IBCB1 ;ALB/AAS - Process bill after enter/edited ;2-NOV-89
;;2.0;INTEGRATED BILLING;**70,106,51,137,161,182,155,327,432,592,623,641,718**;21-MAR-94;Build 73
;;Per VA Directive 6402, this routine should not be modified.
;
;MAP TO DGCRB1
;
;IBQUIT = Flag to stop processing
;IBVIEW = Flag for Bill has been viewed
;IBDISP = Flag for Bill entering display been viewed.
;
K ^UTILITY($J) I $D(IBAC),IBAC>1 G @IBAC
1 ;complete bill
D END,EDITS^IBCB2 G:IBQUIT END
;
I '$$IICM^IBCB2(IBIFN) G END ; Ingenix ClaimsManager
I '$$IIQMED^IBCB2(IBIFN) G END ; DSS QuadraMed Claims Scrubber
;
3 ;authorize bill/request MRA
I '$D(^XUSEC("IB AUTHORIZE",DUZ))!('$D(IBIFN)) W !!,"You do not hold the Authorize Key.",! G END
I '$P($G(^IBE(350.9,1,1)),"^",23),DUZ=$P(^DGCR(399,IBIFN,"S"),"^",2) W !!,"Entering user can not authorize.",! G END
I $P(^DGCR(399,IBIFN,"S"),"^",9) W !,"Already Approved, Can't change" G END
D:'$G(IBAC)!($G(IBAC)>1) EDITS^IBCB2 G:IBQUIT END
;
I $G(IBAC)'=1,'$$IICM^IBCB2(IBIFN) G END ; Ingenix ClaimsManager
I $G(IBAC)'=1,'$$IIQMED^IBCB2(IBIFN) G END ; DSS QuadraMed Claims Scrubber
;
AUTH S IBMRA=$$REQMRA^IBEFUNC(IBIFN)
S IBEND=0
I IBMRA["R" D AUTH^IBCB11 G:IBEND END ;MRA normally required, but MEDIGAP ins co
; doesn't want/need it or MRA parameter off
;
W !!,"THIS BILL WILL "_$P("NOT ^",U,$$TXMT^IBCEF4(IBIFN)+1)_"BE TRANSMITTED ELECTRONICALLY"
W !!,"WANT TO ",$S('IBMRA:"AUTHORIZE BILL",1:"REQUEST AN MRA")," AT THIS TIME" S %=2 D YN^DICN G:%=-1!(%=2) END
I '% W !?4,"YES - If finished entering bill information and to allow bill to be printed or transmitted",!?4,"No - To take no action" G AUTH
S (DIC,DIE)=399,IBYY=$S('IBMRA:"@90",1:"@901"),DA=IBIFN,DR="[IB STATUS]" D ^DIE K DIC,DIE,IBYY D:$D(IBX3) DISAP^IBCBULL
I $S('IBMRA:'$P(^DGCR(399,IBIFN,"S"),"^",9),1:'$P($G(^DGCR(399,IBIFN,"TX")),U,6)) G END
;
; Update the review status for all EOB's on file
D STAT^IBCEMU2(IBIFN,3) ; Accepted - Complete EOB
;
D AUTOCK^IBCEU2(IBIFN) ; Checks for need to add any codes to bill based on information already on bill, specifically for EDI purposes
S IBTXSTAT=$$TXMT^IBCEF4(IBIFN,,1) ;Determine transmit, whether live/test
I IBTXSTAT D I IBMRA D CTCOPY^IBCCCB(IBIFN,1) G END
.W !," Adding "
.W:+IBTXSTAT=2 "test " W "bill to BILL TRANSMISSION File"_$S('IBMRA:"",1:" for MRA submission")_".",!
.W:+IBTXSTAT=1&IBMRA " Bill is no longer editable unless returned in error from Medicare."
.S Y=$$ADDTBILL(IBIFN,+IBTXSTAT)
.W ! W:'$P(Y,U,3) *7 W $S($P(Y,U,3):" Bill will be submitted electronically",1:" Error loading into transmit file - bill can not be transmitted.")
.;JWS;IB*2.0*623v24;begin
.N IB364
.S IB364=$P(Y,U)
.I $$GET1^DIQ(399,IBIFN_",",23,"I") D
.. D SETSUB^IBCE837I(IB364,1)
.. N DA,DR,DIE,X,Y
.. S DA=IBIFN,DIE="^DGCR(399,",DR="23////0" D ^DIE
.. Q
.;JWS;IB*2.0*623v24;end
;
W !,"Passing completed Bill to Accounts Receivable. Bill is no longer editable."
