- IBCSC8 ;ALB/MJB/AAS - MCCR SCREEN 8 (BILLING - CLAIM INFORMATION SCREEN) ;27 MAY 88 10:15
- ;;2.0;INTEGRATED BILLING;**432,447,488,577,592**;21-MAR-94;Build 58
- ;;Per VA Directive 6402, this routine should not be modified.
- ;
- ;
- EN D ^IBCSCU S IBSR=8,IBSR1="" S IB("U2")=$G(^DGCR(399,IBIFN,"U2")),IB("U4")=$G(^DGCR(399,IBIFN,"U4")),IB("U5")=$G(^DGCR(399,IBIFN,"U5")),IB("U6")=$G(^DGCR(399,IBIFN,"U6")),IB("U8")=$G(^DGCR(399,IBIFN,"U8"))
- D H^IBCSCU
- ; DEM - IBV is set in EDI^IBCB => S IBAC=1,IBV=0 D EN G Q:'IBAC1,EDI
- ; IBV=0, or IBV=1 as a flag if field on screen is required
- ; or not. <Field #> indicates field is not required.
- ; [Field #]
- ; Make some sections NOT available for UB04 form
- S IBT=$P($G(^DGCR(399,IBIFN,0)),U,19)
- ;S IBV1=$S(IBT=3:"001011",IBV:"111111",1:"000000")
- ;JWS;IB*2.0*592 US1108 - Dental
- S IBV1=$S(IBT=3:"001011111",IBT=7:"0000",IBV:"111111111",1:"000000000") ; IB*2.0*488 (vd)
- I IBT=7 D IBTEETH,DENTAL K IBTEETH ;G REV
- ;JWS;IB*2.0*592 -end
- ;JWS;IB*2.0*592 - US1108 add back Property Casualty Claim Number
- I IBT'=7 S Z=1,IBW=1 X IBWW W " COB Non-Covered Charge Amt: " S X=$P(IB("U4"),U),X2="2$" I X'="" D COMMA^%DTC W X
- S Z=$S(IBT=7:4,1:2) X IBWW W " Property Casualty Information"
- ;W !,?4,"Claim Number: ",$P(IB("U4"),U,2),?41,"Contact Name: ",$P(IB("U4"),U,9) ;JRA IB*2.0*577 ';'
- W !,?4,"Claim Number: ",$P(IB("U4"),U,2) ;JRA IB*2.0*577
- I IBT=7 G REV
- ;JWS;IB*2.0*592 / end
- W !,?4,"Contact Name: ",$P(IB("U4"),U,9) ;JRA IB*2.0*577
- W !,?4,"Date of 1st Contact: ",$$FMTE^XLFDT($P(IB("U4"),U,3)),?41,"Contact Phone: ",$P(IB("U4"),U,10)," ",$P(IB("U4"),U,11)
- ; Start IB*2.0*447 BI
- ;S Z=3 X IBWW W " Ambulance Information"
- ;W !,?41,"D/O Location: ",$P(IB("U6"),U)
- ;W !,?4,"P/U Address1: ",$P(IB("U5"),U,2),?41,"D/O Address1: ",$P(IB("U6"),U,2)
- ;W !,?4,"P/U Address2: ",$P(IB("U5"),U,3),?41,"D/O Address2: ",$P(IB("U6"),U,3)
- ;W !,?4,"P/U City: ",$P(IB("U5"),U,4),?41,"D/O City: ",$P(IB("U6"),U,4)
- ;W !,?4,"P/U State/Zip: " W:$P(IB("U5"),U,5)'="" $P($G(^DIC(5,$P(IB("U5"),U,5),0)),U,2)
- ;W:$P(IB("U5"),U,6)]"" "/"_$P(IB("U5"),U,6)
- ;W ?41,"D/O State/Zip: " W:$P(IB("U6"),U,5)'="" $P($G(^DIC(5,$P(IB("U6"),U,5),0)),U,2)
- ;W:$P(IB("U6"),U,6)]"" "/"_$P(IB("U6"),U,6)
