source: FOIAVistA/trunk/r/ACCOUNTS_RECEIVABLE-PRCA-PRY-RC/RCDPEX32.m@ 1397

RCDPEX32 ;ALB/TMK - ELECTRONIC EOB EXCEPTION PROCESSING - FILE 344.4 ;10-OCT-02
 ;;4.5;Accounts Receivable;**173,249**;Mar 20, 1995;Build 2
 ;;Per VHA Directive 10-93-142, this routine should not be modified.
 ;
EDITNUM ; Edit invalid claim # to valid, refile EOB
 N RC,RC0,RCDA,RCXDA,RCXDA1,RCSAVE,RCEOB,RCWARN,Q,Q0,DA,DR,DIE,DIC,DIR,X,Y,RCBILL,RCCHG
 D FULL^VALM1
 D SEL^RCDPEX3(.RCDA)
 G:'$O(RCDA(0)) EDITNQ
 ;
 S RC=0 F  S RC=$O(RCDA(RC)) Q:'RC  D  L -^RCY(344.4,RCXDA1,1,RCXDA,0)
 . S RCXDA1=+RCDA(RC),RCXDA=+$P(RCDA(RC),U,2),RCSAVE=""
 . I '$$LOCK^RCDPEX31(RCXDA1,RCXDA,1) D  Q
 .. S DIR(0)="EA",DIR("A",1)="**Selection #"_RC_" is being edited by another user - ... please try again later",DIR("A")="PRESS RETURN TO CONTINUE" D ^DIR K DIR
 . S RC0=$G(^RCY(344.4,RCXDA1,1,RCXDA,0))
 . I $P(RC0,U,5)="" D  Q
 .. S DIR(0)="EA",DIR("A",1)="The claim for selection #"_RC_" can't be edited as the bill # is not invalid",DIR("A")="PRESS RETURN TO CONTINUE" D ^DIR K DIR
 . I $P(RC0,U,9) D  Q
 .. S DIR(0)="EA",DIR("A",1)="The claim for selection #"_RC_" can't be edited as the claim has already",DIR("A")="been transferred to another site - PRESS RETURN TO CONTINUE" W ! D ^DIR K DIR
 . ;
 . I $D(^RCY(344.49,RCXDA1)) D
 .. N X
 .. S X=$G(^RCY(344,+$P($G(^RCY(344.49,RCXDA1,0)),U,2),0))
 .. W !!,*7,"Warning: EEOB Worklist entry #"_RCXDA1_$S($P(X,U)'="":" and receipt "_$P(X,U),1:"")_" exist for this EEOB"
 .. I X="" W !,"You should refresh the worklist entry to include the new claim #",!," before creating the receipt",!
 . I $P($G(^RCY(344.4,RCXDA1,0)),U,8) D
 .. W !,"Since the receipt for this EEOB ("_$P($G(^RCY(344,+$P($G(^RCY(344.4,RCXDA1,0)),U,8),0)),U)_") already exists"
 .. I '$P($G(^RCY(344,+$P($G(^RCY(344.4,RCXDA1,0)),U,8),0)),U,14) W !," and is closed, you will need to use link payment to apply the payment",!," to the correct account",! Q
 .. W !," you should edit the receipt and change the claim # so it posts to the",!," correct account",!
 . ;
 . I $P(RC0,U,17)="" S RCSAVE=$P(RC0,U,5)
 . W !,"Selection #: "_RC_$J("",5)_$P(RC0,U,5)
 . S DIC("A")="Select A/R Bill this EEOB is actually paying on: ",DIC="^PRCA(430,",DIC(0)="AEMQ",DIC("S")="I $D(^DGCR(399,+Y,0))" W ! D ^DIC K DIC
 . Q:Y'>0
 . S RCBILL=+Y,RCBILL(1)=$P($G(^PRCA(430,RCBILL,0)),U),RCWARN=0
 . I $P($G(^RCY(344.4,RCXDA1,0)),U,14) S RCWARN=RCWARN+1,DIR("A",RCWARN+1)=$J("",4)_"THE RECEIPT FOR THIS EEOB HAS ALREADY BEEN POSTED."
 . I $P($G(^PRCA(430.3,+$P($G(^PRCA(430,RCBILL,0)),U,8),0)),U,3)'=102 S RCWARN=RCWARN+1,DIR("A",RCWARN+1)=$J("",4)_"THIS IS NOT AN ACTIVE ACCOUNTS RECEIVABLE."
