IBCEMSRI ;EDE/JWS - RPC FOR IENS LIST AND CLAIM DATA FOR TAS PRINTED CLAIMS REPORT ;
;;2.0;INTEGRATED BILLING;**727,759**;21-MAR-94;Build 24
;;Per VA Directive 6402, this routine should not be modified.
;
Q
;
GET(RESULT,ARG) ;RPC ; PCR - get list of claim iens to extract
;
N IBSAVE,IBY,IBDT,VARRAY,IBDT,IBIEN,IBDATA,IBRTN,IBDV,IBINS,IBTOP,IBRCX,IBRVCDS
N IBRTDS,IBPTYP,INSCO,IBFTYP,IBTYPE,IBBLLR,CT,X,STOPCT,IBSTT
D DTNOLF^DICRW
S IBY=$E(DT,1,3)-$S(+$E(DT,4,5)<10:2,1:1),IBDT=IBY_1000 ; set
; Use the existing AP x-ref to narrow down the list of claims by date,
; then perform the same filtering as the VistA Printed Claims Report to determine if claim should be included in PCR report data
;
D INIT
S IBSAVE("site")=$P($$SITE^VASITE(),"^",3)
;JWS;EBILL-3063;11/17/22;issue with speed, added STOPCT and last date successfully run
S X=$P($G(^IBE(350.9,1,8)),"^",22) I +X>IBDT S IBDT=X-1
;JWS;5/1/23;IB*2.0*759v2;EBILL-3377;set IBSTT = time stamp to check, needs to complete in < 30 seconds due to TAS-API express timeout
S IBSTT=$P($H,",",2)
; Identify those claims within the selected date range
F S IBDT=$O(^DGCR(399,"AP",IBDT)) Q:'IBDT S STOPCT=$G(STOPCT)+1 D I STOPCT>99 Q
. ;5/2/23;EBILL-3377;IB*2.0*759v2;added Q:STOPCT>99;if processing is >25 seconds, setting STOPCT=100
. S IBIEN=0 F S IBIEN=$O(^DGCR(399,"AP",IBDT,IBIEN)) Q:'IBIEN D Q:STOPCT>99
.. ;5/2/23;IB*2.0*759v2;EBILL-3377;move check for already on PCR report up, in an attempt to make faster
.. I $P($G(^DGCR(399,IBIEN,"S1")),"^",10)=1 Q ; claim is already on the report
.. S IBDATA=$G(^DGCR(399,IBIEN,0))
.. I $P(IBDATA,"^",13)'=4 Q ; don't include canceled claims
.. I $P($G(^DGCR(399,IBIEN,"TX")),"^",8)'=1 Q ; Is the Bill "FORCE LOCAL PRINT"?
.. ;;testing. W !,"IEN: ",IBIEN,?15,$P(^DGCR(399,IBIEN,0),"^") R !,"Change? ",x i x=1 S $P(^DGCR(399,IBIEN,"TX"),"^",8)=1
.. ; don't include US Labor Dept claims
.. ;;S IBINS=$$CURR^IBCEF2(IBIEN) Q:$D(VARRAY("IBULD",IBINS))
.. ;;JWS;5/1/23;IB*2.0*759v2;EBILL-3381;Patient responsible claims don't seem to have insurance; found at Cleveland site#541;added Q:IBINS=""
.. S IBINS=$$FINDINS^IBCEF1(IBIEN) Q:IBINS="" I $D(VARRAY("IBULD",IBINS)) Q
.. ; don't count claims where EDI is inactive (user has to print those)
.. I $$INSOK^IBCEF4(IBINS)'=1 Q
.. S IBRTN=$P(IBDATA,"^",7),IBDV=+$P(IBDATA,"^",22) ; Get Rate Type and division
.. I '$D(VARRAY("RTYPES",IBRTN)) Q ;Is this one of the selected Rate Types?
