IBTRC2 ;ALB/AAS - INSURANCE POLICY CALLS FROM FILE 356.2 DD ; 22-JULY-91 ;;Version 2.0 ; INTEGRATED BILLING ;**28**; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; Q DD(IBX,IBDA) ; - called from input transform for field 1.05 ; -- input ibx = x from input transform ; ibda = internal entry in 356.2 ; -- output returns x=internal entry in 2.3121 (ins. Mult.) if valid ; N DFN,INSDT,ACTIVE,IBDD,IBD,IBCDFN,DA,DR,DIC,DIE D VAR S X=$$SEL^IBCNS2(IBX,DFN,DT,ACTIVE) I +X<1 K X DDQ Q ; VAR S DFN=$P(^IBT(356.2,IBDA,0),"^",5) I DFN="" S DFN=$P($G(^IBT(356,+$P(^IBT(356.2,IBDA,0),"^",2),0)),"^",2) S ACTIVE=2,INSDT=DT Q ; SEL(IBX,DFN,INSDT,ACTIVE) ; -- Select insurance policy ; -- Input IBX = x from input transform ; DFN = patient ; INSDT = (optional) Active date of ins. (default = dt) ; ACTIVE = (optional) 1 if want active (default) ; = 2 if want all ins returned ; ; -- Output = pointer to 36 ^ pointer to 2.3121 ^ pointer to 355.3 ; N I,J,Y,DA,DE,DQ,DR,DIC,DIE,DIR,DIV,IBSEL,IBDD,IBD S IBSEL=1,Y="" I '$G(ACTIVE) S ACTIVE=2 S:'$G(INSDT) INSDT=DT I '$G(DFN) G SELQ D BLD ; ; -- call DIC to choose from list S X=IBX S DIC="^DPT("_DFN_",.312,",DIC(0)="EQMN" S DIC("S")="I $D(IBDD(+Y))" S DIC("W")="W $P(^DIC(36,+^(0),0),U)_"" Group: ""_$$GRP^IBCNS($P(^DPT(DFN,.312,+Y,0),U,18))" D ^DIC SELQ Q +Y ; BLD K IBD,IBDD S (IBDD,IBCDFN)=0 F S IBCDFN=$O(^DPT(+DFN,.312,IBCDFN)) Q:'IBCDFN I $D(^DPT(DFN,.312,+IBCDFN,0)) D CHK(IBCDFN,ACTIVE,INSDT) Q ; CHK(IBCDFN,ACTIVE,INSDT) ; -- see if active N X,X1 S X=$G(^DPT(DFN,.312,IBCDFN,0)) S IBDD(IBCDFN)=+X_"^"_IBCDFN_"^"_$P(X,"^",18) I ACTIVE=2 G CHKQ S X1=$G(^DIC(36,+X,0)) I X1="" G CQ ;ins co entry doesn't exist I $P(X,"^",8) G:INSDT<$P(X,"^",8) CQ ;effective date later than care I $P(X,"^",4) G:INSDT>$P(X,"^",4) CQ ;care after expiration date I $P($G(^IBA(355.3,+$P(X,"^",18),0)),"^",11) G CQ ;plan is inactive G:$P(X1,"^",5) CQ ; ;ins company inactive G:$P(X1,"^",2)="N" CQ ; ;ins company will not reimburse G CHKQ CQ K IBDD(IBCDFN) CHKQ S:$D(IBDD(IBCDFN)) IBDD=IBDD+1,IBD(IBDD)=IBCDFN Q ; ; DDHELP(IBDA) ; -- Executable help ; -- write out list to choose from N DFN,INSDT,ACTIVE,IBDD,IBD,IBCDFN,I,IBINS D VAR,BLD ; I $G(IBDD)=0 W !,"No Insurance Policies to Select From" G DDHQ ; I '$D(IOM) D HOME^%ZIS W ! D HDR^IBCNS S I=0 F S I=$O(IBD(I)) Q:'I D .S IBINS=$G(^DPT(DFN,.312,$G(IBD(I)),0)) .D D1^IBCNS DDHQ Q ; TRANS(IBDA,Y) ; -- output transform N DFN,INSDT,ACTIVE,IBDD,IBD,IBCDFN D VAR S Y=$P($G(^DIC(36,+$P($G(^DPT(DFN,.312,+$G(Y),0)),U),0)),U) Q Y ; INSCO(IBDA,IBCDFN) ; -- return pointer value of 36 from pt. file N DFN,INSDT,ACTIVE,IBDD,IBD D VAR S Y=+$G(^DPT(DFN,.312,IBCDFN,0)) Q Y_$S(Y>0:"^"_$P($G(^DIC(36,+Y,0)),"^"),1:"")