IBCEF11 ;ALB/TMP - FORMATTER SPECIFIC BILL FUNCTIONS - CONT ;30-JAN-96
;;2.0;INTEGRATED BILLING;**51,137,155,309,335,348,349,371,432,447,473,516,577,592,608,623,641**;21-MAR-94;Build 61
;;Per VA Directive 6402, this routine should not be modified.
;
BOX24D(A,IB) ; Returns the lines for boxes 19-24 of the CMS-1500 display
; IB = flag is 1 if only box 24 is needed
Q $S('$G(IB):"36",1:"44")_"^55"
;
RCBOX() ; Returns the lines for revenue code boxes of the UB-04 display
Q "19^41"
;
OUTPT(IBIFN,IBPRINT) ; Returns an array of service line data from
; CMS-1500 box 24. Output is in IBXDATA(n)
; IBPRINT = print flag 1: return print fields
; 0: return EDI fields
; Uses diagnosis array ^TMP("IBXSAVE",$J,"DX",IBIFN,DIAG CODE)=SEQ #
; if it already exists. If not, it builds it from N-DIAGNOSES element
;
; For EDI call: Returns IBXDATA(n)=
; begin date(YYYYMMDD) ^ end date(YYYYMMDD) ^ pos ^ tos ^
; proc code/revenue code - if no procedure (not the pointers) ^
; type of code ^ dx pointer(s ) ^ unit charge ^ units ^ modifiers separated by ;
; ^ purchased charge amount ^ anesthesia minutes ^ emergency indicator ^
; lab-type service flag ^ NDC ^ Units/Quantity ^ Unit/Basis of Measurement (vd/IB*2*577)
;
; Also Returns IBXDATA(IBI,"COB",COB,m) with COB data for each line
; item found in an accepted EOB for the bill and = the reference
; line in the first '^' piece followed by the '0' node data of file
; 361.115 (LINE LEVEL ADJUSTMENTS)
; COB = COB sequence # of adjustment's ins co, m = seq #
; -- AND --
; IBXDATA(IBI,"COB",COB,m,z,p)=
; the data on the '0' node for each subordinate entry of file
; 361.11511 (REASONS) (Only first 3 pieces for 837 output)
; z = group code, sometimes preceeded by a space p = seq #
;
; For Print call: Returns begin date(DDMMYYYY)^end date(DDMMYYYY) or
; null if equal to begin date^pos^tos^bedsection name(if no procedure)
; or procedure code(not the pointer)^ ... refer to EDI call results
; Also, IBXDATA(n,"TEXT")=the text to print on first line of box 24,
; If no procedure code, returns IBXDATA(n,"A")=rev code abbrev
;
; For both calls, returns IBXDATA(n,item type,item ptr)=""
; -- AND --
; IBXDATA(n,"RX")=RX#^drug name^NDC^refill #^(re)fill date^qty^days
; ^chrge^ien of file 362.4^NDC format
; If line references a prescription
; -- AND --
; If no revenue code for a prescription, returns IBXDATA(n,"ARX")=""
; -- AND --
; IBXDATA(n,"AUX")='AUX' node of the procedure entry
;
; Also returns IBXDATA(n,"CPLNK") = soft link to corresponding entry in PROCEDURES multiple of file 399
;
N IB,IBI,IBJ,IBFLD,IBDXI,IBXIEN,Z,IBXTRA,IBRX,IBRX0,IBRX1,Z0,Z1
;
K ^TMP($J,"IBITEM")
S ^TMP($J,"IBITEM")=""
; Build diagnosis array if not already built
I $O(^TMP("IBXSAVE",$J,"DX",IBIFN,""))="",$O(^IBA(362.3,"AIFN"_IBIFN,"")) D
.N Z,IBXDATA D F^IBCEF("N-DIAGNOSES",,,IBIFN)
.S Z="" F S Z=$O(IBXDATA(Z)) K:$O(IBXDATA(0))=""&(Z="") IBXDATA Q:Z="" S:$P(IBXDATA(Z),U,2) ^TMP("IBXSAVE",$J,"DX",IBIFN,$P(IBXDATA(Z),U,2))=Z
;
S IB(0)=$G(^DGCR(399,IBIFN,0)),IB("U")=$G(^("U")),IB("U1")=$G(^("U1"))
S IBI="" F S IBI=$O(^TMP("IBXSAVE",$J,"DX",IBIFN,IBI)) Q:IBI="" S IBDXI(IBI)=^(IBI)
I '$G(IBPRINT) D RVCE^IBCF23(IBIFN,IBIFN)
I $G(IBPRINT) D RVCE^IBCF23(,IBIFN)
; Returns IBFLD(24) = begin date ^ end date ^ pos ^ tos ^
; proc/bedsection/revenue code ^ dx pointer ^ unit charge ^
; units ^ modifiers ^ purchased charge amount ^ anesthesia minutes ^
; emergency indicator ^ soft pointer to PROCEDURES multiple in file 399 ^
; NDC ^ Units
; IBFLD(24,n,type,item)=""
; IBFLD(24,n_"A") = revenue code abbreviation if no procedure
; IBFLD(24,n,"AUX") = 'AUX' node of line item
; IBFLD(24,n,"RX") = soft pointer to file 362.4 from 'item' fld
; (can be null)
;
D SET^IBCSC5A(IBIFN,.IBRX) ;prescriptions
; IBRX1(ien 362.4)=RX#^drug ien^NDC^refil #^(re)fil date^qty^days^chrge
I IBRX S IBRX="" F S IBRX=$O(IBRX(IBRX)) Q:IBRX="" S IBRX0=0 F S IBRX0=$O(IBRX(IBRX,IBRX0)) Q:'IBRX0 D
. N IBRXH
. S IBRXH=IBRX(IBRX,IBRX0)
. ; **IB*2.0*432** added _U_$P(IBRXH,U,9) (Rx Date) to Output Formatter
. S IBRX1(+IBRXH)=IBRX_U_$P(IBRXH,U,2)_U_$P(IBRXH,U,5)_U_$P(IBRXH,U,7)_U_IBRX0_U_$P(IBRXH,U,4)_U_$P(IBRXH,U,3)_U_$P(IBRXH,U,6)_U_+IBRXH_U_$P(IBRXH,U,8)_U_$P(IBRXH,U,9)
K IBRX
;
; for EDI, remove any $0 line items from the IBFLD array before
; dropping down into the next loop (IB*2*371)
; Start IB*2.0*447 BI - Code removed to allow 0 dollars to print.
