IBCEF61 ;ALB/TMP - EDI TRANSMISSION RULES DEFINITION ;28-APR-99 ;;2.0;INTEGRATED BILLING;**137**;21-MAR-94 ; SELRULE(IBRULE) ; Select rule D FULL^VALM1 S IBRULE="" N IBR,IB D EN^VALM2($G(XQORNOD(0)),"S") S IBR=0 F S IBR=$O(VALMY(IBR)) Q:'IBR S IB=$G(^TMP("IBCE-RULEDX",$J,IBR)),IBRULE=+$P(IB,U,2) Q ; ACTIVE(IBRULE) ; Edit rules' active/inactive dates ; IBRULE = ien of rule in file 364.4 ; G:'$G(IBRULE) ACTQ N DA,DR,DIE,X,Y,Z,Z0 S DA=$G(IBRULE),DIE="^IBE(364.4," S DR=".02;.06" D ^DIE I $D(Y) S IBRULE=0 G ACTQ D REBLD^IBCEF6($G(IBACTIVE)) ACTQ S VALMBCK="R" Q ; SCRACT ; Rebld display - only currently active S IBACTIVE=1 D REBLD^IBCEF6(1) S VALMBCK="R" Q ; NOSCR ; Rebld display - inactive and currently active S IBACTIVE=0 D REBLD^IBCEF6(0) S VALMBCK="R" Q ; BILTYP(IBRULE) ; Allow to edit bill types for rule ; IBRULE = ien of rule - file 364.4 ; G:'$G(IBRULE) BILTYPQ N DA,DR,DIE,X,Y,Z,Z0,IBRT,IB,IBOK,IBCT S DA=$G(IBRULE),DIE="^IBE(364.4,",IBRT=$P($G(^IBE(364.4,IBRULE,0)),U,11) I $S(IBRT=9:0,1:IBRT'=1) D G BILTYPQ . W ! . S DIR(0)="EA",DIR("A",1)="RULE TYPE '"_$$EXPAND^IBTRE(364.4,.11,IBRT)_"' DOES NOT ALLOW BILL TYPE RESTRICTIONS",DIR("A")="PRESS RETURN " D ^DIR K DIR W ! S (IBO,IBCT)=0 ;Extract existing entries F S IBO=$O(^IBE(364.4,IBRULE,"BTYP",IBO)) Q:'IBO S IBX=$P($G(^(IBO,0)),U),IBO(IBX)=IBO_U_$P(^(0),U,2,3),IBCT=IBCT+1,IB(364.41,IBCT,.01)=IBX,IBI(IBX)=IBCT F Z=2,3 I $P(IBO(IBX),U,Z)'="" S IB(364.41,IBCT,Z/100)=$P(IBO(IBX),U,Z) ; Display entries, allow to add/edit/delete D EN^IBCEF62 BILTYPQ S VALMBCK="R" Q ; SEL(VALMY) ; Select one or more bill type restriction entries ; VALMY = passed by reference and returned subscripted by ; entry #(s) in the LM array selected ; N Z D FULL^VALM1 N IBR D EN^VALM2($G(XQORNOD(0))) Q ; BTEDIT(IBRULE) ; Edit bill type restriction dates ; IBRULE = ien of the bill type restriction being edited ; (0)= ien of the RULE - file 364.4 G:'$G(IBRULE) BTEQ ; N DA,DIE,DR,Y,X,VALMY,Z,IBBT ; S IBCT=0 D SEL(.VALMY) G:'$O(VALMY(0)) BTEQ ; None selected ; S Z=0 F S Z=$O(VALMY(Z)) Q:'Z S IBBT=+$G(^TMP("IBCE-BTDX",$J,Z)) I IBBT D . S DA(1)=IBRULE,DA=IBBT,DIE="^IBE(364.4,"_DA(1)_",""BTYP"",",DR=".02;.03" . W !!,"Bill Type Restriction #"_Z_" - "_$E($G(^TMP("IBCE-BT",$J,Z,0)),5,50),! . D ^DIE . D REBLD^IBCEF62 ; BTEQ S VALMBCK="R" Q ; BTADD(IBRULE) ; Add new bill type restrictions ; IBRULE = ien of rule entry - file 364.4 N IB,IBCT,Z,IBOK D FULL^VALM1 G:'$G(IBRULE) BTAQ ; S (IBCT,Z)=0 S Z=0 F S Z=$O(^IBE(364.4,IBRULE,"BTYP",Z)) Q:'Z S