D ARPASS(IBIFN,1)
G:'$G(PRCASV("OKAY")) END
W !,"Completed Bill Successfully sent to Accounts Receivable." D FIND^IBOHCK(DFN,IBIFN)
;
; Check to see if any unreviewed status messages or EOBs on file and
; what to do about them
N IBTXBARR
S IBRESUB=$$RESUB^IBCECSA4($S($G(IBCNCOPY):$P($G(^DGCR(399,IBIFN,0)),U,15),1:IBIFN),+IBTXSTAT,"E",.IBTXBARR)
I IBRESUB=2 D ; update review statuses to be 'review complete'
. N IBDA S IBDA=0
. F S IBDA=$O(IBTXBARR(IBDA)) Q:'IBDA D UPDEDI^IBCEM(IBDA,$S($G(IBCNCOPY):"R",1:"E"))
. Q
;
K IBTXPRT
;
4 ;generate/print bill
G:'$D(IBIFN) END
S:'$D(IBMRA) IBMRA=+$$NEEDMRA^IBEFUNC(IBIFN)
I 'IBMRA,'$P(^DGCR(399,IBIFN,"S"),"^",9) W !!,*7,"Not Authorized, Can Not Print!" G END
I IBMRA,'$P(^DGCR(399,IBIFN,"TX"),"^",6) W !!,*7,"Not Ready For MRA Submission, Can Not Print!" G END
S IBTXSTAT=$$TXMT^IBCEF4(IBIFN)
I IBMRA,$$NEEDMRA^IBEFUNC(IBIFN)'["R" W !!,*7,"MRA Submission not yet confirmed by Austin, Can Not Print!" Q:$S('IBTXSTAT:1,1:"XP"'[$P($G(^IBA(364,+$$LAST364^IBCEF4(IBIFN),0)),U,3))
I +IBTXSTAT,$D(^IBA(364,"ABDT",IBIFN)) S IBTXOK="" D I 'IBTXOK S %=2 G GENTX
. N IBX,IBTST
. S IBX=+$$LAST364^IBCEF4(IBIFN),IBTST=""
. I $$TEST^IBCEF4(IBIFN) S (IBTXOK,IBTST)=1
. I "XP"[$P($G(^IBA(364,IBX,0)),U,3) D:'IBTST Q
.. ;JWS;IB*2.0*592
.. I $$FT^IBCEF(IBIFN)=7 W !!,*7,"This Bill Can Not Be Printed"
.. E W !!,*7,"This Bill Can Not Be Printed Until Transmit Confirmed"
.. W:IBMRA " (to request an MRA)" D:'$D(IBVIEW) VIEW^IBCB2
. W !!,"This Bill Has Already Been Transmitted" W:IBMRA " (to request an MRA)"
. S DIR("B")="Y",DIR("A")="WANT TO PRINT IT ANYWAY",DIR(0)="Y" D ^DIR K DIR Q:$D(DTOUT)!$D(DUOUT)!'Y S IBTXOK=1
D DISP^IBCB2
S:'$D(IBQUIT) IBQUIT=0
D:'$D(IBVIEW) VIEW^IBCB2 G:IBQUIT END
S IBPNT=$P(^DGCR(399,IBIFN,"S"),"^",12)
GEN I $$TEST^IBCEF4(IBIFN) W !!,"THIS BILL IS BEING USED AS A TRANSMISSION TEST BILL"
;IB*2.0*718v5;EBILL-156;JWS;remove PRINT prompt for Dental Claims
I $$FT^IBCEF(IBIFN)=7 D:+$G(IBAC)=1 END,CTCOPY^IBCCCB(IBIFN) G END
W !!,"WANT TO ",$S(IBPNT]"":"RE-",1:""),"PRINT BILL AT THIS TIME" S %=2 D YN^DICN I %=-1 D:+$G(IBAC)=1 END,CTCOPY^IBCCCB(IBIFN) G END
I '% W !?4,"YES - to print the bill now",!?4,"NO - To take no action" G GEN
;JWS;IB*2.0*592
;IB*2.0*718v5;EBILL-156;JWS;remove PRINT prompt for Dental claims
;;I %=1,$$FT^IBCEF(IBIFN)=7 W !!,*7,"Dental Claims can not be printed." G END
GENTX I %'=1 D:+$G(IBAC)=1 END,CTCOPY^IBCCCB(IBIFN) G END
;
N IBABORT ;WCJ;US3380
; Bill has never been printed. First time print.
