IBCEFG1 ;ALB/TMP - OUTPUT FORMATTER DATA DEFINITION UTILITIES ;18-JAN-96
;;2.0;INTEGRATED BILLING;**52,51,137,181,197,232,288,349,371,377,644**;21-MAR-94;Build 4
;;Per VA Directive 6402, this routine should not be modified.
;
EDIBILL(IBXFORM,IBXDA,IBINS,IBTYP) ; Find element associated with form fld
; IBXFORM = (REQUIRED) actual form being extracted (in file 353)
; IBXDA = (REQUIRED) form definition file (364.6) entry to use to find
; extract data element definition entry (in file 364.7)
; IBINS = (REQUIRED) insurance co. ien for the current insurance on bill
; IBTYP = (REQUIRED) bill type (I/O)
;
; Returns ien of the entry in file 364.7 if a match on override criteria
; was found. Returns -1 if a screen form and the criteria fails for a
; field without an override
;
N IBX,IBPARFM,IBSCREEN,IBNMATCH,EDIQ,IB1
I $G(IBXDA)=""!($G(IBXFORM)="") G EDIQ
S EDIQ=0
S IBPARFM=$P($G(^IBE(353,IBXFORM,2)),U,5) S:'IBPARFM IBPARFM=IBXFORM
S IBSCREEN=($P($G(^IBE(353,+IBXFORM,2)),U,2)="S")
S IB1=(IBPARFM=IBXFORM) ; Not a local field that is not a parent
;
I $G(IBINS)'="",$G(IBTYP)'="" D:$O(^IBA(364.7,"AINTYP",IBXDA,""))'="" G:EDIQ EDIQ
. I '$D(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP)) S IBNMATCH=1 Q
. S IBX=+$O(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP,"")),EDIQ=1 S:IBX IBNMATCH=0 ;by ins co and type of bill
;
I $G(IBINS)'="" D:$O(^IBA(364.7,"AINS",IBXDA,""))'="" G:EDIQ EDIQ
. I '$D(^IBA(364.7,"AINS",IBXDA,IBINS)) S IBNMATCH=1 Q
. S IBX=+$O(^IBA(364.7,"AINS",IBXDA,IBINS,"")),EDIQ=1 S:IBX IBNMATCH=0 ;ins co only
;
I $G(IBTYP)'="" D:$O(^IBA(364.7,"ATYPE",IBXDA,""))'="" G:EDIQ EDIQ
. I '$D(^IBA(364.7,"ATYPE",IBXDA,IBTYP)) S IBNMATCH=1 Q
. S IBX=+$O(^IBA(364.7,"ATYPE",IBXDA,IBTYP,"")),EDIQ=1 S:IBX IBNMATCH=0 ;type of bill only
;
I IBXFORM,$S(IBXFORM'=IBPARFM:1,1:IBSCREEN) D G EDIQ
. S IBX=+$O(^IBA(364.7,"ALL",IBXDA,"")) ; Check for all ins co and types
. I IBX,+$O(^IBA(364.7,"ALL",IBXDA,IBX)) D ; Find override for 'ALL'
.. N Z
.. S Z=0 F S Z=$O(^IBA(364.7,"ALL",IBXDA,Z)) Q:'Z I $P($G(^IBA(364.7,Z,0)),U)'=IBXDA S IBX=Z Q
. I 'IBX,+$O(^IBA(364.7,"B",IBXDA,"")) S IBX=$O(^(""))
. S:IBX IBNMATCH=0
;
I IBXFORM,$O(^IBA(364.6,"APAR",IBXFORM,IBXDA,"")) S IBX=+$O(^("")),IBX=+$O(^IBA(364.7,"B",IBX,0)) I IBX G EDIQ
S IBX=+$O(^IBA(364.7,"B",IBXDA,""))
EDIQ I IBSCREEN,$G(IBNMATCH) S IBX=-1
Q $G(IBX)
;
DT(DATE1,DATE2,FORMAT) ; Return date in DATE1 (and optionally DATE2)
; (input in Fileman format) converted to X12 format
; FORMAT (required)
; DATE1,DATE2 in FILEMAN date format
N DATE S DATE=""
I DATE1=0 S DATE1=""
I $E(FORMAT)="D" D G DTQ
