- IBCEP2B ;ALB/TMP - EDI UTILITIES for provider ID ;18-MAY-04
- ;;2.0;INTEGRATED BILLING;**232,320,400,432,592**;21-MAR-94;Build 58
- ;;Per VA Directive 6402, this routine should not be modified.
- ;
- PROVID(IBIFN,IBPRIEN,IBCOBN,DIPA) ; Provider id entry on billing screen 10, and line level provider input on billing screens 4&5.
- ; IBIFN = ien file 399
- ; IBPRIEN = ien file 399.0222, or ien file 399.0404.
- ; IBCOBN = the COB number of the id being edited
- ; DIPA = passed by ref, returned with id data
- ; DIPA("EDIT")=-1 if no id editing = 1 if edit id = 2 if stuff id
- ; DIPA("PRID")= id to stuff DIPA("PRIDT")= id type to stuff
- N PRN0,Z
- Q:'$G(^DGCR(399,IBIFN,"I1"))
- I $G(IBLNPRV),'$G(IBLNPRV("LNPRVIEN")),'$G(IBLNPRV("PROCIEN")) Q ; DEM;432 - If line provider user input.
- ; DEM;432 - Updated variable PRNO to be equal to line level provider if we are coming from line level provider user input.
- S PRN0=$S($G(IBLNPRV):$G(^DGCR(399,IBIFN,"CP",IBLNPRV("PROCIEN"),"LNPRV",IBLNPRV("LNPRVIEN"),0)),1:$G(^DGCR(399,IBIFN,"PRV",IBPRIEN,0)))
- S DIPA("EDIT")=1,(DIPA("PRID"),DIPA("PRIDT"))=""
- W @IOF
- W !,?19,"**** SECONDARY PERFORMING PROVIDER IDs ****"
- W !!,$P("PRIMARY^SECONDARY^TERTIARY",U,IBCOBN)_" INSURANCE CO: "_$P($G(^DIC(36,+$G(^DGCR(399,IBIFN,"I"_IBCOBN)),0)),U)
- ; DEM;432 - Added line and conditions if line level provider user input.
- I '$G(IBLNPRV) W !,"PROVIDER: "_$$EXTERNAL^DILFD(399.0222,.02,"",$P(PRN0,U,2))_" ("_$$EXTERNAL^DILFD(399.0222,.01,"",+PRN0)_")",!
- I $G(IBLNPRV) W !,"Line Level Provider: "_$$EXTERNAL^DILFD(399.0404,.02,"",$P(PRN0,U,2))_" ("_$$EXTERNAL^DILFD(399.0404,.01,"",+PRN0)_")",!
- ;
- I $P(PRN0,U,4+IBCOBN)="" K DIPA("PRID"),DIPA("PRIDT") D NEWID(IBIFN,IBPRIEN,IBCOBN,.DIPA) ; No id currently exists for the ins seq/prov
- ;
- Q
- ;
- NEWID(IBIFN,IBPRIEN,IBCOBN,DIPA) ;
- N IBDEF,IBCT,IBNUM,IBINS,IBFRM,IBCAR,IBARR,IBARRS,IB0,IBM,IBQUIT,IBSEL,PRN,PRT,PRN,PRN0,DIR,X,Y,Z,Z0,IBZ,IBZ1,IBTYP,IBREQ,IBREQT,IBTYPN,IBID,IBUSED
- S IBREQ=0,IBREQT=""
- Q:($G(IBLNPRV))&('$G(IBLNPRV("LNPRVIEN"))&'$G(IBLNPRV("PROCIEN"))) ; DEM;432 - If line provider user input.
- ; DEM;432 - Updated variable PRNO to be equal to line level provider if we are coming from line level provider user input.
- S PRN0=$S($G(IBLNPRV):$G(^DGCR(399,IBIFN,"CP",IBLNPRV("PROCIEN"),"LNPRV",IBLNPRV("LNPRVIEN"),0)),1:$G(^DGCR(399,IBIFN,"PRV",IBPRIEN,0)))
- S Z(IBCOBN)=$S($G(DIPA("I"_IBCOBN)):$$GETTYP^IBCEP2A(IBIFN,IBCOBN,$P(PRN0,U)),1:"")
- S IBINS=+$G(^DGCR(399,IBIFN,"I"_IBCOBN)),IB0=$S($G(IBLNPRV):$G(^DGCR(399,IBIFN,"CP",IBLNPRV("PROCIEN"),"LNPRV",IBLNPRV("LNPRVIEN"),0)),1:$G(^DGCR(399,IBIFN,"PRV",IBPRIEN,0)))
- S IBCAR=$$INPAT^IBCEF(IBIFN),IBCAR=$S('IBCAR:2,1:1)
- ;JRA IB*2.0*592 Dental Form 7
- ;S IBFRM=$$FT^IBCEF(IBIFN),IBFRM=$S(IBFRM=2:2,1:1) ;JRA IB*2.0*592 ';'
- S IBFRM=$$FT^IBCEF(IBIFN),IBFRM=$S(IBFRM=2:2,IBFRM=7:7,1:1) ;JWS;JRA IB*2.0*592
- I $P(Z(IBCOBN),U) D
