IBCEP4 ;ALB/TMP - EDI UTILITIES for provider ID ;29-SEP-00 ;;2.0;INTEGRATED BILLING;**137,320,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; EN ; -- main entry point N IBINS,IBALL,IB95 D ENX Q ; EN1(IBINS) ; -- Entry point from provider number maintenence N IBPRV,IBALL,IB95 D ENX Q ; ENX ; Common call to list template for dual entry points N IBSLEV,DIR,Y K IBFASTXT D FULL^VALM1 S DIR(0)="SA^1:Care Units for Performing Provider IDs;2:Care Units for Billing Provider Secondary IDs" S DIR("A")="Enter Type of Care Unit: ",DIR("B")=$P($P(DIR(0),":",2),";") W ! D ^DIR K DIR W ! I Y'>0 Q S IBSLEV=+Y I IBSLEV=2 D EN^VALM("IBCE 2ND PRVID CARE UNIT MAINT") Q D EN^VALM("IBCE PRVCARE UNIT MAINT") Q ; HDR ; -- header K VALMHDR S VALMHDR(1)=" " S VALMHDR(2)="Insurance Co: "_$S('$G(IBALL)&$G(IBINS):$P($G(^DIC(36,+IBINS,0)),U),1:"ALL") Q ; INIT ; -- init variables, list array N Z,IB,IBLCT,IBENT,IBNM,IB0,Z0,Z1,IBQ,DIR,Y,X I $G(IBINS) S Y=IBINS ; For entrypoint from provider number maintenance ; I '$G(IBINS) D . S DIR(0)="PA^DIC(36,:AEMQ",DIR("A")="Select INSURANCE CO: ",DIR("?")="Select an INSURANCE CO to display its care units" . D ^DIR K DIR . I $D(DTOUT)!$D(DUOUT) S Y=-2 Q . I Y>0 S IBINS=+Y Q ; I Y'=-2 D . D BLD E D . S VALMQUIT=1 Q ; BLD ; Bld display - IBINS must = ien of file 36 K ^TMP("IBPRV_CU",$J) ; I $G(IBSLEV)=2 Q ; S (IBENT,IBLCT)=0,IBNM="" F S IBNM=$O(^IBA(355.95,"C",IBINS,IBNM)) Q:IBNM="" S Z=0 F S Z=$O(^IBA(355.95,"C",IBINS,IBNM,Z)) Q:'Z S IB=$G(^IBA(355.95,Z,0)) I IB'="",$P(IB,U,4)="" D . S IBLCT=IBLCT+1,IBENT=IBENT+1 . I '$D(^IBA(355.96,"AUNIQ",IBINS,Z)) D SET^VALM10(IBLCT,$E(IBENT_" ",1,4)_$E($P(IB,U)_$J("",30),1,30)_" "_$E($P(IB,U,2)_$J("",20),1,20)_" (NO COMBINATIONS FOUND)",IBENT) Q . D SET^VALM10(IBLCT,$E(IBENT_" ",1,4)_$E($P(IB,U)_$J("",30),1,30)_" "_$E($P(IB,U,2)_$J("",20),1,20),IBENT) . S ^TMP("IBPRV_CU",$J,"ZIDX",IBENT)=Z . S Z0=0 F S Z0=$O(^IBA(355.96,"AE",Z,Z0)) Q:'Z0 S Z1=0 F S Z1=$O(^IBA(355.96,"AE",Z,Z0,Z1)) Q:'Z1 S IB0=$G(^IBA(355.96,Z1,0)) I IB0'="" D .. S IBLCT=IBLCT+1 .. S IBQ=$J("",28)_"o "_$E($$EXPAND^IBTRE(355.96,.06,+$P(IB0,U,6))_$J("",20),1,20) .. S IBQ=IBQ_" "_$E($P("Both form types^UB-04 Only^CMS-1500 Only",U,$P(IB0,U,4)+1)_$J("",15),1,15)_" "_$E($P("Inpt/Outpt^Inpt Only^Outpt Only^RX Only",U,+$P(IB0,U,5)+1)_$J("",10),1,10) .. D SET^VALM10(IBLCT,IBQ,IBENT) ; I 'IBLCT D SET^VALM10(1,"No CARE UNITs Found"_$S('$G(IBINS):"",1:" for Insurance Co")) S VALMCNT=IBLCT,VALMBG=1 Q ; HELP ; -- help ; I $G(IBSLEV)=2 Q ; S X="?" D DISP^XQORM1 W !! Q ; EXIT ; -- exit K IBFASTXT D CLEAN^VALM10 K ^TMP("IBPRV_CU",$J),IBINS,IBALL Q ; EXPND ; Q ; SEL(IBDA,MANY) ; Select from care unit list ; IBDA is passed by reference and IBDA(1) returned containing ; ien's of the care unit selected (file 355.95). ; If > 1 entry can be selected, MANY is set to 1 N Z S IBDA=0 D EN^VALM2($G(XQORNOD(0)),$S($G(MANY):"",1:"S")) S Z=0 F S Z=$O(VALMY(Z)) Q:'Z S IBDA=IBDA+1,IBDA(IBDA)=+$G(^TMP("IBPRV_CU",$J,"ZIDX",Z)) Q ; DISP(IBVAR,IBINS,IBPTYP,IBFT,IBCT,START,END) ; Set up display array for ; provider id N Z S START=$S($G(START):START,1:1) S (Z,END)=$G(START) S @IBVAR@(START)="INSURANCE: "_$S(IBINS:$P($G(^DIC(36,+IBINS,0)),U),1:"ALL INSURANCE") S @IBVAR@(START+1)="PROV TYPE: "_$$EXPAND^IBTRE(355.96,.06,IBPTYP) S @IBVAR@(START+2)="FORM TYPE: "_$$EXPAND^IBTRE(355.96,.04,IBFT) S @IBVAR@(START+3)="CARE TYPE: "_$$EXPAND^IBTRE(355.96,.05,IBCT) S END=$G(START)+3 Q ; CAREUOK(IBIFN,IBCU,IBTYPE,IBSEQ) ; Returns 1 if care unit is appropriate ; for bill based on provider type, care type, bill type and insurance co ; IBIFN = ien of bill (file 399) ; IBCU = the ien of the care unit (file 355.96) ; IBTYPE = type of ID being checked (1=performing, 2=EMC) ; IBSEQ = the COB seq being checked (1-3) N Z,IBOK,IBINS,IBCT,IBFT,IBPTYP,IBRX S IBOK=0 S IBINS=+$$FINDINS^IBCEF1(IBIFN,+IBSEQ),IBFT=$S($$FT^IBCEF(IBIFN)=2:2,1:1) S IBPTYP=+$S(IBTYPE=1:$$PPTYP^IBCEP0(IBINS),1:$$EMCID^IBCEP()) S IBRX=$$ISRX^IBCEF1(IBIFN) S IBCT=$S('IBRX:$S($$INPAT^IBCEF(IBIFN,1):1,1:2),1:3) ;Check from most general to most specific I $D(^IBA(355.96,"AD",IBINS,0,0,IBPTYP,IBCU)) S IBOK=1 G CAREOKQ I 'IBRX,$D(^IBA(355.96,"AD",IBINS,IBFT,0,IBPTYP,IBCU)) S IBOK=1 G CAREOKQ I $D(^IBA(355.96,"AD",IBINS,0,IBCT,IBPTYP,IBCU)) S IBOK=1 G CAREOKQ I $D(^IBA(355.96,"AD",IBINS,IBFT,IBCT,IBPTYP,IBCU)) S IBOK=1 G CAREOKQ ; CAREOKQ Q IBOK ;