RCDPRTP2 ;ALB/LDB - CLAIMS MATCHING REPORT ;1/26/01 3:16 PM
;;4.5;Accounts Receivable;**151,276,303,315,338**;Mar 20, 1995;Build 69
;;Per VA Directive 6402, this routine should not be modified.
;
; Reference to $$TYP^IBRFN supported by DBIA# 2031
;
PRINT1 ;
N REJECT,RCTYP
; double check the status to screen out cancelled third party bills
I 'RCAN N TSTAT S TSTAT=$$STAT(RCTP) Q:TSTAT="CN"!(TSTAT="CB") ;Added a last minute check for cancelled third party bills
;
I $Y>(IOSL-2) D PAUSE Q:$G(RCQ) D HDR^RCDPRTP1,HDR1
; PRCA*4.5*276 - get EEOB indicator '%'and attach it to the bill number when applicable. Adjust report tabs to make room for EEOB indicator '%'.
N RC430 S RC430=+$O(^PRCA(430,"B",""_$P(RCIBDAT,"^",4)_"",0))
S RCEEOB=$$EEOB(RC430)
; #IA 6060 for $$BILLREJ^IBJTU6
S REJECT=$S($$BILLREJ^IBJTU6($P($P(RCIBDAT,"^",4),"-",2)):"c",1:" ") ;PRCA*4.5*303 Add indicator for rejects
W !,$S(RCTP=RCBILL:"*",$D(RCTP(RCTP)):"*",1:" "),$G(RCEEOB)_REJECT_$P(RCIBDAT,"^",4),?17,$P(RCIBDAT,"^",5),?24
W $$STAT(RCTP),?31,$$DATE(+RCIBDAT),?42,$$DATE($P(RCIBDAT,"^",2))
S Y=$S($G(RCTP(RCTP)):RCTP(RCTP),$G(^TMP("RCDPRTPB",$J,RCNAM,RCBILL)):^(RCBILL),1:"") I RCTP=RCBILL!($D(RCTP(RCTP))) W ?53,$$DATE(Y)
S RCAMT=$P($G(^PRCA(430,+RCTP,0)),"^",3),RCAMT1=$P($G(^PRCA(430,+RCTP,7)),"^",7) W ?64,$J(RCAMT,9,2)
W ?76,$J(RCAMT1,9,2) S RCAMT(0)=RCAMT(0)+RCAMT,RCAMT(1)=RCAMT(1)+RCAMT1
W ?88,$E($P(RCIBDAT,"^",7),1,25)
; #IA 2031 for $$TYP^IBRFN
S RCTYP=$$TYP^IBRFN(RCTP) ; get bill type for an Accounts Receivable
; Convert to single character care types for:
; (I)npatient, (O)utpatient, (R)Prescription & (P)rosthetics
S RCTYP=$S(RCTYP="":-1,RCTYP="PR":"P",RCTYP="PH":"R",1:RCTYP)
W ?119,RCTYP
K RCTP(RCTP)
Q
;
PRINT2 ; Print the detail line for a first party bill.
I $Y>(IOSL-2) D PAUSE Q:$G(RCQ) D HDR^RCDPRTP1,HDR2
W !," ",$P(RCIBDAT,"^",4),?14,$E($P(RCIBDAT,"^",6),1,18) ;PRCA*4.5*338
S RCIBFN=$P(RCIBDAT,"^",4) I RCIBFN S RCIBFN=$O(^PRCA(430,"B",RCIBFN,0))
; PRCA*4.5*276 - adjust report tabs to make room for EEOB indicator '%'.
W ?36,$$STAT(RCIBFN),?42,$$DATE(+RCIBDAT),?54,$$DATE($P(RCIBDAT,"^",2))
W ?66,$J($P(RCIBDAT,"^",5),9,2),?78,$P(RCIBDAT,"^",7)
W ?87,$J($S($G(^PRCA(430,+RCIBFN,7)):+($P(^(7),"^")+$P(^(7),"^",2)+$P(^(7),"^",3)+$P(^(7),"^",4)+$P(^(7),"^",4)),1:0),9,2)
Q
;
;
PRINT3 ; Print patient detail information.
