IBCEF72 ;WOIFO/SS - FORMATTER AND EXTRACTOR SPECIFIC BILL FUNCTIONS ;8/6/03 10:56am
;;2.0;INTEGRATED BILLING;**232,320,349,432,516,592,623**;21-MAR-94;Build 70
;;Per VA Directive 6402, this routine should not be modified.
;
;
;Input:
;IBINSCO - ptr to #36
;IBFRMTYP 0=unknwn/both,1=UB,2=1500,7=J430D
;IBCARE - 0=unknwn or both inp/outp,1=inpatient, 2=outpatient, 3 -RX
;Output: X12 IDtype^ID^ID TYPE ptr to file 355.97
CH35591(IBINSCO,IBFRMTYP,IBCARE) ;
N IB35591,IBRET,IB1
S IB35591=0,IBRET=""
F S IB35591=$O(^IBA(355.91,"B",IBINSCO,IB35591)) Q:+IB35591=0 Q:IBRET'="" D
. S IB1=$G(^IBA(355.91,IB35591,0))
. I '($P(IB1,"^",4)=0!(IBFRMTYP=0)) Q:$P(IB1,"^",4)'=IBFRMTYP ;if wrong form type
. I ($P(IB1,"^",5)=3)!(IBCARE=3) Q:IBCARE'=$P(IB1,"^",5) ;if not RX
. ;JWS;IB*2.0*592 - if dental, no secondary id's
. I IBFRMTYP=7 Q
. I ($P(IB1,"^",5)=1)!($P(IB1,"^",5)=2) I (IBCARE=1)!(IBCARE=2) Q:$P(IB1,"^",5)'=IBCARE ;if wrong care type
. S IBRET=$P($G(^IBE(355.97,+$P(IB1,"^",6),0)),"^",3)_"^"_$P(IB1,"^",7)_U_+$P(IB1,U,6)
Q IBRET
;
FINDEIN(IBXIEN,IBPROV,IBFAC,IBS) ; find EIN for facility/ SSN for person
; IBXIEN = ien of bill entry file 399
; IBFAC = 1 if facility, 0 if individual provider
; IBPROV = ien of provider (vp format)
; IBS = 1 if person's EIN should be returned if there, otherwise SSN
; FUNCTION RETURNS
; EIN or SSN ^ 24 for EIN, 34 for SSN or null if none found
N Z,Z0,IBARR,IBEIN,IBSSN
S (IBEIN,IBSSN)=""
D ALLID^IBCEP8(IBPROV,"",.IBARR)
S Z=0 F S Z=$O(IBARR(Z)) Q:'Z D Q:IBEIN'=""
. I $G(IBFAC) Q:$P(IBARR(Z),U,7)'="EI" S IBEIN=$P(IBARR(Z),U,2)_U_24 Q
. I $P(IBARR(Z),U,7)="SY" D Q
.. I $G(IBS) S IBSSN=$P(IBARR(Z),U,2)_U_34 Q
. S IBEIN=$P(IBARR(Z),U,2)_U_24
. I $G(IBS),$P(IBARR(Z),U,7)="EI" S IBEIN=$P(IBARR(Z),U,2)_U_24
I $G(IBS),IBEIN="" S IBEIN=IBSSN
Q IBEIN
;
;
NONVAID(IBXIEN,IBX,IBFAC,IBS) ; Find the non-VA provider default id
; IBXIEN = the ien of the bill (file 399)
; IBX = id data returned if passed by reference
; IBFAC = 1 if getting the id for the facility or 0 for rendering prov
; IBS = 1 if getting id for person, but need the EIN if there
; Function returns the id^type of id^person/facility flag:
; Type of id: 1 = SSN 2 = EIN 0 = not found
; person/facility: 1 = person 2 = facility
N Z,IBXSAVE,IBU2,IBTYPE,IBZ,IBF,IBPROV,Q,Q0
S IBTYPE=2,IBU2=$G(^DGCR(399,IBXIEN,"U2")),IBF=2,IBPROV=""
;
S Z=$P(IBU2,U,10)
I 'Z S IBX="",IBTYPE=0 G NONVAQ ; Not a non-VA facility
S IBPROV=Z_";IBA(355.93,"
;
; Get EIN
I $G(IBFAC) D G NONVAQ
. S IBX=$P($$FINDEIN(IBXIEN,IBPROV,IBFAC),U),IBTYPE=2
;
; Get EIN/SSN
I '$G(IBFAC) D G NONVAQ
. S IBX="",IBF=1
. S Q0=($$FT^IBCEF(IBXIEN)=3)+3 ; 3 for rendering/4 for attending
. S Q=+$O(^DGCR(399,IBXIEN,"PRV","B",Q0,0))
. S IBPROV=$P($G(^DGCR(399,IBXIEN,"PRV",Q,0)),U,2)
. I IBPROV S IBX=$$FINDEIN(IBXIEN,IBPROV,IBFAC,$G(IBS)),IBTYPE=$S($P(IBX,U,2)=24:2,$P(IBX,U,2)=34:1,1:0),IBX=$P(IBX,U)
;
NONVAQ I IBTYPE,IBX="",$P(IBU2,U,12)'="" S IBX=$P(IBU2,U,12) ; pull from 399
S IBX=$G(IBX)
Q IBX_U_IBTYPE_U_IBF
;----
;checks if there is data for OP* segments and
;then populates PROV COB SEQ
;Input:
;IBXIEN - ien in #399
;IBSAVE - "in" array (i.e. IBXSAVE)
;IBDATA - "out" array (i.e. IBXDATA)
;IBFUNC - FUNCTION from #399 (1-refering, 2 -operating, etc)
;IBSEGM - segment record ID, optional
;Output:
; IBDATA with formatted output
PROVSEQ(IBXIEN,IBSAVE,IBDATA,IBFUNC,IBSEGM) ;
N IB1,IBINS,IBFL
;S IBFL=$S(IBFUNC=3!(IBFUNC=4):1,1:0)
F IB1=1,2 D
. I '$$ISINSUR^IBCEF71($G(IBSAVE("PROVINF",IBXIEN,"O",IB1)),IBXIEN) Q ;don't create anything if there is no such insurance
. ;*432/TAZ - Removed. Attending and Rendering can be on same bill now.