I 'IBPNT D G END
. I $D(IBTXPRT) D TXPRTS
. D EN1^IBCF(.IBABORT) ;WCJ;US3380
. Q:$G(IBABORT) ;WCJ;IB641;V13;US3380;they aborted so stop already
. I $D(IBRESULT) S IBRESULT=1 ;WCJ;IB641;US3380; if it is looking for a result (IBRESULT will be defined)
. I $D(IBTXPRT) D TXPRT
. ;D MRA^IBCEMU1(IBIFN) ; Printing the MRA ;WCJ;IB*2.0*432;MRA may have a different claim number if this is tertiary
. D MRA^IBCEMU1($$GETMRACL^IBCAPR(IBIFN)) ;WCJ;IB*2.0*432;see above
. I $G(IBMRANOT) D EOBALL^IBCAPR2(IBIFN) ;WCJ;IB*2.0*432 print all the EOBs (ask device once)
. I +$G(IBAC)=1 D END,CTCOPY^IBCCCB(IBIFN)
. Q
;
; Below section is for re-prints
RPNT G:$$NEEDMRA^IBEFUNC(IBIFN) END
R !!,"(2)nd Notice, (3)rd Notice, (C)opy or (O)riginal: C// ",IBPNT:DTIME S:IBPNT="" IBPNT="C" G:IBPNT["^" END
S IBPNT=$E(IBPNT,1) I "23oOcC"'[IBPNT W !?5,"Enter 'O' to reprint the original bill or",!?5,"Enter 'C' to reprint the bill as a duplicate copy or",!?5,"Enter '2' or '3' to print 2nd or 3rd follow-up notices." S IBPNT=1 G RPNT
W " (",$S("cC"[IBPNT:"COPY","oO"[IBPNT:"ORIGINAL",IBPNT=2:"2nd NOTICE",IBPNT=3:"3rd NOTICE",1:""),")"
I $D(IBTXPRT) D
. D TXPRTS
. I "oOcC"[IBPNT S IBRESUB=$$RESUB^IBCECSA4(IBIFN,1,"P")
S IBPNT=$S("oO"[IBPNT:1,"cC"[IBPNT:0,1:IBPNT)
D EN1X^IBCF(.IBABORT)
I $G(IBABORT) G END ; WCJ;IB641;V13;only do this stuff if it actually printed (was not ABORTED)
I $D(IBRESULT) S IBRESULT=1 ;WCJ;IB641;US3380; if it is looking for a result (IBRESULT will be defined)
D:$D(IBTXPRT) TXPRT
D MRA^IBCEMU1(IBIFN) ; Printing the MRA
;
;
END K IBER,IBEND D END^IBCBB1 K IBQUIT,IBVIEW,IBDISP,IBST,IB,PRCAERCD,PRCAERR,PRCASVC,PRCAT,DGRA2,IBBT,IBCH,IBNDS,IBOA,IBREV,IBX,DGXRF1,PRCAORA,IBX3,DGBILLBS,DGII,DGVISCNT,DGFIL,DGTE,IBTXOK,IBTXSTAT,IBMRA,IBNOFIX
K %DT,DIC,DIE,I,J,X,Y,Y1,Y2,IBER,IBDFN,IBDSDT,IBJ,IBNDI1,IBZZ,VA,IBMA,IBXDT,DI,PRCAPAYR,DGBS,DGCNT,DGDA,DGPAG,DGREVC,DGRV,DGTEXT,DGTOTPAG,IBOPV,DGLCNT,DGTEXT1,DGRSPAC,DGSM,IBPNT,DGINPT,DGLL,IBCPTN,IBFL
K IBRESUB,IBOPV1,IBOPV2,IBCHG,DGBIL1,DGU,DDH,IBA1,IBINS,IBPROC,PRCARI K:'$D(PRCASV("NOTICE")) PRCASV
K ^TMP("IBXDATA",$J),^TMP("IBXEDIT",$J)
K IBCISNT,IBCISTAT,IBCIERR ; remove ClaimsManager variables
Q
;
TX1(IBX,RESUB) ; Transmit a single bill from file 364 entry # IBX
; RESUB = flag (1 = resubmitting a bill, 0 = submitting bill 1st time)
; Returns 1 if successfully extracted to mailman queue for transmission,
; 0 if extract not successful
N IBTXOK,IBVVSAVE
K ^TMP("IBRESUBMIT",$J),^TMP("IBONE",$J)
S IBVVSAVE("IBX")=IBX,^TMP("IBONE",$J)=+$G(RESUB),^($J,IBX)=""
D ONE^IBCE837
S IBX=IBVVSAVE("IBX")
I $P($G(^IBA(364,IBX,0)),U,3)="P" S IBTXOK=1
K ^TMP("IBONE",$J)
Q $G(IBTXOK)
;
ARONLY(IBIFN) ; Pass bill to A/R, but that's all
D ARPASS(IBIFN,0)
Q
;
ARPASS(IBIFN,UPDOK) ;Pass bill to A/R as NEW BILL
;IBIFN = bill entry #
;UPDOK = flag 1: if error going to A/R, allow interactive edit
; 0: send bulletin to IB EDI for error going to A/R
Q:+$$STA^PRCAFN(+IBIFN)'=201 ;Must not have been sent previously
D GVAR^IBCBB
;Can't be an ins co that won't reimburse
Q:$S($P($G(^DGCR(399,IBIFN,0)),U,11)="i":'IBNDMP,1:0)
D ARRAY^IBCBB1,^PRCASVC6
D REL^PRCASVC:$G(PRCASV("OKAY"))
I '$G(PRCASV("OKAY")) D
. N IBQUIT,IBQUIT1
. S IBQUIT=0
. I $G(UPDOK) D Q
.. F D Q:IBQUIT
... D DSPARERR^IBCB2("")
... Q:IBQUIT
... I $$ASKEDIT^IBCB2($G(IBAC)) D VIEW1^IBCB2 Q
... S IBQUIT=1
. N XMSUB,XMY,XMTEXT,XMDUZ,IBT
. S XMSUB="ERROR PASSING BILL TO A/R ON CONFIRMATION",XMTEXT="IBT(",XMY="G.IB EDI",XMDUZ=.5
. S IBT(1)="A problem has been detected while trying to pass bill "_$P($G(^DGCR(399,IBIFN,0)),U)_" to"
. S IBT(2)="Accounts Receivable when updating the bill's electronic confirmation."
