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Routine: IBJTCA1

IBJTCA1.m

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  1. IBJTCA1 ;ALB/ARH - TPI CLAIMS INFO BUILD ;10/31/07 14:17
  1. ;;2.0;INTEGRATED BILLING;**39,80,106,137,223,276,363,384,432,452,473,497,521,516,592,617**;21-MAR-94;Build 43
  1. ;;Per VA Directive 6402, this routine should not be modified.
  1. ;
  1. ;Reference to $$NABP^BPSBUTL supported by IA# 4719
  1. ;
  1. BLD ; build array for Third Party Joint Inquiry Claims Info screen, IBIFN must be defined
  1. ;
  1. N X,IBY,IBZ,IBZ0,IBI,IBT,IBD,IBLN,IBLR,IBD0,IBDI1,IBDM,IBDM1,IBDU,IBDS,IBDU2,IBID0,IBID13,IBNC,IBTC,IBTW,IBSW,IBGRPB,IBGRPE,IBWNR,IBDTX,IBBX19,IBPRVO,IBNABP,IBLVL,IBCNT,IBPRVTYP,IBVL
  1. N IBXSAVE ; IB*2.0*473 bi
  1. N BPSBINFO,IBBPS,IBBPSRX,IBBPSFL
  1. S VALMCNT=0,X="",IBD0=$G(^DGCR(399,+$G(IBIFN),0)) I IBD0="" S VALMQUIT="" G BLDQ
  1. F IBI="M","M1","U","S","U2","TX" S @("IBD"_IBI)=$G(^DGCR(399,+IBIFN,IBI))
  1. S IBDI1=$P(IBD0,U,21),IBDI1=$S(IBDI1="S":2,IBDI1="T":3,1:1) S IBDI1=$$POLICY^IBCEF(IBIFN,,IBDI1)
  1. S IBID0=$G(^DIC(36,+IBDI1,0)),IBID13=$G(^DIC(36,+IBDI1,.13))
  1. ;
  1. S (IBLN,VALMCNT)=1
  1. ;
  1. ; MRD;IB*2.0*516 - Try to make the following more readable; also
  1. ; added IBTC(7), IBTW(7) and IBSW(7).
  1. ;IB*2.0*432/TAZ - Added IBTW(6) and IBSW(6)
  1. ;S (IBNC(1),IBTC(1),IBTC(4),IBTC(6))=2,IBTC(5)=78,(IBNC(2),IBTC(2))=42,IBNC(3)=35,IBTW(1)=15,IBTW(2)=16,IBTW(4)=12,IBTW(5)=1,IBTW(6)=20,IBSW(1)=23,IBSW(2)=21,IBSW(4)=60,IBSW(5)=1,IBSW(6)=49
  1. ;
  1. S IBNC(1)=2,IBTC(1)=2,IBTW(1)=15,IBSW(1)=23
  1. S IBNC(2)=42,IBTC(2)=42,IBTW(2)=16,IBSW(2)=21
  1. S IBNC(3)=35
  1. S IBTC(4)=2,IBTW(4)=12,IBSW(4)=60
  1. S IBTC(5)=78,IBTW(5)=1,IBSW(5)=1
  1. S IBTC(6)=2,IBTW(6)=20,IBSW(6)=49
  1. S IBTC(7)=2,IBTW(7)=20,IBSW(7)=58
  1. ;
  1. S IBLR=1
  1. ;
  1. S IBT="Insurance Demographics" S IBLN=$$SETN(IBT,IBLN,IBLR,1)
  1. S IBWNR=$$WNRBILL^IBEFUNC(IBIFN)
  1. S IBNABP=$$NABP^IBNCPDPU(IBIFN)
  1. I IBNABP="" D
  1. . S IBBPS=$$BILINF^IBNCPUT3(IBIFN,.BPSBINFO)
  1. . S IBBPSRX=$G(BPSBINFO("PRESCRIPTION"))
  1. . S IBBPSFL=$G(BPSBINFO("FILL NUMBER"))
  1. . S IBNABP=$$NABP^BPSBUTL(IBBPSRX,IBBPSFL) ; IA# 4719
  1. S IBT=$S(IBWNR:" *",1:" ")_"Bill Payer: ",IBD=$P(IBID0,U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Claim Address: " D S IBD=$P(IBDM,U,5) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. . I $P(IBID0,U,1)'=$P(IBDM,U,4) S IBD=$P(IBDM,U,4) S IBLN=$$SET(IBT,IBD,IBLN,IBLR) S IBT=""
  1. I $P(IBDM,U,6)'="" S IBT="",IBD=$P(IBDM,U,6) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. I $P(IBDM1,U,1)'="" S IBT="",IBD=$P(IBDM1,U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="",IBD=$P(IBDM,U,7),IBD=IBD_$S(IBD'="":", ",1:"")_$P($G(^DIC(5,+$P(IBDM,U,8),0)),U,2)_" "_$P(IBDM,U,9),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Claim Phone: ",IBD=$P($$BADD^IBJTU3(+IBIFN),U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBLN=$$SET("","",IBLN,5)
  1. ;
  1. ; MRD;IB*2.0*516 - Use an IBLR of 7 for this section, then reset below.
