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Routine: IBCECSA1

IBCECSA1.m

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  1. IBCECSA1 ;ALB/CXW - IB STATUS AWAITING RESOLUTION SCREEN ;28-JUL-99
  1. ;;2.0;INTEGRATED BILLING;**137,283,288,320,368,623,650**;21-MAR-94;Build 21
  1. ;;Per VA Directive 6402, this routine should not be modified.
  1. ; DBIA for $$BN1^PRCAFN()
  1. ;
  1. BLD ; Build list entrypoint
  1. ;N IBDA,IBREV,IBIFN,IBPAY,IBSSN,IBSER,IB399,IBLOC,IBDIV,IBUER,IBMSG,IBERR,IBPEN,SEVERITY,A,IBOAM,IBPAT,IBSTSMSG,SV1,SV2,SV3
  1. N A,IB399,IBDA,IBDIV,IBERR,IBIFN,IBLOC,IBMCCF,IBMSG,IBNON,IBOAM,IBPAT,IBPAY,IBPEN ;/vd-IB*2.0*623 (US141) - Reordered variables
  1. N IBREV,IBRTYP,IBSER,IBSSN,IBSTSMSG,IBUER,SEVERITY,SV1,SV2,SV3
  1. N LOOPDT,LOOPEND ; WCJ;IB*2.0*650
  1. K ^TMP("IBCECSA",$J),^TMP("IBCECSB",$J),^TMP("IBCECSD",$J)
  1. W !!,"Compiling CSA status messages ... "
  1. S IBMCCF=^TMP("IBRTYP",$J,0) ; "M"CCF, "N"on-MCCF or "B"oth - IB*2.0*623
  1. S IBSEV=$G(IBSEV,"R")
  1. S VALMCNT=0,IB364=""
  1. S SEVERITY=""
  1. ; 'R'ejects only
  1. I IBSEV="R" D
  1. .F S SEVERITY=$O(^IBM(361,"ACSA",SEVERITY)) Q:SEVERITY="" I SEVERITY="R"!(IBSEV="B") D
  1. .. S IBREV="" F S IBREV=$O(^IBM(361,"ACSA",SEVERITY,IBREV)) Q:IBREV="" I IBREV<2 D
  1. ... S IBDA=0 F S IBDA=$O(^IBM(361,"ACSA",SEVERITY,IBREV,IBDA)) Q:'IBDA D TAG
  1. ; 'B'oth Rejects and Informational Messages - go by dates
  1. I IBSEV="B" D
  1. . S LOOPDT=$$FMADD^XLFDT(INFOSTDT,,,,-1)
  1. . S LOOPEND=$$FMADD^XLFDT(INFOENDT,1,,,-1)
  1. . F S LOOPDT=$O(^IBM(361,"ARD",LOOPDT)) Q:'+LOOPDT!(LOOPDT>LOOPEND) D
  1. .. S IBDA="" F S IBDA=$O(^IBM(361,"ARD",LOOPDT,IBDA)) Q:IBDA="" D
  1. ... S IBREV=$P($G(^IBM(361,IBDA,0)),U,9)
  1. ... Q:IBREV'<2
  1. ... S SEVERITY=$P($G(^IBM(361,IBDA,0)),U,3)
  1. ... D TAG
  1. ;
  1. I '$D(^TMP("IBCECSB",$J)) D NMAT Q
  1. D SCRN
  1. Q
  1. ;
  1. NMAT ;No CSA list
  1. S VALMCNT=2,IBCNT=2
  1. S ^TMP("IBCECSA",$J,1,0)=" "
  1. S ^TMP("IBCECSA",$J,2,0)="No Messages Matching Selection Criteria Found"
  1. Q
  1. ;
  1. SRTV(SORT,IBDA) ; sort value calculation given the sort code letter
  1. I SORT="" Q IBDA
  1. Q $$SV^IBCECSA(SORT)
  1. ;
  1. SCRN ;
  1. NEW IBSRT1,IBSRT2,IBSRT3,IBX,IBCNT,IBIFN,IBDA,IB,INFX,DAT,X
  1. W !,"Building the CSA list display ... "
  1. S IBCNT=0,IBSRT1=""
  1. F S IBSRT1=$O(^TMP("IBCECSB",$J,IBSRT1)) Q:IBSRT1="" D
  1. . D SRTBRK(1,$G(IBSORT1),IBSRT1)
  1. . S IBSRT2=""
  1. . F S IBSRT2=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2)) Q:IBSRT2="" D
  1. .. D SRTBRK(2,$G(IBSORT2),IBSRT2)
  1. .. S IBSRT3=""
  1. .. F S IBSRT3=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3)) Q:IBSRT3="" D
  1. ... D SRTBRK(3,$G(IBSORT3),IBSRT3)
  1. ... S IBDA=0
  1. ... F S IBDA=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA)) Q:'IBDA D
  1. .... S IB=$G(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA))
  1. .... S IBSTSMSG=$G(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA,"MSG"))
  1. .... S IBIFN=+IB
  1. .... S IB364=$P(IB,U,13)
  1. .... S DAT=IBIFN_U_IBDA_U_IBSRT1_U_IBSRT2_U_IB364_U_IBSRT3
  1. .... ;
  1. .... S IBCNT=IBCNT+1
  1. .... S X=$$SETFLD^VALM1($J(IBCNT,3),"","NUMBER")
  1. .... D SETL1(IB,.X)
  1. .... D SET(X,IBCNT,DAT)
  1. .... ;
  1. .... S X=$$SETSTR^VALM1(IBSTSMSG,"",6,75)
