PSOREJP2 ;BIRM/MFR - Third Party Rejects View/Process ;04/28/05 ;;7.0;OUTPATIENT PHARMACY;**148,247,260**;DEC 1997;Build 84 ;Reference to ^PSSLOCK supported by IA #2789 ; N PSORJSRT,PSOPTFLT,PSODRFLT,PSORXFLT,PSOBYFLD,PSOSTFLT,DIR,DIRUT,DUOUT,DTOUT N PSOINFLT,PSODTRNG,PSOINGRP S PSORJASC=1,PSOINGRP=0 ; ; - Division/Site selection D SEL^PSOREJU1("DIVISION","^PS(59,",.PSOREJST,$$GET1^DIQ(59,+$G(PSOSITE),.01)) I $G(PSOREJST)="^" G EXIT ; ; - Date range selection W ! S PSODTRNG=$$DTRNG("T-90","T") I PSODTRNG="^" G EXIT ; SEL ; - Field Selection (Patient/Drug/Rx) S DIR(0)="S^P:PATIENT;D:DRUG;R:Rx;I:INSURANCE",DIR("B")="P" S DIR("A")="By (P)atient, (D)rug, (R)x or (I)nsurance" D ^DIR I $D(DIRUT) G EXIT S PSOBYFLD=Y,DIR("B")="" ; I PSOBYFLD="P" D I $G(PSOPTFLT)="^" G SEL . S (PSODRFLT,PSORXFLT,PSOINFLT)="ALL",PSORJSRT="DR" . D SEL^PSOREJU1("PATIENT","^DPT(",.PSOPTFLT) ; I PSOBYFLD="D" D I $G(PSODRFLT)="^" G SEL . S (PSOPTFLT,PSORXFLT,PSOINFLT)="ALL",PSORJSRT="PA" . D SEL^PSOREJU1("DRUG","^PSDRUG(",.PSODRFLT) ; I PSOBYFLD="R" D I $D(DUOUT)!$D(DTOUT)!'$G(PSORXFLT) G SEL . S (PSOPTFLT,PSODRFLT,PSOINFLT)="ALL",PSORJSRT="PA" . N DIC,Y,X,OK K PSOSTFLT,PSORXFLT . S DIC=52,DIC(0)="QEZA",DIC("A")="PRESCRIPTION: " . F W ! D ^DIC D Q:$G(OK) . . I $D(DUOUT)!$D(DTOUT)!(X="") S OK=1 Q . . I '$O(^PSRX(+Y,"REJ",0)) D Q . . . W !?40,"Prescription does not have rejects!",$C(7) . . S PSORXFLT=+Y,OK=1 ; I PSOBYFLD="I" D I $O(PSOINFLT(""))="" G SEL . S (PSOPTFLT,PSODRFLT,PSORXFLT)="ALL",PSORJSRT="PA" . N DIR,Y,X,OK K PSOINFLT W ! . S DIR("A",1)="Enter the whole or part of the Insurance Company" . S DIR("A",2)="name for which you want to view/process REJECTS." . S DIR("A",3)="" . S DIR(0)="FO^3:30",DIR("A")=" INSURANCE" . F D ^DIR D Q:$G(OK) . . I $D(DIRUT)!(X="") S OK=1 Q . . S PSOINFLT(X)="" K DIR("A") S DIR("A")="ANOTHER ONE" ; ; - Status Selection (UNRESOLVED or RESOLVED) I $G(PSOSTFLT)="" D I $D(DIRUT) G EXIT . S DIR(0)="S^U:UNRESOLVED;R:RESOLVED;B:BOTH",DIR("B")="B" . S DIR("A")="(U)NRESOLVED, (R)RESOLVED or (B)OTH REJECT statuses" D ^DIR . S PSOSTFLT=Y ; D LST^PSOREJP0("VP") ; EXIT Q ; CLO ; - Ignore a REJECT hidden action I $$CLOSED^PSOREJP1(RX,REJ) D Q . S VALMSG="This Reject is marked resolved!",VALMBCK="R" N DIR,COM D FULL^VALM1 I '$$SIG^PSOREJU1() S VALMBCK="R" Q W ! S COM=$$COM^PSOREJU1() I COM="^" S VALMBCK="R" Q W ! S DIR(0)="Y",DIR("A")=" Confirm? ",DIR("B")="NO" S DIR("A",1)=" When you confirm this REJECT will be marked RESOLVED." S DIR("A",2)=" " D ^DIR I $G(Y)=0!