source: FOIAVistA/tag/r/E_CLAIMS_MGMT_ENGINE-BPS/BPSSCRLG.m@ 628

BPSSCRLG ;BHAM ISC/SS - ECME LOGINFO ;05-APR-05
 ;;1.0;E CLAIMS MGMT ENGINE;**1,5**;JUN 2004;Build 45
 ;;Per VHA Directive 2004-038, this routine should not be modified.
 ;
 Q
 ;
EN ; -- main entry point for BPS LSTMN LOG
 D EN^VALM("BPS LSTMN LOG")
 Q
 ;
HDR ; -- header code
 S VALMHDR(1)="Claim Log information"
 S VALMHDR(2)=""
 Q
 ;
INIT ; -- init variables and list array
 N BPSELCLM,LINE
 S BPSELCLM=$G(@VALMAR@("SELLN"))
 ;  piece 2: patient ien #2
 ;  piece 3: insurance ien #36
 ;  piece 4: ptr to #9002313.59
 S LINE=1
 S VALMCNT=$$PREPINFO(.LINE,$P(BPSELCLM,U,2),$P(BPSELCLM,U,3),$P(BPSELCLM,U,4))
 S:VALMCNT>1 VALMCNT=VALMCNT-1
 Q
 ;
HELP ; -- help code
 S X="?" D DISP^XQORM1 W !!
 K X
 Q
 ;
EXIT ; -- exit code
 Q
 ;
EXPND ; -- expand code
 Q
 ;
 ;
LOG ;entry point for LOG menu option of the main User Screen
 N BPRET,BPSEL
 I '$D(@(VALMAR)) Q
 D FULL^VALM1
 W !,"Enter the line number for which you wish to print claim logs."
 S BPSEL=$$ASKLINE^BPSSCRU4("Select item","C","Please select SINGLE Rx Line.")
 I BPSEL<1 S VALMBCK="R" Q
 D SAVESEL(BPSEL,VALMAR)
 D EN
 S VALMBCK="R"
 Q
 ;
 ;save selection in order to use inside enclosed ListManager copy
 ;BPSEL - selected line
 ;BPVALMR - parent VALMAR 
SAVESEL(BPSEL,BPVALMR) ;
 D CLEANIT
 S ^TMP("BPSLOG",$J,"VALM","SELLN")=BPSEL
 S ^TMP("BPSLOG",$J,"VALM","PARENT")=BPVALMR
 M ^TMP("BPSLOG",$J,"VALM","VIEWPARAMS")=@BPVALMR@("VIEWPARAMS")
 Q
 ;
CLEANIT ;
 K ^TMP("BPSLOG",$J,"VALM")
 Q
 ;input:
 ; BPDFN: patient ien #2
 ; BP36: insurance ien #36
 ; BP59: ptr to #9002313.59
 ; returns number of lines
PREPINFO(BPLN,BPDFN,BP36,BP59) ;
 I '$G(BP59) Q 0
 I '$G(BP36) Q 0
 I '$G(BPDFN) Q 0
 N BPSCRLNS S BPSCRLNS=17 ;(see "BPS LSTMN LOG" LM template: Bottom=21, Top = 4, 21-4=17)
 N BPX,BPRXIEN,BPREF,BP1,BPLSTCLM,BPLSTRSP,BPDAT59,BPUSR,BPSTRT,BPHIST,BPQ
 N BPDT,BPLN0,BPCNT
 S BP1=$$RXREF^BPSSCRU2(BP59)
 S BPRXIEN=$P(BP1,U,1)
 S BPREF=$P(BP1,U,2)
 S BPDAT59(0)=$G(^BPST(BP59,0))
 ;create a history
 D MKHIST^BPSSCRU5(BP59,.BPHIST)
 ;
 S BPLN0=BPLN
 D SETLINE(.BPLN,"Pharmacy ECME Log")
 D SETLINE(.BPLN,"")
 S BPX=$$RJ^BPSSCR02("VA Rx #: ",19)_$$LJ^BPSSCR02($$RXNUM^BPSSCRU2(+BPRXIEN),13)
 S BPX=BPX_$$RJ^BPSSCR02("Fill #: ",10)_$$LJ^BPSSCR02(BPREF,4)
 S BPX=BPX_$$RJ^BPSSCR02("ECME Claim Rx #: ",18)_$$LJ^BPSSCR02(BP59,20)