- ;;W !,?4,"P/U Country/SubDiv: ",$P(IB("U5"),U),?41,"D/O Country/SubDiv: "
- S Z=3 X IBWW W " Surgical Codes for Anesthesia Claims"
- W !,?4,"Primary Code: " W:$P(IB("U4"),U,7)'="" $P($G(^ICPT($P(IB("U4"),U,7),0)),U)
- W ?41,"Secondary Code: " W:$P(IB("U4"),U,8)'="" $P($G(^ICPT($P(IB("U4"),U,8),0)),U)
- S Z=4 X IBWW W " Paperwork Attachment Information"
- W !,?4,"Report Type: " W:$P(IB("U8"),U,2)'="" $P($G(^IBE(353.3,$P(IB("U8"),U,2),0)),U)
- W ?41,"Transmission Method: ",$P(IB("U8"),U,3)
- W !,?4,"Attachment Control #: ",$P(IB("U8"),U)
- S Z=5 X IBWW W " Disability Start Date: ",$$FMTE^XLFDT($P(IB("U4"),U,4)),?41,"Disability End Date: ",$$FMTE^XLFDT($P(IB("U4"),U,5))
- S Z=6 X IBWW W " Assumed Care Date: ",$$FMTE^XLFDT($P(IB("U4"),U,13)),?41,"Relinquished Care Date: ",$$FMTE^XLFDT($P(IB("U4"),U,14))
- ; End IB*2.0*447 BI
- ;
- ;/ Beginning of IB*2.0*488 - code moved from IBCSC10H (vd)
- S Z=7 X IBWW W " Special Program: " I $P(IB("U2"),U,16)'="" S IBZ=$$EXPAND^IBTRE(399,238,$P(IB("U2"),U,16)) W $S(IBZ'="":IBZ,$$WNRBILL^IBEFUNC(IBIFN):"31",1:"")
- S Z=8 X IBWW W " Homebound: ",$$EXPAND^IBTRE(399,236,$P(IB("U2"),U,14))
- S Z=9 X IBWW W " Date Last Seen: ",$$EXPAND^IBTRE(399,237,$P(IB("U2"),U,15))
- ;/ End of IB*2.0*488 (vd)
- REV G ^IBCSCP
- ;JWS;IB*2.0*592 US1108 - Dental
- IBTEETH ;Create array of teeth status
- N TH
- K IBTEETH S IBTEETH=0
- S IBTEETH(0)=+$P($G(^DGCR(399,IBIFN,"DEN1",0)),U,4)
- S TH=0
- F S TH=$O(^DGCR(399,IBIFN,"DEN1",TH)) Q:'TH S IBTEETH(TH)=$G(^DGCR(399,IBIFN,"DEN1",TH,0))
- Q
- ;
- DENTAL ;Dental Information for Form Type 7(J430D)
- S IB("DEN")=$G(^DGCR(399,IBIFN,"DEN"))
- S Z=1,IBW=1 X IBWW W ?4,"Tooth Status"
- D WRT:$D(IBTEETH)
- S Z=2,IBW=1 X IBWW W ?4,"Orthodontic Information"
- W !?4,"Banding Date: " I $P(IB("DEN"),U)'="" W $$FMTE^XLFDT($P(IB("DEN"),U),2)
- W !?4,"Treatment Months Count: ",$P(IB("DEN"),U,2)
- W !?4,"Treatment Months Remaining Count: ",$P(IB("DEN"),U,3)
- W !?4,"Treatment Indicator: ",$$GET1^DIQ(399,IBIFN_",",95,"E")
- S Z=3,IBW=1 X IBWW W ?4,"Dental Paperwork Attachment"
- W !?4,"Report Type: " I $P(IB("U8"),U,2)'="" W $$GET1^DIQ(353.3,$P(IB("U8"),U,2)_",",.01)," (",$E($$GET1^DIQ(353.3,$P(IB("U8"),U,2)_",",1),1,18),")"
