Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: IBCIUT2

IBCIUT2.m

Go to the documentation of this file.
  1. IBCIUT2 ;DSI/SLM - CLAIMSMANAGER MESSAGE UTILITIES ;21-DEC-2000
  1. ;;2.0;INTEGRATED BILLING;**161**;21-MAR-94
  1. ;;Per VHA Directive 10-93-142, this routine should not be modified.
  1. ;
  1. Q
  1. MSGHDR ;build message id segment
  1. ;
  1. K IBCIU
  1. S IBCIU(1)=$C(28),IBCIU(2)=$C(29),IBCIU(3)=$C(30),IBCIU(4)=$C(94),IBCIU(5)=$C(39),IBCIU(6)=$C(37)
  1. S IBCIAA="" F I=1:1:6 S IBCIAA=IBCIAA_IBCIU(I)
  1. K IBCIHDR S IBCIHDR=IBCIAA_"CLAIM"_IBCIU(1)
  1. ;
  1. RSEG ;build route segment
  1. N X,X1,X2,X3,X4,Y
  1. S IBCIHDR=IBCIHDR_IBCIU(3)_IBCIU(3)
  1. S X=IBCIMT,X1=3,IBCIMT=$$FILL
  1. K X D NOW^IBCIUT1 S X=Y,X1=16,IBCIMDT=$$FILL
  1. S X="",X1=20,IBCIMCID=$$FILL,IBCIMP="H"
  1. S IBCIUID="DVAUSER",X=IBCIUID,X1=10,IBCIUID=$$FILL
  1. S IBCISAP="VISTA",X=IBCISAP,X1=20,IBCISAP=$$FILL
  1. S IBCIRAP="CLAIMS MANAGER",X=IBCIRAP,X1=20,IBCIRAP=$$FILL
  1. S IBCISI="",X=IBCISI,X1=30,X3=".",IBCISI=$$FILL K X3
  1. ;
  1. S IBCIHDR=IBCIHDR_IBCIMT_IBCIMDT_IBCIMCID_IBCIMP_IBCIUID
  1. S IBCIHDR=IBCIHDR_IBCIU(3)_IBCISAP_IBCIU(3)_IBCIRAP
  1. S IBCIHDR=IBCIHDR_IBCIU(3)_IBCISI_IBCIU(1)
  1. ;
  1. Q
  1. FILL() ;pad x with characters
  1. ;
  1. ;Input variables
  1. ; X = input value in non-fixed format
  1. ; X1 = desired length of the output (default is 80 if undefined)
  1. ; X2 = justify 'R' or 'L' (if undefined or not [ R or L, default is 'L')
  1. ; X3 = character you want x padded with (default is " ")
  1. ; X4 = truncate flag - if [ 'T' and x>x1 it will be truncated (default is 'T')
  1. ;
  1. ;Output variable
  1. ; Y
  1. ;
  1. S Y=""
  1. Q:'$D(X) Y
  1. ;
  1. ;initialize variables for fill
  1. ;
  1. I '$D(X1) S X1=80
  1. I X1<1 S X1=80
  1. I '$D(X2) S X2="L"
  1. I "RL"'[X2 S X2="L"
  1. I X2["R"&(X2["L") S X2="L"
  1. I '$D(X3) S X3=" "
  1. I X3']"" S X3=" "
  1. I '$D(X4) S X4="T"
  1. ;
  1. I X4["T"&($L(X)>X1) S Y=$E(X,1,X1) Q Y
  1. ;
  1. S Y="",$P(Y,X3,X1+1)="",Y=$E(Y,1,X1-$L(X))
  1. I X2["R" S Y=Y_X
  1. I X2["L" S Y=X_Y
  1. Q Y
  1. ;
  1. ;asnd(ibifn) comments
  1. ;Input Variable
  1. ; ibifn
  1. ;Output Variable
  1. ; y = 1 if successful, = 0 if not.