. ;I IBFL S IBFUNC=$S($O(IBSAVE("PROVINF",IBXIEN,"O",IB1,3,0)):3,1:4)
. I '$O(IBSAVE("PROVINF",IBXIEN,"O",IB1,IBFUNC,0)) Q
. S IBDATA(IB1)=$G(IBSAVE("PROVINF",IBXIEN,"O",IB1))
. I $G(IBSEGM)'="" D ID^IBCEF2(IB1,IBSEGM)
Q
;
OUTPRVID(IBXIEN,IBXSAVE) ; Extract the outside provider or facility ids
; into IBXSAVE array
; Function returns 1 if person or 2 if facility ids or "" if neither
N Z,IBXDATA,IBPERSON,TAG
;WCJ;11/1/2005 Extract the first 3 chars of Z instead.
S Z=$E($$PSPRV^IBCEF7(IBXIEN),1,3),IBPERSON=""
;EJK 8/23/05 IB*320 - CHANGED Z=101 TO Z=1010. Z WILL ALWAYS BE A 4 DIGIT #.
; WCJ 11/1/2005 ; Removed EJK's change and added above change
I Z=111!(Z=101) S TAG=$S(Z=101:"OUTSIDE FAC PROVIDER INF",1:"CUR/OTH PROVIDER INFO") D F^IBCEF("N-ALL "_TAG) S IBPERSON=$S('$E(Z,2):2,1:1)
Q IBPERSON
;
OUTPRV(IBREC,IBXIEN,IBXSAVE) ; Extract the outside provider or facility ids
; into IBXSAVE array
; Function returns 1 if person or 2 if facility ids or "" if neither
; IBREC = the record whose ids should be returned
N IBPERSON,IBFRM,IBTYPE,IBFAC
I IBREC="SUB1"!(IBREC="OP6") D
. K IBXSAVE("PROVINF",IBXIEN),IBXSAVE("PROVINF_FAC",IBXIEN)
. S IBPERSON=$$OUTPRVID(IBXIEN,.IBXSAVE),IBFAC=$S(IBPERSON=1:0,1:1)
E D
. K IBXSAVE("PROVINF_FAC",IBXIEN)
. D F^IBCEF("N-ALL OUTSIDE FAC PROVIDER INF")
. S IBPERSON=2,IBFAC=1
S IBFRM=$$FT^IBCEF(IBXIEN),IBFRM=$S(IBFRM=2:2,1:1)
S IBTYPE=$S(IBREC["SUB":"C",1:"O")
D CHCKSUB^IBCEF73(IBFRM,IBREC,IBFAC,IBTYPE,.IBXSAVE)
Q IBPERSON
;
;get IENs in file #36 for other insurances
OTHINS(IB399,IBRES) ;
N IBFRMTYP,Z,Z1,Z2,Z4
S Z=$$COBN^IBCEF(IB399),Z0=0
F Z1=1:1:3 I Z1'=Z,$D(^DGCR(399,IB399,"I"_Z1)) D
. S Z0=Z0+1
. ; MRD;IB*2.0*516 - Added HPID as second piece.
. ; vd - IB*2.0*623 - Added M2 as third piece.
