IBCNERPE ;DAOU/BHS - IBCNE IIV RESPONSE REPORT (cont'd);03-JUN-2002 ;;2.0;INTEGRATED BILLING;**271,300**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ; Must call at tag Q ; ; This tag is only called from IBCNERP2 ; GETDATA(IEN,RPTDATA) ; Retrieve response data ; Init N EBCT,NOTECT,EBPTR,PC,CNCT,CNPTR,NWNTCT,IBNOTES,IBERR N %,DIW,DIWI,DIWT,DIWTC,DIWX,DN,I,Z,ERRTEXT,II,FUTDT,TQIEN N FRST,IIVSTR,IIVSTAT ; ; Insured Info from IIV Response #365 S RPTDATA(0)=$G(^IBCN(365,IEN,0)),TQIEN=$P(RPTDATA(0),U,5) ; Trans dates to ext format S $P(RPTDATA(0),U,7)=$$FMTE^XLFDT($P(RPTDATA(0),U,7)\1,"5Z") S RPTDATA(1)=$G(^IBCN(365,IEN,1)) ; Trans ext values for SET of CODES values S $P(RPTDATA(1),U,8)=$$GET1^DIQ(365,IEN_",",1.08,"E") ; Whose Ins S $P(RPTDATA(1),U,9)=$$GET1^DIQ(365,IEN_",",1.09,"E") ; Pt Rel to Sub S $P(RPTDATA(1),U,13)=$$GET1^DIQ(365,IEN_",",1.13,"E") ; COB ; Trans err actions/codes to ext S $P(RPTDATA(1),U,14)=$$X12^IBCNERP2(365.017,$P(RPTDATA(1),U,14)) S $P(RPTDATA(1),U,15)=$$X12^IBCNERP2(365.018,$P(RPTDATA(1),U,15)) ; Trans dates to ext format - check format F PC=2,9:1:12,16,17,19 S $P(RPTDATA(1),U,PC)=$$FMTE^XLFDT($P(RPTDATA(1),U,PC),"5Z") ; ; Loop thru mult Elig/Ben segs S EBCT=0,IIVSTAT="" ; Check to see if the IIV STATUS flag was passed ; If so, set IIVSTAT to its value and update RPTDATA S FRST=$O(^IBCN(365,IEN,2,0)) I FRST D . S IIVSTR=$G(^IBCN(365,IEN,2,FRST,0)) . I $P(IIVSTR,U,6)="IIV Eligibility Determination" D .. S EBCT=FRST,IIVSTAT=$P(IIVSTR,U) .. ; Convert IEN to X12 code .. S IIVSTAT=$$GET1^DIQ(365.02,EBCT_","_IEN_",","ELIGIBILITY/BENEFIT INFO:CODE") .. S IIVSTAT=$S(IIVSTAT=1:"Active",IIVSTAT=6:"Inactive",1:"U") .. S RPTDATA(2,0)=IIVSTAT,RPTDATA(2,EBCT)="" ; Error action/condition shd be flagged as Undetermined - no EC flg sent I IIVSTAT="",$P(RPTDATA(1),U,14)]""!($P(RPTDATA(1),U,15)]"") S (IIVSTAT,RPTDATA(2,0))="U" F S EBCT=$O(^IBCN(365,IEN,2,EBCT)) Q:'EBCT D . S RPTDATA(2,EBCT)=$G(^IBCN(365,IEN,2,EBCT,0)) . ; Elig/Ben Info (ptr to EB01 table) . S $P(RPTDATA(2,EBCT),U,2)=$$X12^IBCNERP2(365.011,$P(RPTDATA(2,EBCT),U,2)) . ; Cov Lvl Code (ptr to EB02 table) . S $P(RPTDATA(2,EBCT),U,3)=$$X12^IBCNERP2(365.012,$P(RPTDATA(2,EBCT),U,3)) . ; Svc Type Code (ptr to EB03 table) . S $P(RPTDATA(2,EBCT),U,4)=$$X12^IBCNERP2(365.013,$P(RPTDATA(2,EBCT),U,4)) . ; Ins Type Code (ptr to EB04 table) . S $P(RPTDATA(2,EBCT),U,5)=$$X12^IBCNERP2(365.014,$P(RPTDATA(2,EBCT),U,5)) . ; Plan Cov Desc - free text . ; Time Pd Qual (ptr to EB06 table) . S $P(RPTDATA(2,EBCT),U,7)=$$X12^IBCNERP2(365.015,$P(RPTDATA(2,EBCT),U,7)) . ; Monetary Amt . I $P(RPTDATA(2,EBCT),U,8)'="" S $P(RPTDATA(2,EBCT),U,8)="$"_$FN(+$P(RPTDATA(2,EBCT),U,8),",",2) . ; Percent . I $P(RPTDATA(2,EBCT),U,9)'="" S $P(RPTDATA(2,EBCT),U,9)=$S($P(RPTDATA(2,EBCT),U,9)<1:$P(RPTDATA(2,EBCT),U,9)*100,1:$P(RPTDATA(2,EBCT),U,9))_"%" . ; Qty Qual (ptr to EB09) . S $P(RPTDATA(2,EBCT),U,10)=$$X12^IBCNERP2(365.016,$P(RPTDATA(2,EBCT),U,10)) . ; Qty . I $P(RPTDATA(2,EBCT),U,11)'="" S $P(RPTDATA(2,EBCT),U,10)=$P(RPTDATA(2,EBCT),U,11)_" "_$P(RPTDATA(2,EBCT),U,10),$P(RPTDATA(2,EBCT),U,11)="" . ; Auth/Cert Ind (Y/N/U) . I $P(RPTDATA(2,EBCT),U,12)'="" S $P(RPTDATA(2,EBCT),U,12)=$$GET1^DIQ(365.02,EBCT_","_IEN_",",.12,"E") . ; In-Plan Network Ind (Y/N/U) . I $P(RPTDATA(2,EBCT),U,13)'="" S $P(RPTDATA(2,EBCT),U,13)=$$GET1^DIQ(365.02,EBCT_","_IEN_",",.13,"E") . ; Loop thru Notes (wp) - format to 70 chars . S (NOTECT,NWNTCT)=0 . F S NOTECT=$O(^IBCN(365,IEN,2,EBCT,2,NOTECT)) Q:'NOTECT D . . D FSTRNG^IBJU1($G(^IBCN(365,IEN,2,EBCT,2,NOTECT,0)),70,.IBNOTES) . . ; Loop thru text (70 chars wide) . . S II=0 . . F S II=$O(IBNOTES(II)) Q:'II I $G(IBNOTES(II))'="" D . . . S NWNTCT=NWNTCT+1 . . . S RPTDATA(2,EBCT,NWNTCT)=$G(IBNOTES(II)) ; ; Loop thru mult Contact segs S CNCT=0 F S CNCT=$O(^IBCN(365,IEN,3,CNCT)) Q:'CNCT D . S RPTDATA(3,CNCT)=$G(^IBCN(365,IEN,3,CNCT,0)) . ; Disp. blank if NOT SPECIFIED . I $P(RPTDATA(3,CNCT),U)="NOT SPECIFIED" S $P(RPTDATA(3,CNCT),U)="" . ; Comm Qual #1-3 . F II=1:1:3 D . . S CNPTR=$$X12^IBCNERP2(365.021,$P(RPTDATA(3,CNCT),U,II*2)) . . I CNPTR'="" S $P(RPTDATA(3,CNCT),U,II*2)=CNPTR_": "_$P(RPTDATA(3,CNCT),U,II*2+1),$P(RPTDATA(3,CNCT),U,II*2+1)="" ; ; Error Txt S ERRTEXT=$G(^IBCN(365,IEN,4)) ; Error text shd be flagged as Undetermined - no EC flg sent I IIVSTAT="" S (IIVSTAT,RPTDATA(2,0))="U" I ERRTEXT="" G FUTDT D FSTRNG^IBJU1(ERRTEXT,60,.IBERR) ; Loop thru text (60 chars) S II=0 F S II=$O(IBERR(II)) Q:'II I $G(IBERR(II))'="" D . S RPTDATA(4,II)=$G(IBERR(II)) FUTDT I TQIEN D ; If there is a future date, display it . S FUTDT=$P($G(^IBCN(365.1,TQIEN,0)),U,9) Q:FUTDT="" . S II=$O(RPTDATA(5,""),-1)+1 . S RPTDATA(5,II)=" ",II=II+1 . S RPTDATA(5,II)="Inquiry will be automatically resubmitted on "_$$FMTE^XLFDT(FUTDT,"5Z")_"." ; GETDATX ; GETDATA exit point Q ; ; This tag is only called from IBCNERP3 ; DATA(DISPDATA) ; Build disp lines N LCT,EBCT,CT,SEGCT,ITEM,CT2,NTCT,CNCT,ERCT,RPTDATA ; Merge into local array ;M RPTDATA=^TMP($J,RTN,SORT1,SORT2,CNT) N %X,%Y S %X="^TMP($J,RTN,SORT1,SORT2,CNT," S %Y="RPTDATA(" I $D(^TMP($J,RTN,SORT1,SORT2,CNT))#10=1 S RPTDATA=^TMP($J,RTN,SORT1,SORT2,CNT) D %XY^%RCR K %X,%Y ; Build S LCT=1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.01),17,"R")_$P(RPTDATA(1),U,1) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.05),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,5),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.02),22,"R")_$P(RPTDATA(1),U,2) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.03),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,3),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.04),22,"R")_$P(RPTDATA(1),U,4) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.06),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,6),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.07),22,"R")_$P(RPTDATA(1),U,7) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.08),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,8),