IBJD1 ;ALB/MR - DIAGNOSTIC MEASURES UTILITIES ;16-DEC-00 ;;2.0;INTEGRATED BILLING;**123,159**;21-MAR-94 ; VA(DFN) ; - Is patient a VA employee? ; Input: DFN - Pointer to the Patient file ; IBEXCEL - Optional global Variable (Print to an Excel format) ; Output: VAEMP - "E" (if IBEXCEL) or "*" - VA employee ; N ELMD,IEN,SSN,VADM,VAEMP S VAEMP="" G:'$G(DFN) VAQ D DEM^VADPT S SSN=+$P(VADM(2),"^") G:'SSN VAQ S IEN=+$O(^PRSPC("SSN",SSN,0)) G:'IEN VAQ I $P($G(^PRSPC(IEN,1)),U,33)'="Y" S VAEMP=$S($G(IBEXCEL):"E",1:"*") ; VAQ Q VAEMP ; PYMT(X) ; - Return most recent bill payment. ; Input: X=Bill pointer to file #399/#430 ; Output: Y=Payment date in Fileman format ^ Payment amount ; N X1,X2,X3,Y S Y="" G:'$G(X) PAYQ S X1=9999999 F S X1=$O(^PRCA(433,"C",X,X1),-1) Q:'X1 D Q:Y . S X2=$G(^PRCA(433,X1,0)),X3=$G(^PRCA(433,X1,1)) . I $P(X2,U,4)'=2 Q ; Not complete. . I "^2^34^"'[(U_$P(X3,U,2)_U) Q ; Not a payment. . S Y=$S(X3:+X3,1:$P(X3,U,9)\1)_U_+$P(X3,U,5) PAYQ Q Y ; INS(DFN,DTE) ; return the Insurance Company for the Patient on DTE (date) ; N INS,POL,X,X0,Y S INS="",X=0 F S X=$O(^DPT(DFN,.312,X)) Q:'X I $D(^(X,0)) D . S X0=^DPT(DFN,.312,X,0) . I '$$CHK^IBCNS1(X0,DTE) Q . S POL(0)=$G(POL(0))+1,POL(X,0)=X0 ; I $G(POL(0))<1 G QINS I $G(POL(0))=1 S Y=+$O(POL(0)) I $G(POL(0))>1 S Y=$$COB^IBCNS1(.POL) ; S INS=$P($G(^DIC(36,+POL(Y,0),0)),"^") ; QINS Q INS ; DIV(CLM) ; Returns the Medical Center Division for the Claim ; Input: CLM - Pointer to Claim Tracking File (#356) ;Output: DIVision for the Claim ; N ADM,DIV,ENC,PRSC,PRST,X ; S DIV=0,X=$G(^IBT(356,CLM,0)) S ENC=+$P(X,"^",4) ; Encounter (Pointer to #409.68) S ADM=+$P(X,"^",5) ; Admission (Pointer to #405) ; ; Inpatient I ADM S DIV=+$P($G(^DIC(42,+$P($G(^DGPM(+$G(ADM),0)),U,6),0)),U,11) ; ; Outpatient I 'DIV,ENC S DIV=$P($$SCE^IBSDU(ENC),"^",11) ; ; If Pharmacy/Prosthetics or no Division found assume Primary Division QDIV S:'DIV DIV=$$PRIM^VASITE() S:DIV'>0 DIV=0 Q DIV ; CATTYP(IBBCAT) ; - Break down AR Categories into First or Third party ; N IBFOTP,IBBTYP,IBCATDA0 S IBFOTP="",IBBTYP="" I (IBBCAT>2&(IBBCAT<6))!(IBBCAT>23&(IBBCAT<27)) Q IBFOTP I '$D(^PRCA(430.2,IBBCAT,0)) Q IBFOTP S IBCATDA0=^PRCA(430.2,IBBCAT,0),IBBTYP=$P(IBCATDA0,"^",6) S IBFOTP=$S((IBBTYP="P")!(IBBTYP="C"):"F",1:"T") I IBBCAT=15 S IBFOTP="F" ; Exception:Ex-employee is first party I IBBCAT=16 S IBFOTP="F" ; Exception:Current Emp. is first party Q IBFOTP