IBCECSA1 ;ALB/CXW - IB STATUS AWAITING RESOLUTION SCREEN ;28-JUL-99 ;;2.0;INTEGRATED BILLING;**137,283,288,320**;21-MAR-94 ; DBIA for $$BN1^PRCAFN() ; BLD ; Build list entrypoint N IBDA,IBREV,IBIFN,IBPAY,IBSSN,IBSER,IB399,IBLOC,IBDIV,IBUER,IBMSG,IBERR,IBPEN,SEVERITY,A,IBOAM,IBPAT,IBSTSMSG,SV1,SV2,SV3 K ^TMP("IBCECSA",$J),^TMP("IBCECSB",$J),^TMP("IBCECSD",$J) W !!,"Compiling CSA status messages ... " S IBSEV=$G(IBSEV,"R") S VALMCNT=0,IB364="" S SEVERITY="" F S SEVERITY=$O(^IBM(361,"ACSA",SEVERITY)) Q:SEVERITY="" I SEVERITY="R"!(IBSEV="B") S IBREV="" F S IBREV=$O(^IBM(361,"ACSA",SEVERITY,IBREV)) Q:IBREV="" I IBREV<2 S IBDA=0 F S IBDA=$O(^IBM(361,"ACSA",SEVERITY,IBREV,IBDA)) Q:'IBDA D . S IB=$G(^IBM(361,IBDA,0)),IBIFN=+IB . S IBPEN=$$FMDIFF^XLFDT(DT,$P(IB,U,2),1) . ;quit if not pending for at least the minimum # of days requested . Q:IBDAYS>IBPEN . S IB399=$G(^DGCR(399,IBIFN,0)) . ; . ; no cancelled claims allowed on the CSA screen . ; if we find one, then update the appropriate EDI files . I $P(IB399,U,13)=7 D UPDEDI^IBCEM(+$P(IB,U,11),"C") Q . ; . ; automatically review this message if the claim was last printed on . ; or after the MCS - 'Resubmit by Print' date . I $P(IB,U,16),($P($G(^DGCR(399,IBIFN,"S")),U,14)\1)'<$P(IB,U,16) D UPDEDI^IBCEM(+$P(IB,U,11),"P") Q . ; . S IBDIV=+$P(IB399,U,22) . S IBUER=+$P($G(^DGCR(399,IBIFN,"S")),U,11) . ; . ; If Request MRA bill, pull the MRA Requestor user instead . I 'IBUER,$P(IB399,U,13)=2 S IBUER=+$P($G(^DGCR(399,IBIFN,"S")),U,8) . I $D(^TMP("IBBIL",$J)),'$D(^TMP("IBBIL",$J,IBUER)) Q ; User not selected . I $D(^TMP("IBDIV",$J)),'$D(^TMP("IBDIV",$J,IBDIV)) Q ; Div not selected . ; . S IBPAY=$P($G(^DIC(36,+$P($G(^DGCR(399,IBIFN,"MP")),U),0)),U) . I IBPAY="" S IBPAY=$P($G(^DIC(36,+$$CURR^IBCEF2(IBIFN),0)),U) . I IBPAY="" S IBPAY="UNKNOWN PAYER" . S IBPAT=$G(^DPT(+$P(IB399,U,2),0)) . S IBSSN=$E($P(IBPAT,U,9),6,9) I IBSSN="" S IBSSN="~unk" . S IBPAT=$P(IBPAT,U,1) I IBPAT="" S IBPAT="~UNKNOWN PATIENT NAME" . S IBSER=$P($G(^DGCR(399,IBIFN,"U")),U) . S IBLOC=$P(IB399,U,4) . S IBLOC=$S(IBLOC=1:"HOSPITAL",IBLOC=2:"SKILLED NURSING",1:"CLINIC") . I IBDIV S IBDIV=$P($G(^DG(40.8,IBDIV,0)),U) . I IBDIV=""!(IBDIV=0) S IBDIV="UNSPECIFIED" . S IBMSG=$S($P(IB,U,8):"PAYER",1:"NON-PAYER") . S IBUER=$S(IBUER:$P($G(^VA(200,IBUER,0)),U),1:"UNKNOWN")_"~"_IBUER . S IB364=$P(IB,U,11) . S IBOAM=$G(^DGCR(399,IBIFN,"U1")) . S IBOAM=$P(IBOAM,U,1)-$P(IBOAM,U,2) ; current balance (total charges - offset) . ; . S IBSTSMSG=$$TXT(IBDA) ; status message text . S IBERR=$E(IBSTSMSG,1,30) . I IBERR="" S IBERR="-" . ; . S IB=$$BN1^PRCAFN(IBIFN) ; external bill# . S A=IBIFN_U_IBPAY_U_IBPAT_U_IBSSN_U_IBSER_U_IBOAM_U_IBLOC_U_IBDIV_U_IBUER_U_IBMSG_U_IBPEN_U_$S(IBREV:"*",1:"")_U_IB364_U_IB . ; . S SV1=$$SRTV($G(IBSORT1),IBDA) . S SV2=$$SRTV($G(IBSORT2),IBDA) . S SV3=$$SRTV($G(IBSORT3),IBDA) . S ^TMP("IBCECSB",$J,SV1,SV2,SV3,IBDA)=A . S ^TMP("IBCECSB",$J,SV1,SV2,SV3,IBDA,"MSG")=IBSTSMSG . Q ; I '$D(^TMP("IBCECSB",$J)) D NMAT Q D SCRN Q ; NMAT ;No CSA list S VALMCNT=2,IBCNT=2 S ^TMP("IBCECSA",$J,1,0)=" " S ^TMP("IBCECSA",$J,2,0)="No Messages