IBCC ;ALB/MJB - CANCEL THIRD PARTY BILL ;Feb 09, 2018@10:11:43
;;2.0;INTEGRATED BILLING;**2,19,77,80,51,142,137,161,199,241,155,276,320,358,433,432,447,516,547,597,592,727,712**;21-MAR-94;Build 14
;;Per VA Directive 6402, this routine should not be modified.
;
;MAP TO DGCRC
;
I '$D(IBCAN) S IBCAN=1
ASK ;
;***
;I $D(XRT0) S:'$D(XRTN) XRTN="IBCC" D T1^%ZOSV ;stop rt clock
;S XRTL=$ZU(0),XRTN="IBCC-1" D T0^%ZOSV ;start rt clock
;
; If called at entry point PROCESS, variable IBNOASK will exist.
; First time through, IBNOASK=1
; Second time through, IBNOASK=2 and it will quit
I $G(IBNOASK)=2 G Q
I $G(IBNOASK)=1 S IBNOASK=2
;
G Q:$G(IBCE("EDI"))
D Q
; Release currently locked record IB*2.0*597
I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) K IBLOCK
;
S IBQUIT=0
N DPTNOFZY S DPTNOFZY=1 ;Suppress PATIENT file fuzzy lookups
I '$G(IBNOASK) S DIC="^DGCR(399,",DIC(0)="AEMQZ",DIC("A")="Enter BILL NUMBER or Patient NAME: " W !! D ^DIC I Y<1 S IBQUIT=1 G Q1
K IB364
; Lock file entry and display message if lock can't be obtained. IB*2.0*597
S IBLOCK=Y
L +^DGCR(399,IBLOCK):$G(DILOCKTM,5) I '$T D LOCKED G ASK
;
NOPTF ; Note if IB364 is >0 it will be used as the ien to update in file 364
N DA,I
I '$G(IBNOASK) S IBIFN=+$G(Y)
I '$G(IBIFN) G ASK
I IBCAN>1 D NOPTF^IBCB2 I 'IBAC1 D NOPTF1^IBCB2 G ASK
;
I $G(IBCNCRD)=1,$P($P($G(^DGCR(399,IBIFN,0)),U),"-",2)>98 D Q
.W !!,"Please note that you have exceeded the maximum number of iterations (99) for this claim."
.W "Copy and cancel (CLON) must be used to correct this bill."
.I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) ; IB*2.0*597
.S IBQUIT=1 H 3
; Check if bill has been referred to Counsel
I $P($G(^PRCA(430,IBIFN,6)),U,4) D G ASK
. W !,"This bill has been referred to Regional Counsel and cannot be 'CANCELLED' in"
. W !,"Integrated Billing. Please use the option 'TP Referred Follow-up'"
. W !,"[PRCA RC ACTION MENU] in Accounts Receivable to request that Regional"
. W !,"Counsel return the bill to your facility."
. Q
;
F I=0,"S","U1" S IB(I)=$G(^DGCR(399,IBIFN,I))
S IBSTAT=$P(IB(0),U,13)
; REMOVE New messages for CRD option IB*2.0*433 in IB*2.0*447 IA#5630
;I $G(IBCNCRD)=1,IBSTAT'=2,'$$ACCK^PRCAACC(IBIFN) D Q
;.W !!,"This option cannot be used to correct some Billing Rate Types (Example: TRICARE)"
;.W "Copy and cancel (CLON) must be used to correct this bill."
;.S IBQUIT=1 H 3
;
; Restrict access to this process for REQUEST MRA bills
I IBSTAT=2,'$G(IBCE("EDI")),$$MRAWL^IBCEMU2(IBIFN) D G ASK
. W !!?4,"This bill is in a status of REQUEST MRA and it does appear on the"
. W !?4,"MRA Management Work List. Please use the 'MRA Management Menu' options"
. W !?4,"for all processing related to this bill."
. Q
;
; IB*2.0*432 Restrict access to claims on the new CBW Worklist
I $P($G(^DGCR(399,IBIFN,"S1")),U,7)=1,$G(IBMRANOT)'=1 D G ASK
. W !!?4,"This bill appears on the CBW Management Work List. Please use the"
. W !?4,"'CBW Management Menu' options for all processing related to this bill."
