source: FOIAVistA/tag/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSC01.m@ 636

Last change on this file since 636 was 636, checked in by George Lilly, 14 years ago

WorldVistAEHR overlayed on FOIAVistA
File size: 7.4 KB
Line 
1IBCNSC01 ;ALB/NLR - INSURANCE COMPANY EDIT ; 6/1/05 10:06am
2 ;;2.0;INTEGRATED BILLING;**52,137,191,184,232,320,349**;21-MAR-94;Build 46
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5PARAM ; -- Insurance company parameters region
6 N OFFSET,START,IBCNS0,IBCNS03,IBCNS06,IBCNS08,IBCNS13,IBCNS3
7 S IBCNS0=$G(^DIC(36,+IBCNS,0)),IBCNS3=$G(^(3))
8 S IBCNS03=$P(IBCNS0,"^",3),IBCNS06=$P(IBCNS0,"^",6),IBCNS08=$P(IBCNS0,"^",8)
9 S IBCNS13=$G(^DIC(36,+IBCNS,.13))
10 S START=1,OFFSET=2
11 D SET^IBCNSP(START,OFFSET+25," Billing Parameters ",IORVON,IORVOFF)
12 ;
13 D SET^IBCNSP(START+1,OFFSET+1,"Signature Required?: "_$S(+IBCNS03:"YES",1:"NO"))
14 D SET^IBCNSP(START+2,OFFSET+10,"Reimburse?: "_$E($$EXPAND^IBTRE(36,1,$P(IBCNS0,"^",2)),1,21))
15 D SET^IBCNSP(START+3,OFFSET+3,"Mult. Bedsections: "_$S(+IBCNS06:"YES",IBCNS06=0:"NO",1:""))
16 D SET^IBCNSP(START+4,OFFSET+4,"Diff. Rev. Codes: "_$P(IBCNS0,"^",7))
17 D SET^IBCNSP(START+5,OFFSET+6,"One Opt. Visit: "_$S(+IBCNS08:"YES",1:"NO"))
18 D SET^IBCNSP(START+6,OFFSET+1,"Amb. Sur. Rev. Code: "_$P(IBCNS0,"^",9))
19 D SET^IBCNSP(START+7,OFFSET+1,"Rx Refill Rev. Code: "_$P(IBCNS0,"^",15))
20 D SET^IBCNSP(START+8,OFFSET+3,"Filing Time Frame: "_$P(IBCNS0,"^",12))
21 D SET^IBCNSP(START+9,OFFSET+4,"Type Of Coverage: "_$$EXPAND^IBTRE(36,.13,+$P(IBCNS0,U,13)))
22 D SET^IBCNSP(START+10,OFFSET+3,"Primary Form Type: "_$$EXPAND^IBTRE(36,.14,$P(IBCNS0,"^",14)))
23 ;
24 N START,OFFSET
25 S START=1,OFFSET=45
26 D SET^IBCNSP(START+1,OFFSET+7,"Billing Phone: "_$P(IBCNS13,"^",2))
27 D SET^IBCNSP(START+2,OFFSET+2,"Verification Phone: "_$P(IBCNS13,"^",4))
28 D SET^IBCNSP(START+3,OFFSET+2,"Precert Comp. Name: "_$P($G(^DIC(36,+$P(IBCNS13,"^",9),0)),"^",1))
29 D SET^IBCNSP(START+4,OFFSET+7,"Precert Phone: "_$$PHONE(IBCNS13))
30 D SET^IBCNSP(START+5,OFFSET+6," *** EDI Parameters *** ",IOINHI,IOINORM)
31 D SET^IBCNSP(START+6,OFFSET+11,"Transmit?: "_$S(+IBCNS3=1:"YES-LIVE",+IBCNS3=2:"TEST ONLY",1:"NO"))
32 D SET^IBCNSP(START+7,OFFSET+7,"Inst Payer ID: "_$P(IBCNS3,U,4))
33 D SET^IBCNSP(START+8,OFFSET+7,"Prof Payer ID: "_$P(IBCNS3,U,2))
34 D SET^IBCNSP(START+9,OFFSET+6,"Insurance Type: "_$$EXPAND^IBTRE(36,3.09,+$P(IBCNS3,U,9)))
35 D SET^IBCNSP(START+10,OFFSET+10,"Bin Number: "_$P($G(^DIC(36,+IBCNS,3)),"^",3))