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.09),22,"R")_$P(RPTDATA(1),U,9) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.18),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,18),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.13),22,"R")_$P(RPTDATA(1),U,13) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.1),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,10),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.16),22,"R")_$P(RPTDATA(1),U,16) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.11),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,11),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.17),22,"R")_$P(RPTDATA(1),U,17) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.12),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,12),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.19),22,"R")_$P(RPTDATA(1),U,19) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,.07),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(0),U,7),20)_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,.09),22,"R")_$P(RPTDATA(0),U,9) S LCT=LCT+1,DISPDATA(LCT)=$$FO^IBCNEUT1($$LBL^IBCNERP2(365,1.2),17,"R")_$$FO^IBCNEUT1($P(RPTDATA(1),U,20),20) S LCT=LCT+1 ; Elig/Ben - added sorted EB notes to DISPDATA and update LCT (line ct) D EBDISP^IBCNERPA(.RPTDATA,.DISPDATA,.LCT) ; ; Contacts CONT S CNCT=+$O(RPTDATA(3,""),-1) I 'CNCT G ERR S DISPDATA(LCT)="",LCT=LCT+1,DISPDATA(LCT)="Contact Information:",LCT=LCT+1 ; Build F CT=1:1:CNCT D . S DISPDATA(LCT)="",LCT=LCT+1,DISPDATA(LCT)=" " . S SEGCT=$L(RPTDATA(3,CT),U) . F CT2=1:1:SEGCT S ITEM=$P(RPTDATA(3,CT),U,CT2) I $L(ITEM)>0 D . . I $L(ITEM)+$L(DISPDATA(LCT))>74 S LCT=LCT+1,DISPDATA(LCT)=" "_ITEM Q . . I DISPDATA(LCT)'=" " S DISPDATA(LCT)=DISPDATA(LCT)_", "_ITEM Q . . S DISPDATA(LCT)=" "_ITEM . S LCT=LCT+1 ; Err Info ERR I $P(RPTDATA(1),U,14)="",$P(RPTDATA(1),U,15)="",'$O(RPTDATA(4,""),-1) G DATAX S DISPDATA(LCT)="",LCT=LCT+1 S DISPDATA(LCT)="Error Information:",LCT=LCT+1 S DISPDATA(LCT)="",LCT=LCT+1 I $P(RPTDATA(1),U,14)'="" D . ; Split text, if necessary . N IBERR,IBTOT,IBCT . D FSTRNG^IBJU1($P(RPTDATA(1),U,14),60,.IBERR) . S IBTOT=$O(IBERR(""),-1) . F IBCT=1:1:IBTOT S DISPDATA(LCT)=" "_$$FO^IBCNEUT1($S(IBCT=1:$$LBL^IBCNERP2(365,1.14),1:" "),17,"R")_$G(IBERR(IBCT)),LCT=LCT+1 I $P(RPTDATA(1),U,15)'="" D . ; Split text, if necessary . N IBERR,IBTOT,IBCT . D FSTRNG^IBJU1($P(RPTDATA(1),U,15),60,.IBERR) . S IBTOT=$O(IBERR(""),-1) . F IBCT=1:1:IBTOT S DISPDATA(LCT)=" "_$$FO^IBCNEUT1($S(IBCT=1:$$LBL^IBCNERP2(365,1.15),1:" "),17,"R")_$G(IBERR(IBCT)),LCT=LCT+1 ; Disp Err Txt F CT=1:1:+$O(RPTDATA(4,""),-1) D . I CT=1 S DISPDATA(LCT)=" "_$$FO^IBCNEUT1($$LBL^IBCNERP2(365,4.01),17,"R")_$G(RPTDATA(4,CT)),LCT=LCT+1 Q . S DISPDATA(LCT)=" "_$$FO^IBCNEUT1("",17,"R")_$G(RPTDATA(4,CT)),LCT=LCT+1 DATAX ; ; Disp Future Date and Misc. Comments I $O(RPTDATA(5,0))'="" D . F CT=1:1:+$O(RPTDATA(5,""),-1) D .. S DISPDATA(LCT)=" "_$$FO^IBCNEUT1("",7,"R")_$G(RPTDATA(5,CT)),LCT=LCT+1 ; Q