IBCNBME ;ALB/ARH-Ins Buffer: external entry points, add/edit buffer ;1 Jun 97
;;2.0;INTEGRATED BILLING;**82,103,184**;21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
FEE(DFN) ; ENTRY FOR FEE BASIS: add/edit a buffer entry
I '$D(^DPT(+$G(DFN),0)) Q
Q:'$$INSCOV(+DFN)
D DISPLAY
D EDADD(1,+DFN)
Q
;
REG(DFN) ; ENTRY FOR REGISTRATION: add/edit a buffer entry
I '$D(^DPT(+$G(DFN),0)) Q
Q:'$$INSCOV(+DFN)
D DISPLAY
D EDADD(1,+DFN)
Q
;
PREG(DFN) ; ENTRY FOR PRE-REGISTRATION: add/edit a buffer entry
I '$D(^DPT(+$G(DFN),0)) Q
Q:'$$INSCOV(+DFN)
D DISPLAY
D EDADD(4,+DFN)
Q
;
EDADD(IBSOURCE,DFN) ; add or select a specific patient's buffer entry then edit all data
; IBSOURCE = 1-interview, 2-data match, 3-ivm, 4-pre-reg, 5-eiiv
N X,Y,IBX,IBY,IBBUFDA,DIR,DIRUT,IBINSNM I '$D(^DPT(+$G(DFN),0))!('$G(IBSOURCE)) Q
;
; allow user to choose one of their own entries for this patient to edit or add a new one
S DIR("?")="^D HELP^IBCNBME"
S DIR(0)="FO^3:30",DIR("A")="Select INSURANCE COMPANY" D ^DIR I $D(DIRUT)!(Y="") Q
;
S IBINSNM=$$UP^XLFSTR(Y),IBBUFDA=0
;
; -- If Medicare (WNR) entered call MII
I IBINSNM="MEDICARE (WNR)" D ENR^IBCNSMM(DFN,IBSOURCE) Q
;
S IBX=$$DICBUF^IBCNBU1(IBINSNM,DFN,DUZ) I +IBX>0 S IBY=$$EDIT Q:IBY<0 I +IBY>0 S IBBUFDA=+IBX
;I 'IBBUFDA S IBX=$$DICINS^IBCNBU1(IBINSNM) Q:IBX<0 I IBX'=0 S IBINSNM=IBX
I 'IBBUFDA S IBBUFDA=$$NEW(DFN,IBINSNM,IBSOURCE)
Q:'IBBUFDA W !!
;
I '$$LOCK^IBCNBU1(IBBUFDA,1) Q
;
D INS^IBCNBEE(IBBUFDA,"OT") W !
D GRP^IBCNBEE(IBBUFDA,"OT") W !
D POLICY^IBCNBEE(IBBUFDA,"OT")
;
; set buffer symbol
D BUFF^IBCNEUT2(IBBUFDA,+$$INSERROR^IBCNEUT3("B",IBBUFDA))
;
D UNLOCK^IBCNBU1(IBBUFDA)
Q
;
HELP ;
N Z W !!,"You may add a new Insurance Buffer entry or edit an entry you have already ",!,"created for this patient. Insurance Company name must be 3-30 characters.",!
W "To 'fast enter' Medicare coverage information, please enter 'MEDICARE (WNR)'.",!
S Z=$$DICBUF^IBCNBU1("??",DFN,DUZ)
Q
;
NEW(DFN,INSNAME,SOURCE) ; ask then add new insurance buffer entry
N X,Y,IBX,DIR,DIRUT,IBDATA S IBX=0 W !
S DIR(0)="YO",DIR("A")="Add a new Insurance Buffer entry for this patient",DIR("B")="YES" D ^DIR
I Y=1 S IBDATA(20.01)=INSNAME,IBDATA(60.01)=DFN S IBX=+$$ADDSTF^IBCNBES(SOURCE,DFN,.IBDATA)
Q IBX
;
EDIT() ; ask user if they want to edit an existing buffer entry
; returns 0 if don't want to edit, -1 if trys to exit, 1 if wants to edit existing buffer entry
N X,Y,IBX,DIR,DIRUT,DUOUT,DTOUT S IBX=0 W !
