IBCNSBL1 ;ALB/AAS - NEW INSURANCE POLICY BULLETIN ;29-AUG-93 ;;2.0;INTEGRATED BILLING;**6,28,82,249,276**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; BULL ; -- send bulletin N IBCNT S XMSUB="New Insurance Policy For "_$E($P(IBP,"^"),1,20)_" Pt. Id: "_$P(IBP,"^",2) S IBT(1)=" A new insurance policy has been added for:" S IBT(2)=" Patient: "_$E($P(IBP,"^")_" ",1,25)_" PT. ID: "_$P(IBP,"^",2) S IBT(3)="" S IBT(4)=" New Policy: " S IBCNT=4 D HDR,NPOL S IBCNT=IBCNT+1,IBT(IBCNT)="" S IBCNT=IBCNT+1,IBT(IBCNT)=" Previous Policy(s): " D HDR,OPOL S IBCNT=IBCNT+1,IBT(IBCNT)="" S IBCNT=IBCNT+1,IBT(IBCNT)=" Buffer Policy(s): " D BUFF S IBCNT=IBCNT+1,IBT(IBCNT)="" S IBCNT=IBCNT+1,IBT(IBCNT)=" Possible billable Inpt. Care: " D INPT S IBCNT=IBCNT+1,IBT(IBCNT)="" S IBCNT=IBCNT+1,IBT(IBCNT)=" Possible billable Opt. Care: " D OPT I $$ECMEBIL^IBNCPDPU(DFN,DT) D . S IBCNT=IBCNT+1,IBT(IBCNT)="" . S IBCNT=IBCNT+1,IBT(IBCNT)=" *** NOTE: Prescriptions for this patient are ECME BILLABLE and may be" . S IBCNT=IBCNT+1,IBT(IBCNT)=" processed using the GENERATE ECME RX BILLS option contained in the" . S IBCNT=IBCNT+1,IBT(IBCNT)=" Billing Clerk's Menu" ; S IBCNT=IBCNT+1,IBT(IBCNT)="" S IBCNT=IBCNT+1,IBT(IBCNT)=" Added by: "_$P($G(^VA(200,+$P(IBEVTA1,"^",2),0)),"^") S IBCNT=IBCNT+1,IBT(IBCNT)=" on: "_$$DAT1^IBOUTL(+IBEVTA1,"2P") S IBCNT=IBCNT+1,IBT(IBCNT)=" Option: " ; I $D(XQY0) S IBT(IBCNT)=IBT(IBCNT)_$P($G(XQY0),"^",2) I $D(ZTQUEUED),$P($G(XQY0),"^",2)="" S IBT(IBCNT)=IBT(IBCNT)_"Queued Job - "_$G(ZTDESC) D SEND BULLQ Q ; NPOL ; -- set up new policy S IBCNT=IBCNT+1 S IBT(IBCNT)=$$D1(IBEVTA0) Q ; OPOL ; -- set up old policies N J,X,IBPCNT S J=0 F S J=$O(^DPT(DFN,.312,J)) Q:'J I J'=IBCDFN S X=$G(^DPT(DFN,.312,J,0)) S IBCNT=IBCNT+1,IBT(IBCNT)=$$D1(X) S IBPCNT=$G(IBPCNT)+1 I $G(IBPCNT)<1 S IBCNT=IBCNT+1,IBT(IBCNT)=" No Previous Policies On file!" Q ; SEND S XMDUZ="INTEGRATED BILLING PACKAGE",XMTEXT="IBT(" K XMY S XMN=0 S IBGRP=$P($G(^XMB(3.8,+$P($G(^IBE(350.9,1,4)),"^",4),0)),"^") I IBGRP]"" S XMY("G."_IBGRP_"@"_^XMB("NETNAME"))="" D ^XMD K X,Y,IBI,IBT,IBGRP,XMDUZ,XMTEXT,XMY,XMSUB Q ; HDR ; -- print standard header D HDR1("=",76) Q ; HDR1(CHAR,LENG) ; -- print header, specify character S IBCNT=IBCNT+1 S IBT(IBCNT)=" Insurance Co. Subscriber ID Group Holder Effective Expires" S IBCNT=IBCNT+1,X="",$P(X,CHAR,LENG)="" S IBT(IBCNT)=X Q ; ; D1(IBINS) N X,IBX S IBX="" I '$G(IBINS) G DQ S IBX=" "_$E($S($D(^DIC(36,+IBINS,0)):$E($P(^(0),"^",1),1,16),1:"UNKNOWN")_" ",1,16)_" " S