Matching Selection Criteria Found" Q ; SRTV(SORT,IBDA) ; sort value calculation given the sort code letter I SORT="" Q IBDA Q $$SV^IBCECSA(SORT) ; SCRN ; NEW IBSRT1,IBSRT2,IBSRT3,IBX,IBCNT,IBIFN,IBDA,IB,INFX,DAT,X W !,"Building the CSA list display ... " S IBCNT=0,IBSRT1="" F S IBSRT1=$O(^TMP("IBCECSB",$J,IBSRT1)) Q:IBSRT1="" D . D SRTBRK(1,$G(IBSORT1),IBSRT1) . S IBSRT2="" . F S IBSRT2=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2)) Q:IBSRT2="" D .. D SRTBRK(2,$G(IBSORT2),IBSRT2) .. S IBSRT3="" .. F S IBSRT3=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3)) Q:IBSRT3="" D ... D SRTBRK(3,$G(IBSORT3),IBSRT3) ... S IBDA=0 ... F S IBDA=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA)) Q:'IBDA D .... S IB=$G(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA)) .... S IBSTSMSG=$G(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA,"MSG")) .... S IBIFN=+IB .... S IB364=$P(IB,U,13) .... S DAT=IBIFN_U_IBDA_U_IBSRT1_U_IBSRT2_U_IB364_U_IBSRT3 .... ; .... S IBCNT=IBCNT+1 .... S X=$$SETFLD^VALM1($J(IBCNT,3),"","NUMBER") .... D SETL1(IB,.X) .... D SET(X,IBCNT,DAT) .... ; .... S X=$$SETSTR^VALM1(IBSTSMSG,"",6,75) .... D SET(X,IBCNT,DAT) .... Q ... Q .. Q . Q Q ; SRTBRK(LVL,SORT,IBSRT) ; sort break for display of certain sort data ; LVL - sort level ; SORT - sort letter code ; IBSRT - subscript data ; NEW IBS,DSPDATA I '$F(".A.D.N.","."_$G(SORT)_".") G SRTBRKX S IBS=$$SD^IBCECSA(SORT) S DSPDATA=IBSRT I SORT="A" S DSPDATA=$P(DSPDATA,"~",1) ; biller name I SORT="N" S DSPDATA=-DSPDATA ; number of days pending D SET($J("",LVL-1)_IBS_": "_DSPDATA,IBCNT,"") SRTBRKX ; Q ; SET(X,CNT,DAT) ;set up list manager screen array S VALMCNT=VALMCNT+1 I 'CNT S CNT=1 S ^TMP("IBCECSA",$J,VALMCNT,0)=X S ^TMP("IBCECSA",$J,"IDX",VALMCNT,CNT)="" I DAT'="" S ^TMP("IBCECSA",$J,CNT)=VALMCNT_U_DAT Q ; SETL1(IB,X) ; S X=$$SETFLD^VALM1($P($G(^DGCR(399,+IB,0)),U,1)_$P(IB,U,12),X,"BILL") S X=$$SETFLD^VALM1($P(IB,U,2),X,"PNAME") S X=$$SETFLD^VALM1($P(IB,U,3),X,"PANAME") S X=$$SETFLD^VALM1($P(IB,U,4),X,"SSN") S X=$$SETFLD^VALM1($$FMTE^XLFDT($P(IB,U,5),"2Z"),X,"SERVICE") S X=$$SETFLD^VALM1($J("$"_$FN($P(IB,U,6),"",2),10),X,"CURBAL") Q ; TXT(IBDA,LEN) ; Return a string of status message text ; IBDA - ien to file 361 ; LEN - desired maximum length of combined text string NEW MSG,LN,STOP,TX,HLN,REFN,DELIM S MSG="",LN=0,LEN=$G(LEN,75),STOP=0 F S LN=$O(^IBM(361,+$G(IBDA),1,LN)) Q:'LN D Q:STOP . S TX=$G(^IBM(361,IBDA,1,LN,0)) . I $E(TX,1,5)="Error" S TX=$E(TX,6,999) . S TX=$$TRIM^XLFSTR(TX) . I $E(TX,1,8)="Patient:" S STOP=1 Q . I $E(TX,1,14)="Service Dates:" S STOP=1 Q . I $E(TX,1,11)="Payer Name:" S STOP=1 Q . I $E(TX,1,7)="Source:" S STOP=1 Q . I $E(TX,1,11)="Claim Line:" S STOP=1 Q . I $E(TX,1,13)="Service Type:" S STOP=1 Q . I TX["HL=" S HLN=+$P(TX,"HL=",2),DELIM="HL="_HLN,TX=$P(TX,DELIM,1)_"HL= "_$P(TX,DELIM,2,9) . I TX["ENVOY REF: " S REFN=$E($P(TX,"ENVOY REF: ",2),1,14),DELIM="ENVOY REF: "_REFN,TX=$P(TX,DELIM,1)_"ENVOY REF: "_$P(TX,DELIM,2,9) . I ($L(MSG)+$L(TX))>500 S STOP=1 Q . S MSG=MSG_$S(MSG="":"",1:" ")_TX . I $L(MSG)>LEN S STOP=1 . Q Q $E(MSG,1,LEN) ;