- IBJTCA1 ;ALB/ARH - TPI CLAIMS INFO BUILD ;10/31/07 14:17
- ;;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
- ;;Per VA Directive 6402, this routine should not be modified.
- ;
- ;Reference to $$NABP^BPSBUTL supported by IA# 4719
- ;
- BLD ; build array for Third Party Joint Inquiry Claims Info screen, IBIFN must be defined
- ;
- N X,IBY,IBZ,IBZ0,IBI,IBT,IBD,IBLN,IBLR,IBD0,IBDI1,IBDM,IBDM1,IBDU,IBDS,IBDU2,IBID0,IBID13,IBNC,IBTC,IBTW,IBSW,IBGRPB,IBGRPE,IBWNR,IBDTX,IBBX19,IBPRVO,IBNABP,IBLVL,IBCNT,IBPRVTYP,IBVL
- N IBXSAVE ; IB*2.0*473 bi
- N BPSBINFO,IBBPS,IBBPSRX,IBBPSFL
- S VALMCNT=0,X="",IBD0=$G(^DGCR(399,+$G(IBIFN),0)) I IBD0="" S VALMQUIT="" G BLDQ
- F IBI="M","M1","U","S","U2","TX" S @("IBD"_IBI)=$G(^DGCR(399,+IBIFN,IBI))
- S IBDI1=$P(IBD0,U,21),IBDI1=$S(IBDI1="S":2,IBDI1="T":3,1:1) S IBDI1=$$POLICY^IBCEF(IBIFN,,IBDI1)
- S IBID0=$G(^DIC(36,+IBDI1,0)),IBID13=$G(^DIC(36,+IBDI1,.13))
- ;
- S (IBLN,VALMCNT)=1
- ;
- ; MRD;IB*2.0*516 - Try to make the following more readable; also
- ; added IBTC(7), IBTW(7) and IBSW(7).
- ;IB*2.0*432/TAZ - Added IBTW(6) and IBSW(6)
- ;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
- ;
- S IBNC(1)=2,IBTC(1)=2,IBTW(1)=15,IBSW(1)=23
- S IBNC(2)=42,IBTC(2)=42,IBTW(2)=16,IBSW(2)=21
- S IBNC(3)=35
- S IBTC(4)=2,IBTW(4)=12,IBSW(4)=60
- S IBTC(5)=78,IBTW(5)=1,IBSW(5)=1
- S IBTC(6)=2,IBTW(6)=20,IBSW(6)=49
- S IBTC(7)=2,IBTW(7)=20,IBSW(7)=58
- ;
- S IBLR=1
- ;
- S IBT="Insurance Demographics" S IBLN=$$SETN(IBT,IBLN,IBLR,1)
- S IBWNR=$$WNRBILL^IBEFUNC(IBIFN)
- S IBNABP=$$NABP^IBNCPDPU(IBIFN)
- I IBNABP="" D
- . S IBBPS=$$BILINF^IBNCPUT3(IBIFN,.BPSBINFO)
- . S IBBPSRX=$G(BPSBINFO("PRESCRIPTION"))
- . S IBBPSFL=$G(BPSBINFO("FILL NUMBER"))
- . S IBNABP=$$NABP^BPSBUTL(IBBPSRX,IBBPSFL) ; IA# 4719
- S IBT=$S(IBWNR:" *",1:" ")_"Bill Payer: ",IBD=$P(IBID0,U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Claim Address: " D S IBD=$P(IBDM,U,5) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- . I $P(IBID0,U,1)'=$P(IBDM,U,4) S IBD=$P(IBDM,U,4) S IBLN=$$SET(IBT,IBD,IBLN,IBLR) S IBT=""
- I $P(IBDM,U,6)'="" S IBT="",IBD=$P(IBDM,U,6) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- I $P(IBDM1,U,1)'="" S IBT="",IBD=$P(IBDM1,U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- 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=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Claim Phone: ",IBD=$P($$BADD^IBJTU3(+IBIFN),U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBLN=$$SET("","",IBLN,5)
- ;
- ; MRD;IB*2.0*516 - Use an IBLR of 7 for this section, then reset below.
