IBCB ;ALB/MRL - BILLING BEGINNING POINT/SELECT BILL OR PATIENT ;01 JUN 88 12:00
;;2.0;INTEGRATED BILLING;**52,80,106,51,137,161,199,348,592**;21-MAR-94;Build 58
;;Per VA Directive 6402, this routine should not be modified.
;
;MAP TO DGCRB
;
EN ;
D HOME^%ZIS Q:'$D(IBAC)
;***
;I $D(XRT0) S:'$D(XRTN) XRTN="IBCB" D T1^%ZOSV ;stop rt clock
;S XRTL=$ZU(0),XRTN="IBCB-"_$G(IBAC) D T0^%ZOSV ;start rt clock
;
S:'$D(IBV) IBV=1 L K ^UTILITY($J),DFN,IBIFN,DIC,IBPOPOUT S DIC(0)="EQMZ" R !!,"Enter BILL NUMBER or PATIENT NAME: ",IBX:DTIME I IBX["^"!(IBX="") S IBAC1=0 Q
K ^TMP("IBCRRX",$J)
S IBAC1=1
N DPTNOFZY S DPTNOFZY=1 ;Suppress PATIENT file fuzzy lookups
I IBX?1A4N!(IBX?2A.AP)!(IBX?2.A1",".AP)!(IBX?1A1P.AP) S DIC="^DPT(",X=IBX D ^DIC G EN:Y'>0 S DFN=+Y D HINQ S X=$S('$D(^DGCR(399,"C",DFN)):1,'$D(^DGCR(399,"AOP",DFN)):2,1:0)
I $D(DFN),X,IBAC<4 W !!,"No ",$S(X=1:"",1:"OPEN "),"billing records on file for this patient." D ASK I '$D(IBIFN) G EN
I $D(DFN) D G EN
. D DATE:'$D(IBIFN),ASK:'$D(IBIFN)
. I $D(IBIFN) D ST
S DIC("S")=$S(IBAC'=4&(IBAC'=4.1):"I $P(^(0),U,13)<3 D EN^DDIOL($P(^(0),U))",1:"I $P(^(""S""),U,17)="""""_$S(IBAC=4.1:",$P(^(0),U,13)=3,+$$LAST364^IBCEF4(+Y),""PX""[$P($G(^IBA(364,+$$LAST364^IBCEF4(+Y),0)),U,3)",1:""))
S DIC="^DGCR(399,",X=IBX
D ^DIC G:Y'>0 EN S IBIFN=+Y,DFN=$P(Y(0),"^",2)
;
D HINQ,ST G EN
G EN
HINQ I $S('$D(^DPT(DFN,.361)):1,$P(^(.361),"^",1)'="V":1,1:0) W !?17,"*** ELIGIBILITY NOT VERIFIED ***" D HINQ1
MT ;I $D(DFN) D ^DGMT1 K DGMTLL
I $D(DFN) D DIS^DGMTU(DFN)
Q
HINQ1 I $P($G(^IBE(350.9,1,1)),"^",16) S X="DVBHQZ4" X ^%ZOSF("TEST") K X I $T W ! D EN^DVBHQZ4 Q
;I $P($G(^IBE(350.9,1,1)),"^",16) F X="DVBHQZ4","DGHINQZ4" X ^%ZOSF("TEST") I $T S DGROUT=X K X W ! D @("EN^"_DGROUT) K DGROUT Q
K Y Q
ASK I IBAC'=1 K IBIFN Q
W !!,"DO YOU WANT TO ESTABLISH A NEW BILLING RECORD FOR '",$P(^DPT(DFN,0),"^",1),"'" S %=2 D YN^DICN