  1. S IBLR=7
  1. S IBT="Subscriber Demographics" S IBLN=$$SETN(IBT,IBLN,1,1)
  1. S IBT="Group Number: ",IBD=$P(IBDI1,U,3) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Group Name: ",IBD=$P(IBDI1,U,15) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Subscriber ID: ",IBD=$P(IBDI1,U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Employer: ",IBD=$$EMPL(+DFN) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Insured's Name: ",IBD=$P(IBDI1,U,17) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Relationship: ",IBD=$$EXSET^IBJU1($P(IBDI1,U,16),2.312,16) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBLR=1
  1. ;
  1. S (IBNC(1),IBTC(1))=2,(IBNC(2),IBTC(2))=42,IBNC(3)=29,IBTW(1)=12,IBTW(2)=16,IBSW(1)=26,IBSW(2)=22
  1. S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. ;JWS:IB*2.0*592:US131 - added dental claim #7
  1. I $$FT^IBCEF(IBIFN)=2!($$FT^IBCEF(IBIFN)=7) D
  1. . N IBXDATA,IBXSAVE K ^TMP("IBXSAVE",$J)
  1. . D F^IBCEF("N-HCFA 1500 BOX 19",,,IBIFN)
  1. . I IBXDATA'="" S IBBX19(1)=$E(IBXDATA,1,40) S:$E(IBXDATA,41,$L(IBXDATA))'="" IBBX19(2)=$E(IBXDATA,41,$L(IBXDATA))
  1. ;
  1. S IBGRPB=IBLN,IBLR=1
  1. S IBT="Claim Information" S IBLN=$$SETN(IBT,IBLN,3,1)
  1. S IBT="Bill Type: ",IBD=$$EXSET^IBJU1($P(IBD0,U,5),399,.05) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Time Frame: ",IBD=$$EXSET^IBJU1($P(IBD0,U,6),399,.06) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Rate Type: ",IBD=$P($G(^DGCR(399.3,+$P(IBD0,U,7),0)),U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="AR Status: ",IBD=$P($$ARSTATA^IBJTU4(IBIFN),U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT=" Sequence: ",IBD=$P($$EXSET^IBJU1($P(IBD0,U,21),399,.21)," ",1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Purch Svc: ",IBD=$S($P(IBDU2,U,11)="":"NO",1:$$EXPAND^IBTRE(399,233,$P(IBDU2,U,11))),IBLN=$$SET(IBT,IBD,IBLN,4)
  1. I $P(IBDM1,"^",8) S IBT=" ECME No: ",IBD=$P($P(IBDM1,"^",8),";",1),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. I $L($P(IBDM1,"^",9)) S IBT="ECME Ap No: ",IBD=$P(IBDM1,"^",9),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. I IBNABP'="" S IBT=$S(($L($TR(IBNABP," ",""))=7):" NCPDP No: ",1:" NPI: "),IBD=IBNABP,IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. ; IB*2.0*521 add Claim HPID to display
  1. S IBD=$S($P(IBD0,U,21)="P":$P(IBDM1,U,13),$P(IBD0,U,21)="S":$P(IBDM1,U,14),$P(IBD0,U,21)="T":$P(IBDM1,U,15),1:"")
  1. S:IBD="" IBD=$$HPD^IBCNHUT1(+IBDI1) S IBVL=$$HOD^IBCNHUT1(IBD,+IBDI1,IBD) S IBT=$P(IBVL,U,2)_": ",IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. I IBWNR S IBT="MRA Status: ",IBD=$S($P(IBDTX,U,5):$P(IBDTX,U,5),1:"NOT RECEIVED"),IBLN=$$SET(IBT,$S(IBD:$$EXPAND^IBTRE(399,24,IBD),1:IBD),IBLN,IBLR)
  1. I $G(IBBX19(1))'="" D
  1. . S IBT=" Box 19: ",IBD=IBBX19(1),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. . I $G(IBBX19(2))'="" S IBT=$J("",11),IBD=IBBX19(2),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. ;
  1. S IBLR=6,IBPRVO=""
  1. S IBT="Providers: ",IBD="NONE"
  1. ;IB*2.0*432/TAZ - Changed how providers are displayed to take line-level providers into account.