;I '$G(IBPRINT) D
;. NEW IBZ,IBI,Z
;. M IBZ=IBFLD K IBFLD
;. S (IBI,Z)=0
;. F S IBI=$O(IBZ(24,IBI)) Q:IBI'=+IBI D
;.. I $P(IBZ(24,IBI),U,7)*$P(IBZ(24,IBI),U,8)'>0 Q
;.. S Z=Z+1
;.. M IBFLD(24,Z)=IBZ(24,IBI)
;.. S IBFLD(24)=Z
;.. Q
;. Q
; End IB*2.0*447 BI
;
S IBI=0
F S IBI=$O(IBFLD(24,IBI)) Q:IBI'=+IBI D
. S IBRX1=0
. S IBXDATA(IBI)=$P(IBFLD(24,IBI),U)_U_$P(IBFLD(24,IBI),U,$S($P(IBFLD(24,IBI),U,2)=""&'$G(IBPRINT):1,1:2))
. S $P(IBXDATA(IBI),U,3,5)=$P(IBFLD(24,IBI),U,3,5)
. S $P(IBXDATA(IBI),U,6)=$S($D(IBFLD(24,IBI_"X")):"CJ",1:"HC")
. S $P(IBXDATA(IBI),U,7,13)=$P(IBFLD(24,IBI),U,6,12)
. S $P(IBXDATA(IBI),U,14)=+$$ISLAB(IBXDATA(IBI))
. ; MRD;IB*2.0*516 - Added NDC and Units to line level of claim,
. ; pieces 14 & 15 of IBFLD, pieces 15 & 16 of IBXDATA. Print
. ; in Box 24 by setting in IBXDATA(IBI,"TEXT").
. ;S $P(IBXDATA(IBI),U,15,16)=$P(IBFLD(24,IBI),U,14,15)
. ;I $P(IBFLD(24,IBI),U,14)'="" S IBXDATA(IBI,"TEXT")="N4"_$P(IBFLD(24,IBI),U,14)_" UN"_$P(IBFLD(24,IBI),U,15)
. ; vd/IB*2*577 - Added Unit/Basis of Measurement to line level of claim,
. ; piece 16 of IBFLD, piece 17 of IBXDATA.
. ; Print in Box 24 by setting in IBXDATA(IBI,"TEXT").
. S $P(IBXDATA(IBI),U,15,17)=$P(IBFLD(24,IBI),U,14,16)
. I $P(IBFLD(24,IBI),U,14)'="" S IBXDATA(IBI,"TEXT")="N4"_$P(IBFLD(24,IBI),U,14)_" "_$P(IBFLD(24,IBI),U,16)_$P(IBFLD(24,IBI),U,15)
. ;
. I $D(IBFLD(24,IBI,"RX")) D ;Rx
.. S IBRX1=1
.. I $P($G(IBFLD(24,IBI,"AUX")),U,8)'="" S $P(IBFLD(24,IBI,"AUX"),U,8)="",$P(IBFLD(24,IBI,"AUX"),U,9)="" ;No free text allowed for rx's
.. I $D(IBRX1(+IBFLD(24,IBI,"RX"))) D Q ;Soft link exists
...D ZERO^IBRXUTL(+$P(IBRX1(+IBFLD(24,IBI,"RX")),U,2))
... S IBXDATA(IBI,"RX")=IBRX1(+IBFLD(24,IBI,"RX")),$P(IBXDATA(IBI,"RX"),U,2)=$E($G(^TMP($J,"IBDRUG",+$P(IBRX1(+IBFLD(24,IBI,"RX")),U,2),.01)),1,30)
... K IBRX1(+IBFLD(24,IBI,"RX"))
... ; No soft link - must find the first Rx with the same charge
.. S IBRX="" F S IBRX=$O(IBRX1(IBRX)) Q:'IBRX I +$P(IBRX1(IBRX),U,8)=+$P(IBXDATA(IBI),U,8) D Q
... D ZERO^IBRXUTL(+$P(IBRX1(IBRX),U,2))
... S IBXDATA(IBI,"RX")=IBRX1(IBRX),$P(IBXDATA(IBI,"RX"),U,2)=$E($G(^TMP($J,"IBDRUG",+$P(IBRX1(IBRX),U,2),.01)),1,30) K IBRX1(IBRX) Q
... Q
.. Q
. ;
. ; MRD;IB*2.0*516 - If additional service line comments to appear in
. ; Box 24, concatenate to front if something (NDC) is already there.
