| 1 | RCDPEX32 ;ALB/TMK - ELECTRONIC EOB EXCEPTION PROCESSING - FILE 344.4 ;10-OCT-02
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| 2 |  ;;4.5;Accounts Receivable;**173,249**;Mar 20, 1995;Build 2
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| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 |  ;
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| 5 | EDITNUM ; Edit invalid claim # to valid, refile EOB
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| 6 |  N RC,RC0,RCDA,RCXDA,RCXDA1,RCSAVE,RCEOB,RCWARN,Q,Q0,DA,DR,DIE,DIC,DIR,X,Y,RCBILL,RCCHG
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| 7 |  D FULL^VALM1
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| 8 |  D SEL^RCDPEX3(.RCDA)
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| 9 |  G:'$O(RCDA(0)) EDITNQ
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| 10 |  ;
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| 11 |  S RC=0 F  S RC=$O(RCDA(RC)) Q:'RC  D  L -^RCY(344.4,RCXDA1,1,RCXDA,0)
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| 12 |  . S RCXDA1=+RCDA(RC),RCXDA=+$P(RCDA(RC),U,2),RCSAVE=""
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| 13 |  . I '$$LOCK^RCDPEX31(RCXDA1,RCXDA,1) D  Q
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| 14 |  .. 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
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| 15 |  . S RC0=$G(^RCY(344.4,RCXDA1,1,RCXDA,0))
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| 16 |  . I $P(RC0,U,5)="" D  Q
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| 17 |  .. 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
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| 18 |  . I $P(RC0,U,9) D  Q
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| 19 |  .. 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
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| 20 |  . ;
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| 21 |  . I $D(^RCY(344.49,RCXDA1)) D
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| 22 |  .. N X
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| 23 |  .. S X=$G(^RCY(344,+$P($G(^RCY(344.49,RCXDA1,0)),U,2),0))
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| 24 |  .. W !!,*7,"Warning: EEOB Worklist entry #"_RCXDA1_$S($P(X,U)'="":" and receipt "_$P(X,U),1:"")_" exist for this EEOB"
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| 25 |  .. I X="" W !,"You should refresh the worklist entry to include the new claim #",!," before creating the receipt",!
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| 26 |  . I $P($G(^RCY(344.4,RCXDA1,0)),U,8) D
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| 27 |  .. W !,"Since the receipt for this EEOB ("_$P($G(^RCY(344,+$P($G(^RCY(344.4,RCXDA1,0)),U,8),0)),U)_") already exists"
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| 28 |  .. 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
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| 29 |  .. W !," you should edit the receipt and change the claim # so it posts to the",!," correct account",!
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| 30 |  . ;
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| 31 |  . I $P(RC0,U,17)="" S RCSAVE=$P(RC0,U,5)
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| 32 |  . W !,"Selection #: "_RC_$J("",5)_$P(RC0,U,5)
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| 33 |  . 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
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| 34 |  . Q:Y'>0
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| 35 |  . S RCBILL=+Y,RCBILL(1)=$P($G(^PRCA(430,RCBILL,0)),U),RCWARN=0
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| 36 |  . 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."
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| 37 |  . 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."
