IBJTBA1 ;ALB/TMK/PJH - TPJI BILL CHARGE INFO SCREEN ;Sep 30, 2014@12:07:36
;;2.0;INTEGRATED BILLING;**135,265,155,349,417,451,488,511,613**;21-MAR-94;Build 28
;Per VA Directive 6402, this routine should not be modified.
;
SHEOB(IBI,IBSPL,IBEOBCT,IBCTOF) ; Format EOB called from IBJTBA
; IBSPL = 0 if EOB represents one bill's payment
; = 1 if AR had to split the EOB between multiple bills
; Assumes IBLN is defined and returns it with line count
; Assumes IBEOBDET may be defined as a flag to control detail level of print
N X,IBPT,IBCN,IBM,IBM1,IBM2,IBTY,IBPY,IBPR,IBST,IBSTR,IBCA,IBTS,IBTA,Z,Z0
S X="0.00"
S IBM=$G(^IBM(361.1,IBI,0))
S IBTY=$P(IBM,U,4),IBTY=$S(IBTY:"MEDICARE MRA",1:"NORMAL EOB")
I IBTY'["MRA",IBSPL S IBTY="A/R SPLIT/COVERS MORE THAN 1 BILL"
I $P(IBM,U,13)>1,$P(IBM,U,13)<5 S IBTY=IBTY_" ("_$$EXTERNAL^DILFD(361.1,.13,,$P(IBM,U,13))_")"
S IBCN=$P(IBM,U,14),IBPY=$P(IBM,U,2)
S:IBPY IBPY=$P($G(^DIC(36,IBPY,0)),U)
S IBPR=$$FMTE^XLFDT($P(IBM,U,6)),IBST=$P(IBM,U,16)
S IBST=$$EXPAND^IBTRE(361.1,.16,+IBST)
S IBM1=$G(^IBM(361.1,IBI,1))
;
S IBPT=$P(IBM1,U,2) ; patient responsibility 1.02 file
I $P(IBM,U,4),$D(^IBM(361.1,IBI,"ERR")) S IBPT=0 ; filing error
; If MRA & UB, then calculate patient responsiblity value
I $P(IBM,U,4),$$FT^IBCEF(+$P(IBM,U,1))=3 S IBPT=$$PTRESPI^IBCECOB1(IBI)
;
S IBCA=$P(IBM1,U)
S IBM2=$G(^IBM(361.1,IBI,2)),IBTA=$P(IBM2,U,3)
; if no Total Allowed Amount, sum up amounts on Line Level Adjustment
I IBTA="" S IBTA=$$ALLOWED^IBCEMU2(IBI)
S IBTS=$P(IBM2,U,4)
D MRA2
S IBLN=$$SET^IBJTBA("",IBLN)
I '$G(IBEOBDET),IBSPL D
. S IBSTR=$$SETLN^IBJTBA(" **A/R CORRECTED PAYMENT DATA:","",1,50),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. S IBSTR=$$SETLN^IBJTBA(" TOTAL AMT PD: "_$J(+$P($G(^IBM(361.1,IBI,1)),U,1),"",2),"",1,75),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. S Z=0 F S Z=$O(^IBM(361.1,IBI,8,Z)) Q:'Z S Z0=$G(^(Z,0)) D
.. S IBSTR=$$SETLN^IBJTBA($E($J("",8)_$S($P(Z0,U,3):$$BN1^PRCAFN(+$P(Z0,U,3)),1:"[suspense]"_$P(Z0,U))_$J("",25),1,25)_" "_$J(+$P(Z0,U,2),"",2),"",1,75),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
;
I $G(IBEOBDET) D
. I $P($G(^IBM(361.1,IBI,0)),U,4) D Q ; Medicare MRA processing
.. N VALMCNT
.. K ^TMP("IBCECSD",$J)
.. D GETEOB^IBCECSA6(IBI,0,,+$G(IBLN)-1)
.. S Z=0 F S Z=$O(^TMP("IBCECSD",$J,Z)) Q:'Z S IBSTR=$$SETLN^IBJTBA($G(^TMP("IBCECSD",$J,Z,0)),"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
.. K ^TMP("IBCECSD",$J)
.. D EOBERR
.. Q
. ;
. ; Normal EOB processing
. N VALMCNT
. K ^TMP("PRCA_EOB",$J)
. ; IB*2*511 - do not display EEOB detail if EEOB has been "removed"
. Q:$P($G(^IBM(361.1,IBI,102)),U)
. D GETEOB^IBCECSA6(IBI,1)
. S Z=0 F S Z=$O(^TMP("PRCA_EOB",$J,IBI,Z)) Q:'Z S IBSTR=$$SETLN^IBJTBA($G(^TMP("PRCA_EOB",$J,IBI,Z)),"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. K ^TMP("PRCA_EOB",$J)