. S IBT(3)="Please use the option PASS BILL TO A/R to complete this process."
. D ^XMD
Q
;
ADDTBILL(IBIFN,TXST,RSUB,IBFHIR) ;Add new transmit bill rec to file 364 for bill IBIFN
;JWS;IB*2.0*623;add field .09 setting.
; TXST = test flag 1=live, 2=test
N COB,DD,DO,DIC,DLAYGO,X
S TXST=($G(TXST)/2\1),COB=$$COB^IBCEF(IBIFN)
;JWS;IB*2.0*623v24;force test claim status if not Production system
I '$$PROD^XUPROD(1) S TXST=1
;JWS;IB*2.0*641v9;change setting of FHIR transmit flag to 0 (wait for scheduled time) from 1 (instant)
; variable IBFHIR will be passed if needing to send immediate = 1 (rtn IBCE); not implemented but leaving for future knowledge
;;S IBFHIR=1 ; forcing to immediate transmit
;JWS;IB*2.0*641v7;need to add resbumission flag from IBCEPTC3
S DIC(0)="L",DIC="^IBA(364,",DLAYGO=364,X=IBIFN,DIC("DR")=".03///X;.04///NOW;.07////"_TXST_";.08////"_COB_$S($$GET1^DIQ(350.9,"1,",8.21,"I")=1:";.09////1",1:"")_$S($G(RSUB)=1:";.1////1",1:"") D FILE^DICN
Q Y
;
TXPRTS ; Save off last print date to see if bill was reprinted without queueing
I '$$NEEDMRA^IBEFUNC(IBIFN) S IBTXPRT("PRT")=$P($G(^DGCR(399,IBIFN,"S")),U,14)
Q
;
TXPRT ; Set variable if print was tasked or bill was printed (last print date changed)
I '$$NEEDMRA^IBEFUNC(IBIFN),$S($G(ZTSK):1,1:IBTXPRT("PRT")'=$P($G(^DGCR(399,IBIFN,"S")),U,14)) S IBTXPRT=1
Q
;
ALT4(IBRESULT) ; WCJ;IB641;US3380;added an alternate tag 4 to pass in a parameter (by reference)
; to show if the request claim print actually came to a successful conclusion
S IBRESULT=0
G 4
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCB1 10993 printed Apr 09, 2024@21:19:18 Page 2
IBCB1 ;ALB/AAS - Process bill after enter/edited ;2-NOV-89
+1 ;;2.0;INTEGRATED BILLING;**70,106,51,137,161,182,155,327,432,592,623,641,718**;21-MAR-94;Build 73
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;MAP TO DGCRB1
+5 ;
+6 ;IBQUIT = Flag to stop processing
+7 ;IBVIEW = Flag for Bill has been viewed
+8 ;IBDISP = Flag for Bill entering display been viewed.
+9 ;
+10 KILL ^UTILITY($JOB)
IF $DATA(IBAC)
IF IBAC>1
GOTO @IBAC
1 ;complete bill
+1 DO END
DO EDITS^IBCB2
if IBQUIT
GOTO END
+2 ;
+3 ; Ingenix ClaimsManager
IF '$$IICM^IBCB2(IBIFN)
GOTO END
+4 ; DSS QuadraMed Claims Scrubber
IF '$$IIQMED^IBCB2(IBIFN)
GOTO END
+5 ;
3 ;authorize bill/request MRA
+1 IF '$DATA(^XUSEC("IB AUTHORIZE",DUZ))!('$DATA(IBIFN))
WRITE !!,"You do not hold the Authorize Key.",!
GOTO END
+2 IF '$PIECE($GET(^IBE(350.9,1,1)),"^",23)
IF DUZ=$PIECE(^DGCR(399,IBIFN,"S"),"^",2)
WRITE !!,"Entering user can not authorize.",!