. ; JWS - IB*2.0*623 - needs $G around ^DGCR references
. ;S IBRES(Z0)=+$G(^DGCR(399,IB399,"I"_Z1))_U_$P(^DGCR(399,IB399,"M1"),U,12+Z1)
. S IBRES(Z0)=+$G(^DGCR(399,IB399,"I"_Z1))_U_$P($G(^DGCR(399,IB399,"M1")),U,12+Z1)_U_$P($G(^DGCR(399,IB399,"M2")),U,Z1*2)
. Q
Q
;
;get other insurance EDI ID NUMBERs
OTHINSID(IB399,IBRES) ;insurance EDI
N IBFRMTYP,IBZ,Z0,Z1,Z4
;JWS;IB*2.0*592;Dental form
S IBFRMTYP=$$FT^IBCEF(IB399),IBFRMTYP=$S(IBFRMTYP=2:2,IBFRMTYP=3:1,IBFRMTYP=7:7,1:0)
S Z4=$S(IBFRMTYP=1:4,IBFRMTYP=7:15,1:2) ;UB - piece4,DENTAL - piece 15, 1500 or BOTH -piece 2,
D OTHINS(IB399,.IBZ)
S Z1=0
F Z0=1,2 I $G(IBZ(Z0)) D
. S IBRES(Z0)=$S($$MCRWNR^IBEFUNC(+IBZ(Z0)):$S(IBFRMTYP=1:"12M61",1:"SMTX1"),1:$P($G(^DIC(36,+IBZ(Z0),3)),U,Z4))
. ; vd - IB*2.0*623 - Added the following line for US4100.
. I $P(IBZ(Z0),U,3)]"" S IBRES(Z0)=$P(IBZ(Z0),U,3) ; Return the correct Alternate ID from node "M2"
. ; MRD;IB*2.0*516 - Added HPID as second piece.
. S $P(IBRES(Z0),U,2)=$P(IBZ(Z0),U,2)
. Q
Q
;
;get other insurance addresses
OTHINADR(IB399,IBRES,IBADDFLD) ;insurance EDI
N IBZ,Z0,Z1,Z4
D OTHINS(IB399,.IBZ)
S Z1=0
I IBADDFLD=18 D Q
. F Z0=1:1:2 I $G(IBZ(Z0)) D
. . S IBRES(Z0)=$P($G(^DIC(36,+IBZ(Z0),.11)),U,1)
. . S IBRES(Z0)=$E(IBRES(Z0),1,55)
I IBADDFLD=18.9 D Q
. F Z0=1:1:2 I $G(IBZ(Z0)) D
. . S IBRES(Z0)=$P($G(^DIC(36,+IBZ(Z0),.11)),U,1)
. . S Z4=$P($G(^DIC(36,+IBZ(Z0),.11)),U,2) S:Z4'="" IBRES(Z0)=IBRES(Z0)_", "_Z4
. . S Z4=$P($G(^DIC(36,+IBZ(Z0),.11)),U,3) S:Z4'="" IBRES(Z0)=IBRES(Z0)_", "_Z4
. . S Z4=$P($G(^DIC(36,+IBZ(Z0),.11)),U,4) S:Z4'="" IBRES(Z0)=IBRES(Z0)_", "_Z4
. . S Z4=$P($G(^DIC(5,+$P($G(^DIC(36,+IBZ(Z0),.11)),U,5),0)),U,2) S:Z4'="" IBRES(Z0)=IBRES(Z0)_", "_Z4
. . S Z4=$P($G(^DIC(36,+IBZ(Z0),.11)),U,6) S:Z4'="" IBRES(Z0)=IBRES(Z0)_", "_Z4
. . S IBRES(Z0)=$E(IBRES(Z0),1,157)
I IBADDFLD=19 D Q
. F Z0=1:1:2 I $G(IBZ(Z0)) D
. . S IBRES(Z0)=$P($G(^DIC(36,+IBZ(Z0),.11)),U,2)
. . S IBRES(Z0)=IBRES(Z0)_" "_$P($G(^DIC(36,+IBZ(Z0),.11)),U,3)
. . S IBRES(Z0)=$E(IBRES(Z0),1,55)
I IBADDFLD=20 D Q
. F Z0=1:1:2 I $G(IBZ(Z0)) D
. . S IBRES(Z0)=$P($G(^DIC(36,+IBZ(Z0),.11)),U,4)
. . S IBRES(Z0)=$E(IBRES(Z0),1,30)
I IBADDFLD=21 D Q
. F Z0=1:1:2 I $G(IBZ(Z0)) D
. . S IBRES(Z0)=$P($G(^DIC(5,+$P($G(^DIC(36,+IBZ(Z0),.11)),U,5),0)),U,2)
. . S IBRES(Z0)=$E(IBRES(Z0),1,2)
I IBADDFLD=22 D Q
. F Z0=1:1:2 I $G(IBZ(Z0)) D
. . S IBRES(Z0)=$P($G(^DIC(36,+IBZ(Z0),.11)),U,6)
. . S IBRES(Z0)=$E(IBRES(Z0),1,15)
Q
;
SFIDQ(IBXIEN,IBXSAVE,IBXDATA) ; Find the service facility id qualifier for
; 837 record SUB2-5
;IBXIEN = ien of 399
;Pass by reference: IBXSAVE (input/output) IBXDATA (output)
N B,Z
K IBXSAVE("NVID")
D ; protect IBXDATA
. N IBXDATA
. D F^IBCEF("N-RENDERING INSTITUTION")
. S:IBXDATA'="" IBXSAVE("IBFAC")=IBXDATA
I $P($G(IBXSAVE("IBFAC")),U,2)'=1 K IBXDATA Q
S Z=$$PSPRV^IBCEF7(IBXIEN)
;WCJ 11/04/2005 If a Non-VA facility
I $E(Z) D
. S IBXSAVE("NVID")=$$NONVAID^IBCEF72(IBXIEN,.B,$E(Z),1)
.; S IBXSAVE("NVID")=$$NONVAID^IBCEF72(IBXIEN,.B,'$E(Z,2),1)
