| 1 | BPSRCRI  ;BHAM ISC/NSS - ECME REPORTS ;08-FEB-07
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| 2 |  ;;1.0;E CLAIMS MGMT ENGINE;**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 |  ;
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| 7 |  ;ECME Claims Response Inquiry Report
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| 8 |  ; 
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| 9 |  ;User input prompts
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| 10 | EN ; Routine entry point
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| 11 |  N BPCFILE,BP02,BP03,BPSCR,BPQ,BPX,BPVAX,ZTQUEUED
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| 12 |  S BPCFILE=9002313.02
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| 13 |  I $D(IOF) W @IOF
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| 14 |  W !,"ECME Claims-Response Inquiry Report",!
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| 15 |  ;
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| 16 |  ;User selects VA CLAIM ID
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| 17 |  S BP02=$$BPIEN(BPCFILE)
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| 18 |  I BP02=-1 G EXIT
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| 19 |  S BPVAX=$P(BP02,U,2),BP02=+BP02
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| 20 |  ;
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| 21 |  ;Select device
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| 22 |  I $$DEVICE=-1 G EXIT
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| 23 |  ;
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| 24 |  ;Run the reports
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| 25 |  D RUNRPT
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| 26 |  ;
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| 27 |  ;Prompt user to retrieve Claim IEN
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| 28 |  ;Input
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| 29 |  ;  BPCFILE (9002313.02) user inputs VA ID#
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| 30 |  ;Output
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| 31 |  ;  -1 (not found) or File IEN
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| 32 | BPIEN(BPCFILE) ; User is prompted for input, cross-ref "B" lookup
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| 33 |  N DIC,Y,DUOUT,DTOUT,DIROUT
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| 34 |  S DIC=$$ROOT^DILFD(BPCFILE)
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| 35 |  S DIC("A")="Select VA Claim ID: "
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| 36 |  S DIC(0)="ABEQ"
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| 37 |  D ^DIC
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| 38 |  I (Y=-1)!$D(DIROUT)!$D(DUOUT)!$D(DTOUT) Q -1
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| 39 |  Q Y
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| 40 |  ;
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| 41 |  ;Select the output Device
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| 42 | DEVICE() ; 
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| 43 |  N %ZIS,ZTSK,ZTRTN,ZTIO,ZTSAVE,ZTDESC,POP,BPQ
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| 44 |  S BPQ=0
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| 45 |  S %ZIS="QM"
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| 46 |  W !!,"Note: This report contains three separate sections - transaction data, claims"
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| 47 |  W !,"      data, and response data.  There will be a page break/form feed after"
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| 48 |  W !,"      each section regardless of the page length specified in the device input.",!
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| 49 |  D ^%ZIS
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| 50 |  I POP Q -1
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| 51 |  S BPSCR=$S($E($G(IOST),1,2)="C-":1,1:0)
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| 52 |  I $D(IO("Q")) D  S BPQ=-1
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| 53 |  . S ZTRTN="RUNRPT^BPSRCRI"
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| 54 |  . S ZTIO=ION
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| 55 |  . S ZTSAVE("*")=""
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| 56 |  . S ZTDESC="ECME CLAIMS RESPONSE INQUIRY REPORT"
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| 57 |  . D ^%ZTLOAD
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| 58 |  . W !,$S($D(ZTSK):"REQUEST QUEUED TASK="_ZTSK,1:"REQUEST CANCELLED")
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| 59 |  . D HOME^%ZIS
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| 60 |  U IO
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| 61 |  Q BPQ
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| 62 |  ;
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| 63 |  ; Print or display the report
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| 64 | RUNRPT ; 
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| 65 |  N BPLARR,BP57,BP59,BPQ
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| 66 |  D BPFLDS ; BPS TRANSACTIONS/LOG OF TRANSACTIONS
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| 67 |  D PRNTRPT
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| 68 |  Q
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| 69 |  ;
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| 70 |  ;Collect data from Transactions file #59 or Transactions Log file #57
