IBCNSJ13 ;ALB/CPM - INACTIVATE AN INSURANCE PLAN (CON'T) ; 18-JAN-95 ;;Version 2.0 ; INTEGRATED BILLING ;**28,62,52**; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; REP(IBCNS,IBNEWP,IBOLDP,IBMER) ; Repoint patient policies from old to new plan ; Input: IBCNS -- Pointer to the company in file #36 which ; offers the plans ; IBNEWP -- Pointer to the new plan in file #355.3 ; IBOLDP -- Pointer to the old plan in file #355.3 ; IBMER -- [optional]: set to 1 if benefits used should ; be merged instead of deleted ; I '$G(IBCNS)!'$G(IBNEWP)!'$G(IBOLDP) G REPQ N DA,DFN,DIE,DR,IBARR,IBCDFN,IBCBUM,IBCBUD,IBSUB1 S (IBCBUM,IBCBUD)=0 W !,"Repointing all policies to the new plan...",! K ^TMP($J,"IBSUBS") S IBSUB1=$$SUBS^IBCNSJ(IBCNS,IBOLDP,0,"^TMP($J,""IBSUBS"")") S DFN=0 F S DFN=$O(^TMP($J,"IBSUBS",DFN)) Q:'DFN D .S IBCDFN=0 F S IBCDFN=$O(^TMP($J,"IBSUBS",DFN,IBCDFN)) Q:'IBCDFN D ..Q:$P($G(^DPT(DFN,.312,IBCDFN,0)),"^",18)'=IBOLDP ..D SWPL(IBNEWP,DFN,IBCDFN) W "." ..; ..; - merge or delete previous benefits used ..S IBDAT="" F S IBDAT=$O(^IBA(355.5,"APPY",DFN,IBOLDP,IBDAT)) Q:IBDAT="" D ...S IBCDFN1=0 F S IBCDFN1=$O(^IBA(355.5,"APPY",DFN,IBOLDP,IBDAT,IBCDFN1)) Q:'IBCDFN1 I IBCDFN1=IBCDFN S IBBU=$O(^(IBCDFN1,0)) D ....I '$D(^IBA(355.4,"APY",IBNEWP,IBDAT))!'$G(IBMER) D DBU^IBCNSJ(IBBU) S IBCBUD=IBCBUD+1 Q ....D MERG(IBNEWP,IBBU) S IBCBUM=IBCBUM+1 ; W !,"All policies have been re-pointed to the new plan." I 'IBCBUD,'IBCBUM W !,"There were no Benefits Used merged or deleted." G REPQ W !,$S(IBCBUM:IBCBUM,1:"No")," Benefits Used record",$S(IBCBUM=1:" was",1:"s were")," merged." W !,$S(IBCBUD:IBCBUD,1:"No")," Benefits Used record",$S(IBCBUD=1:" was",1:"s were")," deleted." REPQ K ^TMP($J,"IBSUBS") Q ; SWPL(IBCPOL,DFN,IBCDFN) ; Change plan in policy. ; Input: IBCPOL -- Pointer to the new plan in file #355.3 ; DFN -- Pointer to the patient in file #2 ; IBCDFN -- Pointer to the policy in file #2.312 ; I '$G(IBCPOL)!'$G(DFN)!'$G(IBCDFN) G SWPLQ S DR=".18////"_IBCPOL_";1.05///NOW;1.06////"_DUZ S DA=IBCDFN,DA(1)=DFN,DIE="^DPT("_DFN_",.312," D ^DIE K DIE,DA,DR D COV^IBCNSJ(DFN) ; adjust 'Covered by Insurance' field D POL^IBCNSU41(DFN) ; stuff sponsor data into Tricare policies SWPLQ Q ; MERG(IBCPOL,IBBU,IBD) ; Merge previous benefits used into a new plan. ; Input: IBCPOL -- Pointer to the new plan in file #355.3 ; IBBU -- Pointer to the benefit to merged in file #355.5 ; IBD -- [optional] : new date for the benefit used ; N DIC,DLAYGO,IBCBU,X,Y I '$G(IBCPOL)!'$G(IBBU) G MERGQ S X=IBCPOL,DIC(0)="L",DLAYGO=355.5,DIC="^IBA(355.5," K DD,DO D FILE^DICN G:+Y<0 MERGQ S IBCBU=+Y S $P(^IBA(355.5,IBCBU,0),"^",2,30)=$P($G(^IBA(355.5,IBBU,0)),"^",2,30) I $G(IBD) S $P(^IBA(355.5,IBCBU,0),"^",3)=IBD I $D(^IBA(355.5,IBBU,1)) S ^IBA(355.5,IBCBU,1)=^(1) S DA=IBCBU,DIK="^IBA(355.5," D IX1^DIK,EDUP^IBCNSD1 D DBU^IBCNSJ(IBBU) MERGQ Q ; BU(IBQ) ; Be sure user really wants to repoint policies with benefits used. ; Required variable input: ; IBCPOL -- Pointer to the new plan in file #355.3 ; ; Formal parameter output: ; IBQ -- Set to 1 if user wishes to quit ; ; Optional variable output: ; IBMERGE -- Set to 1 if user wishes to merge applicable benefits ; IBREP -- Set to 0 if user does not want to repoint policies ; S IBQ=0 I '$D(^IBA(355.4,"APY",IBCPOL)) D G BUQ .W !!,*7," ** Please Note **",!!?5,"The selected plan has no Annual Benefits with which to associate" .W !?5,"the Benefits Used from the current plan!" .W !!?5,"If you re-point all policies to this plan, the Benefits Used for" .W !?5,"the current plan will be deleted!!" ; S DIR("A",1)="The selected plan has Annual Benefits on file. Should the repointing" S DIR("A")="of the policies attempt to merge all transferable benefits" S DIR(0)="Y",DIR("?")="^D HLMT^IBCNSJ11" D ^DIR K DIR S IBMERGE=Y I $D(DIRUT) K DIRUT,DTOUT,DUOUT,DIROUT D .S DIR(0)="Y",DIR("A")=" Do you still wish to re-point these policies to a new plan",DIR("?")="^D HLRP^IBCNSJ11" .W ! D ^DIR K DIR I $D(DIRUT) S IBQ=1 D DELP^IBCNSJ11 Q .K DIRUT,DTOUT,DUOUT,DIROUT I 'Y S IBREP=0 D MAIL^IBCNSJ11,DELP^IBCNSJ11 BUQ Q