N RCNAM1,RCBILL0,RCDFN,RCDOB,DOB
I $Y>(IOSL-5) D PAUSE Q:$G(RCQ) D HDR^RCDPRTP1
S RCNAM1=^TMP("RCDPRTPB",$J,RCNAM)
S RCBILL0=$G(^PRCA(430,RCBILL,0)) ;PRCA*4.3*315
S RCDFN=$P($G(^PRCA(430,RCBILL,0)),U,7)
S RCDOB=$P($G(^DPT(RCDFN,0)),U,3)
S DOB=$$FMTE^XLFDT(RCDOB,"5Z")
W !!,RCLINE
W !,"NAME: ",$P(RCNAM,"^"),?44,"SSN: ",$E(RCNAM,1)_$E($P(RCNAM1,"^",3),6,9)
W !,"Prim. Elig: ",$P(RCNAM1,"^",2)
W ?44,"DOB: ",DOB
W ?61,"RX COVERAGE: ",$S('$G(^TMP("IBRBT",$J,RCBILL)):"NO",1:"YES")
W !,RCLINE
Q
;
HDR1 ;
W !!,"Third Party Bills: * -> bill for which payment was posted"
W !,"============================="
; PRCA*4.5*276 - adjust report tabs to make room for EEOB indicator '%'.
; PRCA*4.5*315 - added 1-char. care type (I)npatient, (O)utpatient, (R)x or (P)rosthetics) under new Type column
W !!,"Bill #",?15,"P/S/T",?22,"Status",?30,"Bill From",?42,"Bill To",?53,"Posted",?63,"Amt Billed",?76,"Amt Paid",?88,"Payor",?115,"Care Type"
W !,"-------------",?15,"-----",?22,"------",?30,"---------",?42,"--------",?53,"--------",?63,"----------",?75,"----------",?88,"-------------------------",?115,"---------"
Q
;
HDR2 ;
W !!,"Associated First Party Charges:"
W !,"==============================="
W !," Bill #",?14,"Charge Type",?34,"Status",?42,"From/Fill",?54,"To/Rel",?65,"Amt Billed",?78,"On Hold",?87," Balance"
W !,"-----------",?14,"----------------",?34,"------",?42,"---------",?54,"---------",?65,"----------",?78,"-------",?87," ----------"
Q
;
STAT(RCIBFN) ;AR Status
I '$G(RCIBFN) Q ""
N RCSTAT
S RCSTAT=$P($G(^PRCA(430,+RCIBFN,0)),"^",8),RCSTAT=$P($G(^PRCA(430.3,+RCSTAT,0)),"^",2)
Q RCSTAT
;
DATE(X) ; Convert FileMan date to mm/dd/yy
Q $S($G(X):$E(X,4,5)_"/"_$E(X,6,7)_"/"_$E(X,2,3),1:"")
;
;
PAUSE ; Page break.
I $E(IOST,1,2)'="C-" Q
N RCX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
I IOSL<100 F RCX=$Y:1:(IOSL-3) W !
S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S RCQ=1
Q
;
EEOB(RCBILL) ; PRCA*4.5*276 - get EEOB indicator for a bill
; Interaction with IB file #361.1 covered by IA #4051.
; RCBILL is the IEN of the bill in files #399/#430 and must be valid,
; Exclude an EOB type of MRA when getting payment information. Return
; the EEOB indicator '%' if payment activity was found.
;
N RCEEOB,RCVAL,Z
I $G(RCBILL)=0 Q ""
I '$O(^IBM(361.1,"B",RCBILL,0)) Q "" ; no matching entry for bill
I $P($G(^DGCR(399,RCBILL,0)),"^",13)=1 Q "" ;avoid 'ENTERED/NOT REVIEWED' status
; handle both single and multiple bill entries in file #361.1
S Z=0 F S Z=$O(^IBM(361.1,"B",RCBILL,Z)) Q:'Z D Q:$G(RCEEOB)="%"
. S RCVAL=$G(^IBM(361.1,Z,0))
. S RCEEOB=$S($P(RCVAL,"^",4)=1:"",$P(RCVAL,"^",4)=0:"%",1:"")
Q RCEEOB ; EEOB indicator for 1st/3rd party payment on bill
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HRCDPRTP2 5198 printed Apr 09, 2024@20:54:35 Page 2
RCDPRTP2 ;ALB/LDB - CLAIMS MATCHING REPORT ;1/26/01 3:16 PM
+1 ;;4.5;Accounts Receivable;**151,276,303,315,338**;Mar 20, 1995;Build 69
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ; Reference to $$TYP^IBRFN supported by DBIA# 2031
+5 ;
PRINT1 ;
+1 NEW REJECT,RCTYP
+2 ; double check the status to screen out cancelled third party bills
+3 ;Added a last minute check for cancelled third party bills
IF 'RCAN
NEW TSTAT
SET TSTAT=$$STAT(RCTP)
if TSTAT="CN"!(TSTAT="CB")
QUIT
+4 ;
+5 IF $Y>(IOSL-2)
DO PAUSE
if $GET(RCQ)
QUIT
DO HDR^RCDPRTP1
DO HDR1
+6 ; PRCA*4.5*276 - get EEOB indicator '%'and attach it to the bill number when applicable. Adjust report tabs to make room for EEOB indicator '%'.