- S IBLR=7
- S IBT="Subscriber Demographics" S IBLN=$$SETN(IBT,IBLN,1,1)
- S IBT="Group Number: ",IBD=$P(IBDI1,U,3) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Group Name: ",IBD=$P(IBDI1,U,15) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Subscriber ID: ",IBD=$P(IBDI1,U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Employer: ",IBD=$$EMPL(+DFN) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Insured's Name: ",IBD=$P(IBDI1,U,17) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Relationship: ",IBD=$$EXSET^IBJU1($P(IBDI1,U,16),2.312,16) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBLR=1
- ;
- S (IBNC(1),IBTC(1))=2,(IBNC(2),IBTC(2))=42,IBNC(3)=29,IBTW(1)=12,IBTW(2)=16,IBSW(1)=26,IBSW(2)=22
- S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- ;JWS:IB*2.0*592:US131 - added dental claim #7
- I $$FT^IBCEF(IBIFN)=2!($$FT^IBCEF(IBIFN)=7) D
- . N IBXDATA,IBXSAVE K ^TMP("IBXSAVE",$J)
- . D F^IBCEF("N-HCFA 1500 BOX 19",,,IBIFN)
- . I IBXDATA'="" S IBBX19(1)=$E(IBXDATA,1,40) S:$E(IBXDATA,41,$L(IBXDATA))'="" IBBX19(2)=$E(IBXDATA,41,$L(IBXDATA))
- ;
- S IBGRPB=IBLN,IBLR=1
- S IBT="Claim Information" S IBLN=$$SETN(IBT,IBLN,3,1)
- S IBT="Bill Type: ",IBD=$$EXSET^IBJU1($P(IBD0,U,5),399,.05) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Time Frame: ",IBD=$$EXSET^IBJU1($P(IBD0,U,6),399,.06) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Rate Type: ",IBD=$P($G(^DGCR(399.3,+$P(IBD0,U,7),0)),U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="AR Status: ",IBD=$P($$ARSTATA^IBJTU4(IBIFN),U,1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT=" Sequence: ",IBD=$P($$EXSET^IBJU1($P(IBD0,U,21),399,.21)," ",1) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- 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)
- I $P(IBDM1,"^",8) S IBT=" ECME No: ",IBD=$P($P(IBDM1,"^",8),";",1),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- I $L($P(IBDM1,"^",9)) S IBT="ECME Ap No: ",IBD=$P(IBDM1,"^",9),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- I IBNABP'="" S IBT=$S(($L($TR(IBNABP," ",""))=7):" NCPDP No: ",1:" NPI: "),IBD=IBNABP,IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- ; IB*2.0*521 add Claim HPID to display
- S IBD=$S($P(IBD0,U,21)="P":$P(IBDM1,U,13),$P(IBD0,U,21)="S":$P(IBDM1,U,14),$P(IBD0,U,21)="T":$P(IBDM1,U,15),1:"")
- S:IBD="" IBD=$$HPD^IBCNHUT1(+IBDI1) S IBVL=$$HOD^IBCNHUT1(IBD,+IBDI1,IBD) S IBT=$P(IBVL,U,2)_": ",IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- 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)
- I $G(IBBX19(1))'="" D
- . S IBT=" Box 19: ",IBD=IBBX19(1),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- . I $G(IBBX19(2))'="" S IBT=$J("",11),IBD=IBBX19(2),IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- ;
- S IBLR=6,IBPRVO=""
- S IBT="Providers: ",IBD="NONE"
- ;IB*2.0*432/TAZ - Changed how providers are displayed to take line-level providers into account.
