IBCEP1 ;ALB/TMP - EDI UTILITIES for provider ID ;13-DEC-99
;;2.0;INTEGRATED BILLING;**137**;21-MAR-94
;
CAREID(IBFUNC,IBSEQ,IBIFN) ; Help text for a claim to determine the
; specific care unit needed for a given insurance co
; IBFUNC = "PERF" if looking for performing provider
; = "EMC" if looking for EMC provider #
; IBSEQ = the number of the COB sequence for the insurance co
; IBIFN = the ien of the bill in file 399
N Z,Z0,Z1,Z2
S Z0=$$INSSEQ(IBIFN,IBSEQ)
S Z1=$S(IBFUNC="PERF":"performing provider id",1:"EMC id")
S Z=$P($G(^DIC(36,+Z0,4)),U,$S(IBFUNC="PERF":9,1:8))
S Z2=$$PPTYP^IBCEP0(Z0)
I $O(^IBA(355.96,"AC",Z0,Z2,0)) D
. D EN^DDIOL("This insurance company needs a care unit "_$S(Z'="":"("_Z_") ",1:"")_"for their "_Z1)
E D
. D EN^DDIOL("This insurance company does not need a care unit for their "_Z1)
Q
;
INSSEQ(IBIFN,IBSEQ) ; Returns the ien of the insurance co for the COB
; sequence IBSEQ on bill ien IBIFN
; Returns 0 if no insurance co found
Q +$$FINDINS^IBCEF1(IBIFN,IBSEQ)
;
DUP(IBFLD,DA) ; Test if there is a duplicate record already on file (355.9)
; Function returns 1 if dup found, 0 if no dup found
; IBFLD = ien of the field being checked
; DA = the ien of the record being checked
N DUP,Q,S1,S2,S3,S4,S5,S6,Z,Z0
S Q=$G(^IBA(355.9,+DA,0)),DUP=0
S S1=$S(IBFLD=.01:X,1:$P(Q,U))
S S2=$S(IBFLD=.02:X,1:$P(Q,U,15)),Z=$$EXPAND^IBTRE(355.9,.02,S2) S:Z="" Z="ALL INSURANCE CO" S:S2="" S2="*ALL*"
S S3=$S(IBFLD=.03:X,1:$P(Q,U,16)),Z0=$$EXPAND^IBTRE(355.9,.03,S3) S:Z0="" Z0="ALL CARE UNITS"
S S4=$S(IBFLD=.04:X,1:$P(Q,U,4))
S S5=$S(IBFLD=.05:X,1:$P(Q,U,5))
S S6=$S(IBFLD=.06:X,1:$P(Q,U,6))
I S1'="",S4'="",S5'="",S6'="",$O(^IBA(355.9,"AUNIQ",S1,S2,S3,S4,S5,S6,0)),$O(^(0))'=DA D
. N MSG
. S MSG(1)="Duplicate entry already on file:"
. S MSG(1,"F")="!!?3"
. S MSG(2)=$E($$EXPAND^IBTRE(355.9,.01,S1),1,25)_" "_$E(Z,1,29)_" "_$E(Z0,1,17)
. S MSG(2,"F")="!?5"
. S MSG(3)=$$EXPAND^IBTRE(355.9,.04,S4)_" "_$$EXPAND^IBTRE(355.9,.05,S5)_" "_$$EXPAND^IBTRE(355.9,.06,S6)
. S MSG(3,"F")="!?5"
. S MSG(4)=" ",MSG(4,"F")="!"
. D EN^DDIOL(.MSG)
. S DUP=1
Q DUP
;
DUP1(IBFLD,DA) ; Test if there is a duplicate record already on file (355.91)
; Function returns 1 if dup found, 0 if no dup found
; IBFLD = ien of the field being checked
; DA = the ien of the record being checked
N DUP,Q,S1,S2,S3,S4,S5,Z0
S Q=$G(^IBA(355.91,+DA,0)),DUP=0
S S1=$S(IBFLD=.01:X,1:$P(Q,U))
S S2=$S(IBFLD=.03:X,1:$P(Q,U,10)),Z0=$$EXPAND^IBTRE(355.91,.03,S2) S:Z0="" Z0="ALL CARE UNITS"
S S3=$S(IBFLD=.04:X,1:$P(Q,U,4))
S S4=$S(IBFLD=.05:X,1:$P(Q,U,5))
S S5=$S(IBFLD=.06:X,1:$P(Q,U,6))
I S1'="",S3'="",S4'="",S5'="",$O(^IBA(355.91,"AUNIQ",S1,S2,S3,S4,S5,0)),$O(^(0))'=DA D
. N MSG
. S DUP=1
. S MSG(1)="Duplicate entry already on file:",MSG(1,"F")="!!?3"
. S MSG(2)=$E($$EXPAND^IBTRE(355.91,.01,S1),1,25)_" "_$E(Z0,1,30)
. S MSG(2,"F")="!?5"
. S MSG(3)=$$EXPAND^IBTRE(355.91,.04,S3)_" "_$$EXPAND^IBTRE(355.91,.05,S4)_" "_$$EXPAND^IBTRE(355.91,.06,S5)
. S MSG(3,"F")="!?5",MSG(4)=" ",MSG(4,"F")="!"
. D EN^DDIOL(.MSG)
Q DUP
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEP1 3160 printed Dec 13, 2024@02:11:31 Page 2
IBCEP1 ;ALB/TMP - EDI UTILITIES for provider ID ;13-DEC-99
+1 ;;2.0;INTEGRATED BILLING;**137**;21-MAR-94
+2 ;
CAREID(IBFUNC,IBSEQ,IBIFN) ; Help text for a claim to determine the
+1 ; specific care unit needed for a given insurance co
+2 ; IBFUNC = "PERF" if looking for performing provider
+3 ; = "EMC" if looking for EMC provider #
+4 ; IBSEQ = the number of the COB sequence for the insurance co
+5 ; IBIFN = the ien of the bill in file 399
+6 NEW Z,Z0,Z1,Z2
+7 SET Z0=$$INSSEQ(IBIFN,IBSEQ)
+8 SET Z1=$SELECT(IBFUNC="PERF":"performing provider id",1:"EMC id")
+9 SET Z=$PIECE($GET(^DIC(36,+Z0,4)),U,$SELECT(IBFUNC="PERF":9,1:8))
+10 SET Z2=$$PPTYP^IBCEP0(Z0)
+11 IF $ORDER(^IBA(355.96,"AC",Z0,Z2,0))
Begin DoDot:1
+12 DO EN^DDIOL("This insurance company needs a care unit "_$SELECT(Z'="":"("_Z_") ",1:"")_"for their "_Z1)
End DoDot:1
+13 IF '$TEST
Begin DoDot:1
+14 DO EN^DDIOL("This insurance company does not need a care unit for their "_Z1)
End DoDot:1
+15 QUIT
+16 ;
INSSEQ(IBIFN,IBSEQ) ; Returns the ien of the insurance co for the COB
+1 ; sequence IBSEQ on bill ien IBIFN
+2 ; Returns 0 if no insurance co found
+3 QUIT +$$FINDINS^IBCEF1(IBIFN,IBSEQ)
+4 ;
DUP(IBFLD,DA) ; Test if there is a duplicate record already on file (355.9)
+1 ; Function returns 1 if dup found, 0 if no dup found