+7 NEW RC430
SET RC430=+$ORDER(^PRCA(430,"B",""_$PIECE(RCIBDAT,"^",4)_"",0))
+8 SET RCEEOB=$$EEOB(RC430)
+9 ; #IA 6060 for $$BILLREJ^IBJTU6
+10 ;PRCA*4.5*303 Add indicator for rejects
SET REJECT=$SELECT($$BILLREJ^IBJTU6($PIECE($PIECE(RCIBDAT,"^",4),"-",2)):"c",1:" ")
+11 WRITE !,$SELECT(RCTP=RCBILL:"*",$DATA(RCTP(RCTP)):"*",1:" "),$GET(RCEEOB)_REJECT_$PIECE(RCIBDAT,"^",4),?17,$PIECE(RCIBDAT,"^",5),?24
+12 WRITE $$STAT(RCTP),?31,$$DATE(+RCIBDAT),?42,$$DATE($PIECE(RCIBDAT,"^",2))
+13 SET Y=$SELECT($GET(RCTP(RCTP)):RCTP(RCTP),$GET(^TMP("RCDPRTPB",$JOB,RCNAM,RCBILL)):^(RCBILL),1:"")
IF RCTP=RCBILL!($DATA(RCTP(RCTP)))
WRITE ?53,$$DATE(Y)
+14 SET RCAMT=$PIECE($GET(^PRCA(430,+RCTP,0)),"^",3)
SET RCAMT1=$PIECE($GET(^PRCA(430,+RCTP,7)),"^",7)
WRITE ?64,$JUSTIFY(RCAMT,9,2)
+15 WRITE ?76,$JUSTIFY(RCAMT1,9,2)
SET RCAMT(0)=RCAMT(0)+RCAMT
SET RCAMT(1)=RCAMT(1)+RCAMT1
+16 WRITE ?88,$EXTRACT($PIECE(RCIBDAT,"^",7),1,25)
+17 ; #IA 2031 for $$TYP^IBRFN
+18 ; get bill type for an Accounts Receivable
SET RCTYP=$$TYP^IBRFN(RCTP)
+19 ; Convert to single character care types for:
+20 ; (I)npatient, (O)utpatient, (R)Prescription & (P)rosthetics
+21 SET RCTYP=$SELECT(RCTYP="":-1,RCTYP="PR":"P",RCTYP="PH":"R",1:RCTYP)
+22 WRITE ?119,RCTYP
+23 KILL RCTP(RCTP)
+24 QUIT
+25 ;
PRINT2 ; Print the detail line for a first party bill.
+1 IF $Y>(IOSL-2)
DO PAUSE
if $GET(RCQ)
QUIT
DO HDR^RCDPRTP1
DO HDR2
+2 ;PRCA*4.5*338
WRITE !," ",$PIECE(RCIBDAT,"^",4),?14,$EXTRACT($PIECE(RCIBDAT,"^",6),1,18)
+3 SET RCIBFN=$PIECE(RCIBDAT,"^",4)
IF RCIBFN
SET RCIBFN=$ORDER(^PRCA(430,"B",RCIBFN,0))
+4 ; PRCA*4.5*276 - adjust report tabs to make room for EEOB indicator '%'.
+5 WRITE ?36,$$STAT(RCIBFN),?42,$$DATE(+RCIBDAT),?54,$$DATE($PIECE(RCIBDAT,"^",2))
+6 WRITE ?66,$JUSTIFY($PIECE(RCIBDAT,"^",5),9,2),?78,$PIECE(RCIBDAT,"^",7)
+7 WRITE ?87,$JUSTIFY($SELECT($GET(^PRCA(430,+RCIBFN,7)):+($PIECE(^(7),"^")+$PIECE(^(7),"^",2)+$PIECE(^(7),"^",3)+$PIECE(^(7),"^",4)+$PIECE(^(7),"^",4)),1:0),9,2)
+8 QUIT
+9 ;
+10 ;
PRINT3 ; Print patient detail information.
