IBCE837 ;ALB/TMP - OUTPUT FOR 837 TRANSMISSION ;8/6/03 10:48am ;;2.0;INTEGRATED BILLING;**137,191,197,232,296,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; EN ; Auto-txmt N IBSITE8,IBRUN,X,X1,X2,DA,DIE,DR K ^TMP("IBRESUBMIT",$J),^TMP("IBONE",$J) S IBSITE8=$G(^IBE(350.9,1,8)),IBRUN=1 Q:'$P(IBSITE8,U,3)!'$P(IBSITE8,U,10) I '$$MGCHK^IBCE(0) Q I $P(IBSITE8,U,5) D Q:'IBRUN . S X2=+$P(IBSITE8,U,3),X1=$P(IBSITE8,U,5) D C^%DTC . I X>DT S IBRUN=0 Q D QTXMT^IBCE837B(IBSITE8) I $P(IBSITE8,U,5)'=DT S DIE="^IBE(350.9,",DR="8.05////"_DT,DA=1 D ^DIE Q ; SETUP(IBEXTRP) ; Txmn set up ; IBEXTRP=1 prnt 837 data N IB K ^TMP("IBXMSG",$J),^TMP("IBTXMT",$J),^TMP("IBHDR",$J),^TMP("IBHDR1",$J),^TMP("IBXERR",$J),IBXERR,^TMP("IBXINS",$J),^TMP("IBTX",$J),^TMP("IBEDI_TEST_BATCH",$J) ; Chk extract running Q:$G(IBEXTRP) ; Chk resubmit tst I $P($G(^TMP("IBRESUBMIT",$J)),U,4) S ^TMP("IBEDI_TEST_BATCH",$J)=1 Q I '$D(^TMP("IBRESUBMIT",$J)),'$D(^TMP("IBONE",$J)) D Q:$D(IBXERR) . L +^IBA(364,0):5 . I '$T D Q .. S IBXERR=1,^TMP("IBXERR",$J,1)="A PREVIOUS EDI EXTRACT IS RUNNING - ANOTHER CANNOT BE STARTED "_$$FMTE^XLFDT($$NOW^XLFDT(),2) ; I $D(^TMP("IBRESUBMIT",$J)) D Q:$D(IBXERR) .N Z,Z0 .S Z0=$P($G(^TMP("IBRESUBMIT",$J)),U,2),Z=$$LOCK^IBCEM02(364.1,Z0) .I 'Z D ..S IBXERR=1 ..S ^TMP("IBRESUBMIT",$J,"IBXERR",1)="Another user is currently processing batch "_Z0_". Batch NOT resubmitted." .I 'Z D ..S IBXERR=1 ..S ^TMP("IBRESUBMIT",$J,"IBXERR",1)="Another user is currently processing batch "_Z0_". Batch NOT resubmitted." ..S ^TMP("IBRESUBMIT",$J,"IBXERR",2)="Resubmit was attempted by: "_$P($G(^VA(200,DUZ,0)),U)_" ("_DUZ_")" I $D(^TMP("IBONE",$J)) S IB=$G(^($J))+1 D Q:$D(IBXERR) .N Z,Z0 .S Z0=$O(^TMP("IBONE",$J,"")),Z=$$LOCK^IBCEM02(364,Z0) .I 'Z D ..S IBXERR=1 ..S ^TMP("IBONE",$J,"IBXERR",1)="Another user is currently processing bill "_$P($G(^DGCR(399,+$G(^IBA(364,Z0,0)),0)),U)_". Bill NOT "_$P("^re",U,IB)_"submitted." ..S ^TMP("IBONE",$J,"IBXERR",2)=$P("S^Res",U,IB)_"ubmit was attempted by: "_$P($G(^VA(200,DUZ,0)),U)_" ("_DUZ_")" Q ; FIND ; Find/sort by CMS-1500/UB-04, test/live, ins ID # & div ; N IBX,IB0,IBCBH,IBINS,IBXIEN,IBNID,IBGBL,IBTXTEST,IBBTYP,IB837R,IBDIV,IBNOTX,IBTXST,IBTEST,IBSEC K ^TMP($J,"BILL"),^TMP("IBICT",$J) ; S IBGBL=$S($D(^TMP("IBONE",$J)):"^TMP(""IBONE"","_$J_")",$D(^TMP("IBSELX",$J)):"^TMP(""IBSELX"","_$J_")",'$D(^TMP("IBRESUBMIT",$J)):"^IBA(364,""ASTAT"",""X"")",1:"^TMP(""IBRESUBMIT"","_$J_")") S