IBCEF74 ;WOIFO/SS - FORMATTER/EXTRACT BILL FUNCTIONS ;31-JUL-03
;;2.0;INTEGRATED BILLING;**232,280,155,290,291,320,358,343,374,432,592,718,727**;21-MAR-94;Build 34
;;Per VA Directive 6402, this routine should not be modified.
;
SORT(IBPRNUM,IBPRTYP,IB399,IBSRC,IBDST,IBN,IBEXC,IBSEQ,IBLIMIT) ;
D SORT^IBCEF77($G(IBPRNUM),$G(IBPRTYP),$G(IB399),.IBSRC,.IBDST,$G(IBN),$G(IBEXC),$G(IBSEQ),$G(IBLIMIT))
Q
;
;-- PROVINF --
;Create array with prov info
;Input:
; IB399 - ien #399
; IBPRNUM - 1=prim ins, 2= sec, 3 -tert
; IBRES - for results
; IBSORT - to sort OTHER INSURANCE data
; if PROVINF is called for "C" mode of PROVIDER subroutine then
; IBSORT can be any (say 1)
; if PROVINF is called for "O" mode then can be more than set of data
; - need to sort array to use it (like IBXDATA(1) and IBXDATA(2))
; for mode "O" it should be 1 or 2 (see PROVIDER section)
;IBINSTP - "C" -current ins, "O"-other
;Output:
; IBRES(PRNUM,PRTYPE,SEQ#)=PROV^INSUR^IDTYPE^ID^FORMTYP^CARETYP
; where:(see PROVIDER)
PROVINF(IB399,IBPRNUM,IBRES,IBSORT,IBINSTP) ;
I $G(IB399)="" Q
I +$G(IBSORT)=0 S IBSORT=$G(IBPRNUM)
N IBPRTYP,IBINSCO,IBPROV,IBFRMTYP,IBCARE,IB35591,IBN,IBCURR,IBEXC,IBLIMIT
S IBN=0
S IBINSCO=+$P($G(^DGCR(399,IB399,"M")),"^",IBPRNUM)
;JRA IB*2.0*592 Modify for Dental form 7 - treat the same as CMS-1500
;S IBFRMTYP=$$FT^IBCEF(IB399),IBFRMTYP=$S(IBFRMTYP=2:2,IBFRMTYP=3:1,1:0) ;JRA IB*2.0*592 ';'
S IBFRMTYP=$$FT^IBCEF(IB399),IBFRMTYP=$S(IBFRMTYP=2:2,IBFRMTYP=7:7,IBFRMTYP=3:1,1:0) ;JWS 8/30/17;IB*2.0*592;JRA IB*2.0*592
S IBCARE=$S($$ISRX^IBCEF1(IB399):3,1:0) ;if an Rx refill bill
S:IBCARE=0 IBCARE=$$INPAT^IBCEF(IB399,1) S:'IBCARE IBCARE=2 ;1-inp,2-out
S IBLIMIT=$S($G(IBINSTP)="C":5,1:3) ; Limits on secondary IDs
F IBPRTYP=1:1:9 D
. N Z,IB355OV
. S IBPROV=$$PROVPTR^IBCEF7(IB399,IBPRTYP)
. Q:+IBPROV=0
. ;don't create anything if form type not CMS-1500 or UB
. Q:IBFRMTYP=0
. N IBRETARR S IBRETARR=0
. D PRACT^IBCEF71(IBINSCO,IBFRMTYP,IBCARE,IBPROV,.IBRETARR,IBPRTYP,$G(IBINSTP))
. S IB355OV="",IBEXC=""
. S Z=$O(^DGCR(399,IB399,"PRV","B",IBPRTYP,0))
. I Z S Z=$G(^DGCR(399,IB399,"PRV",Z,0)) D
.. I $P(Z,U,IBPRNUM+4)'="",$P(Z,U,IBPRNUM+11)'="" S IB355OV=$P(Z,U,IBPRNUM+4)_U_$P(Z,U,IBPRNUM+11)
. S IBCURR=$$COB^IBCEF(IB399)
. S IBN=0,IB35591=$$CH35591^IBCEF72(IBINSCO,IBFRMTYP,IBCARE)
. ;JRA IB*2.0*592 Modify for Dental form 7 - treat the same as CMS-1500
. I $G(IBINSTP)="C",$G(IBPRNUM)=1,"34"[$G(IBPRTYP),"P"[$G(IBCURR),($G(IBFRMTYP)=2!($G(IBFRMTYP)=7)),$$MCRONBIL^IBEFUNC(IB399) S IB355OV=$$MCR24K^IBCEU3(IB399)_"^12" ;JRA IB*2.0*592
. ;Calculate MEDICARE (WNR) specific provider qualifier and ID for CMS-1500 secondary claim ;JRA IB*2.0*592
