BPSRPT7 ;BHAM ISC/BEE - ECME REPORTS ;14-FEB-05 ;;1.0;E CLAIMS MGMT ENGINE;**1,3,5**;JUN 2004;Build 45 ;;Per VHA Directive 2004-038, this routine should not be modified. ; Q ; ;Routine to Display the Reports (Continued) ; ; Input Variables -> BPCLM = Array of report data by date ; BPDIV,BPSUMDET,GTOT ; Returned Value -> Cumulative Grand Totals ; PTBDT(BPDIV,BPSUMDET,BPCLM,GTOT) N DIFF,I,NP,RDT,TOT,X ; ;Loop through compiled array and display S TOT="" S RDT="" F S RDT=$O(BPCLM(RDT)) Q:RDT="" D Q:BPQ .S NP=$$CHKP^BPSRPT5(1) Q:BPQ .S X=$G(BPCLM(RDT)) .; .;Print Details - Report .I BPSUMDET=0,'BPEXCEL D ..W !,$$DATTIM^BPSRPT1(RDT) ;Date ..W ?15,$J(+$P(X,U),17) ;#Claims ..W ?33,$J(+$P(X,U,2),17,2) ;Amount Submitted ..W ?51,$J(+$P(X,U,3),17,2) ;Returned Rejected ..W ?69,$J(+$P(X,U,4),17,2) ;Returned Payable ..W ?87,$J(+$P(X,U,5),17,2) ;Amount to Receive ..; ..;Difference ..S DIFF=+$P(X,U,4)-$P(X,U,5) ..I DIFF<0 S DIFF="<"_$TR($J(-DIFF,15,2)," ")_">" W ?117,$J(DIFF,15) ..E W ?116,$J(DIFF,15,2) ..; ..;Print Details - Excel .I BPSUMDET=0,BPEXCEL D ..; ..;Division ..W !,$S(BPDIV=0:"BLANK",$$DIVNAME^BPSSCRDS(BPDIV)]"":$$DIVNAME^BPSSCRDS(BPDIV),1:BPDIV),U ..W $$DATTIM^BPSRPT1(RDT),U ;Date ..W +$P(X,U),U ;#Claims ..W $TR($J(+$P(X,U,2),17,2)," "),U ;Amount Submitted ..W $TR($J(+$P(X,U,3),17,2)," "),U ;Returned Rejected ..W $TR($J(+$P(X,U,4),17,2)," "),U ;Returned Payable ..W $TR($J(+$P(X,U,5),17,2)," "),U ;Amount to Receive ..; ..;Difference ..S DIFF=+$P(X,U,4)-$P(X,U,5) ..W $TR($J(DIFF,15,2)," ") .; .;Save Totals .F I=1:1:5 S $P(TOT,U,I)=$P(TOT,U,I)+$P(X,U,I),$P(GTOT,U,I)=$P($G(GTOT),U,I)+$P(X,U,I) ; ;Print Totals Q:BPEXCEL Q:BPQ S NP=$$CHKP^BPSRPT5(2) Q:BPQ D ULINE^BPSRPT5("-") W !,"TOTALS" W ?15,$J(+$P(TOT,U),17) W ?33,$J(+$P(TOT,U,2),17,2) W ?51,$J(+$P(TOT,U,3),17,2) W ?69,$J(+$P(TOT,U,4),17,2) W ?87,$J(+$P(TOT,U,5),17,2) S X=$S((+$P(TOT,U,4))=0:0,1:(+$P(TOT,U,5))/(+$P(TOT,U,4))) S DIFF=+$P(TOT,U,4)-$P(TOT,U,5) I DIFF<0 S DIFF="<"_$TR($J(-DIFF,15,2)," ")_">" W ?117,$J(DIFF,15) E W ?116,$J(DIFF,15,2) Q ; ;Print Grand Totals - Report 6 ; PGTOT6(GTOT) N DIFF,NP,X Q:BPQ S NP=$$CHKP^BPSRPT5(2) Q:BPQ D ULINE^BPSRPT5("-") W !,"GRAND TOTALS" W ?15,$J(+$P(GTOT,U),17) W ?33,$J(+$P(GTOT,U,2),17,2) W ?51,$J(+$P(GTOT,U,3),17,2) W ?69,$J(+$P(GTOT,U,4),17,2) W ?87,$J(+$P(GTOT,U,5),17,2) S X=$S((+$P(GTOT,U,4))=0:0,1:(+$P(GTOT,U,5))/(+$P(GTOT,U,4))) S DIFF=+$P(GTOT,U,4)-$P(GTOT,U,5) I DIFF<0 S DIFF="<"_$TR($J(-DIFF,15,2)," ")_">" W ?117,$J(DIFF,15) E W ?116,$J(DIFF,15,2) Q ; ;Print Grand Totals - Reports 1,2,3,4,5,7 ; PGTOT(BPRTYPE,BPGBIL,BPGINS,BPGCOLL,BPGCNT,BPGELTM) ; I (BPRTYPE=1)!