- ;D F^IBCEF("N-ALL PROVIDERS","IBZ",,IBIFN)
- D F^IBCEF("N-ALL PROVIDERS 1","IBZ",,IBIFN)
- S IBZ0=0
- S IBLVL=0
- ;F S Z=$O(IBZ(Z)) Q:'Z D
- ;. I $G(IBZ(Z)),$G(IBZ(Z,1))'="" S IBLN=$$SET(IBT,"(OLD PROV DATA) "_IBZ(Z,1),IBLN,IBLR),IBZ0=1 Q
- ;. I $P($G(IBZ(Z,1)),U)'="" S IBD=$E($$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=$$SET(IBT,IBD,IBLN,IBLR) S IBT=$J("",11),IBZ0=1
- ;I 'IBZ0 S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBLVL=0
- F S IBLVL=$O(IBZ(IBLVL)) Q:'IBLVL D
- . S IBT=IBT_$S(IBLVL=1:"Claim: ",1:"Line: ")
- . S IBPRVTYP="",IBCNT=0
- . F S IBCNT=$O(IBZ(IBLVL,IBCNT)) Q:'IBCNT D
- .. I IBLVL=1 S IBD=$J("",5)
- .. I IBLVL=2 S IBD=$E("("_IBCNT_")"_$J("",5),1,5)
- .. F S IBPRVTYP=$O(IBZ(IBLVL,IBCNT,IBPRVTYP)) Q:'IBPRVTYP D
- ... S IBD=IBD_$E($$EXPAND^IBTRE(399.0222,.01,IBPRVTYP)_":"_$J("",15),1,15)
- ... S IBD=IBD_$P(IBZ(IBLVL,IBCNT,IBPRVTYP),U)
- ... I $L($P(IBZ(IBLVL,IBCNT,IBPRVTYP),U,4)) S IBD=IBD_" ("_$P(IBZ(IBLVL,IBCNT,IBPRVTYP),U,4)_")"
- ... S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT="",IBD=$J("",5)
- ;
- S IBGRPE=IBLN,IBLN=IBGRPB+1,IBLR=2
- ;
- S IBT="Charge Type: ",IBD=$$EXSET^IBJU1($P(IBD0,U,27),399,.27) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Service Dates: ",IBD=$$DATE^IBJU1($P(IBDU,U,1))_" - "_$$DATE^IBJU1($P(IBDU,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- S IBT="Orig Claim: ",IBD=$$BILL^RCJIBFN2(+IBIFN) S IBLN=$$SET(IBT,$J($P(IBD,U,1),9,2),IBLN,IBLR)
- S IBT="Balance Due: ",IBD=$J($P(IBD,U,3),9,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- I +$P(IBDM,U,2) S IBX=$S($P(IBD0,U,21)="P":2,1:1) D S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- . S IBT=$S(IBX=2:"Secondary",1:"Primary")_": ",IBD=$P($G(^DIC(36,+$P(IBDM,U,IBX),0)),U,1)
- . S IBX=$P(IBDU2,U,(IBX+3)) I +IBX S IBX="("_$J(IBX,0,2)_")" S IBD=$E(IBD,1,(IBSW(IBLR)-$L(IBX)-2))_" "_IBX
- I +$P(IBDM,U,3) S IBX=$S($P(IBD0,U,21)="T":2,1:3) D S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- . S IBT=$S(IBX=2:"Secondary",1:"Tertiary")_": ",IBD=$P($G(^DIC(36,+$P(IBDM,U,IBX),0)),U,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
- S IBLN=$$SET("","",IBLN,5)
- I IBWNR S IBT="MRA Rec Date: " D S IBLN=$$SET(IBT,IBD,IBLN,2)
- . N Z
- . ; find last MRA for receipt date
- . 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=$$DATE^IBJU1($P($P(^IBM(361.1,Z,0),U,6),".")) Q
- F Z=IBLN:1:IBGRPE S IBLN=$$SET("","",IBLN,5)
- ;
- S (IBLN,VALMCNT)=$S(IBLN>IBGRPE:IBLN,1:IBGRPE)
- ;
- S IBGRPB=IBLN,IBLR=1
- D CONT^IBJTCA2
- ;
- COPAY I $O(^IBA(362.4,"C",IBIFN,0)) D
- . S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) ; blank line
- . S IBNC(1)=21,IBT="Related Prescription Copay Information" S IBLN=$$SETN(IBT,IBLN,1,1)
- . N IBZ,IBX,IBC,IBCAP