. I $G(IBINSTP)="O","34"[$G(IBPRTYP),"ST"[$G(IBCURR),($G(IBFRMTYP)=2!($G(IBFRMTYP)=7)),$$MCRONBIL^IBEFUNC(IB399) S IB355OV=$$MCR24K^IBCEU3(IB399)_"^12"
. I $P(IB355OV,U,2) D
.. I $$CHCKSEC^IBCEF73(IBFRMTYP,IBPRTYP,$G(IBINSTP),$P($G(^IBE(355.97,+$P(IB355OV,U,2),0)),U,3)) D
... S IBEXC=$P(IB355OV,U,2),IBN=IBN+1,IBRES(IBSORT,IBPRTYP,IBN)="OVERRIDE^"_IBINSCO_U_$P($G(^IBE(355.97,+IBEXC,0)),U,3)_U_$P(IB355OV,U)_"^^^^^"_+IBEXC
. I IB35591'="",IBEXC'=$P(IB35591,U,3) S:$$CHCKSEC^IBCEF73(IBFRMTYP,IBPRTYP,$G(IBINSTP),$P(IB35591,"^")) IBN=IBN+1,IBRES(IBSORT,IBPRTYP,IBN)="DEFAULT^"_IBINSCO_"^"_IB35591_"^^",$P(IBRES(IBSORT,IBPRTYP,IBN),U,9)=$P(IB35591,U,3)
. D SORT(IBSORT,IBPRTYP,IB399,.IBRETARR,.IBRES,IBN,IBEXC,IBPRNUM,IBLIMIT)
. S IBRES(IBSORT,IBPRTYP)=IBPROV
S IBRES(IBSORT)=$S(IBPRNUM=3:"T",IBPRNUM=2:"S",1:"P")
Q
;
SECIDCK(IBIFN,IBSEQ,IBTYP,IBIFN1) ; Function returns 1 if ID type ptr in
; IBTYP is valid X12 code for the claim/prov function (IBPROVF)
; as a sec id
; IBSEQ = COB seq being checked
; IBIFN1 = entry # in PRV multiple being checked
; Called from input transform of fields .12-.14, subfile 399.0222
I $G(IBIFN)="" Q
N IBOK,IBFRM,IBCOBN,IBX12,IBPROVF
S IBPROVF=+$G(^DGCR(399,IBIFN,"PRV",IBIFN1,0))
S IBFRM=$$FT^IBCEF(IBIFN),IBFRM=$S(IBFRM=3:1,1:2) ; Form type
S IBCOBN=$$COBN^IBCEF(IBIFN) S:'IBCOBN IBCOBN=1 ; Current COB seq
S IBX12=$P($G(^IBE(355.97,+IBTYP,0)),U,3) ; X12 code for prov id typ
Q $$CHSEC^IBCEF73(IBFRM,IBPROVF,$S(IBSEQ=IBCOBN:"C",1:"O"),IBX12)
;
DEFID(IBIFN,IBPRV) ;
; IBIFN = ien of bill
; IBPRV = ien of entry subfile 399.0222
; Function returns default ids: prim id def^sec id def^tert id def
; SSN cannot be the default ID
I $G(IBIFN)="" Q ""
N Z,Z1,ID,IBZ,IBINS,IBINS4,IBUB
S IBZ=""
S IBUB=($$FT^IBCEF(IBIFN)=3)
D F^IBCEF("N-ALL ATT/REND PROV SSN/EI","IBZ","",IBIFN)
S Z=$G(^DGCR(399,IBIFN,"PRV",IBPRV,0)),ID=$P(Z,U,5,7)
F Z1=1:1:3 I $P(ID,U,Z1)="" D
. Q:'$G(^DGCR(399,IBIFN,"I"_Z1)) S IBINS=+^("I"_Z1)
. S $P(ID,U,Z1)=$$GETID^IBCEP2(IBIFN,2,$P(Z,U,2),Z1)
. ; Set default if null
. I $P(ID,U,Z1)="" S $P(ID,U,Z1)="VAD000"
Q ID
;
DISPID(IBXIEN) ; Display list of all prov and fac ids that will
; extract for this bill if transmitted electronically
I $G(IBXIEN)="" Q
N IBID,IBID1,IBZ,IBCT,IBFRM,IBCOBN,IBQUIT,IBTYP,DIR,IBIFN,X,Y,Z,Z0,Z1,CO,IBN,IBCODE
S IBIFN=IBXIEN
S IBFRM=$$FT^IBCEF(IBIFN),IBCOBN=$$COBN^IBCEF(IBIFN)
W @IOF
;;JWS;IB*2.0*718v10;display message that NPIs are removed for Medicare 837s
;;JWS;IB*2.0*727v9;display message that secondary provider IDs will be removed for Medicare claims, except with 1G qualifiers
W !,"If this bill is transmitted electronically, the following IDs will be sent:"
W !,"Note: For Medicare:",!," 1) All NPIs will be removed from the claim prior to submission."