.S DATE=$E(DATE1,2,7) Q:$P(FORMAT,"D",2)=6 ;YYMMDD
.S:DATE1 DATE=($E(DATE1)+17)_DATE ;CCYYMMDD
I $E(FORMAT)="R" D
.S:DATE1 DATE=$E(DATE1,2,7)_"-"_$E($S($G(DATE2):DATE2,1:DATE1),2,7) ;YYMMDD-YYMMDD
.Q:FORMAT["6"
.S DATE=($E(DATE1)+17)_DATE,$P(DATE,"-",2)=($E($S($G(DATE2):DATE2,1:DATE1))+17)_$P(DATE,"-",2) ;CCYYMMDD-CCYYMMDD
DTQ Q DATE
;
NAME(IBNM1,COMB) ; Parse person's nm into 5 pieces LAST^FIRST^MIDDLE^CRED^SUFFIX
; IBNM1 = NAME in LAST,FIRST MIDDLE^vp file ien (200 or 355.93)^bill ien^prv type
; OR FIRST MIDDLE LAST^vp file ien (200 or 355.93)^bill ien^prv type
; COMB = if set to 1, then combine the first and middle name
; if set to 2, combine the last and middle names
N PC,IBIEN,IBCRED,IBNM,IBNMC,IBPIEN
S IBIEN=$P(IBNM1,U,2),IBNMC=$P(IBNM1,U)
S IBPIEN=+$O(^DGCR(399,+$P(IBNM1,U,3),"PRV","B",+$P(IBNM1,U,4),0))
S IBCRED=$$CRED^IBCEU(IBIEN,+$P(IBNM1,U,3),IBPIEN) ;Degree
I IBNMC="DEPT VETERANS AFFAIRS" S IBNMC="VETERANS AFFAIRS,DEPT"
I IBNMC["," D G NAMEQ
. S IBNMC=$TR(IBNMC,".") D NAMECOMP^XLFNAME(.IBNMC)
. S IBNM=$G(IBNMC("FAMILY"))_U_$G(IBNMC("GIVEN"))_U_$G(IBNMC("MIDDLE"))_U_IBCRED_U_$G(IBNMC("SUFFIX"))
D STDNAME^XLFNAME(.IBNMC,"C")
S IBNM=$G(IBNMC("FAMILY"))_U_$G(IBNMC("GIVEN"))_U_$G(IBNMC("MIDDLE"))_U_IBCRED_U_$G(IBNMC("SUFFIX"))
I $P(IBNM1,U,2)["355.93",$P($G(^IBA(355.93,+$P(IBNM1,U,2),0)),U,2)=1 D G NAMEQ ; group performing provider
. S IBNM=$P(IBNM1,U)_U_U_U_IBCRED_U
I $G(COMB)=1,$G(IBNMC("MIDDLE"))'="" S IBNM=$P(IBNM,U)_U_$P(IBNM,U,2)_" "_$P(IBNM,U,3)_U_IBCRED_U_$P(IBNM,U,5)
I $G(COMB)=2,$G(IBNMC("MIDDLE"))'="" S IBNM=$P(IBNM,U)_" "_$P(IBNM,U,3)_U_$P(IBNM,U,2)_U_IBCRED_U_$P(IBNM,U,5)
;
NAMEQ Q IBNM
;
DOLLAR(AMT) ; Format amount in AMT so it is numeric including cents, without
; the decimal and commas.
N DOLR,CENT
I AMT'="" S AMT=$TR(AMT,","),DOLR=$P(AMT,"."),CENT=$E($P(AMT,".",2)_"00",1,2),AMT=DOLR_CENT
Q AMT
;
STATE(CODE) ;Return state code from state pointer
Q $P($G(^DIC(5,+CODE,0)),U,2)
;
SEX(CODE) ;Return the X12 code for sex
; CODE = DHCP code for sex
Q $S(CODE="":"U","MF"[$E(CODE):$E(CODE),1:"U")
;
EMPLST(CODE) ;Return the X12 code for employment status
; CODE = DHCP code for employment status
N X12
S X12=""
S:CODE'="" X12=$P($P("1;FT^2;PT^3;NE^4;SE^5;RT^6;AU^9;UK",CODE_";",2),U)
S:X12="" X12="UK"
Q X12
;
MARITAL(CODE) ;Return the X12 code for marital status
; CODE = ien of code for marital status
N X12
S X12=$P($G(^DIC(11,+CODE,0)),U,3)
I X12'="" S X12=$P($P("D;D^M;M^N;I^S;X^W;W^U;K",X12_";",2),U)
Q X12
;
TOS(CODE) ;Return the X12 code for type of service
; CODE = DHCP code for type of service
N X12
