| 1 | BPSOSCA ;BHAM ISC/FCS/DRS - Create BPS Claims entries ;06/01/2004
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| 2 | ;;1.0;E CLAIMS MGMT ENGINE;**1,5**;JUN 2004;Build 45
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;
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| 5 | Q
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| 6 | ; Create BPS Claims entries for RXILIST(*) claims.
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| 7 | ; Called from PACKET^BPSOSQG
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| 8 | ;
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| 9 | ; Input:
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| 10 | ; RXILIST(IEN59) - Array of pointers to 9002313.59
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| 11 | ; A list of prescriptions for the same visit/patient/etc.
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| 12 | ; to be bundled into one or more 9002313.02 claims
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| 13 | ;
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| 14 | ; Outputs:
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| 15 | ; CLAIMIEN(CLAIMIEN)="", pointers to the ^BPSC(CLAIMIEN,
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| 16 | ; claim records created.
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| 17 | ; ERROR
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| 18 | ;
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| 19 | ; BPSOSCA calls:
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| 20 | ; BPSOSCB to build BPS(*) array
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| 21 | ; (and BPSOSCB calls BPSOSCC and BPSOSCD)
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| 22 | ; BPSOSCE to build the ^BPSC( entry
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| 23 | ;
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| 24 | EN(CLAIMIEN) ;EP - from BPSOSQG
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| 25 | I $D(RXILIST)<10 D Q "306^No RXILIST defined"
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| 26 | . N RETVAL S RETVAL=$$IMPOSS^BPSOSUE("P","TI","Bad RXILIST",,,$T(+0))
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| 27 | . D LOG2LIST^BPSOSL($T(+0)_"-No RXILIST passed into BPSOSCA")
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| 28 | ;
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| 29 | ; Manage local variables
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| 30 | N BPS,START,END,TOTAL,NCLAIMS,CLAIMN,ERROR
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| 31 | S ERROR=$$BPS^BPSOSCB()
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| 32 | I ERROR D LOG2LIST^BPSOSL($T(+0)_"-$$BPS^BPSOSCB(.BPS) returned "_ERROR)
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| 33 | I $G(BPS("RX",0))="" S:'ERROR ERROR="301^BPS(""RX"" not created" Q ERROR
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| 34 | I $G(BPS("NCPDP","# Meds/Claim"))="" Q "302^Number of Meds not returned"
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| 35 | ;
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| 36 | ; Calculate number of claim records to be generated for Billing Item
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| 37 | S NCLAIMS=((BPS("RX",0)-1)\BPS("NCPDP","# Meds/Claim"))+1
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| 38 | I NCLAIMS=0 Q "303^Number of claims is zero"
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| 39 | ;
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| 40 | ;Generate claim submission records
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| 41 | F CLAIMN=1:1:NCLAIMS D Q:$G(ERROR)
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| 42 | . S START=((CLAIMN-1)*BPS("NCPDP","# Meds/Claim"))+1
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| 43 | . S END=START+BPS("NCPDP","# Meds/Claim")-1
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| 44 | . S:END>BPS("RX",0) END=BPS("RX",0)
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| 45 | . S TOTAL=END-START+1
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| 46 | . S ERROR=$$NEWCLAIM^BPSOSCE(START,END,TOTAL)
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| 47 | . I ERROR]"" Q
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| 48 | . S CLAIMIEN=BPS(9002313.02)
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| 49 | . S CLAIMIEN(CLAIMIEN)=""
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| 50 | . ; Mark each of the .59s with the claim number and position within
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| 51 | . F I=START:1:END D
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| 52 | .. ;
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| 53 | .. ; IEN59 handling 06/23/2000. The ELSE should never happen again.
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| 54 | .. ; and the $G() can probably be gotten rid of, safely.
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| 55 | .. N IEN59 S IEN59=$G(BPS("RX",I,"IEN59"))
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| 56 | .. I IEN59 D
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| 57 | ... N DIE,DA,DR S DIE=9002313.59
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| 58 | ... ;
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| 59 | ... ; Field #3-CLAIM, #14-POSITION
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| 60 | ... ; POSITION: Not the relative position within the packet,
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| 61 | ... ; but the index in BPS("RX",n,.... This is the position in which
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| 62 | ... ; it will be stored in ^BPSC(ien,400,POSITION
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| 63 | ... ; and likewise for 9002313.03 when the response comes in.
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| 64 | ... S DA=IEN59,DR=3_"////"_CLAIMIEN_";14////"_I N I D ^DIE
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| 65 | .. E D
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| 66 | ... S $P(^BPST(BPS("RX",I,"RX IEN"),0),"^",4)=CLAIMIEN
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| 67 | ... S ^BPST("AE",CLAIMIEN,BPS("RX",I,"RX IEN"))=""
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| 68 | ... S $P(^BPST(BPS("RX",I,"RX IEN"),0),"^",9)=I
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| 69 | Q ERROR
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