- . S IBZ=0 F S IBZ=$O(^IBA(362.4,"C",IBIFN,IBZ)) Q:'IBZ D
- .. K ^TMP("IBTPJI",$J)
- .. S IBC=$G(^IBA(362.4,IBZ,0))
- .. D:$P(IBC,"^",5) RX^PSO52API($P(IBD0,"^",2),"IBTPJI",$P(IBC,"^",5),"","I^")
- .. ; original fill
- .. I $P(IBC,"^",10)=0 D
- ... S IBX=+$G(^TMP($J,"IBTPJI",$P(IBD0,"^",2),+$P(IBC,"^",5),106)),IBCAP=+$G(^(106.6))
- .. ; refills
- .. E D
- ... S IBX=+$G(^TMP($J,"IBTPJI",$P(IBD0,"^",2),+$P(IBC,"^",5),"IB",+$P(IBC,"^",10),9)),IBCAP=+$G(^(9.1))
- .. I '$G(IBX),$G(IBCAP) S IBT=" <copay exceeded cap>",IBLN=$$SET(IBT,"",IBLN,4) Q
- .. I '$G(IBX) S IBT=" <none found>",IBLN=$$SET(IBT,"",IBLN,4) Q
- .. S IBX=$G(^IB(IBX,0))
- .. S IBT="Rx: "_$P(IBC,"^")_" Chg: $"_$FN($P(IBX,"^",7),",",2)_" Status: "_$$TITLE^XLFSTR($$EXTERNAL^DILFD(350,.05,"",$P(IBX,"^",5)))_" Bill: "_$P(IBX,"^",11)
- .. S IBLN=$$SET(IBT,"",IBLN,4)
- K ^TMP("IBTPJI",$J)
- ;
- S (IBLN,VALMCNT)=IBLN-1
- ;
- BLDQ Q
- ;
- EMPL(DFN) ; returns employer name
- Q $P($G(^DPT(+DFN,.311)),U,1)
- ;
- SET(TTL,DATA,LN,LR) ;
- N IBY
- S IBY=$J(TTL,IBTW(LR))_DATA D SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))
- S LN=LN+1
- Q LN
- ;
- SETN(TTL,LN,LR,RV) ;
- N IBY
- S IBY=" "_TTL_" " D SET1(IBY,LN,IBNC(LR),$L(IBY),$G(RV))
- S LN=LN+1
- Q LN
- ;
- SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data
- N IBX S IBX=$G(^TMP("IBJTCA",$J,LN,0))
- S IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)
- D SET^VALM10(LN,IBX) I $G(RV)'="" D CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)
- Q
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBJTCA1 9727 printed Feb 18, 2025@23:50:14 Page 2
- 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
- +2 ;;Per VA Directive 6402, this routine should not be modified.
- +3 ;
- +4 ;Reference to $$NABP^BPSBUTL supported by IA# 4719
- +5 ;
- BLD ; build array for Third Party Joint Inquiry Claims Info screen, IBIFN must be defined
- +1 ;
- +2 NEW X,IBY,IBZ,IBZ0,IBI,IBT,IBD,IBLN,IBLR,IBD0,IBDI1,IBDM,IBDM1,IBDU,IBDS,IBDU2,IBID0,IBID13,IBNC,IBTC,IBTW,IBSW,IBGRPB,IBGRPE,IBWNR,IBDTX,IBBX19,IBPRVO,IBNABP,IBLVL,IBCNT,IBPRVTYP,IBVL
- +3 ; IB*2.0*473 bi
- NEW IBXSAVE
- +4 NEW BPSBINFO,IBBPS,IBBPSRX,IBBPSFL
- +5 SET VALMCNT=0
- SET X=""
- SET IBD0=$GET(^DGCR(399,+$GET(IBIFN),0))
- IF IBD0=""
- SET VALMQUIT=""
- GOTO BLDQ
- +6 FOR IBI="M","M1","U","S","U2","TX"
- SET @("IBD"_IBI)=$GET(^DGCR(399,+IBIFN,IBI))
- +7 SET IBDI1=$PIECE(IBD0,U,21)
- SET IBDI1=$SELECT(IBDI1="S":2,IBDI1="T":3,1:1)
- SET IBDI1=$$POLICY^IBCEF(IBIFN,,IBDI1)
- +8 SET IBID0=$GET(^DIC(36,+IBDI1,0))
- SET IBID13=$GET(^DIC(36,+IBDI1,.13))
- +9 ;
- +10 SET (IBLN,VALMCNT)=1
- +11 ;
- +12 ; MRD;IB*2.0*516 - Try to make the following more readable; also
- +13 ; added IBTC(7), IBTW(7) and IBSW(7).