GOTO END
+3 IF $PIECE(^DGCR(399,IBIFN,"S"),"^",9)
WRITE !,"Already Approved, Can't change"
GOTO END
+4 if '$GET(IBAC)!($GET(IBAC)>1)
DO EDITS^IBCB2
if IBQUIT
GOTO END
+5 ;
+6 ; Ingenix ClaimsManager
IF $GET(IBAC)'=1
IF '$$IICM^IBCB2(IBIFN)
GOTO END
+7 ; DSS QuadraMed Claims Scrubber
IF $GET(IBAC)'=1
IF '$$IIQMED^IBCB2(IBIFN)
GOTO END
+8 ;
AUTH SET IBMRA=$$REQMRA^IBEFUNC(IBIFN)
+1 SET IBEND=0
+2 ;MRA normally required, but MEDIGAP ins co
IF IBMRA["R"
DO AUTH^IBCB11
if IBEND
GOTO END
+3 ; doesn't want/need it or MRA parameter off
+4 ;
+5 WRITE !!,"THIS BILL WILL "_$PIECE("NOT ^",U,$$TXMT^IBCEF4(IBIFN)+1)_"BE TRANSMITTED ELECTRONICALLY"
+6 WRITE !!,"WANT TO ",$SELECT('IBMRA:"AUTHORIZE BILL",1:"REQUEST AN MRA")," AT THIS TIME"
SET %=2
DO YN^DICN
if %=-1!(%=2)
GOTO END
+7 IF '%
WRITE !?4,"YES - If finished entering bill information and to allow bill to be printed or transmitted",!?4,"No - To take no action"
GOTO AUTH
+8 SET (DIC,DIE)=399
SET IBYY=$SELECT('IBMRA:"@90",1:"@901")
SET DA=IBIFN
SET DR="[IB STATUS]"
DO ^DIE
KILL DIC,DIE,IBYY
if $DATA(IBX3)
DO DISAP^IBCBULL
+9 IF $SELECT('IBMRA:'$PIECE(^DGCR(399,IBIFN,"S"),"^",9),1:'$PIECE($GET(^DGCR(399,IBIFN,"TX")),U,6))
GOTO END
+10 ;
+11 ; Update the review status for all EOB's on file
+12 ; Accepted - Complete EOB
DO STAT^IBCEMU2(IBIFN,3)
+13 ;
+14 ; Checks for need to add any codes to bill based on information already on bill, specifically for EDI purposes
DO AUTOCK^IBCEU2(IBIFN)
+15 ;Determine transmit, whether live/test
SET IBTXSTAT=$$TXMT^IBCEF4(IBIFN,,1)
+16 IF IBTXSTAT
Begin DoDot:1
+17 WRITE !," Adding "
+18 if +IBTXSTAT=2
WRITE "test "
WRITE "bill to BILL TRANSMISSION File"_$SELECT('IBMRA:"",1:" for MRA submission")_".",!
+19 if +IBTXSTAT=1&IBMRA
WRITE " Bill is no longer editable unless returned in error from Medicare."
+20 SET Y=$$ADDTBILL(IBIFN,+IBTXSTAT)
+21 WRITE !
if '$PIECE(Y,U,3)
WRITE *7
WRITE $SELECT($PIECE(Y,U,3):" Bill will be submitted electronically",1:" Error loading into transmit file - bill can not be transmitted.")
+22 ;JWS;IB*2.0*623v24;begin
+23 NEW IB364
+24 SET IB364=$PIECE(Y,U)
+25 IF $$GET1^DIQ(399,IBIFN_",",23,"I")
Begin DoDot:2
+26 DO SETSUB^IBCE837I(IB364,1)
+27 NEW DA,DR,DIE,X,Y
+28 SET DA=IBIFN
SET DIE="^DGCR(399,"
SET DR="23////0"
DO ^DIE
+29 QUIT
End DoDot:2
+30 ;JWS;IB*2.0*623v24;end
End DoDot:1
IF IBMRA
DO CTCOPY^IBCCCB(IBIFN,1)
GOTO END
+31 ;
+32 WRITE !,"Passing completed Bill to Accounts Receivable. Bill is no longer editable."
+33 DO ARPASS(IBIFN,1)
+34 if '$GET(PRCASV("OKAY"))
GOTO END
+35 WRITE !,"Completed Bill Successfully sent to Accounts Receivable."
DO FIND^IBOHCK(DFN,IBIFN)
+36 ;
+37 ; Check to see if any unreviewed status messages or EOBs on file and
+38 ; what to do about them
+39 NEW IBTXBARR
+40 SET IBRESUB=$$RESUB^IBCECSA4($SELECT($GET(IBCNCOPY):$PIECE($GET(^DGCR(399,IBIFN,0)),U,15),1:IBIFN),+IBTXSTAT,"E",.IBTXBARR)
+41 ; update review statuses to be 'review complete'
IF IBRESUB=2
Begin DoDot:1
+42 NEW IBDA
SET IBDA=0
+43 FOR
SET IBDA=$ORDER(IBTXBARR(IBDA))
if 'IBDA
QUIT
DO UPDEDI^IBCEM(IBDA,$SELECT($GET(IBCNCOPY):"R",1:"E"))
+44 QUIT
End DoDot:1
+45 ;
+46 KILL IBTXPRT
+47 ;
4 ;generate/print bill
+1 if '$DATA(IBIFN)
GOTO END
+2 if '$DATA(IBMRA)
SET IBMRA=+$$NEEDMRA^IBEFUNC(IBIFN)
+3 IF 'IBMRA
IF '$PIECE(^DGCR(399,IBIFN,"S"),"^",9)
WRITE !!,*7,"Not Authorized, Can Not Print!"