. I $G(IBFLD(24,IBI,"AUX"))'="" D
.. I $G(IBPRINT),$P(IBFLD(24,IBI,"AUX"),U,8)'="" D
... I $G(IBXDATA(IBI,"TEXT"))'="" S IBXDATA(IBI,"TEXT")=$E($P(IBFLD(24,IBI,"AUX"),U,8)_" "_IBXDATA(IBI,"TEXT"),1,59)
... E S IBXDATA(IBI,"TEXT")=$P(IBFLD(24,IBI,"AUX"),U,8)
... S $P(IBFLD(24,IBI,"AUX"),U,8)=""
... Q
.. S IBXDATA(IBI,"AUX")=IBFLD(24,IBI,"AUX")
.. Q
. ;
. ;JWS;IB*2.0*592:US131
. I $G(IBFLD(24,IBI,"DEN"))'="" S IBXDATA(IBI,"DEN")=IBFLD(24,IBI,"DEN")
. I $G(IBFLD(24,IBI,"DEND"))'="" S IBXDATA(IBI,"DEND")=$P(IBFLD(24,IBI,"DEND"),"^",4)
. I $O(IBFLD(24,IBI,"DEN1",0)) M IBXDATA(IBI,"DEN1")=IBFLD(24,IBI,"DEN1")
. ;end - ;JWS;IB*2.0*592:US131
. I $G(IBPRINT) D
.. ; START IB*2.0*447 BI ZERO DOLLAR CHANGES
.. ; I '$P(IBXDATA(IBI),U,8),'$G(IBXDATA(IBI,"RX")) D Q
.. I $P(IBXDATA(IBI),U,8)="",'$G(IBXDATA(IBI,"RX")) D Q
... ; END IB*2.0*447 BI ZERO DOLLAR CHANGES
... I $G(IBNOSHOW) Q ; don't show errors/warnings
... S IBXDATA(IBI,"TEXT")="Warning:** REV CODE UNITS < #PROCEDURES, THEY MUST BE ="
... I $D(IBXDATA(IBI,"AUX")) S $P(IBXDATA(IBI,"AUX"),U,9)=""
... Q
.. ;
.. I $G(IBFLD(24,IBI_"A"))'="" D Q
... S IBXDATA(IBI,"A")=IBFLD(24,IBI_"A")
... I $G(IBNOSHOW) Q ; don't show errors/warnings
... S IBXDATA(IBI,"TEXT")="Warning:** REV CODE UNITS > #PROCEDURES, THEY MUST BE=: "_IBFLD(24,IBI_"A")
... I $D(IBXDATA(IBI,"AUX")) S $P(IBXDATA(IBI,"AUX"),U,9)=""
... Q
.. ;
.. S IBRX=$G(IBXDATA(IBI,"RX"))
.. I IBRX'="" D ;Format Rx detail
... N Z
... S Z=$P(IBRX,U)
... S Z=$S(Z'="":"Rx#"_Z_" ",1:"RX: ")
... S IBXDATA(IBI,"TEXT")=Z_$S($P(IBRX,U,3)'="":"NDC: "_$P(IBRX,U,3),1:"NOC: "_$P(IBRX,U,2))_" Qty: "_$P(IBRX,U,6)_" Days: "_$P(IBRX,U,7)
... S $P(IBXDATA(IBI,"AUX"),U,9)="N4" ; service line comment qualifier for RX's
... Q
.. Q
. S IBXDATA(IBI,"CPLNK")=$P(IBFLD(24,IBI),U,13)
. I '$G(IBPRINT) D COBLINE^IBCEU6(IBIFN,IBI,.IBXDATA,,.IBXTRA)
. Q
;
I $G(IBPRINT) D
. S IBRX=0 F S IBRX=$O(IBRX1(IBRX)) Q:'IBRX D
.. S IBI=+$O(IBXDATA(""),-1)+1
.. S IBXDATA(IBI)=$$DATE($P(IBRX1(IBRX),U,5))
.. S IBXDATA(IBI,"TEXT")="**** ERROR - NO PROC LINK TO REV CODE FOR DRUG: RX#: "_$P(IBRX1(IBRX),U)_" NDC #: "_$P(IBRX1(IBRX),U,3)
.. I $D(IBXDATA(IBI,"AUX")) S $P(IBXDATA(IBI,"AUX"),U,9)=""
.. S IBXDATA(IBI,"ARX")=""
.. D ZERO^IBRXUTL(+$P(IBRX1(IBRX),U,2))
.. S IBXDATA(IBI,"RX")=IBRX1(IBRX),$P(IBXDATA(IBI,"RX"),U,2)=$E($G(^TMP($J,"IBDRUG",+$P(IBRX1(IBRX),U,2),.01)),1,30) K IBRX1(IBRX)
.. Q
. Q
;
I '$G(IBPRINT),$D(IBXTRA) D COMBO^IBCEU2(.IBXDATA,.IBXTRA,0) ;Handle bundled/unbundled lines
K ^TMP($J,"IBDRUG")
Q
;
ISLAB(LDATA) ; Returns 0/1 if line item data indicates the item is a lab (1)
; 'LAB' is defined here as type of service = 5
Q $E($P(LDATA,U,4))="5"
;
FMT(DATA,DLEN,FLEN) ; Returns a string in DATA with a max length of DLEN
; and a field length of FLEN
Q $E($E(DATA,1,DLEN)_$J("",FLEN),1,FLEN)
;
DATE(X,DEL) ; Returns FM date in X as MMxDDxYYYY where x=DEL
S DEL=$G(DEL)
S X=$$DATE^IBCF2(X,1,1)
I X'="" S X=$E(X,1,2)_DEL_$E(X,3,4)_DEL_$E(X,5,8)
Q X
;
BATCH() ; Sets up record for and stores/returns the next batch number
N NUM,FAC,DO,DD,DLAYGO,DIC,X,Y
;Keep latest batch number for view/print edi bill extract data option
I $D(IBVNUM) S NUM=IBVNUM G BATCHQ
;Check for batch resubmit - if yes, use same number as original batch
I $P($G(^TMP("IBRESUBMIT",$J)),U,3)=1 S NUM=$P(^($J),U) G BATCHQ
;JWS;IB*2.0*623v24;7/17/19 increased lock timeout to 10 sec from 5
;JWS;IB*2.0*641v12;5/21/20 testing increase of lock timeout to 30 sec, from 10
L +^IBA(364.1,0):30 I '$T Q 0
S FAC=+$P($$SITE^VASITE(),U,3),NUM=$O(^IBA(364.1,"B",""),-1)
S NUM=NUM+1
;JWS;IB*2.0*641v8;increase batch# field from 10 to 12
;;I $L(NUM)<12 S NUM=FAC_"00"_$E(NUM,4,10)
;I $D(^IBA(364.1,+NUM,0)),$P(^(0),U,2)="" F D Q:'NUM!($P($G(^IBA(364.1,+NUM,0)),U,2)'="")
;. I $D(^IBA(364.1,NUM,0)) S DA=NUM,DIK="^IBA(364.1," D ^DIK
;. S NUM=$O(^IBA(364.1,"B",""),-1)
;JWS;IB*2.0*623v24;commented out code below, thus needed to set NUM=NUM+1 above
;JWS;IB*2.0*623;bug when number = 4424420000
;F S NUM=$S($P(NUM,FAC,2)'="":NUM+1,1:FAC_"0000001") Q:'$D(^IBA(364.1,"B",NUM))
;JWS;IB*2.0*623v24;commented out code below, looking for unused batch#s
;I $E(NUM,1,3)'=FAC S NUM=FAC_"0000001"