  1. ;D F^IBCEF("N-ALL PROVIDERS","IBZ",,IBIFN)
  1. D F^IBCEF("N-ALL PROVIDERS 1","IBZ",,IBIFN)
  1. S IBZ0=0
  1. S IBLVL=0
  1. ;F S Z=$O(IBZ(Z)) Q:'Z D
  1. ;. I $G(IBZ(Z)),$G(IBZ(Z,1))'="" S IBLN=$$SET(IBT,"(OLD PROV DATA) "_IBZ(Z,1),IBLN,IBLR),IBZ0=1 Q
  1. ;. I $P($G(IBZ(Z,1)),U)'="" S IBD=$E($$EXPAND^IBTRE(399.0222,.01,Z)_":"_$J("",15),1,15)_$P(IBZ(Z,1),U)_$S($P(IBZ(Z,1),U,4)'="":" ("_$P(IBZ(Z,1),U,4)_")",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR) S IBT=$J("",11),IBZ0=1
  1. ;I 'IBZ0 S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBLVL=0
  1. F S IBLVL=$O(IBZ(IBLVL)) Q:'IBLVL D
  1. . S IBT=IBT_$S(IBLVL=1:"Claim: ",1:"Line: ")
  1. . S IBPRVTYP="",IBCNT=0
  1. . F S IBCNT=$O(IBZ(IBLVL,IBCNT)) Q:'IBCNT D
  1. .. I IBLVL=1 S IBD=$J("",5)
  1. .. I IBLVL=2 S IBD=$E("("_IBCNT_")"_$J("",5),1,5)
  1. .. F S IBPRVTYP=$O(IBZ(IBLVL,IBCNT,IBPRVTYP)) Q:'IBPRVTYP D
  1. ... S IBD=IBD_$E($$EXPAND^IBTRE(399.0222,.01,IBPRVTYP)_":"_$J("",15),1,15)
  1. ... S IBD=IBD_$P(IBZ(IBLVL,IBCNT,IBPRVTYP),U)
  1. ... I $L($P(IBZ(IBLVL,IBCNT,IBPRVTYP),U,4)) S IBD=IBD_" ("_$P(IBZ(IBLVL,IBCNT,IBPRVTYP),U,4)_")"
  1. ... S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT="",IBD=$J("",5)
  1. ;
  1. S IBGRPE=IBLN,IBLN=IBGRPB+1,IBLR=2
  1. ;
  1. S IBT="Charge Type: ",IBD=$$EXSET^IBJU1($P(IBD0,U,27),399,.27) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Service Dates: ",IBD=$$DATE^IBJU1($P(IBDU,U,1))_" - "_$$DATE^IBJU1($P(IBDU,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. S IBT="Orig Claim: ",IBD=$$BILL^RCJIBFN2(+IBIFN) S IBLN=$$SET(IBT,$J($P(IBD,U,1),9,2),IBLN,IBLR)
  1. S IBT="Balance Due: ",IBD=$J($P(IBD,U,3),9,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. I +$P(IBDM,U,2) S IBX=$S($P(IBD0,U,21)="P":2,1:1) D S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. . S IBT=$S(IBX=2:"Secondary",1:"Primary")_": ",IBD=$P($G(^DIC(36,+$P(IBDM,U,IBX),0)),U,1)
  1. . S IBX=$P(IBDU2,U,(IBX+3)) I +IBX S IBX="("_$J(IBX,0,2)_")" S IBD=$E(IBD,1,(IBSW(IBLR)-$L(IBX)-2))_" "_IBX
  1. I +$P(IBDM,U,3) S IBX=$S($P(IBD0,U,21)="T":2,1:3) D S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
  1. . S IBT=$S(IBX=2:"Secondary",1:"Tertiary")_": ",IBD=$P($G(^DIC(36,+$P(IBDM,U,IBX),0)),U,1)
  1. . S IBX=$P(IBDU2,U,(IBX+3)) I +IBX S IBX="("_$J(IBX,0,2)_")" S IBD=$E(IBD,1,(IBSW(IBLR)-$L(IBX)-2))_" "_IBX