 D SETLINE(.BPLN,BPX)
 S BPX=$$RJ^BPSSCR02("Patient Name: ",19)
 S BPX=BPX_$$LJ^BPSSCR02($$PATNAME^BPSSCRU2(BPDFN)_" "_$$SSN4^BPSSCRU2(BPDFN),30)
 D SETLINE(.BPLN,BPX)
 S BPX=$$RJ^BPSSCR02("Last Submitted: ",19)
 S BPSTRT=$P(BPDAT59(0),U,11) ;@# need to check with analyst if this is a START DATE
 I BPSTRT]"" S BPX=BPX_$$DATETIME^BPSSCRU5(BPSTRT)
 D SETLINE(.BPLN,BPX)
 S BPX=$$RJ^BPSSCR02("Last Submitted By: ",19)
 S BPUSR=$P(BPDAT59(0),U,10)
 I BPUSR]"" S BPX=BPX_$$GETUSRNM^BPSSCRU1(BPUSR)
 D SETLINE(.BPLN,BPX)
 ;
 ;find the latest claim
 S BP1=+$O(BPHIST("C",99999999),-1)
 I BP1=0 D SETLINE(.BPLN,""),SETLINE(.BPLN,"------ No electronic claims ------") Q BPLN
 S BP1=+$O(BPHIST("C",BP1,0))
 S BPX=$$RJ^BPSSCR02("Last VA Claim #: ",19)_$P($G(^BPSC(+BP1,0)),U,1)
 D SETLINE(.BPLN,BPX)
 F BPCNT=BPLN:1:BPLN0+BPSCRLNS D SETLINE(.BPLN,"")
 ;process history
 N BPTYPE,BPIEN,BPIENRS
 S BPDT=99999999
 F  S BPDT=$O(BPHIST("C",BPDT),-1) Q:+BPDT=0  D
 . S BPIEN=+$O(BPHIST("C",BPDT,0)) Q:BPIEN=""
 . D DISPCLM(.BPLN,BP59,BPIEN,+BPHIST("C",BPDT,BPIEN),$P(BPHIST("C",BPDT,BPIEN),U,2),BPDT)
 . S BPIENRS=0
 . F  S BPIENRS=$O(BPHIST("C",BPDT,BPIEN,"R",BPIENRS)) Q:+BPIENRS=0  D
 . . D DISPRSP(.BPLN,BP59,BPIENRS,+BPHIST("C",BPDT,BPIEN,"R",BPIENRS),$P(BPHIST("C",BPDT,BPIEN,"R",BPIENRS),U,2),BPDT)
 Q BPLN
 ;calls SET^VALM10,
 ;increments BPLINE
SETLINE(BPLINE,BPSTR) ;
 D SET^VALM10(BPLINE,BPSTR)
 S BPLINE=BPLINE+1
 Q
 ;display claim record
DISPCLM(BPLN,BP59,BPIEN02,BP57,BPSTYPE,BPSDTALT) ;
 N BPSCRLNS S BPSCRLNS=17 ;(see "BPS LSTMN LOG" LM template: Bottom=21, Top = 4, 21-4=17)
 N BPX,BPLN0,BPCNT,BPSTR1,BPSTYP2
 S BPLN0=BPLN
 S BPSTYP2=$S(BPSTYPE="C":"CLAIM REQUEST",BPSTYPE="R":"REVERSAL",1:"")
 S BPSTR1="Transmission Information ("_BPSTYP2_")(#"_BPIEN02_")"
 D SETLINE(.BPLN,BPSTR1_$$LINE^BPSSCRU3(79-$L(BPSTR1),"-"))
 D SETLINE(.BPLN,"")
 D SETLINE(.BPLN,"Created on: "_$$CREATEDT(BPIEN02,BPSDTALT))
 D SETLINE(.BPLN,"VA Claim ID: "_$P($G(^BPSC(+BPIEN02,0)),U,1))
 D SETLINE(.BPLN,"Transaction Type: "_$$TRTYPE^BPSSCRU5($$TRCODE(BPIEN02)))
 D SETLINE(.BPLN,"Date of Service: "_$$DOSCLM(BPIEN02))
 D SETLINE(.BPLN,"NDC: "_$$LNDC^BPSSCRU5(BPIEN02))
 D SETLINE(.BPLN,"ECME Pharmacy: "_$$DIVNAME^BPSSCRDS($$LDIV(BP57)))
 D SETLINE(.BPLN,"Days Supply: "_$$DAYSSUPL(BPIEN02))
 S BPX="Qty: "_$$QTY(BP57)
 S BPX=BPX_"     Unit Price: "_$$UNTPRICE(BP57)