. S IBQUIT=1 ;IB*2.0*592 JRA need to set quit flag after issuing this message
. Q
;
; Check if this is a paper claim. If not, check for split EOB. If split, don't allow CRD unless more than 1 EOB has been returned
; need to check if that
;WCJ;IB727;make sure if any MRAs are received that all MRAs are received
;I $G(IBCNCRD)=1,$P($G(^DGCR(399,IBIFN,"TX")),U,8)'=1,$$SPLTMRA^IBCEMU1(IBIFN)=1 D Q
N IBRETSPLT
I $G(IBCNCRD)=1,$P($G(^DGCR(399,IBIFN,"TX")),U,8)'=1,$$SPLTMRA^IBCEMU1(IBIFN,.IBRETSPLT)>0,$$SPLIT2^IBCEMU1($O(IBRETSPLT("")))=0 D Q
.;W !!,"There is a split EOB associated with this claim. You cannot use this option to Correct this claim until the second EOB has been received."
.W !!,"There is a split EOB associated with this claim. You cannot use this option to Correct this claim until all EOBs have been received."
.I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) ; IB*2.0*597
.S IBQUIT=1 H 3
.Q
;
; Warning message if in a REQUEST MRA status with no MRA on file
; IB*2.0*516/TAZ,MRD - Forbid the user from using the option CRD
; (Correct Rejected/Denied Bill) on an MRA claim if the status is
; REQUEST MRA (IBSTAT=2).
I IBSTAT=2,'$$MRACNT^IBCEMU1(IBIFN) D I $G(IBQUIT) H 3 Q
. N REJ
. D TXSTS^IBCEMU2(IBIFN,,.REJ)
. ;IB*2.0*516/TAZ - If CRD is from CSA allow a REJected claim to be CRD'ed without displaying a warning.
. I $G(IBCNCSA),REJ Q
. W *7,!!?4,$S('$G(IBCNCRD):"Warning! ",1:""),"This bill is in a status of REQUEST MRA."
. W !?4,"No MRAs have been received"
. I REJ W ", but the most recent transmission of this",!?4,"MRA request bill was rejected."
. I 'REJ W " and there are no rejection messages on file",!?4,"for the most recent transmission of this MRA request bill."
. I $G(IBCNCRD) S IBQUIT=1 I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) ; IB*2.0*597
. Q
;
I IBCAN=2,IB("S")]"",+$P(IB("S"),U,16),$P(IB("S"),U,17)]"" D G 1
. W !!,"This bill was cancelled on " S Y=$P(IB("S"),U,17) X ^DD("DD") W Y," by ",$S($P(IB("S"),U,18)']"":IBU,$D(^VA(200,$P(IB("S"),U,18),0)):$P(^(0),U,1),1:IBU),"."
. S IBQUIT=1
;
; IB*2.0*516/TAZ,MRD - Forbid the user from using the option CRD
; (Correct Rejected/Denied Bill) on all but primary claims.
I $G(IBCNCRD),($$COB^IBCEF(IBIFN)'="P") D Q
. W !!,"Please note that COB data may exist for this bill."
. W !,"Copy and cancel (CLON) must be used to correct this bill."
. I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) ; IB*2.0*597
. S IBQUIT=1
. H 3
. Q
;
; Notify if a payment has been posted to this bill before cancel
N PRCABILL
S PRCABILL=$$TPR^PRCAFN(IBIFN)
I PRCABILL=-1 W !!,"Please note: PRCA was unable to determine if a payment has been posted." I $G(IBCNCRD)=1 W !,"Copy and cancel (CLON) must be used to correct this bill." I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) S IBQUIT=1 H 3 Q
I PRCABILL>0 W !!,"Please note a PAYMENT of **$"_$$TPR^PRCAFN(IBIFN)_"** has been POSTED to this bill."
; New message for CRD option
I $G(IBCNCRD)=1,PRCABILL>0 W !,"Copy and cancel (CLON) must be used to correct this bill." I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) S IBQUIT=1 H 3 Q
;
; If bill was created via Electronic claims process then notify
; user that cancellation should occur using ECME package
I $$GET1^DIQ(399,IBIFN_",",460)]"" D G:'Y ASK
. W !!!?5,"This bill was created by the"
. W !?5,"Electronic Claims Management Engine (ECME)."
. W !?5,"Cancellation needs to occur in the ECME package by"
. W !?5,"submitting a REVERSAL to the Payer.",!!
