IBJTRX ;ALB/ESG - TPJI ePharmacy ECME claim information ;22-Oct-2010
;;2.0;INTEGRATED BILLING;**435,452,494,521,617**;21-MAR-94;Build 43
;;Per VA Directive 6402, this routine should not be modified.
;
; Reference to $$CLAIM^BPSBUTL supported by IA# 4719
; Reference to BPS RESPONSES file# 9002313.03 supported by IA# 4813
; Reference to $$NPI^XUSNPI supported by IA# 4532
; Reference to ^BPSVRX supported by IA# 5723
;
Q
;
EN ; -- main entry point for IBJT ECME RESP INFO
N IBZ,IBRXDATA,IBRXIEN,X,Y
D FULL^VALM1
I '$G(IBIFN) W !!,"No Claim Defined!" D PAUSE^VALM1 G EX
I '$$ISRX^IBCEF1(IBIFN) W !!,"Not available. This is not a Pharmacy Claim." D PAUSE^VALM1 G EX
I $$ECME^IBTRE(IBIFN)="" W !!,"Not available. This is a Pharmacy Claim, but not an ECME Claim." D PAUSE^VALM1 G EX
;
S IBZ=+$O(^IBA(362.4,"C",IBIFN,0))
I 'IBZ W !!,"Rx data not found for this claim." D PAUSE^VALM1 G EX
S IBRXDATA=$G(^IBA(362.4,IBZ,0))
S IBRXIEN=+$P(IBRXDATA,U,5) ; RX ien ptr file 52
I 'IBRXIEN W !!,"Rx IEN cannot be determined." D PAUSE^VALM1 G EX
;
D EN^VALM("IBJT ECME RESP INFO")
EX ;
S VALMBCK="R"
Q
;
HDR ; -- header code
D HDR^IBJTU1(+IBIFN,+DFN,13)
Q
;
INIT ; -- init variables and list array
N IBM1,ECME,ECMEAP,RXORG,DOCIEN,PHARMNPI,DOCNPI,RESPIEN,ZR,RSPSUB,ZM,BPSM,BPSMCOB,IBLINE,ZC,ZCTOT,ZCN
N IBZ,IBRXDATA,IBRXIEN,IBRXFILL,IBCOBN,IBBPS,IB0,IBS,IBHPD,IBVL,IBCPY,IBM0
K ^TMP("IBJTRX",$J)
S VALMCNT=0
;
S IBZ=+$O(^IBA(362.4,"C",IBIFN,0))
S IBRXDATA=$G(^IBA(362.4,IBZ,0))
S IBRXIEN=+$P(IBRXDATA,U,5) ; RX ien ptr file 52
S IBRXFILL=+$P(IBRXDATA,U,10) ; rx fill#
S IBCOBN=+$$COBN^IBCEF(IBIFN) ; current payer sequence #
S IBBPS=$$CLAIM^BPSBUTL(IBRXIEN,IBRXFILL,IBCOBN) ; DBIA 4719
;
S IBM1=$G(^DGCR(399,IBIFN,"M1"))
S IB0=$G(^DGCR(399,IBIFN,0))
S IBS=$G(^DGCR(399,IBIFN,"S"))
S ECME=$P($P(IBM1,U,8),";",1) ; ECME#
S ECMEAP=$P(IBM1,U,9) ; ECME approval number
S RXORG=$$RXSITE^IBCEF73A(IBIFN) ; pharmacy file 4 ien
S DOCIEN=$$RXAPI1^IBNCPUT1(IBRXIEN,4,"I") ; ien of doctor who wrote the Rx (52,4)
S (PHARMNPI,DOCNPI)=""
I RXORG S PHARMNPI=$P($$NPI^XUSNPI("Organization_ID",RXORG),U,1) ; pharmacy NPI
I DOCIEN S DOCNPI=$P($$NPI^XUSNPI("Individual_ID",DOCIEN),U,1) ; doctor NPI
I PHARMNPI'>0 S PHARMNPI="No NPI on file"
I DOCNPI'>0 S DOCNPI="No NPI on file"
;
S RESPIEN=+$P(IBBPS,U,3) ; BPS response file ien
I RESPIEN D
. ; IB*2.0*521 - add HPID from response to TPJI screen
. S IBM0=$G(^DGCR(399,IBIFN,"M")),IBCPY=$S($P(IB0,U,21)="P":$P(IBM0,U),$P(IB0,U,21)="S":$P(IBM0,U,2),1:$P(IBM0,"^",3))
. I $P($G(^BPSR(RESPIEN,560)),U,8)="01" S IBHPD=$P($G(^BPSR(RESPIEN,560)),U,9) S IBVL=$$HOD^IBCNHUT1(IBHPD,IBCPY)
. S ZR=RESPIEN_","
. S RSPSUB=+$O(^BPSR(RESPIEN,1000,0))
. I RSPSUB D
.. S ZM=RSPSUB_","_RESPIEN_","
.. D GETS^DIQ(9002313.0301,ZM,"129;133:137;505;506;507;509;517:520;571;572;2193","IEN","BPSM") ; get selected $ amount fields
.. D GETS^DIQ(9002313.0301,ZM,"355.01*","IEN","BPSMCOB") ; get cob/other payer data fields
.. Q
. Q
;
S IBLINE=$$SETL("",ECME,"ECME No",25,11,1)
S IBLINE=$$SETL(IBLINE,PHARMNPI,"Pharmacy NPI",14,15,40)
D SET(IBLINE)
;
S IBLINE=$$SETL("",ECMEAP,"ECME Ap No",25,11,1)
S IBLINE=$$SETL(IBLINE,DOCNPI,"Provider NPI",14,15,40)
D SET(IBLINE)
; IB*2.0*521 - add validated HPID from response to TPJI screen
S:$G(IBVL)="" IBVL="^HPID/OEID" S IBLINE=$$SETL("",$G(IBHPD),$P(IBVL,U,2),25,11,1)