 . I RCWARN D  I Y'=1 Q
 .. S DIR("A",1)="** WARNING"_$S(RCWARN>1:"S",1:"")_":"
 .. S DIR("A",RCWARN+1)=" "
 .. S DIR(0)="YA",DIR("A")="ARE YOU SURE YOU WANT TO FILE THIS EEOB FOR CLAIM #: "_RCBILL(1)_"?: ",DIR("B")="NO" W ! D ^DIR K DIR
 .. ;
 . ; File EOB for new claim #
 . K ^TMP($J,"RCDP-EOB"),^TMP($J,"RCDPEOB","HDR")
 . S Q=0 F  S Q=$O(^RCY(344.4,RCXDA1,1,RCXDA,1,Q)) Q:'Q  S Q0=$G(^(Q,0)) D
 .. I $P(Q0,U)["835ERA" S ^TMP($J,"RCDPEOB","HDR")=Q0
 .. I $P(Q0,U,2)=$P(RC0,U,5) S $P(Q0,U,2)=RCBILL(1)
 .. S ^TMP($J,"RCDP-EOB",1,Q,0)=Q0
 . S ^TMP($J,"RCDP-EOB",1,.5,0)="835ERA"
 . S RCEOB=$$DUP^IBCEOB("^TMP("_$J_",""RCDP-EOB"",1)",RCBILL) ; IA 4042
 . K ^TMP($J,"RCDP-EOB",1,.5,0)
 . I RCEOB D  Q
 .. N RCWHY S RCWHY(1)="EEOB already found on file while trying to change claim # and filing into IB"
 .. D STORACT^RCDPEX31(RCXDA1,RCXDA,.RCWHY)
 .. S RCCHG=1,DA(1)=RCXDA1,DA=RCXDA D CHGED(.DA,RCEOB,RCSAVE)
 .. S DIR(0)="YA",DIR("A",1)="EEOB detail is already on file for "_RCBILL(1)_" - Exception removed",DIR("A")="PRESS RETURN TO CONTINUE" D ^DIR K DIR
 . ;
 . ; Add stub rec to 361.1 if not there
 . S RCEOB=+$$ADD3611^IBCEOB(+$P($G(^RCY(344.4,RCXDA1,0)),U,12),"","",RCBILL,1,"^TMP("_$J_",""RCDP-EOB"",1)") ; IA 4042
 . ;
 . I RCEOB<0 D  Q
 .. N RCWHY S RCWHY(1)="Error encountered trying to change claim # and file into IB"
 .. D STORACT^RCDPEX31(RCXDA1,RCXDA,.RCWHY)
 .. S DIR("A")="EA",DIR("A",1)="Error - EEOB detail not added to IB for bill "_RCBILL(1),DIR("A")="PRESS RETURN TO CONTINUE" D ^DIR K DIR
 . ;
 . ; Update EOB in file 361.1
 . ; Call needs ^TMP arrays: $J,"RCDPEOB","HDR" and $J,"RCDP-EOB"
 . D UPD3611^IBCEOB(RCEOB,1,1) ; IA 4042
 . ; errors in ^TMP("RCDPERR-EOB",$J
 . I $O(^TMP("RCDPERR-EOB",$J,0)) D
 .. D ERRUPD^IBCEOB(RCEOB,"RCDPERR-EOB") ; Adds error msgs to IB file 361.1 ; IA 4042
 . ;
 . S RCCHG=1
 . N RCWHY S RCWHY(1)="EEOB claim # changed and filed into IB under new claim #"
 . D STORACT^RCDPEX31(RCXDA1,RCXDA,.RCWHY)
 . S DA(1)=RCXDA1,DA=RCXDA
 . D CHGED(.DA,RCEOB,RCSAVE)
 . S DIE="^RCY(344.4,"_DA(1)_",1,",DR="1///@" D ^DIE
 . S DIR("A",1)="EEOB Filed.  Its detail may be viewed using Third Party Joint Inquiry",DIR("A")="PRESS RETURN TO CONTINUE ",DIR(0)="EA"
 . W ! D ^DIR K DIR
 . S VALMBG=1
 ;
EDITNQ I $G(RCCHG) D BLD^RCDPEX2
 K ^TMP($J,"RCDP-EOB"),^TMP($J,"RCDPEOB","HDR"),^TMP("RCDPERR-EOB",$J)
 S VALMBCK="R"
 Q
 ;
CHGED(DA,RCEOB,RCSAVE) ;  Change bad bill # to good one for EOB
 ; DA = DA and DA(1) to use for DIE call
 ; RCEOB = the ien of the entry in file 361.1
 ; RCSAVE = the free text of the original bill #
 N DIE,DR,X,Y
 S DIE="^RCY(344.4,"_DA(1)_",1,",DR=".05///@;.02////"_RCEOB_";.13////1"_$S(RCSAVE'="":";.17////"_RCSAVE,1:"")_";.07///@" D ^DIE
 Q
 ;