IBCNSP0 ;ALB/AAS - INSURANCE MANAGEMENT - EXPANDED POLICY ;05-MAR-1993 ;;2.0;INTEGRATED BILLING;**28,43,52,85,93,103,137,229,251,363**;21-MAR-94;Build 35 ;;Per VHA Directive 2004-038, this routine should not be modified. ; ; CONTACT ; -- Insurance Contact Information N OFFSET,START S START=41+$G(IBLCNT),OFFSET=42 N IBTRC,IBTRCD,IBTCOD S IBTCOD=$O(^IBE(356.11,"ACODE",85,0)) ; S IBTRC=0,IBTRCD="" F S IBTRC=$O(^IBT(356.2,"D",DFN,IBTRC)) Q:'IBTRC D .Q:$P($G(^IBT(356.2,+IBTRC,1)),"^",5)'=IBCDFN ; must be same policy .Q:$P($G(^IBT(356.2,+IBTRC,0)),"^",4)'=IBTCOD ; must be ins. ver. type .S IBTRCD=$G(^IBT(356.2,+IBTRC,0)) ; I '$D(@VALMAR@(START-1)) D SET(START-1,OFFSET," ") D SET(START,OFFSET," Insurance Contact (last) ",IORVON,IORVOFF) D SET(START+1,OFFSET," Person Contacted: "_$$EXPAND^IBTRE(356.2,.06,$P(IBTRCD,"^",6))) D SET(START+2,OFFSET,"Method of Contact: "_$$EXPAND^IBTRE(356.2,.17,$P(IBTRCD,"^",17))) D SET(START+3,OFFSET," Contact's Phone: "_$$EXPAND^IBTRE(356.2,.07,$P(IBTRCD,"^",7))) D SET(START+4,OFFSET," Call Ref. No.: "_$$EXPAND^IBTRE(356.2,.09,$P(IBTRCD,"^",9))) D SET(START+5,OFFSET," Contact Date: "_$$EXPAND^IBTRE(356.2,.01,$P(IBTRCD,"^"))) Q ; POLICY ; -- Policy Region ; -- if pointer to policy file exists get data from policy file N OFFSET,START,IBP,IBX,IBPLNID,IBPLNNM,IBPLNNA,IBPLNLA S (IBPLNID,IBPLNNM,IBPLNNA,IBPLNLA)="" S START=1,OFFSET=2 D GPLAN(+IBCPOLD2) D SET(START,OFFSET," Plan Information ",IORVON,IORVOFF) D SET(START+1,OFFSET," Is Group Plan: "_$S($P(IBCPOLD,"^",2)=1:"YES",1:"NO")) D SET(START+2,OFFSET," Group Name: "_$P(IBCPOLD,"^",3)) D SET(START+3,OFFSET," Group Number: "_$P(IBCPOLD,"^",4)) D SET(START+4,OFFSET," BIN: "_$P(IBCPOLD2,"^",2)) ;;Daou/EEN D SET(START+5,OFFSET," PCN: "_$P(IBCPOLD2,"^",3)) ;;04/09/04 D SET(START+6,OFFSET," Type of Plan: "_$E($P($G(^IBE(355.1,+$P(IBCPOLD,"^",9),0)),"^"),1,23)) S IBX=7 I $P(IBCPOLD,U,14)]"" D . D SET(START+IBX,OFFSET," Plan Category: "_$$EXPAND^IBTRE(355.3,.14,$P(IBCPOLD,"^",14))) S IBX=IBX+1 I $P(IBCPOLD,U,15)]"" D . D SET(START+IBX,OFFSET," Electronic Type: "_$$EXPAND^IBTRE(355.3,.15,$P(IBCPOLD,"^",15))) S IBX=IBX+1 D SET(START+IBX,OFFSET," Plan Filing TF: "_$P(IBCPOLD,"^",13)) S IBX=IBX+1 ; -- in case pointer is missing D SET(START+IBX,OFFSET," ePharmacy Plan ID: "_IBPLNID) S IBX=IBX+1 D SET(START+IBX,OFFSET," ePharmacy Plan Name: "_IBPLNNM) S IBX=IBX+1 D SET(START+IBX,OFFSET," ePharmacy Natl Status: "_IBPLNNA) S IBX=IBX+1 D SET(START+IBX,OFFSET," ePharmacy Local Status: "_IBPLNLA) S IBX=IBX+1 I '$G(^IBA(355.3,+$P(IBCDFND,"^",18),0)) D .D SET(START+1,OFFSET,"Insurance Number: "_$P(IBCDFND,"^",2)) .D SET(START+2,OFFSET," Group Name: "_$P(IBCDFND,"^",15)) .D SET(START+3,OFFSET," Group Number: "_$P(IBCDFND,"^",3)) .Q Q ; INS ; -- Insurance Co. Region N OFFSET,START,IBADD,IBCDFNDA,IBCDFNDB