D SET(IBLINE)
;
D SET(" ")
S IBLINE=$$SETL("",$P(IBRXDATA,U,1)_" / "_IBRXFILL,"Rx No",31,11,1)
S IBLINE=$$SETL(IBLINE,$$FMTE^XLFDT($P(IBRXDATA,U,3),"2Z"),"Date of Svc",8,15,40)
D SET(IBLINE)
;
S IBLINE=$$SETL("",$$RXAPI1^IBNCPUT1(IBRXIEN,6,"E"),"Drug Name",36,11,1)
S IBLINE=$$SETL(IBLINE,$P(IBRXDATA,U,8),"NDC #",24,15,40)
D SET(IBLINE)
;
S IBLINE=$$SETL("",$$AMT(+$P($G(^DGCR(399,IBIFN,"U1")),U,1)),"Billed Amt",36,11,1)
S IBLINE=$$SETL(IBLINE,$S(IBCOBN=2:"Secondary",IBCOBN=3:"Tertiary",1:"Primary"),"COB",15,15,40)
D SET(IBLINE)
;
D SET(" ")
;
; For cancelled bills only, display the IB cancel status, date, and reason (IB*2*494)
I $P(IB0,U,13)=7 D
. S IBLINE=$$SETL("","CANCELLED ("_$$FMTE^XLFDT($P(IBS,U,17),"2DZ")_")","IB Status",20,11,1)
. S IBLINE=$$SETL(IBLINE,$P(IBS,U,19),"Reason",100,6,36)
. D SET(IBLINE),SET(" ")
. Q
;
; if response data is not available, get out here
;
I 'RESPIEN D G INITX
. D SET(" ECME Response Information is not on file.")
. D SET(" No further information available for display.")
. Q
;
S IBLINE=$$SETL("",,"Payment Information",,20,1)
D SET(IBLINE,"3;2;19")
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,506,"E"))),"Ingredient Cost Paid",15,26,1) D SET(IBLINE)
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,507,"E"))),"Dispensing Fee Paid",15,26,1) D SET(IBLINE)
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,505,"E")),,1),"Patient Resp (Ins)",15,26,1) D SET(IBLINE)
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,509,"E"))),"Expected Payment Amount",15,26,1) D SET(IBLINE)
;
D SET(" ")
S IBLINE=$$SETL("",,"Patient Responsibility Amounts",,31,1)
D SET(IBLINE,"3;2;30")
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,517,"E"))),"Deductible",10,13,1)
S IBLINE=$$SETL(IBLINE,$$AMT($G(BPSM(9002313.0301,ZM,572,"E"))),"Coinsurance",10,13,27)
S IBLINE=$$SETL(IBLINE,$$AMT($G(BPSM(9002313.0301,ZM,518,"E"))),"Amount of Copay",9,18,52)
D SET(IBLINE)
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,137,"E"))),"Coverage Gap",10,13,1)
S IBLINE=$$SETL(IBLINE,$$AMT($G(BPSM(9002313.0301,ZM,571,"E"))),"Processor Fee",10,13,27)
S IBLINE=$$SETL(IBLINE,$$AMT($G(BPSM(9002313.0301,ZM,520,"E"))),"Exceed Benefit Max",9,18,52)
D SET(IBLINE)
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,129,"E"))),"Health Plan-funded Assistance Amount",15,39,1)
D SET(IBLINE)
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,2193,"E"))),"Patient Pay Component Amount",15,39,1)
D SET(IBLINE)
;
D SET(" ")
S IBLINE=$$SETL("",,"Product Selection Amounts",,26,1)
D SET(IBLINE,"3;2;25")
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,519,"E"))),"Prod Sel Amt",12,21,1)
S IBLINE=$$SETL(IBLINE,$$AMT($G(BPSM(9002313.0301,ZM,135,"E"))),"Prod Sel /Non-Pref Formulary",9,33,37)
D SET(IBLINE)
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,134,"E"))),"Prod Sel/Brand Drug",12,21,1)
S IBLINE=$$SETL(IBLINE,$$AMT($G(BPSM(9002313.0301,ZM,136,"E"))),"Prod Sel/Brand Non-Pref Formulary",9,33,37)
D SET(IBLINE)
;
S IBLINE=$$SETL("",$$AMT($G(BPSM(9002313.0301,ZM,133,"E"))),"Provider Network Adj",12,21,1)
D SET(IBLINE)
;
; Display COB/Other Payer data
I '$D(BPSMCOB(9002313.035501)) D G INITX
. D SET(" ")
. D SET(" No COB/Other Payer Data on file in the ECME Response.")