W !," 2) All Provider IDs other than 'UPIN' will be removed from the claim prior to",!?4,"submission.",!
; Returns all prov sec ids to be transmitted in indicated segments
S Z=+$G(^DGCR(399,IBIFN,"I1")) I Z W !," Primary Ins Co: ",$$EXTERNAL^DILFD(399,101,"",Z) I IBCOBN=1 W ?54,"<<<Current Ins"
S Z=+$G(^DGCR(399,IBIFN,"I2")) I Z W !,"Secondary Ins Co: ",$$EXTERNAL^DILFD(399,101,"",Z) I IBCOBN=2 W ?54,"<<<Current Ins"
S Z=+$G(^DGCR(399,IBIFN,"I3")) I Z W !," Tertiary Ins Co: ",$$EXTERNAL^DILFD(399,101,"",Z) I IBCOBN=3 W ?54,"<<<Current Ins"
;JWS;IB*2.0*592;added Assistant Surgeon records to header display
W !!,"Provider IDs: (VistA Records OP1,OP2,OP4,OP8,OP9,OP10,OPR,OPR1,OPR2,OPR3,OPR4,",!?29,"OPR5,OPR7,OPR8,OPR9,OPRA,OPRB,OPRC):"
;F Z=1:1:3 I $G(^DGCR(399,IBIFN,"I"_Z)) D PROVINF(IBIFN,Z,.IBID,"",$S(IBCOBN=Z:"C",1:"O"))
;*432/TAZ - Added call to gather line providers and apply business rules
D ALLIDS^IBCEFP(IBIFN,.IBID)
;*432/TAZ - Rewrote following code to take info from the IBID array instead of File 399. This allows changes from the application of the business rules.
S IBQUIT=0
;
;JWS;IB*2.0*592; added assistant surgeon
F IBPRV=4,3,1,2,5,6,9 D ; Process providers in order: Attending, Rendering, Referring, Operating, Supervising, and Other Operating if they exist
. I '$D(IBID("PROVINF",IBIFN,"C",1,IBPRV)) Q
. I ($Y+5)>IOSL S IBQUIT=$$NOMORE() Q:IBQUIT
. W !!?5,$$EXTERNAL^DILFD(399.0222,.01,"",IBPRV),": "_$$EXTERNAL^DILFD(399.0222,.02,"",$P(IBID("PROVINF",IBIFN,"C",1,IBPRV),U))
. W !?8,"NPI: ",?40,$S($P($G(IBID("PROVINF",IBIFN,"C",1,IBPRV,0)),U,4)]"":$P(IBID("PROVINF",IBIFN,"C",1,IBPRV,0),U,4),1:"***MISSING***")
. K IBTYP
. F CO="C","O" D
.. F IBN=1,2 I $D(IBID("PROVINF",IBIFN,CO,IBN,IBPRV)) D
... F Z0=1:1 Q:'$D(IBID("PROVINF",IBIFN,CO,IBN,IBPRV,Z0))!IBQUIT D
.... S IBCODE=+$P(IBID("PROVINF",IBIFN,CO,IBN,IBPRV,Z0),U,9)
.... Q:$D(IBTYP(IBCODE)) ;1st of each type transmits
.... I ($Y+5)>IOSL S IBQUIT=$$NOMORE() Q:IBQUIT
.... S IBTYP(IBCODE)=""
.... W !,?8,"(",IBID("PROVINF",IBIFN,CO,IBN),") ",$$EXTERNAL^DILFD(36,4.01,"",IBCODE),?40,$P(IBID("PROVINF",IBIFN,CO,IBN,IBPRV,Z0),U,4)
;
I IBQUIT G DISPIDX
