1 | BPSRCRI ;BHAM ISC/NSS - ECME REPORTS ;08-FEB-07
|
---|
2 | ;;1.0;E CLAIMS MGMT ENGINE;**5**;JUN 2004;Build 45
|
---|
3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
|
---|
4 | ;
|
---|
5 | Q
|
---|
6 | ;
|
---|
7 | ;ECME Claims Response Inquiry Report
|
---|
8 | ;
|
---|
9 | ;User input prompts
|
---|
10 | EN ; Routine entry point
|
---|
11 | N BPCFILE,BP02,BP03,BPSCR,BPQ,BPX,BPVAX,ZTQUEUED
|
---|
12 | S BPCFILE=9002313.02
|
---|
13 | I $D(IOF) W @IOF
|
---|
14 | W !,"ECME Claims-Response Inquiry Report",!
|
---|
15 | ;
|
---|
16 | ;User selects VA CLAIM ID
|
---|
17 | S BP02=$$BPIEN(BPCFILE)
|
---|
18 | I BP02=-1 G EXIT
|
---|
19 | S BPVAX=$P(BP02,U,2),BP02=+BP02
|
---|
20 | ;
|
---|
21 | ;Select device
|
---|
22 | I $$DEVICE=-1 G EXIT
|
---|
23 | ;
|
---|
24 | ;Run the reports
|
---|
25 | D RUNRPT
|
---|
26 | ;
|
---|
27 | ;Prompt user to retrieve Claim IEN
|
---|
28 | ;Input
|
---|
29 | ; BPCFILE (9002313.02) user inputs VA ID#
|
---|
30 | ;Output
|
---|
31 | ; -1 (not found) or File IEN
|
---|
32 | BPIEN(BPCFILE) ; User is prompted for input, cross-ref "B" lookup
|
---|
33 | N DIC,Y,DUOUT,DTOUT,DIROUT
|
---|
34 | S DIC=$$ROOT^DILFD(BPCFILE)
|
---|
35 | S DIC("A")="Select VA Claim ID: "
|
---|
36 | S DIC(0)="ABEQ"
|
---|
37 | D ^DIC
|
---|
38 | I (Y=-1)!$D(DIROUT)!$D(DUOUT)!$D(DTOUT) Q -1
|
---|
39 | Q Y
|
---|
40 | ;
|
---|
41 | ;Select the output Device
|
---|
42 | DEVICE() ;
|
---|
43 | N %ZIS,ZTSK,ZTRTN,ZTIO,ZTSAVE,ZTDESC,POP,BPQ
|
---|
44 | S BPQ=0
|
---|
45 | S %ZIS="QM"
|
---|
46 | W !!,"Note: This report contains three separate sections - transaction data, claims"
|
---|
47 | W !," data, and response data. There will be a page break/form feed after"
|
---|
48 | W !," each section regardless of the page length specified in the device input.",!
|
---|
49 | D ^%ZIS
|
---|
50 | I POP Q -1
|
---|
51 | S BPSCR=$S($E($G(IOST),1,2)="C-":1,1:0)
|
---|
52 | I $D(IO("Q")) D S BPQ=-1
|
---|
53 | . S ZTRTN="RUNRPT^BPSRCRI"
|
---|
54 | . S ZTIO=ION
|
---|
55 | . S ZTSAVE("*")=""
|
---|
56 | . S ZTDESC="ECME CLAIMS RESPONSE INQUIRY REPORT"
|
---|
57 | . D ^%ZTLOAD
|
---|
58 | . W !,$S($D(ZTSK):"REQUEST QUEUED TASK="_ZTSK,1:"REQUEST CANCELLED")
|
---|
59 | . D HOME^%ZIS
|
---|
60 | U IO
|
---|
61 | Q BPQ
|
---|
62 | ;
|
---|
63 | ; Print or display the report
|
---|
64 | RUNRPT ;
|
---|
65 | N BPLARR,BP57,BP59,BPQ
|
---|
66 | D BPFLDS ; BPS TRANSACTIONS/LOG OF TRANSACTIONS
|
---|
67 | D PRNTRPT
|
---|
68 | Q
|
---|
69 | ;
|
---|
70 | ;Collect data from Transactions file #59 or Transactions Log file #57
|
---|
71 | BPFLDS ; Build BPLARR array of data
|
---|
72 | N BPL0,BPL1,BP902
|
---|
73 | S BP03=0,BPX=""
|
---|
74 | ;Determine if claim is reversal or not