- +14 ;IB*2.0*432/TAZ - Added IBTW(6) and IBSW(6)
- +15 ;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
- +16 ;
- +17 SET IBNC(1)=2
- SET IBTC(1)=2
- SET IBTW(1)=15
- SET IBSW(1)=23
- +18 SET IBNC(2)=42
- SET IBTC(2)=42
- SET IBTW(2)=16
- SET IBSW(2)=21
- +19 SET IBNC(3)=35
- +20 SET IBTC(4)=2
- SET IBTW(4)=12
- SET IBSW(4)=60
- +21 SET IBTC(5)=78
- SET IBTW(5)=1
- SET IBSW(5)=1
- +22 SET IBTC(6)=2
- SET IBTW(6)=20
- SET IBSW(6)=49
- +23 SET IBTC(7)=2
- SET IBTW(7)=20
- SET IBSW(7)=58
- +24 ;
- +25 SET IBLR=1
- +26 ;
- +27 SET IBT="Insurance Demographics"
- SET IBLN=$$SETN(IBT,IBLN,IBLR,1)
- +28 SET IBWNR=$$WNRBILL^IBEFUNC(IBIFN)
- +29 SET IBNABP=$$NABP^IBNCPDPU(IBIFN)
- +30 IF IBNABP=""
- Begin DoDot:1
- +31 SET IBBPS=$$BILINF^IBNCPUT3(IBIFN,.BPSBINFO)
- +32 SET IBBPSRX=$GET(BPSBINFO("PRESCRIPTION"))
- +33 SET IBBPSFL=$GET(BPSBINFO("FILL NUMBER"))
- +34 ; IA# 4719
- SET IBNABP=$$NABP^BPSBUTL(IBBPSRX,IBBPSFL)
- End DoDot:1
- +35 SET IBT=$SELECT(IBWNR:" *",1:" ")_"Bill Payer: "
- SET IBD=$PIECE(IBID0,U,1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +36 SET IBT="Claim Address: "
- Begin DoDot:1
- +37 IF $PIECE(IBID0,U,1)'=$PIECE(IBDM,U,4)
- SET IBD=$PIECE(IBDM,U,4)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- SET IBT=""
- End DoDot:1
- SET IBD=$PIECE(IBDM,U,5)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +38 IF $PIECE(IBDM,U,6)'=""
- SET IBT=""
- SET IBD=$PIECE(IBDM,U,6)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +39 IF $PIECE(IBDM1,U,1)'=""
- SET IBT=""
- SET IBD=$PIECE(IBDM1,U,1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +40 SET IBT=""
- SET IBD=$PIECE(IBDM,U,7)
- SET IBD=IBD_$SELECT(IBD'="":", ",1:"")_$PIECE($GET(^DIC(5,+$PIECE(IBDM,U,8),0)),U,2)_" "_$PIECE(IBDM,U,9)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +41 SET IBT="Claim Phone: "
- SET IBD=$PIECE($$BADD^IBJTU3(+IBIFN),U,2)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +42 SET IBLN=$$SET("","",IBLN,5)
- +43 ;
- +44 ; MRD;IB*2.0*516 - Use an IBLR of 7 for this section, then reset below.
- +45 SET IBLR=7
- +46 SET IBT="Subscriber Demographics"
- SET IBLN=$$SETN(IBT,IBLN,1,1)
- +47 SET IBT="Group Number: "
- SET IBD=$PIECE(IBDI1,U,3)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +48 SET IBT="Group Name: "
- SET IBD=$PIECE(IBDI1,U,15)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +49 SET IBT="Subscriber ID: "
- SET IBD=$PIECE(IBDI1,U,2)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +50 SET IBT="Employer: "
- SET IBD=$$EMPL(+DFN)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +51 SET IBT="Insured's Name: "
- SET IBD=$PIECE(IBDI1,U,17)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +52 SET IBT="Relationship: "
- SET IBD=$$EXSET^IBJU1($PIECE(IBDI1,U,16),2.312,16)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +53 SET IBLR=1
- +54 ;
- +55 SET (IBNC(1),IBTC(1))=2
- SET (IBNC(2),IBTC(2))=42
- SET IBNC(3)=29
- SET IBTW(1)=12