IBTEST=+$G(^TMP("IBEDI_TEST_BATCH",$J)) ; S IBX="" F S IBX=$O(@IBGBL@(IBX)) Q:'IBX D .S IBXIEN=+$G(^IBA(364,IBX,0)),IB0=$G(^DGCR(399,IBXIEN,0)) .S IBTXST=$$TXMT^IBCEF4(IBXIEN,.IBNOTX) .Q:IBTXST="" ; no txmt .Q:$S(IB0="":1,$P(IB0,U,13)>4&'IBTEST:1,1:$D(^TMP($J,"BILL",$P(IB0,U)))) .S IBCBH=$P(IB0,U,21) S:"PST"'[IBCBH!(IBCBH="") IBCBH="P" .S IBINS=$P($G(^DGCR(399,IBXIEN,"I"_($F("PST",IBCBH)-1))),U) .S IBTXTEST=$S(IBTEST:2,1:+$$TEST^IBCEF4(IBXIEN)) .S IBBTYP=$P("P^I",U,($$FT^IBCEF(IBXIEN)=3)+1)_"-"_IBTXTEST .Q:$$TESTPT^IBCEU($P(IB0,U,2))&'IBTXTEST ;Test pt .; .I IBTXTEST=1 D TESTLIM^IBCE837A(.IBINS) .; .I IBINS,$P(IB0,U,2) D .. D SETVAR^IBCE837A(IBXIEN,IBINS,IB0,.IBSEC,.IBNID,.IB837R,.IBDIV) ..S:'$D(^TMP("IBXINS",$J,IBDIV_U_IBBTYP,IBNID)) ^(IBNID)=IBINS S ^TMP("IBTXMT",$J,IBDIV_U_IBBTYP,IB837R_U_IBSEC,IBNID,$P(IB0,U,2),IBXIEN_U_IBX)=IBX .; .S ^TMP($J,"BILL",$P(IB0,U))="" ; I $D(^TMP("IBTXMT",$J)) S ^TMP("IBXDATA",$J)=IBNID K ^TMP($J,"BILL") Q ; OUTPUT ; 837 ; N IB837,IBSITE,IBMAX,IBQUEUE,IBTQUEUE,IBNID,IBCT,IBCTM,IBSIZE,IBBILL,IBLCNT,IBDFN,IBREF,IBSIZEM,IBPARMS,IBD,IBDESC,IBINS,IBQ,IB3,IBBTYP,IBTXTEST,IBDEFPRT,IB837R,IBBTYPX ; K ^TMP("IBCE-BATCH",$J) S IBSITE=$G(^IBE(350.9,1,8)),IBMAX=$P(IBSITE,U,4),IB837=+$O(^IBE(353,"B","IB 837 TRANSMISSION",0)),IB837=$S($P($G(^IBE(353,+IB837,2)),U,8):$P(^(2),U,8),1:IB837) S:'IBMAX IBMAX=999 ; I 'IB837 D Q . N IBZ,XMBODY . S XMBODY="IBZ" . S IBZ(1)="The transmission form for sending electronic claims is not in your form file",IBZ(2)="NO CLAIMS WERE OUTPUT - FORM = IB 837 TRANSMISSION" . D ERRMSG^IBCE837A(XMBODY) ; S (IBCT,IBCTM,IBSIZE)=0,IBQUEUE=$P(IBSITE,U),IBTQUEUE=$P(IBSITE,U,9),IBDESC="" ; Q:IBQUEUE=""&(IBTQUEUE="") ; S IBQ="",IBBTYPX="" ; Sort: div_^_bill type_-_test stat,ins co transmission destination^sec status,dfn,claim # F S IBBTYPX=$O(^TMP("IBTXMT",$J,IBBTYPX)),IBBTYP=$P(IBBTYPX,U,2) D:IBCTM CHKNEW^IBCE837A(IBQ,.IBBILL,.IBCTM,IBDESC,IBBTYP,"",IBSITE,.IBSIZE) Q:IBBTYPX="" D . S IBDEFPRT=$S($E(IBBTYP)="P":"SPRINT",1:"SPRINT") . S IBTXTEST=+$P(IBBTYP,"-",2),IBQ=$S('IBTXTEST:IBQUEUE,IBTXTEST=2:"MCT",1:IBTQUEUE) . Q:IBQ="" ; Queue . ; . S IBD=$S($E(IBBTYP)="P":"PROF",1:"INST")_" CLAIMS-"_$$HTE^XLFDT($H,2)_" " . S IBDESC=$S('$P(IBSITE,U,7):$S('IBTXTEST:"",1:"TEST ")_IBD,1:"") . ; . S IB837R="" . F S