IBARX ;ALB/AAS-INTEGRATED BILLING, PHARMACY COPAY INTERFACE ;14-FEB-91 ;;2.0;INTEGRATED BILLING;**101,150,156,168,186,237,308**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; XTYPE ; - tag XTYPE - returns array of billable action types for service ; - see IBARXDOC for documentation ; X1 K Y D INSTAL I '$T S Y=-1 Q N I,J,X1,X2,DA,DFN,IBCAP S Y=1,IBSAVX=X,IBTAG=1,IBWHER=5 ; D CHKX^IBAUTL G:+Y<1 XTYPEQ ; I '$D(^IBE(350.1,"ANEW",IBSERV,1,1)) D S Y=-1 G XTYPEQ .I '$D(ZTQUEUED) W !!,*7,"WARNING: Pharmacy Copay not working,",!," Check IB SERVICE/SECTION in Pharmacy Site File.",!! .D E3^IBAERR ; N X D ELIG^VADPT,INP^VADPT,DOM S Y=1 F I=0:0 S I=$O(^IBE(350.1,"ANEW",IBSERV,1,I)) Q:'I I $D(^IBE(350.1,I,40)) S DA=I X ^IBE(350.1,DA,40) S Y(DA,X)=I_"^"_X1_"^"_X2 S:'$G(IBCAP) IBCAP=X ; I $G(IBCAP),$G(DFN) D NEW^IBARXPFS(DFN) ; XTYPEQ K X1,X2,IBSERV,VAEL,VA,VAERR,IBDOM,VAIN,IBSAVX,IBTAG,IBWHER ; Q ; DOM S IBDOM=0 I $D(VAIN(4)),$D(^DIC(42,+VAIN(4),0)),$P(^(0),"^",3)="D" S IBDOM=1 Q NEW ; - process new/renew/refill rx for charges ; - see IBARXDOC for documentation ; N1 K Y,IBSAVX D INSTAL I '$T S Y=-1 Q N I,J,X1,X2,DA,DFN,IBEXMP S IBWHER=1,IBSAVX=X,Y=1,IBTAG=2 D CHKX^IBAUTL I +Y<1 G NEWQ I $D(X)<11 S Y="-1^IB010" G NEWQ S J="" F S J=$O(X(J)) Q:J="" S IBSAVX(J)=X(J) D ARPARM^IBAUTL I +Y<1 G NEWQ ; ; -- check rx exemption in case refill is exempt ; -- if exempt set amount to each rx and total to zero ; 1= exempt, 0= non-exempt, -1=copay off (manila) S IBEXMP=+$$RXEXMT^IBARXEU0(DFN,DT) I IBEXMP'=0 D S Y="1^0" G NEWQ .S IBJ="" .; changed return value 6th piece is the exempt flag .F S IBJ=$O(IBSAVX(IBJ)) Q:IBJ="" S $P(Y(IBJ),"^",6)=IBEXMP .Q ; ; check to see if billing has been tracked across facilities before, ; if not, start now. D TRACK^IBARXMN(DFN) I +Y<1 G NEWQ ; S IBTOTL=0 D BILLNO^IBAUTL I +Y<1 G NEWQ ; S IBTOTL=0,IBJ="",IBSEQNO=$P(^IBE(350.1,IBATYP,0),"^",5) I 'IBSEQNO S Y="-1^IB023" G NEWQ F S IBJ=$O(IBSAVX(IBJ)) Q:IBJ="" S IBX=IBSAVX(IBJ) D RX^IBARX1 I +Y<1 G NEWQ ; ; changed to only do if charge exists D:IBTOTL ^IBAFIL ; S IBJ="" F S IBJ=$O(IBSAVY(IBJ)) Q:IBJ="" S Y(IBJ)=IBSAVY(IBJ) S:+Y>0 Y="1^"_IBTOTL S X=IBSAVX ; NEWQ D:+Y<1 ^IBAERR D END Q ; INSTAL I $S($D(^IBE(350.9,1,0)):1,$D(^IB(0)):1,1:0) Q ; CANCEL ; - cancel charges for a rx ; - see IBARXDOC for documentation ; C1 K Y,IBSAVX N I,J,X1,X2,DA,DFN I '$G(IBUPDATE) N IBCAP,IBAMP,IBSAVXMC S