21 NEW IBBFI,IBBFO,IBBOB,IBBPD,IBDFN,IBIEN,IBLTC,IBRSN
+22 ; Load Patient IEN from IBN passed in
+23 SET IBDFN=+$PIECE($GET(^IB(IBN,0)),U,2)
+24 ; Quit if no IEN in record
+25 IF IBDFN<1
QUIT
+26 ; Determine if the Patient has an Inpatient Copay for the Event Date
+27 SET IBBFI=$$BFI^IBAUTL8C(IBDFN,IBEVDT,IBN)
+28 ; Determine if the Patient has an Per Diem Copay for the Event Date
+29 SET IBBPD=$$BFPD^IBAUTL8A(IBDFN,IBEVDT,IBN)
+30 ; Determine if the Patient has an Observation Copay for the Event Date
+31 SET IBBOB=$$BFOB^IBAUTL8A(IBDFN,IBEVDT,IBN)
+32 ; If the Patient has already been charged an Inpatient Copay charge OR an Inpatient Per Diem charge OR
+33 ; an Outpatient Observation Copay charge for the Event Date, Don't pass Outpatient Copay to AR
+34 IF IBBFI!IBBPD!IBBOB
Begin DoDot:1
+35 ; Set return value to NOT pass the charge over to AR
+36 SET IBACTION=$SELECT(IBBFI:IBBFI,IBBPD:IBBPD,IBBOB:IBBOB,1:0)
+37 ; Quit if interactive
+38 if IBINTACT
QUIT
+39 ; Cancel the Outpatient Copay charge being reviewed with CANCELLATION REASON = 42 - BILLED AT HIGHER TIER RATE
+40 ; ### Uncomment for Phase 2 D CNCLCHRG^IBAUTL8A(IBN,42)
+41 ; Determine which Cancellation Reason to include in MailMan message
+42 IF IBBFI>0
SET IBIEN=IBBFI
SET IBRSN="EXISTING INPATIENT COPAY CHARGE WHICH HAS HIGHER PRECEDENCE"
+43 IF IBBPD>0
SET IBIEN=IBBPD
SET IBRSN="EXISTING INPATIENT PER DIEM CHARGE WHICH HAS HIGHER PRECEDENCE"
+44 IF IBBOB>0
SET IBIEN=IBBOB
SET IBRSN="EXISTING OBSERVATION COPAY CHARGE WHICH HAS HIGHER PRECEDENCE"
+45 ; Record related info into ^XTMP for MailMan message
+46 IF 'IBINTACT
DO STORE1^IBAUTL9(IBN,IBIEN,IBRSN)
+47 QUIT
End DoDot:1
QUIT
+48 ;
+49 ; Determine if the Patient has an Outpatient Copay for the Event Date
+50 SET IBBFO=$$BFO^IBAUTL8A(IBDFN,IBEVDT,IBN)
+51 ; If the Patient has already been charged an Outpatient Copay for the Event Date, compare current charge being
+52 ; reviewed to the existing Outpatient Copay charge and determine what action to take.
+53 IF IBBFO
Begin DoDot:1
+54 ; Set IBACTION = IEN of Outpatient Copay
+55 SET IBACTION=IBBFO
+56 ; Quit if interactive
+57 if IBINTACT
QUIT
+58 NEW IBCTOT,IBETOT
+59 ; Load dollar amounts from the 2 charges. IBCTOT = Current Charge Being Reviewed Total, IBETOT = Existing Total
+60 SET IBCTOT=+$PIECE($GET(^IB(IBN,0)),U,7)
SET IBETOT=+$PIECE($GET(^IB(+IBBFO,0)),U,7)
+61 ; If the current charge being processed is <= to the existing Outpatient Copay charge
+62 IF IBCTOT<=IBETOT
Begin DoDot:2
+63 ; Cancel current charge being reviewed with CANCELLATION REASON = 4 - ENTERED IN ERROR
+64 ; ### Uncomment for Phase 2 D CNCLCHRG^IBAUTL8A(IBN,4)
+65 ; Record related info into ^XTMP for MailMan message
+66 SET IBRSN="EXISTING OUTPATIENT COPAY CHARGE AT SAME OR HIGHER TIER RATE"
+67 DO STORE1^IBAUTL9(IBN,IBBFO,IBRSN)
End DoDot:2
QUIT
+68 ; If the current charge being processed is > than the existing Outpatient Copay charge
+69 IF IBCTOT>IBETOT
Begin DoDot:2
+70 ; ### Uncomment for Phase 2
+71 ; IBND has to be set to 0 node for call to CANC^IBECEAU4
+72 ; ### N IBND S IBND=$G(^IB(IBN,0))
+73 ; IBFAC and IBSITE needed by Cancel operation below
+74 ; ### N IBFAC,IBSITE
+75 ; Calculate site from site parameters
+76 ; ### D SITE^IBAUTL
+77 ; If not interactive Cancel existing charge with Reason = 42 - BILLED AT HIGHER TIER RATE
+78 ; UNCOMMENT THIS AND TEST MORE ON WHAT HAPPENS IN THE CANCELLATION PROCESS
+79 ; ### I 'IBINTACT D CANC^IBECEAU4(IBBFO,42,1)
+80 ; Record related info into ^XTMP for MailMan message
+81 SET IBRSN="ANOTHER OUTPATIENT COPAY CHARGE BILLED AT HIGHER TIER RATE"
+82 DO STORE2^IBAUTL9(IBN,IBBFO,IBRSN)
+83 QUIT
End DoDot:2
QUIT
+84 QUIT
End DoDot:1
QUIT
+85 ;
+86 ; Determine if the Patient has an Long Term Care Copay for the Event Date
+87 SET IBLTC=$$LTC^IBAUTL8B(IBDFN,IBEVDT,IBN)
+88 ; If the patient has been charged a Long Term Care Copay for the Event Date, set IBACTION and quit
+89 IF IBLTC
Begin DoDot:1
+90 ; Set IBACTION = IEN of Outpatient Copay
+91 SET IBACTION=IBLTC
+92 ; Quit if interactive
+93 if IBINTACT
QUIT
+94 ; Record related info into ^XTMP for MailMan message
+95 SET IBRSN="AN OUTPATIENT COPAY CHARGE BILLED AT HIGHER TIER RATE"
+96 DO STORE2^IBAUTL9(IBN,IBLTC,IBRSN)
End DoDot:1
QUIT
+97 QUIT
