IBCNSM31 ;ALB/AAS - INSURANCE MANAGEMENT - OUTPUTS ; 28-MAY-93 ;;Version 2.0 ; INTEGRATED BILLING ;**6,28,68**; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; % G EN^IBCNSM ; EA ; -- Edit all insurance policy data N IBDIF,I,J,IBXX,IBCDFN,IBTRC,VALMY D EN^VALM2($G(XQORNOD(0))) D FULL^VALM1 I $D(VALMY) S IBXX=0 F S IBXX=$O(VALMY(IBXX)) Q:'IBXX D ;W !,"Entry ",X,"Selected" D .S IBPPOL=$G(^TMP("IBNSMDX",$J,$O(^TMP("IBNSM",$J,"IDX",IBXX,0)))) .Q:IBPPOL="" .S IBCDFN=$P($G(IBPPOL),"^",4) I 'IBCDFN W !!,"Can't identify the policy!" Q .; -- edit patient data .N IBQUIT S IBQUIT=0 .S IBCNSEH=$P($G(^IBE(350.9,1,4)),"^",1) D PAT^IBCNSEH .D BEFORE^IBCNSEVT .D PATPOL^IBCNSM32(IBCDFN) .D AFTER^IBCNSEVT,^IBCNSEVT .; -- edit policy data .D:'$G(IBQUIT) POL^IBCNSEH,EDPOL^IBCNSM3(IBCDFN) .W ! D AI^IBCNSP1 D:$G(IBTRC) AIP^IBCNSP02(IBTRC) .Q ; EAQ D BLD^IBCNSM S VALMBCK="R" Q ; LK(IBCNS) ; -- screened look up to policy file ; input: IBCNS = pointer to insurance company file (36) ; N DIC,IBX,DIR,DUOUT,DTOUT,DIROUT,DIRUT,X,Y,IBCPOL S IBCPOL="" I $G(IBCNS)="" G LKQ ; I '$$ANYGP^IBCNSJ(IBCNS) W !!,"This company does not offer any active group plans." G LKQ ; S DIR(0)="Y",DIR("A")="This company offers active group plans. Do you wish to select one" S DIR("?")="The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'YES' if you wish to select a plan from this look-up, or 'NO' to add your own plan." D ^DIR K DIR I 'Y G LKQ ; S DIR(0)="Y",DIR("B")="YES",DIR("A")="Do you wish to directly enter this plan" S DIR("?")="The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'NO' if you wish to select a plan from this look-up, or 'YES' to directly enter the plan." D ^DIR K DIR I $D(DIRUT) G LKQ ; I 'Y D LKP^IBCNSU2(IBCNS,0,0,.IBCPOL,$G(IBALR)) G LKQ ; S DIC("A")="Select an Active GROUP PLAN: " S DIC="^IBA(355.3,",DIC(0)="AEQM",DIC("S")="I +^(0)=IBCNS,$P(^(0),U,2),'$P(^(0),U,11),$G(IBALR)'=+Y" S DIC("W")="N IBX S IBX=$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:"""")" D ^DIC K DIC I +Y>0 S IBCPOL=+Y ; ; -- see if only one policy ;I '$O(^IBA(355.3,"B",+IBCNS,IBX) D G LKQ ; ; -- is more than one plan to choose from, let fileman do it. ;S DIC("A")="Select GROUP INSURANCE PLAN: " ; ;S DIC="^IBA(355.3,",DIC(0)="AEQM",DIC("S")="I $P(^(0),U)=IBCNS,($P(^(0),U,2)=1!($P(^(0),U,10)=$G(DFN)))" ; ;D ^DIC K DIC I +Y>0 S IBCPOL=+Y ; LKQ Q IBCPOL ; FUTURE ; -- if expiration date in future give warning I $G(IBFUTUR) K IBFUTUR Q I $P(^DPT(DFN,.312,IBCDFN,0),"^",4),$P(^(0),"^",4)>DT W !!,*7,"WARNING: The expiration date for this policy is in the future!",!," Normally this is a past date or left blank or a past date",! S Y="@333" S IBFUTUR=1 Q ; COVERED(DFN,IBCOVP) ; -- update covered by insurance in background ; -- input ibcovp = the covered by insurance field prior to editing ; (add/edit/delete) of the 2.312 insurance type mult. ; Q:$G(DFN)<1 N X,Y,I,IBCOV,IBNCOV,DA,DR,DIE,DIC,IBINS,IBINSD S (IBCOV,IBNCOV)=$P($G(^DPT(DFN,.31)),"^",11) D ALL^IBCNS1(DFN,"IBINS",2,DT) S IBINSD=+$G(IBINS(0)) ; ; -- initial value ="" or Unknown I $G(IBCOVP)=""!($G(IBCOVP)="U") S IBNCOV=$S('$O(^DPT(DFN,.312,0)):"U",IBINSD:"Y",1:"N") ; ; -- initial value = YES or NO (treat the same) I $G(IBCOVP)="Y"!($G(IBCOVP)="N") S IBNCOV=$S('$O(^DPT(DFN,.312,0)):"N",IBINSD:"Y",1:"N") ; ; I IBCOV'=IBNCOV D .S DIE="^DPT(",DR=".3192////"_IBNCOV,DA=DFN D ^DIE .I '$D(ZTQUEUED) W !!,"COVERED BY HEALTH INSURANCE changed to '"_$S(IBNCOV="Y":"YES",IBNCOV="N":"NO",1:"UNKNOWN"),"'.",! .H 3 .Q Q ; 3 ; -- display group name as uneditable ; called by die, expects da = entry in 355.3 N X S X=$P($G(^IBA(355.3,DA,0)),"^",3) W !,"GROUP NAME: ",X,$S(X'="":"// ",1:"")," (No Editing)" Q ; 4 ; -- display group number as uneditable ; called by die, expects da = entry in 355.3 N X S X=$P($G(^IBA(355.3,DA,0)),"^",4) W !,"GROUP NUMBER: ",X,$S(X'="":"// ",1:"")," (No Editing)" Q