IBCOPP2 ;ALB/NLR - LIST INS. PLANS BY CO. (COMPILE) ; 20-OCT-2015
;;2.0;INTEGRATED BILLING;**28,62,93,516,528,549**;21-MAR-94;Build 54
;;Per VA Directive 6402, this routine should not be modified.
;
EN ; Queued Entry Point for Report.
; Input: IBAI - 0 - User selected Insurance Companies
; 1 - Run report for all Insurance Companies with Plans
; IBAIA - 0 - Only select Inactive Insurance Companies
; 1 - Only select Active Insurance Companies
; 2 - Select both Active and Inactive Insurance Companies
; IBAIPA 0 - Only select Inactive Insurance Company Plans
; 1 - Only select Active Insurance Company Plans
; 2 - Select both Active and Inactive Insurance Company Plans
; IBAO= E - Output to Excel
; R - Report
; IBAPA - 0 - List Insurance Plans by Insurance Company
; 1 - List Insurance Plans by Insurance Company
; with Subscriber information
; IBAPA - 0 - List Insurance Plans by Insurance Company
; 1 - List Insurance Plans by Insurance Company with Subscriber
; information
; IBAPL - 0 - User selected Group Plans
; 1 - Run report for all Group Plans for each Ins. Co
; NOTE: only used if IBAI=1, otherwise, some Insurance
; companies may select all Group Plans and some
; may be use selected Group Plans
; ^TMP("IBINC",$J,IBIC,IBCNS,IBPTR)="" - Selected Ins Cos/Plans
; Required if all Insurance Companies and all Group Plans
; not selected Where:
; IBIC - Insurance Company Name
; IBCNS - IEN of the selected Insurance Company, file 36
; IBPTR - IEN of the selected Group Plan, file 355.3
;
; Compile report data
N GIEN,XX
S IBI=0
K ^TMP($J,"PR"),^TMP($J,"PL")
;
; Display all Insurance Companies and all Group Plans
I IBAI,IBAPL D
. S IBIC1=""
. F S IBIC1=$O(^DIC(36,"B",IBIC1)) Q:IBIC1="" D
. . S IBCNS=0
. . F S IBCNS=$O(^DIC(36,"B",IBIC1,IBCNS)) Q:'IBCNS D
. . . I $D(^IBA(355.3,"B",IBCNS)) D
. . . . S GIEN=$O(^IBA(355.3,"B",IBCNS,"")) ; Group Plan IEN, file 355.3
. . . . ;
. . . . ; Add Insurance Company/Group Plan to 'selected' list
. . . . S ^TMP("IBINC",$J,IBIC1,IBCNS,GIEN)=""
;
; Display selected Insurance- user selected companies or plans
S IBIC=""
F S IBIC=$O(^TMP("IBINC",$J,IBIC)) Q:IBIC="" D
. S IBCNS=0
. F S IBCNS=$O(^TMP("IBINC",$J,IBIC,IBCNS)) Q:'IBCNS D GATH
D PRINT
Q
;
PRINT ; Print report
D ^IBCOPP3
K ^TMP($J,"PR"),^TMP("IBINC",$J)
;
I $D(ZTQUEUED) S ZTREQ="@" Q
D ^%ZISC
K IBAI,IBAIA,IBAO,IBAIPA,IBAPA,IBAPL,IBCNS,IBCPS,IBCPT,IBCST,IBI,IBIC,IBIC1
Q
;
GATH ; Gather all data for an Insurance Company.