. D EOBERR
. Q
;
Q
;
MRA2 ;
N IBD
S IBLN=$$SET^IBJTBA("",IBLN)
S IBD="EOB/MRA Information"_$S($D(IBCTOF):" ("_$G(IBEOBCT)_" OF "_IBCTOF_")",1:"")
S IBSTR=$$SETLN^IBJTBA(IBD,"",30,45),$E(IBSTR,1,2)=">>",IBLN=$$SET^IBJTBA(IBSTR,IBLN)
; IB*2*511 - do not display EEOB detail if EEOB has been removed
I IBTY'["MRA",$P($G(^IBM(361.1,IBI,102)),U) D REMOVE Q
S IBD="EOB Type: "_IBTY,IBSTR=$$SETLN^IBJTBA(IBD,"",5,59)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBD="ICN: "_IBCN,IBSTR=$$SETLN^IBJTBA(IBD,"",10,30)
S IBD="Patient Resp Amount: "_$S('IBPT:X,1:IBPT)
S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,44,35)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBD="Payer Name: "_IBPY,IBSTR=$$SETLN^IBJTBA(IBD,"",3,40)
S IBD="Total Allowed Amount: "_$S('IBTA:X,1:IBTA)
S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,43,36)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBD="EOB Date: "_IBPR,IBSTR=$$SETLN^IBJTBA(IBD,"",5,35)
S IBD="Total Submitted Charges: "_$S('IBTS:X,1:IBTS)
S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,40,39)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBD="Svc From Dt: "_$$DAT1^IBOUTL($P(IBM1,U,10))
S IBSTR=$$SETLN^IBJTBA(IBD,"",2,38)
S IBD="Svc To Dt: "_$$DAT1^IBOUTL($P(IBM1,U,11))
S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,54,25)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=""
I IBTY["MRA" S IBD="MRA Review Status: "_IBST,IBSTR=$$SETLN^IBJTBA(IBD,"",2,38)
S IBD=$S('$G(IBSPL):" ",1:"**")_"Reported Payment Amt: "_$S('IBCA:$J(X,"",2),1:$J(+IBCA,"",2))
S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,41,37)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
;
; begin IB*2.0*451
; display Trace # and ERA # for every EOB record found. MRAs will not have an ERA #, only a Trace #
I IBTY]"" D
. N IBAPS,IBERAE,IBTRACE
. S IBTRACE=$P($G(^IBM(361.1,IBI,0)),U,7)
. I IBTRACE]"" S IBERAE=$O(^RCY(344.4,"D",IBTRACE,""))
. S IBD=" ERA #: "_$G(IBERAE),IBSTR=$$SETLN^IBJTBA(IBD,"",1,25)
. ; include AUTO-POST STATUS for auto-posted ERAs
. ; *613 to fix undefined variable
. I $G(IBERAE)]"" S IBAPS=$P($G(^RCY(344.4,IBERAE,4)),"^",2) I IBAPS]"" D
. . S IBD=IBD_" Auto-Post Status: "_$S(IBAPS=2:"Complete",1:"Not Complete") S IBSTR=$$SETLN^IBJTBA(IBD,"",1,80)
. S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. S IBD=" Trace #: "_$G(IBTRACE),IBSTR=$$SETLN^IBJTBA(IBD,"",1,80) ; Trace # can be up to 50 characters long
. S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. S IBLN=$$SET^IBJTBA("",IBLN)
; end IB*2.0*451
;
I IBTY["MRA",$D(^IBM(361.1,IBI,21)) D
. S IBD=$TR($J("",35)," ","-")_"Review"_$TR($J("",38)," ","-")
. S IBSTR=$$SETLN^IBJTBA(IBD,"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. S (IBST,IBCN)=0 F S IBCN=$O(^IBM(361.1,IBI,21,IBCN)) Q:'IBCN S X=$G(^(IBCN,0)) D
.. S IBST=0
.. S IBD="Review Date: "_$$DAT1^IBOUTL($P(X,U))