. Q
;
S ZC="" F ZCTOT=0:1 S ZC=$O(BPSMCOB(9002313.035501,ZC)) Q:ZC="" ; count how many entries exist
S ZC="",ZCN=0 F S ZC=$O(BPSMCOB(9002313.035501,ZC)) Q:ZC="" D
. S ZCN=ZCN+1
. D SET(" ")
. S IBLINE="COB/Other Payer ("_ZCN_" of "_ZCTOT_") (from other payer response message)"
. D SET(" "_IBLINE,"3;2;"_$L(IBLINE))
. S IBLINE=$$SETL("",$G(BPSMCOB(9002313.035501,ZC,356,"E")),"Other Payer Cardholder ID",40,27,1)
. D SET(IBLINE)
. S IBLINE=$$SETL("",$G(BPSMCOB(9002313.035501,ZC,144,"E")),"Other Payer Effective Date",10,27,1)
. S IBLINE=$$SETL(IBLINE,$G(BPSMCOB(9002313.035501,ZC,145,"E")),"Other Payer Termination Date",10,32,38)
. D SET(IBLINE)
. S IBLINE=$$SETL("",$G(BPSMCOB(9002313.035501,ZC,142,"E")),"Other Payer Person Code",6,27,1)
. S IBLINE=$$SETL(IBLINE,$G(BPSMCOB(9002313.035501,ZC,143,"E")),"Other Payer Pt Relationship Code",9,32,38)
. D SET(IBLINE)
. S IBLINE=$$SETL("",$G(BPSMCOB(9002313.035501,ZC,340,"E")),"Other Payer ID (BIN)",24,27,1)
. S IBLINE=$$SETL(IBLINE,$G(BPSMCOB(9002313.035501,ZC,991,"E")),"Other Payer PCN",9,32,38)
. D SET(IBLINE)
. S IBLINE=$$SETL("",$G(BPSMCOB(9002313.035501,ZC,992,"E")),"Other Payer Group ID",40,27,1)
. D SET(IBLINE)
. S IBLINE=$$SETL("",$G(BPSMCOB(9002313.035501,ZC,127,"E")),"Other Payer Help Desk",40,27,1)
. D SET(IBLINE)
. Q
;
INITX ;
D SET(" "),SET(" ")
Q
;
VER ; Action to launch the View ePharmacy Rx report
N BPSVRX
K ^TMP("BPSVRX-TPJI",$J)
D FULL^VALM1
I $G(IBRXDATA)="" W !!,"System error. IBRXDATA missing." D PAUSE^VALM1 G VERX
;
; save the current TPJI display array data
M ^TMP("BPSVRX-TPJI",$J,"IBJTCA")=^TMP("IBJTCA",$J)
M ^TMP("BPSVRX-TPJI",$J,"IBJTRX")=^TMP("IBJTRX",$J)
M ^TMP("BPSVRX-TPJI",$J,"IBTPJI")=^TMP($J,"IBTPJI")
;
S BPSVRX("RXIEN")=+$P(IBRXDATA,U,5) ; RX ien ptr file 52
S BPSVRX("FILL#")=+$P(IBRXDATA,U,10) ; rx fill#
D ^BPSVRX ; DBIA #5723
;
; After returning from this List Manager report, we need to rebuild
; the display array for the TPJI screens because they are killed by the report.
