1 | EASEZF5 ;ALB/jap - Filing 1010EZ Data to Patient Database ;10/31/00 13:07
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2 | ;;1.0;ENROLLMENT APPLICATION SYSTEM;**51**;Mar 15, 2001
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3 | ;
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4 | IBINS(EASAPP,EASDFN) ;setup for call to IB API
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5 | ;
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6 | N DATANM,X,IBDATA,OK,PARTA,PARTB,LSTNM,FRSTNM
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7 | ;file Medicare data
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8 | K IBDATA
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9 | S DATANM="MEDICARE PART A EFFECTIVE DATE" S PARTA=$$GET(DATANM)
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10 | S IBDATA("M","PART A")=PARTA
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11 | S DATANM="MEDICARE PART B EFFECTIVE DATE" S PARTB=$$GET(DATANM)
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12 | S IBDATA("M","PART B")=PARTB
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13 | I (PARTA'="")!(PARTB'="") D
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14 | .S IBDATA("M","DFN")=EASDFN
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15 | .S IBDATA("M","SOURCE")=1
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16 | .S DATANM="MEDICARE CLAIM NUMBER" S X=$$GET(DATANM)
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17 | .S IBDATA("M","HICN")=X
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18 | .S DATANM="SIGNEE ON MEDICARE CARD" S X=$$GET(DATANM)
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19 | .S IBDATA("M","NAME")=X
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20 | .S OK=$$BUFF^IBCNBES1(.IBDATA)
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21 | ;
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22 | ;applicant health insurance
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23 | K IBDATA
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24 | S DATANM="APPLICANT INSURANCE COMPANY" S X=$$GET(DATANM)
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25 | I X'="" D
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26 | .S IBDATA(1,20.01)=X
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27 | .S DATANM="APPLICANT INSURANCE GROUP CODE" S X=$$GET(DATANM)
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28 | .S IBDATA(1,40.03)=X
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29 | .S DATANM="APPLICANT INSURANCE POLICY HOLDER" S X=$$GET(DATANM)
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30 | .S IBDATA(1,60.07)=X
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31 | .S IBDATA(1,60.05)=$$INSREL(IBDATA(1,60.07))
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32 | .S X=IBDATA(1,60.05) S IBDATA(1,60.06)=$S(X="v":"01",X="s":"02",1:"09")
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33 | .S DATANM="APPLICANT INSURANCE POLICY NUMBER" S X=$$GET(DATANM)
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34 | .S IBDATA(1,60.04)=X
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35 | .S DATANM="APPLICANT INSURANCE ADDRESS" S X=$$GET(DATANM)
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36 | .S IBDATA(1,21.01)=X
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37 | .S DATANM="APPLICANT INSURANCE CITY" S X=$$GET(DATANM)
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38 | .S IBDATA(1,21.04)=X
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39 | .S DATANM="APPLICANT INSURANCE STATE" S X=$$GET(DATANM)
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40 | .S IBDATA(1,21.05)=X
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41 | .S DATANM="APPLICANT INSURANCE ZIP" S X=$$GET(DATANM)
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42 | .S IBDATA(1,21.06)=X
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43 | .S X=$$INSPH^EASEZT2(EASAPP,"APPLICANT",1)
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44 | .S IBDATA(1,20.02)=X
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45 | .S IBDATA(1,.03)=1
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46 | .S IBDATA(1,60.01)=EASDFN
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47 | .S OK=$$BUFF^IBCNBES1(.IBDATA)
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48 | ;applicant additional health insurance
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49 | K IBDATA
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50 | F MM=1:1 S DATANM="OTHER(N) INSURANCE COMPANY" S X=$$GET(DATANM,MM) Q:(X="") D
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51 | .S IBDATA(1,20.01)=X
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52 | .S DATANM="OTHER(N) INSURANCE GROUP CODE" S X=$$GET(DATANM,MM)
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53 | .S IBDATA(1,40.03)=X
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54 | .S DATANM="OTHER(N) INSURANCE POLICY HOLDER" S X=$$GET(DATANM,MM)
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55 | .S IBDATA(1,60.07)=X
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56 | .S IBDATA(1,60.05)=$$INSREL(IBDATA(1,60.07))
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57 | .S X=IBDATA(1,60.05) S IBDATA(1,60.06)=$S(X="v":"01",X="s":"02",1:"09")