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| 71 | BPFLDS ; Build BPLARR array of data
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| 72 |  N BPL0,BPL1,BP902
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| 73 |  S BP03=0,BPX=""
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| 74 |  ;Determine if claim is reversal or not
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| 75 |  I $D(^BPST("AE",BP02))!($D(^BPSTL("AE",BP02))) D
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| 76 |  . S BPX="AE" ;Not a reversal
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| 77 |  . S BPLARR(9)="  CLAIM IEN (c): "
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| 78 |  . S BPLARR(10)="RESPONSE IEN (c): "
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| 79 |  I BPX="",($D(^BPST("AER",BP02))!($D(^BPSTL("AER",BP02)))) D
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| 80 |  . S BPX="AER" ;Reversal
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| 81 |  . S BPLARR(10)="REVERSAL RESPONSE IEN (c): "
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| 82 |  . S BPLARR(9)="  REVERSAL CLAIM IEN (c): "
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| 83 |  I BPX="" Q
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| 84 |  S (BP57,BP59)=0
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| 85 |  S BP59=$O(^BPST(BPX,BP02,""),-1)
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| 86 |  I BP59="" S BP59=0
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| 87 |  ;
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| 88 |  I BP59'=0 D  ;Find claim in BPS Transactions file
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| 89 |  . S BPL0=$G(^BPST(BP59,0)),BPL1=$G(^BPST(BP59,1))
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| 90 |  . I BPX="AE" S BP03=$P($G(^BPST(BP59,0)),U,5)
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| 91 |  . I BPX="AER" S BP03=$P($G(^BPST(BP59,4)),U,2)
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| 92 |  . S BPLARR(4)="PRESCRIPTION #: "_+$$GET1^DIQ(9002313.59,BP59,1.11)
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| 93 |  . D GETS^DIQ(9002313.59902,1_","_BP59,"902;902.24;902.27","E","BP902","ERROR")
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| 94 |  . S BPLARR(7)="  PLAN NAME: "_$G(BP902(9002313.59902,"1,"_BP59_",",902.24,"E"))
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| 95 |  . S BPLARR(8)="PHARMACY PLAN ID: "_$G(BP902(9002313.59902,"1,"_BP59_",",902.27,"E"))
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| 96 |  ;
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| 97 |  I BP59=0 D  ;;Find claim in BPS Log of Transactions file
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| 98 |  . S BP57=$O(^BPSTL(BPX,BP02,""),-1)
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| 99 |  . I BP57="" S BP57=0 Q
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| 100 |  . S BPL0=$G(^BPSTL(BP57,0)),BPL1=$G(^BPSTL(BP57,1)),BP59=$P($G(BPL0),U)
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| 101 |  . I BPX="AE" S BP03=$P($G(^BPSTL(BP57,0)),U,5)
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| 102 |  . I BPX="AER" S BP03=$P($G(^BPSTL(BP57,4)),U,2)
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| 103 |  . S BPLARR(4)="PRESCRIPTION #: "_+$$GET1^DIQ(9002313.57,BP57,1.11)
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| 104 |  . D GETS^DIQ(9002313.57902,1_","_BP57,"902;902.24;902.27","E","BP902","ERROR")
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| 105 |  . S BPLARR(7)="  PLAN NAME: "_$G(BP902(9002313.59902,"1,"_BP57_",",902.24,"E"))
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| 106 |  . S BPLARR(8)="PHARMACY PLAN ID: "_$G(BP902(9002313.59902,"1,"_BP57_",",902.27,"E"))
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| 107 |  ;
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| 108 |  I BP59=0,BP57=0 Q
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| 109 |  ;Build rest of array components
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| 110 |  S BPLARR(1)="ENTRY#: "_BP59
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| 111 |  S BPLARR(2)="STATUS: "_+$P($G(BPL0),U,2)
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| 112 |  S BPX=$P($G(BPL1),U,7)
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| 113 |  S BPLARR(3)="  PHARMACY: "_$P($G(^BPS(9002313.56,+BPX,0)),"^")
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| 114 |  S BPLARR(5)="  RXI-INTERNAL (c): "_$P($G(BPL1),U,11)
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| 115 |  S BPLARR(9)=BPLARR(9)_BP02
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| 116 |  S BPLARR(10)=BPLARR(10)_BP03
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| 117 |  Q
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| 118 |  ;
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| 119 | PRNTRPT ; Output the reports
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| 120 |  N BPQ,ZTREQ
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| 121 |  S BPQ=0
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| 122 |  W @IOF
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| 123 |  D CHKP(1) I BPQ Q
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| 124 |  W "ECME Claims-Response Inquiry Report"
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| 125 |  W ?48,"Print Date: "_$E(DT,4,5)_"/"_$E(DT,6,7)_"/"_$E(DT,2,3)
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| 126 |  W !,"VA CLAIM ID: "_BPVAX,!