I '$D(^TMP("IBJTCA",$J)) M ^TMP("IBJTCA",$J)=^TMP("BPSVRX-TPJI",$J,"IBJTCA")
I '$D(^TMP("IBJTRX",$J)) M ^TMP("IBJTRX",$J)=^TMP("BPSVRX-TPJI",$J,"IBJTRX")
I '$D(^TMP($J,"IBTPJI")) M ^TMP($J,"IBTPJI")=^TMP("BPSVRX-TPJI",$J,"IBTPJI")
;
VERX ;
S VALMBCK="R"
K ^TMP("BPSVRX-TPJI",$J)
Q
;
HELP ; -- help code
S X="?" D DISP^XQORM1 W !!
Q
;
EXIT ; -- exit code
K ^TMP("IBJTRX",$J)
I $D(VALMEVL) D CLEAN^VALM10,KILL^VALM10()
Q
;
SETL(TEXT,DATA,LABEL,LEND,LENL,COL) ; build line of text
; TEXT - existing line of text data
; DATA - field data
; LABEL - field label
; LEND - max length of data
; LENL - length of label (label will be right justified so the colons line up)
; COL - starting column for insert
;
N D1,STR S D1="",COL=$G(COL,1)
I $G(LABEL)'="" S D1=$J(LABEL,+$G(LENL))
I $D(DATA) S D1=D1_": "_$$FO^IBCNEUT1(DATA,+$G(LEND))
S STR=$$SETSTR^VALM1(D1,$G(TEXT),COL,$L(D1))
;
Q $E(STR,1,80)
;
SET(TEXT,VID) ; set data in variable TEXT into ListMan display
; VID is video attribute data of line if any
; Format: type;start column;width
; type=1 (reverse video)
; type=2 (bold)
; type=3 (underline)
;
S VALMCNT=VALMCNT+1
S ^TMP("IBJTRX",$J,VALMCNT,0)=$G(TEXT) ; set text line into display array
I $G(VID)="" G SETX
;
; video attributes
N ON,OFF
S ON=$S(+VID=1:IORVON,+VID=2:IOINHI,1:IOUON)
S OFF=$S(+VID=1:IORVOFF,+VID=2:IOINORM,1:IOUOFF)
D CNTRL^VALM10(VALMCNT,+$P(VID,";",2),+$P(VID,";",3),ON,OFF)
;
SETX ;
Q
;
AMT(VAL,L,P) ; convert dollar amount to external display
; VAL can be a number or the Fileman external version of the number
; L is the $J field length (default 8)
; P is a flag indicating the number should be enclosed within parentheses
; strip $ and spaces
S VAL=+$TR($G(VAL),"$ ")
I '$G(L) S L=8
I $G(P) Q $J($FN(-VAL,"P",2),L+1)
Q $J(VAL,L,2)
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBJTRX 10956 printed Nov 22, 2024@17:34:09 Page 2
IBJTRX ;ALB/ESG - TPJI ePharmacy ECME claim information ;22-Oct-2010
+1 ;;2.0;INTEGRATED BILLING;**435,452,494,521,617**;21-MAR-94;Build 43
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ; Reference to $$CLAIM^BPSBUTL supported by IA# 4719
+5 ; Reference to BPS RESPONSES file# 9002313.03 supported by IA# 4813
+6 ; Reference to $$NPI^XUSNPI supported by IA# 4532
+7 ; Reference to ^BPSVRX supported by IA# 5723
+8 ;
+9 QUIT
+10 ;
EN ; -- main entry point for IBJT ECME RESP INFO
+1 NEW IBZ,IBRXDATA,IBRXIEN,X,Y
+2 DO FULL^VALM1
+3 IF '$GET(IBIFN)
WRITE !!,"No Claim Defined!"
DO PAUSE^VALM1
GOTO EX
+4 IF '$$ISRX^IBCEF1(IBIFN)
WRITE !!,"Not available. This is not a Pharmacy Claim."
DO PAUSE^VALM1
GOTO EX
+5 IF $$ECME^IBTRE(IBIFN)=""
WRITE !!,"Not available. This is a Pharmacy Claim, but not an ECME Claim."
DO PAUSE^VALM1
GOTO EX
+6 ;
+7 SET IBZ=+$ORDER(^IBA(362.4,"C",IBIFN,0))
+8 IF 'IBZ
WRITE !!,"Rx data not found for this claim."
DO PAUSE^VALM1
GOTO EX
+9 SET IBRXDATA=$GET(^IBA(362.4,IBZ,0))
+10 ; RX ien ptr file 52
SET IBRXIEN=+$PIECE(IBRXDATA,U,5)
+11 IF 'IBRXIEN
WRITE !!,"Rx IEN cannot be determined."