. S IBXDATA=$P("^34^24",U,$P(IBXSAVE("NVID"),U,2)+1)
;S Z=$$PSPRV^IBCEF7(IBXIEN),IBXSAVE("NVID")=$$NONVAID^IBCEF72(IBXIEN,.B,'$E(Z,2),1),IBXDATA=24
Q
;
OTHP36(IBXIEN,IBZOUT) ;
N Z,Z0,Z1,IBZ
D F^IBCEF("N-ALL INSURANCE CO 837 ID","IBZ")
F Z=1,2,3 S IBZOUT(Z)=+$$POLICY^IBCEF(IBXIEN,1,$E("PST",Z))
Q
;
;---------SORT-----------
;IBPRNUM - seq #
;IBPRTYP - type of provider (use FUNCTION value from file 399, fld 222)
;IB399 = ien file 399
;IBSRC,IBDST - source,destination arrays
;IBN - starting #
;Output:
; IBDST(1-primary/2-secondary provider,Provider type(FUNCTION),N)=
; =provider/VARIABLEPTR^Insurance PTR #36 or NONE^ID type^ID^Form type^Care type^state ptr #5 for state license #
; where N is numeration (1 for ID1, 2 for ID2, etc)
GETSSN(IBPTR) ;look for SSN in #200 first and if not found then look at #355.9
;if in file #200
I $P(IBPTR,";",2)="VA(200," Q $$SSN200^IBCEF73(IBPTR)
;if in 355.93 then use 355.9
Q $$SSN3559^IBCEF73(IBPTR)
;--
;SSN3559
;Find SSN from 355.9
;Input:
; Variable pointer to ^VA(200 or ^IBA(355.93
;Output:
; SSN or null
;
PADNDC(Z) ;PAD LEADING ZERO'S INTO A NON 5-4-2 FORMAT NDC NUMBER
;Z IS ITERATION, ONLY PAD CURRENT NDC NUMBER
N NDC
S NDC=$P(IBXSAVE("OUTPT",Z,"RX"),"^",3)
Q:$L(NDC)=13
I $L(NDC)=14 D Q
. S $P(NDC,"-",1)=$E($P(NDC,"-",1),2,$L($P(NDC,"-",1)))
. S $P(IBXSAVE("OUTPT",Z,"RX"),"^",3)=NDC
I $L($P(NDC,"-",1))'=5 S $P(NDC,"-",1)="0"_$P(NDC,"-",1)
I $L($P(NDC,"-",2))'=4 S $P(NDC,"-",2)="0"_$P(NDC,"-",2)
I $L($P(NDC,"-",3))'=2 S $P(NDC,"-",3)="0"_$P(NDC,"-",3)
S $P(IBXSAVE("OUTPT",Z,"RX"),"^",3)=NDC
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEF72 10404 printed Dec 13, 2024@02:10:12 Page 2
IBCEF72 ;WOIFO/SS - FORMATTER AND EXTRACTOR SPECIFIC BILL FUNCTIONS ;8/6/03 10:56am
+1 ;;2.0;INTEGRATED BILLING;**232,320,349,432,516,592,623**;21-MAR-94;Build 70
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;
+5 ;Input:
+6 ;IBINSCO - ptr to #36
+7 ;IBFRMTYP 0=unknwn/both,1=UB,2=1500,7=J430D
+8 ;IBCARE - 0=unknwn or both inp/outp,1=inpatient, 2=outpatient, 3 -RX
+9 ;Output: X12 IDtype^ID^ID TYPE ptr to file 355.97
CH35591(IBINSCO,IBFRMTYP,IBCARE) ;
+1 NEW IB35591,IBRET,IB1
+2 SET IB35591=0
SET IBRET=""
+3 FOR
SET IB35591=$ORDER(^IBA(355.91,"B",IBINSCO,IB35591))
if +IB35591=0
QUIT
if IBRET'=""
QUIT
Begin DoDot:1
+4 SET IB1=$GET(^IBA(355.91,IB35591,0))
+5 ;if wrong form type
IF '($PIECE(IB1,"^",4)=0!(IBFRMTYP=0))
if $PIECE(IB1,"^",4)'=IBFRMTYP
QUIT
+6 ;if not RX
IF ($PIECE(IB1,"^",5)=3)!(IBCARE=3)
if IBCARE'=$PIECE(IB1,"^",5)
QUIT
+7 ;JWS;IB*2.0*592 - if dental, no secondary id's
+8 IF IBFRMTYP=7
QUIT
+9 ;if wrong care type
IF ($PIECE(IB1,"^",5)=1)!($PIECE(IB1,"^",5)=2)
IF (IBCARE=1)!(IBCARE=2)
if $PIECE(IB1,"^",5)'=IBCARE
QUIT
+10 SET IBRET=$PIECE($GET(^IBE(355.97,+$PIECE(IB1,"^",6),0)),"^",3)_"^"_$PIECE(IB1,"^",7)_U_+$PIECE(IB1,U,6)
End DoDot:1
+11 QUIT IBRET
+12 ;
FINDEIN(IBXIEN,IBPROV,IBFAC,IBS) ; find EIN for facility/ SSN for person
+1 ; IBXIEN = ien of bill entry file 399