S X12=$S(CODE>0&(CODE<10):CODE,1:$P($P("0;10^A;11^B;13^H;45^L;18^M;15^N;63^V;19^Y;20^Z;21^43;96^53;96",CODE_";",2),U)) S:X12="" X12=CODE
Q X12
;
FIXLEN(DATA,LEN) ; Create a fixed length field from data DATA length LEN
Q $E(DATA_$J("",LEN),1,LEN)
;
RCDT(IBXSAVE,IBXDATA,IBDT) ; Format date for multiple revenue code transmission)
;IBXSAVE = array containing the extracted service line data for the UB format bill
;IBXDATA = array returned with service line dates formatted in YYYYMMDD format
;IBDT = the default date for the revenue codes on the bill
; *644 - replace 1st date with multiple dates
N Q,W
S Q=0 F S Q=$O(IBXSAVE("INPT",Q)) Q:'Q S W=$$DT($P(IBXSAVE("INPT",Q),U,10),,"D8"),IBXDATA(Q)=$S(W:W,1:IBDT)
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEFG1 6103 printed Dec 13, 2024@02:10:28 Page 2
IBCEFG1 ;ALB/TMP - OUTPUT FORMATTER DATA DEFINITION UTILITIES ;18-JAN-96
+1 ;;2.0;INTEGRATED BILLING;**52,51,137,181,197,232,288,349,371,377,644**;21-MAR-94;Build 4
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
EDIBILL(IBXFORM,IBXDA,IBINS,IBTYP) ; Find element associated with form fld
+1 ; IBXFORM = (REQUIRED) actual form being extracted (in file 353)
+2 ; IBXDA = (REQUIRED) form definition file (364.6) entry to use to find
+3 ; extract data element definition entry (in file 364.7)
+4 ; IBINS = (REQUIRED) insurance co. ien for the current insurance on bill
+5 ; IBTYP = (REQUIRED) bill type (I/O)
+6 ;
+7 ; Returns ien of the entry in file 364.7 if a match on override criteria
+8 ; was found. Returns -1 if a screen form and the criteria fails for a
+9 ; field without an override
+10 ;
+11 NEW IBX,IBPARFM,IBSCREEN,IBNMATCH,EDIQ,IB1
+12 IF $GET(IBXDA)=""!($GET(IBXFORM)="")
GOTO EDIQ
+13 SET EDIQ=0
+14 SET IBPARFM=$PIECE($GET(^IBE(353,IBXFORM,2)),U,5)
if 'IBPARFM
SET IBPARFM=IBXFORM
+15 SET IBSCREEN=($PIECE($GET(^IBE(353,+IBXFORM,2)),U,2)="S")
+16 ; Not a local field that is not a parent
SET IB1=(IBPARFM=IBXFORM)
+17 ;
+18 IF $GET(IBINS)'=""
IF $GET(IBTYP)'=""
if $ORDER(^IBA(364.7,"AINTYP",IBXDA,""))'=""
Begin DoDot:1
+19 IF '$DATA(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP))
SET IBNMATCH=1
QUIT
+20 ;by ins co and type of bill
SET IBX=+$ORDER(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP,""))
SET EDIQ=1
if IBX
SET IBNMATCH=0
End DoDot:1
if EDIQ
GOTO EDIQ
+21 ;
+22 IF $GET(IBINS)'=""
if $ORDER(^IBA(364.7,"AINS",IBXDA,""))'=""
Begin DoDot:1
+23 IF '$DATA(^IBA(364.7,"AINS",IBXDA,IBINS))
SET IBNMATCH=1
QUIT
+24 ;ins co only
SET IBX=+$ORDER(^IBA(364.7,"AINS",IBXDA,IBINS,""))
SET EDIQ=1
if IBX
SET IBNMATCH=0
End DoDot:1
if EDIQ
GOTO EDIQ
+25 ;