  1. ASND(IBIFN) ;auto send to ClaimsManager
  1. N IBCIY S IBCIY=0,IBCIERR="" K PROBLEM
  1. Q:'$D(IBIFN) IBCIY
  1. ;change status in 351.9
  1. I IBCISNT'=3 D
  1. .S IBCIST=$S(IBCISNT=6:8,IBCISNT=5:5,IBCISNT=4:9,1:2)
  1. .D ST^IBCIUT1(IBCIST)
  1. ;
  1. D UPDT^IBCIADD1 ;update 351.9 for all cases
  1. ;
  1. I IBCISNT<3 D ;a normal claim that has not been authorized
  1. .D EN^IBCIMSG,SEND
  1. .I '$G(PROBLEM) S IBCIY=1 D
  1. ..I $P(^IBA(351.9,IBIFN,0),U,15)'=1 D ;set received by cm to yes
  1. ...S DIE="^IBA(351.9,",DA=IBIFN,DR=".15///1" D ^DIE K DIE,DA,DR
  1. ..I $P($G(^IBA(351.9,IBIFN,2,0)),U,4) D DCOM^IBCIUT4(IBIFN)
  1. ..I $$CKNER^IBCIUT1() D Q ;if no errors then...
  1. ...S (IBCISTAT,IBCIST)=3 D ST^IBCIUT1(IBCIST) ;update status=3
  1. ...D DELTI^IBCIUT4 ;delete temp info when passed w/o errors
  1. ...D DELER^IBCIUT4 ;delete error information too
  1. ...D DASN^IBCIUT5(IBIFN) ;remove the assigned to person
  1. ...Q
  1. ..D Z1AR^IBCIUT4 ;errors found then..
  1. ..S (IBCISTAT,IBCIST)=4 D ST^IBCIUT1(IBCIST)
  1. ..I IBCISNT=2 D COMMENT^IBCIUT7(IBIFN,4) ; log a comment in auto-send
  1. ..Q ; mode when errors are found
  1. .I $G(PROBLEM) S IBCIERR=$$P1^IBCIUT4(PROBLEM) D ;comm errors
  1. ..S (IBCISTAT,IBCIST)=6 D ST^IBCIUT1(IBCIST) Q
  1. ;
  1. I IBCISNT=3 D ;test send
  1. .D EN^IBCIMSG,SEND
  1. .I '$G(PROBLEM) S IBCIY=1 D
  1. ..I $$CKNER^IBCIUT1() S IBCISTAT=3 Q ;no errors...
  1. ..D Z1AR^IBCIUT4 S IBCISTAT=4 Q ;error(s) found
  1. .I $G(PROBLEM) S IBCIERR=$$P1^IBCIUT4(PROBLEM),IBCISTAT=6 Q ;comm errors
  1. .D TST ;put in tmp global
  1. ;
  1. I IBCISNT=4!(IBCISNT=5) D ;canceled, overridden
  1. .D EN^IBCIMSG,SEND
  1. .I '$G(PROBLEM) S IBCIY=1 D
  1. ..S IBCISTAT=$$STAT^IBCIUT1(IBIFN)
  1. ..D DELTI^IBCIUT4 ;delete temp information
  1. ..D DASN^IBCIUT5(IBIFN) ;remove the assigned to person
  1. ..I IBCISNT=4 D DELER^IBCIUT4 ;delete errors
  1. .I $G(PROBLEM) D ;comm error
  1. ..S (IBCISTAT,IBCIST)=$S(IBCISNT=5:11,IBCISNT=4:10,1:6)
  1. ..D ST^IBCIUT1(IBCIST)
  1. ..S IBCIERR=$$P1^IBCIUT4(PROBLEM)
  1. ;
  1. I IBCISNT=6 D ;historical
  1. .S IBCISNT=1 D EN^IBCIMSG,SEND ;send first as a normal claim
  1. .I '$G(PROBLEM) D Q
  1. ..I '$$CKNER^IBCIUT1() D Z1AR^IBCIUT4 ;store them
  1. ..H 2 ; pause between sendings to CM