- . W !,"INS. COMPANY'S DEFAULT SECONDARY ID TYPE IS: "_$$EXTERNAL^DILFD(36,4.01,"",$P(Z(IBCOBN),U)) S IBREQT=+Z(IBCOBN)
- . I $P(Z(IBCOBN),U,2) W !,?2," AND IS REQUIRED TO BE ENTERED FOR THIS CLAIM" S IBREQ=1
- I $$CUNEED^IBCEP3(IBIFN,IBCOBN) W !,"CARE UNITS ARE DEFINED"_$S($P($G(^DIC(36,IBINS,4)),U,9)'="":" AS "_$P(^(4),U,9),1:"")_" FOR THESE IDs"
- D PRACT^IBCEF71(IBINS,IBFRM,IBCAR,$P(IB0,U,2),.IBARR,$P(IB0,U),$S($$COBN^IBCEF(IBIFN)=IBCOBN:"C",1:"O"),355.9,1)
- S (IBNUM,IBCT)=0,IBDEF=""
- I $O(IBARR(""))="" S IBCT=IBCT+1,DIR("A",IBCT)="NO SECONDARY IDS ARE DEFINED FOR THIS PROV THAT ARE VALID FOR THIS CLAIM"
- S IBCT=IBCT+1,DIR("A",IBCT)="SELECT A SECONDARY ID OR ACTION FROM THE LIST BELOW: ",IBCT=IBCT+1,DIR("A",IBCT)=" "
- ;
- S IBCT=IBCT+1,IBNUM=IBNUM+1,DIR("A",IBCT)=" "_$E(IBNUM_$J("",3),1,3)_" - NO SECONDARY ID NEEDED",IBNUM=IBNUM+1,IBCT=IBCT+1,DIR("A",IBCT)=" "_$E(IBNUM_$J("",3),1,3)_" - ADD AN ID FOR THIS CLAIM ONLY"
- I $O(IBARR(""))="" S IBDEF=1,DIPA("EDIT")=$$SELID(.DIR,IBDEF,.IBID,.DIPA,IBNUM) Q
- ;
- S PRN=$$GETID^IBCEP2(IBIFN,2,$P(PRN0,U,2),IBCOBN,.PRT,,$P(PRN0,U)),IBDEF=""
- ;
- I PRN'="",PRT D
- . N PRT1
- . S PRT1=$P($G(^IBE(355.97,+PRT,0)),U)
- . I $P($G(^IBE(355.97,+PRT,1)),U,3) S PRT1="ST LIC("_$P($G(^DIC(5,+$$CAREST^IBCEP2A(IBIFN),0)),U,2)_")"
- . S IBCT=IBCT+1,IBNUM=IBNUM+1
- . S DIR("A",IBCT)=" "_$E(IBNUM_$J("",3),1,3)_" - "_$E("<DEFAULT> "_PRN_$J("",29),1,29)_" "_$E(PRT1_$J("",15),1,15)
- . S DIR("A",IBCT)=DIR("A",IBCT)_" "_$S($P(PRT,U,3)'["355.9":"",$P($G(^IBA(+$P(PRT,U,3),+$P(PRT,U,2),0)),U,3)'="":$$EXTERNAL^DILFD(355.9,.03,"",$P($G(^IBA(+$P(PRT,U,3),+$P(PRT,U,2),0)),U,3)),1:"")
- . S IBID(IBNUM)=PRN_U_+PRT,IBDEF=IBNUM,IBID(IBNUM,1)=DIR("A",IBCT),IBDEF=IBNUM,IBDEF("IEN")=$P(PRT,U,2,3)
- . S IBUSED(PRT,PRN,0)=""
- ;
- S IBQUIT=0,IBSEL=1
- ; Sort ids by id type
- S IBZ="" F S IBZ=$O(IBARR(IBZ)) Q:IBZ="" S IBZ1="" F S IBZ1=$O(IBARR(IBZ,IBZ1)) Q:IBZ1="" D
- . S IBTYP=+$P(IBARR(IBZ,IBZ1),U,9)
- . I $P(IBARR(IBZ,IBZ1),U,4)]"" Q:$D(IBUSED(IBTYP,$P(IBARR(IBZ,IBZ1),U,4),+$P(IBARR(IBZ,IBZ1),U,7)))
- . I $P($G(IBDEF("IEN")),U,2)["355.9",$P(IBARR(IBZ,IBZ1),U,8),$P(IBARR(IBZ,IBZ1),U,8)=+$G(IBDEF("IEN")) Q:$S($P(IBZ1,U)'["INS DEF":$P($G(IBDEF("IEN")),U,2)=355.9,1:$P($G(IBDEF("IEN")),U,2)=355.91)
- . S IBARRS(IBTYP,IBZ,IBZ1)=IBARR(IBZ,IBZ1)
- . I $P(IBARR(IBZ,IBZ1),U,4)]"" S IBUSED(IBTYP,$P(IBARR(IBZ,IBZ1),U,4),+$P(IBARR(IBZ,IBZ1),U,7))=""
- S IBTYP="" F S IBTYP=$O(IBARRS(IBTYP)) Q:IBTYP="" S IBZ="" F S IBZ=$O(IBARRS(IBTYP,IBZ)) Q:IBZ="" D Q:IBQUIT
- . S IBZ1="" F S IBZ1=$O(IBARRS(IBTYP,IBZ,IBZ1)) Q:IBZ1="" S IBCT=IBCT+1,IBNUM=IBNUM+1 D Q:IBQUIT
- .. S Z0=IBARRS(IBTYP,IBZ,IBZ1)
- .. S IBARR=$S($P(Z0,U,8)&(IBZ1'["LIC"):$G(^IBA("355.9"_$S($P(IBZ1,U)'="INS DEF":"",1:1),+$P(Z0,U,8),0)),1:"")
- .. S IBTYPN=$S(IBTYP=+$$STLIC^IBCEP8():"ST LIC ("_$P($G(^DIC(5,+$P(Z0,U,7),0)),U,2)_")",1:$P($G(^IBE(355.97,IBTYP,0)),U))