;F Q:'$D(^IBA(364.1,"B",NUM)) S NUM=NUM+1
;
K DO,DD S DIC="^IBA(364.1,",DLAYGO=364.1,DIC(0)="L",X=NUM D FILE^DICN K DD,DO I Y'>0 S NUM=0
L -^IBA(364.1,0)
;
BATCHQ Q NUM
;
GETLDAT(IBXIEN) ; Extract data for 837 transmission LDAT record
; IBXIEN - ien in file 399
; Sets up IBXSAVE("LDAT",n) array:
; Attachment report type ^ Attachment report transmission code ^ Attachment control number ^
; OB Anesthesia Additional Units ^ Purchase Service Provider ID ^ Purchase Service Amount ^
N CPIEN,FTYPE,IBXDATA,IDS,IBIDS,NODE1,PSAMNT,PSPID,Z,PCE1,LINE
I '+$G(IBXIEN) Q
K IBXSAVE("LDAT")
S FTYPE=$$FT^IBCEF(IBXIEN)
;JWS;IB*2.0*592; added Dental form
I FTYPE=2!(FTYPE=7) D OUTPT(IBXIEN,0)
I FTYPE=3 D HOS^IBCEF2(IBXIEN)
D ALLIDS^IBCEFP(IBXIEN,.IDS,1)
S (PSPID,PSAMNT)=""
; IB*2.0*473/TAZ - Convert PROVIDER code to function call to PSID^IBCEFP
I $$SUB1OK^IBCEP8A(IBXIEN),(FTYPE=2) D
. D PSID^IBCEFP(IBXIEN,.IDS,.IBIDS)
. S PSPID=$G(IBIDS(0)) I PSPID="" S PSPID=$P($G(IBIDS(1)),U,1)
;IB*2.0*473/TAZ - END
S Z=0 F S Z=$O(IBXDATA(Z)) Q:'Z D
. S CPIEN=+$G(IBXDATA(Z,"CPLNK")) ;I 'CPIEN Q
. I FTYPE=2,$$SUB1OK^IBCEP8A(IBXIEN) S PSAMNT=$$DOLLAR^IBCEFG1($P($G(IBXDATA(Z)),U,11))
. S (PCE1,NODE1)=""
. I CPIEN D
. . S NODE1=$G(^DGCR(399,IBXIEN,"CP",CPIEN,1))
. . S PCE1=$$GET1^DIQ(399.0304,CPIEN_","_IBXIEN_",",71)
. . Q
. ; MRD;IB*2.0*516 - Added addl. procedure description as piece 7
. ; of IBXSAVE, which will exist only if the procedure ends in '99'
. ; or is an 'NOC/NOS' procedure.
. ;JWS;IB*2.0*592;do not include NOC description here for Dental claims
. S IBXSAVE("LDAT",Z)=PCE1_U_$P(NODE1,U,3)_U_$P(NODE1,U)_U_$P(NODE1,U,5)_U_$G(PSPID)_U_$G(PSAMNT)_U_$S(FTYPE=7:"",1:$P(NODE1,U,4))
. Q
Q
;
;/Beginning of IB*2.0*608 (US9) - vd
LDAT ;
N Z K IBXDATA
S Z=0 F S Z=$O(IBXSAVE("LDAT",Z)) Q:'Z D
. S IBXDATA(Z)=Z D:Z>1 ID^IBCEF2(Z,"LDAT")
;
I +$G(VC80) D
. S Z=$O(IBXDATA(""),-1)+1
. D ID^IBCEF2(Z,"LDAT")
. D VC80L(IBXIEN,Z) ; Process for 'SNF' claims & the last claim line
. S A=Z
. S IBXDATA(Z)=A
Q
;
VC80L(IBIFN,LN) ; Extracts the data for the "LDAT" record for VALUE CODE 80 Line item.
; IBIFN = Claims internal id number
; LN =
N VC80LN
S VC80LN=LN
S $P(IBXSAVE("LDAT",VC80LN),U,11)="6R"
S $P(IBXSAVE("LDAT",VC80LN),U,12)=VC80LN_"_"_$$GET1^DIQ(399,IBIFN_", ",.01)
Q
;/Ending of IB*2.0*608 - vd
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEF11 13989 printed Jun 11, 2024@21:51:37 Page 2
IBCEF11 ;ALB/TMP - FORMATTER SPECIFIC BILL FUNCTIONS - CONT ;30-JAN-96
+1 ;;2.0;INTEGRATED BILLING;**51,137,155,309,335,348,349,371,432,447,473,516,577,592,608,623,641**;21-MAR-94;Build 61
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
BOX24D(A,IB) ; Returns the lines for boxes 19-24 of the CMS-1500 display
+1 ; IB = flag is 1 if only box 24 is needed
+2 QUIT $SELECT('$GET(IB):"36",1:"44")_"^55"
+3 ;
RCBOX() ; Returns the lines for revenue code boxes of the UB-04 display
+1 QUIT "19^41"
+2 ;
OUTPT(IBIFN,IBPRINT) ; Returns an array of service line data from
+1 ; CMS-1500 box 24. Output is in IBXDATA(n)
+2 ; IBPRINT = print flag 1: return print fields
+3 ; 0: return EDI fields
+4 ; Uses diagnosis array ^TMP("IBXSAVE",$J,"DX",IBIFN,DIAG CODE)=SEQ #
+5 ; if it already exists. If not, it builds it from N-DIAGNOSES element
+6 ;
+7 ; For EDI call: Returns IBXDATA(n)=
+8 ; begin date(YYYYMMDD) ^ end date(YYYYMMDD) ^ pos ^ tos ^
+9 ; proc code/revenue code - if no procedure (not the pointers) ^
+10 ; type of code ^ dx pointer(s ) ^ unit charge ^ units ^ modifiers separated by ;
+11 ; ^ purchased charge amount ^ anesthesia minutes ^ emergency indicator ^
+12 ; lab-type service flag ^ NDC ^ Units/Quantity ^ Unit/Basis of Measurement (vd/IB*2*577)
+13 ;
+14 ; Also Returns IBXDATA(IBI,"COB",COB,m) with COB data for each line
+15 ; item found in an accepted EOB for the bill and = the reference
+16 ; line in the first '^' piece followed by the '0' node data of file
+17 ; 361.115 (LINE LEVEL ADJUSTMENTS)
+18 ; COB = COB sequence # of adjustment's ins co, m = seq #
+19 ; -- AND --
+20 ; IBXDATA(IBI,"COB",COB,m,z,p)=
+21 ; the data on the '0' node for each subordinate entry of file
+22 ; 361.11511 (REASONS) (Only first 3 pieces for 837 output)