- W ?41,"Trans Method: " I $P(IB("U8"),U,3)'="" W $$GET1^DIQ(399,IBIFN_",",286,"I")," (",$E($$GET1^DIQ(399,IBIFN_",",286,"E"),1,20),")"
- W !?4,"Attachment Control #: ",$P(IB("U8"),U)
- Q
- ;
- WRT ;write out teeth status on screen
- N I,J
- S J=0 F I=1:1 S J=$O(IBTEETH(J)) Q:'J D I I>6 D MORE Q
- . W !?4,"Tooth Number: ",$P(IBTEETH(J),U),?41,"Status Code: ",$$GET1^DIQ(399.096,J_","_IBIFN_",",.02)
- Q
- ;
- MORE ;
- W !?4,"***There are more teeth statuses associated with this bill.***" S I=0
- Q
- ;end - JWS;IB*2.0*592 US1108 - Dental
- ;IBCSC8
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCSC8 5049 printed Mar 13, 2025@21:25:24 Page 2
- IBCSC8 ;ALB/MJB/AAS - MCCR SCREEN 8 (BILLING - CLAIM INFORMATION SCREEN) ;27 MAY 88 10:15
- +1 ;;2.0;INTEGRATED BILLING;**432,447,488,577,592**;21-MAR-94;Build 58
- +2 ;;Per VA Directive 6402, this routine should not be modified.
- +3 ;
- +4 ;
- EN DO ^IBCSCU
- SET IBSR=8
- SET IBSR1=""
- SET IB("U2")=$GET(^DGCR(399,IBIFN,"U2"))
- SET IB("U4")=$GET(^DGCR(399,IBIFN,"U4"))
- SET IB("U5")=$GET(^DGCR(399,IBIFN,"U5"))
- SET IB("U6")=$GET(^DGCR(399,IBIFN,"U6"))
- SET IB("U8")=$GET(^DGCR(399,IBIFN,"U8"))
- +1 DO H^IBCSCU
- +2 ; DEM - IBV is set in EDI^IBCB => S IBAC=1,IBV=0 D EN G Q:'IBAC1,EDI
- +3 ; IBV=0, or IBV=1 as a flag if field on screen is required
- +4 ; or not. <Field #> indicates field is not required.
- +5 ; [Field #]
- +6 ; Make some sections NOT available for UB04 form
- +7 SET IBT=$PIECE($GET(^DGCR(399,IBIFN,0)),U,19)
- +8 ;S IBV1=$S(IBT=3:"001011",IBV:"111111",1:"000000")
- +9 ;JWS;IB*2.0*592 US1108 - Dental
- +10 ; IB*2.0*488 (vd)
- SET IBV1=$SELECT(IBT=3:"001011111",IBT=7:"0000",IBV:"111111111",1:"000000000")
- +11 ;G REV
- IF IBT=7
- DO IBTEETH
- DO DENTAL
- KILL IBTEETH
- +12 ;JWS;IB*2.0*592 -end
- +13 ;JWS;IB*2.0*592 - US1108 add back Property Casualty Claim Number
- +14 IF IBT'=7
- SET Z=1
- SET IBW=1
- XECUTE IBWW
- WRITE " COB Non-Covered Charge Amt: "
- SET X=$PIECE(IB("U4"),U)
- SET X2="2$"
- IF X'=""
- DO COMMA^%DTC
- WRITE X
- +15 SET Z=$SELECT(IBT=7:4,1:2)
- XECUTE IBWW
- WRITE " Property Casualty Information"
- +16 ;W !,?4,"Claim Number: ",$P(IB("U4"),U,2),?41,"Contact Name: ",$P(IB("U4"),U,9) ;JRA IB*2.0*577 ';'
- +17 ;JRA IB*2.0*577