. K DIR S DIR("A",1)="Has a REVERSAL for this e-Claim already been",DIR("A")="submitted to the payer via the ECME package (Y/N)",DIR(0)="Y",DIR("B")="NO" D ^DIR K DIR
. I Y=0 W !!,"<PLEASE SUBMIT A REVERSAL USING THE APPROPRIATE OPTION IN THE ECME PACKAGE>",$C(7)
;
CHK ;
; if user came from CLON, make sure they know about the new CRD option IB*2.0*447 remove TRICARE msg.
I $G(IBCNCOPY)=1 D
.W !!,*7,"Warning: This option should NOT be used to correct Rejected/Denied claims."
.W !," It should ONLY be used to correct DENIED claims which have payments"
.W !," posted against them.***" ; and claims with certain Billing Rate Types (Example: TRICARE)."
;
S (IBCCCC,IBQUIT)=0 I '$G(IBCEAUTO),'$G(IBMCSCAN) W !!,"ARE YOU SURE YOU WANT TO CANCEL THIS BILL" S %=2 D YN^DICN G:%=0 HELP I %'=1 S IBQUIT=1 G NO
;
I '$G(IBCEAUTO) W !!,"LAST CHANCE TO CHANGE YOUR MIND..."
S DIE=399,DA=IBIFN,DIE("NO^")=""
S DR="16;S:'X Y=0;19;S IBCCCC=1;"
I $G(IBCEAUTO) S DR="16////1;19////EDI/MRA TURNED OFF;S IBCCCC=1;"
;
; esg - 8/23/06 - IB*2*358 - fix semi-colon in free text field
I $G(IBMCSRSC)'="" S DR="16;S:'X Y=0;19//^S X=IBMCSRSC;S IBCCCC=1;"
D ^DIE K DIE,DR
;
NO I 'IBCCCC W !!,"<NO ACTION TAKEN>",*7 S IBQUIT=1 G ASK:IBCAN<2,Q
S IBCCR=$P($G(^DGCR(399,IBIFN,"S")),U,19)
; update claim # with new iteration IB*2.0*447 move to later in the process
;D:$G(IBCNCRD)=1 CRD
W !!,"...Bill has been cancelled..." D BULL^IBCBULL,BSTAT^IBCDC(IBIFN),PRIOR^IBCCC2(IBIFN)
;
; cancelling in ingenix claimsmanager if ingenix is running
; clean-up of variables is OK if not coming in from ListMan screen
I $$CM^IBCIUT1(IBIFN) S IBCISNT=4 D ST2^IBCIST I '$G(IBCICNCL) K IBCISNT,IBCISTAT,IBCIREDT,IBCIERR
;
S IBEDI=$G(IB364)
I 'IBEDI S IBEDI=+$$LAST364^IBCEF4(IBIFN)
; ib*2.0*547 don't cancel MRA if cloning a bill that is secondary to MRA (share the same claim#)
I IBEDI D UPDEDI^IBCEM(IBEDI,"C",,$S($$MRASEC^IBCEF4(IBIFN):2,1:"")) ;Update EDI files, if needed
;
F I="S","U1" S IB(I)=$S($D(^DGCR(399,IBIFN,I)):^(I),1:"")
S PRCASV("ARREC")=IBIFN,PRCASV("AMT")=$S(IB("U1")']"":0,1:$P(IB("U1"),"^")),PRCASV("DATE")=$P(IB("S"),"^",17),PRCASV("BY")=$P(IB("S"),"^",18)
S PRCASV("COMMENT")=$S($P(IB("S"),U,19)]"":$P(IB("S"),U,19),$P(^IBE(350.9,1,2),"^",7)]"":$P(^(2),"^",7),1:"BILL CANCELLED IN MAS")
S PRCASV("BY")=$S($P(IB("S"),U,18)]"":$P(IB("S"),U,18),1:"")
; IA#3374/IB*2.0*433 Pass the CRD flag so FMS knows to send a cancel record before the new E record is sent
;S X=$$CANCEL^RCBEIB($G(PRCASV("ARREC")),$G(PRCASV("DATE")),$G(PRCASV("BY")),$G(PRCASV("AMT")),$G(PRCASV("COMMENT")))
S PRCASV("ARCRD")=$G(IBCNCRD)
S X=$$CANCEL^RCBEIB($G(PRCASV("ARREC")),$G(PRCASV("DATE")),$G(PRCASV("BY")),$G(PRCASV("AMT")),$G(PRCASV("COMMENT")),$G(PRCASV("ARCRD")))
W !,$S(X:">> The receivable associated with the claim was cancelled.",1:">> The receivable associated with the claim was not cancelled.")