+23 ; z = group code, sometimes preceeded by a space p = seq #
+24 ;
+25 ; For Print call: Returns begin date(DDMMYYYY)^end date(DDMMYYYY) or
+26 ; null if equal to begin date^pos^tos^bedsection name(if no procedure)
+27 ; or procedure code(not the pointer)^ ... refer to EDI call results
+28 ; Also, IBXDATA(n,"TEXT")=the text to print on first line of box 24,
+29 ; If no procedure code, returns IBXDATA(n,"A")=rev code abbrev
+30 ;
+31 ; For both calls, returns IBXDATA(n,item type,item ptr)=""
+32 ; -- AND --
+33 ; IBXDATA(n,"RX")=RX#^drug name^NDC^refill #^(re)fill date^qty^days
+34 ; ^chrge^ien of file 362.4^NDC format
+35 ; If line references a prescription
+36 ; -- AND --
+37 ; If no revenue code for a prescription, returns IBXDATA(n,"ARX")=""
+38 ; -- AND --
+39 ; IBXDATA(n,"AUX")='AUX' node of the procedure entry
+40 ;
+41 ; Also returns IBXDATA(n,"CPLNK") = soft link to corresponding entry in PROCEDURES multiple of file 399
+42 ;
+43 NEW IB,IBI,IBJ,IBFLD,IBDXI,IBXIEN,Z,IBXTRA,IBRX,IBRX0,IBRX1,Z0,Z1
+44 ;
+45 KILL ^TMP($JOB,"IBITEM")
+46 SET ^TMP($JOB,"IBITEM")=""
+47 ; Build diagnosis array if not already built
+48 IF $ORDER(^TMP("IBXSAVE",$JOB,"DX",IBIFN,""))=""
IF $ORDER(^IBA(362.3,"AIFN"_IBIFN,""))
Begin DoDot:1
+49 NEW Z,IBXDATA
DO F^IBCEF("N-DIAGNOSES",,,IBIFN)
+50 SET Z=""
FOR
SET Z=$ORDER(IBXDATA(Z))
if $ORDER(IBXDATA(0))=""&(Z="")
KILL IBXDATA
if Z=""
QUIT
if $PIECE(IBXDATA(Z),U,2)
SET ^TMP("IBXSAVE",$JOB,"DX",IBIFN,$PIECE(IBXDATA(Z),U,2))=Z
End DoDot:1
+51 ;
+52 SET IB(0)=$GET(^DGCR(399,IBIFN,0))
SET IB("U")=$GET(^("U"))
SET IB("U1")=$GET(^("U1"))
+53 SET IBI=""
FOR
SET IBI=$ORDER(^TMP("IBXSAVE",$JOB,"DX",IBIFN,IBI))
if IBI=""
QUIT
SET IBDXI(IBI)=^(IBI)
+54 IF '$GET(IBPRINT)
DO RVCE^IBCF23(IBIFN,IBIFN)
+55 IF $GET(IBPRINT)
DO RVCE^IBCF23(,IBIFN)
+56 ; Returns IBFLD(24) = begin date ^ end date ^ pos ^ tos ^
+57 ; proc/bedsection/revenue code ^ dx pointer ^ unit charge ^
+58 ; units ^ modifiers ^ purchased charge amount ^ anesthesia minutes ^
+59 ; emergency indicator ^ soft pointer to PROCEDURES multiple in file 399 ^
+60 ; NDC ^ Units
+61 ; IBFLD(24,n,type,item)=""
+62 ; IBFLD(24,n_"A") = revenue code abbreviation if no procedure
+63 ; IBFLD(24,n,"AUX") = 'AUX' node of line item
+64 ; IBFLD(24,n,"RX") = soft pointer to file 362.4 from 'item' fld
+65 ; (can be null)
+66 ;
+67 ;prescriptions
DO SET^IBCSC5A(IBIFN,.IBRX)
+68 ; IBRX1(ien 362.4)=RX#^drug ien^NDC^refil #^(re)fil date^qty^days^chrge
+69 IF IBRX
SET IBRX=""
FOR
SET IBRX=$ORDER(IBRX(IBRX))
if IBRX=""
QUIT
SET IBRX0=0
FOR
SET IBRX0=$ORDER(IBRX(IBRX,IBRX0))
if 'IBRX0
QUIT
Begin DoDot:1
+70 NEW IBRXH
+71 SET IBRXH=IBRX(IBRX,IBRX0)
+72 ; **IB*2.0*432** added _U_$P(IBRXH,U,9) (Rx Date) to Output Formatter
+73 SET IBRX1(+IBRXH)=IBRX_U_$PIECE(IBRXH,U,2)_U_$PIECE(IBRXH,U,5)_U_$PIECE(IBRXH,U,7)_U_IBRX0_U_$PIECE(IBRXH,U,4)_U_$PIECE(IBRXH,U,3)_U_$PIECE(IBRXH,U,6)_U_+IBRXH_U_$PIECE(IBRXH,U,8)_U_$PIECE(IBRXH,U,9)
End DoDot:1
+74 KILL IBRX
+75 ;
+76 ; for EDI, remove any $0 line items from the IBFLD array before
+77 ; dropping down into the next loop (IB*2*371)
+78 ; Start IB*2.0*447 BI - Code removed to allow 0 dollars to print.
+79 ;I '$G(IBPRINT) D
+80 ;. NEW IBZ,IBI,Z
+81 ;. M IBZ=IBFLD K IBFLD
+82 ;. S (IBI,Z)=0
+83 ;. F S IBI=$O(IBZ(24,IBI)) Q:IBI'=+IBI D
+84 ;.. I $P(IBZ(24,IBI),U,7)*$P(IBZ(24,IBI),U,8)'>0 Q
+85 ;.. S Z=Z+1
+86 ;.. M IBFLD(24,Z)=IBZ(24,IBI)
+87 ;.. S IBFLD(24)=Z
+88 ;.. Q
+89 ;. Q
+90 ; End IB*2.0*447 BI
+91 ;
+92 SET IBI=0
+93 FOR
SET IBI=$ORDER(IBFLD(24,IBI))
if IBI'=+IBI
QUIT
Begin DoDot:1
+94 SET IBRX1=0
+95 SET IBXDATA(IBI)=$PIECE(IBFLD(24,IBI),U)_U_$PIECE(IBFLD(24,IBI),U,$SELECT($PIECE(IBFLD(24,IBI),U,2)=""&'$GET(IBPRINT):1,1:2))
+96 SET $PIECE(IBXDATA(IBI),U,3,5)=$PIECE(IBFLD(24,IBI),U,3,5)
+97 SET $PIECE(IBXDATA(IBI),U,6)=$SELECT($DATA(IBFLD(24,IBI_"X")):"CJ",1:"HC")
+98 SET $PIECE(IBXDATA(IBI),U,7,13)=$PIECE(IBFLD(24,IBI),U,6,12)
+99 SET $PIECE(IBXDATA(IBI),U,14)=+$$ISLAB(IBXDATA(IBI))
+100 ; MRD;IB*2.0*516 - Added NDC and Units to line level of claim,
+101 ; pieces 14 & 15 of IBFLD, pieces 15 & 16 of IBXDATA. Print
+102 ; in Box 24 by setting in IBXDATA(IBI,"TEXT").