.. S IBSTR=$$SETLN^IBJTBA(IBD,"",1,30)
.. S IBD="Reviewed By: "_$P($G(^VA(200,+$P(X,U,2),0)),U)
.. S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,40,39)
.. S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
.. S IBD=0 F S IBD=$O(^IBM(361.1,IBI,21,IBCN,1,IBD)) Q:'IBD S IBSTR=$$SETLN^IBJTBA($S('IBST:"Comments: ",1:"")_$G(^(IBD,0)),"",1,$S('IBST:69,1:79)),IBST=1,IBLN=$$SET^IBJTBA(IBSTR,IBLN)
. I 'IBST D
.. S IBSTR=$$SETLN^IBJTBA("None","",1,10)
.. S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
;
MOVE ;
;Display details of any EEOB MOVE/COPY
I IBTY'["MRA",$D(^IBM(361.1,IBI,101)) D
.N IEN101,FIRST101 S IEN101=0,FIRST101=1
.F S IEN101=$O(^IBM(361.1,IBI,101,IEN101)) Q:'IEN101 D
..N IB101,IB102,IBDATE,IBUSER,IBJS,IBJS1,IBJS2,IBORIG,IBDIR
..S IB101=$G(^IBM(361.1,IBI,101,IEN101,0)) Q:IB101=""
..D GETAUDIT(IB101)
..I FIRST101 D
...S IBSTR=$$SETLN^IBJTBA("MOVE/COPY/REMOVE HISTORY","",1,78),FIRST101=0
...S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..S IBLN=$$SET^IBJTBA("",IBLN)
..S:IBDIR']"" IBDIR="Move"
..S IBSTR=$$SETLN^IBJTBA("Date/Time of EEOB "_IBDIR_": "_IBDATE,"",1,78)
..S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..S IBSTR=$$SETLN^IBJTBA(IBDIR_" of EEOB performed by: "_IBUSER,"",1,78)
..S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..S IBSTR=$$SETLN^IBJTBA(IBDIR_" Justification Comments: ","",1,78)
..S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..S IBSTR=$$SETLN^IBJTBA(IBJS,"",1,78)
..S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..I IBJS1]"" D
...S IBSTR=$$SETLN^IBJTBA(IBJS1,"",1,78)
...S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..I IBORIG]"" D
...S IBSTR=$$SETLN^IBJTBA("Original Claim Number: "_IBORIG,"",1,78)
...S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
..;Other claim numbers
..D OTHERS(IBI,IEN101)
Q
;
REMOVE ; Display Removal Reason and User
N SUB,IB101,IBDATE,IBUSER,IBJS,IBJS1,IBJS2,IBORIG,IBDIR
S SUB=$O(^IBM(361.1,IBI,101,"A"),-1) Q:'SUB
S IB101=$G(^IBM(361.1,IBI,101,SUB,0)) Q:IB101=""
D GETAUDIT(IB101)
S IBSTR=$$SETLN^IBJTBA(" *** EEOB REMOVED ***","",1,78)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=$$SETLN^IBJTBA("MOVE/COPY/REMOVE HISTORY","",1,78)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=$$SETLN^IBJTBA("Date/Time EEOB Removed: "_IBDATE,"",1,78)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=$$SETLN^IBJTBA("Remove of EEOB performed by: "_IBUSER,"",1,78)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=$$SETLN^IBJTBA("Remove Justification Comments: ","",1,78)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=$$SETLN^IBJTBA(IBJS,"",1,78)
S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
I IBJS1]"" S IBSTR=$$SETLN^IBJTBA(IBJS1,"",1,78),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
; display original claim