.. S IBTOP=+$P($G(^IBA(355.3,+$$POLICY^IBCEF(IBIEN,18),0)),"^",9) ; Get Plan Type
.. I '$D(VARRAY("IBTOP",IBTOP)) Q ;Is this one of the selected Plan Types?
.. S IBRCX=0
.. S (IBRVCDS,X)="" F S X=$O(^DGCR(399,IBIEN,"RC","B",X)) Q:X="" D Q:IBRCX
... I $D(VARRAY("XRVCDS",X)) S IBRCX=1 Q ; Bill contains a Revenue Code Exclusion.
... S IBRVCDS=$S(IBRVCDS="":X,1:IBRVCDS_","_X) ; Get Revenue Codes.
.. I IBRCX=1 Q ; bill contains at least one of the excluded revenue codes
.. S CT=$G(CT)+1,IBSAVE("PCRiens",CT,"ien")=IBIEN
.. ;JWS;5/2/23;IB*2.0*742v11;EBILL-3377;checking for processing time. everything needs completed in 30 sec due to TAS-API express timeout
.. I ($P($H,",",2)-IBSTT)>25 S STOPCT=100
.. Q
. ;JWS;5/2/23;IB*2.0*759v2;EBILL-3377;if no claims were found for a given date, set the last search date for PCR report
. I '$D(IBSAVE("PCRiens")),+$G(IBDT)>+$P(^IBE(350.9,1,8),"^",22) S $P(^(8),"^",22)=IBDT
. Q
D ENCODE^XLFJSON("IBSAVE","RESULT")
D FINISH
Q
;
;
FINISH ; enclose message in '[ ]' when a Bundle
N X
I $G(RESULT(1))=""!($G(RESULT(1))="{}") S RESULT(1)="[{}]" Q
S RESULT(1)="["_RESULT(1)
S X=$O(RESULT("A"),-1)
S RESULT(X)=RESULT(X)_"]"
Q
;
INIT ; come here to set up search criteria
; Get ien of US Labor Department payer (cover all possible name variations)
N IBULD,IBRVCD,IBRTN,IBTOPN,IBTOPD,IBRTD
S IBULD=$O(^DIC(36,"B","US LABOR DEPARTMENT","")) S:IBULD'="" VARRAY("IBULD",IBULD)=""
S IBULD=$O(^DIC(36,"B","US DEPT OF LABOR","")) S:IBULD'="" VARRAY("IBULD",IBULD)=""
S IBULD=$O(^DIC(36,"B","US DEPARTMENT OF LABOR","")) S:IBULD'="" VARRAY("IBULD",IBULD)=""
; handle claims that do not have a type of plan
S VARRAY("IBTOP",0)="UNKNOWN"
; Claim does not contain excluded revenue codes from IB Site parameters
S IBRVCD="" F S IBRVCD=$O(^IBE(350.9,1,15,"B",IBRVCD)) Q:'IBRVCD S VARRAY("XRVCDS",IBRVCD)=""
; select all Rate Types that INSURER is responsible, [.07] = "i"
S IBRTN=0 F S IBRTN=$O(^DGCR(399.3,IBRTN)) Q:IBRTN'=+IBRTN S IBRTD=$G(^(IBRTN,0)) I $P(IBRTD,"^",7)="i" S VARRAY("RTYPES",IBRTN)=$P(IBRTD,"^")
; select only active plan types
S IBTOPN=0 F S IBTOPN=$O(^IBE(355.1,IBTOPN)) Q:IBTOPN'=+IBTOPN S IBTOPD=$G(^(IBTOPN,0)) I '+$P(IBTOPD,"^",4) S VARRAY("IBTOP",IBTOPN)=$P(IBTOPD,"^")
Q
;
GET1(RESULT,ARG) ;get claim data for PCR Power BI report