IBWHER=1,IBSAVX=X,Y=1,IBTAG=3 D CHKX^IBAUTL I +Y<1 G CANQ I $D(X)<11 S Y="-1^IB010" G CANQ S J="" F S J=$O(X(J)) Q:J="" S IBSAVX(J)=X(J) D ARPARM^IBAUTL I +Y<1 G CANQ ; S IBJ="",IBTOTL=0 F S IBJ=$O(IBSAVX(IBJ)) Q:IBJ="" S IBX=IBSAVX(IBJ) D CANRX^IBARX1 I +IBY(IBJ)'<1 D ^IBAFIL:$P(IBND,"^",5)'=8 I +Y<1 S IBY(IBJ)=Y I +Y<1 S IBT="",IBY=Y,IBM="" F S IBM=$O(IBY(IBM)) Q:IBM="" I +IBY(IBM)<1 S Y=IBY(IBM) D ^IBAERR S Y(IBM)=IBY(IBM),Y=IBY CANQ D:+Y<1 ^IBAERR:('$D(IBT)) S X=IBSAVX M IBSAVXMC=Y D END ; ; now that I have cancelled lets see if there are some to be billed I '$G(IBUPDATE),$D(IBCAP)>10 D QCAN^IBARXMC(DFN,.IBCAP,.IBSAVXMC) ;S IBD=0 F S IBD=$O(IBCAP(IBD)) Q:IBD<1 D CANCEL^IBARXMC(DFN,IBD) Q ; UPDATE ; - will cancel current open charge and create updated entry ; - see IBARXDOC for documentation ; U1 K Y,IBSAVX N I,J,X1,X2,DA,DFN,IBEXMP,IBUPDATE,IBCAP,IBEFDT,IBAMP,IBSAVXMC S IBUPDATE=1 ; new flag so we know we are updating S IBWHER=1,IBSAVX=X,Y=1,IBTAG=4 D CHKX^IBAUTL I +Y<1 G UPDQ S IBSAVXU=IBSAVX I $D(X)<11 S Y="-1^IB010" G UPDQ S J="" F S J=$O(X(J)) Q:J="" S IBSAVXU(J)=X(J),X(J)=$P(X(J),"^",3,4) D EFDT^IBARXMU($P(X(J),"^"),.IBEFDT) ; D CANCEL U2 K X S X=IBSAVXU S J="" F S J=$O(IBSAVXU(J)) Q:J="" S X(J)=$P(IBSAVXU(J),"^",1,3) S IBSAVX=X,Y=1,IBTAG=4 D CHKX^IBAUTL I +Y<1 G UPDQ D ARPARM^IBAUTL I +Y<1 G UPDQ ; ; -- check rx exemption in case refill is exempt ; -- if exempt set amount to each rx and total to zero S IBEXMP=+$$RXEXMT^IBARXEU0(DFN,DT) I IBEXMP'=0 D S Y="1^0" G UPDQ .; changed return value 6th piece is the exempt flag .S IBJ="" F S IBJ=$O(IBSAVXU(IBJ)) Q:IBJ="" S $P(Y(IBJ),"^",6)=IBEXMP .Q ; S IBATYP=$P(^IBE(350.1,+IBATYP,0),"^",7) I '$D(^IBE(350.1,+IBATYP,0)) S Y="-1^IB008" G UPDQ ;update type action ; D BILLNO^IBAUTL G:+Y<1 UPDQ S IBTOTL=0,IBNOS="",IBSEQNO=$P(^IBE(350.1,IBATYP,0),"^",5) I 'IBSEQNO S Y="-1^IB023" G UPDQ S IBJ="" F S IBJ=$O(IBSAVXU(IBJ)) Q:IBJ="" S IBX=IBSAVXU(IBJ) S:$D(IBEFDT(+$P(IBX,"^",3))) IBEFDT=IBEFDT(+$P(IBX,"^",3)) D UCHPAR,RX^IBARX1:'$D(IBSAVY(IBJ)) S IBEFDT=0 D ^IBAFIL ; S IBJ="" F S IBJ=$O(IBSAVY(IBJ)) Q:IBJ="" S Y(IBJ)=IBSAVY(IBJ),$P(Y(IBJ),"^",6)=+$G(IBEXMP) S:+Y(IBJ)<1 Y=Y(IBJ) S:+Y>0 Y="1^"_IBTOTL S X=IBSAVXU ; ; now that I have the update done lets see if there are some to be billed I $D(IBCAP)>10 D QCAN^IBARXMC(DFN,.IBCAP,.IBSAVXMC) ;S IBD=0 F S IBD=$O(IBCAP(IBD)) Q:IBD<1 D CANCEL^IBARXMC(DFN,IBD) ; UPDQ D:+Y<1 ^IBAERR K IBSAVXU END K %,%H,%I,K,X1,X2,X3,IBSERV,IBATYP,IBAFY,IBDUZ,IBNOW,IBSAVX,IBTOTL,IBX,IBT,IBCHRG,IBDESC,IBFAC,IBIL,IBN,IBNOS,IBSEQNO,IBSITE,IBTAG,IBTRAN,IBCRES,IBJ,IBLAST,IBND,IBY,IBPARNT,IBUNIT,IBJ,IBARTYP,IBI,IBSAVY,IBWHER Q UCHPAR ; Check that IB action and its parent exist. S IBPARNT=$P(IBX,"^",3) I '$D(^IB(+IBPARNT,0)) S IBSAVY(IBJ)="-1^IB021" G UCHPARQ S IBPARNT=$P(^IB(+IBPARNT,0),"^",9) I '$D(^IB(+IBPARNT,0)) S IBSAVY(IBJ)="-1^IB027" UCHPARQ Q ; STATUS(X) ; returns the status of a transaction in 350 ; - see IBARXDOC for documentation ; N Y S Y=$G(^IB(X,0)) Q +$S($P(Y,"^",5)=10:2,1:$P($G(^IBE(350.1,+$P(Y,"^",3),0)),"^",5)) ; CANIBAM ; used by pso to cancel a 354.71 transaction ; - see IBARXDOC for documentation N IBZ,IBXX,IBYY,IBCAP M IBXX=X S IBXX=0 F S IBXX=$O(IBXX(IBXX)) Q:IBXX="" D . N IBY . S IBZ=$G(^IBAM(354.71,+IBXX(IBXX),0)) . I $P(IBZ,"^",4) S IBYY(IBXX)="-1^Transaction has been billed" Q . I $P(IBZ,"^",5)="Y"!($P(IBZ,"^",5)="X") S IBYY(IBXX)="-1^Transaction already cancelled" Q . S IBZ=$$CANCEL^IBARXMN($P(IBZ,"^",2),+IBXX(IBXX),.IBY,$P(IBXX(IBXX),"^",2)) . S IBYY(IBXX)=$S($P($G(IBY),"^")=-1:IBY,1:IBZ) K Y M Y=IBYY Q ; UPIBAM ; - will cancel current potential charge and create updated entry ; - see IBARXDOC for documentation ; N IBXX,IBYY,IBWHER,IBTAG,IBZ,IBX,IBY,IBSAVX,IBA,IBAM,IBATYP,IBCAP,IBDESC,IBDUZ,IBSERV,IBTCH M IBXX=X S IBA=$O(X("")) I IBA="" S (Y)="-1^Invalid Subscript in X" Q S IBWHER=1,Y=1,IBTAG=4,IBSAVX=X D CHKX^IBAUTL I +Y<1 S Y(IBA)=Y Q S IBZ=$G(^IBAM(354.71,+$P($G(IBXX(IBA)),"^",3),0)) ; ; check out the transaction sent I 'IBZ S (Y,Y(IBA))="-1^Not a valid transaction number" Q I $P(IBZ,"^",4) S (Y,Y(IBA))="-1^Transaction has been billed" Q I $P(IBZ,"^",5)="Y"!($P(IBZ,"^",5)="X") S (Y,Y(IBA))="-1^Transaction already cancelled" Q ; ; cancel that transaction S IBX=$$CANCEL^IBARXMN($P(IBZ,"^",2),$P($G(IBXX(IBA)),"^",3),.Y,$P(IBXX(IBA),"^",4)) I +Y<1 S Y(IBA)=Y Q ; ; create the new updated transaction S IBX=IBXX(IBA) D BDESC^IBARX1 S IBATYP=$P(^IBE(350.1,+IBATYP,0),"^",7),DA=IBATYP D COST^IBAUTL S IBTCH=$P(IBX,"^",2)*X1 S IBAM=$$ADD^IBARXMN($P(IBZ,"^",2),"^^"_$P(IBZ,"^",3)_"^^P^"_$P(IBXX(IBA),"^")_"^"_$P(IBXX(IBA),"^",2)_"^"_IBTCH_"^"_IBDESC_"^"_$$PARENT^IBARXMC($P(IBXX(IBA),"^",3))_"^0^"_IBTCH_"^"_(+$P($$SITE^IBARXMU,"^",3)),IBATYP) I IBAM<1 S (Y,Y(IBA))="-1^IB316" Q ; S Y(IBA)=IBAM,Y=1 ; Q