- .. S DIR("A",IBCT)=" "_$E(IBNUM_$J("",3),1,3)_" - "_$E($S($P(IBZ1,U)="INS DEF":"<INS DEF> ",1:"")_$P(Z0,U,4)_$J("",29),1,29)_" "_$E(IBTYPN_$J("",15),1,15)_" "_$S($P(IBARR,U,3):$$EXTERNAL^DILFD(355.9,.03,"",$P(IBARR,U,3)),1:"")
- .. S IBID(IBNUM,1)=DIR("A",IBCT),IBID(IBNUM)=$P(Z0,U,4)_U_IBTYP
- .. I (IBNUM#15)=0 S IBM=$$MORE(.DIR) D Q:IBQUIT
- ... I IBM<0 S IBQUIT=1,IBSEL=0 Q ; User aborted list
- ... I 'IBM S IBQUIT=1 Q ; User wants to select
- ... W ! K DIR S IBCT=1
- I 'IBSEL S DIPA("EDIT")=-1
- I IBSEL S:IBDEF=""&$G(IBREQ) IBDEF=2 S DIPA("EDIT")=$$SELID(.DIR,IBDEF,.IBID,.DIPA,IBNUM)
- Q
- ;
- SELID(DIR,IBDEF,IBID,DIPA,IBNUM) ; Returns the selection from the array of possible IDs/ID actions
- N IDACT,IDSEL,X,Y
- S IDACT=""
- S DIR("B")=$S('$G(IBDEF):1,1:IBDEF),DIR("A",+$O(DIR("A",""),-1)+1)=" "
- S DIR(0)="NA^1:"_IBNUM,DIR("A")="Selection: " W ! D ^DIR K DIR
- I $D(DTOUT)!$D(DUOUT)!(Y=1) S IDACT=-1 G SELIDQ
- I Y=2 S IDACT=1 G SELIDQ
- S IDSEL=Y
- S DIR("A",1)="ID SELECTED:",DIR("A",2)=" "_$G(IBID(+Y,1)),DIR("A")="IS THIS CORRECT?: ",DIR("B")="YES",DIR(0)="YA" W ! D ^DIR K DIR
- I Y'=1 S IDACT=-1 G SELIDQ
- S DIPA("PRID")=$P(IBID(IDSEL),U),DIPA("PRIDT")=$P(IBID(IDSEL),U,2),IDACT=2
- ;
- SELIDQ Q IDACT
- ;
- MORE(DIR) ;
- N DIR,X,Y,DUOUT,DTOUT
- S DIR(0)="YA",DIR("A")="MORE?: ",DIR("B")="NO" W ! D ^DIR K DIR("B")
- Q $S($D(DTOUT)!$D(DUOUT):-1,1:Y)
- ;
- ; IBFIDFL = E = Electronic Form Type
- ; A = Additional ID's
- ; LF - VA Lab/Facility
- FACID(IBINS,IBFIDFL) ; Enter/edit billing facility ids
- ; IBINS = ien of ins co (file 36)
- N IBID,Z,Z0,Y
- K ^TMP($J,"IBBF_ID")
- W @IOF
- D GETBPNUM(IBINS)
- K ^TMP("IBCE_PRVFAC_MAINT_INS",$J)
- S ^TMP("IBCE_PRVFAC_MAINT_INS",$J)=IBFIDFL_U_IBINS_U_"1"
- D EN^VALM("IBCE PRVFAC MAINT")
- K ^TMP("IBCE_PRVFAC_MAINT_INS",$J)
- W @IOF
- D FULL^VALM1
- Q
- ;
- GETBPNUM(IBINS) ;
- N Z,Z0,IBID,IBMAIN
- S IBMAIN=$$MAIN(),^TMP($J,"IBBF_ID")=IBMAIN
- S IBID=$$BF^IBCU()
- S Z=0 F S Z=$O(^IBA(355.92,"B",IBINS,Z)) Q:'Z D
- . S Z0=$G(^IBA(355.92,Z,0))
- . Q:$P(Z0,U,8)'="E" ; WCJ 1/13/06 There are several ID types in this file
- . Q:$P(Z0,U,3)]""
- . S ^TMP($J,"IBBF_ID",$S($P(Z0,U,5)=IBMAIN:0,1:+$P(Z0,U,5)),+$P(Z0,U,4))=$P(Z0,U,7)
- . S ^TMP($J,"IBBF_ID",$S($P(Z0,U,5)=IBMAIN:0,1:+$P(Z0,U,5)),+$P(Z0,U,4),"QUAL")=$P(Z0,U,6)
- Q
- ;
- MAIN() ; Returns ien of main division of the database
- Q +$$PRIM^VASITE()
- ;
- FACNUM(IBIFN,IBCOB,IBQF) ; Function returns the current division's fac billing
- ; prov id for the COB insurance sequence from file 355.92
- ; IBIFN = ien file 399
- ; IBCOB = # of COB ins seq or if "", current assumed
- ; IBQF - 1 if qualifier is to be returned instead of ID
- N Z,IBDIV,IBFT,X,BPZ
- S X="",IBDIV=0
- S:'$G(IBCOB) IBCOB=+$$COBN^IBCEF(IBIFN)
- ;
- ; IB*2*400 - esg - 11/7/08 - Determine the division associated with the billing provider first
- S BPZ=+$$B^IBCEF79(IBIFN,IBCOB) ; Inst file pointer as the billing provider for payer seq IBCOB