I '% W !!?4,"YES - To establish a new billing record in the billing file.",!?4,"NO - To discontinue this process immediately." G ASK
I %'=1 K IBIFN Q
K DA,Y,DINUM,IBIFN S (IBNEW,IBYN)=1 D ^IBCA Q
DATE I $D(^DGCR(399,"C",DFN)) S DA="" F I=1:1 S DA=$O(^DGCR(399,"APDT",DFN,DA)) Q:DA="" D DATE1
I IBAC=4,'$D(^UTILITY($J,"IB")) W !,"No ",$S($D(^DGCR(399,"C",DFN)):"UNCANCELLED ",1:""),"billing records on file for this patient." Q
S CT=0,CT1=1,IBT="" F J=1:1 S IBT=$O(^UTILITY($J,"IB",IBT)) Q:IBT="" F J1=0:0 S J1=$O(^UTILITY($J,"IB",IBT,J1)) Q:J1="" S X=J1 D SET
CT W ! S G="",CT2=$S(CT<(CT1+4):CT,1:(CT1+4)) F K=CT1:1:CT2 I $D(^UTILITY($J,"UB",K)) D WRLINE
S X="" D WDATE Q:X["^" I '$D(IB),$D(^UTILITY($J,"UB",K+1)) S CT1=K+1 G CT
K CT,CT1,CT2,K,^UTILITY($J,"UB") Q
WRLINE N IBX S IBDATA=^UTILITY($J,"UB",K),IBX=$G(^DGCR(399,+$P(IBDATA,"^",2),0))
W !?2,K,?6 S Y=+IBDATA X ^DD("DD") W Y,?27,$P(IBX,"^",1),?35,$S($P(IBX,U,21)="S":"s",$P(IBX,U,21)="T":"t",1:""),?38,$P(IBDATA,"^",3),?59,$E($P(IBDATA,"^",4),1,10),?70,$E($P(IBDATA,"^",5),1,10)
Q
DATE1 S IBT=$O(^DGCR(399,"APDT",DFN,DA,0)) I $D(^DGCR(399,+DA,0)),$S(IBAC<3:$P(^(0),U,13)<2,IBAC=3:$P(^(0),U,13)<3,'$D(^("S")):0,$P(^("S"),"^",17)]"":0,1:1) S ^UTILITY($J,"IB",IBT,DA)=""
Q
WDATE Q:'CT W !! W:K<CT "PRESS <RETURN> TO CONTINUE, OR",! W "CHOOSE 1",$S(CT=1:"",1:"-"_K),": " R X:DTIME Q:X["^"!(X="") I X["?" W !!,"Select one of the above or <RETURN> to establish a new billing record." G WDATE
I $S('$D(^UTILITY($J,"UB",+X)):1,+X>K:1,+X<1:1,'(X?.N):1,1:0) W !!,"NOT A VALID CHOICE!!",*7 G WDATE
S IBIFN=$P(^UTILITY($J,"UB",X),"^",2),IB=1
Q
;
KEYOK(IBIFN,DUZ) ; Check if COB bill, does user have key
; IBIFN = ien of bill (file 399)
;
N IBCOB,IBOK,DIR,X,Y
S IBOK=1,IBCOB=$$COBN^IBCEF(IBIFN)
I IBCOB>1 D
. S IBCOB=$P("^SECONDARY^TERTIARY",U,IBCOB)
. S DIR(0)="YA",DIR("A",1)="YOU ARE ABOUT TO EDIT A "_IBCOB_" BILL",DIR("A")="ARE YOU SURE YOU WANT TO CONTINUE?: ",DIR("B")="NO" W ! D ^DIR K DIR W !