+2 ; IBFAC = 1 if facility, 0 if individual provider
+3 ; IBPROV = ien of provider (vp format)
+4 ; IBS = 1 if person's EIN should be returned if there, otherwise SSN
+5 ; FUNCTION RETURNS
+6 ; EIN or SSN ^ 24 for EIN, 34 for SSN or null if none found
+7 NEW Z,Z0,IBARR,IBEIN,IBSSN
+8 SET (IBEIN,IBSSN)=""
+9 DO ALLID^IBCEP8(IBPROV,"",.IBARR)
+10 SET Z=0
FOR
SET Z=$ORDER(IBARR(Z))
if 'Z
QUIT
Begin DoDot:1
+11 IF $GET(IBFAC)
if $PIECE(IBARR(Z),U,7)'="EI"
QUIT
SET IBEIN=$PIECE(IBARR(Z),U,2)_U_24
QUIT
+12 IF $PIECE(IBARR(Z),U,7)="SY"
Begin DoDot:2
+13 IF $GET(IBS)
SET IBSSN=$PIECE(IBARR(Z),U,2)_U_34
QUIT
End DoDot:2
QUIT
+14 SET IBEIN=$PIECE(IBARR(Z),U,2)_U_24
+15 IF $GET(IBS)
IF $PIECE(IBARR(Z),U,7)="EI"
SET IBEIN=$PIECE(IBARR(Z),U,2)_U_24
End DoDot:1
if IBEIN'=""
QUIT
+16 IF $GET(IBS)
IF IBEIN=""
SET IBEIN=IBSSN
+17 QUIT IBEIN
+18 ;
+19 ;
NONVAID(IBXIEN,IBX,IBFAC,IBS) ; Find the non-VA provider default id
+1 ; IBXIEN = the ien of the bill (file 399)
+2 ; IBX = id data returned if passed by reference
+3 ; IBFAC = 1 if getting the id for the facility or 0 for rendering prov
+4 ; IBS = 1 if getting id for person, but need the EIN if there
+5 ; Function returns the id^type of id^person/facility flag:
+6 ; Type of id: 1 = SSN 2 = EIN 0 = not found
+7 ; person/facility: 1 = person 2 = facility
+8 NEW Z,IBXSAVE,IBU2,IBTYPE,IBZ,IBF,IBPROV,Q,Q0
+9 SET IBTYPE=2
SET IBU2=$GET(^DGCR(399,IBXIEN,"U2"))
SET IBF=2
SET IBPROV=""
+10 ;
+11 SET Z=$PIECE(IBU2,U,10)
+12 ; Not a non-VA facility
IF 'Z
SET IBX=""
SET IBTYPE=0
GOTO NONVAQ
+13 SET IBPROV=Z_";IBA(355.93,"
+14 ;
+15 ; Get EIN
+16 IF $GET(IBFAC)
Begin DoDot:1
+17 SET IBX=$PIECE($$FINDEIN(IBXIEN,IBPROV,IBFAC),U)
SET IBTYPE=2
End DoDot:1
GOTO NONVAQ
+18 ;
+19 ; Get EIN/SSN
+20 IF '$GET(IBFAC)
Begin DoDot:1
+21 SET IBX=""
SET IBF=1
+22 ; 3 for rendering/4 for attending
SET Q0=($$FT^IBCEF(IBXIEN)=3)+3
+23 SET Q=+$ORDER(^DGCR(399,IBXIEN,"PRV","B",Q0,0))
+24 SET IBPROV=$PIECE($GET(^DGCR(399,IBXIEN,"PRV",Q,0)),U,2)
+25 IF IBPROV
SET IBX=$$FINDEIN(IBXIEN,IBPROV,IBFAC,$GET(IBS))
SET IBTYPE=$SELECT($PIECE(IBX,U,2)=24:2,$PIECE(IBX,U,2)=34:1,1:0)
SET IBX=$PIECE(IBX,U)
End DoDot:1
GOTO NONVAQ
+26 ;
NONVAQ ; pull from 399
IF IBTYPE
IF IBX=""
IF $PIECE(IBU2,U,12)'=""
SET IBX=$PIECE(IBU2,U,12)
+1 SET IBX=$GET(IBX)
+2 QUIT IBX_U_IBTYPE_U_IBF
+3 ;----
+4 ;checks if there is data for OP* segments and
+5 ;then populates PROV COB SEQ
+6 ;Input:
+7 ;IBXIEN - ien in #399
+8 ;IBSAVE - "in" array (i.e. IBXSAVE)
+9 ;IBDATA - "out" array (i.e. IBXDATA)
+10 ;IBFUNC - FUNCTION from #399 (1-refering, 2 -operating, etc)
+11 ;IBSEGM - segment record ID, optional
+12 ;Output:
+13 ; IBDATA with formatted output
PROVSEQ(IBXIEN,IBSAVE,IBDATA,IBFUNC,IBSEGM) ;
+1 NEW IB1,IBINS,IBFL
+2 ;S IBFL=$S(IBFUNC=3!(IBFUNC=4):1,1:0)
+3 FOR IB1=1,2
Begin DoDot:1
+4 ;don't create anything if there is no such insurance
IF '$$ISINSUR^IBCEF71($GET(IBSAVE("PROVINF",IBXIEN,"O",IB1)),IBXIEN)
QUIT
+5 ;*432/TAZ - Removed. Attending and Rendering can be on same bill now.
