IBCNRPM1 ;DAOU/CMW - Match Multiple Group Plans to a Pharmacy Plan ;10-MAR-2004 ;;2.0;INTEGRATED BILLING;**251**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ;**Program Description** ; This program selects a plan and displays the ; Test Payer Sheets associated to the Plan. ; EN ; Select a plan NEW DA,DIC,DIE,DR,D,Y S DIC="^IBCNR(366.03,",DIC(0)="ABEMZ",DIC("A")="Select PHARMACY PLAN: " D ^DIC I X="^" G EXIT K DIC("A") I +Y<1 S D="F",DIC="^IBCNR(366.03,",DIC(0)="AEMNZ" D IX^DIC I +Y<1 G EXIT S IBCNRP=+Y ; INS ; Select an insurance company NEW DA,DIC,DIE,DR,D,Y,IBIND,IBMULT,IBW S (IBIND,IBMULT,IBW)=1 S DIR(0)="350.9,4.06" S DIR("A")="Select INSURANCE COMPANY",DIR("??")="^D ADH^IBCNSM3" S DIR("?")="Select the Insurance Company for the plan you are entering" D ^DIR K DIR S IBCNRI=+Y I Y<1 G EN I $P($G(^DIC(36,+IBCNRI,0)),"^",2)="N" W !,"This company does not reimburse. " G INS I $P($G(^DIC(36,+IBCNRI,0)),"^",5) W !,*7,"Warning: Inactive Company" G INS ; D GIPF I '$D(^TMP("IBCNR",$J,"GP")) D G INS . W !,*7,"** No active Group Plans with Pharmacy coverage found for this Insurance Co." ; D EN^IBCNRPM2(IBCNRP,IBCNRI,.IBCNRGP) ; G INS ; GIPF ; screen for valid GIPF ; N GST1,GP0,GP6,IBCOV,LIM,IBCVRD N GPIEN,GPNAM,GPNUM S GST1=1,GPIEN="" K ^TMP("IBCNR",$J,"GP") F S GPIEN=$O(^IBA(355.3,"B",IBCNRI,GPIEN)) Q:GPIEN="" D . ;chk for active group . S GP0=$G(^IBA(355.3,GPIEN,0)),GP6=$G(^IBA(355.3,GPIEN,6)) . I $P(GP0,U,11)=1 Q . ;chk for pharm plan coverage . S IBCOV=$O(^IBE(355.31,"B","PHARMACY","")) . S LIM="",IBCVRD=0 . F S LIM=$O(^IBA(355.32,"B",GPIEN,LIM)) Q:LIM="" D .. I $P(^IBA(355.32,LIM,0),U,2)=IBCOV D ... ;chk covered status ... S IBCVRD=$P(^IBA(355.32,LIM,0),U,4) ... I IBCVRD=0 Q ... S GPNAM=$P($G(GP0),U,3),GPNUM=$P($G(GP0),U,4) ... I $G(GPNAM)="" S GPNAM="" ... I $G(GPNUM)="" S GPNUM="" ... ;set array = pharm plan and plan type ... S ^TMP("IBCNR",$J,"GP",GPNAM,GPNUM,GPIEN)=$P($G(GP6),U)_"^"_$P($G(GP0),U,9) Q ; EXIT K IBCNRP,IBCNRI,IBCNRGP K ^TMP("IBCNR",$J) ; Q