  1. .... D SET(X,IBCNT,DAT)
  1. .... Q
  1. ... Q
  1. .. Q
  1. . Q
  1. Q
  1. ;
  1. SRTBRK(LVL,SORT,IBSRT) ; sort break for display of certain sort data
  1. ; LVL - sort level
  1. ; SORT - sort letter code
  1. ; IBSRT - subscript data
  1. ;
  1. NEW IBS,DSPDATA
  1. I '$F(".A.D.N.","."_$G(SORT)_".") G SRTBRKX
  1. S IBS=$$SD^IBCECSA(SORT)
  1. S DSPDATA=IBSRT
  1. I SORT="A" S DSPDATA=$P(DSPDATA,"~",1) ; biller name
  1. I SORT="N" S DSPDATA=-DSPDATA ; number of days pending
  1. D SET($J("",LVL-1)_IBS_": "_DSPDATA,IBCNT,"")
  1. SRTBRKX ;
  1. Q
  1. ;
  1. SET(X,CNT,DAT) ;set up list manager screen array
  1. S VALMCNT=VALMCNT+1
  1. I 'CNT S CNT=1
  1. S ^TMP("IBCECSA",$J,VALMCNT,0)=X
  1. S ^TMP("IBCECSA",$J,"IDX",VALMCNT,CNT)=""
  1. I DAT'="" S ^TMP("IBCECSA",$J,CNT)=VALMCNT_U_DAT
  1. Q
  1. ;
  1. SETL1(IB,X) ;
  1. S X=$$SETFLD^VALM1($P($G(^DGCR(399,+IB,0)),U,1)_$P(IB,U,12),X,"BILL")
  1. S X=$$SETFLD^VALM1($P(IB,U,2),X,"PNAME")
  1. S X=$$SETFLD^VALM1($P(IB,U,3),X,"PANAME")
  1. S X=$$SETFLD^VALM1($P(IB,U,4),X,"SSN")
  1. S X=$$SETFLD^VALM1($$FMTE^XLFDT($P(IB,U,5),"2Z"),X,"SERVICE")
  1. S X=$$SETFLD^VALM1($J("$"_$FN($P(IB,U,6),"",2),10),X,"CURBAL")
  1. Q
  1. ;
  1. TXT(IBDA,LEN) ; Return a string of status message text
  1. ; IBDA - ien to file 361
  1. ; LEN - desired maximum length of combined text string
  1. NEW MSG,LN,STOP,TX,HLN,REFN,DELIM
  1. S MSG="",LN=0,LEN=$G(LEN,75),STOP=0
  1. F S LN=$O(^IBM(361,+$G(IBDA),1,LN)) Q:'LN D Q:STOP
  1. . S TX=$G(^IBM(361,IBDA,1,LN,0))
  1. . S TX=$$TRIM^XLFSTR(TX)
  1. . ; Don't include parts added by ^IBCE277
  1. . Q:TX="Informational Message:"
  1. . Q:TX="Warning Message:"
  1. . Q:TX="Error Message:"
  1. . I $E(TX,1,27)="Clearinghouse Trace Number:" S STOP=1 Q
  1. . I $E(TX,1,18)="Payer Status Date:" S STOP=1 Q
  1. . I $E(TX,1,19)="Payer Claim Number:" S STOP=1 Q
  1. . I $E(TX,1,12)="Split Claim:" S STOP=1 Q
  1. . I $E(TX,1,11)="Claim Type:" S STOP=1 Q
  1. . I $E(TX,1,8)="Patient:" S STOP=1 Q
  1. . I $E(TX,1,14)="Service Dates:" S STOP=1 Q
  1. . I $E(TX,1,11)="Payer Name:" S STOP=1 Q
  1. . I $E(TX,1,7)="Source:" S STOP=1 Q
  1. . I TX["HL=" S HLN=+$P(TX,"HL=",2),DELIM="HL="_HLN,TX=$P(TX,DELIM,1)_"HL= "_$P(TX,DELIM,2,9)
  1. . I TX["ENVOY REF: " S REFN=$E($P(TX,"ENVOY REF: ",2),1,14),DELIM="ENVOY REF: "_REFN,TX=$P(TX,DELIM,1)_"ENVOY REF: "_$P(TX,DELIM,2,9)
  1. . I ($L(MSG)+$L(TX))>500 S STOP=1 Q
  1. . S MSG=MSG_$S(MSG="":"",1:" ")_TX
  1. . I $L(MSG)>LEN S STOP=1
  1. . Q
  1. Q $E(MSG,1,LEN)
  1. ;
  1. ;
  1. TAG S IB=$G(^IBM(361,IBDA,0)),IBIFN=+IB
  1. S IBPEN=$$FMDIFF^XLFDT(DT,$P(IB,U,2),1)
  1. ;quit if not pending for at least the minimum # of days requested
  1. Q:IBDAYS>IBPEN
  1. S IB399=$G(^DGCR(399,IBIFN,0))
  1. ;
  1. ; no cancelled claims allowed on the CSA screen
  1. ; if we find one, then update the appropriate EDI files
  1. I $P(IB399,U,13)=7 D UPDEDI^IBCEM(+$P(IB,U,11),"C") Q
  1. ;
  1. ; automatically review this message if the claim was last printed on
  1. ; or after the MCS - 'Resubmit by Print' date
  1. I $P(IB,U,16),($P($G(^DGCR(399,IBIFN,"S")),U,14)\1)'<$P(IB,U,16) D UPDEDI^IBCEM(+$P(IB,U,11),"P") Q
  1. ;
  1. ;/vd - IB*2.0*623 (US141) - Beginning of Code added to support the new sort prompt for MCCF, NON-MCCF or BOTH