S DIR(0)="Y",DIR("A")="Edit existing Insurance Buffer entry for this patient",DIR("B")="YES" D ^DIR S IBX=Y I $D(DIRUT) S IBX=-1
Q IBX
;
;
DISPLAY ;
;
W !!,?2,"This option adds or edits insurance information in the Insurance Buffer File."
W !,?2,"This is a temporary file that will hold all new insurance information until"
W !,?2,"authorized insurance personnel can coordinate this new information with the"
W !,?2,"patient's existing insurance. You may add a new Buffer entry or edit a"
W !,?2,"Buffer entry that you previously created for this patient if that entry"
W !,?2,"has not yet been processed by insurance personnel."
W !!,?2,"Please enter all available insurance information.",!!
Q
;
INSCOV(DFN) ; return true if covered by insurance is yes, false if not covered or user ^ out
; allow user to edit 'Covered By Insurance' question (2,.3192), then auto correct if if they were wrong
; (primarily needed because this field an inconsistancy check in registration so it must have a value)
;
N IBX,IBY,IBCOV1 S IBX=1
S IBY=$$ASKCOVD^IBCNSP2(DFN,"",.IBCOV1),IBX=+IBY
D COVERED^IBCNSM31(DFN,IBCOV1)
Q IBX
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCNBME 3751 printed Sep 23, 2025@19:50:22 Page 2
IBCNBME ;ALB/ARH-Ins Buffer: external entry points, add/edit buffer ;1 Jun 97
+1 ;;2.0;INTEGRATED BILLING;**82,103,184**;21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
FEE(DFN) ; ENTRY FOR FEE BASIS: add/edit a buffer entry
+1 IF '$DATA(^DPT(+$GET(DFN),0))
QUIT
+2 if '$$INSCOV(+DFN)
QUIT
+3 DO DISPLAY
+4 DO EDADD(1,+DFN)
+5 QUIT
+6 ;
REG(DFN) ; ENTRY FOR REGISTRATION: add/edit a buffer entry
+1 IF '$DATA(^DPT(+$GET(DFN),0))
QUIT
+2 if '$$INSCOV(+DFN)
QUIT
+3 DO DISPLAY
+4 DO EDADD(1,+DFN)
+5 QUIT
+6 ;
PREG(DFN) ; ENTRY FOR PRE-REGISTRATION: add/edit a buffer entry
+1 IF '$DATA(^DPT(+$GET(DFN),0))
QUIT
+2 if '$$INSCOV(+DFN)
QUIT
+3 DO DISPLAY
+4 DO EDADD(4,+DFN)
+5 QUIT
+6 ;
EDADD(IBSOURCE,DFN) ; add or select a specific patient's buffer entry then edit all data
+1 ; IBSOURCE = 1-interview, 2-data match, 3-ivm, 4-pre-reg, 5-eiiv
+2 NEW X,Y,IBX,IBY,IBBUFDA,DIR,DIRUT,IBINSNM
IF '$DATA(^DPT(+$GET(DFN),0))!('$GET(IBSOURCE))
QUIT
+3 ;
+4 ; allow user to choose one of their own entries for this patient to edit or add a new one
+5 SET DIR("?")="^D HELP^IBCNBME"
+6 SET DIR(0)="FO^3:30"
SET DIR("A")="Select INSURANCE COMPANY"
DO ^DIR
IF $DATA(DIRUT)!(Y="")
QUIT
+7 ;
+8 SET IBINSNM=$$UP^XLFSTR(Y)
SET IBBUFDA=0
+9 ;
+10 ; -- If Medicare (WNR) entered call MII
+11 IF IBINSNM="MEDICARE (WNR)"
DO ENR^IBCNSMM(DFN,IBSOURCE)
QUIT
+12 ;
+13 SET IBX=$$DICBUF^IBCNBU1(IBINSNM,DFN,DUZ)
IF +IBX>0
SET IBY=$$EDIT
if IBY<0
QUIT
IF +IBY>0
SET IBBUFDA=+IBX
+14 ;I 'IBBUFDA S IBX=$$DICINS^IBCNBU1(IBINSNM) Q:IBX<0 I IBX'=0 S IBINSNM=IBX
+15 IF 'IBBUFDA
SET IBBUFDA=$$NEW(DFN,IBINSNM,IBSOURCE)
+16 if 'IBBUFDA
QUIT
WRITE !!