I $P(X,U,2)]"" W !,">>> ",$P(X,U,2) ; The reason why the claim can not be cancelled.
I IBCAN<2 D RNB^IBCC1 ;assign a reason not billable
G ASK:IBCAN<2,Q
;
HELP W !,?3,"Answer 'YES' or 'Y' if you wish to cancel this bill.",!,?3,"Answer 'NO' or 'N' if you want to abort." G CHK
Q
1 I $P(IB(0),U,13)=1 W !,"This record was re-opened on " S Y=$P(IB(0),U,14) X ^DD("DD") W Y,"." G CHK
G ASK
Q1 K:IBCAN=1 IBQUIT K IBCAN
Q K %,IBEPAR,IBSTAT,IBARST,IBAC1,IB,DFN,IBX,IBZ,DIC,DIE,DR,PRCASV,PRCASVC,X,Y,IBEDI
I $G(IBLOCK)'<1 L -^DGCR(399,IBLOCK) K IBLOCK ; IB*2.0*597
;***
;I $D(XRT0) S:'$D(XRTN) XRTN="IBCC" D T1^%ZOSV ;stop rt clock
Q
CRD(IBIFN) ; entry to point to add iteration # to claim
N IBFDA
S IBITN=$$ITN^IBCCC(IBIFN)
S IBFDA(399,IBIFN_",",.01)=IBITN
D FILE^DIE("","IBFDA")
; this will re-open the claim, so reset to cancelled
S DIE=399,DA=IBIFN
S DR="16////1"
D ^DIE K DIE,DR
Q
;
PROCESS(IBIFN,IBCAN) ;
; Entry point when the bill number is already known. Use this when
; you just want to try to cancel this bill and this bill only.
; Input:
; IBIFN - Internal bill# (Required)
; IBCAN - Cancel Flag (optional, defaults to 1 if not included)
;
NEW IBNOASK
S IBNOASK=1
S IBCAN=$G(IBCAN,1)
G ASK
;
LOCKED ; -- write record locked message IB*2.0*597
W !!,"Sorry, another user currently editing this entry."
W !,"Try again later."
D PAUSE^VALM1
Q
;IBCC
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCC 10986 printed Oct 16, 2024@18:09:42 Page 2
IBCC ;ALB/MJB - CANCEL THIRD PARTY BILL ;Feb 09, 2018@10:11:43
+1 ;;2.0;INTEGRATED BILLING;**2,19,77,80,51,142,137,161,199,241,155,276,320,358,433,432,447,516,547,597,592,727,712**;21-MAR-94;Build 14
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;MAP TO DGCRC
+5 ;
+6 IF '$DATA(IBCAN)
SET IBCAN=1
ASK ;
+1 ;***
+2 ;I $D(XRT0) S:'$D(XRTN) XRTN="IBCC" D T1^%ZOSV ;stop rt clock
+3 ;S XRTL=$ZU(0),XRTN="IBCC-1" D T0^%ZOSV ;start rt clock
+4 ;
+5 ; If called at entry point PROCESS, variable IBNOASK will exist.
+6 ; First time through, IBNOASK=1
+7 ; Second time through, IBNOASK=2 and it will quit
+8 IF $GET(IBNOASK)=2
GOTO Q
+9 IF $GET(IBNOASK)=1
SET IBNOASK=2
+10 ;
+11 if $GET(IBCE("EDI"))
GOTO Q
+12 DO Q
+13 ; Release currently locked record IB*2.0*597
+14 IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
KILL IBLOCK
+15 ;
+16 SET IBQUIT=0
+17 ;Suppress PATIENT file fuzzy lookups
NEW DPTNOFZY
SET DPTNOFZY=1
+18 IF '$GET(IBNOASK)
SET DIC="^DGCR(399,"
SET DIC(0)="AEMQZ"
SET DIC("A")="Enter BILL NUMBER or Patient NAME: "
WRITE !!
