IBCEP1 ;ALB/TMP - EDI UTILITIES for provider ID ;13-DEC-99 ;;2.0;INTEGRATED BILLING;**137**;21-MAR-94 ; CAREID(IBFUNC,IBSEQ,IBIFN) ; Help text for a claim to determine the ; specific care unit needed for a given insurance co ; IBFUNC = "PERF" if looking for performing provider ; = "EMC" if looking for EMC provider # ; IBSEQ = the number of the COB sequence for the insurance co ; IBIFN = the ien of the bill in file 399 N Z,Z0,Z1,Z2 S Z0=$$INSSEQ(IBIFN,IBSEQ) S Z1=$S(IBFUNC="PERF":"performing provider id",1:"EMC id") S Z=$P($G(^DIC(36,+Z0,4)),U,$S(IBFUNC="PERF":9,1:8)) S Z2=$$PPTYP^IBCEP0(Z0) I $O(^IBA(355.96,"AC",Z0,Z2,0)) D . D EN^DDIOL("This insurance company needs a care unit "_$S(Z'="":"("_Z_") ",1:"")_"for their "_Z1) E D . D EN^DDIOL("This insurance company does not need a care unit for their "_Z1) Q ; INSSEQ(IBIFN,IBSEQ) ; Returns the ien of the insurance co for the COB ; sequence IBSEQ on bill ien IBIFN ; Returns 0 if no insurance co found Q +$$FINDINS^IBCEF1(IBIFN,IBSEQ) ; DUP(IBFLD,DA) ; Test if there is a duplicate record already on file (355.9) ; Function returns 1 if dup found, 0 if no dup found ; IBFLD = ien of the field being checked ; DA = the ien of the record being checked N DUP,Q,S1,S2,S3,S4,S5,S6,Z,Z0 S Q=$G(^IBA(355.9,+DA,0)),DUP=0 S S1=$S(IBFLD=.01:X,1:$P(Q,U)) S S2=$S(IBFLD=.02:X,1:$P(Q,U,15)),Z=$$EXPAND^IBTRE(355.9,.02,S2) S:Z="" Z="ALL INSURANCE CO" S:S2="" S2="*ALL*" S S3=$S(IBFLD=.03:X,1:$P(Q,U,16)),Z0=$$EXPAND^IBTRE(355.9,.03,S3) S:Z0="" Z0="ALL CARE UNITS" S S4=$S(IBFLD=.04:X,1:$P(Q,U,4)) S S5=$S(IBFLD=.05:X,1:$P(Q,U,5)) S S6=$S(IBFLD=.06:X,1:$P(Q,U,6)) I S1'="",S4'="",S5'="",S6'="",$O(^IBA(355.9,"AUNIQ",S1,S2,S3,S4,S5,S6,0)),$O(^(0))'=DA D . N MSG . S MSG(1)="Duplicate entry already on file:" . S MSG(1,"F")="!!?3" . S MSG(2)=$E($$EXPAND^IBTRE(355.9,.01,S1),1,25)_" "_$E(Z,1,29)_" "_$E(Z0,1,17) . S MSG(2,"F")="!?5" . S MSG(3)=$$EXPAND^IBTRE(355.9,.04,S4)_" "_$$EXPAND^IBTRE(355.9,.05,S5)_" "_$$EXPAND^IBTRE(355.9,.06,S6) . S MSG(3,"F")="!?5" . S MSG(4)=" ",MSG(4,"F")="!" . D EN^DDIOL(.MSG) . S DUP=1 Q DUP ; DUP1(IBFLD,DA) ; Test if there is a duplicate record already on file (355.91) ; Function returns 1 if dup found, 0 if no dup found ; IBFLD = ien of the field being checked ; DA = the ien of the record being checked N DUP,Q,S1,S2,S3,S4,S5,Z0 S Q=$G(^IBA(355.91,+DA,0)),DUP=0 S S1=$S(IBFLD=.01:X,1:$P(Q,U)) S S2=$S(IBFLD=.03:X,1:$P(Q,U,10)),Z0=$$EXPAND^IBTRE(355.91,.03,S2) S:Z0="" Z0="ALL CARE UNITS" S S3=$S(IBFLD=.04:X,1:$P(Q,U,4)) S S4=$S(IBFLD=.05:X,1:$P(Q,U,5)) S S5=$S(IBFLD=.06:X,1:$P(Q,U,6)) I S1'="",S3'="",S4'="",S5'="",$O(^IBA(355.91,"AUNIQ",S1,S2,S3,S4,S5,0)),$O(^(0))'=DA D . N MSG . S DUP=1 . S MSG(1)="Duplicate entry already on file:",MSG(1,"F")="!!?3" . S MSG(2)=$E($$EXPAND^IBTRE(355.91,.01,S1),1,25)_" "_$E(Z0,1,30) . S MSG(2,"F")="!?5" . S MSG(3)=$$EXPAND^IBTRE(355.91,.04,S3)_" "_$$EXPAND^IBTRE(355.91,.05,S4)_" "_$$EXPAND^IBTRE(355.91,.06,S5) . S MSG(3,"F")="!?5",MSG(4)=" ",MSG(4,"F")="!" . D EN^DDIOL(.MSG) Q DUP ;