GOTO END
+4 IF IBMRA
IF '$PIECE(^DGCR(399,IBIFN,"TX"),"^",6)
WRITE !!,*7,"Not Ready For MRA Submission, Can Not Print!"
GOTO END
+5 SET IBTXSTAT=$$TXMT^IBCEF4(IBIFN)
+6 IF IBMRA
IF $$NEEDMRA^IBEFUNC(IBIFN)'["R"
WRITE !!,*7,"MRA Submission not yet confirmed by Austin, Can Not Print!"
if $SELECT('IBTXSTAT
QUIT
+7 IF +IBTXSTAT
IF $DATA(^IBA(364,"ABDT",IBIFN))
SET IBTXOK=""
Begin DoDot:1
+8 NEW IBX,IBTST
+9 SET IBX=+$$LAST364^IBCEF4(IBIFN)
SET IBTST=""
+10 IF $$TEST^IBCEF4(IBIFN)
SET (IBTXOK,IBTST)=1
+11 IF "XP"[$PIECE($GET(^IBA(364,IBX,0)),U,3)
if 'IBTST
Begin DoDot:2
+12 ;JWS;IB*2.0*592
+13 IF $$FT^IBCEF(IBIFN)=7
WRITE !!,*7,"This Bill Can Not Be Printed"
+14 IF '$TEST
WRITE !!,*7,"This Bill Can Not Be Printed Until Transmit Confirmed"
+15 if IBMRA
WRITE " (to request an MRA)"
if '$DATA(IBVIEW)
DO VIEW^IBCB2
End DoDot:2
QUIT
+16 WRITE !!,"This Bill Has Already Been Transmitted"
if IBMRA
WRITE " (to request an MRA)"
+17 SET DIR("B")="Y"
SET DIR("A")="WANT TO PRINT IT ANYWAY"
SET DIR(0)="Y"
DO ^DIR
KILL DIR
if $DATA(DTOUT)!$DATA(DUOUT)!'Y
QUIT
SET IBTXOK=1
End DoDot:1
IF 'IBTXOK
SET %=2
GOTO GENTX
+18 DO DISP^IBCB2
+19 if '$DATA(IBQUIT)
SET IBQUIT=0
+20 if '$DATA(IBVIEW)
DO VIEW^IBCB2
if IBQUIT
GOTO END
+21 SET IBPNT=$PIECE(^DGCR(399,IBIFN,"S"),"^",12)
GEN IF $$TEST^IBCEF4(IBIFN)
WRITE !!,"THIS BILL IS BEING USED AS A TRANSMISSION TEST BILL"
+1 ;IB*2.0*718v5;EBILL-156;JWS;remove PRINT prompt for Dental Claims
+2 IF $$FT^IBCEF(IBIFN)=7
if +$GET(IBAC)=1
DO END
DO CTCOPY^IBCCCB(IBIFN)
GOTO END
+3 WRITE !!,"WANT TO ",$SELECT(IBPNT]"":"RE-",1:""),"PRINT BILL AT THIS TIME"
SET %=2
DO YN^DICN
IF %=-1
if +$GET(IBAC)=1
DO END
DO CTCOPY^IBCCCB(IBIFN)
GOTO END
+4 IF '%
WRITE !?4,"YES - to print the bill now",!?4,"NO - To take no action"
GOTO GEN
+5 ;JWS;IB*2.0*592
+6 ;IB*2.0*718v5;EBILL-156;JWS;remove PRINT prompt for Dental claims
+7 ;;I %=1,$$FT^IBCEF(IBIFN)=7 W !!,*7,"Dental Claims can not be printed." G END
GENTX IF %'=1
if +$GET(IBAC)=1
DO END
DO CTCOPY^IBCCCB(IBIFN)
GOTO END
+1 ;
+2 ;WCJ;US3380
NEW IBABORT
+3 ; Bill has never been printed. First time print.