;
N IBSAVE,IBY,IBDT,VARRAY,IBDT,IBIEN,IBDATA,IBRTN,IBDV,IBINS,IBTOP,IBRCX,IBRVCDS
N IBRTDS,IBPTYP,INSCO,IBFTYP,IBTYPE,IBBLLR,CT,I,X,IBDATE,IBDIVD,IBILLNO,IBSN
;;I $G(ARG("IEN399"))="" S ARG("IEN399")=2122602 ;;TESTING;4/8/22;JWS
K RESULT
D DTNOLF^DICRW
; Get IEN for Claim File 399
S IBIEN=ARG("IEN399")
I IBIEN="" D FINISH Q
I '$D(^DGCR(399,IBIEN,0)) D FINISH Q
; Collect Information
S IBDATA=$G(^DGCR(399,IBIEN,0)),IBRTN=$P(IBDATA,U,7),IBDV=+$P(IBDATA,U,22) I IBDV S IBDIVD=$P($G(^DG(40.8,IBDV,0)),"^") ; Get Rate Type and division
S IBINS=$$CURR^IBCEF2(IBIEN)
S IBTOP=+$P($G(^IBA(355.3,+$$POLICY^IBCEF(IBIEN,18),0)),U,9) ; Get Plan Type
S IBRCX=0
S (IBRVCDS,X)="" F S X=$O(^DGCR(399,IBIEN,"RC","B",X)) Q:X="" D
. S IBRVCDS=$S(IBRVCDS="":X,1:IBRVCDS_","_X) ; Get Revenue Codes.
S IBRTDS=$G(VARRAY("RTYPES",IBRTN)) ; Get the Rate Type Description
S IBPTYP=$G(VARRAY("IBTOP",IBTOP)) ; Get Plan Type name
S IBILLNO=$$BN1^PRCAFN(IBIEN) ; Get external CLAIM # DBIA #380
S INSCO=$P($G(^DIC(36,IBINS,0)),U) ; Get Insurance Company Name
S IBFTYP=$P($G(^IBE(353,+$P(IBDATA,U,19),0)),U) I IBFTYP="" S IBFTYP="UNKNOWN" ; Get the Bill's Form Type.
S IBTYPE=$S($P(IBDATA,U,5)>2:"O",1:"I")_"-"_$S($P(IBDATA,U,27)=1:"I",$P(IBDATA,U,27)=2:"P",1:"") ; Patient Status / Bill Charge Type
S IBBLLR=$P($$BILLER^IBCIUT5(IBIEN),U,2) ; Get Biller
S IBSN=$O(^DIC(4,"D",$P(IBILLNO,"-"),0)) I IBSN S IBSN=$$GET1^DIQ(4,IBSN_",",.01,"E")
S IBSAVE("ien")=IBIEN
S IBSAVE("site")=$P(IBILLNO,"-")
S IBSAVE("claim")=$P(IBILLNO,"-",2)
S IBSAVE("type")=IBTYPE
S IBSAVE("authorizerLastName")=$S($F(IBBLLR,","):$P(IBBLLR,","),1:IBBLLR)
S IBSAVE("authorizerFirstName")=$S($F(IBBLLR,","):$P(IBBLLR,",",2),1:"")
S IBSAVE("rateType")=$$GET1^DIQ(399.3,IBRTN_",",.01)
S IBSAVE("planType")=$$GET1^DIQ(355.1,IBTOP_",",.01)
S IBSAVE("division")=$G(IBDIVD)
F I=1:1 Q:$P(IBRVCDS,",",I)="" S IBSAVE("revenueCodes",I,":")="{""revenueCode"":"_$P(IBRVCDS,",",I)_"}"
S IBSAVE("insuranceCompany")=INSCO
;JWS;12/5/2022;IB*2.0*727v16;should be field 14 Last Printed date, not field .14 Status Date
S X=$$GET1^DIQ(399,IBIEN_",",14,"I") I X'="" S IBDATE=$S($E(X)=3:20,1:19)_$E(X,2,3)_"-"_$E(X,4,5)_"-"_$E(X,6,7)
S IBSAVE("datePrinted")=IBDATE
S IBSAVE("siteName")=IBSN
S IBSAVE("formType")=IBFTYP