36 I +IBCNS3=2 D SET^IBCNSP(START+11,OFFSET,"Max # Test Bills/Day: "_$P(IBCNS3,U,6))
37 Q
38 ;
39PHONE(IBCNS13) ; -- Compute precert company phone
40 N IBX,IBSAVE,IBCNT S IBX=""
41 I '$P(IBCNS13,"^",9) S IBX=$P(IBCNS13,"^",3) G PHONEQ
42REDOX S IBSAVE=+$P(IBCNS13,"^",9)
43 S IBCNT=$G(IBCNT)+1
44 ; -- if you process the same co. more than once you are in an infinite loop
45 I $D(IBCNT(IBCNS)) G PHONEQ
46 S IBCNT(IBCNS)=""
47 S IBCNS13=$G(^DIC(36,+$P(IBCNS13,"^",9),.13))
48 S IBX=$P(IBCNS13,"^") S:$L($P(IBCNS13,"^",3)) IBX=$P(IBCNS13,"^",3)
49 ; -- if process the same co. more than once you are in an infinite loop
50 I $P(IBCNS13,"^",9),$P(IBCNS13,"^",9)'=IBSAVE G REDOX
51PHONEQ Q IBX
52 ;
53MAIN ; -- Insurance company main address
54 N OFFSET,START,IBCNS11,IBCNS13,IBADD
55 S IBCNS11=$G(^DIC(36,+IBCNS,.11))
56 S IBCNS13=$G(^DIC(36,+IBCNS,.13))
57 S START=15,OFFSET=25
58 D SET^IBCNSP(START,OFFSET," Main Mailing Address ",IORVON,IORVOFF)
59 N OFFSET S OFFSET=2
60 D SET^IBCNSP(START+1,OFFSET," Street: "_$P(IBCNS11,"^",1)) S IBADD=1
61 D SET^IBCNSP(START+2,OFFSET," Street 2: "_$P(IBCNS11,"^",2)) S IBADD=2
62 D SET^IBCNSP(START+3,OFFSET," Street 3: "_$P(IBCNS11,"^",3)) S IBADD=3
63 ; D SET^IBCNSP(START+4,OFFSET,"Claim Off. ID: "_$P(IBCNS11,U,11))
64 N OFFSET S OFFSET=45
65 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))
66 D SET^IBCNSP(START+2,OFFSET," Phone: "_$P(IBCNS13,"^",1))
67 D SET^IBCNSP(START+3,OFFSET," Fax: "_$P(IBCNS11,"^",9))
68 Q
69 ;
70 ;
71PAYER ; This procedure builds the display for the payer associated with
72 ; this insurance company.
73 ; ESG - 7/29/02 - IIV project
74 ;
75 NEW PAYERIEN,PAYR,APPDATA,APP,DATA,APPNAME,A1,A2,A3,A4,A5,A6,A7,A8
76 NEW START,TITLE,OFFSET,IBLINE
77 S PAYERIEN=$P($G(^DIC(36,+IBCNS,3)),U,10),PAYR="",APPDATA=0
78 I PAYERIEN D
79 . S PAYR=$G(^IBE(365.12,PAYERIEN,0))
80 . S APP=0
81 . F S APP=$O(^IBE(365.12,PAYERIEN,1,APP)) Q:'APP D
82 .. S DATA=$G(^IBE(365.12,PAYERIEN,1,APP,0))
83 .. S APPNAME=$$EXTERNAL^DILFD(365.121,.01,"",$P(DATA,U,1))
84 .. I APPNAME="" Q
85 .. I $D(APPDATA(APPNAME)) Q
86 .. S (A1,A2,A3,A4,A5,A6,A7)="NO",A8=""
87 .. I $P(DATA,U,2) S A1="YES" ; national active
88 .. I $P(DATA,U,3) S A2="YES" ; local active
89 .. I $P(DATA,U,7) S A3="YES" ; auto-accept
90 .. I $P(DATA,U,8) S A4="YES" ; ident inquiries require subscr ID
91 .. I $P(DATA,U,9) S A5="YES" ; use SSN for subscriber ID
92 .. I $P(DATA,U,10) S A6="YES" ; transmit SSN
93 .. I $P(DATA,U,11) S A7="YES" ; deactivated?