DO ^DIC
IF Y<1
SET IBQUIT=1
GOTO Q1
+19 KILL IB364
+20 ; Lock file entry and display message if lock can't be obtained. IB*2.0*597
+21 SET IBLOCK=Y
+22 LOCK +^DGCR(399,IBLOCK):$GET(DILOCKTM,5)
IF '$TEST
DO LOCKED
GOTO ASK
+23 ;
NOPTF ; Note if IB364 is >0 it will be used as the ien to update in file 364
+1 NEW DA,I
+2 IF '$GET(IBNOASK)
SET IBIFN=+$GET(Y)
+3 IF '$GET(IBIFN)
GOTO ASK
+4 IF IBCAN>1
DO NOPTF^IBCB2
IF 'IBAC1
DO NOPTF1^IBCB2
GOTO ASK
+5 ;
+6 IF $GET(IBCNCRD)=1
IF $PIECE($PIECE($GET(^DGCR(399,IBIFN,0)),U),"-",2)>98
Begin DoDot:1
+7 WRITE !!,"Please note that you have exceeded the maximum number of iterations (99) for this claim."
+8 WRITE "Copy and cancel (CLON) must be used to correct this bill."
+9 ; IB*2.0*597
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
+10 SET IBQUIT=1
HANG 3
End DoDot:1
QUIT
+11 ; Check if bill has been referred to Counsel
+12 IF $PIECE($GET(^PRCA(430,IBIFN,6)),U,4)
Begin DoDot:1
+13 WRITE !,"This bill has been referred to Regional Counsel and cannot be 'CANCELLED' in"
+14 WRITE !,"Integrated Billing. Please use the option 'TP Referred Follow-up'"
+15 WRITE !,"[PRCA RC ACTION MENU] in Accounts Receivable to request that Regional"
+16 WRITE !,"Counsel return the bill to your facility."
+17 QUIT
End DoDot:1
GOTO ASK
+18 ;
+19 FOR I=0,"S","U1"
SET IB(I)=$GET(^DGCR(399,IBIFN,I))
+20 SET IBSTAT=$PIECE(IB(0),U,13)
+21 ; REMOVE New messages for CRD option IB*2.0*433 in IB*2.0*447 IA#5630
+22 ;I $G(IBCNCRD)=1,IBSTAT'=2,'$$ACCK^PRCAACC(IBIFN) D Q
+23 ;.W !!,"This option cannot be used to correct some Billing Rate Types (Example: TRICARE)"
+24 ;.W "Copy and cancel (CLON) must be used to correct this bill."
+25 ;.S IBQUIT=1 H 3
+26 ;
+27 ; Restrict access to this process for REQUEST MRA bills
+28 IF IBSTAT=2
IF '$GET(IBCE("EDI"))
IF $$MRAWL^IBCEMU2(IBIFN)
Begin DoDot:1
+29 WRITE !!?4,"This bill is in a status of REQUEST MRA and it does appear on the"
+30 WRITE !?4,"MRA Management Work List. Please use the 'MRA Management Menu' options"
+31 WRITE !?4,"for all processing related to this bill."
+32 QUIT
End DoDot:1
GOTO ASK
+33 ;
+34 ; IB*2.0*432 Restrict access to claims on the new CBW Worklist
+35 IF $PIECE($GET(^DGCR(399,IBIFN,"S1")),U,7)=1
IF $GET(IBMRANOT)'=1
Begin DoDot:1
+36 WRITE !!?4,"This bill appears on the CBW Management Work List. Please use the"
+37 WRITE !?4,"'CBW Management Menu' options for all processing related to this bill."
+38 ;IB*2.0*592 JRA need to set quit flag after issuing this message
SET IBQUIT=1
+39 QUIT
End DoDot:1
GOTO ASK
+40 ;
+41 ; Check if this is a paper claim. If not, check for split EOB. If split, don't allow CRD unless more than 1 EOB has been returned
+42 ; need to check if that
+43 ;WCJ;IB727;make sure if any MRAs are received that all MRAs are received
+44 ;I $G(IBCNCRD)=1,$P($G(^DGCR(399,IBIFN,"TX")),U,8)'=1,$$SPLTMRA^IBCEMU1(IBIFN)=1 D Q
+45 NEW IBRETSPLT
+46 IF $GET(IBCNCRD)=1
IF $PIECE($GET(^DGCR(399,IBIFN,"TX")),U,8)'=1
IF $$SPLTMRA^IBCEMU1(IBIFN,.IBRETSPLT)>0
IF $$SPLIT2^IBCEMU1($ORDER(IBRETSPLT("")))=0
Begin DoDot:1
+47 ;W !!,"There is a split EOB associated with this claim. You cannot use this option to Correct this claim until the second EOB has been received."