S IBSAVE("mccf")=$S($D(^IBE(350.9,1,28,"B",IBRTN)):0,1:1)
D ENCODE^XLFJSON("IBSAVE","RESULT")
D FINISH
Q
;
PUT(RESULT,ARG) ; successful posting of claim data to Sql database for PowerBI PCR report
;; update data field in file 399
N IBIEN,RES,IBFPDT
K RESULT
D DTNOLF^DICRW
; Get IEN for Claim File 399
S IBIEN=$G(ARG("IEN399")) ;$G not necessary for VistaLink provides the parameters defined
; execute code to set claim status as received at FSC
S RES=1
I IBIEN="" S RES=0
I '$D(^DGCR(399,IBIEN,0)) S RES=0
I RES=1 D
. N DA,D0,DR,DIE,DIC
. S DA=IBIEN
. S DR="37.1////1"
. S DIE="^DGCR(399,"
. D ^DIE
. Q
;JWS;EBILL-3063;11/17/22;issue with speed;added last date searched
;JWS;5/2/23;IB*2.0*759v2;EBILL-3377;commented out the setting of last completed date for PCR until there no claims left for a given date
; this data will now be set in GET^IBCEMSRI when there are no claims left to process.
;;I +IBIEN D
;;. S IBFPDT=$P($G(^DGCR(399,IBIEN,"S")),"^",12)
;;. I +IBFPDT>+$P(^IBE(350.9,1,8),"^",22) S $P(^(8),"^",22)=IBFPDT
S RES("ien")=IBIEN
S RES("status")=RES ;result of update
D ENCODE^XLFJSONE("RES","RESULT")
D FINISH
Q
;
CL ;reset [10] of file 399 at ^DGCR(399,#,"S1")
N A,B
S A="" F S A=$O(^DGCR(399,"AP",A)) Q:'A D
. S B=0 F S B=$O(^DGCR(399,"AP",A,B)) Q:'B D
.. I $P($G(^DGCR(399,B,"S1")),"^",10) S $P(^("S1"),"^",10)=0 W !,B,?10,$P(^DGCR(399,B,0),"^")
.. Q
. Q
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEMSRI 8688 printed Apr 09, 2024@21:28:26 Page 2
IBCEMSRI ;EDE/JWS - RPC FOR IENS LIST AND CLAIM DATA FOR TAS PRINTED CLAIMS REPORT ;
+1 ;;2.0;INTEGRATED BILLING;**727,759**;21-MAR-94;Build 24
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 QUIT
+5 ;
GET(RESULT,ARG) ;RPC ; PCR - get list of claim iens to extract
+1 ;
+2 NEW IBSAVE,IBY,IBDT,VARRAY,IBDT,IBIEN,IBDATA,IBRTN,IBDV,IBINS,IBTOP,IBRCX,IBRVCDS
+3 NEW IBRTDS,IBPTYP,INSCO,IBFTYP,IBTYPE,IBBLLR,CT,X,STOPCT,IBSTT
+4 DO DTNOLF^DICRW
+5 ; set
SET IBY=$EXTRACT(DT,1,3)-$SELECT(+$EXTRACT(DT,4,5)<10:2,1:1)
SET IBDT=IBY_1000
+6 ; Use the existing AP x-ref to narrow down the list of claims by date,
+7 ; then perform the same filtering as the VistA Printed Claims Report to determine if claim should be included in PCR report data
+8 ;
+9 DO INIT
+10 SET IBSAVE("site")=$PIECE($$SITE^VASITE(),"^",3)