$D(DIRUT) S VALMBCK="R" Q W ?40,"[Closing..." D CLOSE^PSOREJUT(RX,FILL,REJ,DUZ,6,COM) W "OK]",!,$C(7) H 1 I $D(PSOSTFLT),PSOSTFLT'="B" S CHANGE=1 ; I $$PTLBL(RX,FILL) D PRINT^PSOREJP1(RX,FILL) ; Q ; OPN ; - Re-open a Closed/Resolved Reject I '$$CLOSED^PSOREJP1(RX,REJ) D Q . S VALMSG="This Reject is NOT marked resolved!",VALMBCK="R" N DIR,COM,REJDATA,NEWDATA,X D FULL^VALM1 I '$$SIG^PSOREJU1() S VALMBCK="R" Q W ! S DIR(0)="Y",DIR("A")=" Confirm",DIR("B")="NO" S DIR("A",1)=" When you confirm this REJECT will be marked UNRESOLVED." S DIR("A",2)=" " D ^DIR I $G(Y)=0!$D(DIRUT) S VALMBCK="R" Q ; W ?40,"[Re-opening..." K REJDATA D GET^PSOREJU2(RX,FILL,.REJDATA,REJ,1) D SETOPN^PSOREJU2(RX,REJ) K NEWDATA M NEWDATA=REJDATA(REJ) S NEWDATA("PHARMACIST")=DUZ D SAVE^PSOREJUT(RX,FILL,.NEWDATA) I $G(NEWDATA("REJECT IEN")),$D(REJDATA(REJ,"COMMENTS")) D . S COM=0 F S COM=$O(REJDATA(REJ,"COMMENTS",COM)) Q:'COM D . . S X(1)=REJDATA(REJ,"COMMENTS",COM,"COMMENTS") . . S X(2)=REJDATA(REJ,"COMMENTS",COM,"DATE/TIME") . . S X(3)=REJDATA(REJ,"COMMENTS",COM,"USER") . . D SAVECOM^PSOREJP3(RX,NEWDATA("REJECT IEN"),X(1),X(2),X(3)) D RETRXF^PSOREJU2(RX,FILL,0) W "OK]",!,$C(7) H 1 S CHANGE=1 Q ; CHG ; - Change Suspense Date action I $$CLOSED^PSOREJP1(RX,REJ) D Q . S VALMSG="This Reject is marked resolved!",VALMBCK="R" W $C(7) ; N SUSDT,PSOMSG,Y,SUSRX,%DT,DA,DIE,DR,ISSDT,EXPDT,PSOMSG ; S RFL=+$$GET1^DIQ(52.25,REJ_","_RX,5),SUSDT=$$RXSUDT^PSOBPSUT(RX,RFL) I SUSDT="" S VALMSG="Prescription is not suspended!",VALMBCK="R" W $C(7) Q I $$RXRLDT^PSOBPSUT(RX,RFL) S VALMSG="Prescription has been released already!",VALMBCK="R" W $C(7) Q D PSOL^PSSLOCK(RX) I '$G(PSOMSG) S VALMSG=$P(PSOMSG,"^",2),VALMBCK="R" W $C(7) Q ; S ISSDT=$$GET1^DIQ(52,RX,1,"I"),EXPDT=$$GET1^DIQ(52,RX,26,"I") S SUSRX=$O(^PS(52.5,"B",RX,0)) ; SUDT ; Asks for the new Suspense Date D FULL^VALM1 S %DT("B")=$$FMTE^XLFDT(SUSDT),%DT="EA",%DT("A")="SUSPENSE DATE: " W ! D ^%DT I Y<0!($D(DTOUT)) D PSOUL^PSSLOCK(RX) S VALMBCK="R" Q I YEXPDT D G SUDT . W !!?5,"Suspense Date cannot be after Expiration Date: ",$$FMTE^XLFDT(EXPDT),$C(7) S SUSDT=Y ; N DIR,DIRUT W ! S DIR("A",1)=" When you confirm, this REJECT will be marked resolved. A" S DIR("A",2)=" new claim will be re-submitted to the 3rd party payer" I $$GET1^DIQ(52.5,SUSRX,3)="" D . I SUSDT>DT D . . S DIR("A",3)=" when the prescription label for this fill is printed" . . S DIR("A",4)=" from suspense on "_$$FMTE^XLFDT(SUSDT)_"." . . S DIR("A",5)=" " . . S DIR("A",6)=" Note: THE LABEL FOR THIS PRESCRIPTION FILL WILL NOT BE" . . S DIR("A",7)=" PRINTED LOCAL FROM SUSPENSE BEFORE "_$$FMTE^XLFDT(SUSDT)_"." . E D . . S DIR("A",3)=" the next time local labels are printed from suspense." E D . I SUSDT>DT D . . S DIR("A",3)=" when the prescription is transmitted to CMOP on " . . S DIR("A",4)=" "_$$FMTE^XLFDT(SUSDT)_"." . . S DIR("A",5)=" " . . S DIR("A",6)=" Note: THIS PRESCRIPTION FILL WILL NOT BE TRANSMITTED TO" . . S DIR("A",7)=" CMOP BEFORE "_$$FMTE^XLFDT(SUSDT)_"." . E D . . S DIR("A",3)=" when this prescription fill is transmitted to CMOP on" . . S DIR("A",4)=" the next CMOP transmission." ; S DIR("A",$O(DIR("A",""),-1)+1)=" " S DIR(0)="Y",DIR("A")=" Confirm? ",DIR("B")="YES" D ^DIR I $G(Y)=0!$D(DIRUT) S VALMBCK="R" D PSOUL^PSSLOCK(RX) Q ; ; - Suspense/Fill Date updates I SUSDT'=$$RXSUDT^PSOBPSUT(RX,RFL) D . N DA,DIE,DR,PSOX,SFN,INDT,DEAD . S DA=SUSRX,DIE="^PS(52.5,",DR=".02///"_SUSDT D ^DIE . S SFN=SUSRX,DEAD=0,INDT=SUSDT D CHANGE^PSOSUCH1(RX,RFL) ; ; - Flagging the prescription to be re-submitted to ECME on the next CMOP/Print from Suspense D RETRXF^PSOREJU2(RX,RFL,1) W ?40,"[Closing..." D CLOSE^PSOREJUT(RX,RFL,REJ,DUZ,8,"Fill Date changed to "_$$FMTE^XLFDT(SUSDT)_". A new claim will be re-submitted on this date.") W "OK]",!,$C(7) H 1 I $D(PSOSTFLT),PSOSTFLT'="B" S CHANGE=1 D PSOUL^PSSLOCK(RX) Q ; PTLBL(RX,RFL) ; Returns whether the user should be prompted for 'Print Label?' or not N PTLBL,CMP,LBL I $$FIND^PSOREJUT(RX,RFL) Q 0 ; Has OPEN/UNRESOLVED 3rd pary payer reject I $$GET1^DIQ(52,RX,100,"I") Q 0 ; Rx status not ACTIVE I $$RXRLDT^PSOBPSUT(RX,RFL) Q 0 ; Rx Released ; - CMOP Rx fill? S PTLBL=1,CMP=0 F S CMP=$O(^PSRX(RX,4,CMP)) Q:'CMP D Q:'PTLBL . I +$$GET1^DIQ(52.01,CMP_","_RX,2,"I")=RFL S PTLBL=0 I 'PTLBL Q 0 ; - Label already printed for Rx fill? S LBL=0 F S LBL=$O(^PSRX(RX,"L",LBL)) Q:'LBL D Q:'PTLBL . I +$$GET1^DIQ(52.032,LBL_","_RX,1,"I")'=RFL Q . I $$GET1^DIQ(52.032,LBL_","_RX,4,"I") Q . I $$GET1^DIQ(52.032,LBL_","_RX,2)["INTERACTION" Q . S PTLBL=0 ; I PTLBL D . N DIR,DIRUT,Y . W ! S DIR(0)="Y",DIR("A")="Print Label? ",DIR("B")="YES" . D ^DIR I $G(Y)=0!$D(DIRUT) S PTLBL=0 Q ; Q PTLBL ; DTRNG(BGN,END) ; Date Range Selection ;Input: (o) BGN - Default Begin Date ; (o) END - Default End Date ; N %DT,DTOUT,DUOUT,DTRNG,X,Y S DTRNG="" S %DT="AEST",%DT("A")="BEGIN REJECT DATE: ",%DT("B")=$G(BGN) K:$G(BGN)="" %DT("B") D ^%DT I $G(DUOUT)!$G(DTOUT)!($G(Y)=-1) Q "^" S $P(DTRNG,U)=Y ; W ! K %DT S %DT="AEST",%DT("A")="END REJECT DATE: ",%DT("B")=$G(END),%DT(0)=Y K:$G(END)="" %DT("B") D ^%DT I $G(DUOUT)!$G(DTOUT)!($G(Y)=-1) Q "^" ; ;Define Entry S $P(DTRNG,U,2)=Y ; Q DTRNG