+17 ;
+18 IF '$$LOCK^IBCNBU1(IBBUFDA,1)
QUIT
+19 ;
+20 DO INS^IBCNBEE(IBBUFDA,"OT")
WRITE !
+21 DO GRP^IBCNBEE(IBBUFDA,"OT")
WRITE !
+22 DO POLICY^IBCNBEE(IBBUFDA,"OT")
+23 ;
+24 ; set buffer symbol
+25 DO BUFF^IBCNEUT2(IBBUFDA,+$$INSERROR^IBCNEUT3("B",IBBUFDA))
+26 ;
+27 DO UNLOCK^IBCNBU1(IBBUFDA)
+28 QUIT
+29 ;
HELP ;
+1 NEW Z
WRITE !!,"You may add a new Insurance Buffer entry or edit an entry you have already ",!,"created for this patient. Insurance Company name must be 3-30 characters.",!
+2 WRITE "To 'fast enter' Medicare coverage information, please enter 'MEDICARE (WNR)'.",!
+3 SET Z=$$DICBUF^IBCNBU1("??",DFN,DUZ)
+4 QUIT
+5 ;
NEW(DFN,INSNAME,SOURCE) ; ask then add new insurance buffer entry
+1 NEW X,Y,IBX,DIR,DIRUT,IBDATA
SET IBX=0
WRITE !
+2 SET DIR(0)="YO"
SET DIR("A")="Add a new Insurance Buffer entry for this patient"
SET DIR("B")="YES"
DO ^DIR
+3 IF Y=1
SET IBDATA(20.01)=INSNAME
SET IBDATA(60.01)=DFN
SET IBX=+$$ADDSTF^IBCNBES(SOURCE,DFN,.IBDATA)
+4 QUIT IBX
+5 ;
EDIT() ; ask user if they want to edit an existing buffer entry
+1 ; returns 0 if don't want to edit, -1 if trys to exit, 1 if wants to edit existing buffer entry
+2 NEW X,Y,IBX,DIR,DIRUT,DUOUT,DTOUT
SET IBX=0
WRITE !
+3 SET DIR(0)="Y"
SET DIR("A")="Edit existing Insurance Buffer entry for this patient"
SET DIR("B")="YES"
DO ^DIR
SET IBX=Y
IF $DATA(DIRUT)
SET IBX=-1
+4 QUIT IBX
+5 ;
+6 ;
DISPLAY ;
+1 ;
+2 WRITE !!,?2,"This option adds or edits insurance information in the Insurance Buffer File."
+3 WRITE !,?2,"This is a temporary file that will hold all new insurance information until"
+4 WRITE !,?2,"authorized insurance personnel can coordinate this new information with the"
+5 WRITE !,?2,"patient's existing insurance. You may add a new Buffer entry or edit a"
+6 WRITE !,?2,"Buffer entry that you previously created for this patient if that entry"
+7 WRITE !,?2,"has not yet been processed by insurance personnel."
+8 WRITE !!,?2,"Please enter all available insurance information.",!!
+9 QUIT
+10 ;
INSCOV(DFN) ; return true if covered by insurance is yes, false if not covered or user ^ out
+1 ; allow user to edit 'Covered By Insurance' question (2,.3192), then auto correct if if they were wrong
+2 ; (primarily needed because this field an inconsistancy check in registration so it must have a value)
+3 ;
+4 NEW IBX,IBY,IBCOV1
SET IBX=1
+5 SET IBY=$$ASKCOVD^IBCNSP2(DFN,"",.IBCOV1)
SET IBX=+IBY
+6 DO COVERED^IBCNSM31(DFN,IBCOV1)
+7 QUIT IBX