|
---|
75 | I $D(^BPST("AE",BP02))!($D(^BPSTL("AE",BP02))) D
|
---|
76 | . S BPX="AE" ;Not a reversal
|
---|
77 | . S BPLARR(9)=" CLAIM IEN (c): "
|
---|
78 | . S BPLARR(10)="RESPONSE IEN (c): "
|
---|
79 | I BPX="",($D(^BPST("AER",BP02))!($D(^BPSTL("AER",BP02)))) D
|
---|
80 | . S BPX="AER" ;Reversal
|
---|
81 | . S BPLARR(10)="REVERSAL RESPONSE IEN (c): "
|
---|
82 | . S BPLARR(9)=" REVERSAL CLAIM IEN (c): "
|
---|
83 | I BPX="" Q
|
---|
84 | S (BP57,BP59)=0
|
---|
85 | S BP59=$O(^BPST(BPX,BP02,""),-1)
|
---|
86 | I BP59="" S BP59=0
|
---|
87 | ;
|
---|
88 | I BP59'=0 D ;Find claim in BPS Transactions file
|
---|
89 | . S BPL0=$G(^BPST(BP59,0)),BPL1=$G(^BPST(BP59,1))
|
---|
90 | . I BPX="AE" S BP03=$P($G(^BPST(BP59,0)),U,5)
|
---|
91 | . I BPX="AER" S BP03=$P($G(^BPST(BP59,4)),U,2)
|
---|
92 | . S BPLARR(4)="PRESCRIPTION #: "_+$$GET1^DIQ(9002313.59,BP59,1.11)
|
---|
93 | . D GETS^DIQ(9002313.59902,1_","_BP59,"902;902.24;902.27","E","BP902","ERROR")
|
---|
94 | . S BPLARR(7)=" PLAN NAME: "_$G(BP902(9002313.59902,"1,"_BP59_",",902.24,"E"))
|
---|
95 | . S BPLARR(8)="PHARMACY PLAN ID: "_$G(BP902(9002313.59902,"1,"_BP59_",",902.27,"E"))
|
---|
96 | ;
|
---|
97 | I BP59=0 D ;;Find claim in BPS Log of Transactions file
|
---|
98 | . S BP57=$O(^BPSTL(BPX,BP02,""),-1)
|
---|
99 | . I BP57="" S BP57=0 Q
|
---|
100 | . S BPL0=$G(^BPSTL(BP57,0)),BPL1=$G(^BPSTL(BP57,1)),BP59=$P($G(BPL0),U)
|
---|
101 | . I BPX="AE" S BP03=$P($G(^BPSTL(BP57,0)),U,5)
|
---|
102 | . I BPX="AER" S BP03=$P($G(^BPSTL(BP57,4)),U,2)
|
---|
103 | . S BPLARR(4)="PRESCRIPTION #: "_+$$GET1^DIQ(9002313.57,BP57,1.11)
|
---|
104 | . D GETS^DIQ(9002313.57902,1_","_BP57,"902;902.24;902.27","E","BP902","ERROR")
|
---|
105 | . S BPLARR(7)=" PLAN NAME: "_$G(BP902(9002313.59902,"1,"_BP57_",",902.24,"E"))
|
---|
106 | . S BPLARR(8)="PHARMACY PLAN ID: "_$G(BP902(9002313.59902,"1,"_BP57_",",902.27,"E"))
|
---|
107 | ;
|
---|
108 | I BP59=0,BP57=0 Q
|
---|
109 | ;Build rest of array components
|
---|
110 | S BPLARR(1)="ENTRY#: "_BP59
|
---|
111 | S BPLARR(2)="STATUS: "_+$P($G(BPL0),U,2)
|
---|
112 | S BPX=$P($G(BPL1),U,7)
|
---|
113 | S BPLARR(3)=" PHARMACY: "_$P($G(^BPS(9002313.56,+BPX,0)),"^")
|
---|
114 | S BPLARR(5)=" RXI-INTERNAL (c): "_$P($G(BPL1),U,11)
|
---|
115 | S BPLARR(9)=BPLARR(9)_BP02
|
---|
116 | S BPLARR(10)=BPLARR(10)_BP03
|
---|
117 | Q
|
---|
118 | ;
|
---|
119 | PRNTRPT ; Output the reports
|
---|
120 | N BPQ,ZTREQ
|
---|
121 | S BPQ=0
|
---|
122 | W @IOF
|
---|
123 | D CHKP(1) I BPQ Q
|
---|
124 | W "ECME Claims-Response Inquiry Report"
|
---|
125 | W ?48,"Print Date: "_$E(DT,4,5)_"/"_$E(DT,6,7)_"/"_$E(DT,2,3)
|
---|
126 | W !,"VA CLAIM ID: "_BPVAX,!