; Input: IBI - Current Insurance Company Counter
; IBIC - Insurance Company Name
; IBSNS - IEN of the Insurance Company, file 36
; ^TMP("IBINC",$J,IBIC,IBCNS,IBPTR) - See EN for detail
; Output: IBI - Updated Insurance Company Counter
; ^TMP($J,"PR",IBI)=A1^A2^...^A11 Where:
; IBI - Counter of # of Insurance Companies included
; (starts at 1)
; A1 - Ins. Co. Name (1st 25 characters)
; Leading '*' if inactive
; A2 - Street Address Line 1
; A3 - City, State Zip Code (up to 9 digits + dash)
; A4 - Timely Filing Timeframe
; A5 - # of total plans for the Insurance Company
; A6 - # of total subscribers per Insurance Company
; A7 - # of selected Plans per Insurance Company
; A8 - # of subscribers per selected plans
; A9 - Max length of Electronic Plan Type for Ins Co
; A10 - Max length of Plan Type for Ins Co
; A11 - Max length of Patient ID for Ins Co
;
N IBCPS,IBCPT,IBCSS,IBCST,LENEP,LENPID,LENPT,XX
S IBI=IBI+1,(IBCPT,IBCPS,IBCST,IBCSS)=0 ; Initialize counters
S (LENEP,LENPID,LENPT)=0 ; Init Max Elec Plan, Pat Id, Plan Type lengths
D COMP(.LENPID) ; Gather company info
D PLAN(.LENEP,.LENPT) ; Gather plan info
;
; Set final company info
S XX=$$COMPINF(IBCNS)
S XX=XX_"^"_IBCPT_"^"_IBCST_"^"_IBCPS_"^"_IBCSS_"^"_LENEP_"^"_LENPT_"^"_LENPID
S ^TMP($J,"PR",IBI)=XX
K ^TMP($J,"PL")
Q
;
COMP(LENPID) ; Gather Company counts and subscription information, if necessary
; Input: IBPA - 0 - List Insurance Plans by Insurance Company
; 1 - List Insurance Plans by Insurance Company
; with Subscriber information
; IBAPL - 0 - User selected Group Plans
; 1 - All Group Plans selected
; IBCNS - IEN of the insurance company, file #36
; ^TMP("IBINC",$J,IBIC,ICBNS)) - See EN for details
; Output: LENPID - Maximum length of Patient ID field for subscribers of
; this Insurance Company
; IBCSS - Total # of Subscribers in selected Group Plans
; IBCST - Total # of Subscribers
; ^TMP($J,"PR",IBI,IBPTR,IBNAM_"@@"_DFN_"@@"_IBCDFN)=B1^B2^...^B10 Where
; DFN - IEN of the patient, file 2
; IBCDFN- Insurance Company multiple
; IBI - Insurance counter
; IBNAM - Patient's Name (B1)
; IBPTR - IEN of the Group Plan, file 355.3
; B1 - Patient's Name (1st 22 chars)
; B2 - Last 4 Patient's SSN (with trailing 'P' if pseudo)
; B3 - Patient's DOB (mm/dd/yy)
; B4 - Subscriber ID (20 chars max)
; B5 - Effective Date (mm/dd/yy)
; B6 - Expiration Date (mm/dd/yy)
; B7 - Whose Insurance (5 chars max)
; B8 - Patient ID (30 chars max)
;
N DFN,IBCDFN,IBIND,IBNAM,IBPTR,IBX,PTLEN,VA,VAERR,VAOA,X,XX,Y
S DFN=0
F S DFN=$O(^DPT("AB",IBCNS,DFN)) Q:'DFN D
. S IBCDFN=0
. ;
. ; NOTE: IBCDFN is the Insurance Company Multiple that contains the
. ; Insurance company with an IEN of IBCNS
. F S IBCDFN=$O(^DPT("AB",IBCNS,DFN,IBCDFN)) Q:'IBCDFN D
. . ;
. . ; Set company subscriber count; plan subscriber counts if necessary
. . ; MRD;IB*2.0*516 - Use $$ZND^IBCNS1 to pull .312 zero node.
. . ;S IBIND=$G(^DPT(DFN,.312,+IBCDFN,0)) Q:+IBIND'=IBCNS
. . S IBIND=$$ZND^IBCNS1(DFN,+IBCDFN)
. . Q:+IBIND'=IBCNS
. . S IBPTR=+$P(IBIND,"^",18) ; Group Plan IEN
. . Q:'+IBPTR
. . S IBCST=IBCST+1 ; Update Total # of Subscribers
. . ;
. . ; Quit if not a selected Group Plan and All Group Plans were not selected
. . I 'IBAPL,'$D(^TMP("IBINC",$J,IBIC,IBCNS,IBPTR)) Q
. . S IBCSS=IBCSS+1 ; Update Tot # of Selected Subscribers
. . S ^TMP($J,"PL",IBPTR)=$G(^TMP($J,"PL",IBPTR))+1
. . Q:'IBAPA ; Subscriber information not selected
. . ;
. . ; Gather Demographic/Policy information
. . ; IB*2.0*549 - Changed fields retrieve for Subscriber Detail display
. . S X=$$PT^IBEFUNC(DFN)
. . S IBNAM=$E($P(X,"^",1),1,22) ; Patient's Name (22 chars)
. . S:IBNAM="" IBNAM="<Pt. "_DFN_" Name Missing>"
. . S IBX=IBNAM
. . ;
. . ; Retrieve last 4 of SSN (last 5 if pseudo SSN)
. . S XX=$$GET1^DIQ(2,DFN_",",.09,"I") ; Patient's SSN
. . S XX=$S($E(XX,$L(XX))="P":$E(XX,$L(XX)-4,$L(XX)),1:$E(XX,$L(XX)-3,$L(XX)))
. . S $P(IBX,"^",2)=XX
. . S XX=$$GET1^DIQ(2,DFN_",",.03,"I") ; Patient's DOB
. . S $P(IBX,"^",3)=$$FMTE^XLFDT(XX,"2DZ")
. . S XX=$P(IBIND,"^",2),XX=$S(XX'="":XX,1:"<NO SUBS ID>")
. . S $P(IBX,"^",4)=XX ; Subscriber ID (20 chars max)
. . S XX=$$FMTE^XLFDT($P(IBIND,"^",8),"2DZ") ; Effective Date
. . S $P(IBX,"^",5)=XX
. . S XX=$$FMTE^XLFDT($P(IBIND,"^",4),"2DZ") ; Expiration Date
. . S $P(IBX,"^",6)=XX
. . ;
. . ; Whose Insurance?
