| 1 | EASUFNC3 ;ALB/CPM/EJG/GN - BILLING TRANSMISSION UTILITIES ; 13-JUN-94 [12/22/03 10:30am] | 
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| 2 | ;;1.0;ENROLLMENT APPLICATION SYSTEM;**23,47**; 21-OCT-94 | 
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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 | ;IVM Project Interface w/Edb | 
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| 6 | ; | 
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| 7 | ;EAS*1*47 - break up Z09's by Income year, via new "ATR" xref | 
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| 8 | ; | 
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| 9 | REV(IVMREF,DFN,IVMCL,IVMTYP,IVMBF,IVMBT,IVMAB,IVMHLD) ; Interface w/ Rev fct. | 
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| 10 | ;  Input:   IVMREF  --  Bill reference number | 
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| 11 | ;              DFN  --  Pointer to the patient in file #2 | 
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| 12 | ;            IVMCL  --  Bill Classification [ 1-Inpt, 2-Opt ] | 
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| 13 | ;           IVMTYP  --  Bill Type [ 2-Copayment, 3-Per Diem ] | 
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| 14 | ;            IVMBF  --  Bill From Date in FM format | 
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| 15 | ;            IVMBT  --  Bill To Date in FM format | 
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| 16 | ;            IVMAB  --  Amount Billed | 
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| 17 | ;           IVMHLD  --  Charge placed on hold? [ 1-Yes, 0-No ] | 
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| 18 | ; | 
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| 19 | ; Output:   New entry created in file #301.61 | 
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| 20 | ; | 
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| 21 | N IVMTDA,DA,DIK | 
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| 22 | I $G(IVMREF)=""!'$G(DFN) G REVQ | 
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| 23 | S IVMTDA=$O(^IVM(301.61,"B",IVMREF,0)) | 
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| 24 | I 'IVMTDA S IVMTDA=$$ADD(IVMREF) I 'IVMTDA G REVQ | 
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| 25 | ; | 
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| 26 | D NOW^%DTC | 
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| 27 | S $P(^IVM(301.61,IVMTDA,0),"^",2,12)=DFN_"^"_IVMCL_"^"_IVMTYP_"^"_IVMBF_"^"_IVMBT_"^"_$S($G(IVMHLD):"",1:DT)_"^"_IVMAB_"^^^^"_$S($G(IVMHLD):0,1:1),$P(^(1),"^",3,4)=%_"^"_DUZ | 
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| 28 | S DA=IVMTDA,DIK="^IVM(301.61," D IX1^DIK | 
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| 29 | REVQ Q | 
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| 30 | ; | 
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| 31 | ADD(X) ; Add a new entry to file #301.61 | 
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| 32 | ;  Input:     X  --  Reference number to be used as the .01 field | 
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| 33 | ;  Output:  IVM  --  Internal entry number to new entry, or 0. | 
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| 34 | ; | 
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| 35 | N DA,DD,DO,DIE,DIC,DLAYGO,IVM,Y | 
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| 36 | I $G(X)="" S IVM=0 G ADDQ | 
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| 37 | S DIC="^IVM(301.61,",DIC(0)="L",DLAYGO=301.61 D FILE^DICN | 
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| 38 | S (DA,IVM)=+Y I DA<0 S IVM=0 G ADDQ | 
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| 39 | ; | 
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| 40 | D NOW^%DTC | 
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| 41 | S DIE=DIC,DR="1.01////"_%_";1.02////"_DUZ D ^DIE | 
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| 42 | ADDQ Q IVM | 
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| 43 | ; | 
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| 44 | ; | 
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| 45 | CHK(DFN) ; Is the insurance patient recorded in file #301.61? | 
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| 46 | ;  Input:   DFN  --  Pointer to the patient in file #2 | 
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| 47 | ; Output:     1  --  Patient recorded in #301.61; otherwise, 0 | 
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| 48 | ; | 
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| 49 | Q $O(^IVM(301.61,"C",+$G(DFN),0))>0 | 
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| 50 | ; | 
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| 51 | ; | 
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| 52 | FT1(IVMTDA) ; Entry point to build FT1 segment from file #301.61 | 
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| 53 | ;  Input:  IVMTDA  --  Pointer to the transmission record in #301.61 | 
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| 54 | ;          The HL7 variables HLFS, HLQ and HLECH must also be defined | 
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| 55 | ; Output:  String in the form of the HL7 FT1 segment | 
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| 56 | ; | 
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| 57 | N IVMN,IVMY,IVMSEP | 
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| 58 | I '$G(IVMTDA) G FT1Q | 
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| 59 | S IVMN=$G(^IVM(301.61,IVMTDA,0)) I IVMN="" G FT1Q | 
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| 60 | S IVMSEP=$E(HLECH) | 
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| 61 | ; | 
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| 62 | S $P(IVMY,HLFS,1)=1 ; set id | 
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| 63 | S $P(IVMY,HLFS,4)=$S($P(IVMN,"^",7):$$HLDATE^HLFNC($P(IVMN,"^",7)),1:HLQ) ; date generated | 
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| 64 | S $P(IVMY,HLFS,6)=$S($P(IVMN,"^",11):2,$P(IVMN,"^",10)&$P(IVMN,"^",13):4,$P(IVMN,"^",9)&$P(IVMN,"^",13):3,1:1) ; transaction type | 
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| 65 | S $P(IVMY,HLFS,7)=$P(IVMN,"^") ; transaction code | 
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| 66 | ; | 
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| 67 | ; - build extended transaction description | 
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| 68 | S $P(IVMY,HLFS,9)=$P(IVMN,"^",3)_IVMSEP_$P(IVMN,"^",4)_IVMSEP_$S($P(IVMN,"^",5):$$HLDATE^HLFNC($P(IVMN,"^",5)),1:HLQ)_IVMSEP_$S($P(IVMN,"^",6):$$HLDATE^HLFNC($P(IVMN,"^",6)),1:HLQ) | 
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| 69 | ; | 
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| 70 | ; - build extended transaction amount | 
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| 71 | S $P(IVMY,HLFS,11)=$S($P(IVMN,"^",10)&$P(IVMN,"^",13):+$P(IVMN,"^",9),$P(IVMN,"^",9)&$P(IVMN,"^",13):$P(IVMN,"^",9),1:"")    ;Amount Collected | 
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| 72 | S $P(IVMY,HLFS,12)=$P(IVMN,"^",8)              ;Amount Billed | 
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| 73 | ; | 
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| 74 | FT1Q Q "FT1"_HLFS_$G(IVMY) | 
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| 75 | ; | 
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| 76 | SETATR(DA,DFN) ; Mumps cross reference add logic                     ;EAS*1*47 | 
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| 77 | Q:'DFN | 
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| 78 | N ICYR,TSTDT | 
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| 79 | S TSTDT=$P($G(^IVM(301.61,DA,0)),"^",5) | 
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| 80 | Q:TSTDT'>0 | 
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| 81 | ;find last MT date via Billing From Date | 
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| 82 | S ICYR=$P($$LST^DGMTU(DFN,TSTDT,1),"^",2) | 
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| 83 | ;calculate income year | 
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| 84 | S ICYR=$E(ICYR,1,3)-1_"0000" | 
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| 85 | Q:ICYR'>0 | 
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| 86 | ;set if xmit is Yes | 
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| 87 | S:$P($G(^IVM(301.61,DA,0)),"^",12) ^IVM(301.61,"ATR",ICYR,DFN,DA)="" | 
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| 88 | Q | 
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| 89 | KILLATR(DA,DFN) ; Mumps cross reference kill logic                   ;EAS*1*47 | 
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| 90 | Q:'DFN | 
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| 91 | N ICYR,TSTDT | 
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| 92 | S TSTDT=$P($G(^IVM(301.61,DA,0)),"^",5) | 
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| 93 | ;find last MT date for Billing From Date | 
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| 94 | S ICYR=$P($$LST^DGMTU(DFN,TSTDT,1),"^",2) | 
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| 95 | ;calculate income year | 
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| 96 | S ICYR=$E(ICYR,1,3)-1_"0000" | 
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| 97 | K ^IVM(301.61,"ATR",ICYR,DFN,DA) | 
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| 98 | Q | 
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