|
---|
127 | D PRTTRANS ; BPS Transaction (or Transaction log) file fields
|
---|
128 | I 'BPSCR W !,@IOF
|
---|
129 | E I 'BPQ D PAUSE
|
---|
130 | Q:BPQ
|
---|
131 | D PRT02 ; BPS CLAIMS FILE
|
---|
132 | I 'BPSCR W !,@IOF
|
---|
133 | E I 'BPQ D PAUSE
|
---|
134 | Q:BPQ
|
---|
135 | D PRT03 ; BPS RESPONSE FILE
|
---|
136 | Q:BPQ
|
---|
137 | I 'BPSCR W !,@IOF
|
---|
138 | E I 'BPQ D PAUSE2
|
---|
139 | I $D(ZTQUEUED) S ZTREQ="@" Q
|
---|
140 | D ^%ZISC
|
---|
141 | Q
|
---|
142 | ;
|
---|
143 | ; Display transaction log fields
|
---|
144 | PRTTRANS ; Print transaction file report
|
---|
145 | W !,"BPS TRANSACTION/BPS LOG OF TRANSACTION DATA: ",!
|
---|
146 | I BPX="" W !,"NO TRANSACTION MATCHES FOUND",!! Q
|
---|
147 | ;
|
---|
148 | ;Loop through the array
|
---|
149 | N BPX
|
---|
150 | S BPX=0 F S BPX=$O(BPLARR(BPX)) Q:'BPX D I BPQ Q
|
---|
151 | . D CHKP(1) I BPQ Q
|
---|
152 | . I BPX=1 W !,BPLARR(BPX) Q
|
---|
153 | . I BPX#2=0 W ?40,BPLARR(BPX) Q
|
---|
154 | . W !,BPLARR(BPX)
|
---|
155 | Q
|
---|
156 | ;
|
---|
157 | ;Run claim file data report #9002313.02
|
---|
158 | PRT02 ; Claims file output
|
---|
159 | W !,"BPS CLAIMS FILE DATA: "
|
---|
160 | N DIC,DR,DA,DIQ,DTOUT,DIRUT
|
---|
161 | S DIC=$$ROOT^DILFD(BPCFILE),DA=BP02
|
---|
162 | I $D(IOF) W @IOF
|
---|
163 | D EN^DIQ
|
---|
164 | I ($G(DUOUT)=1)!($G(DTOUT)=1) S BPQ=1
|
---|
165 | Q
|
---|
166 | ;
|
---|
167 | ;Run response file data report #9002313.03
|
---|
168 | PRT03 ; Response file output
|
---|
169 | W !!,"BPS RESPONSE FILE DATA: ",!
|
---|
170 | I BP03=0!(BP03="") W !,"NO RESPONSE FILE DATA FOUND",!! Q
|
---|
171 | N DIC,DR,DA,DIQ,DTOUT,DIRUT
|
---|
172 | S DIC=$$ROOT^DILFD(9002313.03),DA=BP03
|
---|
173 | D EN^DIQ
|
---|
174 | I ($G(DUOUT)=1)!($G(DTOUT)=1) S BPQ=1
|
---|
175 | Q
|
---|
176 | ;
|
---|
177 | ;Check for End of Page
|
---|
178 | ; Input variable -> BPLINES - Number of lines from bottom
|
---|
179 | ; CONT - 0 = New Entry, 1 = Continue Entry
|
---|
180 | CHKP(BPLINES) ;
|
---|
181 | S BPLINES=BPLINES+1
|
---|
182 | I $G(BPSCR) S BPLINES=BPLINES+1
|
---|
183 | I $Y>(IOSL-BPLINES) D:$G(BPSCR) PAUSE Q:$G(BPQ) 0 Q 1
|
---|
184 | Q 0
|
---|
185 | ;
|
---|
186 | PAUSE ;
|
---|
187 | N X
|
---|
188 | U IO(0)
|
---|
189 | R !!,"Press RETURN to continue, '^' to exit: ",X:DTIME
|
---|
190 | I '$T S X="^"
|
---|
191 | I X["^" S BPQ=1
|
---|
192 | U IO
|
---|
193 | Q
|
---|
194 | ;
|
---|
195 | PAUSE2 ;
|
---|
196 | N X
|
---|
197 | U IO(0)
|
---|
198 | R !,"Press RETURN to continue: ",X:DTIME
|
---|
199 | U IO
|
---|
200 | Q
|
---|
201 | ;
|
---|
202 | ;EXIT
|
---|
203 | EXIT ;
|
---|
204 | Q
|
---|
205 | ;
|
---|