I IBORIG]"" S IBSTR=$$SETLN^IBJTBA("Original Claim Number: "_IBORIG,"",1,78),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
;display OTHER claim numbers
D OTHERS(IBI,SUB)
Q
;
EOBERR ; Display information about any 361.1 message storage or filing errors
N ERRTXT,DASHES,Z
S DASHES="---------------------------------------------------------------------"
I '$O(^IBM(361.1,IBI,"ERR",0)) Q
S IBSTR=$$SETLN^IBJTBA("VistA could not match all of the Line Level data received in the EEOB","",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBSTR=$$SETLN^IBJTBA("(835 Record 40) to the claim in VistA.","",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
S IBLN=$$SET^IBJTBA("",IBLN)
S Z=0 F S Z=$O(^IBM(361.1,IBI,"ERR",Z)) Q:'Z D
.S ERRTXT=$G(^IBM(361.1,IBI,"ERR",Z,0))
.I ERRTXT["##RAW DATA" S ERRTXT=DASHES
.S IBSTR=$$SETLN^IBJTBA(ERRTXT,"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
Q
;
GETAUDIT(IB101) ; retrieve audit data
; IB101 - string of data at the MOVE/COPY/REMOVE HISTORY multiple (361.1,101)
S IBDATE=$$EXTERNAL^DILFD(361.1101,.01,,$P(IB101,U,1))
S IBUSER=$$EXTERNAL^DILFD(361.1101,.02,,$P(IB101,U,2))
S IBJS=$E($P(IB101,U,3),1,78),IBJS1=$E($P(IB101,U,3),79,100)
S IBDIR=$$EXTERNAL^DILFD(361.1101,.05,,$P(IB101,U,5))
S IBORIG=$$EXTERNAL^DILFD(361.1101,.04,,$P(IB101,U,4))
Q
;
OTHERS(IBI,IEN101) ; get other claim(s)
; IBI - ien for entry in 361.1
; IEN101 - sub-ien for entry in 361.1,101 multiple
N SUB,IBOTH,OTEXT
S SUB=0,OTEXT=""
F S SUB=$O(^IBM(361.1,IBI,101,IEN101,1,SUB)) Q:'SUB D
. S IBOTH=$P($G(^IBM(361.1,IBI,101,IEN101,1,SUB,0)),U) Q:'IBOTH
. S IBOTH=$$EXTERNAL^DILFD(361.11016,.01,,IBOTH) Q:IBOTH=""
. S OTEXT=OTEXT_","_IBOTH
S OTEXT=$P(OTEXT,",",2,99)
I OTEXT]"" S IBSTR=$$SETLN^IBJTBA("Other Claims: "_OTEXT,"",1,78),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBJTBA1 9973 printed Sep 23, 2025@20:00:04 Page 2
IBJTBA1 ;ALB/TMK/PJH - TPJI BILL CHARGE INFO SCREEN ;Sep 30, 2014@12:07:36
+1 ;;2.0;INTEGRATED BILLING;**135,265,155,349,417,451,488,511,613**;21-MAR-94;Build 28
+2 ;Per VA Directive 6402, this routine should not be modified.
+3 ;
SHEOB(IBI,IBSPL,IBEOBCT,IBCTOF) ; Format EOB called from IBJTBA
+1 ; IBSPL = 0 if EOB represents one bill's payment
+2 ; = 1 if AR had to split the EOB between multiple bills
+3 ; Assumes IBLN is defined and returns it with line count
+4 ; Assumes IBEOBDET may be defined as a flag to control detail level of print
+5 NEW X,IBPT,IBCN,IBM,IBM1,IBM2,IBTY,IBPY,IBPR,IBST,IBSTR,IBCA,IBTS,IBTA,Z,Z0
+6 SET X="0.00"
+7 SET IBM=$GET(^IBM(361.1,IBI,0))
+8 SET IBTY=$PIECE(IBM,U,4)
SET IBTY=$SELECT(IBTY:"MEDICARE MRA",1:"NORMAL EOB")
+9 IF IBTY'["MRA"
IF IBSPL
SET IBTY="A/R SPLIT/COVERS MORE THAN 1 BILL"
+10 IF $PIECE(IBM,U,13)>1
IF $PIECE(IBM,U,13)<5
SET IBTY=IBTY_" ("_$$EXTERNAL^DILFD(361.1,.13,,$PIECE(IBM,U,13))_")"
+11 SET IBCN=$PIECE(IBM,U,14)
