source: FOIAVistA/tag/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSP3.m

IBCNSP3 ;ALB/AAS - INSURANCE MANAGEMENT EDIT ; 06-JUL-93
 ;;2.0;INTEGRATED BILLING;**28,52,85,251**;21-MAR-94
 ;;Per VHA Directive 10-93-142, this routine should not be modified.
 ;
% G ^IBCNSM4
 ;
SAVEPT(DFN,DA) ; -- Save the global before editing
 K ^TMP($J,"IBCNSPT")
 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,0)=$G(^DPT(DFN,.312,+DA,0))
 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,1)=$G(^DPT(DFN,.312,+DA,1))
 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,2)=$G(^DPT(DFN,.312,+DA,2))
 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,3)=$G(^DPT(DFN,.312,+DA,3))
 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,4)=$G(^DPT(DFN,.312,+DA,4))
 Q
 ;
COMPPT(DFN,DA) ; -- Compare before editing with globals
 S IBDIF=0
 I $G(^DPT(DFN,.312,+DA,0))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,0)) S IBDIF=1 G COMPPTQ
 I $G(^DPT(DFN,.312,+DA,1))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,1)) S IBDIF=1 G COMPPTQ
 I $G(^DPT(DFN,.312,+DA,2))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,2)) S IBDIF=1 G COMPPTQ
 I $G(^DPT(DFN,.312,+DA,3))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,3)) S IBDIF=1 G COMPPTQ
 I $G(^DPT(DFN,.312,+DA,4))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,4)) S IBDIF=1 G COMPPTQ
 ;
COMPPTQ I IBDIF D:'$D(IBCOVP) COVERED^IBCNSM31(DFN,$P($G(^DPT(DFN,.31)),"^",11))
 Q
 ;
UPDATPT(DFN,DA) ; -- enter date and user if editing has taken place
 N DR,DIE,DIC
 S DIE="^DPT("_DFN_",.312,",DA(1)=DFN
 S DR="1.05///NOW;1.06////"_DUZ
 D ^DIE
 Q
 ;
EM ; -- Employer for claims update
 D FULL^VALM1 W !!
 N IBDIF,DA,DR,DIC,DIE
 D SAVEPT(DFN,IBCDFN)
 D VARS
 L +^DPT(DFN,.312,+$P($G(IBPPOL),"^",4)):5 I '$T D LOCKED^IBTRCD1 G EMQ
 ;
 ;S DR="2.01;S:'$P($G(^DPT(DFN,.312,+$G(DA),2)),U) Y=""@999"";W !!,""*** If ROI applies, make sure current consent is signed! ***"",!;2.015;2.02;2.03;2.04;2.05;2.06;2.07;2.08;2.09;@999"
 ;
 S DR="2.1" D ^DIE K DIE,DR
 ;
 I +$P($G(^DPT(DFN,.312,+$G(DA),2)),U,10),$P($G(^DPT(DFN,.312,+$G(DA),2)),U,9)="" D EMPSET(DFN,$G(DA)) ; curr emp
 ;
 I +$P($G(^DPT(DFN,.312,+$G(DA),2)),U,10) D VARS S DR="2.015;2.11;2.12;2.01;W:+X !!,""*** If ROI applies, make sure current consent is signed! ***"",!!;2.02;2.03;2.04;2.05;2.06;2.07;2.08;@999" D ^DIE K DIE,DR
 ;
 ;I '$P($G(^DPT(DFN,.312,+$G(DA),2)),U) D VARS S DR="2.015///@;2.02///@;2.03///@;2.04///@;2.05///@;2.06///@;2.07///@;2.08///@" D ^DIE
 ;
 I '$P($G(^DPT(DFN,.312,+$G(DA),2)),U,10) D VARS S DR="2.01///@;2.015///@;2.02///@;2.03///@;2.04///@;2.05///@;2.06///@;2.07///@;2.08///@;2.11///@;2.12///@" D ^DIE
 ;
 D COMPPT(DFN,IBCDFN)
 I IBDIF D UPDATPT(DFN,IBCDFN),BLD^IBCNSP
 L -^DPT(DFN,.312,+$P($G(IBPPOL),"^",4))
EMQ S VALMBCK="R" Q
 ;
AC ; -- Add Comment
 D FULL^VALM1 W !!