+6 ;I IBFL S IBFUNC=$S($O(IBSAVE("PROVINF",IBXIEN,"O",IB1,3,0)):3,1:4)
+7 IF '$ORDER(IBSAVE("PROVINF",IBXIEN,"O",IB1,IBFUNC,0))
QUIT
+8 SET IBDATA(IB1)=$GET(IBSAVE("PROVINF",IBXIEN,"O",IB1))
+9 IF $GET(IBSEGM)'=""
DO ID^IBCEF2(IB1,IBSEGM)
End DoDot:1
+10 QUIT
+11 ;
OUTPRVID(IBXIEN,IBXSAVE) ; Extract the outside provider or facility ids
+1 ; into IBXSAVE array
+2 ; Function returns 1 if person or 2 if facility ids or "" if neither
+3 NEW Z,IBXDATA,IBPERSON,TAG
+4 ;WCJ;11/1/2005 Extract the first 3 chars of Z instead.
+5 SET Z=$EXTRACT($$PSPRV^IBCEF7(IBXIEN),1,3)
SET IBPERSON=""
+6 ;EJK 8/23/05 IB*320 - CHANGED Z=101 TO Z=1010. Z WILL ALWAYS BE A 4 DIGIT #.
+7 ; WCJ 11/1/2005 ; Removed EJK's change and added above change
+8 IF Z=111!(Z=101)
SET TAG=$SELECT(Z=101:"OUTSIDE FAC PROVIDER INF",1:"CUR/OTH PROVIDER INFO")
DO F^IBCEF("N-ALL "_TAG)
SET IBPERSON=$SELECT('$EXTRACT(Z,2):2,1:1)
+9 QUIT IBPERSON
+10 ;
OUTPRV(IBREC,IBXIEN,IBXSAVE) ; Extract the outside provider or facility ids
+1 ; into IBXSAVE array
+2 ; Function returns 1 if person or 2 if facility ids or "" if neither
+3 ; IBREC = the record whose ids should be returned
+4 NEW IBPERSON,IBFRM,IBTYPE,IBFAC
+5 IF IBREC="SUB1"!(IBREC="OP6")
Begin DoDot:1
+6 KILL IBXSAVE("PROVINF",IBXIEN),IBXSAVE("PROVINF_FAC",IBXIEN)
+7 SET IBPERSON=$$OUTPRVID(IBXIEN,.IBXSAVE)
SET IBFAC=$SELECT(IBPERSON=1:0,1:1)
End DoDot:1
+8 IF '$TEST
Begin DoDot:1
+9 KILL IBXSAVE("PROVINF_FAC",IBXIEN)
+10 DO F^IBCEF("N-ALL OUTSIDE FAC PROVIDER INF")
+11 SET IBPERSON=2
SET IBFAC=1
End DoDot:1
+12 SET IBFRM=$$FT^IBCEF(IBXIEN)
SET IBFRM=$SELECT(IBFRM=2:2,1:1)
+13 SET IBTYPE=$SELECT(IBREC["SUB":"C",1:"O")
+14 DO CHCKSUB^IBCEF73(IBFRM,IBREC,IBFAC,IBTYPE,.IBXSAVE)
+15 QUIT IBPERSON
+16 ;
+17 ;get IENs in file #36 for other insurances
OTHINS(IB399,IBRES) ;
+1 NEW IBFRMTYP,Z,Z1,Z2,Z4
+2 SET Z=$$COBN^IBCEF(IB399)
SET Z0=0
+3 FOR Z1=1:1:3
IF Z1'=Z
IF $DATA(^DGCR(399,IB399,"I"_Z1))
Begin DoDot:1
+4 SET Z0=Z0+1
+5 ; MRD;IB*2.0*516 - Added HPID as second piece.
+6 ; vd - IB*2.0*623 - Added M2 as third piece.
