IBCEQ1A ;ALB/BSL,TMK - PROVIDER ID QUERY REPORT ;25-AUG-03 ;;2.0;INTEGRATED BILLING;**232,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; RPTOUT ; Print from data in ^XTMP N IBP,IBA,IBI,IBIN,IBPNM,IBPNUM,IBSTOP,IBX,IBZ,IBPG,IBICONT,Z K ^TMP($J,"IBZ232") F Z=1:1:6 S ^TMP($J,"IBZ232",Z)="" S (IBPG,IBSTOP)=0 S IBA=0 F S IBA=$O(^XTMP("IB_PLAN232",1,IBA)) Q:'IBA D . S IBX=$G(^XTMP("IB_PLAN232",1,IBA,0)) . ; Sort by err type, ins co ien . S ^TMP($J,"IBZ232",+$P(IBX,U,16),+$P(IBX,U,11),IBA)=IBX ; S IBZ=0 F S IBZ=$O(^TMP($J,"IBZ232",IBZ)) Q:'IBZ!IBSTOP!(IBZ>6) D HDR1(.IBPG,.IBSTOP,IBZ,0) S IBI=0 F S IBI=$O(^TMP($J,"IBZ232",IBZ,IBI)) Q:'IBI!IBSTOP D . S IBIN=$P($G(^DIC(36,+IBI,0)),U)_" ("_$S(+$G(^(3))=1:"",1:"NOT ")_"SET TO TRANSMIT LIVE)" . D INSHDR(.IBPG,.IBSTOP,IBIN,IBZ,0) S IBICONT=0 . S IBA=0 F S IBA=$O(^TMP($J,"IBZ232",IBZ,IBI,IBA)) Q:'IBA!IBSTOP S IBX=$G(^(IBA)) D .. I ($Y+5)>IOSL D INSHDR(.IBPG,.IBSTOP,IBIN,IBZ,IBICONT) Q:IBSTOP .. ; .. I IBZ'=4,IBZ'=5 D ... S IBP=+$P(IBX,U,14) ... I $P(IBX,U,14)[".91" S IBPNM="ALL PROVIDERS" ... I $P(IBX,U,14)'[".91" D .... N Z .... S Z=$P($G(^IBA(355.9,IBP,0)),U) .... S IBPNM=$S(Z["VA(200":"",1:"#")_$$EXTERNAL^DILFD(355.9,.01,"",Z) ... S IBPNUM=$P($G(^IBA(+$P($P(IBX,U,14),";",2),IBP,0)),U,7) ... D WRT(1," "_$E($P("BOTH^UB-04^CMS-1500",U,$P(IBX,U,4)+1)_$J("",9),1,9)_" "_$E($P(IBX,U,15)_$J("",23),1,23)_" "_$E(IBPNM_$J("",28),1,28)_" "_$E(IBPNUM,1,11)) .. ; .. I IBZ=4!(IBZ=5) D ... N Z ... S Z=$G(^IBA(355.3,+$P(IBX,U,13),0)) ... D WRT(1," "_$E($P(Z,U,3)_$J("",20),1,20)_" "_$E($P(Z,U,4)_$J("",17),1,17)_" "_$$EXTERNAL^DILFD(355.3,.15,"",$P(Z,U,15))) .. S:'IBICONT IBICONT=1 ; I 'IBSTOP D ;Totals . N Z . S Z=$G(^XTMP("IB_PLAN232")) . I ($Y+10)>IOSL!'IBPG D HDR(.IBPG,.IBSTOP,"") Q:IBSTOP . D WRT(2,$J("",25)_"TOTAL # OF IDs CHECKED: "_+$P(Z,U,4)) . D WRT(1,$J("",14)_"TOT # BLUE CROSS/SHIELD IDS FOUND: "_+$P(Z,U,5)) . D WRT(1,"TOTAL # OF INS CO. W/BLUE PLANS AND NO BLUE IDS: "_+$P(Z,U,3)) . D WRT(1,$J("",21)_"TOTAL # OF ERRORS/WARNINGS: "_+$P(Z,U,6)) ; I '$D(ZTQUEUED) D ^%ZISC I 'IBSTOP,IBPG D ASK() I $D(ZTQUEUED),'IBSTOP S ZTREQ="@" I $G(^TMP($J,"SENDMSG")),'IBSTOP D . N XMDUZ,XMSUBJ,XMBODY,XMTO,XMZ . S XMDUZ=DUZ,XMSUBJ=$E("PROVIDER ID QUERY FROM "_$P($G(^DIC(4,+$P($G(^IBE(350.9,1,0)),U,2),0)),U),1,65),XMBODY="^TMP($J,""SENDMSG"",1)" . M XMTO=^TMP($J,"SENDMSG",0) . S Z="" F S Z=$O(^TMP($J,"SENDMSG",0,Z)) Q:Z="" S XMZ(Z)="" . D SENDMSG^XMXAPI(XMDUZ,XMSUBJ,XMBODY,.XMTO,"",.XMZ) K ^TMP($J,"IBZ232"),^TMP($J,"SENDMSG") Q ; HDR(IBPG,IBSTOP,IBZ,FF) ; Main hdr ; FF = 0 if continuation pg so it writes it to report, but not mail msg N Z,IBT Q:$G(IBSTOP) I $D(ZTQUEUED),$$S^%ZTLOAD S (IBSTOP,ZTSTOP)=1 K ZTREQ I +$G(IBPG) D WRT(2,"***TASK STOPPED BY USER***") Q I