;
; IB*2*320 - display additional IDs for ?ID
D EN^IBCEF74A(IBIFN,.IBQUIT,.IBID)
;
DISPIDX ;
I '$G(IBQUIT) S DIR(0)="EA",DIR("A")="Press RETURN to continue " W ! D ^DIR K DIR
Q
;
NOMORE() ;
S DIR(0)="EA",DIR("A")="Press RETURN for more IDs or '^' to exit: " W ! D ^DIR
W @IOF
Q (Y'=1)
;
DEFSEC(IBIFN,IBARR) ; Returns array in IBARR for default prov sec ids for ien IBIFN
; IBARR if passed by ref is returned IBARR(prov function,COBN)=def id
I $G(IBIFN)=""
N IBCAR,IBCOBN,IBPC,IBINS,IBARRX,Q,Z,Z0,ZINS,X
K IBARR
S ZINS="",IBCOBN=$$COBN^IBCEF(IBIFN),IBPC=$S($$FT^IBCEF(IBIFN)=3:2,1:1)
S IBCAR=$$INPAT^IBCEF(IBIFN,1),IBCAR=$S('IBCAR:2,1:1)
F Z=1:1:3 S ZINS=ZINS_+$G(^DGCR(399,IBIFN,"I"_Z))_U
F Z=1:1:3 I $P(ZINS,U,Z),'$P($G(^DIC(36,+$P(ZINS,U,Z),4)),U,IBPC) S $P(ZINS,U,Z)=""
S Z=0 F S Z=$O(^DGCR(399,IBIFN,"PRV",Z)) Q:'Z S Z0=$G(^(Z,0)) D
. F Q=1:1:3 D
.. I $P(Z0,U,Q+4)'="" S IBARR(+Z0,Q)=$P(Z0,U,Q+4) Q ; Override
.. S IBINS=$P(ZINS,U,Q)
.. Q:'IBINS
.. S X=$$IDFIND^IBCEP2(IBIFN,"",$P(Z0,U,2),Q,1)
.. I X'="" S IBARR(+Z0,Q)=X
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEF74 8910 printed Dec 13, 2024@02:10:15 Page 2
IBCEF74 ;WOIFO/SS - FORMATTER/EXTRACT BILL FUNCTIONS ;31-JUL-03
+1 ;;2.0;INTEGRATED BILLING;**232,280,155,290,291,320,358,343,374,432,592,718,727**;21-MAR-94;Build 34
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
SORT(IBPRNUM,IBPRTYP,IB399,IBSRC,IBDST,IBN,IBEXC,IBSEQ,IBLIMIT) ;
+1 DO SORT^IBCEF77($GET(IBPRNUM),$GET(IBPRTYP),$GET(IB399),.IBSRC,.IBDST,$GET(IBN),$GET(IBEXC),$GET(IBSEQ),$GET(IBLIMIT))
+2 QUIT
+3 ;
+4 ;-- PROVINF --
+5 ;Create array with prov info
+6 ;Input:
+7 ; IB399 - ien #399
+8 ; IBPRNUM - 1=prim ins, 2= sec, 3 -tert
+9 ; IBRES - for results
+10 ; IBSORT - to sort OTHER INSURANCE data
+11 ; if PROVINF is called for "C" mode of PROVIDER subroutine then
+12 ; IBSORT can be any (say 1)
+13 ; if PROVINF is called for "O" mode then can be more than set of data
+14 ; - need to sort array to use it (like IBXDATA(1) and IBXDATA(2))
+15 ; for mode "O" it should be 1 or 2 (see PROVIDER section)
+16 ;IBINSTP - "C" -current ins, "O"-other
+17 ;Output:
+18 ; IBRES(PRNUM,PRTYPE,SEQ#)=PROV^INSUR^IDTYPE^ID^FORMTYP^CARETYP
+19 ; where:(see PROVIDER)
PROVINF(IB399,IBPRNUM,IBRES,IBSORT,IBINSTP) ;
+1 IF $GET(IB399)=""
QUIT
+2 IF +$GET(IBSORT)=0
SET IBSORT=$GET(IBPRNUM)
+3 NEW IBPRTYP,IBINSCO,IBPROV,IBFRMTYP,IBCARE,IB35591,IBN,IBCURR,IBEXC,IBLIMIT
+4 SET IBN=0
+5 SET IBINSCO=+$PIECE($GET(^DGCR(399,IB399,"M")),"^",IBPRNUM)
+6 ;JRA IB*2.0*592 Modify for Dental form 7 - treat the same as CMS-1500
+7 ;S IBFRMTYP=$$FT^IBCEF(IB399),IBFRMTYP=$S(IBFRMTYP=2:2,IBFRMTYP=3:1,1:0) ;JRA IB*2.0*592 ';'
+8 ;JWS 8/30/17;IB*2.0*592;JRA IB*2.0*592
SET IBFRMTYP=$$FT^IBCEF(IB399)
SET IBFRMTYP=$SELECT(IBFRMTYP=2:2,IBFRMTYP=7:7,IBFRMTYP=3:1,1:0)
+9 ;if an Rx refill bill
SET IBCARE=$SELECT($$ISRX^IBCEF1(IB399):3,1:0)
+10 ;1-inp,2-out
if IBCARE=0
SET IBCARE=$$INPAT^IBCEF(IB399,1)
if 'IBCARE
SET IBCARE=2
+11 ; Limits on secondary IDs
SET IBLIMIT=$SELECT($GET(IBINSTP)="C":5,1:3)
+12 FOR IBPRTYP=1:1:9
Begin DoDot:1
+13 NEW Z,IB355OV
+14 SET IBPROV=$$PROVPTR^IBCEF7(IB399,IBPRTYP)
+15 if +IBPROV=0
QUIT
+16 ;don't create anything if form type not CMS-1500 or UB
+17 if IBFRMTYP=0
QUIT
+18 NEW IBRETARR
SET IBRETARR=0
+19 DO PRACT^IBCEF71(IBINSCO,IBFRMTYP,IBCARE,IBPROV,.IBRETARR,IBPRTYP,$GET(IBINSTP))
+20 SET IB355OV=""
SET IBEXC=""
+21 SET Z=$ORDER(^DGCR(399,IB399,"PRV","B",IBPRTYP,0))
+22 IF Z
SET Z=$GET(^DGCR(399,IB399,"PRV",Z,0))
Begin DoDot:2
+23 IF $PIECE(Z,U,IBPRNUM+4)'=""
IF $PIECE(Z,U,IBPRNUM+11)'=""
SET IB355OV=$PIECE(Z,U,IBPRNUM+4)_U_$PIECE(Z,U,IBPRNUM+11)
End DoDot:2
+24 SET IBCURR=$$COB^IBCEF(IB399)
+25 SET IBN=0
SET IB35591=$$CH35591^IBCEF72(IBINSCO,IBFRMTYP,IBCARE)
+26 ;JRA IB*2.0*592 Modify for Dental form 7 - treat the same as CMS-1500
+27 ;JRA IB*2.0*592
IF $GET(IBINSTP)="C"
IF $GET(IBPRNUM)=1
IF "34"[$GET(IBPRTYP)
IF "P"[$GET(IBCURR)
IF ($GET(IBFRMTYP)=2!($GET(IBFRMTYP)=7))
IF $$MCRONBIL^IBEFUNC(IB399)
SET IB355OV=$$MCR24K^IBCEU3(IB399)_"^12"
+28 ;Calculate MEDICARE (WNR) specific provider qualifier and ID for CMS-1500 secondary claim ;JRA IB*2.0*592
+29 IF $GET(IBINSTP)="O"
IF "34"[$GET(IBPRTYP)
IF "ST"[$GET(IBCURR)
IF ($GET(IBFRMTYP)=2!($GET(IBFRMTYP)=7))
IF $$MCRONBIL^IBEFUNC(IB399)