+11 ;JWS;EBILL-3063;11/17/22;issue with speed, added STOPCT and last date successfully run
+12 SET X=$PIECE($GET(^IBE(350.9,1,8)),"^",22)
IF +X>IBDT
SET IBDT=X-1
+13 ;JWS;5/1/23;IB*2.0*759v2;EBILL-3377;set IBSTT = time stamp to check, needs to complete in < 30 seconds due to TAS-API express timeout
+14 SET IBSTT=$PIECE($HOROLOG,",",2)
+15 ; Identify those claims within the selected date range
+16 FOR
SET IBDT=$ORDER(^DGCR(399,"AP",IBDT))
if 'IBDT
QUIT
SET STOPCT=$GET(STOPCT)+1
Begin DoDot:1
+17 ;5/2/23;EBILL-3377;IB*2.0*759v2;added Q:STOPCT>99;if processing is >25 seconds, setting STOPCT=100
+18 SET IBIEN=0
FOR
SET IBIEN=$ORDER(^DGCR(399,"AP",IBDT,IBIEN))
if 'IBIEN
QUIT
Begin DoDot:2
+19 ;5/2/23;IB*2.0*759v2;EBILL-3377;move check for already on PCR report up, in an attempt to make faster
+20 ; claim is already on the report
IF $PIECE($GET(^DGCR(399,IBIEN,"S1")),"^",10)=1
QUIT
+21 SET IBDATA=$GET(^DGCR(399,IBIEN,0))
+22 ; don't include canceled claims
IF $PIECE(IBDATA,"^",13)'=4
QUIT
+23 ; Is the Bill "FORCE LOCAL PRINT"?
IF $PIECE($GET(^DGCR(399,IBIEN,"TX")),"^",8)'=1
QUIT
+24 ;;testing. W !,"IEN: ",IBIEN,?15,$P(^DGCR(399,IBIEN,0),"^") R !,"Change? ",x i x=1 S $P(^DGCR(399,IBIEN,"TX"),"^",8)=1
+25 ; don't include US Labor Dept claims
+26 ;;S IBINS=$$CURR^IBCEF2(IBIEN) Q:$D(VARRAY("IBULD",IBINS))
+27 ;;JWS;5/1/23;IB*2.0*759v2;EBILL-3381;Patient responsible claims don't seem to have insurance; found at Cleveland site#541;added Q:IBINS=""
+28 SET IBINS=$$FINDINS^IBCEF1(IBIEN)
if IBINS=""
QUIT
IF $DATA(VARRAY("IBULD",IBINS))
QUIT
+29 ; don't count claims where EDI is inactive (user has to print those)
+30 IF $$INSOK^IBCEF4(IBINS)'=1
QUIT
+31 ; Get Rate Type and division
SET IBRTN=$PIECE(IBDATA,"^",7)
SET IBDV=+$PIECE(IBDATA,"^",22)
+32 ;Is this one of the selected Rate Types?
IF '$DATA(VARRAY("RTYPES",IBRTN))
QUIT
+33 ; Get Plan Type
SET IBTOP=+$PIECE($GET(^IBA(355.3,+$$POLICY^IBCEF(IBIEN,18),0)),"^",9)
+34 ;Is this one of the selected Plan Types?
IF '$DATA(VARRAY("IBTOP",IBTOP))
QUIT
+35 SET IBRCX=0
+36 SET (IBRVCDS,X)=""
FOR
SET X=$ORDER(^DGCR(399,IBIEN,"RC","B",X))
if X=""
QUIT
Begin DoDot:3
+37 ; Bill contains a Revenue Code Exclusion.
IF $DATA(VARRAY("XRVCDS",X))
SET IBRCX=1
QUIT
+38 ; Get Revenue Codes.