. . S XX=$P(IBIND,"^",6),XX=$S(XX="v":"VET",XX="s":"SPO",XX="o":"OTH",1:"UNK")
. . S $P(IBX,"^",7)=XX
. . S XX=$$GET1^DIQ(2.312,IBCDFN_","_DFN_",",5.01,"I") ; Patient ID
. . S $P(IBX,"^",8)=XX
. . S:LENPID<$L(XX) LENPID=$L(XX)
. . S ^TMP($J,"PR",IBI,IBPTR,IBNAM_"@@"_DFN_"@@"_IBCDFN)=IBX
Q
;
PLAN(LENEP,LENPT) ; Gather Group Insurance Plan information
; Input: LENEP - Current Maximum Electronic Plan length for Ins Co
; LENPT - Current Maximum Plan Type length for Ins Co
; IBAPL - 0 - User selected Group Plans
; 1 - All Group Plans
; IBCNS - IEN of the Insurance Company, file #36
; IBPTR - IEN of the Group Insurance Plan, file 355.3
; ^TMP("IBINC",$J,IBIC,ICBNS,IBPTR)) - See EN for details
; ^TMP($J,"PL",IBPTR) - Total # Subscribers for Group Plan
; Output: LENEP - Updated Maximum Electronic Plan length for Ins Co
; LENPT - Updated Maximum Plan Type length for Ins Co
; IBCPS - Total Number of Selected Group Plans for Ins. Co.
; IBCPT - Total # of Group Plans for Insurance Company
; ^TMP($J,"PR",IBI,IBPTR)) - B1^B2^..^B6 where
; IBI - Counter of # of Insurance Companies included
; IBPTR- Group Plan IEN
; B1 - Group Number, field 355.3,2.02
; B2 - Group Name, field 355.3,2.01
; B3 - Group Plan Timely Filing Time frame (max len 21)
; B4 - Electronic Plan Type (max length 26)
; B5 - Type of Plan (max length 34)
; B6 - Total # of subscribers for this Group Plan
;
N IBPTR
S IBPTR=0
F S IBPTR=$O(^IBA(355.3,"B",IBCNS,IBPTR)) Q:'IBPTR D
. S IBCPT=IBCPT+1 ; Total # of Group Plans for Ins. Co.
. ;
. ; Quit if Group Plan was not selected by the user
. I 'IBAPL,'$D(^TMP("IBINC",$J,IBIC,IBCNS,IBPTR)) Q
. S IBCPS=IBCPS+1 ; Total # of Selected Group Plans
. S ^TMP($J,"PR",IBI,IBPTR)=$$PLANINF(IBPTR,.LENEP,.LENPT)_"^"_+$G(^TMP($J,"PL",IBPTR))
Q
;
PLANINF(PLAN,LENEP,LENPT) ; Return formatted Group Insurance Plan information.
