source: FOIAVistA/tag/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSP3.m@ 628

Last change on this file since 628 was 628, checked in by George Lilly, 14 years ago

initial load of FOIAVistA 6/30/08 version
File size: 6.0 KB
Line 
1IBCNSP3 ;ALB/AAS - INSURANCE MANAGEMENT EDIT ;06-JUL-93
2 ;;2.0;INTEGRATED BILLING;**28,52,85,251,371**;21-MAR-94;Build 57
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5% G ^IBCNSM4
6 ;
7SAVEPT(DFN,DA) ; -- Save the global before editing
8 K ^TMP($J,"IBCNSPT")
9 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,0)=$G(^DPT(DFN,.312,+DA,0))
10 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,1)=$G(^DPT(DFN,.312,+DA,1))
11 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,2)=$G(^DPT(DFN,.312,+DA,2))
12 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,3)=$G(^DPT(DFN,.312,+DA,3))
13 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,4)=$G(^DPT(DFN,.312,+DA,4))
14 S ^TMP($J,"IBCNSPT",2.312,DFN,+DA,5)=$G(^DPT(DFN,.312,+DA,5))
15 Q
16 ;
17COMPPT(DFN,DA) ; -- Compare before editing with globals
18 S IBDIF=0
19 I $G(^DPT(DFN,.312,+DA,0))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,0)) S IBDIF=1 G COMPPTQ
20 I $G(^DPT(DFN,.312,+DA,1))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,1)) S IBDIF=1 G COMPPTQ
21 I $G(^DPT(DFN,.312,+DA,2))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,2)) S IBDIF=1 G COMPPTQ
22 I $G(^DPT(DFN,.312,+DA,3))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,3)) S IBDIF=1 G COMPPTQ
23 I $G(^DPT(DFN,.312,+DA,4))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,4)) S IBDIF=1 G COMPPTQ
24 I $G(^DPT(DFN,.312,+DA,5))'=$G(^TMP($J,"IBCNSPT",2.312,DFN,+DA,5)) S IBDIF=1 G COMPPTQ
25 ;
26COMPPTQ I IBDIF D:'$D(IBCOVP) COVERED^IBCNSM31(DFN,$P($G(^DPT(DFN,.31)),"^",11))
27 Q
28 ;
29UPDATPT(DFN,DA) ; -- enter date and user if editing has taken place
30 N DR,DIE,DIC
31 S DIE="^DPT("_DFN_",.312,",DA(1)=DFN
32 S DR="1.05///NOW;1.06////"_DUZ
33 D ^DIE
34 Q
35 ;
36EM ; -- Employer for claims update
37 D FULL^VALM1 W !!
38 N IBDIF,DA,DR,DIC,DIE
39 D SAVEPT(DFN,IBCDFN)
40 D VARS
41 L +^DPT(DFN,.312,+$P($G(IBPPOL),"^",4)):5 I '$T D LOCKED^IBTRCD1 G EMQ
42 ;
43 ;S DR="2.01;S:'$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"
44 ;
45 S DR="2.1" D ^DIE K DIE,DR
46 ;
47 I +$P($G(^DPT(DFN,.312,+$G(DA),2)),U,10),$P($G(^DPT(DFN,.312,+$G(DA),2)),U,9)="" D EMPSET(DFN,$G(DA)) ; curr emp
48 ;
49 I +$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
50 ;
51 ;I '$P($G(^DPT(DFN,.312,+$G(DA),2)),U) D VARS S DR="2.015///@;2.02///@;2.03///@;2.04///@;2.05///@;2.06///@;2.07///@;2.08///@" D ^DIE
52 ;
53 I '$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
54 ;
55 D COMPPT(DFN,IBCDFN)
56 I IBDIF D UPDATPT(DFN,IBCDFN),BLD^IBCNSP
57 L -^DPT(DFN,.312,+$P($G(IBPPOL),"^",4))
58EMQ S VALMBCK="R" Q
59 ;