+7 ; JWS - IB*2.0*623 - needs $G around ^DGCR references
+8 ;S IBRES(Z0)=+$G(^DGCR(399,IB399,"I"_Z1))_U_$P(^DGCR(399,IB399,"M1"),U,12+Z1)
+9 SET IBRES(Z0)=+$GET(^DGCR(399,IB399,"I"_Z1))_U_$PIECE($GET(^DGCR(399,IB399,"M1")),U,12+Z1)_U_$PIECE($GET(^DGCR(399,IB399,"M2")),U,Z1*2)
+10 QUIT
End DoDot:1
+11 QUIT
+12 ;
+13 ;get other insurance EDI ID NUMBERs
OTHINSID(IB399,IBRES) ;insurance EDI
+1 NEW IBFRMTYP,IBZ,Z0,Z1,Z4
+2 ;JWS;IB*2.0*592;Dental form
+3 SET IBFRMTYP=$$FT^IBCEF(IB399)
SET IBFRMTYP=$SELECT(IBFRMTYP=2:2,IBFRMTYP=3:1,IBFRMTYP=7:7,1:0)
+4 ;UB - piece4,DENTAL - piece 15, 1500 or BOTH -piece 2,
SET Z4=$SELECT(IBFRMTYP=1:4,IBFRMTYP=7:15,1:2)
+5 DO OTHINS(IB399,.IBZ)
+6 SET Z1=0
+7 FOR Z0=1,2
IF $GET(IBZ(Z0))
Begin DoDot:1
+8 SET IBRES(Z0)=$SELECT($$MCRWNR^IBEFUNC(+IBZ(Z0)):$SELECT(IBFRMTYP=1:"12M61",1:"SMTX1"),1:$PIECE($GET(^DIC(36,+IBZ(Z0),3)),U,Z4))
+9 ; vd - IB*2.0*623 - Added the following line for US4100.
+10 ; Return the correct Alternate ID from node "M2"
IF $PIECE(IBZ(Z0),U,3)]""
SET IBRES(Z0)=$PIECE(IBZ(Z0),U,3)
+11 ; MRD;IB*2.0*516 - Added HPID as second piece.
+12 SET $PIECE(IBRES(Z0),U,2)=$PIECE(IBZ(Z0),U,2)
+13 QUIT
End DoDot:1
+14 QUIT
+15 ;
+16 ;get other insurance addresses
OTHINADR(IB399,IBRES,IBADDFLD) ;insurance EDI
+1 NEW IBZ,Z0,Z1,Z4
+2 DO OTHINS(IB399,.IBZ)
+3 SET Z1=0
+4 IF IBADDFLD=18
Begin DoDot:1
+5 FOR Z0=1:1:2
IF $GET(IBZ(Z0))
Begin DoDot:2
+6 SET IBRES(Z0)=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,1)
+7 SET IBRES(Z0)=$EXTRACT(IBRES(Z0),1,55)
End DoDot:2
End DoDot:1
QUIT
+8 IF IBADDFLD=18.9
Begin DoDot:1
+9 FOR Z0=1:1:2
IF $GET(IBZ(Z0))
Begin DoDot:2
+10 SET IBRES(Z0)=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,1)
+11 SET Z4=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,2)
if Z4'=""
SET IBRES(Z0)=IBRES(Z0)_", "_Z4
+12 SET Z4=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,3)
if Z4'=""
SET IBRES(Z0)=IBRES(Z0)_", "_Z4
+13 SET Z4=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,4)
if Z4'=""
SET IBRES(Z0)=IBRES(Z0)_", "_Z4
+14 SET Z4=$PIECE($GET(^DIC(5,+$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,5),0)),U,2)
if Z4'=""
SET IBRES(Z0)=IBRES(Z0)_", "_Z4
+15 SET Z4=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,6)
if Z4'=""
SET IBRES(Z0)=IBRES(Z0)_", "_Z4
+16 SET IBRES(Z0)=$EXTRACT(IBRES(Z0),1,157)
End DoDot:2
End DoDot:1
QUIT
+17 IF IBADDFLD=19
Begin DoDot:1
+18 FOR Z0=1:1:2
IF $GET(IBZ(Z0))
Begin DoDot:2
+19 SET IBRES(Z0)=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,2)
+20 SET IBRES(Z0)=IBRES(Z0)_" "_$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,3)
+21 SET IBRES(Z0)=$EXTRACT(IBRES(Z0),1,55)
End DoDot:2
End DoDot:1
QUIT
+22 IF IBADDFLD=20
Begin DoDot:1
+23 FOR Z0=1:1:2
IF $GET(IBZ(Z0))
Begin DoDot:2
+24 SET IBRES(Z0)=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,4)
+25 SET IBRES(Z0)=$EXTRACT(IBRES(Z0),1,30)
End DoDot:2
End DoDot:1
QUIT
+26 IF IBADDFLD=21
Begin DoDot:1
+27 FOR Z0=1:1:2
IF $GET(IBZ(Z0))
Begin DoDot:2