; Input: PLAN - IEN of the Group Insurance Plan, file #355.3
; LENEP - Current Maximum Electronic Plan length for Ins Co
; LENPT - Current Maximum Plan Type length for Ins Co
; Output: LENEP - Updated Maximum Electronic Plan length for Ins Co
; LENPT - Updated Maximum Plan Type length for Ins Co
; Returns: A1^A2^A3^...^AN Where:
; A1 - Group Plan Number
; A2 - Group Plan Name (leading '*' if Inactive)
; A3 - Group Plan Timely Filing Time frame (max len 21)
; A4 - Electronic Plan Type (max length 26)
; A5 - Type of Plan (max length 34)
;
; IB*2.0*549 Changed output to fields listed above
N NAME,NUM,XX,ZZ
S NUM=$$GET1^DIQ(355.3,PLAN,2.02)
S:NUM="" NUM="<NO GROUP NUMBER>"
S XX=$$GET1^DIQ(355.3,PLAN,.02,"I") ; Group or Individual Plan
S XX=$S(XX=1:"",1:"+")
S ZZ=$$GET1^DIQ(355.3,PLAN,.11,"I") ; Inactive Flag
S ZZ=XX_$S(ZZ=1:"*",1:"")
S $P(XX,"^",1)=ZZ_NUM ; Add Inactive/Individual flags
S NAME=$$GET1^DIQ(355.3,PLAN,2.01)
S:NAME="" NAME="<NO GROUP NAME>"
S $P(XX,"^",2)=NAME ; Group Name
S $P(XX,"^",3)=$$FTFGP^IBCNEUT7(PLAN) ; Timely Filing Time Frame
S ZZ=$$GET1^DIQ(355.3,PLAN_",",.15) ; Electronic Plan Type
S:$L(ZZ)>LENEP LENEP=$L(ZZ) ; Maximum Electronic Plan length
S $P(XX,"^",4)=ZZ
S ZZ=$$GET1^DIQ(355.3,PLAN_",",.09) ; Type of Plan
S:$L(ZZ)>34 ZZ=$E(ZZ,1,34)
S:$L(ZZ)>LENEP LENEP=$L(ZZ) ; Maximum Plan Type length
S $P(XX,"^",5)=ZZ
Q XX
;
COMPINF(IBCNS) ; Return formatted Insurance Company information
; Input: IBCNS - IEN of the Insurance Company, file #36
; Output: A1^A2^A3^A4 Where:
; A1 - Insurance Company name (first 25 chars)
; with leading '*' if inactive
; A2 - Street Address Line 1
; A3 - City, ST ZIP
; A4 - Timely Filing
;
; IB*2.0*549 Changed output to fields listed above
N ST,X,X0,X11,XX,Z,ZZ
S X0=$G(^DIC(36,IBCNS,0))
S X11=$G(^DIC(36,IBCNS,.11))
S Z=$P(X11,"^",6)
S ST=$S($P(X11,"^",5):$P($G(^DIC(5,$P(X11,"^",5),0)),"^",2),1:"<STATE MISSING>")
S XX=$S($P(X0,"^",5):"*",1:"")
S X=XX_$E($P(X0,"^",1),1,25)
S $P(X,"^",2)=$S($P(X11,"^",1)'="":$P(X11,"^",1),1:"<Street Addr. 1 Missing>")
S $P(X,"^",3)=$P(X11,"^",4)_", "_ST_" "_$E(Z,1,5)_$S($E(Z,6,9)]"":"-"_$E(Z,6,9),1:"")
S $P(X,"^",4)=$$FTFIC^IBCNEUT7(IBCNS)
Q X
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCOPP2 13416 printed Nov 22, 2024@17:28:37 Page 2
IBCOPP2 ;ALB/NLR - LIST INS. PLANS BY CO. (COMPILE) ; 20-OCT-2015
+1 ;;2.0;INTEGRATED BILLING;**28,62,93,516,528,549**;21-MAR-94;Build 54
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
EN ; Queued Entry Point for Report.
+1 ; Input: IBAI - 0 - User selected Insurance Companies
+2 ; 1 - Run report for all Insurance Companies with Plans
+3 ; IBAIA - 0 - Only select Inactive Insurance Companies
+4 ; 1 - Only select Active Insurance Companies
+5 ; 2 - Select both Active and Inactive Insurance Companies
+6 ; IBAIPA 0 - Only select Inactive Insurance Company Plans
+7 ; 1 - Only select Active Insurance Company Plans
+8 ; 2 - Select both Active and Inactive Insurance Company Plans
+9 ; IBAO= E - Output to Excel
+10 ; R - Report
+11 ; IBAPA - 0 - List Insurance Plans by Insurance Company
+12 ; 1 - List Insurance Plans by Insurance Company
+13 ; with Subscriber information
+14 ; IBAPA - 0 - List Insurance Plans by Insurance Company
+15 ; 1 - List Insurance Plans by Insurance Company with Subscriber
+16 ; information