  1. S IBLN=$$SET("","",IBLN,5)
  1. I IBWNR S IBT="MRA Rec Date: " D S IBLN=$$SET(IBT,IBD,IBLN,2)
  1. . N Z
  1. . ; find last MRA for receipt date
  1. . S (IBD,Z)="" F S Z=$O(^IBM(361.1,"B",IBIFN,Z),-1) Q:'Z I $P($G(^IBM(361.1,Z,0)),U,4)=1 S IBD=$$DATE^IBJU1($P($P(^IBM(361.1,Z,0),U,6),".")) Q
  1. F Z=IBLN:1:IBGRPE S IBLN=$$SET("","",IBLN,5)
  1. ;
  1. S (IBLN,VALMCNT)=$S(IBLN>IBGRPE:IBLN,1:IBGRPE)
  1. ;
  1. S IBGRPB=IBLN,IBLR=1
  1. D CONT^IBJTCA2
  1. ;
  1. COPAY I $O(^IBA(362.4,"C",IBIFN,0)) D
  1. . S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) ; blank line
  1. . S IBNC(1)=21,IBT="Related Prescription Copay Information" S IBLN=$$SETN(IBT,IBLN,1,1)
  1. . N IBZ,IBX,IBC,IBCAP
  1. . S IBZ=0 F S IBZ=$O(^IBA(362.4,"C",IBIFN,IBZ)) Q:'IBZ D
  1. .. K ^TMP("IBTPJI",$J)
  1. .. S IBC=$G(^IBA(362.4,IBZ,0))
  1. .. D:$P(IBC,"^",5) RX^PSO52API($P(IBD0,"^",2),"IBTPJI",$P(IBC,"^",5),"","I^")
  1. .. ; original fill
  1. .. I $P(IBC,"^",10)=0 D
  1. ... S IBX=+$G(^TMP($J,"IBTPJI",$P(IBD0,"^",2),+$P(IBC,"^",5),106)),IBCAP=+$G(^(106.6))
  1. .. ; refills
  1. .. E D
  1. ... S IBX=+$G(^TMP($J,"IBTPJI",$P(IBD0,"^",2),+$P(IBC,"^",5),"IB",+$P(IBC,"^",10),9)),IBCAP=+$G(^(9.1))
  1. .. I '$G(IBX),$G(IBCAP) S IBT=" <copay exceeded cap>",IBLN=$$SET(IBT,"",IBLN,4) Q
  1. .. I '$G(IBX) S IBT=" <none found>",IBLN=$$SET(IBT,"",IBLN,4) Q
  1. .. S IBX=$G(^IB(IBX,0))
  1. .. S IBT="Rx: "_$P(IBC,"^")_" Chg: $"_$FN($P(IBX,"^",7),",",2)_" Status: "_$$TITLE^XLFSTR($$EXTERNAL^DILFD(350,.05,"",$P(IBX,"^",5)))_" Bill: "_$P(IBX,"^",11)
  1. .. S IBLN=$$SET(IBT,"",IBLN,4)
  1. K ^TMP("IBTPJI",$J)
  1. ;
  1. S (IBLN,VALMCNT)=IBLN-1
  1. ;
  1. BLDQ Q
  1. ;
  1. EMPL(DFN) ; returns employer name
  1. Q $P($G(^DPT(+DFN,.311)),U,1)
  1. ;
  1. SET(TTL,DATA,LN,LR) ;
  1. N IBY
  1. S IBY=$J(TTL,IBTW(LR))_DATA D SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))
  1. S LN=LN+1
  1. Q LN
  1. ;
  1. SETN(TTL,LN,LR,RV) ;
  1. N IBY
  1. S IBY=" "_TTL_" " D SET1(IBY,LN,IBNC(LR),$L(IBY),$G(RV))
  1. S LN=LN+1
  1. Q LN
  1. ;
  1. SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data
  1. N IBX S IBX=$G(^TMP("IBJTCA",$J,LN,0))
  1. S IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)
  1. D SET^VALM10(LN,IBX) I $G(RV)'="" D CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)
  1. Q