IBCECSA2 ;ALB/CXW - IB CLAIMS STATUS AWAITING RESOLUTION SCREEN ;28-JUL-1999 ;;2.0;INTEGRATED BILLING;**137,181,197,320**;21-MAR-1994 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; EN ; -- claims status awaiting resolution detail D EN^VALM("IBCEM CSA MSG") Q ; HDR ; -- header code ; IBA - EOB ien from summary selection N IBST,IBST0 Q:'$G(IBA) S IBST0=$G(^IBM(361,+$P(IBA,U,2),0)),IBST=$P(IBST0,U,9) S VALMHDR(2)="Message Status = "_$$EXPAND^IBTRE(361,.09,IBST) I $P(IBST0,U,14) S VALMHDR(2)=VALMHDR(2)_" (AUTOMATICALLY REVIEWED)" S VALMHDR(1)=$J("",23)_"CLAIMS STATUS AWAITING RESOLUTION-DETAIL" Q ; INIT ; -- init variables and list array N I,X,Y,Z,ZZ,IBZ,IBZ0,IBX,IBCNT K ^TMP("IBCECSC",$J) SCR S VALMCNT=0,IBCNT=1 S IBA=+$O(IBDAX(0)),IBA=$G(IBDAX(IBA)) Q:IBA="" S X="" S IBX=$S($D(^TMP("IBCECSB",$J)):$G(^TMP("IBCECSB",$J,$P(IBA,U,3),$P(IBA,U,4),$P(IBA,U,6),$P(IBA,U,2))),1:"") D SETL1^IBCECSA1(IBX,.X) D SET(X,IBCNT) D SET("",IBCNT) ; blank line ; S X=$E(" Svc Loc: "_$P(IBX,U,7)_$J("",30),1,30)_$J("",14)_"Division: "_$E($P(IBX,U,8),1,26) D SET(X,IBCNT) S X=$E(" Biller Name: "_$P($P(IBX,U,9),"~")_$J("",30),1,30)_$J("",10)_"Days Pending: "_$P(IBX,U,11) D SET(X,IBCNT) S IBZ=$P(IBA,U,2),IBZ0=$G(^IBM(361,IBZ,0)) S X=$E(" Date Rec'd: "_$$FMTE^XLFDT($P(IBZ0,U,2),"2Z")_$J("",30),1,30)_$J("",10)_"Dt Generated: "_$S($P(IBZ0,U,12):$$FMTE^XLFDT($P(IBZ0,U,12),"2Z"),1:"") D SET(X,IBCNT),SET("",IBCNT) ; D SET("Message Text:",IBCNT) S X=0 F S X=$O(^IBM(361,IBZ,1,X)) Q:'X D . S Y=" "_$G(^IBM(361,IBZ,1,X,0)) . D SET(Y,IBCNT) . Q D SET("",IBCNT) ; S ZZ="" F S ZZ=$O(^IBM(361,IBZ,2,"B",ZZ),-1) Q:ZZ="" S Z=0 F S Z=$O(^IBM(361,IBZ,2,"B",ZZ,Z)) Q:'Z D . S I=$G(^IBM(361,IBZ,2,Z,0)) . S Y=$$SETSTR^VALM1("Review Date: "_$$EXTERNAL^DILFD(361.02,.01,,ZZ),"",2,40) . D SET(Y,IBCNT) . I $P(I,U,2) S Y=$$SETSTR^VALM1("Reviewed By: "_$P($G(^VA(200,+$P(I,U,2),0)),U,1),"",2,70) D SET(Y,IBCNT) . D SET(" Comments:",IBCNT) . S X=0 F S X=$O(^IBM(361,IBZ,2,Z,1,X)) Q:'X D .. S Y=" "_$G(^IBM(361,IBZ,2,Z,1,X,0)) .. D SET(Y,IBCNT) .. Q . D SET("",IBCNT) . Q INITQ Q ; HELP ; help code S X="?" D DISP^XQORM1 W !! Q ; EXIT ; exit code K ^TMP("IBCECSC",$J) D CLEAN^VALM10 Q ; SET(X,CNT) ; S VALMCNT=VALMCNT+1 S ^TMP("IBCECSC",$J,VALMCNT,0)=X S ^TMP("IBCECSC",$J,"IDX",VALMCNT,CNT)="" S ^TMP("IBCECSC",$J,CNT)=VALMCNT Q ; UPDTX(IBDA,IBST) ; Update transmit bill record ; IBDA = ien of entry in 364 ; IBST = status to stuff N X,Y,DR,DIE,DA S DR=".03////"_IBST_";.04///NOW",DA=IBDA,DIE="^IBA(364," D:DA ^DIE Q ; STATUS ; Edit rev stat ;IBA - EOB ien N DA,DIE,DR,IBOLD,DIC,DO,DD,DLAYGO,IBDA,IBFINAL,IBO,IBNEW,IBFACT D FULL^VALM1 S DIE="^IBM(361," S (IBDA,DA)=$P(IBA,U,2) G:'DA STATUSQ S IBOLD=$P($G(^IBM(361,DA,0)),U,9),IBFINAL=0,IBO=$S(IBOLD'="":"/"_IBOLD,1:"@") S DR="@1;.09;I +X<2 S IBFINAL=0,Y=""@99"";S IBFINAL=1;.1;I X="""" W !,""For a final status, this field is required"" S Y=""@98"";S Y=""@99"";@98;.09///"_IBO_";S Y=""@1"";@99" L +^IBM(361,IBDA):3 I '$T D G STATUSQ . W !,"Sorry, another user currently editing this entry (#"_IBDA_")." D ^DIE ; I $G(IBFINAL) D ;Final status selected - enter remarks . N Z . S Z=IBDA . N IBDA,Q,DIE,DR,DA,X,Y . S IBDA(1)=Z,IBDA="" . D ADDCOM(.IBDA,.DUZ,.IBCOM) . I $P($G(^IBM(361,IBDA(1),0)),U,10)="O",'$O(^IBM(361,IBDA(1),2,+IBDA,0)) D ; Require remarks for 'OTHER ACTION' final status .. W !,"Since OTHER ACTION final status was selected, you must enter a",!," comment explaining the OTHER ACTION" D ADDCOM(.IBDA,.DUZ,.IBCOM,1) .. I IBDA D ... ; Delete entry without a comment ... D KILLREV(.IBDA) .. I '$O(^IBM(361,IBDA(1),2,+IBDA,0)) S DIE="^IBM(361,",DA=IBDA(1),DR=".20///@;.09///"_IBO D ^DIE W !,"The review status was not changed because no comment was entered",! Q S IBNEW=$P($G(^IBM(361,DA,0)),U,9) ;if time out-no change in review status S IBFACT=$P($G(^IBM(361,DA,0)),U,10) I $G(IBFINAL),IBFACT="",IBNEW>1 D G STATUSQ . W !,"The review status was not changed because no final status was selected" . S DR=".09////"_IBOLD,DIE="^IBM(361," D ^DIE I IBNEW>1,$P(^IBM(361,DA,0),U,11) D . I "CR"'[IBFACT D .. W !,"NO FURTHER ACTION WILL BE ALLOWED REGARDING THIS ELECTRONIC MESSAGE" .. I $$PRINTUPD^IBCEU0("",$P(^IBM(361,DA,0),U,11)) D Q ... W !," SINCE THIS CLAIM WAS PRINTED AT THE CLEARINGHOUSE" ... S IBFACT="N" .. S DIR(0)="YA",DIR("A")="IS THIS THE FINAL ELECTRONIC MESSAGE YOU EXPECT TO RECEIVE FOR THIS BILL?: ",DIR("B")="NO" .. S DIR("?",1)="If you respond YES to this prompt, the transmit status of this bill will",DIR("?",2)=" be set to CLOSED. No further electronic processing of this bill will be" ..S DIR("?",3)=" allowed. If you respond NO to this prompt, this electronic message will",DIR("?",4)=" be filed as reviewed, but the bill's transmit status will not be changed." .. S DIR("?",5)=" You may wish to periodically print a list of bills with a non-final",DIR("?",6)=" (closed/cancelled/etc) status to ensure the electronic processing of all" .. S DIR("?",7)=" bills has been completed. Closing the transmit bill record here will",DIR("?")=" eliminate the bill from this list." .. W ! D ^DIR K DIR W ! .. Q:Y'=1 .. S DIR("A",1)="SINCE YOU HAVE INDICATED THIS BILL HAS RECEIVED ITS FINAL ELECTRONIC MESSAGE",DIR("A",2)=" AND NO FURTHER ACTION WILL BE TAKEN ON IT, THE STATUS OF THE TRANSMIT",DIR("A",3)=" RECORD FOR THIS BILL WILL BE CHANGED TO CLOSED" .. S DIR("A")="IS THIS WHAT YOU MEANT TO DO?: ",DIR("B")="YES",DIR(0)="YA" W ! D ^DIR W ! K DIR .. Q:Y'=1 .. S IBFACT="N" . I "NCR"[IBFACT D UPDEDI^IBCEM(+$P(^IBM(361,DA,0),U,11),IBFACT) Q S $P(IBX,U,12)=$S(IBNEW=1:"*",1:"") I IBOLD'=IBNEW D ;Note the change and who made it . D NOTECHG(IBDA,0),HDR,INIT L -^IBM(361,DA) S VALMBCK="R" Q ; NOTECHG(IBDA,IBAUTO,IBNTEXT,IBUSER) ; Enter who/when review stat change was entered ; IBDA = ien of entry in file 361 ; IBAUTO = flag to say auto-review was used (1=used, 0=not used) ; IBNTEXT = array containing the lines of text to store if not using the ; default text IBNTEXT = # of