IBCT=IBCT+1,IB(364.41,IBCT,.01)=$P($G(^(Z,0)),U) ; D BTYP^IBCEF51(.IB,.IBOK,0) ; I IBOK D . N Z . S Z=0 F S Z=$O(^IBE(364.4,IBRULE,"BTYP",Z)) Q:'Z S DA=Z,DA(1)=IBRULE,DIK="^IBE(364.4,"_DA(1)_",""BTYP""," D ^DIK . D ADDBTYP(.IB,IBRULE) . D REBLD^IBCEF62 D SUCCESS(IBOK) ; BTAQ S VALMBCK="R" Q ; INSCO(IBRULE) ; Allow user to edit rule's ins co data ; IBRULE = ien of rule - file 364.4 ; G:'$G(IBRULE) INSCOQ N DA,DR,DIE,X,Y,Z,Z0,IB,IB0 S DA=$G(IBRULE),DIE="^IBE(364.4," S IB0=$G(^IBE(364.4,IBRULE,0)),IB(".07O")=$P(IB0,U,7) S DR=$S($P(IB0,U,3)'=2:".07;S Y=$S(X=1:""@10"",X=2:""@20"",1:""@99"");",1:"")_"@10;3;S Y=""@99"";@20;2;S Y=""@99"";@99" D ^DIE S IB(.07)=$P($G(^IBE(364.4,IBRULE,0)),U,7) ; I IB(".07O"),IB(".07O")'=IB(.07),IB(".07O")'=3 D ; Delete 'old' includes/excludes . S Z=$P("3^2",U,+IB(".07O")),Z0=0 F S Z0=$O(^IBE(364.4,IBRULE,Z,Z0)) Q:'Z0 S DA=Z0,DA(1)=IBRULE,DIK="^IBE(364.4,"_DA(1)_","_Z_"," D ^DIK ; ; If all ins cos selected, delete existing specific ones in/excluded I 'IB(.07)!(IB(.07)=3) D . Q:IB(".07O")=IB(.07) . F Z=2,3 I $O(^IBE(364.4,IBRULE,Z,0)) S Z0=0 F S Z0=$O(^IBE(364.4,IBRULE,Z,Z0)) Q:'Z0 S DA=Z0,DA(1)=IBRULE,DIK="^IBE(364.4,"_DA(1)_","_Z_"," D ^DIK E D . Q:$O(^IBE(364.4,IBRULE,$S(IB(.07)=1:3,1:2),0)) . W !,"Warning ... no insurance companies chosen to "_$S(IB(.07)=1:"in",1:"ex")_"clude" . D QUIT^IBCEF5 D REBLD^IBCEF6($G(IBACTIVE)) ; INSCOQ S VALMBCK="R" Q ; MISC(IBRULE) ; Edit other misc fields for the rule ; IBRULE = ien of rule - file 364.4 ; I $G(IBRULE) D . N DA,DR,DIE,X,Y,Z,Z0 . S DA=$G(IBRULE),DIE="^IBE(364.4," . S DR=".08;1;4" . D ^DIE . D REBLD^IBCEF6($G(IBACTIVE)) S VALMBCK="R" Q ; DISPRUL(IBRULE) ; Display rule selected ; IBRULE = ien of rule - file 364.4 ; I '$G(IBRULE) D FULL^VALM1 N DIOBEG,FR,TO,BY,DIC,DA,L,FLDS,DHD S (FR,TO)=$G(IBRULE),DHD="[IBCE RULE DISPLAY HEADER]" S L=0,BY="@RULE NUMBER",DIC="^IBE(364.4,",FLDS="[IBCE RULE DISPLAY]" S DIOBEG="W !" W !! D EN1^DIP DISPRQ S VALMBCK="R" D PAUSE^VALM1 Q ; SUCCESS(IBOK) ; Display msg after add rule ; IBOK = 1 if successful, 0 if not ; N DIR,Y,X S DIR(0)="EA" W ! I $G(IBOK) S DIR("A",1)="TRANSMISSION RULE(s) HAVE BEEN SUCCESSFULLY FILED" I '$G(IBOK) S DIR("A",1)="NO TRANSMISSION RULES ADDED" S DIR("A")="PRESS RETURN " D ^DIR K DIR S VALMBCK="R" Q ; ADDBTYP(IB,IBDA1) ; Add bill types in IB(364.41) to rule IBDA1 ; N Z,Z0,IBC I $D(IB(364.41)) D . S IBC=0 F S IBC=$O(IB(364.41,IBC)) Q:'IBC D .. N DO,DD,DIC,DLAYGO,DA,X,Y .. S Z=.01 F S Z=$O(IB(364.41,IBC,Z)) Q:'Z S Z0=$G(IB(364.41,IBC,Z)) I Z0'="" D ;Bill type excepts ... S