- I BPZ S IBDIV=+$O(^DG(40.8,"AD",BPZ,0)) ; Billing Provider division (may not exist)
- ;
- I 'IBDIV S IBDIV=+$P($G(^DGCR(399,IBIFN,0)),U,22) ; Division on claim
- I 'IBDIV S IBDIV=$$MAIN() ; main division
- ;JWS;IB*2.0*592;
- S IBFT=$$FT^IBCEF(IBIFN),IBFT=$S(IBFT=3:1,IBFT=7:7,1:2)
- K ^TMP($J,"IBBF_ID")
- D GETBPNUM(+$P($G(^DGCR(399,IBIFN,"M")),U,IBCOB))
- I IBDIV=+$G(^TMP($J,"IBBF_ID")) S IBDIV=0
- I '$G(IBQF) S X=$S($D(^TMP($J,"IBBF_ID",IBDIV,IBFT)):^(IBFT),1:$G(^TMP($J,"IBBF_ID",0,IBFT)))
- I $G(IBQF) S X=$S($D(^TMP($J,"IBBF_ID",IBDIV,IBFT,"QUAL")):^("QUAL"),1:$G(^TMP($J,"IBBF_ID",0,IBFT,"QUAL")))
- K ^TMP($J,"IBBF_ID")
- Q X
- ;
- SOP(IBIFN,IBZD) ; Returns X12 current source of pay code for bill ien IBIFN
- ; IBZD = the current ins policy type, if known
- N IBZ,IBFT ;JRA IB*2.0*592 Added 'IBFT'
- S IBZ=""
- I $G(IBZD)="" D F^IBCEF("N-CURRENT INS POLICY TYPE","IBZD",,IBIFN)
- S IBFT=$$FT^IBCEF(IBIFN) ;JRA IB*2.0*592
- ;S IBZ=$S($G(IBZD)="":"G2","MAMB16"[IBZD:"1C",IBZD="TV"!(IBZD="MC"):"1D",IBZD="CH":"1H",IBZD="BL":$S($$FT^IBCEF(IBIFN)=2:"1B",1:"1A"),1:"G2") ;JRA IB*2.0*592 ';'
- S IBZ=$S($G(IBZD)="":"G2","MAMB16"[IBZD:"1C",IBZD="TV"!(IBZD="MC"):"1D",IBZD="CH":"1H",IBZD="BL":$S((IBFT=2!(IBFT=7)):"1B",1:"1A"),1:"G2") ;JRA IB*2.0*592
- Q IBZ
- ;
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCEP2B 10095 printed Feb 18, 2025@23:37:58 Page 2
- IBCEP2B ;ALB/TMP - EDI UTILITIES for provider ID ;18-MAY-04
- +1 ;;2.0;INTEGRATED BILLING;**232,320,400,432,592**;21-MAR-94;Build 58
- +2 ;;Per VA Directive 6402, this routine should not be modified.
- +3 ;
- PROVID(IBIFN,IBPRIEN,IBCOBN,DIPA) ; Provider id entry on billing screen 10, and line level provider input on billing screens 4&5.
- +1 ; IBIFN = ien file 399
- +2 ; IBPRIEN = ien file 399.0222, or ien file 399.0404.
- +3 ; IBCOBN = the COB number of the id being edited
- +4 ; DIPA = passed by ref, returned with id data
- +5 ; DIPA("EDIT")=-1 if no id editing = 1 if edit id = 2 if stuff id
- +6 ; DIPA("PRID")= id to stuff DIPA("PRIDT")= id type to stuff
- +7 NEW PRN0,Z
- +8 if '$GET(^DGCR(399,IBIFN,"I1"))
- QUIT
- +9 ; DEM;432 - If line provider user input.
- IF $GET(IBLNPRV)
- IF '$GET(IBLNPRV("LNPRVIEN"))
- IF '$GET(IBLNPRV("PROCIEN"))
- QUIT
- +10 ; DEM;432 - Updated variable PRNO to be equal to line level provider if we are coming from line level provider user input.
- +11 SET PRN0=$SELECT($GET(IBLNPRV):$GET(^DGCR(399,IBIFN,"CP",IBLNPRV("PROCIEN"),"LNPRV",IBLNPRV("LNPRVIEN"),0)),1:$GET(^DGCR(399,IBIFN,"PRV",IBPRIEN,0)))
- +12 SET DIPA("EDIT")=1
- SET (DIPA("PRID"),DIPA("PRIDT"))=""
- +13 WRITE @IOF
- +14 WRITE !,?19,"**** SECONDARY PERFORMING PROVIDER IDs ****"
- +15 WRITE !!,$PIECE("PRIMARY^SECONDARY^TERTIARY",U,IBCOBN)_" INSURANCE CO: "_$PIECE($GET(^DIC(36,+$GET(^DGCR(399,IBIFN,"I"_IBCOBN)),0)),U)
- +16 ; DEM;432 - Added line and conditions if line level provider user input.