IBPG&($E(IOST,1,2)="C-") D ASK(.IBSTOP) Q:IBSTOP S IBT=$S(IBPG:1,1:0) S IBPG=IBPG+1 S Z="PROVIDER ID VERIFICATION QUERY REPORT" S Z=$$SETSTR^VALM1($J("",80-$L(Z)\2)_Z,"",1,79) S Z=$$SETSTR^VALM1("Page: "_IBPG,Z,70,10) D WRT(0,"@IOF",$G(FF)) D WRT(1,Z,$G(FF)) S Z="RUN DATE: "_$$FMTE^XLFDT(DT,2),Z=$J("",80-$L(Z)\2)_Z D WRT(1,Z,$G(FF)) I IBZ'="",IBZ'=4,IBZ'=5 D . D WRT(2," FORM TYPE PROV ID TYPE"_$J("",12)_"PROVIDER NAME (#=Non-VA)"_$J("",6)_"PROV ID",$G(FF)) I IBZ=4!(IBZ=5) D . D WRT(2," GROUP NAME"_$J("",12)_"GROUP NUMBER"_$J("",7)_"ELECTRONIC PLAN TYPE",$G(FF)) D WRT(1,$TR($J("",IOM-1)," ","-"),$G(FF)) Q ; HDR1(IBPG,IBSTOP,IBZ,IBCONT) ; Hdr err typ N Z,Z0,Z1 D HDR(.IBPG,.IBSTOP,IBZ,IBCONT) Q:IBSTOP S Z="",$P(Z,"*",80)="" D WRT(1,Z,IBCONT) S Z0="* "_$S(IBZ>1:"WARNING: ",1:"ERROR: ") ; I IBZ'=4,IBZ'=5 D . N X . S X="BLUE CROSS ID FOUND FOR A 1500 FORM TYPE ONLY^BLUE SHIELD ID FOUND FOR A UB-04 FORM TYPE ONLY^BLUE CROSS ID FOUND FOR BOTH FORM TYPES^BL CROSS/BL SHIELD IDs FOUND FOR PLANS NOT HAVING 'BL' ELECTRONIC PLAN TYPE" . S Z0=Z0_$S(IBZ<6:$P(X,U,IBZ),IBZ=6:"""VAD000"" PROVIDER ID FOUND NOT SET UP AS A UPIN PROVIDER ID TYPE",1:"") I IBZ=4 D . S Z0=Z0_"BL CROSS/BL SHIELD IDs FOUND FOR PLANS NOT HAVING 'BL' ELECTRONIC" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . S Z0="*"_$J("",10)_"PLAN TYPE" ; I IBZ=5 D . S Z0=Z0_"INSURANCE CO HAS BL CROSS/SHIELD PLANS, BUT NO BL CROSS/SHIELD IDs" ; S Z0=Z0_$S(IBCONT:" (CONT)",1:"") D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) ; I 'IBCONT D . I IBZ=1 D .. D WRT(1,"*"_$J("",77)_"*",IBCONT) .. S Z0="* SOLUTION: THIS ID WILL NEVER BE USED ELECTRONICALLY." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",11)_"CHANGE PROVIDER ID TYPE TO BLUE SHIELD IF THIS ID SHOULD BE" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",11)_"TRANSMITTED ON A 1500." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . ; . I IBZ=2 D .. D WRT(1,"*"_$J("",77)_"*",IBCONT) .. S Z0="* SUGGESTION: VISTA WILL TRANSMIT THIS ID ELECTRONICALLY, BUT IT IS OPTIMAL" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"TO HAVE THIS ID SET UP AS BLUE CROSS." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . ; . I IBZ=3 D .. D WRT(1,"*"_$J("",77)_"*",IBCONT) .. S Z0="* SUGGESTION: A BLUE CROSS ID CAN ONLY BE APPLIED TO A UB-04 FORM TYPE." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"EDIT THE 'APPLIED TO FORM TYPE' FOR THE ID TO BE UB-04 ONLY." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"IF YOU NEED THIS ID ON A 1500, SET IT UP AS A BLUE SHIELD ID" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"APPLIED TO A CMS-1500 FORM TYPE." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . ; . I IBZ=4 D .. D WRT(1,"*"_$J("",77)_"*",IBCONT) .. S Z0="* SUGGESTION: A BLUE CROSS OR BLUE SHIELD ID IS DEFINED FOR THE INSURANCE" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"COMPANY, BUT THE ELECTRONIC PLAN TYPE FOR ONE OR MORE OF THE" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"COMPANY'S PLANS IS NOT SET TO 'BL' (BLUE CROSS/BLUE SHIELD)." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"IF BLUE CROSS/BLUE SHIELD IDs ARE NEEDED TO PRINT FOR ANY" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"OF THESE PLANS, ITS ELECTRONIC PLAN TYPE MUST BE CHANGED TO BL." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . ; . I IBZ=5 D .. D WRT(1,"*"_$J("",77)_"*",IBCONT) .. S Z0="* SUGGESTION: A BLUE CROSS OR BLUE SHIELD PLAN IS DEFINED FOR THE INSURANCE" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"COMPANY, BUT YOU HAVE ONLY NON-BLUE CROSS/SHIELD IDS SET UP." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"YOU MUST SET UP THE APPROPRIATE BLUE CROSS/BLUE SHIELD IDs" D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"FOR THE INSURANCE COMPANY." D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . ; . I IBZ=6 D .. D WRT(1,"*"_$J("",77)_"*",IBCONT) .. S Z0="* SUGGESTION: CHANGE PROVIDER ID TYPE TO UPIN." .. D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"ONCE ALL PAYERS FULLY IMPLEMENT HIPAA EDITS, YOU" .. D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) .. S Z0="*"_$J("",13)_"MUST USE THE CORRECT ID TYPE FOR THE ID ENTERED." .. D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) . ; . D WRT(1,"*"_$J("",77)_"*",IBCONT) . S Z1="*"_$J("",$S(IBZ'=1:13,1:11))_"VISTA OPTION TO USE: " . I IBZ'=4 D .. S Z0=Z1_"PROVIDER ID MAINTENANCE" . I IBZ=4 D .. S Z0=Z1_"INSURANCE COMPANY ENTRY/EDIT" . D WRT(1,Z0_$J("",78-$L(Z0))_"*",IBCONT) ; D WRT(1,Z,IBCONT) ; I '$O(^TMP($J,"IBZ232",IBZ,0)) D WRT(2,"***** NOTHING FOUND FOR THIS ERROR/WARNING *****",IBCONT) Q ; INSHDR(IBPG,IBSTOP,IBINM,IBZ,IBICONT) ; Ins Co info I ($Y+7)>IOSL D HDR1(.IBPG,.IBSTOP,IBZ,1) Q:IBSTOP D WRT(2,"INSURANCE CO NAME: "_IBINM_$S($G(IBICONT):" (Continued)",1:""),IBICONT) Q ; ASK(IBSTOP) ; Ask continue ; If passed by ref, IBSTOP returned = 1 if print aborted I $E(IOST,1,2)'["C-" Q N DIR,DIROUT,DIRUT,DTOUT,DUOUT S DIR(0)="E" W ! D ^DIR I ($D(DIRUT))!($D(DUOUT)) S IBSTOP=1 Q Q ; WRT(FF,TEXT,NOT) ; Wrt/store line N Z,A S A=+$O(^TMP($J,"SENDMSG",1,""),-1),NOT=$G(NOT) I FF F Z=1:1:FF W ! I $G(^TMP($J,"SENDMSG")),'NOT,Z>1 S A=A+1,^TMP($J,"SENDMSG",1,A)=" " ; I TEXT="@IOF" D Q . W @IOF . I $G(^TMP($J,"SENDMSG")),'NOT,IBPG>1 D .. S A=A+1,^TMP($J,"SENDMSG",1,A)=" " .. F Z=1:1:2 S A=A+1,^TMP($J,"SENDMSG",1,A)="*** TOP OF NEW PAGE ***" .. S A=A+1,^TMP($J,"SENDMSG",1,A)=" " ; W TEXT I $G(^TMP($J,"SENDMSG")),'NOT S A=A+1,^TMP($J,"SENDMSG",1,A)=TEXT Q ;