S START=1,OFFSET=45 D SET(START,OFFSET," Insurance Company ",IORVON,IORVOFF) D SET(START+1,OFFSET," Company: "_$P($G(^DIC(36,+IBCDFND,0)),"^")) S IBCDFNDA=$G(^DIC(36,+IBCDFND,.11)),IBCDFNDB=$G(^(.13)) G:IBCDFNDA="" INSQ D SET(START+2,OFFSET," Street: "_$P(IBCDFNDA,"^")) S IBADD=1 I $P(IBCDFNDA,"^",2)'="" D SET(START+3,OFFSET," Street 2: "_$P(IBCDFNDA,"^",2)) S IBADD=2 I $P(IBCDFNDA,"^",3)'="" D SET(START+4,OFFSET," Street 3: "_$P(IBCDFNDA,"^",3)) S IBADD=3 D SET(START+2+IBADD,OFFSET,"City/State: "_$E($P(IBCDFNDA,"^",4),1,15)_$S($P(IBCDFNDA,"^",4)="":"",1:", ")_$P($G(^DIC(5,+$P(IBCDFNDA,"^",5),0)),"^",2)_" "_$E($P(IBCDFNDA,"^",6),1,5)) D SET(START+3+IBADD,OFFSET,"Billing Ph: "_$P(IBCDFNDB,"^",2)) D SET(START+4+IBADD,OFFSET,"Precert Ph: "_$$PHONE^IBCNSC01(IBCDFNDB)) ; INSQ Q ; SPON ; -- Sponsor (Insured Person) Region N IBC3,IBSSN,IBZIP,START,OFFSET,IBA,DA,DR,DIC,DIQ S IBC3=$G(^DPT(DFN,.312,IBCDFN,3)),IBSSN=$P(IBC3,"^",5) S DA=+$P(IBC3,"^",2),DR=.01,DIQ(0)="E",DIC="^DIC(23,",DIQ="IBA" D EN^DIQ1 S START=30,OFFSET=4 D SET(START,OFFSET," Insured Person's Information (use Subscriber Update action) ",IORVON,IORVOFF) D SET(START+1,OFFSET," Insured's DOB: "_$$DAT3^IBOUTL($P(IBC3,"^"))) D SET(START+2,OFFSET," Insured's Branch: "_$G(IBA(23,DA,.01,"E"))) D SET(START+3,OFFSET," Insured's Rank: "_$P(IBC3,"^",3)) D SET(START+4,OFFSET," Insured's SSN: "_$S(IBSSN]"":$E(IBSSN,1,3)_"-"_$E(IBSSN,4,5)_"-"_$E(IBSSN,6,9),1:"")) ; S OFFSET=43 S Y=$P(IBC3,"^",10) D ZIPOUT^VAFADDR S IBZIP=Y D SET(START+1,OFFSET," Str 1: "_$P(IBC3,"^",6)) D SET(START+2,OFFSET," Str 2: "_$P(IBC3,"^",7)) D SET(START+3,OFFSET," City: "_$P(IBC3,"^",8)) D SET(START+4,OFFSET,"St/Zip: "_$P($G(^DIC(5,+$P(IBC3,"^",9),0)),"^",2)_" "_IBZIP) D SET(START+5,OFFSET," Phone: "_$P(IBC3,"^",11)) Q ; BLANK(LINE) ; -- Build blank line D SET^VALM10(.LINE,$J("",80)) Q ; SET(LINE,COL,TEXT,ON,OFF) ; -- set display info in array D:'$D(@VALMAR@(LINE,0)) BLANK(.LINE) D SET^VALM10(.LINE,$$SETSTR^VALM1(.TEXT,@VALMAR@(LINE,0),.COL,$L(TEXT))) D:$G(ON)]""!($G(OFF)]"") CNTRL^VALM10(.LINE,.COL,$L(TEXT),$G(ON),$G(OFF)) W:'(LINE#5) "." Q GPLAN(IBPLDA) ; get data from PLAN file (#366.03) related to the ; GROUP INSURANCE PLAN file (#355.3) and the INSURANCE COMPANY file (#36) ; that is associated with the PATIENT ; input - IBPLDA - ien of the PLAN file (#366.03) N IBPLN0,IBAIEN,IBAPIEN,IBAP0 S IBPLN0=$G(^IBCNR(366.03,IBPLDA,0)) ;; Q:'$P(IBPLN0,"^",3) ;quit if payer not defined S IBPLNID=$P(IBPLN0,"^"),IBPLNNM=$P(IBPLN0,"^",2) S IBAIEN=$O(^IBCNR(366.13,"B","E-PHARM","")) Q:'IBAIEN S IBAPIEN=$O(^IBCNR(366.03,IBPLDA,3,"B",IBAIEN,"")) Q:'IBAPIEN S IBAP0=$G(^IBCNR(366.03,IBPLDA,3,IBAPIEN,0)) S IBPLNNA=$S($P(IBAP0,"^",2)=0:"NOT ACTIVE",1:"ACTIVE") S IBPLNLA=$S($P(IBAP0,"^",3)=0:"NOT ACTIVE",1:"ACTIVE") Q ; ;IBCNSP0