+103 ;S $P(IBXDATA(IBI),U,15,16)=$P(IBFLD(24,IBI),U,14,15)
+104 ;I $P(IBFLD(24,IBI),U,14)'="" S IBXDATA(IBI,"TEXT")="N4"_$P(IBFLD(24,IBI),U,14)_" UN"_$P(IBFLD(24,IBI),U,15)
+105 ; vd/IB*2*577 - Added Unit/Basis of Measurement to line level of claim,
+106 ; piece 16 of IBFLD, piece 17 of IBXDATA.
+107 ; Print in Box 24 by setting in IBXDATA(IBI,"TEXT").
+108 SET $PIECE(IBXDATA(IBI),U,15,17)=$PIECE(IBFLD(24,IBI),U,14,16)
+109 IF $PIECE(IBFLD(24,IBI),U,14)'=""
SET IBXDATA(IBI,"TEXT")="N4"_$PIECE(IBFLD(24,IBI),U,14)_" "_$PIECE(IBFLD(24,IBI),U,16)_$PIECE(IBFLD(24,IBI),U,15)
+110 ;
+111 ;Rx
IF $DATA(IBFLD(24,IBI,"RX"))
Begin DoDot:2
+112 SET IBRX1=1
+113 ;No free text allowed for rx's
IF $PIECE($GET(IBFLD(24,IBI,"AUX")),U,8)'=""
SET $PIECE(IBFLD(24,IBI,"AUX"),U,8)=""
SET $PIECE(IBFLD(24,IBI,"AUX"),U,9)=""
+114 ;Soft link exists
IF $DATA(IBRX1(+IBFLD(24,IBI,"RX")))
Begin DoDot:3
+115 DO ZERO^IBRXUTL(+$PIECE(IBRX1(+IBFLD(24,IBI,"RX")),U,2))
+116 SET IBXDATA(IBI,"RX")=IBRX1(+IBFLD(24,IBI,"RX"))
SET $PIECE(IBXDATA(IBI,"RX"),U,2)=$EXTRACT($GET(^TMP($JOB,"IBDRUG",+$PIECE(IBRX1(+IBFLD(24,IBI,"RX")),U,2),.01)),1,30)
+117 KILL IBRX1(+IBFLD(24,IBI,"RX"))
+118 ; No soft link - must find the first Rx with the same charge
End DoDot:3
QUIT
+119 SET IBRX=""
FOR
SET IBRX=$ORDER(IBRX1(IBRX))
if 'IBRX
QUIT
IF +$PIECE(IBRX1(IBRX),U,8)=+$PIECE(IBXDATA(IBI),U,8)
Begin DoDot:3
+120 DO ZERO^IBRXUTL(+$PIECE(IBRX1(IBRX),U,2))
+121 SET IBXDATA(IBI,"RX")=IBRX1(IBRX)
SET $PIECE(IBXDATA(IBI,"RX"),U,2)=$EXTRACT($GET(^TMP($JOB,"IBDRUG",+$PIECE(IBRX1(IBRX),U,2),.01)),1,30)
KILL IBRX1(IBRX)
QUIT
+122 QUIT
End DoDot:3
QUIT
+123 QUIT
End DoDot:2
+124 ;
+125 ; MRD;IB*2.0*516 - If additional service line comments to appear in
+126 ; Box 24, concatenate to front if something (NDC) is already there.
+127 IF $GET(IBFLD(24,IBI,"AUX"))'=""
Begin DoDot:2
+128 IF $GET(IBPRINT)
IF $PIECE(IBFLD(24,IBI,"AUX"),U,8)'=""
Begin DoDot:3
+129 IF $GET(IBXDATA(IBI,"TEXT"))'=""
SET IBXDATA(IBI,"TEXT")=$EXTRACT($PIECE(IBFLD(24,IBI,"AUX"),U,8)_" "_IBXDATA(IBI,"TEXT"),1,59)
+130 IF '$TEST
SET IBXDATA(IBI,"TEXT")=$PIECE(IBFLD(24,IBI,"AUX"),U,8)
+131 SET $PIECE(IBFLD(24,IBI,"AUX"),U,8)=""
+132 QUIT
End DoDot:3
+133 SET IBXDATA(IBI,"AUX")=IBFLD(24,IBI,"AUX")
+134 QUIT
End DoDot:2
+135 ;
+136 ;JWS;IB*2.0*592:US131
+137 IF $GET(IBFLD(24,IBI,"DEN"))'=""
SET IBXDATA(IBI,"DEN")=IBFLD(24,IBI,"DEN")
+138 IF $GET(IBFLD(24,IBI,"DEND"))'=""
SET IBXDATA(IBI,"DEND")=$PIECE(IBFLD(24,IBI,"DEND"),"^",4)
+139 IF $ORDER(IBFLD(24,IBI,"DEN1",0))
MERGE IBXDATA(IBI,"DEN1")=IBFLD(24,IBI,"DEN1")
+140 ;end - ;JWS;IB*2.0*592:US131
+141 IF $GET(IBPRINT)
Begin DoDot:2
+142 ; START IB*2.0*447 BI ZERO DOLLAR CHANGES
+143 ; I '$P(IBXDATA(IBI),U,8),'$G(IBXDATA(IBI,"RX")) D Q
+144 IF $PIECE(IBXDATA(IBI),U,8)=""
IF '$GET(IBXDATA(IBI,"RX"))
Begin DoDot:3
+145 ; END IB*2.0*447 BI ZERO DOLLAR CHANGES
+146 ; don't show errors/warnings
IF $GET(IBNOSHOW)
QUIT
+147 SET IBXDATA(IBI,"TEXT")="Warning:** REV CODE UNITS < #PROCEDURES, THEY MUST BE ="
+148 IF $DATA(IBXDATA(IBI,"AUX"))
SET $PIECE(IBXDATA(IBI,"AUX"),U,9)=""
+149 QUIT
End DoDot:3
QUIT
+150 ;
+151 IF $GET(IBFLD(24,IBI_"A"))'=""
Begin DoDot:3
+152 SET IBXDATA(IBI,"A")=IBFLD(24,IBI_"A")