SET IB355OV=$$MCR24K^IBCEU3(IB399)_"^12"
+30 IF $PIECE(IB355OV,U,2)
Begin DoDot:2
+31 IF $$CHCKSEC^IBCEF73(IBFRMTYP,IBPRTYP,$GET(IBINSTP),$PIECE($GET(^IBE(355.97,+$PIECE(IB355OV,U,2),0)),U,3))
Begin DoDot:3
+32 SET IBEXC=$PIECE(IB355OV,U,2)
SET IBN=IBN+1
SET IBRES(IBSORT,IBPRTYP,IBN)="OVERRIDE^"_IBINSCO_U_$PIECE($GET(^IBE(355.97,+IBEXC,0)),U,3)_U_$PIECE(IB355OV,U)_"^^^^^"_+IBEXC
End DoDot:3
End DoDot:2
+33 IF IB35591'=""
IF IBEXC'=$PIECE(IB35591,U,3)
if $$CHCKSEC^IBCEF73(IBFRMTYP,IBPRTYP,$GET(IBINSTP),$PIECE(IB35591,"^"))
SET IBN=IBN+1
SET IBRES(IBSORT,IBPRTYP,IBN)="DEFAULT^"_IBINSCO_"^"_IB35591_"^^"
SET $PIECE(IBRES(IBSORT,IBPRTYP,IBN),U,9)=$PIECE(IB35591,U,3)
+34 DO SORT(IBSORT,IBPRTYP,IB399,.IBRETARR,.IBRES,IBN,IBEXC,IBPRNUM,IBLIMIT)
+35 SET IBRES(IBSORT,IBPRTYP)=IBPROV
End DoDot:1
+36 SET IBRES(IBSORT)=$SELECT(IBPRNUM=3:"T",IBPRNUM=2:"S",1:"P")
+37 QUIT
+38 ;
SECIDCK(IBIFN,IBSEQ,IBTYP,IBIFN1) ; Function returns 1 if ID type ptr in
+1 ; IBTYP is valid X12 code for the claim/prov function (IBPROVF)
+2 ; as a sec id
+3 ; IBSEQ = COB seq being checked
+4 ; IBIFN1 = entry # in PRV multiple being checked
+5 ; Called from input transform of fields .12-.14, subfile 399.0222
+6 IF $GET(IBIFN)=""
QUIT
+7 NEW IBOK,IBFRM,IBCOBN,IBX12,IBPROVF
+8 SET IBPROVF=+$GET(^DGCR(399,IBIFN,"PRV",IBIFN1,0))
+9 ; Form type
SET IBFRM=$$FT^IBCEF(IBIFN)
SET IBFRM=$SELECT(IBFRM=3:1,1:2)
+10 ; Current COB seq
SET IBCOBN=$$COBN^IBCEF(IBIFN)
if 'IBCOBN
SET IBCOBN=1
+11 ; X12 code for prov id typ
SET IBX12=$PIECE($GET(^IBE(355.97,+IBTYP,0)),U,3)
+12 QUIT $$CHSEC^IBCEF73(IBFRM,IBPROVF,$SELECT(IBSEQ=IBCOBN:"C",1:"O"),IBX12)
+13 ;
DEFID(IBIFN,IBPRV) ;
+1 ; IBIFN = ien of bill
+2 ; IBPRV = ien of entry subfile 399.0222
+3 ; Function returns default ids: prim id def^sec id def^tert id def
+4 ; SSN cannot be the default ID
+5 IF $GET(IBIFN)=""
QUIT ""
+6 NEW Z,Z1,ID,IBZ,IBINS,IBINS4,IBUB
+7 SET IBZ=""
+8 SET IBUB=($$FT^IBCEF(IBIFN)=3)
+9 DO F^IBCEF("N-ALL ATT/REND PROV SSN/EI","IBZ","",IBIFN)
+10 SET Z=$GET(^DGCR(399,IBIFN,"PRV",IBPRV,0))
SET ID=$PIECE(Z,U,5,7)
+11 FOR Z1=1:1:3
IF $PIECE(ID,U,Z1)=""
Begin DoDot:1
+12 if '$GET(^DGCR(399,IBIFN,"I"_Z1))
