IBCNSC01 ;ALB/NLR - INSURANCE COMPANY EDIT ; 6/1/05 10:06am ;;2.0;INTEGRATED BILLING;**52,137,191,184,232,320,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; PARAM ; -- Insurance company parameters region N OFFSET,START,IBCNS0,IBCNS03,IBCNS06,IBCNS08,IBCNS13,IBCNS3 S IBCNS0=$G(^DIC(36,+IBCNS,0)),IBCNS3=$G(^(3)) S IBCNS03=$P(IBCNS0,"^",3),IBCNS06=$P(IBCNS0,"^",6),IBCNS08=$P(IBCNS0,"^",8) S IBCNS13=$G(^DIC(36,+IBCNS,.13)) S START=1,OFFSET=2 D SET^IBCNSP(START,OFFSET+25," Billing Parameters ",IORVON,IORVOFF) ; D SET^IBCNSP(START+1,OFFSET+1,"Signature Required?: "_$S(+IBCNS03:"YES",1:"NO")) D SET^IBCNSP(START+2,OFFSET+10,"Reimburse?: "_$E($$EXPAND^IBTRE(36,1,$P(IBCNS0,"^",2)),1,21)) D SET^IBCNSP(START+3,OFFSET+3,"Mult. Bedsections: "_$S(+IBCNS06:"YES",IBCNS06=0:"NO",1:"")) D SET^IBCNSP(START+4,OFFSET+4,"Diff. Rev. Codes: "_$P(IBCNS0,"^",7)) D SET^IBCNSP(START+5,OFFSET+6,"One Opt. Visit: "_$S(+IBCNS08:"YES",1:"NO")) D SET^IBCNSP(START+6,OFFSET+1,"Amb. Sur. Rev. Code: "_$P(IBCNS0,"^",9)) D SET^IBCNSP(START+7,OFFSET+1,"Rx Refill Rev. Code: "_$P(IBCNS0,"^",15)) D SET^IBCNSP(START+8,OFFSET+3,"Filing Time Frame: "_$P(IBCNS0,"^",12)) D SET^IBCNSP(START+9,OFFSET+4,"Type Of Coverage: "_$$EXPAND^IBTRE(36,.13,+$P(IBCNS0,U,13))) D SET^IBCNSP(START+10,OFFSET+3,"Primary Form Type: "_$$EXPAND^IBTRE(36,.14,$P(IBCNS0,"^",14))) ; N START,OFFSET S START=1,OFFSET=45 D SET^IBCNSP(START+1,OFFSET+7,"Billing Phone: "_$P(IBCNS13,"^",2)) D SET^IBCNSP(START+2,OFFSET+2,"Verification Phone: "_$P(IBCNS13,"^",4)) D SET^IBCNSP(START+3,OFFSET+2,"Precert Comp. Name: "_$P($G(^DIC(36,+$P(IBCNS13,"^",9),0)),"^",1)) D SET^IBCNSP(START+4,OFFSET+7,"Precert Phone: "_$$PHONE(IBCNS13)) D SET^IBCNSP(START+5,OFFSET+6," *** EDI Parameters *** ",IOINHI,IOINORM) D SET^IBCNSP(START+6,OFFSET+11,"Transmit?: "_$S(+IBCNS3=1:"YES-LIVE",+IBCNS3=2:"TEST ONLY",1:"NO")) D SET^IBCNSP(START+7,OFFSET+7,"Inst Payer ID: "_$P(IBCNS3,U,4)) D SET^IBCNSP(START+8,OFFSET+7,"Prof Payer ID: "_$P(IBCNS3,U,2)) D SET^IBCNSP(START+9,OFFSET+6,"Insurance Type: "_$$EXPAND^IBTRE(36,3.09,+$P(IBCNS3,U,9))) D SET^IBCNSP(START+10,OFFSET+10,"Bin Number: "_$P($G(^DIC(36,+IBCNS,3)),"^",3)) I +IBCNS3=2 D SET^IBCNSP(START+11,OFFSET,"Max # Test Bills/Day: "_$P(IBCNS3,U,6)) Q ; PHONE(IBCNS13) ; -- Compute precert company phone N IBX,IBSAVE,IBCNT S IBX="" I '$P(IBCNS13,"^",9) S IBX=$P(IBCNS13,"^",3) G PHONEQ REDOX S IBSAVE=+$P(IBCNS13,"^",9) S IBCNT=$G(IBCNT)+1 ; -- if you process the same