94 .. ; A8 = deactivation date
95 .. I $P(DATA,U,12) S A8=$P($$FMTE^XLFDT($P(DATA,U,12),"5Z"),"@",1)
96 .. S APPDATA(APPNAME)=A1_U_A2_U_A3_U_A4_U_A5_U_A6_U_A7_U_A8
97 .. S APPDATA=APPDATA+1
98 .. Q
99 . Q
100 ;
101 S START=$O(^TMP("IBCNSC",$J,""),-1)+1
102 S IB1ST("PAYER")=START
103 S TITLE=" Payer Information/Electronic Insurance Verification "
104 S OFFSET=(40-($L(TITLE)/2))\1+1
105 D SET^IBCNSP(START,OFFSET,TITLE,IORVON,IORVOFF)
106 D SET^IBCNSP(START+1,9,"Payer Name: "_$P(PAYR,U,1))
107 D SET^IBCNSP(START+2,5,"VA National ID: "_$P(PAYR,U,2))
108 D SET^IBCNSP(START+2,51,"CMS National ID: "_$P(PAYR,U,3))
109 S IBLINE=START+2
110 ;
111 ; Handle the case where no application data is defined
112 I 'APPDATA D G PAYERX
113 . S IBLINE=IBLINE+1
114 . D SET^IBCNSP(IBLINE,2," ") ; blank line
115 . S IBLINE=IBLINE+1
116 . D SET^IBCNSP(IBLINE,16,"Payer Application data is not defined!")
117 . Q
118 ;
119 ; Display all the applications
120 S APPNAME=""
121 F S APPNAME=$O(APPDATA(APPNAME)) Q:APPNAME="" D
122 . S IBLINE=IBLINE+1
123 . D SET^IBCNSP(IBLINE,2," ") ; blank line
124 . ;
125 . S IBLINE=IBLINE+1
126 . D SET^IBCNSP(IBLINE,2,"Payer Application: "_APPNAME)
127 . D SET^IBCNSP(IBLINE,50,"Auto-Accept Info: "_$P(APPDATA(APPNAME),U,3))
128 . ;
129 . S IBLINE=IBLINE+1
130 . D SET^IBCNSP(IBLINE,4,"National Active: "_$P(APPDATA(APPNAME),U,1))
131 . D SET^IBCNSP(IBLINE,47,"Ident Req Subscr ID: "_$P(APPDATA(APPNAME),U,4))
132 . ;
133 . S IBLINE=IBLINE+1
134 . D SET^IBCNSP(IBLINE,7,"Local Active: "_$P(APPDATA(APPNAME),U,2))
135 . D SET^IBCNSP(IBLINE,51,"SSN = Subscr ID: "_$P(APPDATA(APPNAME),U,5))
136 . ;
137 . S IBLINE=IBLINE+1
138 . D SET^IBCNSP(IBLINE,8,"Deactivated: "_$P(APPDATA(APPNAME),U,7))
139 . D SET^IBCNSP(IBLINE,54,"Transmit SSN: "_$P(APPDATA(APPNAME),U,6))
140 . ;
141 . ; If no deactivated date, then exit
142 . I $P(APPDATA(APPNAME),U,8)="" Q
143 . ;
144 . S IBLINE=IBLINE+1
145 . D SET^IBCNSP(IBLINE,13,"D-Date: "_$P(APPDATA(APPNAME),U,8))
146 . ;
147 . Q
148PAYERX ;
149 ; Two trailing blank lines after payer information display
150 S IBLINE=IBLINE+1
151 D SET^IBCNSP(IBLINE,2," ") ; blank line
152 S IBLINE=IBLINE+1
153 D SET^IBCNSP(IBLINE,2," ") ; blank line
154 Q
155 ;
156 ;
157REMARKS ;
158 ;
159 N OFFSET,START,IBLCNT,IBI
160 S START=$O(^TMP("IBCNSC",$J,""),-1)+1,OFFSET=2
161 S IB1ST("REM")=START
162 ;
163 D SET^IBCNSP(START,OFFSET," Remarks ",IORVON,IORVOFF)
164 S (IBLCNT,IBI)=0 F S IBI=$O(^DIC(36,+IBCNS,11,IBI)) Q:IBI<1 D
165 . S IBLCNT=IBLCNT+1
166 . D SET^IBCNSP(START+IBLCNT,OFFSET," "_$E($G(^DIC(36,+IBCNS,11,IBI,0)),1,80))
167 . Q
168 D SET^IBCNSP(START+IBLCNT+1,OFFSET," ") ; blank line after remarks
169 Q
170 ;
171SYN ;
172 N OFFSET,START,SYN,SYNOI
173 S START=$O(^TMP("IBCNSC",$J,""),-1)+1,OFFSET=2
174 S IB1ST("SYN")=START
175 D SET^IBCNSP(START,OFFSET," Synonyms ",IORVON,IORVOFF)
176 S SYN="" F SYNOI=1:1:8 S SYN=$O(^DIC(36,+IBCNS,10,"B",SYN)) Q:SYN="" D SET^IBCNSP(START+SYNOI,OFFSET,$S(SYNOI>7:" ...edit to see more...",1:" "_SYN))
177 Q
178 ;
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