+17 ; IBAPL - 0 - User selected Group Plans
+18 ; 1 - Run report for all Group Plans for each Ins. Co
+19 ; NOTE: only used if IBAI=1, otherwise, some Insurance
+20 ; companies may select all Group Plans and some
+21 ; may be use selected Group Plans
+22 ; ^TMP("IBINC",$J,IBIC,IBCNS,IBPTR)="" - Selected Ins Cos/Plans
+23 ; Required if all Insurance Companies and all Group Plans
+24 ; not selected Where:
+25 ; IBIC - Insurance Company Name
+26 ; IBCNS - IEN of the selected Insurance Company, file 36
+27 ; IBPTR - IEN of the selected Group Plan, file 355.3
+28 ;
+29 ; Compile report data
+30 NEW GIEN,XX
+31 SET IBI=0
+32 KILL ^TMP($JOB,"PR"),^TMP($JOB,"PL")
+33 ;
+34 ; Display all Insurance Companies and all Group Plans
+35 IF IBAI
IF IBAPL
Begin DoDot:1
+36 SET IBIC1=""
+37 FOR
SET IBIC1=$ORDER(^DIC(36,"B",IBIC1))
if IBIC1=""
QUIT
Begin DoDot:2
+38 SET IBCNS=0
+39 FOR
SET IBCNS=$ORDER(^DIC(36,"B",IBIC1,IBCNS))
if 'IBCNS
QUIT
Begin DoDot:3
+40 IF $DATA(^IBA(355.3,"B",IBCNS))
Begin DoDot:4
+41 ; Group Plan IEN, file 355.3
SET GIEN=$ORDER(^IBA(355.3,"B",IBCNS,""))
+42 ;
+43 ; Add Insurance Company/Group Plan to 'selected' list
+44 SET ^TMP("IBINC",$JOB,IBIC1,IBCNS,GIEN)=""
End DoDot:4
End DoDot:3
End DoDot:2
End DoDot:1
+45 ;
+46 ; Display selected Insurance- user selected companies or plans
+47 SET IBIC=""
+48 FOR
SET IBIC=$ORDER(^TMP("IBINC",$JOB,IBIC))
if IBIC=""
QUIT
Begin DoDot:1
+49 SET IBCNS=0
+50 FOR
SET IBCNS=$ORDER(^TMP("IBINC",$JOB,IBIC,IBCNS))
if 'IBCNS
QUIT
DO GATH
End DoDot:1
+51 DO PRINT
+52 QUIT
+53 ;
PRINT ; Print report
+1 DO ^IBCOPP3
+2 KILL ^TMP($JOB,"PR"),^TMP("IBINC",$JOB)
+3 ;
+4 IF $DATA(ZTQUEUED)
SET ZTREQ="@"
QUIT
+5 DO ^%ZISC
+6 KILL IBAI,IBAIA,IBAO,IBAIPA,IBAPA,IBAPL,IBCNS,IBCPS,IBCPT,IBCST,IBI,IBIC,IBIC1
+7 QUIT
+8 ;
GATH ; Gather all data for an Insurance Company.
+1 ; Input: IBI - Current Insurance Company Counter
+2 ; IBIC - Insurance Company Name
+3 ; IBSNS - IEN of the Insurance Company, file 36
+4 ; ^TMP("IBINC",$J,IBIC,IBCNS,IBPTR) - See EN for detail
+5 ; Output: IBI - Updated Insurance Company Counter
+6 ; ^TMP($J,"PR",IBI)=A1^A2^...^A11 Where:
+7 ; IBI - Counter of # of Insurance Companies included
+8 ; (starts at 1)
+9 ; A1 - Ins. Co. Name (1st 25 characters)
+10 ; Leading '*' if inactive
+11 ; A2 - Street Address Line 1
+12 ; A3 - City, State Zip Code (up to 9 digits + dash)
+13 ; A4 - Timely Filing Timeframe
+14 ; A5 - # of total plans for the Insurance Company
+15 ; A6 - # of total subscribers per Insurance Company
+16 ; A7 - # of selected Plans per Insurance Company
+17 ; A8 - # of subscribers per selected plans
+18 ; A9 - Max length of Electronic Plan Type for Ins Co
+19 ; A10 - Max length of Plan Type for Ins Co
+20 ; A11 - Max length of Patient ID for Ins Co
+21 ;
+22 NEW IBCPS,IBCPT,IBCSS,IBCST,LENEP,LENPID,LENPT,XX
+23 ; Initialize counters
SET IBI=IBI+1
SET (IBCPT,IBCPS,IBCST,IBCSS)=0
+24 ; Init Max Elec Plan, Pat Id, Plan Type lengths
SET (LENEP,LENPID,LENPT)=0
+25 ; Gather company info
DO COMP(.LENPID)
+26 ; Gather plan info
DO PLAN(.LENEP,.LENPT)
+27 ;
+28 ; Set final company info
+29 SET XX=$$COMPINF(IBCNS)
+30 SET XX=XX_"^"_IBCPT_"^"_IBCST_"^"_IBCPS_"^"_IBCSS_"^"_LENEP_"^"_LENPT_"^"_LENPID
+31 SET ^TMP($JOB,"PR",IBI)=XX
+32 KILL ^TMP($JOB,"PL")
+33 QUIT
+34 ;
COMP(LENPID) ; Gather Company counts and subscription information, if necessary
