IBCEP5 ;ALB/TMP - EDI UTILITIES for provider ID ;29-SEP-00 ;;2.0;INTEGRATED BILLING;**137,232,320,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; EN ; -- main entry point for IBCE PRV MAINT N IBPRV,IBINS EN1 ; Entrypoint for non-VA provider ID maintenance hook N IBSLEV,DIR,Y,X,IBPRMPT,IBNVAFL,IBIF K IBFASTXT S IBIF="" I $G(IBPRV) S IBIF=$$GET1^DIQ(355.93,IBPRV,.02,"I") D FULL^VALM1 S IBPRMPT=$S(IBIF=1:"LAB OR FACILITY",1:"PROVIDER") S DIR(0)="SA^1:"_IBPRMPT_"'S OWN IDS;2:"_IBPRMPT_" IDS FURNISHED BY AN INSURANCE COMPANY" S DIR("A")="SELECT SOURCE OF ID: ",DIR("B")=$P($P(DIR(0),":",2),";") W ! D ^DIR K DIR W ! I Y'>0 Q S IBSLEV=+Y D EN^VALM("IBCE PRVPRV MAINT") Q ; HDR ; -- header code N IBC,Z,IBIF S IBIF="" I $G(IBNPRV) S IBIF=$$GET1^DIQ(355.93,IBNPRV,.02,"I") K VALMHDR S IBC=1 S IBPRMPT=$S(IBIF=1:"Lab or Facility",1:"Performing Provider") S Z="** "_$S($G(IBSLEV)=1:IBPRMPT_"'s Own IDs (No Specific Insurance Co)",1:IBPRMPT_" IDs from Insurance Co")_" **" S VALMHDR(IBC)=$J("",80-$L(Z)\2)_Z,IBC=IBC+1 I $G(IBPRV),'+IBIF S VALMHDR(IBC)="PROVIDER : "_$$EXPAND^IBTRE(355.9,.01,IBPRV)_$S(IBPRV["VA(200":" (VA PROVIDER)",1:" (NON-VA PROVIDER)"),IBC=IBC+1 I $G(IBPRV),+IBIF S VALMHDR(IBC)="Provider: "_$$EXPAND^IBTRE(355.9,.01,IBPRV)_$S(IBIF=1:"(Non-VA Lab or Facility)",1:""),IBC=IBC+1 I $G(IBINS) D . N PCF,PCDISP . S PCF=$P($G(^DIC(36,+IBINS,3)),"^",13) . S PCDISP=$S($G(IBSLEV)'=2!($G(IBPRV)'["VA(200,"):"",PCF="C":"(Child)",PCF="P":"(Parent)",1:"") . S VALMHDR(IBC)=$S(IBIF:"Insurance Co: ",1:"INSURANCE CO: ")_$P($G(^DIC(36,+IBINS,0)),U)_" "_PCDISP Q ; INIT ; -- init variables and list array N IBFILE,DIR,DIC,Y,X,DTOUT,DUOUT,IBIF,AGAIN ; K ^TMP("IB_EDITED_IDS",$J) ; This will be to keep track of ID's edited during this session S IBIF="" I $G(IBNPRV) S IBIF=$$GET1^DIQ(355.93,IBNPRV,.02,"I") ; ; Removing Care Unit under certain conditions ; This list is used for multiple purposes and not all have Care Units Associated with them ; Also, a different protocol menu is used with these ; IBNPRV is a non VA provider ; IBIF = 1 means this is a group or facility, not an individual. ; I $G(IBNPRV),$G(IBIF)=1 D . S VALM("TITLE")="Secondary Provider ID" . K VALMDDF("CAREUNIT") . I VALMCAP["Care Unit" S VALMCAP=$P(VALMCAP,"Care Unit")_" "_$P(VALMCAP,"Care Unit",2) . K VALM("PROTOCOL") . S Y=$$FIND1^DIC(101,,,"IBCE PRVNVA LOF MAINT") . I Y S VALM("PROTOCOL")=+Y_";ORD(101," ; I $G(IBPRV) S IBFILE="IBA(355.93,",IBPRV=+IBPRV_";"_IBFILE I '$G(IBPRV) D G:$G(VALMQUIT) INITQ . S DIR(0)="SAO^V:VA PROVIDER;N:NON-VA PROVIDER",DIR("A")="(V)A or (N)on-VA provider: ",DIR("B")="V" . D ^DIR K DIR . I "NV"'[Y!