  1. ..S IBCISNT=6 D EN^IBCIMSG,SEND ;reset ibcisnt to 6 and send again
  1. ..I '$G(PROBLEM) S IBCIY=1 D Q
  1. ...S (IBCISTAT,IBCIST)=8 D ST^IBCIUT1(IBCIST)
  1. ...D DELTI^IBCIUT4 ; remove the temp nodes
  1. ...Q
  1. ..I $G(PROBLEM) D Q ;comm error on second send
  1. ...S (IBCISTAT,IBCIST)=6 D ST^IBCIUT1(IBCIST)
  1. ...S IBCIERR=$$P1^IBCIUT4(PROBLEM)
  1. .I $G(PROBLEM) D Q ;comm error on first send
  1. ..S (IBCISTAT,IBCIST)=6 D ST^IBCIUT1(IBCIST)
  1. ..S IBCIERR=$$P1^IBCIUT4(PROBLEM)
  1. ..S IBCISNT=6
  1. ;
  1. ; Add new send type - esg - 1/3/2002
  1. I IBCISNT=7 D ; delete lines from a UB bill on CM
  1. . D EN^IBCIMSG,SEND
  1. . S IBCISTAT=""
  1. . I '$G(PROBLEM) S IBCIY=1
  1. . I $G(PROBLEM) S IBCIERR=$$P1^IBCIUT4(PROBLEM)
  1. . Q
  1. ;
  1. I '$G(IBCIERR) S IBCIERR=""
  1. Q IBCIY
  1. ;
  1. WRT ;write the message to io
  1. ;
  1. N I,J,ICD0,LITMS,MOD,TOTMOD
  1. S IBCICC=0,IBCIOS=^%ZOSF("OS") D MSGHDR W IBCIHDR
  1. S FLUSH=$S(IBCIOS["MSM":"#",IBCIOS["OpenM":"!",1:"!")
  1. S IBCICC=IBCICC+$L(IBCIHDR) D ^IBCIUDF
  1. ;
  1. ; Data elements in the Header Segment
  1. F I=1:1:19 D
  1. .S IBCICC=IBCICC+$L(^TMP("IBCIMSG",$J,IBIFN,IBCICLNP,I))
  1. .I IBCICC>200 W @FLUSH S IBCICC=0
  1. .W ^TMP("IBCIMSG",$J,IBIFN,IBCICLNP,I)
  1. ;
  1. ; Determine the # of line items. Write the data elements in the
  1. ; Line Segments (ExtLineID field through Units field)
  1. ;
  1. S LITMS=$P($G(^IBA(351.9,IBIFN,5,0)),U,4)
  1. I LITMS W IBCIU(1) F J=1:1:LITMS D
  1. .F I=20:1:52 D
  1. ..S IBCICC=IBCICC+$L(^TMP("IBCIMSG",$J,IBIFN,IBCICLNP,J,I))
  1. ..I IBCICC>200 W @FLUSH S IBCICC=0
  1. ..W ^TMP("IBCIMSG",$J,IBIFN,IBCICLNP,J,I)
  1. .;
  1. .W IBCIU(3) ; field delimiter between Units and ICDCode
  1. .;
  1. .; icd codes - was node 53, now just an array
  1. .; Repeating Field
  1. .F I=1:1:$P($G(^TMP("IBCIMSG",$J,IBIFN,"ICD",J,0)),U,2) D
  1. ..S IBCICC=IBCICC+$L(^TMP("IBCIMSG",$J,IBIFN,"ICD",J,I))
  1. ..I IBCICC>200 W @FLUSH S IBCICC=0
  1. ..W ^TMP("IBCIMSG",$J,IBIFN,"ICD",J,I)
  1. ..I I'=$P(^TMP("IBCIMSG",$J,IBIFN,"ICD",J,0),U,2) W IBCIU(4)
  1. .;
  1. .W IBCIU(3) ; field delimiter between ICDCode and Modifier
  1. .;
  1. .; cpt code node 54 multiple
  1. .; CPT Modifier(s). Repeating Field