SET IBPY=$PIECE(IBM,U,2)
+12 if IBPY
SET IBPY=$PIECE($GET(^DIC(36,IBPY,0)),U)
+13 SET IBPR=$$FMTE^XLFDT($PIECE(IBM,U,6))
SET IBST=$PIECE(IBM,U,16)
+14 SET IBST=$$EXPAND^IBTRE(361.1,.16,+IBST)
+15 SET IBM1=$GET(^IBM(361.1,IBI,1))
+16 ;
+17 ; patient responsibility 1.02 file
SET IBPT=$PIECE(IBM1,U,2)
+18 ; filing error
IF $PIECE(IBM,U,4)
IF $DATA(^IBM(361.1,IBI,"ERR"))
SET IBPT=0
+19 ; If MRA & UB, then calculate patient responsiblity value
+20 IF $PIECE(IBM,U,4)
IF $$FT^IBCEF(+$PIECE(IBM,U,1))=3
SET IBPT=$$PTRESPI^IBCECOB1(IBI)
+21 ;
+22 SET IBCA=$PIECE(IBM1,U)
+23 SET IBM2=$GET(^IBM(361.1,IBI,2))
SET IBTA=$PIECE(IBM2,U,3)
+24 ; if no Total Allowed Amount, sum up amounts on Line Level Adjustment
+25 IF IBTA=""
SET IBTA=$$ALLOWED^IBCEMU2(IBI)
+26 SET IBTS=$PIECE(IBM2,U,4)
+27 DO MRA2
+28 SET IBLN=$$SET^IBJTBA("",IBLN)
+29 IF '$GET(IBEOBDET)
IF IBSPL
Begin DoDot:1
+30 SET IBSTR=$$SETLN^IBJTBA(" **A/R CORRECTED PAYMENT DATA:","",1,50)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+31 SET IBSTR=$$SETLN^IBJTBA(" TOTAL AMT PD: "_$JUSTIFY(+$PIECE($GET(^IBM(361.1,IBI,1)),U,1),"",2),"",1,75)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+32 SET Z=0
FOR
SET Z=$ORDER(^IBM(361.1,IBI,8,Z))
if 'Z
QUIT
SET Z0=$GET(^(Z,0))
Begin DoDot:2
+33 SET IBSTR=$$SETLN^IBJTBA($EXTRACT($JUSTIFY("",8)_$SELECT($PIECE(Z0,U,3):$$BN1^PRCAFN(+$PIECE(Z0,U,3)),1:"[suspense]"_$PIECE(Z0,U))_$JUSTIFY("",25),1,25)_" "_$JUSTIFY(+$PIECE(Z0,U,2),"",2),"",1,75)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:2
End DoDot:1
+34 ;
+35 IF $GET(IBEOBDET)
Begin DoDot:1
+36 ; Medicare MRA processing
IF $PIECE($GET(^IBM(361.1,IBI,0)),U,4)
Begin DoDot:2
+37 NEW VALMCNT
+38 KILL ^TMP("IBCECSD",$JOB)
+39 DO GETEOB^IBCECSA6(IBI,0,,+$GET(IBLN)-1)
+40 SET Z=0
FOR
SET Z=$ORDER(^TMP("IBCECSD",$JOB,Z))
if 'Z
QUIT
SET IBSTR=$$SETLN^IBJTBA($GET(^TMP("IBCECSD",$JOB,Z,0)),"",1,79)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+41 KILL ^TMP("IBCECSD",$JOB)
+42 DO EOBERR
+43 QUIT
End DoDot:2
QUIT
+44 ;
+45 ; Normal EOB processing
+46 NEW VALMCNT
+47 KILL ^TMP("PRCA_EOB",$JOB)
+48 ; IB*2*511 - do not display EEOB detail if EEOB has been "removed"
+49 if $PIECE($GET(^IBM(361.1,IBI,102)),U)
QUIT
+50 DO GETEOB^IBCECSA6(IBI,1)
+51 SET Z=0
FOR
SET Z=$ORDER(^TMP("PRCA_EOB",$JOB,IBI,Z))
if 'Z
QUIT
SET IBSTR=$$SETLN^IBJTBA($GET(^TMP("PRCA_EOB",$JOB,IBI,Z)),"",1,79)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+52 KILL ^TMP("PRCA_EOB",$JOB)
+53 DO EOBERR
+54 QUIT
End DoDot:1
+55 ;
+56 QUIT
+57 ;
MRA2 ;
+1 NEW IBD
+2 SET IBLN=$$SET^IBJTBA("",IBLN)
+3 SET IBD="EOB/MRA Information"_$SELECT($DATA(IBCTOF):" ("_$GET(IBEOBCT)_" OF "_IBCTOF_")",1:"")
+4 SET IBSTR=$$SETLN^IBJTBA(IBD,"",30,45)
SET $EXTRACT(IBSTR,1,2)=">>"
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+5 ; IB*2*511 - do not display EEOB detail if EEOB has been removed