+2 ; IBFLD = ien of the field being checked
+3 ; DA = the ien of the record being checked
+4 NEW DUP,Q,S1,S2,S3,S4,S5,S6,Z,Z0
+5 SET Q=$GET(^IBA(355.9,+DA,0))
SET DUP=0
+6 SET S1=$SELECT(IBFLD=.01:X,1:$PIECE(Q,U))
+7 SET S2=$SELECT(IBFLD=.02:X,1:$PIECE(Q,U,15))
SET Z=$$EXPAND^IBTRE(355.9,.02,S2)
if Z=""
SET Z="ALL INSURANCE CO"
if S2=""
SET S2="*ALL*"
+8 SET S3=$SELECT(IBFLD=.03:X,1:$PIECE(Q,U,16))
SET Z0=$$EXPAND^IBTRE(355.9,.03,S3)
if Z0=""
SET Z0="ALL CARE UNITS"
+9 SET S4=$SELECT(IBFLD=.04:X,1:$PIECE(Q,U,4))
+10 SET S5=$SELECT(IBFLD=.05:X,1:$PIECE(Q,U,5))
+11 SET S6=$SELECT(IBFLD=.06:X,1:$PIECE(Q,U,6))
+12 IF S1'=""
IF S4'=""
IF S5'=""
IF S6'=""
IF $ORDER(^IBA(355.9,"AUNIQ",S1,S2,S3,S4,S5,S6,0))
IF $ORDER(^(0))'=DA
Begin DoDot:1
+13 NEW MSG
+14 SET MSG(1)="Duplicate entry already on file:"
+15 SET MSG(1,"F")="!!?3"
+16 SET MSG(2)=$EXTRACT($$EXPAND^IBTRE(355.9,.01,S1),1,25)_" "_$EXTRACT(Z,1,29)_" "_$EXTRACT(Z0,1,17)
+17 SET MSG(2,"F")="!?5"
+18 SET MSG(3)=$$EXPAND^IBTRE(355.9,.04,S4)_" "_$$EXPAND^IBTRE(355.9,.05,S5)_" "_$$EXPAND^IBTRE(355.9,.06,S6)
+19 SET MSG(3,"F")="!?5"
+20 SET MSG(4)=" "
SET MSG(4,"F")="!"
+21 DO EN^DDIOL(.MSG)
+22 SET DUP=1
End DoDot:1
+23 QUIT DUP
+24 ;
DUP1(IBFLD,DA) ; Test if there is a duplicate record already on file (355.91)
+1 ; Function returns 1 if dup found, 0 if no dup found
+2 ; IBFLD = ien of the field being checked
+3 ; DA = the ien of the record being checked
+4 NEW DUP,Q,S1,S2,S3,S4,S5,Z0
+5 SET Q=$GET(^IBA(355.91,+DA,0))
SET DUP=0
+6 SET S1=$SELECT(IBFLD=.01:X,1:$PIECE(Q,U))
+7 SET S2=$SELECT(IBFLD=.03:X,1:$PIECE(Q,U,10))
SET Z0=$$EXPAND^IBTRE(355.91,.03,S2)
if Z0=""
SET Z0="ALL CARE UNITS"
+8 SET S3=$SELECT(IBFLD=.04:X,1:$PIECE(Q,U,4))
+9 SET S4=$SELECT(IBFLD=.05:X,1:$PIECE(Q,U,5))
+10 SET S5=$SELECT(IBFLD=.06:X,1:$PIECE(Q,U,6))
+11 IF S1'=""
IF S3'=""
IF S4'=""
IF S5'=""
IF $ORDER(^IBA(355.91,"AUNIQ",S1,S2,S3,S4,S5,0))
IF $ORDER(^(0))'=DA
Begin DoDot:1
+12 NEW MSG
+13 SET DUP=1
+14 SET MSG(1)="Duplicate entry already on file:"
SET MSG(1,"F")="!!?3"
+15 SET MSG(2)=$EXTRACT($$EXPAND^IBTRE(355.91,.01,S1),1,25)_" "_$EXTRACT(Z0,1,30)
+16 SET MSG(2,"F")="!?5"
+17 SET MSG(3)=$$EXPAND^IBTRE(355.91,.04,S3)_" "_$$EXPAND^IBTRE(355.91,.05,S4)_" "_$$EXPAND^IBTRE(355.91,.06,S5)
+18 SET MSG(3,"F")="!?5"
SET MSG(4)=" "
SET MSG(4,"F")="!"
+19 DO EN^DDIOL(.MSG)
End DoDot:1
+20 QUIT DUP
+21 ;
