IBCBB ;ALB/AAS - EDIT CHECK ROUTINE TO BE INVOKED BEFORE ALL BILL APPROVAL ACTIONS ;2-NOV-89 ;;2.0;INTEGRATED BILLING;**80,51,137,288,327,361**;21-MAR-94;Build 9 ;;Per VHA Directive 2004-038, this routine should not be modified. ; ;MAP TO DGCRBB ; ;IBNDn = IBND(n) = ^ib(399,n) ;RETURNS: ;IBER=fields with errors separated by semi-colons ;PRCASV("OKAY")=1 if iber="" and $D(prcasv("array")) compete ; GVAR ;set up variables for mccr Q:'$D(IBIFN) F I=0,"M","U","U1","S","MP","TX","UF3","UF31","U2" S @("IBND"_I)=$G(^DGCR(399,IBIFN,I)) S IBBNO=$P(IBND0,"^"),DFN=$P(IBND0,"^",2),IBEVDT=$P(IBND0,"^",3) S IBLOC=$P(IBND0,"^",4),IBCL=$P(IBND0,"^",5),IBTF=$P(IBND0,"^",6) S IBAT=$P(IBND0,"^",7),IBWHO=$P(IBND0,"^",11),IBST=$P(IBND0,"^",13),IBFT=$P(IBND0,"^",19) S IBFDT=$P(IBNDU,"^",1),IBTDT=$P(IBNDU,"^",2) S IBTC=$P(IBNDU1,"^",1),IBFY=$P(IBNDU1,"^",9),IBFYC=$P(IBNDU1,"^",10) S IBEU=$P(IBNDS,"^",2),IBRU=$P(IBNDS,"^",5),IBAU=$P(IBNDS,"^",8) S IBTOB=$$TOB(IBND0),IBTOB12=$E(IBTOB,1,2) K ^TMP($J,"BILL-WARN") Q ; EN ;Entry to check for errors N IBQ,IBXERR,IBXDATA,IBXSAVE,IBZPRC92,IBQUIT,IBISEQ,IDDATA,IBERRNO I $D(IBFL) N IBFL K ^TMP($J) W ! S IBER="" D GVAR I '$D(IBND0) S IBER=-1 Q ; ;I $$ISPROS^IBCEF1(IBIFN) D ;. D WARN^IBCBB11("Bill has prosthetics item(s) and will only print locally") ;. I $$NEEDMRA^IBEFUNC(IBIFN) S IBQUIT=$$IBER^IBCBB3(.IBER,"098") ; ;patient in patient file I DFN="" S IBER=IBER_"IB057;" I DFN]"",'$D(^DPT(DFN)) S IBER=IBER_"IB057;" ; ;Event date in correct format I IBEVDT="" S IBER=IBER_"IB049;" I IBEVDT]"",IBEVDT'?7N&(IBEVDT'?7N1".".N) S IBER=IBER_"IB049;" ; ;Rate Type I IBAT="" S IBER=IBER_"IB059;" I IBAT]"",'$D(^DGCR(399.3,IBAT,0)) S IBER=IBER_"IB059;" I IBAT]"",$D(^DGCR(399.3,IBAT,0)),'$P(^(0),"^",6) S IBER=IBER_"IB059;",IBAT="" ;I IBAT]"",$D(^DGCR(399.3,IBAT,0)) S IBARTP=$P(^PRCA(430.2,$P(^DGCR(399.3,IBAT,0),"^",6),0),"^",6) I IBAT]"",$P($G(^DGCR(399.3,IBAT,0)),"^",6) S IBARTP=$P($$CATN^PRCAFN($P(^DGCR(399.3,IBAT,0),"^",6)),"^",3) ;Check that AR category expects same debtor as defined in who's responsible. I $D(IBARTP),IBWHO="i"&(IBARTP'="T")!(IBWHO="p"&("PC"'[IBARTP))!(IBWHO="o"&(IBARTP'="N")) S IBER=IBER_"IB058;" ; ;Who's Responsible I IBWHO=""!($L(IBWHO)>1)!("iop"'[IBWHO) S IBER=IBER_"IB065;" S IBMRA=$S($$MCRWNR^IBEFUNC(+$$CURR^IBCEF2(IBIFN)):$$TXMT^IBCEF4(IBIFN)>0,1:0) ; MCR will not reimburse is only valid if there is subsequent insurance ; that will reimburse I IBWHO="i" D . I IBMRA D Q .. N Z,IBZ .. S IBZ=0 .. F Z=$$COBN^IBCEF(IBIFN):1:3 I $D(^DGCR(399,IBIFN,"I"_(Z+1))),$P($G(^DIC(36,+$G(^DGCR(399,IBIFN,"I"_(Z+1))),0)),U,2)'="N" S IBZ=1 Q .. I 'IBZ S IBER=IBER_"IB054;" D WARN^IBCBB11("A valid claim for MEDICARE WNR needs subsequent ins. that will reimburse") .. . I $$COB^IBCEF(IBIFN)="S",$$MCRWNR^IBEFUNC(+$$CURR^IBCEF2(IBIFN))=1,$D(^DGCR(399,IBIFN,"I3")) Q . I $S('IBNDMP:1,1:$P(IBNDMP,U,2)'=$$BPP^IBCNS2(IBIFN,1)) S IBER=IBER_"IB054;" I IBWHO="o",'$P(IBNDM,"^",11) S IBER=IBER_"IB053;" ; ; All insurance subscribers must have a birth date on file ; - 11/10/04 - IB*2.0*288 ; - 12/14/06 - IB*2.0*361 - must have INSURED'S SEX too ; IB error codes ; IB221 - Primary insurance subscriber missing date of birth ; IB222 - Secondary insurance subscriber missing date of birth ; IB223 - Tertiary insurance subscriber missing date of birth ; IB261 - Primary insurance subscriber is missing INSURED'S SEX ; IB262 - Secondary insurance subscriber is missing INSURED'S SEX ; IB263 - Tertiary insurance subscriber is missing INSURED'S SEX ; F IBISEQ=1:1:3 D . I '$P($G(^DGCR(399,IBIFN,"I"_IBISEQ)),U,1) Q ; no insurance here . K ^UTILITY("VADM",$J),^UTILITY("VAPA",$J) . S IDDATA=$$INSDEM^IBCEF(IBIFN,IBISEQ) . K ^UTILITY("VADM",$J),^UTILITY("VAPA",$J) . I '$P(IDDATA,U,1) D ; birth date missing .. S IBERRNO=220+IBISEQ .. S IBER=IBER_"IB"_IBERRNO_";" . I "^M^F^"'[(U_$P(IDDATA,U,2)_U) D ; sex missing .. S IBERRNO=260+IBISEQ .. S IBER=IBER_"IB"_IBERRNO_";" . Q ; D ^IBCBB1 Q ; EDIT(IBIFN) ; Run edits from within the billing edit screens N IBVIEW,IBDISP,IBNOFIX,DIR,X,Y S (IBNOFIX,IBVIEW,IBDISP)=1 D EDITS^IBCB2 W ! S DIR("A")="Press RETURN to continue",DIR(0)="E" D ^DIR K DIR Q ; TOB(IBND0) ; ; IBND0 = the 0-node of the bill (file 399) Q ($P(IBND0,U,24)_$P($G(^DGCR(399.1,+$P(IBND0,U,25),0)),U,2)_$P(IBND0,U,26)) ;