+48 WRITE !!,"There is a split EOB associated with this claim. You cannot use this option to Correct this claim until all EOBs have been received."
+49 ; IB*2.0*597
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
+50 SET IBQUIT=1
HANG 3
+51 QUIT
End DoDot:1
QUIT
+52 ;
+53 ; Warning message if in a REQUEST MRA status with no MRA on file
+54 ; IB*2.0*516/TAZ,MRD - Forbid the user from using the option CRD
+55 ; (Correct Rejected/Denied Bill) on an MRA claim if the status is
+56 ; REQUEST MRA (IBSTAT=2).
+57 IF IBSTAT=2
IF '$$MRACNT^IBCEMU1(IBIFN)
Begin DoDot:1
+58 NEW REJ
+59 DO TXSTS^IBCEMU2(IBIFN,,.REJ)
+60 ;IB*2.0*516/TAZ - If CRD is from CSA allow a REJected claim to be CRD'ed without displaying a warning.
+61 IF $GET(IBCNCSA)
IF REJ
QUIT
+62 WRITE *7,!!?4,$SELECT('$GET(IBCNCRD):"Warning! ",1:""),"This bill is in a status of REQUEST MRA."
+63 WRITE !?4,"No MRAs have been received"
+64 IF REJ
WRITE ", but the most recent transmission of this",!?4,"MRA request bill was rejected."
+65 IF 'REJ
WRITE " and there are no rejection messages on file",!?4,"for the most recent transmission of this MRA request bill."
+66 ; IB*2.0*597
IF $GET(IBCNCRD)
SET IBQUIT=1
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
+67 QUIT
End DoDot:1
IF $GET(IBQUIT)
HANG 3
QUIT
+68 ;
+69 IF IBCAN=2
IF IB("S")]""
IF +$PIECE(IB("S"),U,16)
IF $PIECE(IB("S"),U,17)]""
Begin DoDot:1
+70 WRITE !!,"This bill was cancelled on "
SET Y=$PIECE(IB("S"),U,17)
XECUTE ^DD("DD")
WRITE Y," by ",$SELECT($PIECE(IB("S"),U,18)']"":IBU,$DATA(^VA(200,$PIECE(IB("S"),U,18),0)):$PIECE(^(0),U,1),1:IBU),"."
+71 SET IBQUIT=1
End DoDot:1
GOTO 1
+72 ;
+73 ; IB*2.0*516/TAZ,MRD - Forbid the user from using the option CRD
+74 ; (Correct Rejected/Denied Bill) on all but primary claims.
+75 IF $GET(IBCNCRD)
IF ($$COB^IBCEF(IBIFN)'="P")
Begin DoDot:1
+76 WRITE !!,"Please note that COB data may exist for this bill."
+77 WRITE !,"Copy and cancel (CLON) must be used to correct this bill."
+78 ; IB*2.0*597
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
+79 SET IBQUIT=1
+80 HANG 3
+81 QUIT
End DoDot:1
QUIT
+82 ;
+83 ; Notify if a payment has been posted to this bill before cancel
+84 NEW PRCABILL
+85 SET PRCABILL=$$TPR^PRCAFN(IBIFN)
+86 IF PRCABILL=-1
WRITE !!,"Please note: PRCA was unable to determine if a payment has been posted."
IF $GET(IBCNCRD)=1
WRITE !,"Copy and cancel (CLON) must be used to correct this bill."
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
SET IBQUIT=1
HANG 3
QUIT
+87 IF PRCABILL>0
WRITE !!,"Please note a PAYMENT of **$"_$$TPR^PRCAFN(IBIFN)_"** has been POSTED to this bill."
+88 ; New message for CRD option
+89 IF $GET(IBCNCRD)=1
IF PRCABILL>0
WRITE !,"Copy and cancel (CLON) must be used to correct this bill."
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
SET IBQUIT=1
HANG 3
QUIT
+90 ;
+91 ; If bill was created via Electronic claims process then notify
+92 ; user that cancellation should occur using ECME package
+93 IF $$GET1^DIQ(399,IBIFN_",",460)]""
Begin DoDot:1
+94 WRITE !!!?5,"This bill was created by the"
+95 WRITE !?5,"Electronic Claims Management Engine (ECME)."