DO PAUSE^VALM1
GOTO EX
+12 ;
+13 DO EN^VALM("IBJT ECME RESP INFO")
EX ;
+1 SET VALMBCK="R"
+2 QUIT
+3 ;
HDR ; -- header code
+1 DO HDR^IBJTU1(+IBIFN,+DFN,13)
+2 QUIT
+3 ;
INIT ; -- init variables and list array
+1 NEW IBM1,ECME,ECMEAP,RXORG,DOCIEN,PHARMNPI,DOCNPI,RESPIEN,ZR,RSPSUB,ZM,BPSM,BPSMCOB,IBLINE,ZC,ZCTOT,ZCN
+2 NEW IBZ,IBRXDATA,IBRXIEN,IBRXFILL,IBCOBN,IBBPS,IB0,IBS,IBHPD,IBVL,IBCPY,IBM0
+3 KILL ^TMP("IBJTRX",$JOB)
+4 SET VALMCNT=0
+5 ;
+6 SET IBZ=+$ORDER(^IBA(362.4,"C",IBIFN,0))
+7 SET IBRXDATA=$GET(^IBA(362.4,IBZ,0))
+8 ; RX ien ptr file 52
SET IBRXIEN=+$PIECE(IBRXDATA,U,5)
+9 ; rx fill#
SET IBRXFILL=+$PIECE(IBRXDATA,U,10)
+10 ; current payer sequence #
SET IBCOBN=+$$COBN^IBCEF(IBIFN)
+11 ; DBIA 4719
SET IBBPS=$$CLAIM^BPSBUTL(IBRXIEN,IBRXFILL,IBCOBN)
+12 ;
+13 SET IBM1=$GET(^DGCR(399,IBIFN,"M1"))
+14 SET IB0=$GET(^DGCR(399,IBIFN,0))
+15 SET IBS=$GET(^DGCR(399,IBIFN,"S"))
+16 ; ECME#
SET ECME=$PIECE($PIECE(IBM1,U,8),";",1)
+17 ; ECME approval number
SET ECMEAP=$PIECE(IBM1,U,9)
+18 ; pharmacy file 4 ien
SET RXORG=$$RXSITE^IBCEF73A(IBIFN)
+19 ; ien of doctor who wrote the Rx (52,4)
SET DOCIEN=$$RXAPI1^IBNCPUT1(IBRXIEN,4,"I")
+20 SET (PHARMNPI,DOCNPI)=""
+21 ; pharmacy NPI
IF RXORG
SET PHARMNPI=$PIECE($$NPI^XUSNPI("Organization_ID",RXORG),U,1)
+22 ; doctor NPI
IF DOCIEN
SET DOCNPI=$PIECE($$NPI^XUSNPI("Individual_ID",DOCIEN),U,1)
+23 IF PHARMNPI'>0
SET PHARMNPI="No NPI on file"
+24 IF DOCNPI'>0
SET DOCNPI="No NPI on file"
+25 ;
+26 ; BPS response file ien
SET RESPIEN=+$PIECE(IBBPS,U,3)
+27 IF RESPIEN
Begin DoDot:1
+28 ; IB*2.0*521 - add HPID from response to TPJI screen
+29 SET IBM0=$GET(^DGCR(399,IBIFN,"M"))
SET IBCPY=$SELECT($PIECE(IB0,U,21)="P":$PIECE(IBM0,U),$PIECE(IB0,U,21)="S":$PIECE(IBM0,U,2),1:$PIECE(IBM0,"^",3))
+30 IF $PIECE($GET(^BPSR(RESPIEN,560)),U,8)="01"
SET IBHPD=$PIECE($GET(^BPSR(RESPIEN,560)),U,9)
SET IBVL=$$HOD^IBCNHUT1(IBHPD,IBCPY)
+31 SET ZR=RESPIEN_","
+32 SET RSPSUB=+$ORDER(^BPSR(RESPIEN,1000,0))
+33 IF RSPSUB
Begin DoDot:2
+34 SET ZM=RSPSUB_","_RESPIEN_","
+35 ; get selected $ amount fields
DO GETS^DIQ(9002313.0301,ZM,"129;133:137;505;506;507;509;517:520;571;572;2193","IEN","BPSM")
+36 ; get cob/other payer data fields
DO GETS^DIQ(9002313.0301,ZM,"355.01*","IEN","BPSMCOB")
+37 QUIT
End DoDot:2
+38 QUIT
End DoDot:1
+39 ;
+40 SET IBLINE=$$SETL("",ECME,"ECME No",25,11,1)
+41 SET IBLINE=$$SETL(IBLINE,PHARMNPI,"Pharmacy NPI",14,15,40)
+42 DO SET(IBLINE)
+43 ;
+44 SET IBLINE=$$SETL("",ECMEAP,"ECME Ap No",25,11,1)
+45 SET IBLINE=$$SETL(IBLINE,DOCNPI,"Provider NPI",14,15,40)
+46 DO SET(IBLINE)
+47 ; IB*2.0*521 - add validated HPID from response to TPJI screen
+48 if $GET(IBVL)=""
SET IBVL="^HPID/OEID"
SET IBLINE=$$SETL("",$GET(IBHPD),$PIECE(IBVL,U,2),25,11,1)
+49 DO SET(IBLINE)