QUIT
SET IBINS=+^("I"_Z1)
+13 SET $PIECE(ID,U,Z1)=$$GETID^IBCEP2(IBIFN,2,$PIECE(Z,U,2),Z1)
+14 ; Set default if null
+15 IF $PIECE(ID,U,Z1)=""
SET $PIECE(ID,U,Z1)="VAD000"
End DoDot:1
+16 QUIT ID
+17 ;
DISPID(IBXIEN) ; Display list of all prov and fac ids that will
+1 ; extract for this bill if transmitted electronically
+2 IF $GET(IBXIEN)=""
QUIT
+3 NEW IBID,IBID1,IBZ,IBCT,IBFRM,IBCOBN,IBQUIT,IBTYP,DIR,IBIFN,X,Y,Z,Z0,Z1,CO,IBN,IBCODE
+4 SET IBIFN=IBXIEN
+5 SET IBFRM=$$FT^IBCEF(IBIFN)
SET IBCOBN=$$COBN^IBCEF(IBIFN)
+6 WRITE @IOF
+7 ;;JWS;IB*2.0*718v10;display message that NPIs are removed for Medicare 837s
+8 ;;JWS;IB*2.0*727v9;display message that secondary provider IDs will be removed for Medicare claims, except with 1G qualifiers
+9 WRITE !,"If this bill is transmitted electronically, the following IDs will be sent:"
+10 WRITE !,"Note: For Medicare:",!," 1) All NPIs will be removed from the claim prior to submission."
+11 WRITE !," 2) All Provider IDs other than 'UPIN' will be removed from the claim prior to",!?4,"submission.",!
+12 ; Returns all prov sec ids to be transmitted in indicated segments
+13 SET Z=+$GET(^DGCR(399,IBIFN,"I1"))
IF Z
WRITE !," Primary Ins Co: ",$$EXTERNAL^DILFD(399,101,"",Z)
IF IBCOBN=1
WRITE ?54,"<<<Current Ins"
+14 SET Z=+$GET(^DGCR(399,IBIFN,"I2"))
IF Z
WRITE !,"Secondary Ins Co: ",$$EXTERNAL^DILFD(399,101,"",Z)
IF IBCOBN=2
WRITE ?54,"<<<Current Ins"
+15 SET Z=+$GET(^DGCR(399,IBIFN,"I3"))
IF Z
WRITE !," Tertiary Ins Co: ",$$EXTERNAL^DILFD(399,101,"",Z)
IF IBCOBN=3
WRITE ?54,"<<<Current Ins"
+16 ;JWS;IB*2.0*592;added Assistant Surgeon records to header display
+17 WRITE !!,"Provider IDs: (VistA Records OP1,OP2,OP4,OP8,OP9,OP10,OPR,OPR1,OPR2,OPR3,OPR4,",!?29,"OPR5,OPR7,OPR8,OPR9,OPRA,OPRB,OPRC):"
+18 ;F Z=1:1:3 I $G(^DGCR(399,IBIFN,"I"_Z)) D PROVINF(IBIFN,Z,.IBID,"",$S(IBCOBN=Z:"C",1:"O"))
+19 ;*432/TAZ - Added call to gather line providers and apply business rules
+20 DO ALLIDS^IBCEFP(IBIFN,.IBID)
+21 ;*432/TAZ - Rewrote following code to take info from the IBID array instead of File 399. This allows changes from the application of the business rules.
