IBCNSJ5 ;ALB/TMP - INSURANCE PLAN MAINTENANCE ACTION PROCESSING ; 09-AUG-95 ;;Version 2.0 ; INTEGRATED BILLING ;**43**; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; PL ; -- Insurance Company Plan List D FULL^VALM1 W !! N VALMY,VALMHDR,IBIND,IBMULT,IBW,IBSEL S (IBIND,IBMULT)=1,IBW=1,IBSEL=0 D EN^VALM("IBCNS PLAN LIST") Q ; AB ; -- Edit Annual Benefits from insurance company edit OR plan detail edit I $D(IBCPOL) D FULL^VALM1,EN^VALM("IBCNS ANNUAL BENEFITS") S VALMBCK="R" G ABQ D FULL^VALM1 N I,J,IBXX,VALMY,IBCDFN D EN^VALM2($G(XQORNOD(0))) I $D(VALMY) S IBXX=0 F S IBXX=$O(VALMY(IBXX)) Q:'IBXX D .N IBCPOL .S IBCPOL=$G(^TMP("IBCNSJ",$J,"IDX",IBXX,+$O(^TMP("IBCNSJ",$J,"IDX",IBXX,0)))) .Q:IBCPOL="" .D FULL^VALM1 .W !!,"Plan Name: ",$P($G(^IBA(355.3,IBCPOL,0)),U,3)," Number: ",$P($G(^IBA(355.3,IBCPOL,0)),U,4) .K IBCDFN .D EN^VALM("IBCNS ANNUAL BENEFITS") .Q ABQ I $D(IBCPOL) D INIT^IBCNSC4 S VALMBCK=$S($D(IBFASTXT):"Q",1:"R") K IBFASTXT Q ; IA ; -- (In)activate plan from insurance company edit OR plan detail edit I '$D(^XUSEC("IB INSURANCE SUPERVISOR",DUZ)) W !!,"Sorry, but you do not have the required privileges to inactivate plans." D PAUSE^VALM1 G IAQ D FULL^VALM1 I $D(IBCPOL) D INACT^IBCNSJ1(+$P($G(^IBA(355.3,IBCPOL,0)),U),IBCPOL) G IAQ N I,J,IBXX,VALMY,IBCDFN D EN^VALM2($G(XQORNOD(0))) I $D(VALMY) S IBXX=0 F S IBXX=$O(VALMY(IBXX)) Q:'IBXX D .N IBCPOL,IBCPND,IBCPND1 .S IBCPOL=$G(^TMP("IBCNSJ",$J,"IDX",IBXX,+$O(^TMP("IBCNSJ",$J,"IDX",IBXX,0)))) .Q:IBCPOL="" .D FULL^VALM1 .S IBCPND=$G(^IBA(355.3,IBCPOL,0)) .I '$P(IBCPND,U,2) W !,"You cannot inactivate an individual plan." D PAUSE^VALM1 Q .K IBCDFN .D INACT^IBCNSJ1(+$P($G(^IBA(355.3,IBCPOL,0)),U),IBCPOL),PAUSE^VALM1 .S IBCPND1=$G(^IBA(355.3,IBCPOL,0)) .I $P(IBCPND1,U,11)'=$P(IBCPND,U,11)!(IBCPND1="") D ..D INIT^IBCNSU2 ;Rebuild list if plan changed or deleted ..N IBCPOLD S IBCPOLD=$G(^IBA(355.3,+$G(IBCPOL),0)) ..I IBCPOLD'="" D HDR^IBCNSC41 IAQ I $G(IBCPOL) D ;Rebuild header .N IBCPOLD S IBCPOLD=$G(^IBA(355.3,+$G(IBCPOL),0)) .I IBCPOLD'="" D HDR^IBCNSC41 S VALMBCK="R" Q ; VP ; -- Edit/View Plan D FULL^VALM1 N IBCND1,IBCDFND,IBCPOL,IBCPOLD,IBXX,VALMY,IBCDFN D EN^VALM2($G(XQORNOD(0))) I $D(VALMY) S IBXX=0 F S IBXX=$O(VALMY(IBXX)) Q:'IBXX D .S IBCPOL=$G(^TMP("IBCNSJ",$J,"IDX",IBXX,+$O(^TMP("IBCNSJ",$J,"IDX",IBXX,0)))) .Q:IBCPOL="" .D FULL^VALM1 .K IBCDFN .D EN^VALM("IBCNS INS CO PLAN DETAIL") .Q I '$D(IBFASTXT) D INIT^IBCNSU2 S VALMBCK="R" Q ; PC ; Plan comments W !!,"You may now enter comments about this plan." L +^IBA(355.3,+IBCPOL):5 I '$T D LOCKED^IBTRCD1 G PCQ S DIE="^IBA(355.3,",DA=IBCPOL,DR="11" D ^DIE D INIT^IBCNSC4 L -^IBA(355.3,+IBCPOL) PCQ S VALMBCK="R" Q ; CP ;Change insurance plans D FULL^VALM1 S DIR(0)="Y",DIR("A")="Do you want to see the list of plans for this insurance company" S DIR("?")="Enter 'YES' if you want to use the LIST MANAGER lookup facility on the previous screen to select a plan. Enter 'NO' to select a plan using the standard Fileman lookup." S VALMBCK="R" D ^DIR K DIR I $D(DIRUT) G CPEX I Y S VALMBCK="Q" G CPEX S DIC("S")="I $P(^(0),U)=$G(IBCNS)",DIC="^IBA(355.3,",DIC(0)="AEMQ" S DIC("W")="N IBX S IBX=$G(^(0)) W "" Name: "",$E($S($P(IBX,U,3)'="""":$P(IBX,U,3),1:"""")_$J("""",20),1,20),"" Number: "",$S($P(IBX,U,4)'="""":$P(IBX,U,4),1:"""")" S DIC("W")=DIC("W")_","" "",$S($P(IBX,U,2):""GROUP"",1:""INDIVIDUAL""),"" "",$S($P(IBX,U,11):""IN"",1:""""),""ACTIVE""" S DIC("A")="Select "_$P($G(^DIC(36,+$G(IBCNS),0)),U)_" PLAN: " D ^DIC K DIC G:Y<0 CPEX S IBCPOL=+Y D INIT^IBCNSC4 CPEX Q ; CV ;Edit coverage limitations from edit patient policy D EDCOV^IBCNSJ51 D BLD^IBCNSP Q CV1 ;Edit coverage limitations from edit plan D EDCOV^IBCNSJ51 D INIT^IBCNSC4 Q ;