+6 IF IBTY'["MRA"
IF $PIECE($GET(^IBM(361.1,IBI,102)),U)
DO REMOVE
QUIT
+7 SET IBD="EOB Type: "_IBTY
SET IBSTR=$$SETLN^IBJTBA(IBD,"",5,59)
+8 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+9 SET IBD="ICN: "_IBCN
SET IBSTR=$$SETLN^IBJTBA(IBD,"",10,30)
+10 SET IBD="Patient Resp Amount: "_$SELECT('IBPT:X,1:IBPT)
+11 SET IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,44,35)
+12 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+13 SET IBD="Payer Name: "_IBPY
SET IBSTR=$$SETLN^IBJTBA(IBD,"",3,40)
+14 SET IBD="Total Allowed Amount: "_$SELECT('IBTA:X,1:IBTA)
+15 SET IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,43,36)
+16 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+17 SET IBD="EOB Date: "_IBPR
SET IBSTR=$$SETLN^IBJTBA(IBD,"",5,35)
+18 SET IBD="Total Submitted Charges: "_$SELECT('IBTS:X,1:IBTS)
+19 SET IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,40,39)
+20 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+21 SET IBD="Svc From Dt: "_$$DAT1^IBOUTL($PIECE(IBM1,U,10))
+22 SET IBSTR=$$SETLN^IBJTBA(IBD,"",2,38)
+23 SET IBD="Svc To Dt: "_$$DAT1^IBOUTL($PIECE(IBM1,U,11))
+24 SET IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,54,25)
+25 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+26 SET IBSTR=""
+27 IF IBTY["MRA"
SET IBD="MRA Review Status: "_IBST
SET IBSTR=$$SETLN^IBJTBA(IBD,"",2,38)
+28 SET IBD=$SELECT('$GET(IBSPL):" ",1:"**")_"Reported Payment Amt: "_$SELECT('IBCA:$JUSTIFY(X,"",2),1:$JUSTIFY(+IBCA,"",2))
+29 SET IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,41,37)
+30 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+31 ;
+32 ; begin IB*2.0*451
+33 ; display Trace # and ERA # for every EOB record found. MRAs will not have an ERA #, only a Trace #
+34 IF IBTY]""
Begin DoDot:1
+35 NEW IBAPS,IBERAE,IBTRACE
+36 SET IBTRACE=$PIECE($GET(^IBM(361.1,IBI,0)),U,7)
+37 IF IBTRACE]""
SET IBERAE=$ORDER(^RCY(344.4,"D",IBTRACE,""))
+38 SET IBD=" ERA #: "_$GET(IBERAE)
SET IBSTR=$$SETLN^IBJTBA(IBD,"",1,25)
+39 ; include AUTO-POST STATUS for auto-posted ERAs
+40 ; *613 to fix undefined variable
+41 IF $GET(IBERAE)]""
SET IBAPS=$PIECE($GET(^RCY(344.4,IBERAE,4)),"^",2)
IF IBAPS]""
Begin DoDot:2
+42 SET IBD=IBD_" Auto-Post Status: "_$SELECT(IBAPS=2:"Complete",1:"Not Complete")
SET IBSTR=$$SETLN^IBJTBA(IBD,"",1,80)
End DoDot:2
+43 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+44 ; Trace # can be up to 50 characters long
SET IBD=" Trace #: "_$GET(IBTRACE)
SET IBSTR=$$SETLN^IBJTBA(IBD,"",1,80)
+45 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+46 SET IBLN=$$SET^IBJTBA("",IBLN)
End DoDot:1
+47 ; end IB*2.0*451
+48 ;
+49 IF IBTY["MRA"
IF $DATA(^IBM(361.1,IBI,21))
Begin DoDot:1
+50 SET IBD=$TRANSLATE($JUSTIFY("",35)," ","-")_"Review"_$TRANSLATE($JUSTIFY("",38)," ","-")