- WRITE !,?4,"Claim Number: ",$PIECE(IB("U4"),U,2)
- +18 IF IBT=7
- GOTO REV
- +19 ;JWS;IB*2.0*592 / end
- +20 ;JRA IB*2.0*577
- WRITE !,?4,"Contact Name: ",$PIECE(IB("U4"),U,9)
- +21 WRITE !,?4,"Date of 1st Contact: ",$$FMTE^XLFDT($PIECE(IB("U4"),U,3)),?41,"Contact Phone: ",$PIECE(IB("U4"),U,10)," ",$PIECE(IB("U4"),U,11)
- +22 ; Start IB*2.0*447 BI
- +23 ;S Z=3 X IBWW W " Ambulance Information"
- +24 ;W !,?41,"D/O Location: ",$P(IB("U6"),U)
- +25 ;W !,?4,"P/U Address1: ",$P(IB("U5"),U,2),?41,"D/O Address1: ",$P(IB("U6"),U,2)
- +26 ;W !,?4,"P/U Address2: ",$P(IB("U5"),U,3),?41,"D/O Address2: ",$P(IB("U6"),U,3)
- +27 ;W !,?4,"P/U City: ",$P(IB("U5"),U,4),?41,"D/O City: ",$P(IB("U6"),U,4)
- +28 ;W !,?4,"P/U State/Zip: " W:$P(IB("U5"),U,5)'="" $P($G(^DIC(5,$P(IB("U5"),U,5),0)),U,2)
- +29 ;W:$P(IB("U5"),U,6)]"" "/"_$P(IB("U5"),U,6)
- +30 ;W ?41,"D/O State/Zip: " W:$P(IB("U6"),U,5)'="" $P($G(^DIC(5,$P(IB("U6"),U,5),0)),U,2)
- +31 ;W:$P(IB("U6"),U,6)]"" "/"_$P(IB("U6"),U,6)
- +32 ;;W !,?4,"P/U Country/SubDiv: ",$P(IB("U5"),U),?41,"D/O Country/SubDiv: "
- +33 SET Z=3
- XECUTE IBWW
- WRITE " Surgical Codes for Anesthesia Claims"
- +34 WRITE !,?4,"Primary Code: "
- if $PIECE(IB("U4"),U,7)'=""
- WRITE $PIECE($GET(^ICPT($PIECE(IB("U4"),U,7),0)),U)
- +35 WRITE ?41,"Secondary Code: "
- if $PIECE(IB("U4"),U,8)'=""
- WRITE $PIECE($GET(^ICPT($PIECE(IB("U4"),U,8),0)),U)
- +36 SET Z=4
- XECUTE IBWW
- WRITE " Paperwork Attachment Information"
- +37 WRITE !,?4,"Report Type: "
- if $PIECE(IB("U8"),U,2)'=""
- WRITE $PIECE($GET(^IBE(353.3,$PIECE(IB("U8"),U,2),0)),U)
- +38 WRITE ?41,"Transmission Method: ",$PIECE(IB("U8"),U,3)
- +39 WRITE !,?4,"Attachment Control #: ",$PIECE(IB("U8"),U)
- +40 SET Z=5
- XECUTE IBWW
- WRITE " Disability Start Date: ",$$FMTE^XLFDT($PIECE(IB("U4"),U,4)),?41,"Disability End Date: ",$$FMTE^XLFDT($PIECE(IB("U4"),U,5))
- +41 SET Z=6
- XECUTE IBWW
- WRITE " Assumed Care Date: ",$$FMTE^XLFDT($PIECE(IB("U4"),U,13)),?41,"Relinquished Care Date: ",$$FMTE^XLFDT($PIECE(IB("U4"),U,14))
- +42 ; End IB*2.0*447 BI
- +43 ;
- +44 ;/ Beginning of IB*2.0*488 - code moved from IBCSC10H (vd)
- +45 SET Z=7
- XECUTE IBWW
- WRITE " Special Program: "
- IF $PIECE(IB("U2"),U,16)'=""
- SET IBZ=$$EXPAND^IBTRE(399,238,$PIECE(IB("U2"),U,16))
