IBCEM03 ;ALB/TMP - 837 EDI RESUBMIT INDIVIDUAL BILL PROCESSING ;17-SEP-96 ;;2.0;INTEGRATED BILLING;**137,199,296,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. Q ; BILL2 ; Resubmit a transmitted bill with a new batch # N DIC,DIR,DIE,DA,DR,IB,IB0,IBDA,IBDA1,IBE,IBSTAT,IBBDA,IBOK,IBNEW,Y,ZTSK,IBTEST K ^TMP("IBEDI_TEST_BATCH",$J) ; S DIR("A")="ARE YOU RESUBMITTING CLAIMS FOR TESTING?: ",DIR("B")="NO",DIR(0)="YA" D ^DIR K DIR I $D(DTOUT)!$D(DUOUT) Q I +Y S ^TMP("IBEDI_TEST_BATCH",$J)=1 ASK N DPTNOFZY S DPTNOFZY=1 ;Suppress PATIENT file fuzzy lookups S IBTEST=+$G(^TMP("IBEDI_TEST_BATCH",$J)) ; Only auth or printed transmittable bill valid for non-test ; All previously transmitted valid for test S DIC="^DGCR(399,",DIC(0)="AEMQ",DIC("S")=$S('IBTEST:"I $P($G(^(""TX"")),U,2),$P($G(^(0)),U,13)'="""",""234""[$P($G(^(0)),U,13)",1:"I $O(^IBA(364,""B"",+Y,0))") I IBTEST S DIC("A")="Select BILL/CLAIMS BILL NUMBER (FOR RESUBMIT AS TEST): " D ^DIC K DIC I Y<0 D Q . Q:'IBTEST . I $O(^TMP("IBEDI_TEST_BATCH",$J,0)) D .. M ^TMP("IBRESUBMIT",$J)=^TMP("IBEDI_TEST_BATCH",$J) .. D ONE^IBCE837 . ; . K ^TMP("IBEDI_TEST_BATCH",$J),^TMP("IBRESUBMIT",$J) ; S IBIFN=+Y,IBDA=+$$LAST364^IBCEF4(IBIFN),IB0=$G(^IBA(364,IBDA,0)),IBSTAT=$P(IB0,U,3) ; I IB0="" W !,"Bill does not exist in BILL TRANSMISSION file" G ASK I IBTEST,$D(^TMP("IBEDI_TEST_BATCH",$J,IBDA)) W !,"Bill already selected for test transmission" G ASK I $$COBN^IBCEF(IBIFN)=1,IBTEST S IBOK=1 D G:'IBOK ASK . S DIR("A")="BILL IS A PRIMARY BILL, ARE YOU SURE YOU WANT TO SEND IT AS A TEST CLAIM?: " . S DIR("B")="NO",DIR(0)="YA" W ! D ^DIR K DIR . I Y'=1 S IBOK=0 ; I 'IBTEST,IBSTAT="X" W !,"Bill is currently awaiting extract - will be submitted with next batch run" G ASK S IBBDA=+$P(IB0,U,2),IB=$P($G(^IBA(364.1,IBBDA,0)),U,9) ; I IB,'IBTEST D G:'IBOK ASK . S IBOK=1,ZTSK=IB D STAT^%ZTLOAD . I ZTSK(0)=0 S DIE="^IBA(364.1,",DA=IBBDA,DR=".09///@" D ^DIE Q ;Task not scheduled - delete task # . I "125"[ZTSK(1) W *7,!,"Cannot resubmit this bill.",!,"This bill's current batch is already ",$S("2"[ZTSK(1):"being resubmitted",1:"scheduled for resubmission")," - Task # is: ",IB,! S IBOK=0 ; W ! S DIR("A",1)=" Previously In Batch #: "_$$EXPAND^IBTRE(364,.02,$P(IB0,U,2)) S DIR("A",2)="Bill Transmission Status: "_$$EXPAND^IBTRE(364,.03,IBSTAT) S DIR("A",3)=" Status Date: "_$$FMTE^XLFDT($P(IB0,U,4),2) S DIR("A",5)=" " S DIR("A",4)=" Current Bill Status: "_$$EXPAND^IBTRE(399,.13,$P($G(^DGCR(399,+IBIFN,0)),U,13)) I 'IBTEST,IBSTAT'="P" S DIR("A",11)="WARNING - BILL TRANSMITTED PREVIOUSLY" S:IBSTAT?1"A".E DIR("A",11)=DIR("A",11)_" & CONFIRMED AS RECEIVED BY "_$P("AUSTIN^GENTRAN^INTERMEDIARY^CARRIER",U,$TR(IBSTAT,"A")+1) S DIR("A")="ARE YOU SURE YOU WANT TO RESUBMIT THIS BILL"_$S('IBTEST:"",1:" AS A TEST CLAIM")_"?: " S DIR(0)="YA",DIR("B")="NO" D ^DIR K DIR ; W ! G:'Y ASK ; I IBTEST S ^TMP("IBEDI_TEST_BATCH",$J,IBDA)="" G ASK ; S IBDA1=+$$ADDTBILL^IBCB1(IBIFN) ;Add a new transmit bill record ; S Y=$$TX1^IBCB1(IBDA1,1) ; I 'Y D G ASK . W !,*7,"An error has occurred ... bill NOT re-submitted!!" . S DIK="^IBA(364,",DA=IBDA1 D:DA ^DIK . L -^IBA(364,IBDA) ; S IBNEW=$P($G(^IBA(364,+IBDA1,0)),U,2) ; ;Update the old transmit bill record D UPDEDI^IBCEM(IBDA,"R") ; W !,"Bill # ",$P($G(^DGCR(399,+IB0,0)),U)," was re-submitted in batch # ",$P($G(^IBA(364.1,+IBNEW,0)),U) ; L -^IBA(364,IBDA) G ASK ; PRINT1(IBIFN,IBDA,IB364,IBRESUB) ; Print bill, submit manually as resolution ; for a returned message ; IBIFN = ien of bill in file 399 ; IBDA = array returned from selection of message ; IB364 = ien of transmit bill entry in file 364 ; IBRESUB = flag to indicate if bill is being resubmitted via print ; N IBAC,IBV,IB399,DFN,ZTSK,PRCASV,IBHOLD,IBTXPRT W ! I IBIFN="" S IBDA="" G PRINT1Q S IB399=$G(^DGCR(399,IBIFN,0)) I "34"'[$P(IB399,U,13) W !,*7,"Bill status must be AUTHORIZED or PRNT/TX to print the bill" S IBDA="" G PRINT1Q ; I $P($G(^DGCR(399,IBIFN,"S")),U,14)=DT W !,*7,"This bill was last printed today. You must wait at least 1 day from the last",!,"print date to print this bill using this function." S IBDA="" D PAUSE^VALM1 G PRINT1Q ; S IBV=1,IBAC=4,DFN=$P(IB399,U,2),IBTXPRT=0 M IBHOLD("IBDA")=IBDA D 4^IBCB1,ENS^%ZISS M IBDA=IBHOLD("IBDA") ; I 'IBTXPRT W !,"Bill was not printed" S IBDA="" G PRINT1Q ; D UPDEDI^IBCEM(IB364,"P") ; PRINT1Q Q ; SUB1 ; Select bills in ready for extract status to transmit individually N IB0,IB399,IBDA,IBIFN,IBSEL,IBU,X,Y,DA,DIC,Z,DIR K ^TMP("IBSELX",$J) ; S IBSEL="" F D Q:'IBSEL . S DIR("S")="I $P(^(0),U,3)=""X""" . S DIR(0)="PAO^364:AEMQ",DIR("A")="SELECT "_$S($D(^TMP("IBSELX",$J)):"NEXT ",1:"")_"BILL TO TRANSMIT: " . S DIR("?")="ONLY BILLS IN 'READY FOR EXTRACT' STATUS CAN BE TRANSMITTED WITH THIS OPTION" . D ^DIR K DIR . I Y'>0 K:Y=U ^TMP("IBSELX",$J) S IBSEL="" Q . S IBSEL=+Y . S IBDA=+Y,IB0=$G(^IBA(364,IBDA,0)),IBIFN=+IB0,IBU=$G(^DGCR(399,IBIFN,"U")),IB399=$G(^(0)) . S Z=+$$NEEDMRA^IBEFUNC(IBIFN) . I '$$TXMT^IBCEF4(IBIFN,.IBNOTX),IBNOTX=2 D Q .. W !,$S(Z:"MRA",1:"EDI")_" TRANSMISSION PARAMETER HAS BEEN TURNED OFF",!!,"BILL CANNOT BE SELECTED" . ; . W ! . S DIR("A",1)=" YOU HAVE SELECTED BILL #: "_$P(IB399,U)_" ("_$S($$INPAT^IBCEF(IBIFN):"INPATIENT",1:"OUTPATIENT")_"/"_$S($$FT^IBCEF(IBIFN)=3:"UB-04",1:"CMS-1500")_" FORMAT)" . S DIR("A",2)=" PATIENT NAME: "_$E($P($G(^DPT(+$P(IB399,U,2),0)),U)_$J("",28),1,28)_" SSN: "_$P($G(^DPT(+$P(IB399,U,2),0)),U,9) . S DIR("A",3)=" CARE DATE(S): "_$$EXPAND^IBTRE(399,151,$P(IBU,U))_" - "_$$EXPAND^IBTRE(399,152,$P(IBU,U,2)) . S DIR("A",4)="'READY TO EXTRACT' STATUS DATE: "_$$EXPAND^IBTRE(364,.04,$P(IB0,U,4)) . S DIR("?",1)=" " . S DIR("A",5)=" ",DIR("?")="IF THIS IS THE BILL YOU WANT TO TRANSMIT, RESPOND YES, OTHERWISE, RESPOND NO" . S DIR("A")="ARE YOU SURE THIS IS THE CORRECT BILL TO TRANSMIT?: " . S DIR(0)="YAO",DIR("B")="NO" D ^DIR K DIR W ! . I Y'=1 W !,"BILL NOT SELECTED" Q . ; . S ^TMP("IBSELX",$J,IBDA)="" ; I '$O(^TMP("IBSELX",$J,0)) G SUB1Q ; W !,"Bills to be transmitted: " S Z=0 F S Z=$O(^TMP("IBSELX",$J,Z)) Q:'Z W !,?8,$P($G(^DGCR(399,+$G(^IBA(364,Z,0)),0)),U) W ! S DIR("A")="OK TO TRANSMIT NOW?: ",DIR(0)="YA0",DIR("B")="NO" D ^DIR K DIR G:Y'=1 SUB1Q W ! S ^TMP("IBSELX",$J)=0 D ONE^IBCE837 W !,"BILL(s) TRANSMITTED ... BATCH #(s): " S Z=0 F S Z=$O(^TMP("IBCE-BATCH",$J,Z)) Q:'Z W Z,$S($O(^(Z)):", ",1:"") I '$O(^TMP("IBCE-BATCH",$J,0)) W !,"NO BILL(S) TRANSMITTED - CHECK ALERTS/MAIL FOR DETAILS" ; SUB1Q D PAUSE^VALM1 K ^TMP("IBSELX",$J),^TMP("IBCE-BATCH",$J) Q ;