+22 SET IBQUIT=0
+23 ;
+24 ;JWS;IB*2.0*592; added assistant surgeon
+25 ; Process providers in order: Attending, Rendering, Referring, Operating, Supervising, and Other Operating if they exist
FOR IBPRV=4,3,1,2,5,6,9
Begin DoDot:1
+26 IF '$DATA(IBID("PROVINF",IBIFN,"C",1,IBPRV))
QUIT
+27 IF ($Y+5)>IOSL
SET IBQUIT=$$NOMORE()
if IBQUIT
QUIT
+28 WRITE !!?5,$$EXTERNAL^DILFD(399.0222,.01,"",IBPRV),": "_$$EXTERNAL^DILFD(399.0222,.02,"",$PIECE(IBID("PROVINF",IBIFN,"C",1,IBPRV),U))
+29 WRITE !?8,"NPI: ",?40,$SELECT($PIECE($GET(IBID("PROVINF",IBIFN,"C",1,IBPRV,0)),U,4)]"":$PIECE(IBID("PROVINF",IBIFN,"C",1,IBPRV,0),U,4),1:"***MISSING***")
+30 KILL IBTYP
+31 FOR CO="C","O"
Begin DoDot:2
+32 FOR IBN=1,2
IF $DATA(IBID("PROVINF",IBIFN,CO,IBN,IBPRV))
Begin DoDot:3
+33 FOR Z0=1:1
if '$DATA(IBID("PROVINF",IBIFN,CO,IBN,IBPRV,Z0))!IBQUIT
QUIT
Begin DoDot:4
+34 SET IBCODE=+$PIECE(IBID("PROVINF",IBIFN,CO,IBN,IBPRV,Z0),U,9)
+35 ;1st of each type transmits
if $DATA(IBTYP(IBCODE))
QUIT
+36 IF ($Y+5)>IOSL
SET IBQUIT=$$NOMORE()
if IBQUIT
QUIT
+37 SET IBTYP(IBCODE)=""
+38 WRITE !,?8,"(",IBID("PROVINF",IBIFN,CO,IBN),") ",$$EXTERNAL^DILFD(36,4.01,"",IBCODE),?40,$PIECE(IBID("PROVINF",IBIFN,CO,IBN,IBPRV,Z0),U,4)
End DoDot:4
End DoDot:3
End DoDot:2
End DoDot:1
+39 ;
+40 IF IBQUIT
GOTO DISPIDX
+41 ;
+42 ; IB*2*320 - display additional IDs for ?ID
+43 DO EN^IBCEF74A(IBIFN,.IBQUIT,.IBID)
+44 ;
DISPIDX ;
+1 IF '$GET(IBQUIT)
SET DIR(0)="EA"
SET DIR("A")="Press RETURN to continue "
WRITE !
DO ^DIR
KILL DIR
+2 QUIT
+3 ;
NOMORE() ;
+1 SET DIR(0)="EA"
SET DIR("A")="Press RETURN for more IDs or '^' to exit: "
WRITE !
DO ^DIR
+2 WRITE @IOF
+3 QUIT (Y'=1)
+4 ;
DEFSEC(IBIFN,IBARR) ; Returns array in IBARR for default prov sec ids for ien IBIFN
+1 ; IBARR if passed by ref is returned IBARR(prov function,COBN)=def id
+2 IF $GET(IBIFN)=""
+3 NEW IBCAR,IBCOBN,IBPC,IBINS,IBARRX,Q,Z,Z0,ZINS,X
+4 KILL IBARR
+5 SET ZINS=""
SET IBCOBN=$$COBN^IBCEF(IBIFN)
SET IBPC=$SELECT($$FT^IBCEF(IBIFN)=3:2,1:1)
+6 SET IBCAR=$$INPAT^IBCEF(IBIFN,1)
SET IBCAR=$SELECT('IBCAR:2,1:1)
+7 FOR Z=1:1:3
SET ZINS=ZINS_+$GET(^DGCR(399,IBIFN,"I"_Z))_U
+8 FOR Z=1:1:3
IF $PIECE(ZINS,U,Z)
IF '$PIECE($GET(^DIC(36,+$PIECE(ZINS,U,Z),4)),U,IBPC)
SET $PIECE(ZINS,U,Z)=""
+9 SET Z=0
FOR
SET Z=$ORDER(^DGCR(399,IBIFN,"PRV",Z))
if 'Z
QUIT
SET Z0=$GET(^(Z,0))
Begin DoDot:1
+10 FOR Q=1:1:3
Begin DoDot:2
+11 ; Override
IF $PIECE(Z0,U,Q+4)'=""
SET IBARR(+Z0,Q)=$PIECE(Z0,U,Q+4)
QUIT
+12 SET IBINS=$PIECE(ZINS,U,Q)
+13 if 'IBINS
QUIT
+14 SET X=$$IDFIND^IBCEP2(IBIFN,"",$PIECE(Z0,U,2),Q,1)
+15 IF X'=""
SET IBARR(+Z0,Q)=X
End DoDot:2
End DoDot:1
+16 QUIT
+17 ;