SET IBRVCDS=$SELECT(IBRVCDS="":X,1:IBRVCDS_","_X)
End DoDot:3
if IBRCX
QUIT
+39 ; bill contains at least one of the excluded revenue codes
IF IBRCX=1
QUIT
+40 SET CT=$GET(CT)+1
SET IBSAVE("PCRiens",CT,"ien")=IBIEN
+41 ;JWS;5/2/23;IB*2.0*742v11;EBILL-3377;checking for processing time. everything needs completed in 30 sec due to TAS-API express timeout
+42 IF ($PIECE($HOROLOG,",",2)-IBSTT)>25
SET STOPCT=100
+43 QUIT
End DoDot:2
if STOPCT>99
QUIT
+44 ;JWS;5/2/23;IB*2.0*759v2;EBILL-3377;if no claims were found for a given date, set the last search date for PCR report
+45 IF '$DATA(IBSAVE("PCRiens"))
IF +$GET(IBDT)>+$PIECE(^IBE(350.9,1,8),"^",22)
SET $PIECE(^(8),"^",22)=IBDT
+46 QUIT
End DoDot:1
IF STOPCT>99
QUIT
+47 DO ENCODE^XLFJSON("IBSAVE","RESULT")
+48 DO FINISH
+49 QUIT
+50 ;
+51 ;
FINISH ; enclose message in '[ ]' when a Bundle
+1 NEW X
+2 IF $GET(RESULT(1))=""!($GET(RESULT(1))="{}")
SET RESULT(1)="[{}]"
QUIT
+3 SET RESULT(1)="["_RESULT(1)
+4 SET X=$ORDER(RESULT("A"),-1)
+5 SET RESULT(X)=RESULT(X)_"]"
+6 QUIT
+7 ;
INIT ; come here to set up search criteria
+1 ; Get ien of US Labor Department payer (cover all possible name variations)
+2 NEW IBULD,IBRVCD,IBRTN,IBTOPN,IBTOPD,IBRTD
+3 SET IBULD=$ORDER(^DIC(36,"B","US LABOR DEPARTMENT",""))
if IBULD'=""
SET VARRAY("IBULD",IBULD)=""
+4 SET IBULD=$ORDER(^DIC(36,"B","US DEPT OF LABOR",""))
if IBULD'=""
SET VARRAY("IBULD",IBULD)=""
+5 SET IBULD=$ORDER(^DIC(36,"B","US DEPARTMENT OF LABOR",""))
if IBULD'=""
SET VARRAY("IBULD",IBULD)=""
+6 ; handle claims that do not have a type of plan
+7 SET VARRAY("IBTOP",0)="UNKNOWN"
+8 ; Claim does not contain excluded revenue codes from IB Site parameters
+9 SET IBRVCD=""
FOR
SET IBRVCD=$ORDER(^IBE(350.9,1,15,"B",IBRVCD))
if 'IBRVCD
QUIT
SET VARRAY("XRVCDS",IBRVCD)=""
+10 ; select all Rate Types that INSURER is responsible, [.07] = "i"
+11 SET IBRTN=0
FOR
SET IBRTN=$ORDER(^DGCR(399.3,IBRTN))
if IBRTN'=+IBRTN
QUIT
SET IBRTD=$GET(^(IBRTN,0))
IF $PIECE(IBRTD,"^",7)="i"
SET VARRAY("RTYPES",IBRTN)=$PIECE(IBRTD,"^")
+12 ; select only active plan types
+13 SET IBTOPN=0
FOR
SET IBTOPN=$ORDER(^IBE(355.1,IBTOPN))
if IBTOPN'=+IBTOPN
QUIT
SET IBTOPD=$GET(^(IBTOPN,0))
IF '+$PIECE(IBTOPD,"^",4)
SET VARRAY("IBTOP",IBTOPN)=$PIECE(IBTOPD,"^")