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| 127 |  D PRTTRANS ; BPS Transaction (or Transaction log) file fields
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| 128 |  I 'BPSCR W !,@IOF
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| 129 |  E  I 'BPQ D PAUSE
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| 130 |  Q:BPQ
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| 131 |  D PRT02 ; BPS CLAIMS FILE
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| 132 |  I 'BPSCR W !,@IOF
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| 133 |  E  I 'BPQ D PAUSE
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| 134 |  Q:BPQ
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| 135 |  D PRT03 ; BPS RESPONSE FILE
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| 136 |  Q:BPQ
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| 137 |  I 'BPSCR W !,@IOF
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| 138 |  E  I 'BPQ D PAUSE2
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| 139 |  I $D(ZTQUEUED) S ZTREQ="@" Q
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| 140 |  D ^%ZISC
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| 141 |  Q
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| 142 |  ;
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| 143 |  ; Display transaction log fields
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| 144 | PRTTRANS ; Print transaction file report
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| 145 |  W !,"BPS TRANSACTION/BPS LOG OF TRANSACTION DATA: ",!
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| 146 |  I BPX="" W !,"NO TRANSACTION MATCHES FOUND",!! Q
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| 147 |  ;
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| 148 |  ;Loop through the array
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| 149 |  N BPX
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| 150 |  S BPX=0 F  S BPX=$O(BPLARR(BPX)) Q:'BPX  D  I BPQ Q
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| 151 |  . D CHKP(1) I BPQ Q
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| 152 |  . I BPX=1 W !,BPLARR(BPX) Q
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| 153 |  . I BPX#2=0 W ?40,BPLARR(BPX) Q
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| 154 |  . W !,BPLARR(BPX)
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| 155 |  Q
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| 156 |  ;
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| 157 |  ;Run claim file data report #9002313.02
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| 158 | PRT02  ; Claims file output
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| 159 |  W !,"BPS CLAIMS FILE DATA: "
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| 160 |  N DIC,DR,DA,DIQ,DTOUT,DIRUT
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| 161 |  S DIC=$$ROOT^DILFD(BPCFILE),DA=BP02
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| 162 |  I $D(IOF) W @IOF
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| 163 |  D EN^DIQ
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| 164 |  I ($G(DUOUT)=1)!($G(DTOUT)=1) S BPQ=1
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| 165 |  Q
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| 166 |  ;
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| 167 |  ;Run response file data report #9002313.03
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| 168 | PRT03 ; Response file output
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| 169 |  W !!,"BPS RESPONSE FILE DATA: ",!
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| 170 |  I BP03=0!(BP03="") W !,"NO RESPONSE FILE DATA FOUND",!! Q
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| 171 |  N DIC,DR,DA,DIQ,DTOUT,DIRUT
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| 172 |  S DIC=$$ROOT^DILFD(9002313.03),DA=BP03
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| 173 |  D EN^DIQ
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| 174 |  I ($G(DUOUT)=1)!($G(DTOUT)=1) S BPQ=1
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| 175 |  Q
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| 176 |  ;
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| 177 |  ;Check for End of Page
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| 178 |  ; Input variable -> BPLINES - Number of lines from bottom
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| 179 |  ;                      CONT - 0 = New Entry, 1 = Continue Entry
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| 180 | CHKP(BPLINES) ;
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| 181 |  S BPLINES=BPLINES+1
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| 182 |  I $G(BPSCR) S BPLINES=BPLINES+1
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| 183 |  I $Y>(IOSL-BPLINES) D:$G(BPSCR) PAUSE Q:$G(BPQ) 0 Q 1
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| 184 |  Q 0
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| 185 |  ;
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| 186 | PAUSE ;
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| 187 |  N X
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| 188 |  U IO(0)
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| 189 |  R !!,"Press RETURN to continue, '^' to exit: ",X:DTIME
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| 190 |  I '$T S X="^"
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| 191 |  I X["^" S BPQ=1
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| 192 |  U IO
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| 193 |  Q
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| 194 |  ;
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| 195 | PAUSE2 ;
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| 196 |  N X
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| 197 |  U IO(0)
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| 198 |  R !,"Press RETURN to continue: ",X:DTIME
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| 199 |  U IO
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| 200 |  Q
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| 201 |  ;
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| 202 |  ;EXIT
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| 203 | EXIT ;
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| 204 |  Q
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| 205 |  ;
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