- WRITE $SELECT(IBZ'="":IBZ,$$WNRBILL^IBEFUNC(IBIFN):"31",1:"")
- +46 SET Z=8
- XECUTE IBWW
- WRITE " Homebound: ",$$EXPAND^IBTRE(399,236,$PIECE(IB("U2"),U,14))
- +47 SET Z=9
- XECUTE IBWW
- WRITE " Date Last Seen: ",$$EXPAND^IBTRE(399,237,$PIECE(IB("U2"),U,15))
- +48 ;/ End of IB*2.0*488 (vd)
- REV GOTO ^IBCSCP
- +1 ;JWS;IB*2.0*592 US1108 - Dental
- IBTEETH ;Create array of teeth status
- +1 NEW TH
- +2 KILL IBTEETH
- SET IBTEETH=0
- +3 SET IBTEETH(0)=+$PIECE($GET(^DGCR(399,IBIFN,"DEN1",0)),U,4)
- +4 SET TH=0
- +5 FOR
- SET TH=$ORDER(^DGCR(399,IBIFN,"DEN1",TH))
- if 'TH
- QUIT
- SET IBTEETH(TH)=$GET(^DGCR(399,IBIFN,"DEN1",TH,0))
- +6 QUIT
- +7 ;
- DENTAL ;Dental Information for Form Type 7(J430D)
- +1 SET IB("DEN")=$GET(^DGCR(399,IBIFN,"DEN"))
- +2 SET Z=1
- SET IBW=1
- XECUTE IBWW
- WRITE ?4,"Tooth Status"
- +3 if $DATA(IBTEETH)
- DO WRT
- +4 SET Z=2
- SET IBW=1
- XECUTE IBWW
- WRITE ?4,"Orthodontic Information"
- +5 WRITE !?4,"Banding Date: "
- IF $PIECE(IB("DEN"),U)'=""
- WRITE $$FMTE^XLFDT($PIECE(IB("DEN"),U),2)
- +6 WRITE !?4,"Treatment Months Count: ",$PIECE(IB("DEN"),U,2)
- +7 WRITE !?4,"Treatment Months Remaining Count: ",$PIECE(IB("DEN"),U,3)
- +8 WRITE !?4,"Treatment Indicator: ",$$GET1^DIQ(399,IBIFN_",",95,"E")
- +9 SET Z=3
- SET IBW=1
- XECUTE IBWW
- WRITE ?4,"Dental Paperwork Attachment"
- +10 WRITE !?4,"Report Type: "
- IF $PIECE(IB("U8"),U,2)'=""
- WRITE $$GET1^DIQ(353.3,$PIECE(IB("U8"),U,2)_",",.01)," (",$EXTRACT($$GET1^DIQ(353.3,$PIECE(IB("U8"),U,2)_",",1),1,18),")"
- +11 WRITE ?41,"Trans Method: "
- IF $PIECE(IB("U8"),U,3)'=""
- WRITE $$GET1^DIQ(399,IBIFN_",",286,"I")," (",$EXTRACT($$GET1^DIQ(399,IBIFN_",",286,"E"),1,20),")"
- +12 WRITE !?4,"Attachment Control #: ",$PIECE(IB("U8"),U)
- +13 QUIT
- +14 ;
- WRT ;write out teeth status on screen
- +1 NEW I,J
- +2 SET J=0
- FOR I=1:1
- SET J=$ORDER(IBTEETH(J))
- if 'J
- QUIT
- Begin DoDot:1
- +3 WRITE !?4,"Tooth Number: ",$PIECE(IBTEETH(J),U),?41,"Status Code: ",$$GET1^DIQ(399.096,J_","_IBIFN_",",.02)
- End DoDot:1
- IF I>6
- DO MORE
- QUIT
- +4 QUIT
- +5 ;
- MORE ;
- +1 WRITE !?4,"***There are more teeth statuses associated with this bill.***"
- SET I=0
- +2 QUIT
- +3 ;end - JWS;IB*2.0*592 US1108 - Dental
- +4 ;IBCSC8