+14 QUIT
+15 ;
GET1(RESULT,ARG) ;get claim data for PCR Power BI report
+1 ;
+2 NEW IBSAVE,IBY,IBDT,VARRAY,IBDT,IBIEN,IBDATA,IBRTN,IBDV,IBINS,IBTOP,IBRCX,IBRVCDS
+3 NEW IBRTDS,IBPTYP,INSCO,IBFTYP,IBTYPE,IBBLLR,CT,I,X,IBDATE,IBDIVD,IBILLNO,IBSN
+4 ;;I $G(ARG("IEN399"))="" S ARG("IEN399")=2122602 ;;TESTING;4/8/22;JWS
+5 KILL RESULT
+6 DO DTNOLF^DICRW
+7 ; Get IEN for Claim File 399
+8 SET IBIEN=ARG("IEN399")
+9 IF IBIEN=""
DO FINISH
QUIT
+10 IF '$DATA(^DGCR(399,IBIEN,0))
DO FINISH
QUIT
+11 ; Collect Information
+12 ; Get Rate Type and division
SET IBDATA=$GET(^DGCR(399,IBIEN,0))
SET IBRTN=$PIECE(IBDATA,U,7)
SET IBDV=+$PIECE(IBDATA,U,22)
IF IBDV
SET IBDIVD=$PIECE($GET(^DG(40.8,IBDV,0)),"^")
+13 SET IBINS=$$CURR^IBCEF2(IBIEN)
+14 ; Get Plan Type
SET IBTOP=+$PIECE($GET(^IBA(355.3,+$$POLICY^IBCEF(IBIEN,18),0)),U,9)
+15 SET IBRCX=0
+16 SET (IBRVCDS,X)=""
FOR
SET X=$ORDER(^DGCR(399,IBIEN,"RC","B",X))
if X=""
QUIT
Begin DoDot:1
+17 ; Get Revenue Codes.
SET IBRVCDS=$SELECT(IBRVCDS="":X,1:IBRVCDS_","_X)
End DoDot:1
+18 ; Get the Rate Type Description
SET IBRTDS=$GET(VARRAY("RTYPES",IBRTN))
+19 ; Get Plan Type name
SET IBPTYP=$GET(VARRAY("IBTOP",IBTOP))
+20 ; Get external CLAIM # DBIA #380
SET IBILLNO=$$BN1^PRCAFN(IBIEN)
+21 ; Get Insurance Company Name
SET INSCO=$PIECE($GET(^DIC(36,IBINS,0)),U)
+22 ; Get the Bill's Form Type.
SET IBFTYP=$PIECE($GET(^IBE(353,+$PIECE(IBDATA,U,19),0)),U)
IF IBFTYP=""
SET IBFTYP="UNKNOWN"
+23 ; Patient Status / Bill Charge Type
SET IBTYPE=$SELECT($PIECE(IBDATA,U,5)>2:"O",1:"I")_"-"_$SELECT($PIECE(IBDATA,U,27)=1:"I",$PIECE(IBDATA,U,27)=2:"P",1:"")
+24 ; Get Biller
SET IBBLLR=$PIECE($$BILLER^IBCIUT5(IBIEN),U,2)
+25 SET IBSN=$ORDER(^DIC(4,"D",$PIECE(IBILLNO,"-"),0))
IF IBSN
SET IBSN=$$GET1^DIQ(4,IBSN_",",.01,"E")
+26 SET IBSAVE("ien")=IBIEN
+27 SET IBSAVE("site")=$PIECE(IBILLNO,"-")
+28 SET IBSAVE("claim")=$PIECE(IBILLNO,"-",2)
+29 SET IBSAVE("type")=IBTYPE
+30 SET IBSAVE("authorizerLastName")=$SELECT($FIND(IBBLLR,","):$PIECE(IBBLLR,","),1:IBBLLR)
+31 SET IBSAVE("authorizerFirstName")=$SELECT($FIND(IBBLLR,","):$PIECE(IBBLLR,",",2),1:"")
+32 SET IBSAVE("rateType")=$$GET1^DIQ(399.3,IBRTN_",",.01)
+33 SET IBSAVE("planType")=$$GET1^DIQ(355.1,IBTOP_",",.01)