+4 IF 'IBPNT
Begin DoDot:1
+5 IF $DATA(IBTXPRT)
DO TXPRTS
+6 ;WCJ;US3380
DO EN1^IBCF(.IBABORT)
+7 ;WCJ;IB641;V13;US3380;they aborted so stop already
if $GET(IBABORT)
QUIT
+8 ;WCJ;IB641;US3380; if it is looking for a result (IBRESULT will be defined)
IF $DATA(IBRESULT)
SET IBRESULT=1
+9 IF $DATA(IBTXPRT)
DO TXPRT
+10 ;D MRA^IBCEMU1(IBIFN) ; Printing the MRA ;WCJ;IB*2.0*432;MRA may have a different claim number if this is tertiary
+11 ;WCJ;IB*2.0*432;see above
DO MRA^IBCEMU1($$GETMRACL^IBCAPR(IBIFN))
+12 ;WCJ;IB*2.0*432 print all the EOBs (ask device once)
IF $GET(IBMRANOT)
DO EOBALL^IBCAPR2(IBIFN)
+13 IF +$GET(IBAC)=1
DO END
DO CTCOPY^IBCCCB(IBIFN)
+14 QUIT
End DoDot:1
GOTO END
+15 ;
+16 ; Below section is for re-prints
RPNT if $$NEEDMRA^IBEFUNC(IBIFN)
GOTO END
+1 READ !!,"(2)nd Notice, (3)rd Notice, (C)opy or (O)riginal: C// ",IBPNT:DTIME
if IBPNT=""
SET IBPNT="C"
if IBPNT["^"
GOTO END
+2 SET IBPNT=$EXTRACT(IBPNT,1)
IF "23oOcC"'[IBPNT
WRITE !?5,"Enter 'O' to reprint the original bill or",!?5,"Enter 'C' to reprint the bill as a duplicate copy or",!?5,"Enter '2' or '3' to print 2nd or 3rd follow-up notices."
SET IBPNT=1
GOTO RPNT
+3 WRITE " (",$SELECT("cC"[IBPNT:"COPY","oO"[IBPNT:"ORIGINAL",IBPNT=2:"2nd NOTICE",IBPNT=3:"3rd NOTICE",1:""),")"
+4 IF $DATA(IBTXPRT)
Begin DoDot:1
+5 DO TXPRTS
+6 IF "oOcC"[IBPNT
SET IBRESUB=$$RESUB^IBCECSA4(IBIFN,1,"P")
End DoDot:1
+7 SET IBPNT=$SELECT("oO"[IBPNT:1,"cC"[IBPNT:0,1:IBPNT)
+8 DO EN1X^IBCF(.IBABORT)
+9 ; WCJ;IB641;V13;only do this stuff if it actually printed (was not ABORTED)
IF $GET(IBABORT)
GOTO END
+10 ;WCJ;IB641;US3380; if it is looking for a result (IBRESULT will be defined)
IF $DATA(IBRESULT)
SET IBRESULT=1
+11 if $DATA(IBTXPRT)
DO TXPRT
+12 ; Printing the MRA
DO MRA^IBCEMU1(IBIFN)
+13 ;
+14 ;
END KILL IBER,IBEND
DO END^IBCBB1
KILL IBQUIT,IBVIEW,IBDISP,IBST,IB,PRCAERCD,PRCAERR,PRCASVC,PRCAT,DGRA2,IBBT,IBCH,IBNDS,IBOA,IBREV,IBX,DGXRF1,PRCAORA,IBX3,DGBILLBS,DGII,DGVISCNT,DGFIL,DGTE,IBTXOK,IBTXSTAT,IBMRA,IBNOFIX
+1 KILL %DT,DIC,DIE,I,J,X,Y,Y1,Y2,IBER,IBDFN,IBDSDT,IBJ,IBNDI1,IBZZ,VA,IBMA,IBXDT,DI,PRCAPAYR,DGBS,DGCNT,DGDA,DGPAG,DGREVC,DGRV,DGTEXT,DGTOTPAG,IBOPV,DGLCNT,DGTEXT1,DGRSPAC,DGSM,IBPNT,DGINPT,DGLL,IBCPTN,IBFL
+2 KILL IBRESUB,IBOPV1,IBOPV2,IBCHG,DGBIL1,DGU,DDH,IBA1,IBINS,IBPROC,PRCARI
if '$DATA(PRCASV("NOTICE"))
KILL PRCASV
+3 KILL ^TMP("IBXDATA",$JOB),^TMP("IBXEDIT",$JOB)
+4 ; remove ClaimsManager variables
KILL IBCISNT,IBCISTAT,IBCIERR
+5 QUIT
+6 ;
TX1(IBX,RESUB) ; Transmit a single bill from file 364 entry # IBX
+1 ; RESUB = flag (1 = resubmitting a bill, 0 = submitting bill 1st time)
+2 ; Returns 1 if successfully extracted to mailman queue for transmission,
+3 ; 0 if extract not successful
+4 NEW IBTXOK,IBVVSAVE
+5 KILL ^TMP("IBRESUBMIT",$JOB),^TMP("IBONE",$JOB)
+6 SET IBVVSAVE("IBX")=IBX
SET ^TMP("IBONE",$JOB)=+$GET(RESUB)
SET ^($JOB,IBX)=""
+7 DO ONE^IBCE837
+8 SET IBX=IBVVSAVE("IBX")
+9 IF $PIECE($GET(^IBA(364,IBX,0)),U,3)="P"
SET IBTXOK=1