. I Y'=1 S IBOK=0
Q IBOK
;
SET I $S(IBV:1,$P(^DGCR(399,+X,0),"^",13):1,1:0) S CT=CT+1 D SET2
Q
SET2 S IBND0=^DGCR(399,+X,0)
N IBFTP
; JWS;IB*2.0*592 US1108 - Dental EDI 837D / form J430D
S IBFTP=$S($$FT^IBCEF(+X)=3:"/UB",$$FT^IBCEF(+X)=2:"/1500",$$FT^IBCEF(+X)=7:"/J430D",1:"")
S ^UTILITY($J,"UB",CT)=9999999-IBT_"^"_+X_"^"_$P($G(^DGCR(399.3,+$P(IBND0,"^",7),0)),"^",4)_"-"_$$BCHGTYPE^IBCU(+X)_"^"_$P($P($P($P(^DD(399,.13,0),"^",3),$P(IBND0,"^",13)_":",2),";",1),"/",1)
S ^UTILITY($J,"UB",CT)=^UTILITY($J,"UB",CT)_"^"_$S($P(IBND0,U,27)=1:"INST"_IBFTP,$P(IBND0,U,27)=2:"PROF"_IBFTP,1:"")
Q
ST ; Do not use the variable IBH when calling this entry point
L ^DGCR(399,IBIFN):5 I '$T W !,"No further processing of this record permitted at this time.",!,"Record locked by another user. Try again later." Q
D RECALL^DILFD(399,IBIFN_",",DUZ)
D NOPTF^IBCB2 I 'IBAC1 D NOPTF1^IBCB2 Q
I IBAC'=1&(IBAC'=4.1) G ST2
ST1 K ^UTILITY($J) S IBPOPOUT=0
; Only allow view of bill waiting for MRA or pending extract
I $P($G(^DGCR(399,IBIFN,0)),U,13)=2 D G Q
. W !,"This bill is requesting an MRA - can only view bill data"
. S IBV=1 D VIEW^IBCB2
I IBAC=4.1 D G Q
. Q:$P($G(^DGCR(399,IBIFN,0)),U,13)'=3
. N Z
. S Z=$P($G(^IBA(364,+$$LAST364^IBCEF4(IBIFN),0)),U,3)
. I Z'="X"&(Z'="P") Q
. W !,"This bill has a transmit status of ",$$EXPAND^IBTRE(364,.03,Z)," - can only view bill data"
. S IBV=1 D VIEW^IBCB2
D ^IBCSCU,^IBCSC1 G Q:'$T!($G(IBPOPOUT))
ST2 K IBTXPRT,IBPOPOUT
D ^IBCB1 ; perform IB edits/authorize the bill
I $G(IBCIREDT) G ST1 ; Re-edit the bill
KILL IBCIREDT ; clean up
QUIT
;
Q ;
K IBIFN,IBV,IBAC
;***
;I $D(XRT0) S:'$D(XRTN) XRTN="IBCB" D T1^%ZOSV ;stop rt clock
Q
;
EDI S IBAC=1,IBV=0 D EN G Q:'IBAC1,EDI
REV G Q
AUT S IBAC=3,IBV=0 D EN G Q:'IBAC1,AUT
GEN S IBAC=4,IBV=1 D EN G Q:'IBAC1,GEN
VIEW S IBAC=4.1,IBV=1 D EN G Q:'IBAC1,VIEW
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCB 5884 printed Dec 13, 2024@02:08:40 Page 2
IBCB ;ALB/MRL - BILLING BEGINNING POINT/SELECT BILL OR PATIENT ;01 JUN 88 12:00
+1 ;;2.0;INTEGRATED BILLING;**52,80,106,51,137,161,199,348,592**;21-MAR-94;Build 58
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;MAP TO DGCRB
+5 ;
EN ;
+1 DO HOME^%ZIS
if '$DATA(IBAC)
QUIT
+2 ;***
+3 ;I $D(XRT0) S:'$D(XRTN) XRTN="IBCB" D T1^%ZOSV ;stop rt clock
+4 ;S XRTL=$ZU(0),XRTN="IBCB-"_$G(IBAC) D T0^%ZOSV ;start rt clock
+5 ;
+6 if '$DATA(IBV)
SET IBV=1
LOCK
KILL ^UTILITY($JOB),DFN,IBIFN,DIC,IBPOPOUT
SET DIC(0)="EQMZ"
READ !!,"Enter BILL NUMBER or PATIENT NAME: ",IBX:DTIME
IF IBX["^"!(IBX="")
SET IBAC1=0
QUIT
+7 KILL ^TMP("IBCRRX",$JOB)
+8 SET IBAC1=1
+9 ;Suppress PATIENT file fuzzy lookups
NEW DPTNOFZY
SET DPTNOFZY=1
+10 IF IBX?1A4N!(IBX?2A.AP)!(IBX?2.A1",".AP)!(IBX?1A1P.AP)
SET DIC="^DPT("
SET X=IBX
DO ^DIC
if Y'>0
GOTO EN
SET DFN=+Y
DO HINQ
SET X=$SELECT('$DATA(^DGCR(399,"C",DFN)):1,'$DATA(^DGCR(399,"AOP",DFN)):2,1:0)
+11 IF $DATA(DFN)
IF X
IF IBAC<4
WRITE !!,"No ",$SELECT(X=1:"",1:"OPEN "),"billing records on file for this patient."
