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