+28 SET IBRES(Z0)=$PIECE($GET(^DIC(5,+$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,5),0)),U,2)
+29 SET IBRES(Z0)=$EXTRACT(IBRES(Z0),1,2)
End DoDot:2
End DoDot:1
QUIT
+30 IF IBADDFLD=22
Begin DoDot:1
+31 FOR Z0=1:1:2
IF $GET(IBZ(Z0))
Begin DoDot:2
+32 SET IBRES(Z0)=$PIECE($GET(^DIC(36,+IBZ(Z0),.11)),U,6)
+33 SET IBRES(Z0)=$EXTRACT(IBRES(Z0),1,15)
End DoDot:2
End DoDot:1
QUIT
+34 QUIT
+35 ;
SFIDQ(IBXIEN,IBXSAVE,IBXDATA) ; Find the service facility id qualifier for
+1 ; 837 record SUB2-5
+2 ;IBXIEN = ien of 399
+3 ;Pass by reference: IBXSAVE (input/output) IBXDATA (output)
+4 NEW B,Z
+5 KILL IBXSAVE("NVID")
+6 ; protect IBXDATA
Begin DoDot:1
+7 NEW IBXDATA
+8 DO F^IBCEF("N-RENDERING INSTITUTION")
+9 if IBXDATA'=""
SET IBXSAVE("IBFAC")=IBXDATA
End DoDot:1
+10 IF $PIECE($GET(IBXSAVE("IBFAC")),U,2)'=1
KILL IBXDATA
QUIT
+11 SET Z=$$PSPRV^IBCEF7(IBXIEN)
+12 ;WCJ 11/04/2005 If a Non-VA facility
+13 IF $EXTRACT(Z)
Begin DoDot:1
+14 SET IBXSAVE("NVID")=$$NONVAID^IBCEF72(IBXIEN,.B,$EXTRACT(Z),1)
+15 ; S IBXSAVE("NVID")=$$NONVAID^IBCEF72(IBXIEN,.B,'$E(Z,2),1)
+16 SET IBXDATA=$PIECE("^34^24",U,$PIECE(IBXSAVE("NVID"),U,2)+1)
End DoDot:1
+17 ;S Z=$$PSPRV^IBCEF7(IBXIEN),IBXSAVE("NVID")=$$NONVAID^IBCEF72(IBXIEN,.B,'$E(Z,2),1),IBXDATA=24
+18 QUIT
+19 ;
OTHP36(IBXIEN,IBZOUT) ;
+1 NEW Z,Z0,Z1,IBZ
+2 DO F^IBCEF("N-ALL INSURANCE CO 837 ID","IBZ")
+3 FOR Z=1,2,3
SET IBZOUT(Z)=+$$POLICY^IBCEF(IBXIEN,1,$EXTRACT("PST",Z))
+4 QUIT
+5 ;
+6 ;---------SORT-----------
+7 ;IBPRNUM - seq #
+8 ;IBPRTYP - type of provider (use FUNCTION value from file 399, fld 222)
+9 ;IB399 = ien file 399
+10 ;IBSRC,IBDST - source,destination arrays
+11 ;IBN - starting #
+12 ;Output:
+13 ; IBDST(1-primary/2-secondary provider,Provider type(FUNCTION),N)=
+14 ; =provider/VARIABLEPTR^Insurance PTR #36 or NONE^ID type^ID^Form type^Care type^state ptr #5 for state license #
+15 ; where N is numeration (1 for ID1, 2 for ID2, etc)
GETSSN(IBPTR) ;look for SSN in #200 first and if not found then look at #355.9
+1 ;if in file #200
+2 IF $PIECE(IBPTR,";",2)="VA(200,"
QUIT $$SSN200^IBCEF73(IBPTR)
+3 ;if in 355.93 then use 355.9
+4 QUIT $$SSN3559^IBCEF73(IBPTR)
+5 ;--
+6 ;SSN3559
+7 ;Find SSN from 355.9
+8 ;Input:
+9 ; Variable pointer to ^VA(200 or ^IBA(355.93
+10 ;Output:
+11 ; SSN or null
+12 ;
PADNDC(Z) ;PAD LEADING ZERO'S INTO A NON 5-4-2 FORMAT NDC NUMBER
+1 ;Z IS ITERATION, ONLY PAD CURRENT NDC NUMBER
+2 NEW NDC
+3 SET NDC=$PIECE(IBXSAVE("OUTPT",Z,"RX"),"^",3)
+4 if $LENGTH(NDC)=13
QUIT
+5 IF $LENGTH(NDC)=14
Begin DoDot:1
+6 SET $PIECE(NDC,"-",1)=$EXTRACT($PIECE(NDC,"-",1),2,$LENGTH($PIECE(NDC,"-",1)))
+7 SET $PIECE(IBXSAVE("OUTPT",Z,"RX"),"^",3)=NDC
End DoDot:1
QUIT
+8 IF $LENGTH($PIECE(NDC,"-",1))'=5
SET $PIECE(NDC,"-",1)="0"_$PIECE(NDC,"-",1)
+9 IF $LENGTH($PIECE(NDC,"-",2))'=4
SET $PIECE(NDC,"-",2)="0"_$PIECE(NDC,"-",2)
+10 IF $LENGTH($PIECE(NDC,"-",3))'=2
SET $PIECE(NDC,"-",3)="0"_$PIECE(NDC,"-",3)
+11 SET $PIECE(IBXSAVE("OUTPT",Z,"RX"),"^",3)=NDC
+12 QUIT
+13 ;