+26 IF $GET(IBTYP)'=""
if $ORDER(^IBA(364.7,"ATYPE",IBXDA,""))'=""
Begin DoDot:1
+27 IF '$DATA(^IBA(364.7,"ATYPE",IBXDA,IBTYP))
SET IBNMATCH=1
QUIT
+28 ;type of bill only
SET IBX=+$ORDER(^IBA(364.7,"ATYPE",IBXDA,IBTYP,""))
SET EDIQ=1
if IBX
SET IBNMATCH=0
End DoDot:1
if EDIQ
GOTO EDIQ
+29 ;
+30 IF IBXFORM
IF $SELECT(IBXFORM'=IBPARFM:1,1:IBSCREEN)
Begin DoDot:1
+31 ; Check for all ins co and types
SET IBX=+$ORDER(^IBA(364.7,"ALL",IBXDA,""))
+32 ; Find override for 'ALL'
IF IBX
IF +$ORDER(^IBA(364.7,"ALL",IBXDA,IBX))
Begin DoDot:2
+33 NEW Z
+34 SET Z=0
FOR
SET Z=$ORDER(^IBA(364.7,"ALL",IBXDA,Z))
if 'Z
QUIT
IF $PIECE($GET(^IBA(364.7,Z,0)),U)'=IBXDA
SET IBX=Z
QUIT
End DoDot:2
+35 IF 'IBX
IF +$ORDER(^IBA(364.7,"B",IBXDA,""))
SET IBX=$ORDER(^(""))
+36 if IBX
SET IBNMATCH=0
End DoDot:1
GOTO EDIQ
+37 ;
+38 IF IBXFORM
IF $ORDER(^IBA(364.6,"APAR",IBXFORM,IBXDA,""))
SET IBX=+$ORDER(^(""))
SET IBX=+$ORDER(^IBA(364.7,"B",IBX,0))
IF IBX
GOTO EDIQ
+39 SET IBX=+$ORDER(^IBA(364.7,"B",IBXDA,""))
EDIQ IF IBSCREEN
IF $GET(IBNMATCH)
SET IBX=-1
+1 QUIT $GET(IBX)
+2 ;
DT(DATE1,DATE2,FORMAT) ; Return date in DATE1 (and optionally DATE2)
+1 ; (input in Fileman format) converted to X12 format
+2 ; FORMAT (required)
+3 ; DATE1,DATE2 in FILEMAN date format
+4 NEW DATE
SET DATE=""
+5 IF DATE1=0
SET DATE1=""
+6 IF $EXTRACT(FORMAT)="D"
Begin DoDot:1
+7 ;YYMMDD
SET DATE=$EXTRACT(DATE1,2,7)
if $PIECE(FORMAT,"D",2)=6
QUIT
+8 ;CCYYMMDD
if DATE1
SET DATE=($EXTRACT(DATE1)+17)_DATE
End DoDot:1
GOTO DTQ
+9 IF $EXTRACT(FORMAT)="R"
Begin DoDot:1
+10 ;YYMMDD-YYMMDD
if DATE1
SET DATE=$EXTRACT(DATE1,2,7)_"-"_$EXTRACT($SELECT($GET(DATE2):DATE2,1:DATE1),2,7)
+11 if FORMAT["6"
QUIT
+12 ;CCYYMMDD-CCYYMMDD
SET DATE=($EXTRACT(DATE1)+17)_DATE
SET $PIECE(DATE,"-",2)=($EXTRACT($SELECT($GET(DATE2):DATE2,1:DATE1))+17)_$PIECE(DATE,"-",2)
End DoDot:1
DTQ QUIT DATE
+1 ;
NAME(IBNM1,COMB) ; Parse person's nm into 5 pieces LAST^FIRST^MIDDLE^CRED^SUFFIX
+1 ; IBNM1 = NAME in LAST,FIRST MIDDLE^vp file ien (200 or 355.93)^bill ien^prv type
+2 ; OR FIRST MIDDLE LAST^vp file ien (200 or 355.93)^bill ien^prv type
+3 ; COMB = if set to 1, then combine the first and middle name
+4 ; if set to 2, combine the last and middle names
+5 NEW PC,IBIEN,IBCRED,IBNM,IBNMC,IBPIEN
+6 SET IBIEN=$PIECE(IBNM1,U,2)
SET IBNMC=$PIECE(IBNM1,U)
+7 SET IBPIEN=+$ORDER(^DGCR(399,+$PIECE(IBNM1,U,3),"PRV","B",+$PIECE(IBNM1,U,4),0))
+8 ;Degree
SET IBCRED=$$CRED^IBCEU(IBIEN,+$PIECE(IBNM1,U,3),IBPIEN)
+9 IF IBNMC="DEPT VETERANS AFFAIRS"
SET IBNMC="VETERANS AFFAIRS,DEPT"
+10 IF IBNMC[","
Begin DoDot:1
+11 SET IBNMC=$TRANSLATE(IBNMC,".")