- +17 IF '$GET(IBLNPRV)
- WRITE !,"PROVIDER: "_$$EXTERNAL^DILFD(399.0222,.02,"",$PIECE(PRN0,U,2))_" ("_$$EXTERNAL^DILFD(399.0222,.01,"",+PRN0)_")",!
- +18 IF $GET(IBLNPRV)
- WRITE !,"Line Level Provider: "_$$EXTERNAL^DILFD(399.0404,.02,"",$PIECE(PRN0,U,2))_" ("_$$EXTERNAL^DILFD(399.0404,.01,"",+PRN0)_")",!
- +19 ;
- +20 ; No id currently exists for the ins seq/prov
- IF $PIECE(PRN0,U,4+IBCOBN)=""
- KILL DIPA("PRID"),DIPA("PRIDT")
- DO NEWID(IBIFN,IBPRIEN,IBCOBN,.DIPA)
- +21 ;
- +22 QUIT
- +23 ;
- NEWID(IBIFN,IBPRIEN,IBCOBN,DIPA) ;
- +1 NEW IBDEF,IBCT,IBNUM,IBINS,IBFRM,IBCAR,IBARR,IBARRS,IB0,IBM,IBQUIT,IBSEL,PRN,PRT,PRN,PRN0,DIR,X,Y,Z,Z0,IBZ,IBZ1,IBTYP,IBREQ,IBREQT,IBTYPN,IBID,IBUSED
- +2 SET IBREQ=0
- SET IBREQT=""
- +3 ; DEM;432 - If line provider user input.
- if ($GET(IBLNPRV))&('$GET(IBLNPRV("LNPRVIEN"))&'$GET(IBLNPRV("PROCIEN")))
- QUIT
- +4 ; DEM;432 - Updated variable PRNO to be equal to line level provider if we are coming from line level provider user input.
- +5 SET PRN0=$SELECT($GET(IBLNPRV):$GET(^DGCR(399,IBIFN,"CP",IBLNPRV("PROCIEN"),"LNPRV",IBLNPRV("LNPRVIEN"),0)),1:$GET(^DGCR(399,IBIFN,"PRV",IBPRIEN,0)))
- +6 SET Z(IBCOBN)=$SELECT($GET(DIPA("I"_IBCOBN)):$$GETTYP^IBCEP2A(IBIFN,IBCOBN,$PIECE(PRN0,U)),1:"")
- +7 SET IBINS=+$GET(^DGCR(399,IBIFN,"I"_IBCOBN))
- SET IB0=$SELECT($GET(IBLNPRV):$GET(^DGCR(399,IBIFN,"CP",IBLNPRV("PROCIEN"),"LNPRV",IBLNPRV("LNPRVIEN"),0)),1:$GET(^DGCR(399,IBIFN,"PRV",IBPRIEN,0)))
- +8 SET IBCAR=$$INPAT^IBCEF(IBIFN)
- SET IBCAR=$SELECT('IBCAR:2,1:1)
- +9 ;JRA IB*2.0*592 Dental Form 7
- +10 ;S IBFRM=$$FT^IBCEF(IBIFN),IBFRM=$S(IBFRM=2:2,1:1) ;JRA IB*2.0*592 ';'
- +11 ;JWS;JRA IB*2.0*592
- SET IBFRM=$$FT^IBCEF(IBIFN)
- SET IBFRM=$SELECT(IBFRM=2:2,IBFRM=7:7,1:1)
- +12 IF $PIECE(Z(IBCOBN),U)
- Begin DoDot:1
- +13 WRITE !,"INS. COMPANY'S DEFAULT SECONDARY ID TYPE IS: "_$$EXTERNAL^DILFD(36,4.01,"",$PIECE(Z(IBCOBN),U))
- SET IBREQT=+Z(IBCOBN)
- +14 IF $PIECE(Z(IBCOBN),U,2)
- WRITE !,?2," AND IS REQUIRED TO BE ENTERED FOR THIS CLAIM"
- SET IBREQ=1
- End DoDot:1
- +15 IF $$CUNEED^IBCEP3(IBIFN,IBCOBN)
- WRITE !,"CARE UNITS ARE DEFINED"_$SELECT($PIECE($GET(^DIC(36,IBINS,4)),U,9)'="":" AS "_$PIECE(^(4),U,9),1:"")_" FOR THESE IDs"
- +16 DO PRACT^IBCEF71(IBINS,IBFRM,IBCAR,$PIECE(IB0,U,2),.IBARR,$PIECE(IB0,U),$SELECT($$COBN^IBCEF(IBIFN)=IBCOBN:"C",1:"O"),355.9,1)
- +17 SET (IBNUM,IBCT)=0
- SET IBDEF=""
- +18 IF $ORDER(IBARR(""))=""
- SET IBCT=IBCT+1
- SET DIR("A",IBCT)="NO SECONDARY IDS ARE DEFINED FOR THIS PROV THAT ARE VALID FOR THIS CLAIM"
- +19 SET IBCT=IBCT+1
- SET DIR("A",IBCT)="SELECT A SECONDARY ID OR ACTION FROM THE LIST BELOW: "
- SET IBCT=IBCT+1
- SET DIR("A",IBCT)=" "
- +20 ;
- +21 SET IBCT=IBCT+1
- SET IBNUM=IBNUM+1
- SET DIR("A",IBCT)=" "_$EXTRACT(IBNUM_$JUSTIFY("",3),1,3)_" - NO SECONDARY ID NEEDED"