+50 ;
+51 DO SET(" ")
+52 SET IBLINE=$$SETL("",$PIECE(IBRXDATA,U,1)_" / "_IBRXFILL,"Rx No",31,11,1)
+53 SET IBLINE=$$SETL(IBLINE,$$FMTE^XLFDT($PIECE(IBRXDATA,U,3),"2Z"),"Date of Svc",8,15,40)
+54 DO SET(IBLINE)
+55 ;
+56 SET IBLINE=$$SETL("",$$RXAPI1^IBNCPUT1(IBRXIEN,6,"E"),"Drug Name",36,11,1)
+57 SET IBLINE=$$SETL(IBLINE,$PIECE(IBRXDATA,U,8),"NDC #",24,15,40)
+58 DO SET(IBLINE)
+59 ;
+60 SET IBLINE=$$SETL("",$$AMT(+$PIECE($GET(^DGCR(399,IBIFN,"U1")),U,1)),"Billed Amt",36,11,1)
+61 SET IBLINE=$$SETL(IBLINE,$SELECT(IBCOBN=2:"Secondary",IBCOBN=3:"Tertiary",1:"Primary"),"COB",15,15,40)
+62 DO SET(IBLINE)
+63 ;
+64 DO SET(" ")
+65 ;
+66 ; For cancelled bills only, display the IB cancel status, date, and reason (IB*2*494)
+67 IF $PIECE(IB0,U,13)=7
Begin DoDot:1
+68 SET IBLINE=$$SETL("","CANCELLED ("_$$FMTE^XLFDT($PIECE(IBS,U,17),"2DZ")_")","IB Status",20,11,1)
+69 SET IBLINE=$$SETL(IBLINE,$PIECE(IBS,U,19),"Reason",100,6,36)
+70 DO SET(IBLINE)
DO SET(" ")
+71 QUIT
End DoDot:1
+72 ;
+73 ; if response data is not available, get out here
+74 ;
+75 IF 'RESPIEN
Begin DoDot:1
+76 DO SET(" ECME Response Information is not on file.")
+77 DO SET(" No further information available for display.")
+78 QUIT
End DoDot:1
GOTO INITX
+79 ;
+80 SET IBLINE=$$SETL("",,"Payment Information",,20,1)
+81 DO SET(IBLINE,"3;2;19")
+82 ;
+83 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,506,"E"))),"Ingredient Cost Paid",15,26,1)
DO SET(IBLINE)
+84 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,507,"E"))),"Dispensing Fee Paid",15,26,1)
DO SET(IBLINE)
+85 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,505,"E")),,1),"Patient Resp (Ins)",15,26,1)
DO SET(IBLINE)
+86 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,509,"E"))),"Expected Payment Amount",15,26,1)
DO SET(IBLINE)
+87 ;
+88 DO SET(" ")
+89 SET IBLINE=$$SETL("",,"Patient Responsibility Amounts",,31,1)
+90 DO SET(IBLINE,"3;2;30")
+91 ;
+92 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,517,"E"))),"Deductible",10,13,1)
+93 SET IBLINE=$$SETL(IBLINE,$$AMT($GET(BPSM(9002313.0301,ZM,572,"E"))),"Coinsurance",10,13,27)
+94 SET IBLINE=$$SETL(IBLINE,$$AMT($GET(BPSM(9002313.0301,ZM,518,"E"))),"Amount of Copay",9,18,52)
+95 DO SET(IBLINE)
+96 ;
+97 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,137,"E"))),"Coverage Gap",10,13,1)
+98 SET IBLINE=$$SETL(IBLINE,$$AMT($GET(BPSM(9002313.0301,ZM,571,"E"))),"Processor Fee",10,13,27)
+99 SET IBLINE=$$SETL(IBLINE,$$AMT($GET(BPSM(9002313.0301,ZM,520,"E"))),"Exceed Benefit Max",9,18,52)
+100 DO SET(IBLINE)
+101 ;
+102 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,129,"E"))),"Health Plan-funded Assistance Amount",15,39,1)
+103 DO SET(IBLINE)
