IBCECOB ;ALB/CXW - IB COB MANAGEMENT SCREEN ;16-JUN-1999 ;;2.0;INTEGRATED BILLING;**137,155,288**;21-MAR-1994 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; EN ; -- main entry point for COB management K IBSRT,IBMRADUP D EN^VALM("IBCEM MRA MANAGEMENT") Q ; HDR ; -- header code Q ; INIT ; -- init variables and list array N DIC,DIRUT,DIROUT,DTOUT,DUOUT,X,Y,DIR,IB1 K ^TMP("IBBIL",$J) S IBSRT="" S IB1=1 W ! F S DIC="^VA(200,",DIC(0)="AEMQ",DIC("A")="Select "_$S('IB1:"Another ",1:"")_"BILLER: "_$S('IB1:"",1:"ALL//") D ^DIC K DIC D Q:Y<0 . Q:Y<0 . I $D(^TMP("IBBIL",$J,+Y)) W !,"This biller has already been selected" Q . S ^TMP("IBBIL",$J,+Y)="" . S IB1=0 I $D(DTOUT)!$D(DUOUT) S VALMQUIT=1 G INITQ ; S DIR("A")="Sort By: ",DIR("B")="BILLER" S DIR(0)="SBA^B:BILLER;D:DAYS SINCE TRANSMISSION OF LATEST BILL;L:DATE LAST MRA RECEIVED;I:SECONDARY INSURANCE COMPANY;M:MRA STATUS;P:PATIENT NAME;R:PATIENT RESPONSIBILITY;S:SERVICE DATE" S DIR("?")="Enter the code to indicate how the list should be sorted." D ^DIR K DIR I $D(DTOUT)!$D(DUOUT) S VALMQUIT=1 G INITQ S IBSRT=Y ; W ! S IBMRADUP=0 S DIR("A")="Do you want to include Denied MRAs for Duplicate Claim/Service",DIR("B")="No",DIR(0)="YO" D ^DIR K DIR I $D(DTOUT)!$D(DUOUT) S VALMQUIT=1 G INITQ I Y S IBMRADUP=1 ; D BLD^IBCECOB1 INITQ Q ; HELP ; -- help code S X="?" D DISP^XQORM1 W !! Q ; EXIT ; -- exit code K ^TMP("IBCECOB",$J),^TMP("IBCOBST",$J),^TMP("IBBIL",$J) K ^TMP("IBCECOB1",$J),^TMP("IBCOBSTX",$J) D CLEAN^VALM10 Q ; EXP ; -- expand code to show additional details of the EOB record NEW IBDA,IBIFN,LSTENTRY D SEL^IBCECOB2(.IBDA,1) ; selects a bill S LSTENTRY=+$O(IBDA(0)) I 'LSTENTRY G EXPQ ; list entry number S IBIFN=+$G(IBDA(LSTENTRY)) I 'IBIFN G EXPQ ; bill# ; ; If only one MRA on file, call the listman screen and quit I $$MRACNT^IBCEMU1(IBIFN)=1 D EN^VALM("IBCEM MRA DETAIL") G EXPQ ; EXPLOOP ; At this point, we know there are multiple MRA's on file ; D FULL^VALM1 I $$SEL^IBCEMU1(IBIFN,1,LSTENTRY) D G EXPLOOP ; MRA lister/selection . NEW IBIFN,LSTENTRY,IBDASAVE ; protect variables . M IBDASAVE=IBDA ; save off IBDA array . D EN^VALM("IBCEM MRA DETAIL") ; call the listman . M IBDA=IBDASAVE ; restore IBDA array . Q EXPQ ; S VALMBCK="R" Q ; COBPOSS(IB364) ; Returns 1 if transmit bill ien in IB364 is currently ; in a status where COB may be performed on the bill ; Used by index "ACOB", file 364 N IBWNR,IBNSEQ,IB01,IBM1,IBU1,IB0,IBOK,IBMRA S IBOK=1 S IB0=$G(^IBA(364,IB364,0)) S IBWNR=$$WNRBILL^IBEFUNC(+IB0),IBMRA=$P($G(^DGCR(399,+IB0,"TX")),U,5) S IB01=$G(^DGCR(399,+IB0,0)),IBM1=$G(^("M1")),IBU1=$G(^("U1")) I 'IBWNR,IBU1-$P(IBU1,U,2)'>0 S IBOK=0 G COBQ ; Bill has a 0 balance I $S('IBWNR:$E($P(IB0,U,3))'="A",1:IBMRA'="1N"&(IBMRA'="A")) S IBOK=0 G COBQ ; Not in correct transmit status S IBNSEQ=+$TR($P(IB0,U,8),"PST","230") I 'IBNSEQ!'$D(^DGCR(399,+IB0,"I"_IBNSEQ)) S IBOK=0 G COBQ ; No next ins I "234"'[$P(IB01,U,13) S IBOK=0 G COBQ ; Bill invalid status for COB I IBNSEQ D . N Z,IBSTOP . S IBSTOP=0 . F Z=IBNSEQ:1:3 D Q:IBSTOP .. I $D(^DGCR(399,+IB0,"I"_Z)) D ... ;Insurance must reimburse ... I $P($G(^DIC(36,+^DGCR(399,+IB0,"I"_Z),0)),U,2)="N" S IBOK=0 Q ... I $P(IBM1,U,4+Z) S IBOK=0,IBSTOP=1 Q ; Already has a next seq bill ... S (IBOK,IBSTOP)=1 ; COBQ Q IBOK ;