IB837R=$O(^TMP("IBTXMT",$J,IBBTYPX,IB837R)) D:IBCTM CHKNEW^IBCE837A(IBQ,.IBBILL,.IBCTM,IBDESC,IBBTYP,"",IBSITE,.IBSIZE) Q:IB837R="" D .. S (IBINS,IBNID)="",IBLCNT=0 .. F S IBNID=$O(^TMP("IBTXMT",$J,IBBTYPX,IB837R,IBNID)) K ^TMP("IBHDR1",$J) D:IBCTM CHKNEW^IBCE837A(IBQ,.IBBILL,.IBCTM,IBDESC,IBBTYP,IBINS,IBSITE,.IBSIZE) Q:IBNID="" D ...; ...S IBDFN=0,IBINS=+$G(^TMP("IBXINS",$J,IBBTYPX,IBNID)) ... ; ...I $P(IBSITE,U,7) D ; 1 ins/batch .... S IBLCNT=0 .... S IBDESC=$E($S('IBTXTEST:"",1:"TEST ")_IBD_$P($G(^DIC(36,IBINS,0)),U),1,80) ... ; ...F S IBDFN=$O(^TMP("IBTXMT",$J,IBBTYPX,IB837R,IBNID,IBDFN)) Q:'IBDFN S IBREF="" F S IBREF=$O(^TMP("IBTXMT",$J,IBBTYPX,IB837R,IBNID,IBDFN,IBREF)) Q:'IBREF D ....I '(IBCTM#IBMAX),IBCTM D MAILIT^IBCE837A(IBQ,.IBBILL,.IBCTM,"",IBDESC,IBBTYP,IBINS) S IBSIZE=0 ;exceeds max # ....D BILLPARM^IBCEFG0(+IBREF,.IBPARMS) ....S IBSIZEM=$$EXTRACT^IBCEFG(IB837,+IBREF,1,.IBPARMS) ....I (IBSIZEM+IBSIZE)>30000,IBSIZE D ; exceeds max size .....D MAILIT^IBCE837A(IBQ,.IBBILL,.IBCTM,"",IBDESC,IBBTYP,IBINS) S IBSIZE=0 K ^TMP("IBXDATA",$J) S IBSIZEM=$$EXTRACT^IBCEFG(IB837,+IBREF,1,.IBPARMS) ....I 'IBSIZEM D:'IBCTM Q ..... D CHKBTCH^IBCE837A(+$G(^TMP("IBHDR",$J))) K ^TMP("IBHDR",$J) ....S IBCT=IBCT+1,IBCTM=IBCTM+1 ....D:$D(^TMP("IBXDATA",$J)) MESSAGE(.IBLCNT,$P(IBREF,U,2),.IBBILL,.IBCTM,.IBSIZE,IBSIZEM,"",IBBTYP,IBINS) ..; ..I $G(IBTXTEST)=1 S IBINS=0 F S IBINS=$O(^TMP("IBICT",$J,IBINS)) Q:'IBINS S IB3=$G(^DIC(36,IBINS,3)) D ... N DIE,DA,DR ...S DIE="^DIC(36,",DA=IBINS,DR="3.05////"_DT_";3.07////"_($S($P(IB3,U,5)'=DT:0,1:$P(IB3,U,7))+^TMP("IBICT",$J,IBINS)) D ^DIE ; I $O(^TMP("IBXERR",$J,"")) D ;Error to mail grp .N XMTO,XMBODY,XMDUZ,XMSUBJ,IBCT,IBERR .K ^TMP("IBXMSG",$J) .S ^TMP("IBXMSG",$J,1)="The following authorized bill(s) were not transmitted due to errors indicated.",^(2)="Once the errors are corrected, the bill(s) will be included in the next run.",^(3)=" " .; .S IBERR=0,IBCT=3 .F S IBERR=$O(^TMP("IBXERR",$J,IBERR)) Q:'IBERR S IBCT=IBCT+1,^TMP("IBXMSG",$J,IBCT)="Bill #: "_$P($G(^DGCR(399,IBERR,0)),U),IBCT=IBCT+1,^TMP("IBXMSG",$J,IBCT)=$J("",5)_^TMP("IBXERR",$J,IBERR) .S XMBODY="^TMP(""IBXMSG"","_$J_")" D ERRMSG^IBCE837A(XMBODY) .; .K ^TMP("IBXMSG",$J),^TMP("IBICT",$J) ; I $O(^TMP("IBCE-BATCH",$J,"")) D .N IB,IB0,IBL,IBT,IBX,XMTO,XMDUZ,XMSUBJ,IBRESUB,IBTESTB,XMZ .S IBRESUB=$D(^TMP("IBRESUBMIT",$J)) .; .S IBT(1)="The following