- SET IBNUM=IBNUM+1
- SET IBCT=IBCT+1
- SET DIR("A",IBCT)=" "_$EXTRACT(IBNUM_$JUSTIFY("",3),1,3)_" - ADD AN ID FOR THIS CLAIM ONLY"
- +22 IF $ORDER(IBARR(""))=""
- SET IBDEF=1
- SET DIPA("EDIT")=$$SELID(.DIR,IBDEF,.IBID,.DIPA,IBNUM)
- QUIT
- +23 ;
- +24 SET PRN=$$GETID^IBCEP2(IBIFN,2,$PIECE(PRN0,U,2),IBCOBN,.PRT,,$PIECE(PRN0,U))
- SET IBDEF=""
- +25 ;
- +26 IF PRN'=""
- IF PRT
- Begin DoDot:1
- +27 NEW PRT1
- +28 SET PRT1=$PIECE($GET(^IBE(355.97,+PRT,0)),U)
- +29 IF $PIECE($GET(^IBE(355.97,+PRT,1)),U,3)
- SET PRT1="ST LIC("_$PIECE($GET(^DIC(5,+$$CAREST^IBCEP2A(IBIFN),0)),U,2)_")"
- +30 SET IBCT=IBCT+1
- SET IBNUM=IBNUM+1
- +31 SET DIR("A",IBCT)=" "_$EXTRACT(IBNUM_$JUSTIFY("",3),1,3)_" - "_$EXTRACT("<DEFAULT> "_PRN_$JUSTIFY("",29),1,29)_" "_$EXTRACT(PRT1_$JUSTIFY("",15),1,15)
- +32 SET DIR("A",IBCT)=DIR("A",IBCT)_" "_$SELECT($PIECE(PRT,U,3)'["355.9":"",$PIECE($GET(^IBA(+$PIECE(PRT,U,3),+$PIECE(PRT,U,2),0)),U,3)'="":$$EXTERNAL^DILFD(355.9,.03,"",$PIECE($GET(^IBA(+$PIECE(PRT,U,3),+$PIECE(PRT,U,2),0)),U,3)),1:""
- )
- +33 SET IBID(IBNUM)=PRN_U_+PRT
- SET IBDEF=IBNUM
- SET IBID(IBNUM,1)=DIR("A",IBCT)
- SET IBDEF=IBNUM
- SET IBDEF("IEN")=$PIECE(PRT,U,2,3)
- +34 SET IBUSED(PRT,PRN,0)=""
- End DoDot:1
- +35 ;
- +36 SET IBQUIT=0
- SET IBSEL=1
- +37 ; Sort ids by id type
- +38 SET IBZ=""
- FOR
- SET IBZ=$ORDER(IBARR(IBZ))
- if IBZ=""
- QUIT
- SET IBZ1=""
- FOR
- SET IBZ1=$ORDER(IBARR(IBZ,IBZ1))
- if IBZ1=""
- QUIT
- Begin DoDot:1
- +39 SET IBTYP=+$PIECE(IBARR(IBZ,IBZ1),U,9)
- +40 IF $PIECE(IBARR(IBZ,IBZ1),U,4)]""
- if $DATA(IBUSED(IBTYP,$PIECE(IBARR(IBZ,IBZ1),U,4),+$PIECE(IBARR(IBZ,IBZ1),U,7)))
- QUIT
- +41 IF $PIECE($GET(IBDEF("IEN")),U,2)["355.9"
- IF $PIECE(IBARR(IBZ,IBZ1),U,8)
- IF $PIECE(IBARR(IBZ,IBZ1),U,8)=+$GET(IBDEF("IEN"))
- if $SELECT($PIECE(IBZ1,U)'["INS DEF"
- QUIT
- +42 SET IBARRS(IBTYP,IBZ,IBZ1)=IBARR(IBZ,IBZ1)
- +43 IF $PIECE(IBARR(IBZ,IBZ1),U,4)]""
- SET IBUSED(IBTYP,$PIECE(IBARR(IBZ,IBZ1),U,4),+$PIECE(IBARR(IBZ,IBZ1),U,7))=""
- End DoDot:1
- +44 SET IBTYP=""
- FOR
- SET IBTYP=$ORDER(IBARRS(IBTYP))
- if IBTYP=""
- QUIT
- SET IBZ=""
- FOR
- SET IBZ=$ORDER(IBARRS(IBTYP,IBZ))
- if IBZ=""
- QUIT
- Begin DoDot:1
- +45 SET IBZ1=""
- FOR
- SET IBZ1=$ORDER(IBARRS(IBTYP,IBZ,IBZ1))
- if IBZ1=""
- QUIT
- SET IBCT=IBCT+1
- SET IBNUM=IBNUM+1
- Begin DoDot:2
- +46 SET Z0=IBARRS(IBTYP,IBZ,IBZ1)
- +47 SET IBARR=$SELECT($PIECE(Z0,U,8)&(IBZ1'["LIC"):$GET(^IBA("355.9"_$SELECT($PIECE(IBZ1,U)'="INS DEF":"",1:1),+$PIECE(Z0,U,8),0)),1:"")
- +48 SET IBTYPN=$SELECT(IBTYP=+$$STLIC^IBCEP8():"ST LIC ("_$PIECE($GET(^DIC(5,+$PIECE(Z0,U,7),0)),U,2)_")",1:$PIECE($GET(^IBE(355.97,IBTYP,0)),U))
- +49 SET DIR("A",IBCT)=" "_$EXTRACT(IBNUM_$JUSTIFY("",3),1,3)_" - "_$EXTRACT($SELECT(...