+51 SET IBSTR=$$SETLN^IBJTBA(IBD,"",1,79)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+52 SET (IBST,IBCN)=0
FOR
SET IBCN=$ORDER(^IBM(361.1,IBI,21,IBCN))
if 'IBCN
QUIT
SET X=$GET(^(IBCN,0))
Begin DoDot:2
+53 SET IBST=0
+54 SET IBD="Review Date: "_$$DAT1^IBOUTL($PIECE(X,U))
+55 SET IBSTR=$$SETLN^IBJTBA(IBD,"",1,30)
+56 SET IBD="Reviewed By: "_$PIECE($GET(^VA(200,+$PIECE(X,U,2),0)),U)
+57 SET IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,40,39)
+58 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+59 SET IBD=0
FOR
SET IBD=$ORDER(^IBM(361.1,IBI,21,IBCN,1,IBD))
if 'IBD
QUIT
SET IBSTR=$$SETLN^IBJTBA($SELECT('IBST:"Comments: ",1:"")_$GET(^(IBD,0)),"",1,$SELECT('IBST:69,1:79))
SET IBST=1
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:2
+60 IF 'IBST
Begin DoDot:2
+61 SET IBSTR=$$SETLN^IBJTBA("None","",1,10)
+62 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:2
End DoDot:1
+63 ;
MOVE ;
+1 ;Display details of any EEOB MOVE/COPY
+2 IF IBTY'["MRA"
IF $DATA(^IBM(361.1,IBI,101))
Begin DoDot:1
+3 NEW IEN101,FIRST101
SET IEN101=0
SET FIRST101=1
+4 FOR
SET IEN101=$ORDER(^IBM(361.1,IBI,101,IEN101))
if 'IEN101
QUIT
Begin DoDot:2
+5 NEW IB101,IB102,IBDATE,IBUSER,IBJS,IBJS1,IBJS2,IBORIG,IBDIR
+6 SET IB101=$GET(^IBM(361.1,IBI,101,IEN101,0))
if IB101=""
QUIT
+7 DO GETAUDIT(IB101)
+8 IF FIRST101
Begin DoDot:3
+9 SET IBSTR=$$SETLN^IBJTBA("MOVE/COPY/REMOVE HISTORY","",1,78)
SET FIRST101=0
+10 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:3
+11 SET IBLN=$$SET^IBJTBA("",IBLN)
+12 if IBDIR']""
SET IBDIR="Move"
+13 SET IBSTR=$$SETLN^IBJTBA("Date/Time of EEOB "_IBDIR_": "_IBDATE,"",1,78)
+14 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+15 SET IBSTR=$$SETLN^IBJTBA(IBDIR_" of EEOB performed by: "_IBUSER,"",1,78)
+16 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+17 SET IBSTR=$$SETLN^IBJTBA(IBDIR_" Justification Comments: ","",1,78)
+18 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+19 SET IBSTR=$$SETLN^IBJTBA(IBJS,"",1,78)
+20 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+21 IF IBJS1]""
Begin DoDot:3
+22 SET IBSTR=$$SETLN^IBJTBA(IBJS1,"",1,78)
+23 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:3
+24 IF IBORIG]""
Begin DoDot:3
+25 SET IBSTR=$$SETLN^IBJTBA("Original Claim Number: "_IBORIG,"",1,78)
+26 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:3
+27 ;Other claim numbers
+28 DO OTHERS(IBI,IEN101)
End DoDot:2
End DoDot:1
+29 QUIT
+30 ;
REMOVE ; Display Removal Reason and User
+1 NEW SUB,IB101,IBDATE,IBUSER,IBJS,IBJS1,IBJS2,IBORIG,IBDIR
+2 SET SUB=$ORDER(^IBM(361.1,IBI,101,"A"),-1)
if 'SUB
QUIT
+3 SET IB101=$GET(^IBM(361.1,IBI,101,SUB,0))
if IB101=""
QUIT
+4 DO GETAUDIT(IB101)
+5 SET IBSTR=$$SETLN^IBJTBA(" *** EEOB REMOVED ***","",1,78)
+6 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+7 SET IBSTR=$$SETLN^IBJTBA("MOVE/COPY/REMOVE HISTORY","",1,78)