+1 ; Input: IBPA - 0 - List Insurance Plans by Insurance Company
+2 ; 1 - List Insurance Plans by Insurance Company
+3 ; with Subscriber information
+4 ; IBAPL - 0 - User selected Group Plans
+5 ; 1 - All Group Plans selected
+6 ; IBCNS - IEN of the insurance company, file #36
+7 ; ^TMP("IBINC",$J,IBIC,ICBNS)) - See EN for details
+8 ; Output: LENPID - Maximum length of Patient ID field for subscribers of
+9 ; this Insurance Company
+10 ; IBCSS - Total # of Subscribers in selected Group Plans
+11 ; IBCST - Total # of Subscribers
+12 ; ^TMP($J,"PR",IBI,IBPTR,IBNAM_"@@"_DFN_"@@"_IBCDFN)=B1^B2^...^B10 Where
+13 ; DFN - IEN of the patient, file 2
+14 ; IBCDFN- Insurance Company multiple
+15 ; IBI - Insurance counter
+16 ; IBNAM - Patient's Name (B1)
+17 ; IBPTR - IEN of the Group Plan, file 355.3
+18 ; B1 - Patient's Name (1st 22 chars)
+19 ; B2 - Last 4 Patient's SSN (with trailing 'P' if pseudo)
+20 ; B3 - Patient's DOB (mm/dd/yy)
+21 ; B4 - Subscriber ID (20 chars max)
+22 ; B5 - Effective Date (mm/dd/yy)
+23 ; B6 - Expiration Date (mm/dd/yy)
+24 ; B7 - Whose Insurance (5 chars max)
+25 ; B8 - Patient ID (30 chars max)
+26 ;
+27 NEW DFN,IBCDFN,IBIND,IBNAM,IBPTR,IBX,PTLEN,VA,VAERR,VAOA,X,XX,Y
+28 SET DFN=0
+29 FOR
SET DFN=$ORDER(^DPT("AB",IBCNS,DFN))
if 'DFN
QUIT
Begin DoDot:1
+30 SET IBCDFN=0
+31 ;
+32 ; NOTE: IBCDFN is the Insurance Company Multiple that contains the
+33 ; Insurance company with an IEN of IBCNS
+34 FOR
SET IBCDFN=$ORDER(^DPT("AB",IBCNS,DFN,IBCDFN))
if 'IBCDFN
QUIT
Begin DoDot:2
+35 ;
+36 ; Set company subscriber count; plan subscriber counts if necessary
+37 ; MRD;IB*2.0*516 - Use $$ZND^IBCNS1 to pull .312 zero node.
+38 ;S IBIND=$G(^DPT(DFN,.312,+IBCDFN,0)) Q:+IBIND'=IBCNS
+39 SET IBIND=$$ZND^IBCNS1(DFN,+IBCDFN)
+40 if +IBIND'=IBCNS
QUIT
+41 ; Group Plan IEN
SET IBPTR=+$PIECE(IBIND,"^",18)
+42 if '+IBPTR
QUIT
+43 ; Update Total # of Subscribers
SET IBCST=IBCST+1
+44 ;
+45 ; Quit if not a selected Group Plan and All Group Plans were not selected
+46 IF 'IBAPL
IF '$DATA(^TMP("IBINC",$JOB,IBIC,IBCNS,IBPTR))
QUIT
+47 ; Update Tot # of Selected Subscribers
SET IBCSS=IBCSS+1
+48 SET ^TMP($JOB,"PL",IBPTR)=$GET(^TMP($JOB,"PL",IBPTR))+1
+49 ; Subscriber information not selected
if 'IBAPA
QUIT
+50 ;
+51 ; Gather Demographic/Policy information
+52 ; IB*2.0*549 - Changed fields retrieve for Subscriber Detail display
+53 SET X=$$PT^IBEFUNC(DFN)
+54 ; Patient's Name (22 chars)
SET IBNAM=$EXTRACT($PIECE(X,"^",1),1,22)
+55 if IBNAM=""
SET IBNAM="<Pt. "_DFN_" Name Missing>"
+56 SET IBX=IBNAM
+57 ;
+58 ; Retrieve last 4 of SSN (last 5 if pseudo SSN)
+59 ; Patient's SSN
SET XX=$$GET1^DIQ(2,DFN_",",.09,"I")
+60 SET XX=$SELECT($EXTRACT(XX,$LENGTH(XX))="P":$EXTRACT(XX,$LENGTH(XX)-4,$LENGTH(XX)),1:$EXTRACT(XX,$LENGTH(XX)-3,$LENGTH(XX)))
+61 SET $PIECE(IBX,"^",2)=XX
+62 ; Patient's DOB
SET XX=$$GET1^DIQ(2,DFN_",",.03,"I")
+63 SET $PIECE(IBX,"^",3)=$$FMTE^XLFDT(XX,"2DZ")
+64 SET XX=$PIECE(IBIND,"^",2)
SET XX=$SELECT(XX'="":XX,1:"<NO SUBS ID>")
+65 ; Subscriber ID (20 chars max)
SET $PIECE(IBX,"^",4)=XX
+66 ; Effective Date
SET XX=$$FMTE^XLFDT($PIECE(IBIND,"^",8),"2DZ")
+67 SET $PIECE(IBX,"^",5)=XX
+68 ; Expiration Date
SET XX=$$FMTE^XLFDT($PIECE(IBIND,"^",4),"2DZ")
+69 SET $PIECE(IBX,"^",6)=XX
+70 ;
+71 ; Whose Insurance?