DO ASK
IF '$DATA(IBIFN)
GOTO EN
+12 IF $DATA(DFN)
Begin DoDot:1
+13 if '$DATA(IBIFN)
DO DATE
if '$DATA(IBIFN)
DO ASK
+14 IF $DATA(IBIFN)
DO ST
End DoDot:1
GOTO EN
+15 SET DIC("S")=$SELECT(IBAC'=4&(IBAC'=4.1):"I $P(^(0),U,13)<3 D EN^DDIOL($P(^(0),U))",1:"I $P(^(""S""),U,17)="""""_$SELECT(IBAC=4.1:",$P(^(0),U,13)=3,+$$LAST364^IBCEF4(+Y),""PX""[$P($G(^IBA(364,+$$LAST364^IBCEF4(+Y),0)),U,3)",1:""))
+16 SET DIC="^DGCR(399,"
SET X=IBX
+17 DO ^DIC
if Y'>0
GOTO EN
SET IBIFN=+Y
SET DFN=$PIECE(Y(0),"^",2)
+18 ;
+19 DO HINQ
DO ST
GOTO EN
+20 GOTO EN
HINQ IF $SELECT('$DATA(^DPT(DFN,.361)):1,$PIECE(^(.361),"^",1)'="V":1,1:0)
WRITE !?17,"*** ELIGIBILITY NOT VERIFIED ***"
DO HINQ1
MT ;I $D(DFN) D ^DGMT1 K DGMTLL
+1 IF $DATA(DFN)
DO DIS^DGMTU(DFN)
+2 QUIT
HINQ1 IF $PIECE($GET(^IBE(350.9,1,1)),"^",16)
SET X="DVBHQZ4"
XECUTE ^%ZOSF("TEST")
KILL X
IF $TEST
WRITE !
DO EN^DVBHQZ4
QUIT
+1 ;I $P($G(^IBE(350.9,1,1)),"^",16) F X="DVBHQZ4","DGHINQZ4" X ^%ZOSF("TEST") I $T S DGROUT=X K X W ! D @("EN^"_DGROUT) K DGROUT Q
+2 KILL Y
QUIT
ASK IF IBAC'=1
KILL IBIFN
QUIT
+1 WRITE !!,"DO YOU WANT TO ESTABLISH A NEW BILLING RECORD FOR '",$PIECE(^DPT(DFN,0),"^",1),"'"
SET %=2
DO YN^DICN
+2 IF '%
WRITE !!?4,"YES - To establish a new billing record in the billing file.",!?4,"NO - To discontinue this process immediately."
GOTO ASK
+3 IF %'=1
KILL IBIFN
QUIT
+4 KILL DA,Y,DINUM,IBIFN
SET (IBNEW,IBYN)=1
DO ^IBCA
QUIT
DATE IF $DATA(^DGCR(399,"C",DFN))
SET DA=""
FOR I=1:1
SET DA=$ORDER(^DGCR(399,"APDT",DFN,DA))
if DA=""
QUIT
DO DATE1
+1 IF IBAC=4
IF '$DATA(^UTILITY($JOB,"IB"))
WRITE !,"No ",$SELECT($DATA(^DGCR(399,"C",DFN)):"UNCANCELLED ",1:""),"billing records on file for this patient."