DIC("DR")=$G(DIC("DR"))_$S($G(DIC("DR"))="":"",1:";")_Z_"///"_Z0 .. I '$D(^IBE(364.4,IBDA1,"BTYP",0)) S DIC("P")=$$GETSPEC^IBEFUNC(364.4,.1) .. S X=IB(364.41,IBC,.01) .. S DA(1)=IBDA1,DIC="^IBE(364.4,"_IBDA1_",""BTYP"",",DIC(0)="L",DLAYGO=364.4 .. D FILE^DICN Q ; INSADD(IB,IBDA1) ; Add ins co exceptions from entries in ; IB(364.42 - exclude) or IB(364.43 - include) to rule IBDA1 ; N Z,IBNODE,Z0 F Z=364.42,364.43 S IBNODE=$E(Z,$L(Z)),Z0=0 F S Z0=$O(IB(Z,Z0)) Q:'Z0 D . N DO,DD,DIC,DLAYGO,DA . I '$D(^IBE(364.4,IBDA1,IBNODE,0)) S DIC("P")=$$GETSPEC^IBEFUNC(364.4,IBNODE) . S DA(1)=IBDA1,DIC="^IBE(364.4,"_IBDA1_","_IBNODE_",",DIC(0)="L",DLAYGO=364.4,X=Z0 . D FILE^DICN K DIC Q ; BTDTOK(IBRULE,IBBT,IBDTYP,X) ; Check bill type date is consistent for rule ; IBRULE = ien of rule - file 364.4 ; IBBT = ien of bill type in rule IBRULE (optional if check at top level) ; IBDTYP = 1 for active date check, 2 for inactive date check ; X = Value of date being validated ; ; Function returns 1 if consistencies are OK, 0 if not ; N IBOK,IBPCK,Z S IBOK=1 S IBPCK=$S(IBDTYP=1:2,1:6) ; ; Check for consistency at rule level first ; ; Active dt must not be after rule's inact dt I IBDTYP=1,$P($G(^IBE(364.4,IBRULE,0)),U,6),X>$P(^(0),U,6) S Z=$$FMTE^XLFDT($P($G(^IBE(364.4,IBRULE,0)),U,6)) D EN^DDIOL("CANNOT BE AFTER RULE'S INACTIVE DATE OF "_$S('Z:"",1:Z),,"!!") S IBOK=0 G BTDTQ ; ; Inact dt must not be prior to rule's active dt I IBDTYP=2,$S('$P($G(^IBE(364.4,IBRULE,0)),U,2):'$G(IBBT),1:X<$P($G(^(0)),U,2)) S Z=$$FMTE^XLFDT($P($G(^IBE(364.4,IBRULE,0)),U,2)) D EN^DDIOL("CANNOT BE BEFORE RULE'S ACTIVE DATE OF "_$S('Z:"",1:Z),,"!!") S IBOK=0 G BTDTQ ; I $G(IBBT) D ; Check for consistency at the bill type level . ; Active dt at bt level must be prior to inactive dt . I IBDTYP=1,$P($G(^IBE(364.4,IBRULE,"IBTYP",IBBT,0)),U,3),X>$P(^(0),U,3) S Z=$$FMTE^XLFDT($P(^IBE(364.4,IBRULE,"IBTYP",IBBT,0),U,3)) D EN^DDIOL("MUST BE PRIOR TO BILL TYPE'S INACTIVE DATE OF "_$S('Z:"",1:Z),,"!!") S IBOK=0 Q . ; Inactive dt at bt level must be after active dt . I IBDTYP=2,$S('$P($G(^IBE(364.4,IBRULE,"IBTYP",IBBT,0)),U,2):1,1:X<$P(^(0),U,2)) S Z=$$FMTE^XLFDT($P($G(^IBE(364.4,IBRULE,"IBTYP",IBBT,0)),U,2)) D EN^DDIOL("MUST BE AFTER BILL TYPE'S ACTIVE DATE OF "_$S('Z:"",1:Z),,"!!") S IBOK=0 Q . ; . S Z=0 . F S Z=$O(^IBE(364.4,IBRULE,"BTYP",Z)) Q:'Z S Z0=$G(^(Z,0)) D Q:'IBOK .. I $P(Z0,U,IBDTYP+1),$S(IBDTYP=1:X<$P(Z0,U,2),1:X>$P(Z0,U,3)) D EN^DDIOL("CHANGE WOULD INVALIDATE BILL TYPE RESTRICTION DATE",,"!!") S IBOK=0 BTDTQ Q IBOK ;