DO NAMECOMP^XLFNAME(.IBNMC)
+12 SET IBNM=$GET(IBNMC("FAMILY"))_U_$GET(IBNMC("GIVEN"))_U_$GET(IBNMC("MIDDLE"))_U_IBCRED_U_$GET(IBNMC("SUFFIX"))
End DoDot:1
GOTO NAMEQ
+13 DO STDNAME^XLFNAME(.IBNMC,"C")
+14 SET IBNM=$GET(IBNMC("FAMILY"))_U_$GET(IBNMC("GIVEN"))_U_$GET(IBNMC("MIDDLE"))_U_IBCRED_U_$GET(IBNMC("SUFFIX"))
+15 ; group performing provider
IF $PIECE(IBNM1,U,2)["355.93"
IF $PIECE($GET(^IBA(355.93,+$PIECE(IBNM1,U,2),0)),U,2)=1
Begin DoDot:1
+16 SET IBNM=$PIECE(IBNM1,U)_U_U_U_IBCRED_U
End DoDot:1
GOTO NAMEQ
+17 IF $GET(COMB)=1
IF $GET(IBNMC("MIDDLE"))'=""
SET IBNM=$PIECE(IBNM,U)_U_$PIECE(IBNM,U,2)_" "_$PIECE(IBNM,U,3)_U_IBCRED_U_$PIECE(IBNM,U,5)
+18 IF $GET(COMB)=2
IF $GET(IBNMC("MIDDLE"))'=""
SET IBNM=$PIECE(IBNM,U)_" "_$PIECE(IBNM,U,3)_U_$PIECE(IBNM,U,2)_U_IBCRED_U_$PIECE(IBNM,U,5)
+19 ;
NAMEQ QUIT IBNM
+1 ;
DOLLAR(AMT) ; Format amount in AMT so it is numeric including cents, without
+1 ; the decimal and commas.
+2 NEW DOLR,CENT
+3 IF AMT'=""
SET AMT=$TRANSLATE(AMT,",")
SET DOLR=$PIECE(AMT,".")
SET CENT=$EXTRACT($PIECE(AMT,".",2)_"00",1,2)
SET AMT=DOLR_CENT
+4 QUIT AMT
+5 ;
STATE(CODE) ;Return state code from state pointer
+1 QUIT $PIECE($GET(^DIC(5,+CODE,0)),U,2)
+2 ;
SEX(CODE) ;Return the X12 code for sex
+1 ; CODE = DHCP code for sex
+2 QUIT $SELECT(CODE="":"U","MF"[$EXTRACT(CODE):$EXTRACT(CODE),1:"U")
+3 ;
EMPLST(CODE) ;Return the X12 code for employment status
+1 ; CODE = DHCP code for employment status
+2 NEW X12
+3 SET X12=""
+4 if CODE'=""
SET X12=$PIECE($PIECE("1;FT^2;PT^3;NE^4;SE^5;RT^6;AU^9;UK",CODE_";",2),U)
+5 if X12=""
SET X12="UK"
+6 QUIT X12
+7 ;
MARITAL(CODE) ;Return the X12 code for marital status
+1 ; CODE = ien of code for marital status
+2 NEW X12
+3 SET X12=$PIECE($GET(^DIC(11,+CODE,0)),U,3)
+4 IF X12'=""
SET X12=$PIECE($PIECE("D;D^M;M^N;I^S;X^W;W^U;K",X12_";",2),U)
+5 QUIT X12
+6 ;
TOS(CODE) ;Return the X12 code for type of service
+1 ; CODE = DHCP code for type of service
+2 NEW X12
+3 SET X12=$SELECT(CODE>0&(CODE<10):CODE,1:$PIECE($PIECE("0;10^A;11^B;13^H;45^L;18^M;15^N;63^V;19^Y;20^Z;21^43;96^53;96",CODE_";",2),U))
if X12=""
SET X12=CODE
+4 QUIT X12
+5 ;
FIXLEN(DATA,LEN) ; Create a fixed length field from data DATA length LEN
+1 QUIT $EXTRACT(DATA_$JUSTIFY("",LEN),1,LEN)
+2 ;
RCDT(IBXSAVE,IBXDATA,IBDT) ; Format date for multiple revenue code transmission)
+1 ;IBXSAVE = array containing the extracted service line data for the UB format bill
+2 ;IBXDATA = array returned with service line dates formatted in YYYYMMDD format
+3 ;IBDT = the default date for the revenue codes on the bill
+4 ; *644 - replace 1st date with multiple dates
+5 NEW Q,W
+6 SET Q=0
FOR
SET Q=$ORDER(IBXSAVE("INPT",Q))
if 'Q
QUIT
SET W=$$DT($PIECE(IBXSAVE("INPT",Q),U,10),,"D8")
SET IBXDATA(Q)=$SELECT(W:W,1:IBDT)
+7 QUIT