+104 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,2193,"E"))),"Patient Pay Component Amount",15,39,1)
+105 DO SET(IBLINE)
+106 ;
+107 DO SET(" ")
+108 SET IBLINE=$$SETL("",,"Product Selection Amounts",,26,1)
+109 DO SET(IBLINE,"3;2;25")
+110 ;
+111 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,519,"E"))),"Prod Sel Amt",12,21,1)
+112 SET IBLINE=$$SETL(IBLINE,$$AMT($GET(BPSM(9002313.0301,ZM,135,"E"))),"Prod Sel /Non-Pref Formulary",9,33,37)
+113 DO SET(IBLINE)
+114 ;
+115 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,134,"E"))),"Prod Sel/Brand Drug",12,21,1)
+116 SET IBLINE=$$SETL(IBLINE,$$AMT($GET(BPSM(9002313.0301,ZM,136,"E"))),"Prod Sel/Brand Non-Pref Formulary",9,33,37)
+117 DO SET(IBLINE)
+118 ;
+119 SET IBLINE=$$SETL("",$$AMT($GET(BPSM(9002313.0301,ZM,133,"E"))),"Provider Network Adj",12,21,1)
+120 DO SET(IBLINE)
+121 ;
+122 ; Display COB/Other Payer data
+123 IF '$DATA(BPSMCOB(9002313.035501))
Begin DoDot:1
+124 DO SET(" ")
+125 DO SET(" No COB/Other Payer Data on file in the ECME Response.")
+126 QUIT
End DoDot:1
GOTO INITX
+127 ;
+128 ; count how many entries exist
SET ZC=""
FOR ZCTOT=0:1
SET ZC=$ORDER(BPSMCOB(9002313.035501,ZC))
if ZC=""
QUIT
+129 SET ZC=""
SET ZCN=0
FOR
SET ZC=$ORDER(BPSMCOB(9002313.035501,ZC))
if ZC=""
QUIT
Begin DoDot:1
+130 SET ZCN=ZCN+1
+131 DO SET(" ")
+132 SET IBLINE="COB/Other Payer ("_ZCN_" of "_ZCTOT_") (from other payer response message)"
+133 DO SET(" "_IBLINE,"3;2;"_$LENGTH(IBLINE))
+134 SET IBLINE=$$SETL("",$GET(BPSMCOB(9002313.035501,ZC,356,"E")),"Other Payer Cardholder ID",40,27,1)
+135 DO SET(IBLINE)
+136 SET IBLINE=$$SETL("",$GET(BPSMCOB(9002313.035501,ZC,144,"E")),"Other Payer Effective Date",10,27,1)
+137 SET IBLINE=$$SETL(IBLINE,$GET(BPSMCOB(9002313.035501,ZC,145,"E")),"Other Payer Termination Date",10,32,38)
+138 DO SET(IBLINE)
+139 SET IBLINE=$$SETL("",$GET(BPSMCOB(9002313.035501,ZC,142,"E")),"Other Payer Person Code",6,27,1)
+140 SET IBLINE=$$SETL(IBLINE,$GET(BPSMCOB(9002313.035501,ZC,143,"E")),"Other Payer Pt Relationship Code",9,32,38)
+141 DO SET(IBLINE)
+142 SET IBLINE=$$SETL("",$GET(BPSMCOB(9002313.035501,ZC,340,"E")),"Other Payer ID (BIN)",24,27,1)
+143 SET IBLINE=$$SETL(IBLINE,$GET(BPSMCOB(9002313.035501,ZC,991,"E")),"Other Payer PCN",9,32,38)
+144 DO SET(IBLINE)
+145 SET IBLINE=$$SETL("",$GET(BPSMCOB(9002313.035501,ZC,992,"E")),"Other Payer Group ID",40,27,1)
+146 DO SET(IBLINE)
+147 SET IBLINE=$$SETL("",$GET(BPSMCOB(9002313.035501,ZC,127,"E")),"Other Payer Help Desk",40,27,1)
+148 DO SET(IBLINE)
+149 QUIT
End DoDot:1
+150 ;
INITX ;
+1 DO SET(" ")
DO SET(" ")
+2 QUIT
+3 ;
VER ; Action to launch the View ePharmacy Rx report
+1 NEW BPSVRX
+2 KILL ^TMP("BPSVRX-TPJI",$JOB)
+3 DO FULL^VALM1
+4 IF $GET(IBRXDATA)=""
WRITE !!,"System error. IBRXDATA missing."