(Y="") S VALMQUIT=1 Q . S IBFILE=$S(Y="V":"VA(200,",1:"IBA(355.93,") . S DIC=U_IBFILE,DIC(0)="AEMQ"_$S(IBFILE["355.93":"L",1:"") . S DIC("A")="Select "_$S(IBFILE["355.93":"NON-",1:"")_"V.A. PROVIDER NAME: " . S:IBFILE["355.93" DIC("DR")=".02////2;.03;.04" . F D I $G(IBPRV)!$G(VALMQUIT) K DIC Q .. D ^DIC .. I $D(DTOUT)!$D(DUOUT) S VALMQUIT=1 Q .. I Y'>0 W !,*7,"This is a required response. Enter '^' to exit" Q .. S IBPRV=+Y_";"_IBFILE ; AGAIN I $G(IBSLEV)=2 D G:$G(AGAIN) AGAIN G:$G(VALMQUIT) INITQ . S AGAIN=0 . S DIR(0)="PA^DIC(36,:AEMQ",DIR("A")="Select INSURANCE CO: ",DIR("?",1)="Select an INSURANCE CO to display its provider ID's" . D ^DIR K DIR . I $D(DTOUT)!$D(DUOUT) S VALMQUIT=1 Q . S IBINS=$S(Y>0:+Y,1:"NO") . I $G(IBPRV)'["VA(200," Q ; Only VA providers . I $P($G(^DIC(36,+IBINS,3)),"^",13)="C" D S AGAIN=1 Q .. W !,*7,"This is a Child Insurance Company. Editing IDs is not permitted." ; E D . S IBINS="NO" D BLD INITQ Q ; BLD ; Build initial display ; Assumes IBPRV = the variable ptr for prov id file (355.9) ; IBINS = the ien of the ins co or if null, ALL is assumed ; IBSLEV = 1 to display only provider default ids ; = 2 to display all provider/insurance co ids N IB,IBLCT,IBCT,CT,PT,CU,INS,FT,Z,IBENT,IB1,IBIF ; S IBIF="" I $G(IBPRV)[355.93 S IBIF=$$GET1^DIQ(355.93,+IBPRV,.02,"I") ; K ^TMP("IBPRV_",$J),^TMP("IBPRV_SORT",$J) K Z0 S (IBENT,IBCT,IBLCT)=0,INS="",IB1=1 F S INS=$S($G(IBINS):IBINS,IBSLEV=1:"*ALL*",1:$O(^IBA(355.9,"AUNIQ",IBPRV,INS))) Q:$S(INS="":1,$G(IBINS)!(IBSLEV=1):$D(CU),1:0) S CU="",IB1=0 F S CU=$O(^IBA(355.9,"AUNIQ",IBPRV,INS,CU)) Q:CU="" D . S FT="" F S FT=$O(^IBA(355.9,"AUNIQ",IBPRV,INS,CU,FT)) Q:FT="" S CT="" F S CT=$O(^IBA(355.9,"AUNIQ",IBPRV,INS,CU,FT,CT)) Q:CT="" S PT=0 F S PT=$O(^IBA(355.9,"AUNIQ",IBPRV,INS,CU,FT,CT,PT)) Q:'PT D .. S Z=0 F S Z=$O(^IBA(355.9,"AUNIQ",IBPRV,INS,CU,FT,CT,PT,Z)) Q:'Z S IB=$G(^IBA(355.9,Z,0)) D ... S ^TMP("IBPRV_SORT",$J,$S(INS:$P($G(^DIC(36,+INS,0)),U)_" ",1:" ALL"),PT,FT,CT,CU,Z)=$P(IB,U,7) ; I IBSLEV=1,IBPRV["IBA(355.93",$P($G(^IBA(355.93,+IBPRV,0)),U,12)'="" S ^TMP("IBPRV_SORT",$J," ALL",+$$STLIC^IBCEP8(),0,0,"*N/A*",0)=$P(^IBA(355.93,+IBPRV,0),U,12) S INS="" F S INS=$O(^TMP("IBPRV_SORT",$J,INS)) Q:INS="" D . I '$G(IBINS),'IBIF D:IBLCT SET^VALM10(IBLCT+1," ",IBCT) S IBLCT=$S(IBLCT:IBLCT+2,1:1) D SET^VALM10(IBLCT,"INSURANCE CO: "_$S($E(INS)=" ":"ALL INSURANCE",1:INS),$S(IBCT:IBCT,1:1)) . S PT="" . F S PT=$O(^TMP("IBPRV_SORT",$J,INS,PT)) Q:PT="" S FT="" F S FT=$O(^TMP("IBPRV_SORT",$J,INS,PT,FT)) Q:FT="" S CT="" F S CT=$O(^TMP("IBPRV_SORT",$J,INS,PT,FT,CT)) Q:CT="" D .. S CU="" F S CU=$O(^TMP("IBPRV_SORT",$J,INS,PT,FT,CT,CU)) Q:CU="" S Z="" F S Z=$O(^TMP("IBPRV_SORT",$J,INS,PT,FT,CT,CU,Z)) Q:Z="" S IB=$G(^(Z)) D ... S IBLCT=IBLCT+1,IBCT=IBCT+1 ... S Z0=$E(IBCT_" ",1,4)_" "_$E($$EXPAND^IBTRE(355.9,.06,PT)_$S(PT=$$STLIC^IBCEP8():"("_$P($G(^DIC(5,+$P($G(^IBA(355.93,+IBPRV,0)),U,7),0)),U,2)_")",1:"")_$J("",20),1,20)_" "_$S(FT=1:"UB-04",FT=2:"1500 ",1:"BOTH ") ... S Z0=Z0_" "_$E($S(CT=3:"RX",CT=1:"INPT",CT=2:"OUTPT",1:"INPT/OUTPT")_$J("",11),1,11) ... S Z0=Z0_" "_$E($S(CU'="*N/A*":$P($G(^IBA(355.95,+$G(^IBA(355.96,CU,0)),0)),U),1:"")_$J("",15),1,15) I Z0["MEDICINE" X "*" ... D SET^VALM10(IBLCT,Z0_" "_IB,IBCT) ... S ^TMP("IBPRV_",$J,"ZIDX",IBCT)=$S(Z'=0:Z,1:"LIC^"_IBPRV) I IBSLEV=1,IBPRV["VA(200" D . N IBP . S IBP=+IBPRV . Q:'$$GETLIC^IBCEP5D(.IBP) . I IBCT S IBLCT=IBLCT+1 D SET^VALM10(IBLCT," ",IBCT) . S Z=0 F S Z=$O(IBP(Z)) Q:'Z D .. S IBLCT=IBLCT+1,IBCT=IBCT+1 .. D SET^VALM10(IBLCT,$E(IBCT_" ",1,4)_$E($P($G(^DIC(5,+Z,0)),U,2)_" STATE LICENSE #"_$J("",20),1,20)_$J("",39)_IBP(Z),IBCT) .. S ^TMP("IBPRV_",$J,"ZIDX",IBCT)="LIC^"_+IBPRV K ^TMP("IBPRV_SORT",$J) ; I IBLCT=0 D G BLDQ ; No entries for ins co selected . D SET^VALM10(1," ") . D SET^VALM10(2," No ID's found for provider "_$S('$G(IBINS):"",1:"and selected insurance co")) . S IBLCT=2 ; BLDQ K VALMCNT,VALMBG S VALMCNT=IBLCT,VALMBG=1 Q ; HELP ; -- help code S X="?" D DISP^XQORM1 W !! Q ; EXIT ; -- exit code K IBFASTXT D COPYPROV^IBCEP5A(IBINS) K IBPRV D CLEAN^VALM10 K ^TMP("IBPRV_",$J),^TMP("IBPRV_SORT",$J),IBINS,IBALL Q ; EXPND ; -- expand code Q ; SEL(IBDA,MANY) ; Select from provider id list ; IBDA is passed by reference and IBDA(1) returned containing ; ien's of the provider id records selected (file 355.9). ; If > 1 entry can be selected, MANY is set to 1 N Z S IBDA=0 D EN^VALM2($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_",$J,"ZIDX",Z)) Q ;