60AC ; -- Add Comment
61 D FULL^VALM1 W !!
62 N IBDIF,DA,DR,DIE,DIC,X,Y
63 D SAVEPT(DFN,IBCDFN)
64 W !!,"You may now enter a brief comment about this patient's policy"
65 D VARS
66 L +^DPT(DFN,.312,+$P($G(IBPPOL),"^",4)):5 I '$T D LOCKED^IBTRCD1 G ACQ
67 S DR="1.08" D ^DIE
68 D COMPPT(DFN,IBCDFN) I IBDIF D UPDATPT(DFN,IBCDFN)
69 L -^DPT(DFN,.312,+$P($G(IBPPOL),"^",4))
70 W !!,"You may now enter comments about this Group Plan that pertains to all Patients"
71 L +^IBA(355.3,+IBCPOL):5 I '$T D LOCKED^IBTRCD1 G ACQ
72 S DIE="^IBA(355.3,",DA=IBCPOL,DR="11" D ^DIE
73 D BLD^IBCNSP
74 L -^IBA(355.3,+IBCPOL)
75ACQ S VALMBCK="R" Q
76 ;
77BLS(X,Y) ; -- blank a section of lines
78 N I
79 F I=X:1:Y D BLANK^IBCNSP(.I)
80 Q
81 ;
82VARS ; -- set vars for call to die for .312 node
83 S DA(1)=DFN,DA=$P(IBPPOL,"^",4)
84 S DIE="^DPT("_DA(1)_",.312,"
85 Q
86 ;
87SAVE(IBCPOL) ; -- Save the global before editing
88 K ^TMP($J,"IBCNSP")
89 S ^TMP($J,"IBCNSP",355.3,+IBCPOL,0)=$G(^IBA(355.3,+IBCPOL,0))
90 S ^TMP($J,"IBCNSP",355.3,+IBCPOL,1)=$G(^IBA(355.3,+IBCPOL,1))
91 ;;Daou/EEN - adding BIN and PCN
92 S ^TMP($J,"IBCNSP",355.3,+IBCPOL,6)=$G(^IBA(355.3,+IBCPOL,6))
93 Q
94 ;
95COMP(IBCPOL) ; -- Compare before editing with globals
96 S IBDIF=0
97 I $G(^IBA(355.3,+IBCPOL,0))'=$G(^TMP($J,"IBCNSP",355.3,+IBCPOL,0)) S IBDIF=1 Q
98 I $G(^IBA(355.3,+IBCPOL,1))'=$G(^TMP($J,"IBCNSP",355.3,+IBCPOL,1)) S IBDIF=1 Q
99 ;;Daou/EEN - adding BIN and PCN
100 I $G(^IBA(355.3,+IBCPOL,6))'=$G(^TMP($J,"IBCNSP",355.3,+IBCPOL,6)) S IBDIF=1 Q
101 Q
102 ;
103UPDATE(IBCPOL) ; -- Update last edited by
104 N DA,DIC,DIE,DR
105 S DIE="^IBA(355.3,",DA=IBCPOL,DR="1.05///NOW;1.06////"_DUZ
106 D ^DIE
107 Q
108 ;
109RIDERS ; -- add/edit personal riders
110 ;
111 D FULL^VALM1
112 N IBDIF,DA,DR,DIE,DIC,X,Y,IBCDFN,IBPRD,IBPRY
113 S IBCDFN=$P(IBPPOL,"^",4)
114 W ! D DISPR W !
115 ;
116R1 S DIC="^IBA(355.7,",DIC(0)="AEQML",DLAYGO=355.7
117 S DIC("DR")=".02////"_DFN_";.03////"_IBCDFN
118 S DIC("S")="I $P(^(0),U,2)=DFN,$P(^(0),U,3)=IBCDFN"
119 I $D(IBPRD) S DIC("B")=IBPRD
120 D ^DIC K DIC,IBPRD
121 I +Y<1 G RIDERQ
122 S IBPRY=+Y
123 L +^IBA(355.7,IBPRY):5 I '$T D LOCKED^IBTRCD1 G RIDERQ
124 S DIE="^IBA(355.7,",DA=+Y,DR=".01",DIDEL=355.7
125 D ^DIE K DA,DR,DIE,DIC,DIDEL
126 L -^IBA(355.7,IBPRY)
127 W ! G R1
128RIDERQ S VALMBCK="R"
129 Q
130 ;
131RD ; -- Add riders/ for multiple policies
132 D FULL^VALM1
133 N I,J,IBXX,VALMY
134 D EN^VALM2($G(XQORNOD(0)))
135 I $D(VALMY) S IBXX=0 F S IBXX=$O(VALMY(IBXX)) Q:'IBXX D
136 .S IBPPOL=$G(^TMP("IBNSMDX",$J,$O(^TMP("IBNSM",$J,"IDX",IBXX,0))))
137 .Q:IBPPOL=""
138 .D RIDERS
139 .Q
140 D BLD^IBCNSM
141 S VALMBCK="R"
142 Q
143 ;
144DISPR ; -- Display riders
145 N IBPR,I,J
146 S I=0
147 I '$G(IBCDFN)!('$G(DFN)) G DISPRQ
148 W !,"Current Personal Riders: "
149 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
150 .S IBPRD=$$EXPAND^IBTRE(355.7,.01,+IBPR)
151 .W !?5,IBPRD
152 I '$D(IBPRD) W !?5,"None Indicated"
153DISPRQ Q
154 ;
155EMPSET(DFN,IBCPOL) ; insert patient or spouses current employer as ESGHP address if that employer sponsors this plan
156 N IBWHOS,VAOA,DIR,IBE,IBEMPST,DR,X,Y
157 I +$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:"")
158 I $G(VAOA("A"))'="" D OAD^VADPT I $G(VAOA(9))'="" D
159 . ;
160 . S DIR("A")="Current Employer "_VAOA(9)_" Sponsors this Plan",DIR("B")="No",DIR(0)="Y" W ! D ^DIR W ! Q:'Y W "...."
161 . D VARS S IBE=$S(IBWHOS="v":.311,1:.25),IBEMPST=$P($G(^DPT(DFN,IBE)),U,15)
162 . ;
163 . S DR="2.015///"_VAOA(9)_";2.02///"_VAOA(1)_";2.03///"_VAOA(2)_";2.04///"_VAOA(3)_";2.05///"_VAOA(4) D ^DIE
164 . 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
165 Q
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