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58 | .S DATANM="OTHER(N) INSURANCE POLICY NUMBER" S X=$$GET(DATANM,MM)
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59 | .S IBDATA(1,60.04)=X
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60 | .S DATANM="OTHER(N) INSURANCE ADDRESS" S X=$$GET(DATANM,MM)
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61 | .S IBDATA(1,21.01)=X
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62 | .S DATANM="OTHER(N) INSURANCE CITY" S X=$$GET(DATANM,MM)
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63 | .S IBDATA(1,21.04)=X
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64 | .S DATANM="OTHER(N) INSURANCE STATE" S X=$$GET(DATANM,MM)
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65 | .S IBDATA(1,21.05)=X
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66 | .S DATANM="OTHER(N) INSURANCE ZIP" S X=$$GET(DATANM,MM)
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67 | .S IBDATA(1,21.06)=X
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68 | .S X=$$INSPH^EASEZT2(EASAPP,"OTHER(N)",MM)
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69 | .S IBDATA(1,20.02)=X
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70 | .S IBDATA(1,.03)=1
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71 | .S IBDATA(1,60.01)=EASDFN
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72 | .S OK=$$BUFF^IBCNBES1(.IBDATA)
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73 | ;
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74 | ;spouse health insurance
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75 | ;retain for backward compatibility
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76 | K IBDATA
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77 | S DATANM="SPOUSE INSURANCE COMPANY" S X=$$GET(DATANM)
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78 | I X'="" D
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79 | .S IBDATA(2,20.01)=X
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80 | .S DATANM="SPOUSE INSURANCE GROUP CODE" S X=$$GET(DATANM)
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81 | .S IBDATA(2,40.03)=X
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82 | .S DATANM="SPOUSE INSURANCE POLICY HOLDER" S X=$$GET(DATANM)
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83 | .S IBDATA(2,60.07)=X
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84 | .S DATANM="SPOUSE INSURANCE POLICY NUMBER" S X=$$GET(DATANM)
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85 | .S IBDATA(2,60.04)=X
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86 | .S IBDATA(2,60.05)="s"
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87 | .S IBDATA(2,.03)=1
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88 | .S IBDATA(2,60.06)="02"
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89 | .S IBDATA(2,60.01)=EASDFN
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90 | .S OK=$$BUFF^IBCNBES1(.IBDATA)
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91 | ;
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92 | ;update field #.3192 in file #2 for Reg. screen 5
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93 | S X=$P($G(^DPT(EASDFN,.31)),U,11) I ((X="")!(X="U")) S $P(^DPT(EASDFN,.31),U,11)="N"
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94 | Q
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95 | ;
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96 | GET(DATANM,MM) ;get 1010EZ data as needed by IB
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97 | ;
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98 | N KEY,XDATA
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99 | I '$G(MM) S MM=1
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100 | S KEY=+$$KEY711^EASEZU1(DATANM)
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101 | S XDATA=$P($$DATA712^EASEZU1(EASAPP,KEY,MM),U,1)
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102 | I DATANM["DATE",XDATA'="" D
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103 | .S X=XDATA D ^%DT S XDATA=$P(Y,".",1)
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104 | S XDATA=$$UC^EASEZT1(XDATA)
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105 | Q XDATA
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106 | ;
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107 | INSREL(INSNM) ;
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108 | N FRSTNM,LSTNM
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109 | I INSNM="" Q ""
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110 | S DATANM="APPLICANT LAST NAME" S LSTNM=$$GET(DATANM)
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111 | S DATANM="APPLICANT FIRST NAME" S FRSTNM=$$GET(DATANM)
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112 | I INSNM[LSTNM,INSNM[FRSTNM Q "v"
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113 | S DATANM="SPOUSE LAST NAME" S LSTNM=$$GET(DATANM)
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114 | S DATANM="SPOUSE FIRST NAME" S FRSTNM=$$GET(DATANM)
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115 | I INSNM[LSTNM,INSNM[FRSTNM Q "s"
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116 | Q "o"
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