+153 ; don't show errors/warnings
IF $GET(IBNOSHOW)
QUIT
+154 SET IBXDATA(IBI,"TEXT")="Warning:** REV CODE UNITS > #PROCEDURES, THEY MUST BE=: "_IBFLD(24,IBI_"A")
+155 IF $DATA(IBXDATA(IBI,"AUX"))
SET $PIECE(IBXDATA(IBI,"AUX"),U,9)=""
+156 QUIT
End DoDot:3
QUIT
+157 ;
+158 SET IBRX=$GET(IBXDATA(IBI,"RX"))
+159 ;Format Rx detail
IF IBRX'=""
Begin DoDot:3
+160 NEW Z
+161 SET Z=$PIECE(IBRX,U)
+162 SET Z=$SELECT(Z'="":"Rx#"_Z_" ",1:"RX: ")
+163 SET IBXDATA(IBI,"TEXT")=Z_$SELECT($PIECE(IBRX,U,3)'="":"NDC: "_$PIECE(IBRX,U,3),1:"NOC: "_$PIECE(IBRX,U,2))_" Qty: "_$PIECE(IBRX,U,6)_" Days: "_$PIECE(IBRX,U,7)
+164 ; service line comment qualifier for RX's
SET $PIECE(IBXDATA(IBI,"AUX"),U,9)="N4"
+165 QUIT
End DoDot:3
+166 QUIT
End DoDot:2
+167 SET IBXDATA(IBI,"CPLNK")=$PIECE(IBFLD(24,IBI),U,13)
+168 IF '$GET(IBPRINT)
DO COBLINE^IBCEU6(IBIFN,IBI,.IBXDATA,,.IBXTRA)
+169 QUIT
End DoDot:1
+170 ;
+171 IF $GET(IBPRINT)
Begin DoDot:1
+172 SET IBRX=0
FOR
SET IBRX=$ORDER(IBRX1(IBRX))
if 'IBRX
QUIT
Begin DoDot:2
+173 SET IBI=+$ORDER(IBXDATA(""),-1)+1
+174 SET IBXDATA(IBI)=$$DATE($PIECE(IBRX1(IBRX),U,5))
+175 SET IBXDATA(IBI,"TEXT")="**** ERROR - NO PROC LINK TO REV CODE FOR DRUG: RX#: "_$PIECE(IBRX1(IBRX),U)_" NDC #: "_$PIECE(IBRX1(IBRX),U,3)
+176 IF $DATA(IBXDATA(IBI,"AUX"))
SET $PIECE(IBXDATA(IBI,"AUX"),U,9)=""
+177 SET IBXDATA(IBI,"ARX")=""
+178 DO ZERO^IBRXUTL(+$PIECE(IBRX1(IBRX),U,2))
+179 SET IBXDATA(IBI,"RX")=IBRX1(IBRX)
SET $PIECE(IBXDATA(IBI,"RX"),U,2)=$EXTRACT($GET(^TMP($JOB,"IBDRUG",+$PIECE(IBRX1(IBRX),U,2),.01)),1,30)
KILL IBRX1(IBRX)
+180 QUIT
End DoDot:2
+181 QUIT
End DoDot:1
+182 ;
+183 ;Handle bundled/unbundled lines
IF '$GET(IBPRINT)
IF $DATA(IBXTRA)
DO COMBO^IBCEU2(.IBXDATA,.IBXTRA,0)
+184 KILL ^TMP($JOB,"IBDRUG")
+185 QUIT
+186 ;
ISLAB(LDATA) ; Returns 0/1 if line item data indicates the item is a lab (1)
+1 ; 'LAB' is defined here as type of service = 5
+2 QUIT $EXTRACT($PIECE(LDATA,U,4))="5"
+3 ;
FMT(DATA,DLEN,FLEN) ; Returns a string in DATA with a max length of DLEN
+1 ; and a field length of FLEN
+2 QUIT $EXTRACT($EXTRACT(DATA,1,DLEN)_$JUSTIFY("",FLEN),1,FLEN)
+3 ;
DATE(X,DEL) ; Returns FM date in X as MMxDDxYYYY where x=DEL
+1 SET DEL=$GET(DEL)
+2 SET X=$$DATE^IBCF2(X,1,1)
+3 IF X'=""
SET X=$EXTRACT(X,1,2)_DEL_$EXTRACT(X,3,4)_DEL_$EXTRACT(X,5,8)
+4 QUIT X
+5 ;
BATCH() ; Sets up record for and stores/returns the next batch number
+1 NEW NUM,FAC,DO,DD,DLAYGO,DIC,X,Y
+2 ;Keep latest batch number for view/print edi bill extract data option
+3 IF $DATA(IBVNUM)
SET NUM=IBVNUM
GOTO BATCHQ
+4 ;Check for batch resubmit - if yes, use same number as original batch
+5 IF $PIECE($GET(^TMP("IBRESUBMIT",$JOB)),U,3)=1
SET NUM=$PIECE(^($JOB),U)
GOTO BATCHQ
+6 ;JWS;IB*2.0*623v24;7/17/19 increased lock timeout to 10 sec from 5
+7 ;JWS;IB*2.0*641v12;5/21/20 testing increase of lock timeout to 30 sec, from 10
+8 LOCK +^IBA(364.1,0):30
IF '$TEST
QUIT 0
+9 SET FAC=+$PIECE($$SITE^VASITE(),U,3)
SET NUM=$ORDER(^IBA(364.1,"B",""),-1)
+10 SET NUM=NUM+1
+11 ;JWS;IB*2.0*641v8;increase batch# field from 10 to 12
+12 ;;I $L(NUM)<12 S NUM=FAC_"00"_$E(NUM,4,10)
+13 ;I $D(^IBA(364.1,+NUM,0)),$P(^(0),U,2)="" F D Q:'NUM!($P($G(^IBA(364.1,+NUM,0)),U,2)'="")