lines ; IBUSER = flag which says to also stuff the .02 reviewed by field N IBIEN,IBTEXT,DA,X,Y,DIC,DO,DLAYGO,DD S DA(1)=IBDA,DIC="^IBM(361,"_DA(1)_",2,",DIC(0)="L",DLAYGO=361.02 S X=$$NOW^XLFDT I $G(IBUSER),$G(DUZ) S DIC("DR")=".02////"_$G(DUZ) D FILE^DICN K DIC,DD,DO,DLAYGO Q:Y'>0 S DA(2)=DA(1),DA(1)=+Y,IBIEN=DA(1)_","_DA(2)_"," I $G(IBNTEXT) D . M IBTEXT=IBNTEXT E D . S IBTEXT(1)="REVIEW STATUS "_$S($G(IBAUTO):"AUTOMATICALLY ",1:"")_"CHANGED TO '"_$$EXTERNAL^DILFD(361,.09,,$P(^IBM(361,DA(2),0),U,9))_"' BY: "_$$EXTERNAL^DILFD(361.02,.02,,+$G(DUZ)) D WP^DIE(361.02,IBIEN,.03,,"IBTEXT") K ^TMP("DIERR",$J) Q ; STATUSQ ; D PAUSE^VALM1 S VALMBCK="R" Q ; COM ; Enter/Edit Review Comments ; IBA - EOB ien N DA,DIC,X,Y,DO,DD,DLAYGO,IBDA,IB0,IBNEW,IBCOM D FULL^VALM1 W ! S (IBDA(1),DA(1))=+$P(IBA,U,2) L +^IBM(361,IBDA(1)):3 I '$T D G COMQ . W !,*7,"Sorry, another user currently editing this entry." . D PAUSE^VALM1 ; S Z=0 F S Z=$O(^IBM(361,IBDA(1),2,Z)) Q:'Z I $P($G(^(Z,0)),U,2)=DUZ S IBCOM(DUZ,Z)="" S IBNEW=0 I '$D(IBCOM(DUZ)) D . N DO,DD,DIC,DLAYGO,DIR,X,Y . S DIR(0)="YA",DIR("B")="YES",DIR("A",1)="There are no comments previously entered by you",DIR("A")="Do you want to add a new comment?: " . S DIR("?",1)="You are only allowed to edit your own comments." . S DIR("?")="You may enter a new comment here." . D ^DIR K DIR . W ! . I Y'=1 S IBDA=-1 Q . D ADDCOM(.IBDA,.DUZ,.IBCOM) ; E D . S DIC="^IBM(361,"_IBDA(1)_",2,",DIC("S")="I $P(^(0),U,2)=DUZ",DIC(0)="AEMQ",DIC("A")="Select REVIEW DATE to edit or press ENTER to add a new comment: " D ^DIC K DIC S IBDA=+Y . I IBDA>0 D Q ;User selected an existing entry .. D ADDCOM(.IBDA,.DUZ,.IBCOM,1) .. I $D(^IBM(361,IBDA(1),2,IBDA)),'$O(^IBM(361,IBDA(1),2,IBDA,1,0)) D KILLREV(.IBDA) . S DIR(0)="YAO",DIR("A")="DO YOU WANT TO ADD A NEW REVIEW COMMENT?: ",DIR("B")="NO" D ^DIR K DIR Q:Y'=1 . D ADDCOM(.IBDA,.DUZ,.IBCOM) L -^IBM(361,IBDA(1)) G:IBDA'>0 COMQ D PAUSE^VALM1 D HDR,INIT COMQ S VALMBCK="R" Q ; ADDCOM(IBDA,DUZ,IBCOM,ADD) ; Add review comment to file 361 ; IBDA = array containing the DA references for the file add - ; pass by reference ; DUZ = ien of the user ; ADD = flag when set to 1 says the review date exists, ; just allow comment entry ; Returns IBDA = the entry # of the comment ; and IBCOM array referencing any comments added by the user ; N DA,DIC,DD,DO,DLAYGO,X,Y S DR=$S($G(DUZ):".02////"_DUZ_";",1:"")_".03" I '$G(ADD) D . K DO,DD . S DIC="^IBM(361,"_IBDA(1)_",2,",DA(1)=IBDA(1),X=$$NOW^XLFDT . W !,"New Review Date: "_$$FMTE^XLFDT(X,"2Z") . S DIC("DR")=DR,DLAYGO=361.02 . S DIC(0)="L",DIC("P")=$$GETSPEC^IBEFUNC(361,2) . D FILE^DICN K DIC,DD,DO,DLAYGO . S IBDA=+Y I IBDA>0 D . I $G(ADD) S DIE="^IBM(361,"_IBDA(1)_",2,",DA(1)=IBDA(1),DA=IBDA D ^DIE . I '$O(^IBM(361,IBDA(1),2,IBDA,0)) D KILLREV(.IBDA) Q . S IBCOM(DUZ,IBDA)="" Q ; KILLREV(IBDA) ; Deletes a review date if no comments entered N DA,DIK S DA=IBDA,DA(1)=IBDA(1),DIK="^IBM(361,"_IBDA(1)_",2," K IBCOM(DUZ,IBDA) D ^DIK Q ;