+10 KILL ^TMP("IBONE",$JOB)
+11 QUIT $GET(IBTXOK)
+12 ;
ARONLY(IBIFN) ; Pass bill to A/R, but that's all
+1 DO ARPASS(IBIFN,0)
+2 QUIT
+3 ;
ARPASS(IBIFN,UPDOK) ;Pass bill to A/R as NEW BILL
+1 ;IBIFN = bill entry #
+2 ;UPDOK = flag 1: if error going to A/R, allow interactive edit
+3 ; 0: send bulletin to IB EDI for error going to A/R
+4 ;Must not have been sent previously
if +$$STA^PRCAFN(+IBIFN)'=201
QUIT
+5 DO GVAR^IBCBB
+6 ;Can't be an ins co that won't reimburse
+7 if $SELECT($PIECE($GET(^DGCR(399,IBIFN,0)),U,11)="i"
QUIT
+8 DO ARRAY^IBCBB1
DO ^PRCASVC6
+9 if $GET(PRCASV("OKAY"))
DO REL^PRCASVC
+10 IF '$GET(PRCASV("OKAY"))
Begin DoDot:1
+11 NEW IBQUIT,IBQUIT1
+12 SET IBQUIT=0
+13 IF $GET(UPDOK)
Begin DoDot:2
+14 FOR
Begin DoDot:3
+15 DO DSPARERR^IBCB2("")
+16 if IBQUIT
QUIT
+17 IF $$ASKEDIT^IBCB2($GET(IBAC))
DO VIEW1^IBCB2
QUIT
+18 SET IBQUIT=1
End DoDot:3
if IBQUIT
QUIT
End DoDot:2
QUIT
+19 NEW XMSUB,XMY,XMTEXT,XMDUZ,IBT
+20 SET XMSUB="ERROR PASSING BILL TO A/R ON CONFIRMATION"
SET XMTEXT="IBT("
SET XMY="G.IB EDI"
SET XMDUZ=.5
+21 SET IBT(1)="A problem has been detected while trying to pass bill "_$PIECE($GET(^DGCR(399,IBIFN,0)),U)_" to"
+22 SET IBT(2)="Accounts Receivable when updating the bill's electronic confirmation."
+23 SET IBT(3)="Please use the option PASS BILL TO A/R to complete this process."
+24 DO ^XMD
End DoDot:1
+25 QUIT
+26 ;
ADDTBILL(IBIFN,TXST,RSUB,IBFHIR) ;Add new transmit bill rec to file 364 for bill IBIFN
+1 ;JWS;IB*2.0*623;add field .09 setting.
+2 ; TXST = test flag 1=live, 2=test
+3 NEW COB,DD,DO,DIC,DLAYGO,X
+4 SET TXST=($GET(TXST)/2\1)
SET COB=$$COB^IBCEF(IBIFN)
+5 ;JWS;IB*2.0*623v24;force test claim status if not Production system
+6 IF '$$PROD^XUPROD(1)
SET TXST=1
+7 ;JWS;IB*2.0*641v9;change setting of FHIR transmit flag to 0 (wait for scheduled time) from 1 (instant)
+8 ; variable IBFHIR will be passed if needing to send immediate = 1 (rtn IBCE); not implemented but leaving for future knowledge
+9 ;;S IBFHIR=1 ; forcing to immediate transmit
+10 ;JWS;IB*2.0*641v7;need to add resbumission flag from IBCEPTC3
+11 SET DIC(0)="L"
SET DIC="^IBA(364,"
SET DLAYGO=364
SET X=IBIFN
SET DIC("DR")=".03///X;.04///NOW;.07////"_TXST_";.08////"_COB_$SELECT($$GET1^DIQ(350.9,"1,",8.21,"I")=1:";.09////1",1:"")_$SELECT($GET(RSUB)=1:";.1////1",1:"")
DO FILE^DICN
+12 QUIT Y
+13 ;
TXPRTS ; Save off last print date to see if bill was reprinted without queueing
+1 IF '$$NEEDMRA^IBEFUNC(IBIFN)
SET IBTXPRT("PRT")=$PIECE($GET(^DGCR(399,IBIFN,"S")),U,14)
+2 QUIT
+3 ;
TXPRT ; Set variable if print was tasked or bill was printed (last print date changed)
+1 IF '$$NEEDMRA^IBEFUNC(IBIFN)
IF $SELECT($GET(ZTSK):1,1:IBTXPRT("PRT")'=$PIECE($GET(^DGCR(399,IBIFN,"S")),U,14))
SET IBTXPRT=1
+2 QUIT
+3 ;
ALT4(IBRESULT) ; WCJ;IB641;US3380;added an alternate tag 4 to pass in a parameter (by reference)
+1 ; to show if the request claim print actually came to a successful conclusion
+2 SET IBRESULT=0
+3 GOTO 4