batches were "_$S('IBRESUB:"",1:"re-")_"submitted to Austin "_$S(IBTXTEST'=2:"",1:"as TEST ")_$$HTE^XLFDT($H,"2D")_":" .S IBT(2)=$S('IBRESUB:" ",1:" [Resubmitted by: "_$P($G(^VA(200,+DUZ,0)),U)_" (#"_DUZ_")]") S:IBRESUB IBT(3)=" " .; .S IBL=$S('IBRESUB:2,1:3),IB="" .F S IB=$O(^TMP("IBCE-BATCH",$J,IB)) Q:IB="" S IBL=IBL+1,IB0=$G(^(IB)) D .. S IBX=IB .. I $P(IB0,U,3)'="",IBTXTEST=2 S IBX=$P(IB0,U,3)_" (AS BATCH "_IB_")" ..S IBT(IBL)=" "_IBX_" "_$P($G(^IBA(364.1,+IB0,0)),U,8),IBL=IBL+1,IBT(IBL)=" ("_+$P(IB0,U,2)_" bills)" .; .S XMTO("I:G.IB EDI")="",XMDUZ="",XMBODY="IBT",XMSUBJ="EDI 837 "_$S('IBRESUB:"",1:"RE-")_"SUBMISSION BATCH LIST"_$S(IBTXTEST'=2:"",1:" FOR TEST") .D SENDMSG^XMXAPI(XMDUZ,XMSUBJ,XMBODY,.XMTO,,.XMZ) .; .S:IBRESUB ^TMP("IBRESUBMIT",$J,0)=1 Q ; CLEANUP ; moved D CLEANUP^IBCE837A Q ; MESSAGE(IBLCNT,IBIEN,IBBILL,IBCTM,IBSIZE,IBSIZEM,IBDUZ,IBBTYP,IBINS) ; Create msg in ^TMP("IBXMSG",$J) ;IBLCNT = last msg line extracted ;IBIEN = ien file 364 bill entry ;IBBILL = array file 364 ien's of bills being sent ; IBBILL(IEN)="" ;IBSIZE = # bytes in msg ;IBSIZEM = # bytes in record to be added to msg ;IBCTM = # bills in batch ;IBDUZ = user ien running extract (Postmaster if auto) ;IBBTYP = x-y where x = P for prof, I for inst ; y = 1 for test, 0 for live txmt ;IBINS = ien of 1 ins co for batch ; N IB,IBL,IB1,IB2,IB3,IBQ,IBREC,IBDEL S IBDEL=$O(^IBA(364.5,"B","N-SEGMENT DELIMITER","")),IBDEL=$P($G(^IBA(364.5,+IBDEL,0)),U,8) S:IBDEL="" IBDEL="~" S IBSIZE=IBSIZE+IBSIZEM,IB1="",IBREC="" F S IB1=$O(^TMP("IBXDATA",$J,1,IB1)) Q:IB1="" D .S (IBREC,IB2)="" .F S IB2=$O(^TMP("IBXDATA",$J,1,IB1,IB2)) Q:$S(IB2="":1,IB1=1:"",1:'$O(^(IB2,1))) D ..S IB3="",IBREC="" ..F S IB3=$O(^TMP("IBXDATA",$J,1,IB1,IB2,IB3)) D:IB3=""&($L(IBREC)) SETG Q:IB3="" S:$S(IB3=1:1,1:$P(IBREC,U)'="") $P(IBREC,U,IB3)=$$UP^XLFSTR(^TMP("IBXDATA",$J,1,IB1,IB2,IB3)) S IBBILL(IBIEN)="" K ^TMP("IBXDATA",$J) Q ; SETHDR ; hdr for curr batch S ^TMP("IBHDR",$J)=$G(^TMP("IBXDATA",$J,1,5,1,2)) Q ; SETHDR1 ; hdr node for curr ins S ^TMP("IBHDR1",$J)=$G(^TMP("IBXDATA",$J,1,20,1,8)) Q ; SETG ; msg global for each segment S IBREC=$TR(IBREC,IBDEL) S IBREC=IBREC_IBDEL,IBSIZE=IBSIZE+$L(IBDEL) S IBLCNT=IBLCNT+1,^TMP("IBXMSG",$J,IBLCNT)=IBREC Q ; ONE ; Txmt 1 or more bills for test or in 'X' status for live Q:'$$MGCHK^IBCE(0) D SETUP(0) I '$D(IBXERR) D FIND,OUTPUT D CLEANUP^IBCE837A Q ;