+96 WRITE !?5,"Cancellation needs to occur in the ECME package by"
+97 WRITE !?5,"submitting a REVERSAL to the Payer.",!!
+98 KILL DIR
SET DIR("A",1)="Has a REVERSAL for this e-Claim already been"
SET DIR("A")="submitted to the payer via the ECME package (Y/N)"
SET DIR(0)="Y"
SET DIR("B")="NO"
DO ^DIR
KILL DIR
+99 IF Y=0
WRITE !!,"<PLEASE SUBMIT A REVERSAL USING THE APPROPRIATE OPTION IN THE ECME PACKAGE>",$CHAR(7)
End DoDot:1
if 'Y
GOTO ASK
+100 ;
CHK ;
+1 ; if user came from CLON, make sure they know about the new CRD option IB*2.0*447 remove TRICARE msg.
+2 IF $GET(IBCNCOPY)=1
Begin DoDot:1
+3 WRITE !!,*7,"Warning: This option should NOT be used to correct Rejected/Denied claims."
+4 WRITE !," It should ONLY be used to correct DENIED claims which have payments"
+5 ; and claims with certain Billing Rate Types (Example: TRICARE)."
WRITE !," posted against them.***"
End DoDot:1
+6 ;
+7 SET (IBCCCC,IBQUIT)=0
IF '$GET(IBCEAUTO)
IF '$GET(IBMCSCAN)
WRITE !!,"ARE YOU SURE YOU WANT TO CANCEL THIS BILL"
SET %=2
DO YN^DICN
if %=0
GOTO HELP
IF %'=1
SET IBQUIT=1
GOTO NO
+8 ;
+9 IF '$GET(IBCEAUTO)
WRITE !!,"LAST CHANCE TO CHANGE YOUR MIND..."
+10 SET DIE=399
SET DA=IBIFN
SET DIE("NO^")=""
+11 SET DR="16;S:'X Y=0;19;S IBCCCC=1;"
+12 IF $GET(IBCEAUTO)
SET DR="16////1;19////EDI/MRA TURNED OFF;S IBCCCC=1;"
+13 ;
+14 ; esg - 8/23/06 - IB*2*358 - fix semi-colon in free text field
+15 IF $GET(IBMCSRSC)'=""
SET DR="16;S:'X Y=0;19//^S X=IBMCSRSC;S IBCCCC=1;"
+16 DO ^DIE
KILL DIE,DR
+17 ;
NO IF 'IBCCCC
WRITE !!,"<NO ACTION TAKEN>",*7
SET IBQUIT=1
if IBCAN<2
GOTO ASK
GOTO Q
+1 SET IBCCR=$PIECE($GET(^DGCR(399,IBIFN,"S")),U,19)
+2 ; update claim # with new iteration IB*2.0*447 move to later in the process
+3 ;D:$G(IBCNCRD)=1 CRD
+4 WRITE !!,"...Bill has been cancelled..."
