IB20P375 ;ALB/CXW - IB*2.0*375 POST INIT ;14-MAY-07 ;;2.0;INTEGRATED BILLING;**375**;21-MAR-94;Build 4 ;;Per VHA Directive 2004-038, this routine should not be modified. ; ;1) Update the transmission status with "X" for MRA 2nd bills in ; field/file (.03/364) based on these criteria: ; bill authorized but not transmitted in field/file (.13/399) ; bill has at least one Medicare MRA in field/file (.04/361.1) ; bill has been passed to AR & generated in file (430) ; bill's status is active in field/file (8/430) ; bill has no total amount collected in field/file (15/433) ; bill exists in file (364) for EDI transmission ; bill has no batch # associated in field/file (.02/364) ; bill is not ready for extract in field/file (.03/364) ; bill's COB Sequence is Secondary in field/file (.08/364) ; ;2) Update the CLAM MRA STATUS with VALID MRA RECEIVED in field/file ; (24/399) if bill has at least one Medicare MRA, otherwise store ; NO MRA NEEDED status. ; ;3) List of all claims excludes ACTIVE AR status with 0 total amount ; collected. ; ;Output-XTMP("IB20P375",0)=purge date_U_today_U_patch # ; 1,0)=update transmit status_U_total bills ; IEN)=IBIFN_U_Bill #_U_statement covers from dt ; 2,0)=list of claims_U_total bills ; IBIFN)=IBIFN_U_Bill #_U_IEN AR status_U_AR total ; amount collected ; ; ; ;Not delete XTMP file until 30 days from now Q POST ; START D MES^XPDUTL("** ALL RECORDS ARE IN ^XTMP(""IB20P375"") WHEN THE PROCESS HAS BEEN COMPLETED **") D MES^XPDUTL(" >> Starting the Post init routine ...") ; N ARACT,ARAMT,IB375,IBIFN,IBMRA,IBILL,IBAR,IBCDT,IBDA,IBST,IBEDI,IBCT1,IBCT2,U,X,X1,X2,DA,DIE,DR S U="^",IB375="IB20P375",(IBCT1,IBCT2)=0 K ^XTMP(IB375) S DT=$$DT^XLFDT,X1=DT,X2=30 D C^%DTC S ^XTMP(IB375,0)=X_U_DT_U_"IB*2.0*375 POST-INIT" S ^XTMP(IB375,1,0)="Updating the transmit status in file 364 for MRA secondary claim" S ^XTMP(IB375,2,0)="List of all claims excludes ACTIVE AR Status with 0 Total Amount Collected" ; S IBIFN=0 F S IBIFN=$O(^DGCR(399,"AST",3,IBIFN)) Q:'IBIFN D . S IBMRA=$$MRACNT^IBCEMU1(IBIFN),IBILL=$P($G(^DGCR(399,IBIFN,0)),U),IBAR=$$BILL^RCJIBFN2(IBIFN),IBCDT=$P($G(^DGCR(399,IBIFN,"U")),U,1),ARACT=$P(IBAR,U,2),ARAMT=$P(IBAR,U,4) . ;update CLAIM MRA STATUS . I +$P($G(^DGCR(399,IBIFN,"TX")),U,5) D .. N IBMST,DIE,DA,DR S IBMST=0 ; assume no MRA needed .. S:IBMRA IBMST="C" ;Medicare MRA on file .. S DIE=399,DA=IBIFN,DR="24///"_IBMST .. D ^DIE . ;quit if bill no Medicare MRA . Q:'IBMRA . I ARACT'=16!ARAMT D ;no active status or total amt collected do list .. S ^XTMP(IB375,2,IBIFN)=IBIFN_U_IBILL_U_ARACT_U_ARAMT .. S IBCT2=IBCT2+1 .. ; . I ARACT=16,'ARAMT D ;active status & no total amt collected .. S IBDA=0 F S IBDA=$O(^IBA(364,"B",IBIFN,IBDA)) Q:'IBDA D ... S IBEDI=$G(^IBA(364,IBDA,0)),IBST=$P(IBEDI,U,3) ... ; ... ;quit if batch # exists or ready for extract status or primary sequence ... I $P(IBEDI,U,2)!(IBST="X")!($P(IBEDI,U,8)'="S") Q ... N DA,DIE,DR ... S DIE=364,DA=IBDA,DR=".03////X;.04///NOW" D ^DIE ... S ^XTMP(IB375,1,IBDA)=IBIFN_U_IBILL_U_IBCDT,IBCT1=IBCT1+1 S $P(^XTMP(IB375,1,0),U,2)=IBCT1,$P(^XTMP(IB375,2,0),U,2)=IBCT2 NOPRINT ; I 'IBCT1,'IBCT2 D G END . D BMES^XPDUTL(" No claims met criteria, no transmit status update, no list of claims") PRINT1 ; D BMES^XPDUTL($P(^XTMP(IB375,1,0),U)) S IBDA=0 F S IBDA=$O(^XTMP(IB375,1,IBDA)) Q:'IBDA S IBEDI=$G(^(IBDA)) D . D MES^XPDUTL(" Bill #: "_$P(IBEDI,U,2)_" Statement Covers From Date: "_$$FMTE^XLFDT($P(IBEDI,U,3))_" Transmit Status: X") D MES^XPDUTL("Total "_$S(IBCT1=1:IBCT1_" bill has",1:IBCT1_" bills have")_" been updated.") PRINT2 ; D BMES^XPDUTL($P(^XTMP(IB375,2,0),U)) S IBDA=0 F S IBDA=$O(^XTMP(IB375,2,IBDA)) Q:'IBDA S IBEDI=$G(^(IBDA)) D . D MES^XPDUTL(" Bill #: "_$P(IBEDI,U,2)_" AR Status: "_$P($G(^PRCA(430.3,+$P(IBEDI,U,3),0)),U)_" Total Amount Collected: $"_$J($P(IBEDI,U,4),0,2)) D MES^XPDUTL("Total "_$S(IBCT2=1:IBCT2_" bill has",1:IBCT2_" bills have")_" been listed.") ; END D BMES^XPDUTL(" >> End of the Post init routine ...") Q ;