  1. S IBRTYP=$P(IB399,U,7),IBNON=0 ;Rate type for claim and variable for identifying the sort criteria.
  1. I $D(^IBE(350.9,1,28,"B",IBRTYP)) S IBNON=1 ; The claim's Rate Type is a Non-MCCF Rate Type.
  1. I IBMCCF="M",+IBNON Q ; User selected only MCCF Rate Types.
  1. I IBMCCF="N",'IBNON Q ; User selected only Non-MCCF Rate Types.
  1. ;/vd - IB*2.0*623 (US141) - End
  1. ;
  1. S IBDIV=+$P(IB399,U,22)
  1. S IBUER=+$P($G(^DGCR(399,IBIFN,"S")),U,11)
  1. ;
  1. ; If Request MRA bill, pull the MRA Requestor user instead
  1. I 'IBUER,$P(IB399,U,13)=2 S IBUER=+$P($G(^DGCR(399,IBIFN,"S")),U,8)
  1. I $D(^TMP("IBBIL",$J)),'$D(^TMP("IBBIL",$J,IBUER)) Q ; User not selected
  1. I $D(^TMP("IBDIV",$J)),'$D(^TMP("IBDIV",$J,IBDIV)) Q ; Div not selected
  1. ;
  1. S IBPAY=$P($G(^DIC(36,+$P($G(^DGCR(399,IBIFN,"MP")),U),0)),U)
  1. I IBPAY="" S IBPAY=$P($G(^DIC(36,+$$CURR^IBCEF2(IBIFN),0)),U)
  1. I IBPAY="" S IBPAY="UNKNOWN PAYER"
  1. S IBPAT=$G(^DPT(+$P(IB399,U,2),0))
  1. S IBSSN=$E($P(IBPAT,U,9),6,9) I IBSSN="" S IBSSN="~unk"
  1. S IBPAT=$P(IBPAT,U,1) I IBPAT="" S IBPAT="~UNKNOWN PATIENT NAME"
  1. S IBSER=$P($G(^DGCR(399,IBIFN,"U")),U)
  1. S IBLOC=$P(IB399,U,4)
  1. S IBLOC=$S(IBLOC=1:"HOSPITAL",IBLOC=2:"SKILLED NURSING",1:"CLINIC")
  1. I IBDIV S IBDIV=$P($G(^DG(40.8,IBDIV,0)),U)
  1. I IBDIV=""!(IBDIV=0) S IBDIV="UNSPECIFIED"
  1. S IBMSG=$S($P(IB,U,8):"PAYER",1:"NON-PAYER")
  1. S IBUER=$S(IBUER:$P($G(^VA(200,IBUER,0)),U),1:"UNKNOWN")_"~"_IBUER
  1. S IB364=$P(IB,U,11)
  1. S IBOAM=$G(^DGCR(399,IBIFN,"U1"))
  1. S IBOAM=$P(IBOAM,U,1)-$P(IBOAM,U,2) ; current balance (total charges - offset)
  1. ;
  1. S IBSTSMSG=$$TXT(IBDA) ; status message text
  1. S IBERR=$E(IBSTSMSG,1,60)
  1. I IBERR="" S IBERR="-"
  1. ;
  1. S IB=$$BN1^PRCAFN(IBIFN) ; external bill#
  1. S A=IBIFN_U_IBPAY_U_IBPAT_U_IBSSN_U_IBSER_U_IBOAM_U_IBLOC_U_IBDIV_U_IBUER_U_IBMSG_U_IBPEN_U_$S(IBREV:"*",1:"")_U_IB364_U_IB
  1. ;
  1. S SV1=$$SRTV($G(IBSORT1),IBDA)
  1. S SV2=$$SRTV($G(IBSORT2),IBDA)
  1. S SV3=$$SRTV($G(IBSORT3),IBDA)
  1. S ^TMP("IBCECSB",$J,SV1,SV2,SV3,IBDA)=A
  1. S ^TMP("IBCECSB",$J,SV1,SV2,SV3,IBDA,"MSG")=IBSTSMSG
  1. Q