DO PAUSE^VALM1
GOTO VERX
+5 ;
+6 ; save the current TPJI display array data
+7 MERGE ^TMP("BPSVRX-TPJI",$JOB,"IBJTCA")=^TMP("IBJTCA",$JOB)
+8 MERGE ^TMP("BPSVRX-TPJI",$JOB,"IBJTRX")=^TMP("IBJTRX",$JOB)
+9 MERGE ^TMP("BPSVRX-TPJI",$JOB,"IBTPJI")=^TMP($JOB,"IBTPJI")
+10 ;
+11 ; RX ien ptr file 52
SET BPSVRX("RXIEN")=+$PIECE(IBRXDATA,U,5)
+12 ; rx fill#
SET BPSVRX("FILL#")=+$PIECE(IBRXDATA,U,10)
+13 ; DBIA #5723
DO ^BPSVRX
+14 ;
+15 ; After returning from this List Manager report, we need to rebuild
+16 ; the display array for the TPJI screens because they are killed by the report.
+17 IF '$DATA(^TMP("IBJTCA",$JOB))
MERGE ^TMP("IBJTCA",$JOB)=^TMP("BPSVRX-TPJI",$JOB,"IBJTCA")
+18 IF '$DATA(^TMP("IBJTRX",$JOB))
MERGE ^TMP("IBJTRX",$JOB)=^TMP("BPSVRX-TPJI",$JOB,"IBJTRX")
+19 IF '$DATA(^TMP($JOB,"IBTPJI"))
MERGE ^TMP($JOB,"IBTPJI")=^TMP("BPSVRX-TPJI",$JOB,"IBTPJI")
+20 ;
VERX ;
+1 SET VALMBCK="R"
+2 KILL ^TMP("BPSVRX-TPJI",$JOB)
+3 QUIT
+4 ;
HELP ; -- help code
+1 SET X="?"
DO DISP^XQORM1
WRITE !!
+2 QUIT
+3 ;
EXIT ; -- exit code
+1 KILL ^TMP("IBJTRX",$JOB)
+2 IF $DATA(VALMEVL)
DO CLEAN^VALM10
DO KILL^VALM10()
+3 QUIT
+4 ;
SETL(TEXT,DATA,LABEL,LEND,LENL,COL) ; build line of text
+1 ; TEXT - existing line of text data
+2 ; DATA - field data
+3 ; LABEL - field label
+4 ; LEND - max length of data
+5 ; LENL - length of label (label will be right justified so the colons line up)
+6 ; COL - starting column for insert
+7 ;
+8 NEW D1,STR
SET D1=""
SET COL=$GET(COL,1)
+9 IF $GET(LABEL)'=""
SET D1=$JUSTIFY(LABEL,+$GET(LENL))
+10 IF $DATA(DATA)
SET D1=D1_": "_$$FO^IBCNEUT1(DATA,+$GET(LEND))
+11 SET STR=$$SETSTR^VALM1(D1,$GET(TEXT),COL,$LENGTH(D1))
+12 ;
+13 QUIT $EXTRACT(STR,1,80)
+14 ;
SET(TEXT,VID) ; set data in variable TEXT into ListMan display
+1 ; VID is video attribute data of line if any
+2 ; Format: type;start column;width
+3 ; type=1 (reverse video)
+4 ; type=2 (bold)
+5 ; type=3 (underline)
+6 ;
+7 SET VALMCNT=VALMCNT+1
+8 ; set text line into display array
SET ^TMP("IBJTRX",$JOB,VALMCNT,0)=$GET(TEXT)
+9 IF $GET(VID)=""
GOTO SETX
+10 ;
+11 ; video attributes
+12 NEW ON,OFF
+13 SET ON=$SELECT(+VID=1:IORVON,+VID=2:IOINHI,1:IOUON)
+14 SET OFF=$SELECT(+VID=1:IORVOFF,+VID=2:IOINORM,1:IOUOFF)
+15 DO CNTRL^VALM10(VALMCNT,+$PIECE(VID,";",2),+$PIECE(VID,";",3),ON,OFF)
+16 ;
SETX ;
+1 QUIT
+2 ;
AMT(VAL,L,P) ; convert dollar amount to external display
+1 ; VAL can be a number or the Fileman external version of the number
+2 ; L is the $J field length (default 8)
+3 ; P is a flag indicating the number should be enclosed within parentheses
+4 ; strip $ and spaces
+5 SET VAL=+$TRANSLATE($GET(VAL),"$ ")
+6 IF '$GET(L)
SET L=8
+7 IF $GET(P)
QUIT $JUSTIFY($FNUMBER(-VAL,"P",2),L+1)
+8 QUIT $JUSTIFY(VAL,L,2)
+9 ;