+1 NEW RCNAM1,RCBILL0,RCDFN,RCDOB,DOB
+2 IF $Y>(IOSL-5)
DO PAUSE
if $GET(RCQ)
QUIT
DO HDR^RCDPRTP1
+3 SET RCNAM1=^TMP("RCDPRTPB",$JOB,RCNAM)
+4 ;PRCA*4.3*315
SET RCBILL0=$GET(^PRCA(430,RCBILL,0))
+5 SET RCDFN=$PIECE($GET(^PRCA(430,RCBILL,0)),U,7)
+6 SET RCDOB=$PIECE($GET(^DPT(RCDFN,0)),U,3)
+7 SET DOB=$$FMTE^XLFDT(RCDOB,"5Z")
+8 WRITE !!,RCLINE
+9 WRITE !,"NAME: ",$PIECE(RCNAM,"^"),?44,"SSN: ",$EXTRACT(RCNAM,1)_$EXTRACT($PIECE(RCNAM1,"^",3),6,9)
+10 WRITE !,"Prim. Elig: ",$PIECE(RCNAM1,"^",2)
+11 WRITE ?44,"DOB: ",DOB
+12 WRITE ?61,"RX COVERAGE: ",$SELECT('$GET(^TMP("IBRBT",$JOB,RCBILL)):"NO",1:"YES")
+13 WRITE !,RCLINE
+14 QUIT
+15 ;
HDR1 ;
+1 WRITE !!,"Third Party Bills: * -> bill for which payment was posted"
+2 WRITE !,"============================="
+3 ; PRCA*4.5*276 - adjust report tabs to make room for EEOB indicator '%'.
+4 ; PRCA*4.5*315 - added 1-char. care type (I)npatient, (O)utpatient, (R)x or (P)rosthetics) under new Type column
+5 WRITE !!,"Bill #",?15,"P/S/T",?22,"Status",?30,"Bill From",?42,"Bill To",?53,"Posted",?63,"Amt Billed",?76,"Amt Paid",?88,"Payor",?115,"Care Type"
+6 WRITE !,"-------------",?15,"-----",?22,"------",?30,"---------",?42,"--------",?53,"--------",?63,"----------",?75,"----------",?88,"-------------------------",?115,"---------"
+7 QUIT
+8 ;
HDR2 ;
+1 WRITE !!,"Associated First Party Charges:"
+2 WRITE !,"==============================="
+3 WRITE !," Bill #",?14,"Charge Type",?34,"Status",?42,"From/Fill",?54,"To/Rel",?65,"Amt Billed",?78,"On Hold",?87," Balance"
+4 WRITE !,"-----------",?14,"----------------",?34,"------",?42,"---------",?54,"---------",?65,"----------",?78,"-------",?87," ----------"
+5 QUIT
+6 ;
STAT(RCIBFN) ;AR Status
+1 IF '$GET(RCIBFN)
QUIT ""
+2 NEW RCSTAT
+3 SET RCSTAT=$PIECE($GET(^PRCA(430,+RCIBFN,0)),"^",8)
SET RCSTAT=$PIECE($GET(^PRCA(430.3,+RCSTAT,0)),"^",2)
+4 QUIT RCSTAT
+5 ;
DATE(X) ; Convert FileMan date to mm/dd/yy
+1 QUIT $SELECT($GET(X):$EXTRACT(X,4,5)_"/"_$EXTRACT(X,6,7)_"/"_$EXTRACT(X,2,3),1:"")
+2 ;
+3 ;
PAUSE ; Page break.
+1 IF $EXTRACT(IOST,1,2)'="C-"
QUIT
+2 NEW RCX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
+3 IF IOSL<100
FOR RCX=$Y:1:(IOSL-3)
WRITE !
+4 SET DIR(0)="E"
DO ^DIR
IF $DATA(DIRUT)!($DATA(DUOUT))
SET RCQ=1
+5 QUIT
+6 ;
EEOB(RCBILL) ; PRCA*4.5*276 - get EEOB indicator for a bill
+1 ; Interaction with IB file #361.1 covered by IA #4051.
+2 ; RCBILL is the IEN of the bill in files #399/#430 and must be valid,
+3 ; Exclude an EOB type of MRA when getting payment information. Return
+4 ; the EEOB indicator '%' if payment activity was found.
+5 ;
+6 NEW RCEEOB,RCVAL,Z
+7 IF $GET(RCBILL)=0
QUIT ""
+8 ; no matching entry for bill
IF '$ORDER(^IBM(361.1,"B",RCBILL,0))
QUIT ""
+9 ;avoid 'ENTERED/NOT REVIEWED' status
IF $PIECE($GET(^DGCR(399,RCBILL,0)),"^",13)=1
QUIT ""
+10 ; handle both single and multiple bill entries in file #361.1
+11 SET Z=0
FOR
SET Z=$ORDER(^IBM(361.1,"B",RCBILL,Z))
if 'Z
QUIT
Begin DoDot:1
+12 SET RCVAL=$GET(^IBM(361.1,Z,0))
+13 SET RCEEOB=$SELECT($PIECE(RCVAL,"^",4)=1:"",$PIECE(RCVAL,"^",4)=0:"%",1:"")
End DoDot:1
if $GET(RCEEOB)="%"
QUIT
+14 ; EEOB indicator for 1st/3rd party payment on bill
QUIT RCEEOB