QUIT
+2 SET CT=0
SET CT1=1
SET IBT=""
FOR J=1:1
SET IBT=$ORDER(^UTILITY($JOB,"IB",IBT))
if IBT=""
QUIT
FOR J1=0:0
SET J1=$ORDER(^UTILITY($JOB,"IB",IBT,J1))
if J1=""
QUIT
SET X=J1
DO SET
CT WRITE !
SET G=""
SET CT2=$SELECT(CT<(CT1+4):CT,1:(CT1+4))
FOR K=CT1:1:CT2
IF $DATA(^UTILITY($JOB,"UB",K))
DO WRLINE
+1 SET X=""
DO WDATE
if X["^"
QUIT
IF '$DATA(IB)
IF $DATA(^UTILITY($JOB,"UB",K+1))
SET CT1=K+1
GOTO CT
+2 KILL CT,CT1,CT2,K,^UTILITY($JOB,"UB")
QUIT
WRLINE NEW IBX
SET IBDATA=^UTILITY($JOB,"UB",K)
SET IBX=$GET(^DGCR(399,+$PIECE(IBDATA,"^",2),0))
+1 WRITE !?2,K,?6
SET Y=+IBDATA
XECUTE ^DD("DD")
WRITE Y,?27,$PIECE(IBX,"^",1),?35,$SELECT($PIECE(IBX,U,21)="S":"s",$PIECE(IBX,U,21)="T":"t",1:""),?38,$PIECE(IBDATA,"^",3),?59,$EXTRACT($PIECE(IBDATA,"^",4),1,10),?70,$EXTRACT($PIECE(IBDATA,"^",5),1,10)
+2 QUIT
DATE1 SET IBT=$ORDER(^DGCR(399,"APDT",DFN,DA,0))
IF $DATA(^DGCR(399,+DA,0))
IF $SELECT(IBAC<3:$PIECE(^(0),U,13)<2,IBAC=3:$PIECE(^(0),U,13)<3,'$DATA(^("S")):0,$PIECE(^("S"),"^",17)]"":0,1:1)
SET ^UTILITY($JOB,"IB",IBT,DA)=""
+1 QUIT
WDATE if 'CT
QUIT
WRITE !!
if K<CT
WRITE "PRESS <RETURN> TO CONTINUE, OR",!
WRITE "CHOOSE 1",$SELECT(CT=1:"",1:"-"_K),": "
READ X:DTIME
if X["^"!(X="")
QUIT
IF X["?"
WRITE !!,"Select one of the above or <RETURN> to establish a new billing record."
GOTO WDATE
+1 IF $SELECT('$DATA(^UTILITY($JOB,"UB",+X)):1,+X>K:1,+X<1:1,'(X?.N):1,1:0)
WRITE !!,"NOT A VALID CHOICE!!",*7
GOTO WDATE
+2 SET IBIFN=$PIECE(^UTILITY($JOB,"UB",X),"^",2)
SET IB=1
+3 QUIT
+4 ;
KEYOK(IBIFN,DUZ) ; Check if COB bill, does user have key
+1 ; IBIFN = ien of bill (file 399)
+2 ;
+3 NEW IBCOB,IBOK,DIR,X,Y
+4 SET IBOK=1
SET IBCOB=$$COBN^IBCEF(IBIFN)
+5 IF IBCOB>1
Begin DoDot:1
+6 SET IBCOB=$PIECE("^SECONDARY^TERTIARY",U,IBCOB)
+7 SET DIR(0)="YA"
SET DIR("A",1)="YOU ARE ABOUT TO EDIT A "_IBCOB_" BILL"
SET DIR("A")="ARE YOU SURE YOU WANT TO CONTINUE?: "
SET DIR("B")="NO"
WRITE !
DO ^DIR
KILL DIR
WRITE !