- SET IBTW(2)=16
- SET IBSW(1)=26
- SET IBSW(2)=22
- +56 SET (IBT,IBD)=""
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +57 ;JWS:IB*2.0*592:US131 - added dental claim #7
- +58 IF $$FT^IBCEF(IBIFN)=2!($$FT^IBCEF(IBIFN)=7)
- Begin DoDot:1
- +59 NEW IBXDATA,IBXSAVE
- KILL ^TMP("IBXSAVE",$JOB)
- +60 DO F^IBCEF("N-HCFA 1500 BOX 19",,,IBIFN)
- +61 IF IBXDATA'=""
- SET IBBX19(1)=$EXTRACT(IBXDATA,1,40)
- if $EXTRACT(IBXDATA,41,$LENGTH(IBXDATA))'=""
- SET IBBX19(2)=$EXTRACT(IBXDATA,41,$LENGTH(IBXDATA))
- End DoDot:1
- +62 ;
- +63 SET IBGRPB=IBLN
- SET IBLR=1
- +64 SET IBT="Claim Information"
- SET IBLN=$$SETN(IBT,IBLN,3,1)
- +65 SET IBT="Bill Type: "
- SET IBD=$$EXSET^IBJU1($PIECE(IBD0,U,5),399,.05)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +66 SET IBT="Time Frame: "
- SET IBD=$$EXSET^IBJU1($PIECE(IBD0,U,6),399,.06)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +67 SET IBT="Rate Type: "
- SET IBD=$PIECE($GET(^DGCR(399.3,+$PIECE(IBD0,U,7),0)),U,1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +68 SET IBT="AR Status: "
- SET IBD=$PIECE($$ARSTATA^IBJTU4(IBIFN),U,1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +69 SET IBT=" Sequence: "
- SET IBD=$PIECE($$EXSET^IBJU1($PIECE(IBD0,U,21),399,.21)," ",1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +70 SET IBT="Purch Svc: "
- SET IBD=$SELECT($PIECE(IBDU2,U,11)="":"NO",1:$$EXPAND^IBTRE(399,233,$PIECE(IBDU2,U,11)))
- SET IBLN=$$SET(IBT,IBD,IBLN,4)
- +71 IF $PIECE(IBDM1,"^",8)
- SET IBT=" ECME No: "
- SET IBD=$PIECE($PIECE(IBDM1,"^",8),";",1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +72 IF $LENGTH($PIECE(IBDM1,"^",9))
- SET IBT="ECME Ap No: "
- SET IBD=$PIECE(IBDM1,"^",9)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +73 IF IBNABP'=""
- SET IBT=$SELECT(($LENGTH($TRANSLATE(IBNABP," ",""))=7):" NCPDP No: ",1:" NPI: ")
- SET IBD=IBNABP
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +74 ; IB*2.0*521 add Claim HPID to display
- +75 SET IBD=$SELECT($PIECE(IBD0,U,21)="P":$PIECE(IBDM1,U,13),$PIECE(IBD0,U,21)="S":$PIECE(IBDM1,U,14),$PIECE(IBD0,U,21)="T":$PIECE(IBDM1,U,15),1:"")
- +76 if IBD=""
- SET IBD=$$HPD^IBCNHUT1(+IBDI1)
- SET IBVL=$$HOD^IBCNHUT1(IBD,+IBDI1,IBD)
- SET IBT=$PIECE(IBVL,U,2)_": "
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +77 IF IBWNR
- SET IBT="MRA Status: "
- SET IBD=$SELECT($PIECE(IBDTX,U,5):$PIECE(IBDTX,U,5),1:"NOT RECEIVED")
- SET IBLN=$$SET(IBT,$SELECT(IBD:$$EXPAND^IBTRE(399,24,IBD),1:IBD),IBLN,IBLR)
- +78 IF $GET(IBBX19(1))'=""
- Begin DoDot:1
- +79 SET IBT=" Box 19: "
- SET IBD=IBBX19(1)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +80 IF $GET(IBBX19(2))'=""
- SET IBT=$JUSTIFY("",11)
- SET IBD=IBBX19(2)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- End DoDot:1
- +81 ;
- +82 SET IBLR=6
- SET IBPRVO=""
- +83 SET IBT="Providers: "
- SET IBD="NONE"
- +84 ;IB*2.0*432/TAZ - Changed how providers are displayed to take line-level providers into account.