IBX=IBX_$E($P(IBINS,"^",2)_" ",1,16)_" " S IBX=IBX_$E($$GRP^IBCNS($P(IBINS,"^",18))_" ",1,10)_" " S X=$P(IBINS,"^",6) S IBX=IBX_$E($S(X="v":"SELF",X="s":"SPOUSE",1:"OTHER")_" ",1,8) S IBX=IBX_$E($$DAT1^IBOUTL($P(IBINS,"^",8))_" ",1,10)_$$DAT1^IBOUTL($P(IBINS,"^",4)) DQ Q IBX ; OPT ; -- list opt treatment (sched appoints only) N CNT S CNT=0 ; I $D(^TMP($J,"SDAMA201","GETAPPT","ERROR")) S IBCNT=IBCNT+1,IBT(IBCNT)=" Unable to look-up Scheduled Appointments." D Q . F S CNT=$O(^TMP($J,"SDAMA201","GETAPPT","ERROR",CNT)) Q:'CNT S IBCNT=IBCNT+1,IBT(IBCNT)=" "_$G(^TMP($J,"SDAMA201","GETAPPT","ERROR",CNT)) ; S OPT=0 F S OPT=$O(^TMP($J,"SDAMA201","GETAPPT",OPT)) Q:'OPT D .S IBCNT=IBCNT+1 .I IBCNT>100 S IBT(IBCNT)="Too many to list" S OPT=9999999 Q .S IBT(IBCNT)=" Outpatient Visit on "_$$DAT1^IBOUTL($G(^TMP($J,"SDAMA201","GETAPPT",OPT,1)))_" to "_$P($G(^TMP($J,"SDAMA201","GETAPPT",OPT,2)),"^",2) .S CNT=CNT+1 I 'CNT S IBCNT=IBCNT+1,IBT(IBCNT)=" No Scheduled appointments found." Q ; INPT ; -- list inpt. treatment (admissions only) N CNT S CNT=0 I $G(^DPT(DFN,.1))]"" S CNT=CNT+1,IBCNT=IBCNT+1,IBT(IBCNT)=" Currently an Inpatient on "_$G(^DPT(DFN,.1)) I $G(IBTADD) S IBCNT=IBCNT+1,IBT(IBCNT)=" Entry Added to Claims Tracking for Current Admission." I $G(VAIN(1)) S CNT=CNT+1,IBCNT=IBCNT+1,IBT(IBCNT)=" Previously an inpatient on ward "_$P(VAIN(4),"^",2)_" on "_$$DAT1^IBOUTL($P(START,".")) S INPT=START F S INPT=$O(^DGPM("APTT1",DFN,INPT)) Q:'INPT!(INPT>END) S DGPM=0 F S DGPM=$O(^DGPM("APTT1",DFN,INPT,DGPM)) Q:'DGPM D .Q:'$G(^DGPM(DGPM,0)) .S IBCNT=IBCNT+1 .S IBT(IBCNT)=" Inpatient Admission on "_$$DAT1^IBOUTL(+^DGPM(DGPM,0),"2P") .S CNT=CNT+1 I 'CNT S IBCNT=IBCNT+1,IBT(IBCNT)=" No Admissions found." Q ; BUFF ; -- list insurance buffer entries for the patient N IBBDA,IBX,IBY,IBB40,IBB60 I '$$BUFFER^IBCNBU1(DFN) S IBCNT=IBCNT+1,IBT(IBCNT)=" No Insurance Buffer entries for this Patient." Q ; S IBBDA=0 F S IBBDA=$O(^IBA(355.33,"C",DFN,IBBDA)) Q:'IBBDA D . S IBB40=$G(^IBA(355.33,IBBDA,40)),IBB60=$G(^IBA(355.33,IBBDA,60)) . ; . S IBY=$P($G(^IBA(355.33,+IBBDA,20)),U,1),IBX=" "_$E($S(IBY'="":IBY,1:"UNKNOWN")_" ",1,16)_" " . S IBX=IBX_$E($P(IBB60,"^",4)_" ",1,16)_" " . S IBX=IBX_$E($S($P(IBB40,U,3)'="":$P(IBB40,U,3),$P(IBB40,U,2)'="":$P(IBB40,U,2),$P(IBB40,U,1)=0:"Ind. Plan",1:"")_" ",1,10)_" " . S IBY=$P(IBB60,"^",5) S IBX=IBX_$E($S(IBY="v":"SELF",IBY="s":"SPOUSE",1:"OTHER")_" ",1,8) . S IBX=IBX_$E($$DAT1^IBOUTL($P(IBB60,"^",2))_" ",1,10)_$$DAT1^IBOUTL($P(IBB60,"^",3)) . S IBCNT=IBCNT+1,IBT(IBCNT)=IBX Q