+72 SET XX=$PIECE(IBIND,"^",6)
SET XX=$SELECT(XX="v":"VET",XX="s":"SPO",XX="o":"OTH",1:"UNK")
+73 SET $PIECE(IBX,"^",7)=XX
+74 ; Patient ID
SET XX=$$GET1^DIQ(2.312,IBCDFN_","_DFN_",",5.01,"I")
+75 SET $PIECE(IBX,"^",8)=XX
+76 if LENPID<$LENGTH(XX)
SET LENPID=$LENGTH(XX)
+77 SET ^TMP($JOB,"PR",IBI,IBPTR,IBNAM_"@@"_DFN_"@@"_IBCDFN)=IBX
End DoDot:2
End DoDot:1
+78 QUIT
+79 ;
PLAN(LENEP,LENPT) ; Gather Group Insurance Plan information
+1 ; Input: LENEP - Current Maximum Electronic Plan length for Ins Co
+2 ; LENPT - Current Maximum Plan Type length for Ins Co
+3 ; IBAPL - 0 - User selected Group Plans
+4 ; 1 - All Group Plans
+5 ; IBCNS - IEN of the Insurance Company, file #36
+6 ; IBPTR - IEN of the Group Insurance Plan, file 355.3
+7 ; ^TMP("IBINC",$J,IBIC,ICBNS,IBPTR)) - See EN for details
+8 ; ^TMP($J,"PL",IBPTR) - Total # Subscribers for Group Plan
+9 ; Output: LENEP - Updated Maximum Electronic Plan length for Ins Co
+10 ; LENPT - Updated Maximum Plan Type length for Ins Co
+11 ; IBCPS - Total Number of Selected Group Plans for Ins. Co.
+12 ; IBCPT - Total # of Group Plans for Insurance Company
+13 ; ^TMP($J,"PR",IBI,IBPTR)) - B1^B2^..^B6 where
+14 ; IBI - Counter of # of Insurance Companies included
+15 ; IBPTR- Group Plan IEN
+16 ; B1 - Group Number, field 355.3,2.02
+17 ; B2 - Group Name, field 355.3,2.01
+18 ; B3 - Group Plan Timely Filing Time frame (max len 21)
+19 ; B4 - Electronic Plan Type (max length 26)
+20 ; B5 - Type of Plan (max length 34)
+21 ; B6 - Total # of subscribers for this Group Plan
+22 ;
+23 NEW IBPTR
+24 SET IBPTR=0
+25 FOR
SET IBPTR=$ORDER(^IBA(355.3,"B",IBCNS,IBPTR))
if 'IBPTR
QUIT
Begin DoDot:1
+26 ; Total # of Group Plans for Ins. Co.
SET IBCPT=IBCPT+1
+27 ;
+28 ; Quit if Group Plan was not selected by the user
+29 IF 'IBAPL
IF '$DATA(^TMP("IBINC",$JOB,IBIC,IBCNS,IBPTR))
QUIT
+30 ; Total # of Selected Group Plans
SET IBCPS=IBCPS+1
+31 SET ^TMP($JOB,"PR",IBI,IBPTR)=$$PLANINF(IBPTR,.LENEP,.LENPT)_"^"_+$GET(^TMP($JOB,"PL",IBPTR))
End DoDot:1
+32 QUIT
+33 ;
PLANINF(PLAN,LENEP,LENPT) ; Return formatted Group Insurance Plan information.