- +85 ;D F^IBCEF("N-ALL PROVIDERS","IBZ",,IBIFN)
- +86 DO F^IBCEF("N-ALL PROVIDERS 1","IBZ",,IBIFN)
- +87 SET IBZ0=0
- +88 SET IBLVL=0
- +89 ;F S Z=$O(IBZ(Z)) Q:'Z D
- +90 ;. I $G(IBZ(Z)),$G(IBZ(Z,1))'="" S IBLN=$$SET(IBT,"(OLD PROV DATA) "_IBZ(Z,1),IBLN,IBLR),IBZ0=1 Q
- +91 ;. I $P($G(IBZ(Z,1)),U)'="" S IBD=$E($$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=$$SET(IBT,IBD,IBLN,IBLR) S IBT=$J("",11),IBZ0=1
- +92 ;I 'IBZ0 S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +93 SET IBLVL=0
- +94 FOR
- SET IBLVL=$ORDER(IBZ(IBLVL))
- if 'IBLVL
- QUIT
- Begin DoDot:1
- +95 SET IBT=IBT_$SELECT(IBLVL=1:"Claim: ",1:"Line: ")
- +96 SET IBPRVTYP=""
- SET IBCNT=0
- +97 FOR
- SET IBCNT=$ORDER(IBZ(IBLVL,IBCNT))
- if 'IBCNT
- QUIT
- Begin DoDot:2
- +98 IF IBLVL=1
- SET IBD=$JUSTIFY("",5)
- +99 IF IBLVL=2
- SET IBD=$EXTRACT("("_IBCNT_")"_$JUSTIFY("",5),1,5)
- +100 FOR
- SET IBPRVTYP=$ORDER(IBZ(IBLVL,IBCNT,IBPRVTYP))
- if 'IBPRVTYP
- QUIT
- Begin DoDot:3
- +101 SET IBD=IBD_$EXTRACT($$EXPAND^IBTRE(399.0222,.01,IBPRVTYP)_":"_$JUSTIFY("",15),1,15)
- +102 SET IBD=IBD_$PIECE(IBZ(IBLVL,IBCNT,IBPRVTYP),U)
- +103 IF $LENGTH($PIECE(IBZ(IBLVL,IBCNT,IBPRVTYP),U,4))
- SET IBD=IBD_" ("_$PIECE(IBZ(IBLVL,IBCNT,IBPRVTYP),U,4)_")"
- +104 SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- SET IBT=""
- SET IBD=$JUSTIFY("",5)
- End DoDot:3
- End DoDot:2
- End DoDot:1
- +105 ;
- +106 SET IBGRPE=IBLN
- SET IBLN=IBGRPB+1
- SET IBLR=2
- +107 ;
- +108 SET IBT="Charge Type: "
- SET IBD=$$EXSET^IBJU1($PIECE(IBD0,U,27),399,.27)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +109 SET IBT="Service Dates: "
- SET IBD=$$DATE^IBJU1($PIECE(IBDU,U,1))_" - "_$$DATE^IBJU1($PIECE(IBDU,U,2))
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +110 SET IBT="Orig Claim: "
- SET IBD=$$BILL^RCJIBFN2(+IBIFN)
- SET IBLN=$$SET(IBT,$JUSTIFY($PIECE(IBD,U,1),9,2),IBLN,IBLR)
- +111 SET IBT="Balance Due: "
- SET IBD=$JUSTIFY($PIECE(IBD,U,3),9,2)
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +112 IF +$PIECE(IBDM,U,2)
- SET IBX=$SELECT($PIECE(IBD0,U,21)="P":2,1:1)
- Begin DoDot:1
- +113 SET IBT=$SELECT(IBX=2:"Secondary",1:"Primary")_": "
- SET IBD=$PIECE($GET(^DIC(36,+$PIECE(IBDM,U,IBX),0)),U,1)
- +114 SET IBX=$PIECE(IBDU2,U,(IBX+3))
- IF +IBX
- SET IBX="("_$JUSTIFY(IBX,0,2)_")"
- SET IBD=$EXTRACT(IBD,1,(IBSW(IBLR)-$LENGTH(IBX)-2))_" "_IBX
- End DoDot:1
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +115 IF +$PIECE(IBDM,U,3)
- SET IBX=$SELECT($PIECE(IBD0,U,21)="T":2,1:3)
- Begin DoDot:1
- +116 SET IBT=$SELECT(IBX=2:"Secondary",1:"Tertiary")_": "
- SET IBD=$PIECE($GET(^DIC(36,+$PIECE(IBDM,U,IBX),0)),U,1)
- +117 SET IBX=$PIECE(IBDU2,U,(IBX+3))
- IF +IBX
- SET IBX="("_$JUSTIFY(IBX,0,2)_")"
- SET IBD=$EXTRACT(IBD,1,(IBSW(IBLR)-$LENGTH(IBX)-2))_" "_IBX
- End DoDot:1
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +118 SET IBLN=$$SET("","",IBLN,5)
- +119 IF IBWNR
- SET IBT="MRA Rec Date: "
- Begin DoDot:1
- +120 NEW Z
- +121 ; find last MRA for receipt date
- +122 SET (IBD,Z)=""
- FOR
- SET Z=$ORDER(^IBM(361.1,"B",IBIFN,Z),-1)
- if 'Z
- QUIT
- IF $PIECE($GET(^IBM(361.1,Z,0)),U,4)=1
- SET IBD=$$DATE^IBJU1($PIECE($PIECE(^IBM(361.1,Z,0),U,6),"."))
