BPSECX1 ;BHAM ISC/FCS/DRS/VA/DLF - Create new Claim ID for Claim Submission file ;05/17/2004 ;;1.0;E CLAIMS MGMT ENGINE;**1,2,5**;JUN 2004;Build 45 ;;Per VHA Directive 2004-038, this routine should not be modified. ;---------------------------------------------------------------------- ;Create new Claim ID for Claim Submission file (9002313.02) ; ;Function Returns: VA=== ; Where: is the year ; NPI or NCPDPP of the BPS Pharmacy ; is the VA National Plan ID w/o leading alphas ; is a unique counter stored in BPS SETUP ;---------------------------------------------------------------------- ; CLAIMID(IEN59) ;EP - Called from BPSOSCE (billing requests) and BPSECA8 (reversals) ; Check parameters I '$G(IEN59) Q "" ; ; Initialization N PHARMACY,FACID,THIRD,DEL,PLAN,I,SEQNUM ; ; Get and format the Facility ID (second piece of the transmission ID) ; 1. Try to get NPI first. ; 2. If we do not get the NPI, get the NCPDP and left-pad it with zeros ; up to seven characters. ; 3. Right-pad the final ID with spaces up to 10 characters S PHARMACY=+$P($G(^BPST(IEN59,1)),U,7) S FACID=$P($G(^BPS(9002313.56,PHARMACY,"NPI")),U,1) I FACID="" D . S FACID=$P($G(^BPS(9002313.56,PHARMACY,0)),U,2) . S FACID=$TR($J("",7-$L(FACID))," ","0")_FACID S FACID=$RE($J($RE(FACID),10)) ; ; Get the third piece of the transmission ID ; If the National Plan ID is available, use it with '=' delimiter (new format) ; If not, it will need to be the BIN with the '-' delimiter (old format) S THIRD="",PLAN=$$GET1^DIQ(9002313.59902,"1,"_IEN59_",","902.27") I PLAN]"" D . F I=1:1:$L(PLAN) I $E(PLAN,I)?1N Q . S PLAN=$E(PLAN,I,$L(PLAN)) . S THIRD=PLAN,DEL="=" ; ; If no plan, get BIN and use '-' delimiter (old format) I THIRD="" S DEL="-",THIRD=$$GET1^DIQ(9002313.59902,"1,"_IEN59_",","902.03") ; ; Pad third piece with zeros S THIRD=$TR($J("",6-$L(THIRD))," ","0")_THIRD ; ; Get and format the sequence number (fourth piece) L +^BPS(9002313.99,1,3):15 I '$T D IMPOSS^BPSOSUE("DB,P","TI","",,"Can't lock BPS(9002313.99,1,3)",$T(+0)) S SEQNUM=+$G(^BPS(9002313.99,1,3)),^BPS(9002313.99,1,3)=SEQNUM+1 I $L(SEQNUM<7) S SEQNUM=$E($TR($J("",7-$L(SEQNUM))," ","0")_SEQNUM,1,7) L -^BPS(9002313.99,1,3) ; ; Create the Transmission ID Q "VA"_($E(DT,1,3)+1700)_DEL_FACID_DEL_THIRD_DEL_SEQNUM