+14 ;. I $D(^IBA(364.1,NUM,0)) S DA=NUM,DIK="^IBA(364.1," D ^DIK
+15 ;. S NUM=$O(^IBA(364.1,"B",""),-1)
+16 ;JWS;IB*2.0*623v24;commented out code below, thus needed to set NUM=NUM+1 above
+17 ;JWS;IB*2.0*623;bug when number = 4424420000
+18 ;F S NUM=$S($P(NUM,FAC,2)'="":NUM+1,1:FAC_"0000001") Q:'$D(^IBA(364.1,"B",NUM))
+19 ;JWS;IB*2.0*623v24;commented out code below, looking for unused batch#s
+20 ;I $E(NUM,1,3)'=FAC S NUM=FAC_"0000001"
+21 ;F Q:'$D(^IBA(364.1,"B",NUM)) S NUM=NUM+1
+22 ;
+23 KILL DO,DD
SET DIC="^IBA(364.1,"
SET DLAYGO=364.1
SET DIC(0)="L"
SET X=NUM
DO FILE^DICN
KILL DD,DO
IF Y'>0
SET NUM=0
+24 LOCK -^IBA(364.1,0)
+25 ;
BATCHQ QUIT NUM
+1 ;
GETLDAT(IBXIEN) ; Extract data for 837 transmission LDAT record
+1 ; IBXIEN - ien in file 399
+2 ; Sets up IBXSAVE("LDAT",n) array:
+3 ; Attachment report type ^ Attachment report transmission code ^ Attachment control number ^
+4 ; OB Anesthesia Additional Units ^ Purchase Service Provider ID ^ Purchase Service Amount ^
+5 NEW CPIEN,FTYPE,IBXDATA,IDS,IBIDS,NODE1,PSAMNT,PSPID,Z,PCE1,LINE
+6 IF '+$GET(IBXIEN)
QUIT
+7 KILL IBXSAVE("LDAT")
+8 SET FTYPE=$$FT^IBCEF(IBXIEN)
+9 ;JWS;IB*2.0*592; added Dental form
+10 IF FTYPE=2!(FTYPE=7)
DO OUTPT(IBXIEN,0)
+11 IF FTYPE=3
DO HOS^IBCEF2(IBXIEN)
+12 DO ALLIDS^IBCEFP(IBXIEN,.IDS,1)
+13 SET (PSPID,PSAMNT)=""
+14 ; IB*2.0*473/TAZ - Convert PROVIDER code to function call to PSID^IBCEFP
+15 IF $$SUB1OK^IBCEP8A(IBXIEN)
IF (FTYPE=2)
Begin DoDot:1
+16 DO PSID^IBCEFP(IBXIEN,.IDS,.IBIDS)
+17 SET PSPID=$GET(IBIDS(0))
IF PSPID=""
SET PSPID=$PIECE($GET(IBIDS(1)),U,1)
End DoDot:1
+18 ;IB*2.0*473/TAZ - END
+19 SET Z=0
FOR
SET Z=$ORDER(IBXDATA(Z))
if 'Z
QUIT
Begin DoDot:1
+20 ;I 'CPIEN Q
SET CPIEN=+$GET(IBXDATA(Z,"CPLNK"))
+21 IF FTYPE=2
IF $$SUB1OK^IBCEP8A(IBXIEN)
SET PSAMNT=$$DOLLAR^IBCEFG1($PIECE($GET(IBXDATA(Z)),U,11))
+22 SET (PCE1,NODE1)=""
+23 IF CPIEN
Begin DoDot:2
+24 SET NODE1=$GET(^DGCR(399,IBXIEN,"CP",CPIEN,1))
+25 SET PCE1=$$GET1^DIQ(399.0304,CPIEN_","_IBXIEN_",",71)
+26 QUIT
End DoDot:2
+27 ; MRD;IB*2.0*516 - Added addl. procedure description as piece 7
+28 ; of IBXSAVE, which will exist only if the procedure ends in '99'
+29 ; or is an 'NOC/NOS' procedure.
+30 ;JWS;IB*2.0*592;do not include NOC description here for Dental claims
+31 SET IBXSAVE("LDAT",Z)=PCE1_U_$PIECE(NODE1,U,3)_U_$PIECE(NODE1,U)_U_$PIECE(NODE1,U,5)_U_$GET(PSPID)_U_$GET(PSAMNT)_U_$SELECT(FTYPE=7:"",1:$PIECE(NODE1,U,4))
+32 QUIT
End DoDot:1
+33 QUIT
+34 ;
+35 ;/Beginning of IB*2.0*608 (US9) - vd
LDAT ;
+1 NEW Z
KILL IBXDATA
+2 SET Z=0
FOR
SET Z=$ORDER(IBXSAVE("LDAT",Z))
if 'Z
QUIT
Begin DoDot:1
+3 SET IBXDATA(Z)=Z
if Z>1
DO ID^IBCEF2(Z,"LDAT")
End DoDot:1
+4 ;
+5 IF +$GET(VC80)
Begin DoDot:1
+6 SET Z=$ORDER(IBXDATA(""),-1)+1
+7 DO ID^IBCEF2(Z,"LDAT")
+8 ; Process for 'SNF' claims & the last claim line
DO VC80L(IBXIEN,Z)
+9 SET A=Z
+10 SET IBXDATA(Z)=A
End DoDot:1
+11 QUIT
+12 ;
VC80L(IBIFN,LN) ; Extracts the data for the "LDAT" record for VALUE CODE 80 Line item.
+1 ; IBIFN = Claims internal id number
+2 ; LN =
+3 NEW VC80LN
+4 SET VC80LN=LN
+5 SET $PIECE(IBXSAVE("LDAT",VC80LN),U,11)="6R"
+6 SET $PIECE(IBXSAVE("LDAT",VC80LN),U,12)=VC80LN_"_"_$$GET1^DIQ(399,IBIFN_", ",.01)
+7 QUIT
+8 ;/Ending of IB*2.0*608 - vd
+9 ;