  1. .S TOTMOD=$P(^TMP("IBCIMSG",$J,IBIFN,IBCICLNP,J,54,0),U,1)
  1. .F I=1:1:TOTMOD D
  1. ..S MOD=^TMP("IBCIMSG",$J,IBIFN,IBCICLNP,J,54,I)
  1. ..S IBCICC=IBCICC+$L(MOD)
  1. ..I IBCICC>200 W @FLUSH S IBCICC=0
  1. ..W MOD
  1. ..I I'=TOTMOD W IBCIU(4)
  1. .;
  1. .W IBCIU(3) ; field delimiter between Modifier and UDF#1
  1. .;
  1. .; insert the user defined fields, 2 extra field delimiters, and
  1. .; a line segment repetition delimiter if we're not done
  1. .;
  1. .F I=1:1:25 W IBCIUDF(I),IBCIU(3)
  1. .W IBCIU(3),IBCIU(3)
  1. .I J'=LITMS W IBCIU(2)
  1. ;
  1. D CLEAN1
  1. Q
  1. ;
  1. SEND ;open the tcp/ip port and send msg then read response
  1. I '$$OPENUSE^IBCIUT5 S PROBLEM=99 Q
  1. W $C(1) D WRT W $C(3),@FLUSH
  1. D READ^IBCIUT3(.IBCIZ,.PROBLEM,IBCISOCK)
  1. KILL FLUSH,IBCICC,IBCIOS,IBCISOCK
  1. Q
  1. ;
  1. TST ;if test send, put errors in tmp global
  1. N IBCIDA,IBCIDA1,IBCICNT K ^TMP("IBCITST",$J) S IBCICNT=1
  1. S IBCIDA=0 F S IBCIDA=$O(IBCIZ1(IBCIDA)) Q:'IBCIDA D
  1. .S IBCIDA1=0 S ^TMP("IBCITST",$J,IBCICNT,IBCIDA1)=IBCIZ1(IBCIDA,IBCIDA1)
  1. .F S IBCIDA1=$O(IBCIZ1(IBCIDA,IBCIDA1)) Q:'IBCIDA1 D
  1. ..S ^TMP("IBCITST",$J,IBCICNT,1,IBCIDA1,0)=IBCIZ1(IBCIDA,IBCIDA1)
  1. .S IBCICNT=IBCICNT+1
  1. Q
  1. ;
  1. CLEAN1 ; clean up the variables
  1. K ^TMP("IBCIMSG",$J),IBCIU,IBCICLNP,IBCIUDF
  1. CLEAN ;
  1. K ^TMP("IBXSAVE",$J)
  1. K X,Y,N1,D0,DA,DIC,DIE,DR,I,II,J,%,CT
  1. K IBCIAA,IBCIAPC,IBCIAPID,IBCIBDPS,IBCIBPDE
  1. K IBCIBPDI,IBCIBPFI,IBCIBPID,IBCIBPLA,IBCIBPMI,IBCIBPSP
  1. K IBCIBPTI,IBCIBPUP,IBCICL,IBCICPT,IBCIDE,IBCIDFN,IBCIBDOS
  1. K IBCIDOB,IBCIEB,IBCIEBID,IBCIEDOS,IBCIET,IBCIHDR
  1. K IBCILSEG,IBCILSTA,IBCIMCID,IBCIMDT,IBCIMP
  1. K IBCIOGID,IBCIOID,IBCIPAC,IBCIPID,IBCIPOS,IBCIPPID
  1. K IBCIPTFI,IBCIPTLA,IBCIPTMI,IBCIRAP,IBCIRPDE,IBCIRPDI,IBCIRPFI
  1. K IBCIRPID,IBCIRPLA,IBCIRPMI,IBCIRPSP,IBCIRPTI,IBCIRPUP,IBCISAMT
  1. K IBCISAP,IBCISEX,IBCISI,IBCISPAI,IBCISPC,IBCISPDE,IBCISPDI
  1. K IBCISPFI,IBCISPID,IBCISPLA,IBCISPMI,IBCISPSP,IBCISPTI,IBCISPUP
  1. K IBCIST,IBCITC,IBCITOS,IBCIUID,IBCIUNIT,IBCIXLID,IBX,IBY
  1. K IENS,NODE3,NODE4,NODE50,NODE51,NODE52,RCD1,CPD1
  1. K IBCIZ,IBCIZ1,IBXARRAY,IBXARRY,IBXDAT1,IBXDATA,IBXERR
  1. K IBCITSI,X1,X2,X3,X4,IBCILSI,CTR
  1. Q
  1. ;