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| 38 |  . I RCWARN D  I Y'=1 Q
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| 39 |  .. S DIR("A",1)="** WARNING"_$S(RCWARN>1:"S",1:"")_":"
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| 40 |  .. S DIR("A",RCWARN+1)=" "
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| 41 |  .. 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
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| 42 |  .. ;
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| 43 |  . ; File EOB for new claim #
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| 44 |  . K ^TMP($J,"RCDP-EOB"),^TMP($J,"RCDPEOB","HDR")
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| 45 |  . S Q=0 F  S Q=$O(^RCY(344.4,RCXDA1,1,RCXDA,1,Q)) Q:'Q  S Q0=$G(^(Q,0)) D
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| 46 |  .. I $P(Q0,U)["835ERA" S ^TMP($J,"RCDPEOB","HDR")=Q0
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| 47 |  .. I $P(Q0,U,2)=$P(RC0,U,5) S $P(Q0,U,2)=RCBILL(1)
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| 48 |  .. S ^TMP($J,"RCDP-EOB",1,Q,0)=Q0
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| 49 |  . S ^TMP($J,"RCDP-EOB",1,.5,0)="835ERA"
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| 50 |  . S RCEOB=$$DUP^IBCEOB("^TMP("_$J_",""RCDP-EOB"",1)",RCBILL) ; IA 4042
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| 51 |  . K ^TMP($J,"RCDP-EOB",1,.5,0)
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| 52 |  . I RCEOB D  Q
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| 53 |  .. N RCWHY S RCWHY(1)="EEOB already found on file while trying to change claim # and filing into IB"
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| 54 |  .. D STORACT^RCDPEX31(RCXDA1,RCXDA,.RCWHY)
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| 55 |  .. S RCCHG=1,DA(1)=RCXDA1,DA=RCXDA D CHGED(.DA,RCEOB,RCSAVE)
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| 56 |  .. 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
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| 57 |  . ;
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| 58 |  . ; Add stub rec to 361.1 if not there
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| 59 |  . S RCEOB=+$$ADD3611^IBCEOB(+$P($G(^RCY(344.4,RCXDA1,0)),U,12),"","",RCBILL,1,"^TMP("_$J_",""RCDP-EOB"",1)") ; IA 4042
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| 60 |  . ;
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| 61 |  . I RCEOB<0 D  Q
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| 62 |  .. N RCWHY S RCWHY(1)="Error encountered trying to change claim # and file into IB"
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| 63 |  .. D STORACT^RCDPEX31(RCXDA1,RCXDA,.RCWHY)
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| 64 |  .. 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
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| 65 |  . ;
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| 66 |  . ; Update EOB in file 361.1
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| 67 |  . ; Call needs ^TMP arrays: $J,"RCDPEOB","HDR" and $J,"RCDP-EOB"
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| 68 |  . D UPD3611^IBCEOB(RCEOB,1,1) ; IA 4042
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| 69 |  . ; errors in ^TMP("RCDPERR-EOB",$J
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| 70 |  . I $O(^TMP("RCDPERR-EOB",$J,0)) D
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| 71 |  .. D ERRUPD^IBCEOB(RCEOB,"RCDPERR-EOB") ; Adds error msgs to IB file 361.1 ; IA 4042
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| 72 |  . ;
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| 73 |  . S RCCHG=1
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| 74 |  . N RCWHY S RCWHY(1)="EEOB claim # changed and filed into IB under new claim #"
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| 75 |  . D STORACT^RCDPEX31(RCXDA1,RCXDA,.RCWHY)
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| 76 |  . S DA(1)=RCXDA1,DA=RCXDA
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| 77 |  . D CHGED(.DA,RCEOB,RCSAVE)
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| 78 |  . S DIE="^RCY(344.4,"_DA(1)_",1,",DR="1///@" D ^DIE
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| 79 |  . 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"
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| 80 |  . W ! D ^DIR K DIR
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| 81 |  . S VALMBG=1
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| 82 |  ;
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| 83 | EDITNQ I $G(RCCHG) D BLD^RCDPEX2
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| 84 |  K ^TMP($J,"RCDP-EOB"),^TMP($J,"RCDPEOB","HDR"),^TMP("RCDPERR-EOB",$J)
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| 85 |  S VALMBCK="R"
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| 86 |  Q
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| 87 |  ;
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| 88 | CHGED(DA,RCEOB,RCSAVE) ;  Change bad bill # to good one for EOB
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| 89 |  ; DA = DA and DA(1) to use for DIE call
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| 90 |  ; RCEOB = the ien of the entry in file 361.1
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| 91 |  ; RCSAVE = the free text of the original bill #
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| 92 |  N DIE,DR,X,Y
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| 93 |  S DIE="^RCY(344.4,"_DA(1)_",1,",DR=".05///@;.02////"_RCEOB_";.13////1"_$S(RCSAVE'="":";.17////"_RCSAVE,1:"")_";.07///@" D ^DIE
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| 94 |  Q
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| 95 |  ;
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