 S BPX=BPX_"     Total Price: "_$$TOTPRICE(BP57)
 D SETLINE(.BPLN,BPX)
 D SETLINE(.BPLN,"")
 D SETLINE(.BPLN,"Insurance Name: "_$$INSUR57(BP57))
 D SETLINE(.BPLN,"BIN: "_$$BIN(BPIEN02))
 D SETLINE(.BPLN,"PCN: "_$$PCN(BPIEN02))
 D SETLINE(.BPLN,"Group ID: "_$$GRPID(BPIEN02))
 D SETLINE(.BPLN,"Cardholder ID: "_$$CRDHLDID(BPIEN02))
 D SETLINE(.BPLN,"Patient Relationship Code: "_$$PATRELSH(BPIEN02,BP57))
 D SETLINE(.BPLN,"Cardholder First Name: "_$$CRDHLDFN(BPIEN02,BP57))
 D SETLINE(.BPLN,"Cardholder Last Name: "_$$CRDHLDLN(BPIEN02,BP57))
 F BPCNT=BPLN:1:BPLN0+BPSCRLNS D SETLINE(.BPLN,"")
 S BPLN0=BPLN
 D SETLINE(.BPLN,"Plan ID: "_$$PLANID(BP57))
 D SETLINE(.BPLN,"Payer Sheet IEN: "_$$PYRIEN^BPSSCRU5(BPIEN02))
 D SETLINE(.BPLN,"B2 Payer Sheet IEN: "_$$B2PYRIEN^BPSSCRU5(BPIEN02,BP57))
 D SETLINE(.BPLN,"B3 Rebill Payer Sheet: "_$$B3PYRIEN^BPSSCRU5(BPIEN02,BP59,BP57))
 D SETLINE(.BPLN,"Certify Mode: "_$$CERTMOD(BP57))
 D SETLINE(.BPLN,"Cert IEN: "_$$CERTIEN(BP57))
 F BPCNT=BPLN:1:BPLN0+BPSCRLNS D SETLINE(.BPLN,"")
 Q
 ;Date os service date in BPS CLAIM file
DOSCLM(BPIEN02) ;
 N BPDT
 S BPDT=$P($G(^BPSC(BPIEN02,400,1,400)),U,1)\1
 Q $E(BPDT,5,6)_"/"_$E(BPDT,7,8)_"/"_$E(BPDT,1,4)
 ;record created on 
CREATEDT(BPIEN02,BPSDTALT) ;
 N BPSDT
 S BPSDT=+$P($G(^BPSC(BPIEN02,0)),U,6)
 Q $$DATETIME^BPSSCRU5($S(BPSDT>0:BPSDT,1:BPSDTALT))
 Q
 ;Plan ID from #9002313.57
PLANID(BP57) ;
 Q $P($G(^BPSTL(BP57,10,+$G(^BPSTL(BP57,9)),0)),U,1)
 ;
CERTMOD(BP57) ;
 Q $P($G(^BPSTL(BP57,10,+$G(^BPSTL(BP57,9)),0)),U,5)
 ;Software Vendor/Cert ID
CERTIEN(BP57) ;
 Q $P($G(^BPSTL(BP57,10,+$G(^BPSTL(BP57,9)),0)),U,6)
 ;group ID
GRPID(BPIEN02) ;
 Q $E($P($G(^BPSC(BPIEN02,300)),U,1),3,99)
 ;
 ;Cardholder ID
CRDHLDID(BPIEN02) ;
 Q $E($P($G(^BPSC(BPIEN02,300)),U,2),3,99)
 ;Cardholder First name
CRDHLDFN(BPIEN02,BP57) ;
 N Y
 S Y=$P($G(^BPSC(BPIEN02,300)),U,12)
 I $L(Y)=0 S Y=$P($G(^BPSTL(BP57,10,+$G(^BPSTL(BP57,9)),1)),U,6)
 Q Y
 ;Cardholder Last  Name
CRDHLDLN(BPIEN02,BP57) ;
 N Y
 S Y=$P($G(^BPSC(BPIEN02,300)),U,13)
 I $L(Y)=0 S Y=$P($G(^BPSTL(BP57,10,+$G(^BPSTL(BP57,9)),1)),U,7)
 Q Y
 ;Patient Relationship Code
PATRELSH(BPIEN02,BP57) ;
 N Y
 S Y=$P($G(^BPSC(BPIEN02,300)),U,6)
 I $L(Y)=0 S Y=$P($G(^BPSTL(BP57,10,+$G(^BPSTL(BP57,9)),1)),U,5)
 Q $S(Y=1:"CARDHOLDER",Y=2:"SPOUSE",Y=3:"CHILD",1:Y)
 ;
PCN(BPIEN02) ;
 Q $P($G(^BPSC(BPIEN02,100)),U,4)
 ;
BIN(BPIEN02) ;