DO BULL^IBCBULL
DO BSTAT^IBCDC(IBIFN)
DO PRIOR^IBCCC2(IBIFN)
+5 ;
+6 ; cancelling in ingenix claimsmanager if ingenix is running
+7 ; clean-up of variables is OK if not coming in from ListMan screen
+8 IF $$CM^IBCIUT1(IBIFN)
SET IBCISNT=4
DO ST2^IBCIST
IF '$GET(IBCICNCL)
KILL IBCISNT,IBCISTAT,IBCIREDT,IBCIERR
+9 ;
+10 SET IBEDI=$GET(IB364)
+11 IF 'IBEDI
SET IBEDI=+$$LAST364^IBCEF4(IBIFN)
+12 ; ib*2.0*547 don't cancel MRA if cloning a bill that is secondary to MRA (share the same claim#)
+13 ;Update EDI files, if needed
IF IBEDI
DO UPDEDI^IBCEM(IBEDI,"C",,$SELECT($$MRASEC^IBCEF4(IBIFN):2,1:""))
+14 ;
+15 FOR I="S","U1"
SET IB(I)=$SELECT($DATA(^DGCR(399,IBIFN,I)):^(I),1:"")
+16 SET PRCASV("ARREC")=IBIFN
SET PRCASV("AMT")=$SELECT(IB("U1")']"":0,1:$PIECE(IB("U1"),"^"))
SET PRCASV("DATE")=$PIECE(IB("S"),"^",17)
SET PRCASV("BY")=$PIECE(IB("S"),"^",18)
+17 SET PRCASV("COMMENT")=$SELECT($PIECE(IB("S"),U,19)]"":$PIECE(IB("S"),U,19),$PIECE(^IBE(350.9,1,2),"^",7)]"":$PIECE(^(2),"^",7),1:"BILL CANCELLED IN MAS")
+18 SET PRCASV("BY")=$SELECT($PIECE(IB("S"),U,18)]"":$PIECE(IB("S"),U,18),1:"")
+19 ; IA#3374/IB*2.0*433 Pass the CRD flag so FMS knows to send a cancel record before the new E record is sent
+20 ;S X=$$CANCEL^RCBEIB($G(PRCASV("ARREC")),$G(PRCASV("DATE")),$G(PRCASV("BY")),$G(PRCASV("AMT")),$G(PRCASV("COMMENT")))
+21 SET PRCASV("ARCRD")=$GET(IBCNCRD)
+22 SET X=$$CANCEL^RCBEIB($GET(PRCASV("ARREC")),$GET(PRCASV("DATE")),$GET(PRCASV("BY")),$GET(PRCASV("AMT")),$GET(PRCASV("COMMENT")),$GET(PRCASV("ARCRD")))
+23 WRITE !,$SELECT(X:">> The receivable associated with the claim was cancelled.",1:">> The receivable associated with the claim was not cancelled.")
+24 ; The reason why the claim can not be cancelled.
IF $PIECE(X,U,2)]""
WRITE !,">>> ",$PIECE(X,U,2)
+25 ;assign a reason not billable
IF IBCAN<2
DO RNB^IBCC1
+26 if IBCAN<2
GOTO ASK
GOTO Q
+27 ;
HELP WRITE !,?3,"Answer 'YES' or 'Y' if you wish to cancel this bill.",!,?3,"Answer 'NO' or 'N' if you want to abort."
GOTO CHK
+1 QUIT
1 IF $PIECE(IB(0),U,13)=1
WRITE !,"This record was re-opened on "
SET Y=$PIECE(IB(0),U,14)
XECUTE ^DD("DD")
WRITE Y,"."
GOTO CHK
+1 GOTO ASK
Q1 if IBCAN=1
KILL IBQUIT
KILL IBCAN
Q KILL %,IBEPAR,IBSTAT,IBARST,IBAC1,IB,DFN,IBX,IBZ,DIC,DIE,DR,PRCASV,PRCASVC,X,Y,IBEDI
+1 ; IB*2.0*597
IF $GET(IBLOCK)'<1
LOCK -^DGCR(399,IBLOCK)
KILL IBLOCK
+2 ;***
+3 ;I $D(XRT0) S:'$D(XRTN) XRTN="IBCC" D T1^%ZOSV ;stop rt clock
+4 QUIT
CRD(IBIFN) ; entry to point to add iteration # to claim
+1 NEW IBFDA
+2 SET IBITN=$$ITN^IBCCC(IBIFN)
+3 SET IBFDA(399,IBIFN_",",.01)=IBITN
+4 DO FILE^DIE("","IBFDA")
+5 ; this will re-open the claim, so reset to cancelled
+6 SET DIE=399
SET DA=IBIFN
+7 SET DR="16////1"
+8 DO ^DIE
KILL DIE,DR
+9 QUIT
+10 ;
PROCESS(IBIFN,IBCAN) ;
+1 ; Entry point when the bill number is already known. Use this when
+2 ; you just want to try to cancel this bill and this bill only.
+3 ; Input:
+4 ; IBIFN - Internal bill# (Required)
+5 ; IBCAN - Cancel Flag (optional, defaults to 1 if not included)
+6 ;
+7 NEW IBNOASK
+8 SET IBNOASK=1
+9 SET IBCAN=$GET(IBCAN,1)
+10 GOTO ASK
+11 ;
LOCKED ; -- write record locked message IB*2.0*597
+1 WRITE !!,"Sorry, another user currently editing this entry."
+2 WRITE !,"Try again later."
+3 DO PAUSE^VALM1
+4 QUIT
+5 ;IBCC