- ... $PIECE(IBZ1,U)="INS DEF":"<INS DEF> ",1:"")_$PIECE(Z0,U,4)_$JUSTIFY("",29),1,29)_" "_$EXTRACT(IBTYPN_$JUSTIFY("",15),1,15)_" "_$SELECT($PIECE(IBARR,U,3):$$EXTERNAL^DILFD(355.9,.03,"",$PIECE(IBARR,U,3)),1:"")
- +50 SET IBID(IBNUM,1)=DIR("A",IBCT)
- SET IBID(IBNUM)=$PIECE(Z0,U,4)_U_IBTYP
- +51 IF (IBNUM#15)=0
- SET IBM=$$MORE(.DIR)
- Begin DoDot:3
- +52 ; User aborted list
- IF IBM<0
- SET IBQUIT=1
- SET IBSEL=0
- QUIT
- +53 ; User wants to select
- IF 'IBM
- SET IBQUIT=1
- QUIT
- +54 WRITE !
- KILL DIR
- SET IBCT=1
- End DoDot:3
- if IBQUIT
- QUIT
- End DoDot:2
- if IBQUIT
- QUIT
- End DoDot:1
- if IBQUIT
- QUIT
- +55 IF 'IBSEL
- SET DIPA("EDIT")=-1
- +56 IF IBSEL
- if IBDEF=""&$GET(IBREQ)
- SET IBDEF=2
- SET DIPA("EDIT")=$$SELID(.DIR,IBDEF,.IBID,.DIPA,IBNUM)
- +57 QUIT
- +58 ;
- SELID(DIR,IBDEF,IBID,DIPA,IBNUM) ; Returns the selection from the array of possible IDs/ID actions
- +1 NEW IDACT,IDSEL,X,Y
- +2 SET IDACT=""
- +3 SET DIR("B")=$SELECT('$GET(IBDEF):1,1:IBDEF)
- SET DIR("A",+$ORDER(DIR("A",""),-1)+1)=" "
- +4 SET DIR(0)="NA^1:"_IBNUM
- SET DIR("A")="Selection: "
- WRITE !
- DO ^DIR
- KILL DIR
- +5 IF $DATA(DTOUT)!$DATA(DUOUT)!(Y=1)
- SET IDACT=-1
- GOTO SELIDQ
- +6 IF Y=2
- SET IDACT=1
- GOTO SELIDQ
- +7 SET IDSEL=Y
- +8 SET DIR("A",1)="ID SELECTED:"
- SET DIR("A",2)=" "_$GET(IBID(+Y,1))
- SET DIR("A")="IS THIS CORRECT?: "
- SET DIR("B")="YES"
- SET DIR(0)="YA"
- WRITE !
- DO ^DIR
- KILL DIR
- +9 IF Y'=1
- SET IDACT=-1
- GOTO SELIDQ
- +10 SET DIPA("PRID")=$PIECE(IBID(IDSEL),U)
- SET DIPA("PRIDT")=$PIECE(IBID(IDSEL),U,2)
- SET IDACT=2
- +11 ;
- SELIDQ QUIT IDACT
- +1 ;
- MORE(DIR) ;
- +1 NEW DIR,X,Y,DUOUT,DTOUT
- +2 SET DIR(0)="YA"
- SET DIR("A")="MORE?: "
- SET DIR("B")="NO"
- WRITE !
