RCXVDC3 ;DAOU/ALA-AR Data Extraction Data Creation ; 23 Jul 2007 10:32 AM ;;4.5;Accounts Receivable;**201,227,228,232,248,251**;Mar 20, 1995;Build 21 ;;Per VHA Directive 2004-038, this routine should not be modified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uthorizer (P) S RCXVDA=RCXVDA_RCXVU_$P(RCXVD1,U,13) ; Stat S RCXVDT=$P(RCXVD1,U,14) S RCXVDA=RCXVDA_RCXVU_$E($$HLDATE^HLFNC(RCXVDT),1,8) ; Stat DT S RCXVP1=$P(RCXVD1,U,22),RCXVP2="",RCXVNPI="" I RCXVP1'="" S RCXVP2=$$GET1^DIQ(40.8,RCXVP1,1) ;$P($G(^DG(40.8,RCXVP1,0)),U,2) S:$G(RCXVP1)'="" RCXVNPI=$P($$NPI^XUSNPI("Organization_ID",$$GET1^DIQ(40.8,RCXVP1,.07,"I")),RCXVU,1) S:+RCXVNPI<1 RCXVNPI="" ;Default Division NPI S RCXVDA=RCXVDA_RCXVU_RCXVP2_RCXVU_RCXVNPI ; Default division^Default division NPI S RCXVDA=RCXVDA_RCXVU_$P(RCXVD1,U,24) ; UB92 Location S RCXVDA=RCXVDA_RCXVU_$P(RCXVD1,U,27) ; Bill Chrg type S RCXVDT=$P(RCXVD2,U,10) S RCXVDB=$E($$HLDATE^HLFNC(RCXVDT),1,8) ; Auth. DT S RCXVDT=$P(RCXVD2,U,12) S RCXVDB=RCXVDB_RCXVU_$E($$HLDATE^HLFNC(RCXVDT),1,8) ; DT 1st printed S (RCXVP1,RCXVD0C)=$P($G(^DGCR(399,RCXVD0,"M")),U,1),RCXVP2="" I RCXVP1'="" S RCXVP2=$P($G(^DIC(36,RCXVP1,0)),U,1) S RCXVDB=RCXVDB_RCXVU_RCXVP2 ; PRIM. INSR (P) ; ; Type of Plan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on_VA_Provider_ID",RCXVP1),RCXVU,1) S:+RCXVNPI<1 RCXVNPI="" I RCXVNPI="",$G(RCXVP2)'="" S RCXVNPI=$$GET1^DIQ(355.93,RCXVP1,41.01,"I") ;This line is used if the XUSNPI API does not work S RCXVDC=RCXVDC_RCXVU_RCXVP2_RCXVU_RCXVNPI ; NON VA FAC (P)^NON VA FAC NPI ; ; Get VACARE or NONVACARE flag NEW RCXVIEN D CARE^RCXVUTIL(RCXVD0) S RCXVDC=RCXVDC_RCXVU_$S(RCXVCFL=1:"VACARE",1:"NONVACARE") ; MRA data S RCXVDT=$P(IBD,U,2) S RCXVDD=$E($$HLDATE^HLFNC(RCXVDT),1,8) ; MRA Requested DT S RCXVDT=$P(IBD,U,3) S RCXVDD=RCXVDD_RCXVU_$E($$HLDATE^HLFNC(RCXVDT),1,8) ;Last Electronic Extract Date S RCXVDD=RCXVDD_RCXVU_$P(IBD,U,4) ;Printed VIA EDI S RCXVDD=RCXVDD_RCXVU_$P(IBD,U,5) ;Force Claim To Print S RCXVDD=RCXVDD_RCXVU_$P(IBD,U,6) ;Claim MRA Status S RCXVDT=$P(IBD,U,7) S RCXVDD=RCXVDD_RCXVU_$E($$HLDATE^HLFNC(RCXVDT),1,8) ;MRA Recorded Date S RCXVDT=$P(IBD,U,8) S RCXVDD=RCXVDD_RCXVU_$E($$HLDATE^HLFNC(RCXVDT),1,8) ;Date Cancelled S RCXVDD=RCXVDD_RCXVU_$P(IBD,U,9) ;Form Type S RCXVDD=RCXVDD_RCXVU_$P(IBD,U,16)_RCXVU_$P(IBD,U,15) ;PAYER&VA NAT.ID # S RCXVDRG=$P(IBD,U,11) S RCXVDD=RCXVDD_RCXVU_RCXVDRG ;DRG S RCXVSNR=$P(IBD,U,14) ;Days site not responsible for MRA request S RCXVDD=RCXVDD_RCXVU_RCXVSNR S RCXVDD=RCXVDD_RCXVU_$P($P(IBD,U,12),";") ;ECME # S RCXVDD=RCXVDD_RCXVU_$P(IBD,U,17) ;Offset Amount S ^TMP($J,RCXVBLN,"3-399A")=RCXVDA S ^TMP($J,RCXVBLN,"3-399B")=RCXVDB S ^TMP($J,RCXVBLN,"3-399C")=RCXVDC S ^TMP($J,RCXVBLN,"3-399D")=RCXVDD Q ; REJ() ;Checks for reject on a claim S X="NO" S X1=$P(RCXVD1,U,15) S D0=RCXVD0 F D G REJQ:'D0 . S I=0 F S I=$O(^IBM(361,"B",D0,I)) Q:'I D Q:'D0 ..S X2=$P($G(^IBM(361,I,0)),U,3) ..I X2="R" S X="YES",D0="" ..Q .I X="YES" Q .I X1=D0 S D0="" Q .S D0=X1 Q:'D0 S X1=$P($G(^DGCR(399,X1,0)),U,15) .Q K I REJQ Q X ;