IBCEP0 ;ALB/TMP - Functions for PROVIDER ID MAINTENANCE ;13-DEC-99 ;;2.0;INTEGRATED BILLING;**137,191,239,232,320,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; EN ; -- main entry point for IBCE PRV INS ID N IBINS,IBDSP,IBSORT,IBPRV ; Variables should be available throughout actions K IBFASTXT D FULL^VALM1 D EN^VALM("IBCE PRVINS ID") Q ; EN1(IBINS) ; Entrypoint from insurance co maintenance N IBDSP,IBSORT ; Variables should be available throughout actions D FULL^VALM1 D EN^VALM("IBCE PRVINS ID FROM INS MAINT") Q ; HDR ; -- header code N Z,Z0,Z1,IBCT,IBPPTYP,IBEMCTYP S IBCT=1 K VALMHDR I $G(IBINS) D . N PCF,PCDISP . S PCF=$P($G(^DIC(36,+IBINS,3)),U,13) . S PCDISP=$S(PCF="C":"(Child)",PCF="P":"(Parent)",1:"") . S VALMHDR(1)="Insurance Co: "_$P($G(^DIC(36,+IBINS,0)),U)_" "_PCDISP . ; Get performing provider id type for insurance co . S IBPPTYP=$$PPTYP(IBINS) . ; Get ien of EMC ID from file 355.97 . S IBEMCTYP=+$$EMCID^IBCEP() . I $G(IBSORT)="ALL"!($G(IBDSP)="I")!($G(IBSORT)=IBPPTYP)!($G(IBSORT)=IBEMCTYP) D .. ; Look for care unit in either of these id types - if there, report on line 2 of header .. I $G(IBSORT)=IBPPTYP S IBEMCTYP=0 .. I $G(IBSORT)=IBEMCTYP S IBPPTYP=0 .. F Z0=IBPPTYP_"P",IBEMCTYP_"E" S Z1="" F S Z1=$O(^IBA(355.96,"D",+IBINS,+Z0,Z1)) Q:Z1="" I Z1'="*N/A*" S Z($E(Z0,$L(Z0)))=1 Q .. I $D(Z("P"))!$D(Z("E")) D ... S IBCT=IBCT+1 ... S VALMHDR(IBCT)=" "_$S($D(Z("P")):"PERFORMING PROV ID"_$S($D(Z("E")):" AND ",1:""),1:"")_$S($D(Z("E")):"EMC PROV ID",1:"")_" MAY REQUIRE CARE UNIT" . I $D(Z("P"))!$D(Z("E")) S IBCT=IBCT+1,VALMHDR(IBCT)=" " . S IBCT=IBCT+1,VALMHDR(IBCT)=" PROVIDER "_$S($G(IBDSP)="I":"ID TYPE",1:"NAME ")_$J("",6)_"FORM CARE TYPE CARE UNIT ID#" Q ; INIT ; Initialization K ^TMP("IB_EDITED_IDS",$J) ; This will be to keep track of ID's edited during this session D INSID(.IBINS,.IBDSP,.IBSORT) I $G(IBDSP)="I",$G(IBSORT) S IBPRV=IBSORT I '$G(IBINS) S VALMQUIT=1 Q ; INSID(IBINS,IBDSP,IBSORT) ; N DIC,DIR,DA,X,Y,IBOK,DTOUT,DUOUT S IBOK=1 I '$G(IBINS) D . S DIC(0)="AEMQ",DIC="^DIC(36," D ^DIC . I Y'>0 S IBOK=0 Q . S IBINS=+Y I '$G(IBINS) S IBOK=0 I 