 N IBDIF,DA,DR,DIE,DIC,X,Y
 D SAVEPT(DFN,IBCDFN)
 W !!,"You may now enter a brief comment about this patient's policy"
 D VARS
 L +^DPT(DFN,.312,+$P($G(IBPPOL),"^",4)):5 I '$T D LOCKED^IBTRCD1 G ACQ
 S DR="1.08" D ^DIE
 D COMPPT(DFN,IBCDFN) I IBDIF D UPDATPT(DFN,IBCDFN)
 L -^DPT(DFN,.312,+$P($G(IBPPOL),"^",4))
 W !!,"You may now enter comments about this Group Plan that pertains to all Patients"
 L +^IBA(355.3,+IBCPOL):5 I '$T D LOCKED^IBTRCD1 G ACQ
 S DIE="^IBA(355.3,",DA=IBCPOL,DR="11" D ^DIE
 D BLD^IBCNSP
 L -^IBA(355.3,+IBCPOL)
ACQ S VALMBCK="R" Q
 ;
BLS(X,Y) ; -- blank a section of lines
 N I
 F I=X:1:Y D BLANK^IBCNSP(.I)
 Q
 ;
VARS ; -- set vars for call to die for .312 node
 S DA(1)=DFN,DA=$P(IBPPOL,"^",4)
 S DIE="^DPT("_DA(1)_",.312,"
 Q
 ;
SAVE(IBCPOL) ; -- Save the global before editing
 K ^TMP($J,"IBCNSP")
 S ^TMP($J,"IBCNSP",355.3,+IBCPOL,0)=$G(^IBA(355.3,+IBCPOL,0))
 S ^TMP($J,"IBCNSP",355.3,+IBCPOL,1)=$G(^IBA(355.3,+IBCPOL,1))
 ;;Daou/EEN - adding BIN and PCN
 S ^TMP($J,"IBCNSP",355.3,+IBCPOL,6)=$G(^IBA(355.3,+IBCPOL,6))
 Q
 ;
COMP(IBCPOL) ; -- Compare before editing with globals
 S IBDIF=0
 I $G(^IBA(355.3,+IBCPOL,0))'=$G(^TMP($J,"IBCNSP",355.3,+IBCPOL,0)) S IBDIF=1 Q
 I $G(^IBA(355.3,+IBCPOL,1))'=$G(^TMP($J,"IBCNSP",355.3,+IBCPOL,1)) S IBDIF=1 Q
 ;;Daou/EEN - adding BIN and PCN
 I $G(^IBA(355.3,+IBCPOL,6))'=$G(^TMP($J,"IBCNSP",355.3,+IBCPOL,6)) S IBDIF=1 Q
 Q
 ;
UPDATE(IBCPOL) ; -- Update last edited by
 N DA,DIC,DIE,DR
 S DIE="^IBA(355.3,",DA=IBCPOL,DR="1.05///NOW;1.06////"_DUZ
 D ^DIE
 Q
 ;
RIDERS ; -- add/edit personal riders
 ;
 D FULL^VALM1
 N IBDIF,DA,DR,DIE,DIC,X,Y,IBCDFN,IBPRD,IBPRY
 S IBCDFN=$P(IBPPOL,"^",4)
 W ! D DISPR W !
 ;
R1 S DIC="^IBA(355.7,",DIC(0)="AEQML",DLAYGO=355.7
 S DIC("DR")=".02////"_DFN_";.03////"_IBCDFN
 S DIC("S")="I $P(^(0),U,2)=DFN,$P(^(0),U,3)=IBCDFN"
 I $D(IBPRD) S DIC("B")=IBPRD
 D ^DIC K DIC,IBPRD
 I +Y<1 G RIDERQ
 S IBPRY=+Y
 L +^IBA(355.7,IBPRY):5 I '$T D LOCKED^IBTRCD1 G RIDERQ
 S DIE="^IBA(355.7,",DA=+Y,DR=".01",DIDEL=355.7
 D ^DIE K DA,DR,DIE,DIC,DIDEL
 L -^IBA(355.7,IBPRY)
 W ! G R1
RIDERQ S VALMBCK="R"
 Q
 ;
RD ; -- Add riders/ for multiple policies
 D FULL^VALM1
 N I,J,IBXX,VALMY
 D EN^VALM2($G(XQORNOD(0)))
 I $D(VALMY) S IBXX=0 F  S IBXX=$O(VALMY(IBXX)) Q:'IBXX  D
 .S IBPPOL=$G(^TMP("IBNSMDX",$J,$O(^TMP("IBNSM",$J,"IDX",IBXX,0))))
 .Q:IBPPOL=""
 .D RIDERS
 .Q
 D BLD^IBCNSM
 S VALMBCK="R"
 Q
 ;
DISPR ; -- Display riders
 N IBPR,I,J
 S I=0
 I '$G(IBCDFN)!('$G(DFN)) G DISPRQ
 W !,"Current Personal Riders: "
 F  S I=$O(^IBA(355.7,"APP",DFN,IBCDFN,I)) Q:'I  S J=$O(^(I,0)),IBPR=$G(^IBA(355.7,+J,0)) D
 .S IBPRD=$$EXPAND^IBTRE(355.7,.01,+IBPR)
 .W !?5,IBPRD
 I '$D(IBPRD) W !?5,"None Indicated"
DISPRQ Q
 ;
EMPSET(DFN,IBCPOL) ; insert patient or spouses current employer as ESGHP address if that employer sponsors this plan
 N IBWHOS,VAOA,DIR,IBE,IBEMPST,DR,X,Y
 I +$G(DFN) S IBWHOS=$P($G(^DPT(DFN,.312,+$G(IBCPOL),0)),U,6) S VAOA("A")=$S(IBWHOS="v":5,IBWHOS="s":6,1:"")
 I $G(VAOA("A"))'="" D OAD^VADPT I $G(VAOA(9))'="" D
 . ;
 . S DIR("A")="Current Employer "_VAOA(9)_" Sponsors this Plan",DIR("B")="No",DIR(0)="Y" W ! D ^DIR W ! Q:'Y  W "...."
 . D VARS S IBE=$S(IBWHOS="v":.311,1:.25),IBEMPST=$P($G(^DPT(DFN,IBE)),U,15)
 . ;
 . S DR="2.015///"_VAOA(9)_";2.02///"_VAOA(1)_";2.03///"_VAOA(2)_";2.04///"_VAOA(3)_";2.05///"_VAOA(4) D ^DIE
 . S DR="2.06////"_$P(VAOA(5),U,1)_";2.07////"_$P(VAOA(11),U,1)_";2.08///"_$E(VAOA(8),1,15)_";2.11////"_IBEMPST D ^DIE
 Q