+8 IF Y'=1
SET IBOK=0
End DoDot:1
+9 QUIT IBOK
+10 ;
SET IF $SELECT(IBV:1,$PIECE(^DGCR(399,+X,0),"^",13):1,1:0)
SET CT=CT+1
DO SET2
+1 QUIT
SET2 SET IBND0=^DGCR(399,+X,0)
+1 NEW IBFTP
+2 ; JWS;IB*2.0*592 US1108 - Dental EDI 837D / form J430D
+3 SET IBFTP=$SELECT($$FT^IBCEF(+X)=3:"/UB",$$FT^IBCEF(+X)=2:"/1500",$$FT^IBCEF(+X)=7:"/J430D",1:"")
+4 SET ^UTILITY($JOB,"UB",CT)=9999999-IBT_"^"_+X_"^"_$PIECE($GET(^DGCR(399.3,+$PIECE(IBND0,"^",7),0)),"^",4)_"-"_$$BCHGTYPE^IBCU(+X)_"^"_$PIECE($PIECE($PIECE($PIECE(^DD(399,.13,0),"^",3),$PIECE(IBND0,"^",13)_":",2),";",1),"/",1)
+5 SET ^UTILITY($JOB,"UB",CT)=^UTILITY($JOB,"UB",CT)_"^"_$SELECT($PIECE(IBND0,U,27)=1:"INST"_IBFTP,$PIECE(IBND0,U,27)=2:"PROF"_IBFTP,1:"")
+6 QUIT
ST ; Do not use the variable IBH when calling this entry point
+1 LOCK ^DGCR(399,IBIFN):5
IF '$TEST
WRITE !,"No further processing of this record permitted at this time.",!,"Record locked by another user. Try again later."
QUIT
+2 DO RECALL^DILFD(399,IBIFN_",",DUZ)
+3 DO NOPTF^IBCB2
IF 'IBAC1
DO NOPTF1^IBCB2
QUIT
+4 IF IBAC'=1&(IBAC'=4.1)
GOTO ST2
ST1 KILL ^UTILITY($JOB)
SET IBPOPOUT=0
+1 ; Only allow view of bill waiting for MRA or pending extract
+2 IF $PIECE($GET(^DGCR(399,IBIFN,0)),U,13)=2
Begin DoDot:1
+3 WRITE !,"This bill is requesting an MRA - can only view bill data"
+4 SET IBV=1
DO VIEW^IBCB2
End DoDot:1
GOTO Q
+5 IF IBAC=4.1
Begin DoDot:1
+6 if $PIECE($GET(^DGCR(399,IBIFN,0)),U,13)'=3
QUIT
+7 NEW Z
+8 SET Z=$PIECE($GET(^IBA(364,+$$LAST364^IBCEF4(IBIFN),0)),U,3)
+9 IF Z'="X"&(Z'="P")
QUIT
+10 WRITE !,"This bill has a transmit status of ",$$EXPAND^IBTRE(364,.03,Z)," - can only view bill data"
+11 SET IBV=1
DO VIEW^IBCB2
End DoDot:1
GOTO Q
+12 DO ^IBCSCU
DO ^IBCSC1
if '$TEST!($GET(IBPOPOUT))
GOTO Q
ST2 KILL IBTXPRT,IBPOPOUT
+1 ; perform IB edits/authorize the bill
DO ^IBCB1
+2 ; Re-edit the bill
IF $GET(IBCIREDT)
GOTO ST1
+3 ; clean up
KILL IBCIREDT
+4 QUIT
+5 ;
Q ;
+1 KILL IBIFN,IBV,IBAC
+2 ;***
+3 ;I $D(XRT0) S:'$D(XRTN) XRTN="IBCB" D T1^%ZOSV ;stop rt clock
+4 QUIT
+5 ;
EDI SET IBAC=1
SET IBV=0
DO EN
if 'IBAC1
GOTO Q
GOTO EDI
REV GOTO Q
AUT SET IBAC=3
SET IBV=0
DO EN
if 'IBAC1
GOTO Q
GOTO AUT
GEN SET IBAC=4
SET IBV=1
DO EN
if 'IBAC1
GOTO Q
GOTO GEN
VIEW SET IBAC=4.1
SET IBV=1
DO EN
if 'IBAC1
GOTO Q
GOTO VIEW
+1 QUIT
+2 ;