'IBOK G INSIDQ ; S DIR(0)="SA^D:INSURANCE CO DEFAULT IDS;I:INDIVIDUAL PROVIDER IDS FURNISHED BY THE INS CO;A:ALL IDS FURNISHED BY THE INS CO BY PROVIDER TYPE" S DIR("A")="SELECT DISPLAY CONTENT: ",DIR("B")="A" S DIR("?",1)="(D) DISPLAY CONTAINS ONLY THOSE IDS ASSIGNED AS DEFAULTS TO THE FACILITY BY",DIR("?",2)=" THE INSURANCE COMPANY" S DIR("?",3)="(I) DISPLAY CONTAINS ONLY THOSE IDS ASSIGNED TO INDIVIDUAL PROVIDERS BY THE",DIR("?",4)=" INSURANCE COMPANY" S DIR("?",5)="(A) DISPLAY CONTAINS ALL IDS ASSIGNED BY THE INSURANCE COMPANY FOR ONE OR ALL",DIR("?")=" PROVIDER ID TYPES" W ! D ^DIR K DIR W ! I $D(DTOUT)!$D(DUOUT)!("DIA"'[Y) S IBOK=0 G INSIDQ S IBDSP=Y,IBSORT="" I IBDSP="A"!(IBDSP="I") F D Q:'IBOK!(IBSORT'="") . N Z . S Z=$S(IBDSP="I":"",1:" ID TYPE") . S DIR("A")="DO YOU WANT TO DISPLAY IDS FOR A SPECIFIC PROVIDER"_Z_"?: ",DIR("B")="NO",DIR(0)="YA" . S DIR("?",1)="IF YOU ANSWER YES TO THIS QUESTION, YOU MAY SELECT A SPECIFIC PROVIDER"_Z,DIR("?")=" TO DISPLAY, OTHERWISE, ALL PROVIDER"_Z_"S FOUND WILL BE DISPLAYED" . W ! D ^DIR K DIR W ! . I $D(DTOUT)!$D(DUOUT) S IBOK=0 Q . I Y'=1 S IBSORT="ALL" Q . ; . I IBDSP="A" D Q .. S DIC(0)="AEMQ",DIC="^IBE(355.97,",DIC("S")="I $S('$P(^(0),U,2):1,1:$P(^(0),U,2)=3)" D ^DIC K DIC .. I Y>0 S IBSORT=+Y Q .. I $D(DTOUT)!$D(DUOUT) S IBOK=0 . ; . I IBDSP="I" D Q .. N DA .. S DIR(0)="399.0222,.02A",DIR("A")="SELECT PROVIDER: " .. W ! D ^DIR K DIR W ! .. I Y>0 S IBSORT=Y Q .. I $D(DTOUT)!$D(DUOUT) S IBOK=0 Q . S IBOK=0 Q ; G:'IBOK INSIDQ D BLD(IBINS,IBDSP,IBSORT) INSIDQ I 'IBOK S VALMQUIT=1 Q ; BLD(IBINS,IBDSP,IBSORT) ; Build display for Insurance co level provider ID's N IB,IBENT,IBLCT,IBCT,IBPRV,IBSRT1,IBSRT2,IBOSRT1,IBOSRT2,CU,FT,PT,CT,Z,Z0 K ^TMP("IBPRV_INS_ID",$J),^TMP("IBPRV_INS_SORT",$J) ; S (IBENT,IBCT,IBLCT)=0 ; I "DA"[$G(IBDSP) D . S CU="" F S CU=$O(^IBA(355.91,"AUNIQ",IBINS,CU)) Q:CU="" S FT="" F S FT=$O(^IBA(355.91,"AUNIQ",IBINS,CU,FT)) Q:FT="" D .. S CT="" F S CT=$O(^IBA(355.91,"AUNIQ",IBINS,CU,FT,CT)) Q:CT="" S PT=0 F S PT=$S(IBDSP="A"&IBSORT:IBSORT,1:$O(^IBA(355.91,"AUNIQ",IBINS,CU,FT,CT,PT))) Q:'PT D Q:IBDSP="A"&IBSORT ... S Z=0 F S Z=$O(^IBA(355.91,"AUNIQ",IBINS,CU,FT,CT,PT,Z)) Q:'Z S IB=$G(^IBA(355.91,Z,0)) S ^TMP("IBPRV_INS_SORT",$J,PT,"^<>",FT,CT,CU,Z)=$P(IB,U,7)_U ; I "IA"[$G(IBDSP) D . S IBPRV="" . N IB1,IB2 . F S IBPRV=$O(^IBA(355.9,"AE",IBINS,IBPRV)) Q:'IBPRV S Z=0 F S Z=$O(^IBA(355.9,"AE",IBINS,IBPRV,Z)) Q:'Z S IB=$G(^IBA(355.9,Z,0)) D .. Q:$P(IB,U,4)=""!($P(IB,U,5)="")!($P(IB,U,6)="")!($P(IB,U,16)="") .. I IBSORT,$S(IBDSP="I":IBPRV'=IBSORT,1:$P(IB,U,6)'=IBSORT) Q .. S IB1=$S(IBDSP="A":$P(IB,U,6),1:U_$$EXPAND^IBTRE(355.9,.01,IBPRV)_U_IBPRV) .. S IB2=$S(IBDSP="I":$P(IB,U,6),1:U_$$EXPAND^IBTRE(355.9,.01,IBPRV)_U_IBPRV) .. S ^TMP("IBPRV_INS_SORT",$J,IB1,IB2,$P(IB,U,4),$P(IB,U,5),$P(IB,U,16),Z)=$P(IB,U,7)_U_IBPRV ; S IBOSRT1="" S IBSRT1="" F S IBSRT1=$O(^TMP("IBPRV_INS_SORT",$J,IBSRT1)) Q:IBSRT1="" D . S IBSRT2="",IBOSRT2="" . F S IBSRT2=$O(^TMP("IBPRV_INS_SORT",$J,IBSRT1,IBSRT2)) Q:IBSRT2="" D .. I IBOSRT1'=IBSRT1 D ... I IBOSRT1'="" S IBLCT=IBLCT+1 D SET^VALM10(IBLCT," ",IBCT+1) ... S IBLCT=IBLCT+1 D SET^VALM10(IBLCT,$S(IBDSP'="I":"ID Qualifier",1:"Provider")_": "_$S(IBDSP'="I":$$EXPAND^IBTRE(355.91,.06,IBSRT1),1:$P(IBSRT1,U,2_$S($P(IBSRT2,U,3)["VA(200":" (VA)",1:"(NON-VA)"))),IBCT+1) ... S IBOSRT1=IBSRT1 .. ; .. S FT="" F S FT=$O(^TMP("IBPRV_INS_SORT",$J,IBSRT1,IBSRT2,FT)) Q:FT="" S CT="" F S CT=$O(^TMP("IBPRV_INS_SORT",$J,IBSRT1,IBSRT2,FT,CT)) Q:CT="" D ... S CU="" F S CU=$O(^TMP("IBPRV_INS_SORT",$J,IBSRT1,IBSRT2,FT,CT,CU)) Q:CU="" S Z=0 F S Z=$O(^TMP("IBPRV_INS_SORT",$J,IBSRT1,IBSRT2,FT,CT,CU,Z)) Q:'Z S IB=$G(^(Z)) D .... S IBLCT=IBLCT+1,IBCT=IBCT+1 .... S Z0=$E(IBCT_$J("",4),1,4)_" " .... I IBDSP'="I" S Z0=Z0_$E($S(IBOSRT2'=IBSRT2:$P(IBSRT2,U,2),1:"")_$J("",20),1,20) .... I IBDSP="I" S Z0=Z0_$E($S(IBOSRT2'=IBSRT2:$$EXPAND^IBTRE(355.9,.06,IBSRT2),1:"")_$J("",20),1,20) .... S IBOSRT2=IBSRT2 .... S Z0=Z0_" "_$S(FT=1:"UB-04",FT=2:"1500 ",1:"BOTH ")_" "_$E($S(CT=3:"RX",CT=1:"INPT",CT=2:"OUTPT",1:"INPT/OUTPT")_$J("",11),1,11)_" "_$E($S(CU'="*N/A*":$P($G(^IBA(355.95,+$P($G(^IBA(355.96,+CU,0)),U),0)),U),1:"")_$J("",15),1,15) .... D SET^VALM10(IBLCT,Z0_" "_$P(IB,U),IBCT) .... S ^TMP("IBPRV_INS_ID",$J,"ZIDX",IBCT)=Z,^(IBCT,"PRV")=$P(IB,U,2) .... I '$D(^TMP("IBPRV_INS_ID",$J,$S(IBDSP="I":"ZXPRV",1:"ZXPTYP"),IBSRT1)) S ^(IBSRT1)=IBLCT-1 K ^TMP("IBPRV_INS_SORT",$J) ; I IBLCT=0 D G BLDQ ; No entries found . D SET^VALM10(1," ") . S Z=" No "_$S(IBDSP="D":"default ",1:"") . S Z=Z_"ID's found for "_$S(IBDSP="I":"provider "_$S(IBSORT:"("_$$EXPAND^IBTRE(355.9,.01,IBSORT)_") ",1:"")_"and ",IBDSP="A":"provider type "_$S(IBSORT:"("_$$EXPAND^IBTRE(355.9,.06,IBSORT)_") ",1:"")_"and ",1:"")_"insurance co" . D SET^VALM10(2,Z) . S IBLCT=2 ; BLDQ S VALMCNT=IBLCT,VALMBG=1 Q ; EXPND ; Q ; HELP ; Q ; EXIT ; K IBFASTXT D COPYPROV^IBCEP5A(IBINS) K ^TMP("IBPRV_INS_ID",$J) D CLEAN^VALM10 Q ; SEL(IBDA,MANY) ; Select from provider id list ; IBDA is passed by reference and IBDA(1) returned containing ; ien's of the provider id records selected (file 355.9). ; If > 1 entry can be selected, MANY is set to 1 N Z S IBDA=0 D EN^VALM2($G(XQORNOD(0)),$S($G(MANY):"",1:"S")) S Z=0 F S Z=$O(VALMY(Z)) Q:'Z S IBDA=IBDA+1,IBDA(IBDA)=+$G(^TMP("IBPRV_INS_ID",$J,"ZIDX",Z))_U_$G(^(Z,"PRV")) Q ; ENX(IBINS1) ; Insurance co level defaults for all providers or ; for all providers by care unit N DIC,DIE,DR,DA,X,Y,DLAYGO I '$G(IBINS1) D G:'$G(IBINS1) ENQ . S DIC="^IBA(355.91,",DIC(0)="AELMQ",DLAYGO=355.91 D ^DIC . I Y>0 S IBINS1=+Y S DIE="^IBA(355.91,",DA=IBINS1,DR=".01;.06;.04;.05;.03;.07" D ^DIE ; ENQ Q ; PPTYP(IBINS) ; Returns the ien of the default performing provider type for ; insurance company IBINS (ien file 36) Q +$G(^DIC(36,+IBINS,4)) ; SCREEN(WHICH) ; This screen is used the menu protocol to screen out the ID functions if it is a child ins co Q:'$G(DA) 0 Q:'$G(DA(1)) 0 N FILE,IENS,FIELD,FLAG,TARGET S FILE=101.01,IENS=DA_","_DA(1),FIELD=".01",FLAG="I" D GETS^DIQ(FILE,IENS,FIELD,FLAG,"TARGET") Q:'$D(TARGET) 0 N IEN S IEN=$G(TARGET(FILE,IENS_",",FIELD,FLAG)) Q:'+IEN 0 S FILE=101,FIELD=1,FLAG="E" K TARGET D GETS^DIQ(FILE,IEN,FIELD,FLAG,"TARGET") Q:'$D(TARGET) 0 I $G(TARGET(FILE,IEN_",",FIELD,FLAG))'[WHICH Q 1 Q:'$G(IBINS) 0 N PCF S PCF=$P($G(^DIC(36,+IBINS,3)),U,13) I PCF="C" Q 0 Q 1