- QUIT
- End DoDot:1
- SET IBLN=$$SET(IBT,IBD,IBLN,2)
- +123 FOR Z=IBLN:1:IBGRPE
- SET IBLN=$$SET("","",IBLN,5)
- +124 ;
- +125 SET (IBLN,VALMCNT)=$SELECT(IBLN>IBGRPE:IBLN,1:IBGRPE)
- +126 ;
- +127 SET IBGRPB=IBLN
- SET IBLR=1
- +128 DO CONT^IBJTCA2
- +129 ;
- COPAY IF $ORDER(^IBA(362.4,"C",IBIFN,0))
- Begin DoDot:1
- +1 ; blank line
- SET (IBT,IBD)=""
- SET IBLN=$$SET(IBT,IBD,IBLN,IBLR)
- +2 SET IBNC(1)=21
- SET IBT="Related Prescription Copay Information"
- SET IBLN=$$SETN(IBT,IBLN,1,1)
- +3 NEW IBZ,IBX,IBC,IBCAP
- +4 SET IBZ=0
- FOR
- SET IBZ=$ORDER(^IBA(362.4,"C",IBIFN,IBZ))
- if 'IBZ
- QUIT
- Begin DoDot:2
- +5 KILL ^TMP("IBTPJI",$JOB)
- +6 SET IBC=$GET(^IBA(362.4,IBZ,0))
- +7 if $PIECE(IBC,"^",5)
- DO RX^PSO52API($PIECE(IBD0,"^",2),"IBTPJI",$PIECE(IBC,"^",5),"","I^")
- +8 ; original fill
- +9 IF $PIECE(IBC,"^",10)=0
- Begin DoDot:3
- +10 SET IBX=+$GET(^TMP($JOB,"IBTPJI",$PIECE(IBD0,"^",2),+$PIECE(IBC,"^",5),106))
- SET IBCAP=+$GET(^(106.6))
- End DoDot:3
- +11 ; refills
- +12 IF '$TEST
- Begin DoDot:3
- +13 SET IBX=+$GET(^TMP($JOB,"IBTPJI",$PIECE(IBD0,"^",2),+$PIECE(IBC,"^",5),"IB",+$PIECE(IBC,"^",10),9))
- SET IBCAP=+$GET(^(9.1))
- End DoDot:3
- +14 IF '$GET(IBX)
- IF $GET(IBCAP)
- SET IBT=" <copay exceeded cap>"
- SET IBLN=$$SET(IBT,"",IBLN,4)
- QUIT
- +15 IF '$GET(IBX)
- SET IBT=" <none found>"
- SET IBLN=$$SET(IBT,"",IBLN,4)
- QUIT
- +16 SET IBX=$GET(^IB(IBX,0))
- +17 SET IBT="Rx: "_$PIECE(IBC,"^")_" Chg: $"_$FNUMBER($PIECE(IBX,"^",7),",",2)_" Status: "_$$TITLE^XLFSTR($$EXTERNAL^DILFD(350,.05,"",$PIECE(IBX,"^",5)))_" Bill: "_$PIECE(IBX,"^",11)
- +18 SET IBLN=$$SET(IBT,"",IBLN,4)
- End DoDot:2
- End DoDot:1
- +19 KILL ^TMP("IBTPJI",$JOB)
- +20 ;
- +21 SET (IBLN,VALMCNT)=IBLN-1
- +22 ;
- BLDQ QUIT
- +1 ;
- EMPL(DFN) ; returns employer name
- +1 QUIT $PIECE($GET(^DPT(+DFN,.311)),U,1)
- +2 ;
- SET(TTL,DATA,LN,LR) ;
- +1 NEW IBY
- +2 SET IBY=$JUSTIFY(TTL,IBTW(LR))_DATA
- DO SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))
- +3 SET LN=LN+1
- +4 QUIT LN
- +5 ;
- SETN(TTL,LN,LR,RV) ;
- +1 NEW IBY
- +2 SET IBY=" "_TTL_" "
- DO SET1(IBY,LN,IBNC(LR),$LENGTH(IBY),$GET(RV))
- +3 SET LN=LN+1
- +4 QUIT LN
- +5 ;
- SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data
- +1 NEW IBX
- SET IBX=$GET(^TMP("IBJTCA",$JOB,LN,0))
- +2 SET IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)
- +3 DO SET^VALM10(LN,IBX)
- IF $GET(RV)'=""
- DO CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)
- +4 QUIT