 Q $P($G(^BPSC(BPIEN02,100)),U,1)
 ;insurance name by 9002313.57 pointer
INSUR57(BPIEN57) ;
 N BPINSN
 S BPINSN=+$G(^BPSTL(BPIEN57,9))
 Q $P($G(^BPSTL(BPIEN57,10,BPINSN,0)),U,7)
 ;
QTY(BPIEN57) ;
 Q +$P($G(^BPSTL(BPIEN57,5)),U,1)
UNTPRICE(BPIEN57) ;
 Q +$P($G(^BPSTL(BPIEN57,5)),U,2)
TOTPRICE(BPIEN57) ;
 Q +$P($G(^BPSTL(BPIEN57,5)),U,5)
 ;get ECME pharmacy division ptr for LOG
LDIV(BPIEN57) ;
 Q +$P($G(^BPSTL(BPIEN57,1)),U,7)
 ;transaction code
TRCODE(BPIEN02) ;
 Q $P($G(^BPSC(BPIEN02,100)),U,3)
 ;days supply
DAYSSUPL(BPIEN02) ;
 ;format D5NNN -> NNN
 Q +$E($P($G(^BPSC(BPIEN02,400,1,400)),U,5),3,99)
 ;
 ;display response record
DISPRSP(BPLN,BP59,BPIEN03,BP57,BPSTYPE,BPSDTALT) ;
 N BPSCRLNS S BPSCRLNS=17 ;(see "BPS LSTMN LOG" LM template: Bottom=21, Top = 4, 21-4=17)
 N BPX,BPLN0,BPCNT,BPRJCDS,BPRJ,BPSTR1,BPSTYP2
 S BPLN0=BPLN
 S BPSTYP2=$S(BPSTYPE="C":"CLAIM REQUEST",BPSTYPE="R":"REVERSAL",1:"")
 S BPSTR1="Response Information  ("_BPSTYP2_")(#"_BPIEN03_")"
 D SETLINE(.BPLN,BPSTR1_$$LINE^BPSSCRU3(79-$L(BPSTR1),"-"))
 D SETLINE(.BPLN,"")
 D SETLINE(.BPLN,"Response Received: "_$$RESPREC(BPIEN03,BPSDTALT))
 D SETLINE(.BPLN,"Date of Service: "_$$DOSRSP(BPIEN03))
 D SETLINE(.BPLN,"Transaction Response Status: "_$$RESPSTAT^BPSSCRU5(BPIEN03))
 D SETLINE(.BPLN,"Total Amount Paid: $"_+$$TOTAMNT(BPIEN03,BP59,BP57))
 D SETLINE(.BPLN,"Reject code(s): ")
 D REJCODES^BPSSCRU5(BPIEN03,.BPRJCDS)
 S BPRJ=""
 F  S BPRJ=$O(BPRJCDS(BPRJ)) Q:BPRJ=""  D
 . D SETLINE(.BPLN," "_$$GETRJNAM^BPSSCRU3(BPRJ))
 D WRAPLN^BPSSCRU5(.BPLN,$$MESSAGE(BPIEN03),76,"Message: ",5)
 D WRAPLN^BPSSCRU5(.BPLN,$$ADDMESS(BPIEN03),76,"Additional Message: ",5)
 ;D WRAPLN^BPSSCRU5(.BPLN,$$DUR(BPIEN03),60,"DUR Information: ",5)
 D WRAPLN^BPSSCRU5(.BPLN,$$DURRESP(BPIEN03),76,"DUR Response Info: ",5)
 F BPCNT=BPLN:1:BPLN0+BPSCRLNS D SETLINE(.BPLN,"")
 Q
 ;
RESPREC(BPIEN03,BPSDTALT) ;
 N BPSDT
 S BPSDT=+$P($G(^BPSR(BPIEN03,0)),U,2)
 Q $$DATETIME^BPSSCRU5($S(BPSDT>0:BPSDT,1:BPSDTALT))
 ;
DOSRSP(BPIEN03) ;
 N BPDT
 S BPDT=$P($G(^BPSR(BPIEN03,400)),U,1)\1
 Q $E(BPDT,5,6)_"/"_$E(BPDT,7,8)_"/"_$E(BPDT,1,4)
 ;
TOTAMNT(BPIEN03,BP59,BP57) ;
 Q $$DFF2EXT^BPSECFM($P($G(^BPSR(BPIEN03,1000,1,500)),U,9))
 ;
MESSAGE(BPIEN03) ;
 Q $P($G(^BPSR(BPIEN03,504)),U)
 ;
ADDMESS(BPIEN03) ;
 Q $P($G(^BPSR(BPIEN03,1000,1,526)),U)
 ;
DUR(BPIEN03) ;
 Q "???"
 ;
DURRESP(BPIEN03) ;
 Q $P($G(^BPSR(BPIEN03,1000,1,525)),U)