+1 ; Input: PLAN - IEN of the Group Insurance Plan, file #355.3
+2 ; LENEP - Current Maximum Electronic Plan length for Ins Co
+3 ; LENPT - Current Maximum Plan Type length for Ins Co
+4 ; Output: LENEP - Updated Maximum Electronic Plan length for Ins Co
+5 ; LENPT - Updated Maximum Plan Type length for Ins Co
+6 ; Returns: A1^A2^A3^...^AN Where:
+7 ; A1 - Group Plan Number
+8 ; A2 - Group Plan Name (leading '*' if Inactive)
+9 ; A3 - Group Plan Timely Filing Time frame (max len 21)
+10 ; A4 - Electronic Plan Type (max length 26)
+11 ; A5 - Type of Plan (max length 34)
+12 ;
+13 ; IB*2.0*549 Changed output to fields listed above
+14 NEW NAME,NUM,XX,ZZ
+15 SET NUM=$$GET1^DIQ(355.3,PLAN,2.02)
+16 if NUM=""
SET NUM="<NO GROUP NUMBER>"
+17 ; Group or Individual Plan
SET XX=$$GET1^DIQ(355.3,PLAN,.02,"I")
+18 SET XX=$SELECT(XX=1:"",1:"+")
+19 ; Inactive Flag
SET ZZ=$$GET1^DIQ(355.3,PLAN,.11,"I")
+20 SET ZZ=XX_$SELECT(ZZ=1:"*",1:"")
+21 ; Add Inactive/Individual flags
SET $PIECE(XX,"^",1)=ZZ_NUM
+22 SET NAME=$$GET1^DIQ(355.3,PLAN,2.01)
+23 if NAME=""
SET NAME="<NO GROUP NAME>"
+24 ; Group Name
SET $PIECE(XX,"^",2)=NAME
+25 ; Timely Filing Time Frame
SET $PIECE(XX,"^",3)=$$FTFGP^IBCNEUT7(PLAN)
+26 ; Electronic Plan Type
SET ZZ=$$GET1^DIQ(355.3,PLAN_",",.15)
+27 ; Maximum Electronic Plan length
if $LENGTH(ZZ)>LENEP
SET LENEP=$LENGTH(ZZ)
+28 SET $PIECE(XX,"^",4)=ZZ
+29 ; Type of Plan
SET ZZ=$$GET1^DIQ(355.3,PLAN_",",.09)
+30 if $LENGTH(ZZ)>34
SET ZZ=$EXTRACT(ZZ,1,34)
+31 ; Maximum Plan Type length
if $LENGTH(ZZ)>LENEP
SET LENEP=$LENGTH(ZZ)
+32 SET $PIECE(XX,"^",5)=ZZ
+33 QUIT XX
+34 ;
COMPINF(IBCNS) ; Return formatted Insurance Company information
+1 ; Input: IBCNS - IEN of the Insurance Company, file #36
+2 ; Output: A1^A2^A3^A4 Where:
+3 ; A1 - Insurance Company name (first 25 chars)
+4 ; with leading '*' if inactive
+5 ; A2 - Street Address Line 1
+6 ; A3 - City, ST ZIP
+7 ; A4 - Timely Filing
+8 ;
+9 ; IB*2.0*549 Changed output to fields listed above
+10 NEW ST,X,X0,X11,XX,Z,ZZ
+11 SET X0=$GET(^DIC(36,IBCNS,0))
+12 SET X11=$GET(^DIC(36,IBCNS,.11))
+13 SET Z=$PIECE(X11,"^",6)
+14 SET ST=$SELECT($PIECE(X11,"^",5):$PIECE($GET(^DIC(5,$PIECE(X11,"^",5),0)),"^",2),1:"<STATE MISSING>")
+15 SET XX=$SELECT($PIECE(X0,"^",5):"*",1:"")
+16 SET X=XX_$EXTRACT($PIECE(X0,"^",1),1,25)
+17 SET $PIECE(X,"^",2)=$SELECT($PIECE(X11,"^",1)'="":$PIECE(X11,"^",1),1:"<Street Addr. 1 Missing>")
+18 SET $PIECE(X,"^",3)=$PIECE(X11,"^",4)_", "_ST_" "_$EXTRACT(Z,1,5)_$SELECT($EXTRACT(Z,6,9)]"":"-"_$EXTRACT(Z,6,9),1:"")
+19 SET $PIECE(X,"^",4)=$$FTFIC^IBCNEUT7(IBCNS)
+20 QUIT X
