IBCNRPM2 ;BHAM ISC/CMW - Match Multiple Group Plans to a Pharmacy Plan ;10-MAR-2004 ;;2.0;INTEGRATED BILLING;**251,276**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ;; ; EN(IBCNRP,IBCNRI,IBCNRGP) ; -- main entry point for IBCNR PAYERSHEET MATCH (LIST TEMPLATE) D EN^VALM("IBCNR GROUP PLAN MATCH") Q ; HDR ; -- header code NEW IBCNR0,IBCNRID,IBCNRNM,IBCNR10,IBCNRPBM,IBCNRBIN,IBCNRPCN,IBLEAD NEW IBCNR3,IBCNRIN,NST,LST,X ; get pharmacy plan data S IBCNR0=$G(^IBCNR(366.03,+IBCNRP,0)) S IBCNRID=$P(IBCNR0,"^",1) ;id S IBCNRNM=$P(IBCNR0,"^",2) ;name S IBCNR10=$G(^IBCNR(366.03,+IBCNRP,10)) S IBCNRPBM=$P(IBCNR10,"^",1) ;pbm S IBCNRBIN=$P(IBCNR10,"^",2) ;bin S IBCNRPCN=$P(IBCNR10,"^",3) ;pcn S IBCNR3=$G(^IBCNR(366.03,+IBCNRP,3,1,0)) ; appl S NST=$S($P(IBCNR3,"^",2)=0:"Inactive ",1:"Active ") S LST=$S($P(IBCNR3,"^",3)=0:"Inactive ",1:"Active ") ; get insurance company name S IBCNRIN=$P($G(^DIC(36,IBCNRI,0)),U) ; row 1 S IBLEAD="FOR PHARMACY PLAN: " S X=IBCNRNM_" - "_IBCNRID S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80) ; row 2 S IBLEAD="BIN: "_IBCNRBIN S X=" PCN: "_IBCNRPCN_" STATUS: National "_NST_"/Local "_LST S VALMHDR(2)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80) ; row 3 ;S X="STATUS: National "_NST_"/" ;S VALMHDR(3)=$$SETSTR^VALM1("Local "_LST,X,$L(X)+1,80) ; row 4 S X="FOR INSURANCE COMPANY: " S VALMHDR(4)=$$SETSTR^VALM1(IBCNRIN,X,$L(X)+1,80) ; Q ; INIT ; -- init variables and list array ; I '$D(^TMP("IBCNR",$J,"GP")) D Q . S VALMCNT=0 . W !,*7,"Warning: No Active Group Plans with Pharmacy Coverage Found." ; N GPIEN,IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCRVD,LIM N IBGNA,IBGNM,IBCNA,IBCNM,IBDAT K ^TMP("IBCNR",$J,"PM") S VALMCNT=0,VALMBG=1,(IBCNA,IBCNM)="" S (IBIND,IBMULT,IBW)=1 F S IBCNA=$O(^TMP("IBCNR",$J,"GP",IBCNA)) Q:IBCNA="" D . F S IBCNM=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM)) Q:IBCNM="" D .. ;get pharm plan id .. S GPIEN=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,"")),IBDAT=^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,GPIEN) .. ;set up list .. S VALMCNT=VALMCNT+1 .. S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER") .. ; .. ;group name .. S X=$$SETFLD^VALM1(IBCNA,X,"GNAME") .. ; .. ;group number .. S X=$$SETFLD^VALM1(IBCNM,X,"GNUM") .. ; .. ;group plan type .. S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBDAT,"^",2)),X,"GTYP") .. ; .. ;pharmacy plan .. S IBCNRPP=$P($G(IBDAT),U) .. I IBCNRPP'="" S IBCNRPP=$$GET1^DIQ(366.03,IBCNRPP_",",.02,"E") .. S X=$$SETFLD^VALM1(IBCNRPP,X,"PHRM") .. ; .. ; set up tmp for SEL .. S ^TMP("IBCNR",$J,"PM",VALMCNT,0)=X .. S ^TMP("IBCNR",$J,"PM","IDX",VALMCNT,VALMCNT)=GPIEN ; Q ; HELP ; -- help code S X="?" D DISP^XQORM1 W !! Q ; EXIT ; -- exit code K ^TMP("IBCNR",$J,"PM"),VALMBCK,VALMY K IBIND,IBMULT,IBW,IBX D CLEAN^VALM10,CLEAR^VALM1 Q ; EXPND ; -- expand code Q ; SEL ; Select Plan ; D S1 ; I 'IBX Q ; no group selected ; N DA,DIC,DIE,DR,D,IBSEL S IBX=0 F S IBX=$O(VALMY(IBX)) Q:IBX="" D . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)) . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01////^S X="_IBCNRP . D ^DIE D GIPF^IBCNRPM1 D INIT ; S IBX=0 F S IBX=$O(VALMY(IBX)) Q:'IBX D . S ^TMP($J,"IBSEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))="" ; Q ; DEL ; remove a plan from a group D S1 ; I 'IBX Q ; no group selected ; NEW DA,DIC,DIE,DR,IBSEL S IBX=0 F S IBX=$O(VALMY(IBX)) Q:IBX="" D . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)) . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01///@" . D ^DIE D GIPF^IBCNRPM1 D INIT ; S IBX=0 F S IBX=$O(VALMY(IBX)) Q:'IBX S ^TMP($J,"IBDEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))="" ; Q ; S1 N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y,X D EN^VALM2($G(XQORNOD(0))),FULL^VALM1 S IBX=$O(VALMY(0)),VALMBCK="R" ; I 'IBX W !!,"No group selected!" D PAUSE^VALM1 Q I 'IBMULT D G SPQ . D OK^IBCNSM3 . I IBQUIT S VALMBCK="Q" Q . I IBOK S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX)),VALMBCK="Q" ; ;S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX)) ;Q ; SPQ ; S DIR(0)="SB^Y:YES;N:NO",DIR("B")="NO",DIR("A")="OK to Continue? " D ^DIR K DIR I $G(Y)="^" S IBX="" Q I $G(Y(0))="NO" S IBX="" Q