co. more than once you are in an infinite loop I $D(IBCNT(IBCNS)) G PHONEQ S IBCNT(IBCNS)="" S IBCNS13=$G(^DIC(36,+$P(IBCNS13,"^",9),.13)) S IBX=$P(IBCNS13,"^") S:$L($P(IBCNS13,"^",3)) IBX=$P(IBCNS13,"^",3) ; -- if process the same co. more than once you are in an infinite loop I $P(IBCNS13,"^",9),$P(IBCNS13,"^",9)'=IBSAVE G REDOX PHONEQ Q IBX ; MAIN ; -- Insurance company main address N OFFSET,START,IBCNS11,IBCNS13,IBADD S IBCNS11=$G(^DIC(36,+IBCNS,.11)) S IBCNS13=$G(^DIC(36,+IBCNS,.13)) S START=15,OFFSET=25 D SET^IBCNSP(START,OFFSET," Main Mailing Address ",IORVON,IORVOFF) N OFFSET S OFFSET=2 D SET^IBCNSP(START+1,OFFSET," Street: "_$P(IBCNS11,"^",1)) S IBADD=1 D SET^IBCNSP(START+2,OFFSET," Street 2: "_$P(IBCNS11,"^",2)) S IBADD=2 D SET^IBCNSP(START+3,OFFSET," Street 3: "_$P(IBCNS11,"^",3)) S IBADD=3 ; D SET^IBCNSP(START+4,OFFSET,"Claim Off. ID: "_$P(IBCNS11,U,11)) N OFFSET S OFFSET=45 D SET^IBCNSP(START+1,OFFSET," City/State: "_$E($P(IBCNS11,"^",4),1,15)_$S($P(IBCNS11,"^",4)="":"",1:", ")_$P($G(^DIC(5,+$P(IBCNS11,"^",5),0)),"^",2)_" "_$E($P(IBCNS11,"^",6),1,5)) D SET^IBCNSP(START+2,OFFSET," Phone: "_$P(IBCNS13,"^",1)) D SET^IBCNSP(START+3,OFFSET," Fax: "_$P(IBCNS11,"^",9)) Q ; ; PAYER ; This procedure builds the display for the payer associated with ; this insurance company. ; ESG - 7/29/02 - IIV project ; NEW PAYERIEN,PAYR,APPDATA,APP,DATA,APPNAME,A1,A2,A3,A4,A5,A6,A7,A8 NEW START,TITLE,OFFSET,IBLINE S PAYERIEN=$P($G(^DIC(36,+IBCNS,3)),U,10),PAYR="",APPDATA=0 I PAYERIEN D . S PAYR=$G(^IBE(365.12,PAYERIEN,0)) . S APP=0 . F S APP=$O(^IBE(365.12,PAYERIEN,1,APP)) Q:'APP D .. S DATA=$G(^IBE(365.12,PAYERIEN,1,APP,0)) .. S APPNAME=$$EXTERNAL^DILFD(365.121,.01,"",$P(DATA,U,1)) .. I APPNAME="" Q .. I $D(APPDATA(APPNAME)) Q .. S (A1,A2,A3,A4,A5,A6,A7)="NO",A8="" .. I $P(DATA,U,2) S A1="YES" ; national active .. I $P(DATA,U,3) S A2="YES" ; local active .. I $P(DATA,U,7) S A3="YES" ; auto-accept .. I $P(DATA,U,8) S A4="YES" ; ident inquiries require subscr ID .. I $P(DATA,U,9) S A5="YES" ; use SSN for subscriber ID .. I $P(DATA,U,10) S A6="YES" ; transmit SSN .. I $P(DATA,U,11) S A7="YES" ; deactivated? .. ; A8 = deactivation date .. I $P(DATA,U,12) S A8=$P($$FMTE^XLFDT($P(DATA,U,12),"5Z"),"@",1) .. S APPDATA(APPNAME)=A1_U_A2_U_A3_U_A4_U_A5_U_A6_U_A7_U_A8 .. S APPDATA=APPDATA+1 .. Q . Q ; S START=$O(^TMP("IBCNSC",$J,""),-1)+1 S IB1ST("PAYER")=START S TITLE=" Payer Information/Electronic Insurance Verification " S OFFSET=(40-($L(TITLE)/2))\1+1 D SET^IBCNSP(START,OFFSET,TITLE,IORVON,IORVOFF) D SET^IBCNSP(START+1,9,"Payer Name: "_$P(PAYR,U,1)) D SET^IBCNSP(START+2,5,"VA National ID: "_$P(PAYR,U,2)) D SET^IBCNSP(START+2,51,"CMS National ID: "_$P(PAYR,U,3)) S IBLINE=START+2 ; ; Handle the case where no application data is defined I 'APPDATA D G PAYERX . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,2," ") ; blank line . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,16,"Payer Application data is not defined!") . Q ; ; Display all the applications S APPNAME="" F S APPNAME=$O(APPDATA(APPNAME)) Q:APPNAME="" D . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,2," ") ; blank line . ; . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,2,"Payer Application: "_APPNAME) . D SET^IBCNSP(IBLINE,50,"Auto-Accept Info: "_$P(APPDATA(APPNAME),U,3)) . ; . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,4,"National Active: "_$P(APPDATA(APPNAME),U,1)) . D SET^IBCNSP(IBLINE,47,"Ident Req Subscr ID: "_$P(APPDATA(APPNAME),U,4)) . ; . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,7,"Local Active: "_$P(APPDATA(APPNAME),U,2)) . D SET^IBCNSP(IBLINE,51,"SSN = Subscr ID: "_$P(APPDATA(APPNAME),U,5)) . ; . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,8,"Deactivated: "_$P(APPDATA(APPNAME),U,7)) . D SET^IBCNSP(IBLINE,54,"Transmit SSN: "_$P(APPDATA(APPNAME),U,6)) . ; . ; If no deactivated date, then exit . I $P(APPDATA(APPNAME),U,8)="" Q . ; . S IBLINE=IBLINE+1 . D SET^IBCNSP(IBLINE,13,"D-Date: "_$P(APPDATA(APPNAME),U,8)) . ; . Q PAYERX ; ; Two trailing blank lines after payer information display S IBLINE=IBLINE+1 D SET^IBCNSP(IBLINE,2," ") ; blank line S IBLINE=IBLINE+1 D SET^IBCNSP(IBLINE,2," ") ; blank line Q ; ; REMARKS ; ; N OFFSET,START,IBLCNT,IBI S START=$O(^TMP("IBCNSC",$J,""),-1)+1,OFFSET=2 S IB1ST("REM")=START ; D SET^IBCNSP(START,OFFSET," Remarks ",IORVON,IORVOFF) S (IBLCNT,IBI)=0 F S IBI=$O(^DIC(36,+IBCNS,11,IBI)) Q:IBI<1 D . S IBLCNT=IBLCNT+1 . D SET^IBCNSP(START+IBLCNT,OFFSET," "_$E($G(^DIC(36,+IBCNS,11,IBI,0)),1,80)) . Q D SET^IBCNSP(START+IBLCNT+1,OFFSET," ") ; blank line after remarks Q ; SYN ; N OFFSET,START,SYN,SYNOI S START=$O(^TMP("IBCNSC",$J,""),-1)+1,OFFSET=2 S IB1ST("SYN")=START D SET^IBCNSP(START,OFFSET," Synonyms ",IORVON,IORVOFF) S SYN="" F SYNOI=1:1:8 S SYN=$O(^DIC(36,+IBCNS,10,"B",SYN)) Q:SYN="" D SET^IBCNSP(START+SYNOI,OFFSET,$S(SYNOI>7:" ...edit to see more...",1:" "_SYN)) Q ;