- DO ^DIR
- KILL DIR("B")
- +3 QUIT $SELECT($DATA(DTOUT)!$DATA(DUOUT):-1,1:Y)
- +4 ;
- +5 ; IBFIDFL = E = Electronic Form Type
- +6 ; A = Additional ID's
- +7 ; LF - VA Lab/Facility
- FACID(IBINS,IBFIDFL) ; Enter/edit billing facility ids
- +1 ; IBINS = ien of ins co (file 36)
- +2 NEW IBID,Z,Z0,Y
- +3 KILL ^TMP($JOB,"IBBF_ID")
- +4 WRITE @IOF
- +5 DO GETBPNUM(IBINS)
- +6 KILL ^TMP("IBCE_PRVFAC_MAINT_INS",$JOB)
- +7 SET ^TMP("IBCE_PRVFAC_MAINT_INS",$JOB)=IBFIDFL_U_IBINS_U_"1"
- +8 DO EN^VALM("IBCE PRVFAC MAINT")
- +9 KILL ^TMP("IBCE_PRVFAC_MAINT_INS",$JOB)
- +10 WRITE @IOF
- +11 DO FULL^VALM1
- +12 QUIT
- +13 ;
- GETBPNUM(IBINS) ;
- +1 NEW Z,Z0,IBID,IBMAIN
- +2 SET IBMAIN=$$MAIN()
- SET ^TMP($JOB,"IBBF_ID")=IBMAIN
- +3 SET IBID=$$BF^IBCU()
- +4 SET Z=0
- FOR
- SET Z=$ORDER(^IBA(355.92,"B",IBINS,Z))
- if 'Z
- QUIT
- Begin DoDot:1
- +5 SET Z0=$GET(^IBA(355.92,Z,0))
- +6 ; WCJ 1/13/06 There are several ID types in this file
- if $PIECE(Z0,U,8)'="E"
- QUIT
- +7 if $PIECE(Z0,U,3)]""
- QUIT
- +8 SET ^TMP($JOB,"IBBF_ID",$SELECT($PIECE(Z0,U,5)=IBMAIN:0,1:+$PIECE(Z0,U,5)),+$PIECE(Z0,U,4))=$PIECE(Z0,U,7)
- +9 SET ^TMP($JOB,"IBBF_ID",$SELECT($PIECE(Z0,U,5)=IBMAIN:0,1:+$PIECE(Z0,U,5)),+$PIECE(Z0,U,4),"QUAL")=$PIECE(Z0,U,6)
- End DoDot:1
- +10 QUIT
- +11 ;
- MAIN() ; Returns ien of main division of the database
- +1 QUIT +$$PRIM^VASITE()
- +2 ;
- FACNUM(IBIFN,IBCOB,IBQF) ; Function returns the current division's fac billing
- +1 ; prov id for the COB insurance sequence from file 355.92
- +2 ; IBIFN = ien file 399
- +3 ; IBCOB = # of COB ins seq or if "", current assumed
- +4 ; IBQF - 1 if qualifier is to be returned instead of ID
- +5 NEW Z,IBDIV,IBFT,X,BPZ
- +6 SET X=""
- SET IBDIV=0
- +7 if '$GET(IBCOB)
- SET IBCOB=+$$COBN^IBCEF(IBIFN)
- +8 ;
- +9 ; IB*2*400 - esg - 11/7/08 - Determine the division associated with the billing provider first
- +10 ; Inst file pointer as the billing provider for payer seq IBCOB
- SET BPZ=+$$B^IBCEF79(IBIFN,IBCOB)
- +11 ; Billing Provider division (may not exist)
- IF BPZ
- SET IBDIV=+$ORDER(^DG(40.8,"AD",BPZ,0))
- +12 ;
- +13 ; Division on claim
- IF 'IBDIV
- SET IBDIV=+$PIECE($GET(^DGCR(399,IBIFN,0)),U,22)
- +14 ; main division
- IF 'IBDIV
- SET IBDIV=$$MAIN()
- +15 ;JWS;IB*2.0*592;
- +16 SET IBFT=$$FT^IBCEF(IBIFN)
- SET IBFT=$SELECT(IBFT=3:1,IBFT=7:7,1:2)
- +17 KILL ^TMP($JOB,"IBBF_ID")
- +18 DO GETBPNUM(+$PIECE($GET(^DGCR(399,IBIFN,"M")),U,IBCOB))
- +19 IF IBDIV=+$GET(^TMP($JOB,"IBBF_ID"))
- SET IBDIV=0
- +20 IF '$GET(IBQF)
- SET X=$SELECT($DATA(^TMP($JOB,"IBBF_ID",IBDIV,IBFT)):^(IBFT),1:$GET(^TMP($JOB,"IBBF_ID",0,IBFT)))
- +21 IF $GET(IBQF)
- SET X=$SELECT($DATA(^TMP($JOB,"IBBF_ID",IBDIV,IBFT,"QUAL")):^("QUAL"),1:$GET(^TMP($JOB,"IBBF_ID",0,IBFT,"QUAL")))
- +22 KILL ^TMP($JOB,"IBBF_ID")
- +23 QUIT X
- +24 ;
- SOP(IBIFN,IBZD) ; Returns X12 current source of pay code for bill ien IBIFN
- +1 ; IBZD = the current ins policy type, if known
- +2 ;JRA IB*2.0*592 Added 'IBFT'
- NEW IBZ,IBFT
- +3 SET IBZ=""
- +4 IF $GET(IBZD)=""
- DO F^IBCEF("N-CURRENT INS POLICY TYPE","IBZD",,IBIFN)
- +5 ;JRA IB*2.0*592
- SET IBFT=$$FT^IBCEF(IBIFN)
- +6 ;S IBZ=$S($G(IBZD)="":"G2","MAMB16"[IBZD:"1C",IBZD="TV"!(IBZD="MC"):"1D",IBZD="CH":"1H",IBZD="BL":$S($$FT^IBCEF(IBIFN)=2:"1B",1:"1A"),1:"G2") ;JRA IB*2.0*592 ';'
- +7 ;JRA IB*2.0*592
- SET IBZ=$SELECT($GET(IBZD)="":"G2","MAMB16"[IBZD:"1C",IBZD="TV"!(IBZD="MC"):"1D",IBZD="CH":"1H",IBZD="BL":$SELECT((IBFT=2!(IBFT=7)):"1B",1:"1A"),1:"G2")
- +8 QUIT IBZ
- +9 ;