+34 SET IBSAVE("division")=$GET(IBDIVD)
+35 FOR I=1:1
if $PIECE(IBRVCDS,",",I)=""
QUIT
SET IBSAVE("revenueCodes",I,":")="{""revenueCode"":"_$PIECE(IBRVCDS,",",I)_"}"
+36 SET IBSAVE("insuranceCompany")=INSCO
+37 ;JWS;12/5/2022;IB*2.0*727v16;should be field 14 Last Printed date, not field .14 Status Date
+38 SET X=$$GET1^DIQ(399,IBIEN_",",14,"I")
IF X'=""
SET IBDATE=$SELECT($EXTRACT(X)=3:20,1:19)_$EXTRACT(X,2,3)_"-"_$EXTRACT(X,4,5)_"-"_$EXTRACT(X,6,7)
+39 SET IBSAVE("datePrinted")=IBDATE
+40 SET IBSAVE("siteName")=IBSN
+41 SET IBSAVE("formType")=IBFTYP
+42 SET IBSAVE("mccf")=$SELECT($DATA(^IBE(350.9,1,28,"B",IBRTN)):0,1:1)
+43 DO ENCODE^XLFJSON("IBSAVE","RESULT")
+44 DO FINISH
+45 QUIT
+46 ;
PUT(RESULT,ARG) ; successful posting of claim data to Sql database for PowerBI PCR report
+1 ;; update data field in file 399
+2 NEW IBIEN,RES,IBFPDT
+3 KILL RESULT
+4 DO DTNOLF^DICRW
+5 ; Get IEN for Claim File 399
+6 ;$G not necessary for VistaLink provides the parameters defined
SET IBIEN=$GET(ARG("IEN399"))
+7 ; execute code to set claim status as received at FSC
+8 SET RES=1
+9 IF IBIEN=""
SET RES=0
+10 IF '$DATA(^DGCR(399,IBIEN,0))
SET RES=0
+11 IF RES=1
Begin DoDot:1
+12 NEW DA,D0,DR,DIE,DIC
+13 SET DA=IBIEN
+14 SET DR="37.1////1"
+15 SET DIE="^DGCR(399,"
+16 DO ^DIE
+17 QUIT
End DoDot:1
+18 ;JWS;EBILL-3063;11/17/22;issue with speed;added last date searched
+19 ;JWS;5/2/23;IB*2.0*759v2;EBILL-3377;commented out the setting of last completed date for PCR until there no claims left for a given date
+20 ; this data will now be set in GET^IBCEMSRI when there are no claims left to process.
+21 ;;I +IBIEN D
+22 ;;. S IBFPDT=$P($G(^DGCR(399,IBIEN,"S")),"^",12)
+23 ;;. I +IBFPDT>+$P(^IBE(350.9,1,8),"^",22) S $P(^(8),"^",22)=IBFPDT
+24 SET RES("ien")=IBIEN
+25 ;result of update
SET RES("status")=RES
+26 DO ENCODE^XLFJSONE("RES","RESULT")
+27 DO FINISH
+28 QUIT
+29 ;
CL ;reset [10] of file 399 at ^DGCR(399,#,"S1")
+1 NEW A,B
+2 SET A=""
FOR
SET A=$ORDER(^DGCR(399,"AP",A))
if 'A
QUIT
Begin DoDot:1
+3 SET B=0
FOR
SET B=$ORDER(^DGCR(399,"AP",A,B))
if 'B
QUIT
Begin DoDot:2
+4 IF $PIECE($GET(^DGCR(399,B,"S1")),"^",10)
SET $PIECE(^("S1"),"^",10)=0
WRITE !,B,?10,$PIECE(^DGCR(399,B,0),"^")
+5 QUIT
End DoDot:2
+6 QUIT
End DoDot:1
+7 QUIT
+8 ;