+8 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+9 SET IBSTR=$$SETLN^IBJTBA("Date/Time EEOB Removed: "_IBDATE,"",1,78)
+10 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+11 SET IBSTR=$$SETLN^IBJTBA("Remove of EEOB performed by: "_IBUSER,"",1,78)
+12 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+13 SET IBSTR=$$SETLN^IBJTBA("Remove Justification Comments: ","",1,78)
+14 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+15 SET IBSTR=$$SETLN^IBJTBA(IBJS,"",1,78)
+16 SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+17 IF IBJS1]""
SET IBSTR=$$SETLN^IBJTBA(IBJS1,"",1,78)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+18 ; display original claim
+19 IF IBORIG]""
SET IBSTR=$$SETLN^IBJTBA("Original Claim Number: "_IBORIG,"",1,78)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+20 ;display OTHER claim numbers
+21 DO OTHERS(IBI,SUB)
+22 QUIT
+23 ;
EOBERR ; Display information about any 361.1 message storage or filing errors
+1 NEW ERRTXT,DASHES,Z
+2 SET DASHES="---------------------------------------------------------------------"
+3 IF '$ORDER(^IBM(361.1,IBI,"ERR",0))
QUIT
+4 SET IBSTR=$$SETLN^IBJTBA("VistA could not match all of the Line Level data received in the EEOB","",1,79)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+5 SET IBSTR=$$SETLN^IBJTBA("(835 Record 40) to the claim in VistA.","",1,79)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+6 SET IBLN=$$SET^IBJTBA("",IBLN)
+7 SET Z=0
FOR
SET Z=$ORDER(^IBM(361.1,IBI,"ERR",Z))
if 'Z
QUIT
Begin DoDot:1
+8 SET ERRTXT=$GET(^IBM(361.1,IBI,"ERR",Z,0))
+9 IF ERRTXT["##RAW DATA"
SET ERRTXT=DASHES
+10 SET IBSTR=$$SETLN^IBJTBA(ERRTXT,"",1,79)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
End DoDot:1
+11 QUIT
+12 ;
GETAUDIT(IB101) ; retrieve audit data
+1 ; IB101 - string of data at the MOVE/COPY/REMOVE HISTORY multiple (361.1,101)
+2 SET IBDATE=$$EXTERNAL^DILFD(361.1101,.01,,$PIECE(IB101,U,1))
+3 SET IBUSER=$$EXTERNAL^DILFD(361.1101,.02,,$PIECE(IB101,U,2))
+4 SET IBJS=$EXTRACT($PIECE(IB101,U,3),1,78)
SET IBJS1=$EXTRACT($PIECE(IB101,U,3),79,100)
+5 SET IBDIR=$$EXTERNAL^DILFD(361.1101,.05,,$PIECE(IB101,U,5))
+6 SET IBORIG=$$EXTERNAL^DILFD(361.1101,.04,,$PIECE(IB101,U,4))
+7 QUIT
+8 ;
OTHERS(IBI,IEN101) ; get other claim(s)
+1 ; IBI - ien for entry in 361.1
+2 ; IEN101 - sub-ien for entry in 361.1,101 multiple
+3 NEW SUB,IBOTH,OTEXT
+4 SET SUB=0
SET OTEXT=""
+5 FOR
SET SUB=$ORDER(^IBM(361.1,IBI,101,IEN101,1,SUB))
if 'SUB
QUIT
Begin DoDot:1
+6 SET IBOTH=$PIECE($GET(^IBM(361.1,IBI,101,IEN101,1,SUB,0)),U)
if 'IBOTH
QUIT
+7 SET IBOTH=$$EXTERNAL^DILFD(361.11016,.01,,IBOTH)
if IBOTH=""
QUIT
+8 SET OTEXT=OTEXT_","_IBOTH
End DoDot:1
+9 SET OTEXT=$PIECE(OTEXT,",",2,99)
+10 IF OTEXT]""
SET IBSTR=$$SETLN^IBJTBA("Other Claims: "_OTEXT,"",1,78)
SET IBLN=$$SET^IBJTBA(IBSTR,IBLN)
+11 QUIT
+12 ;