(BPRTYPE=4) D Q .W !!,?78,"----------",?100,"----------",?122,"----------" .W !,"GRAND TOTALS",?78,$J(BPGBIL,10,2),?100,$J(BPGINS,10,2),?122,$J(BPGCOLL,10,2) .W !,"COUNT",?78,$J(BPGCNT,10),?100,$J(BPGCNT,10),?122,$J(BPGCNT,10) .W:BPGCNT !,"MEAN",?78,$J(BPGBIL/BPGCNT,10,2),?100,$J(BPGINS/BPGCNT,10,2),?122,$J(BPGCOLL/BPGCNT,10,2) I BPRTYPE=3 D Q .W !!,?100,"----------",?122,"----------" .W !,"GRAND TOTALS",?100,$J(BPGBIL,10,2),?122,$J(BPGINS,10,2) .W !,"COUNT",?100,$J(BPGCNT,10),?122,$J(BPGCNT,10) .W:BPGCNT !,"MEAN",?100,$J(BPGBIL/BPGCNT,10,2),?122,$J(BPGINS/BPGCNT,10,2) I BPRTYPE=2 D Q .W !!,?41,"----------" .W !,"GRAND TOTALS",?41,$J(BPGBIL,10,2) .W !,"COUNT",?41,$J(BPGCNT,10) .W:BPGCNT !,"MEAN",?41,$J(BPGBIL/BPGCNT,10,2) I (BPRTYPE=5) D Q .W !!,"GRAND TOTALS (ALL DIVISIONS)",?65,"---------------" .W !,"TOTAL CLAIMS",?65,$J(BPGCNT,15) .W !,"AVERAGE ELAPSED TIME PER CLAIM",?65,$J($S(BPGCNT=0:"0",1:(BPGELTM\BPGCNT)),15) I (BPRTYPE=7) D Q .W !!,"GRAND TOTALS (ALL DIVISIONS) BY BILLER" .N BPBILR,BPDIV S BPDIV="ALL DIVISIONS" .S BPBILR="" F S BPBILR=$O(BPGCNT(BPBILR)) Q:BPBILR="" D Q:BPQ ..S NP=$$CHKP^BPSRPT5(1) Q:BPQ ..W !,?3,BPBILR,?65,$J($G(BPGCNT(BPBILR)),5) .Q:$G(BPQ) .W !,?65,"-----" .W !,"CLOSED CLAIMS GRAND TOTAL",?65,$J(BPGCNT,5) ; Q ; ;Get Close Reason ; ; Input Variable -> BP59 = ptr to BPS TRANSACTIONS ; Returned Value -> Claim Close Reason ; CLRSN(BP59) N BP02,CIEN,CL S CL="" S BP02=+$P($G(^BPST(BP59,0)),U,4) S CIEN=+$P($G(^BPSC(BP02,900)),U,4) I CIEN'=0 S CL=$$GETCLR^BPSRPT6(CIEN) Q CIEN_"^"_CL ; ;Get Reversal Reason ; ; Input Variable -> BP59 = ptr to BPS TRANSACTIONS ; Returned Value -> Claim Reversal Reason ; RVSRSN(BP59) Q $P($G(^BPST(BP59,4)),U,4) ; ;Return the Billed Amount ; BILLED(BP59) ; Q +$P($G(^BPST(BP59,5)),U,5) ; ;Return the Transaction Type - SUBMIT or REVERSAL ; TTYPE(BPRX,BPREF) N BPSTATUS,TTYPE S TTYPE="SUBMIT" S BPSTATUS=$$STATUS^BPSRPT6(BPRX,BPREF) I BPSTATUS["REVERSAL" S TTYPE="REVERSAL" Q TTYPE ; ;Return the payer response ; RESPONSE(BPRX,BPREF) Q $P($$STATUS^BPSRPT6(BPRX,BPREF),U) ; ;Print Report Subtotals ; TOTALS(BPRTYPE,BPDIV,BPTBIL,BPTINS,BPTCOLL,BPCNT,BPELTM) ; I (BPRTYPE=1)!(BPRTYPE=4) D Q .W !!,?78,"----------",?100,"----------",?122,"----------" .W !,"SUBTOTALS for DIV:",$E($$BPDIV(BPDIV),1,52),?78,$J(BPTBIL,10,2),?100,$J(BPTINS,10,2),?122,$J(BPTCOLL,10,2) .W !,"COUNT",?78,$J(BPCNT,10),?100,$J(BPCNT,10),?122,$J(BPCNT,10) .W:BPCNT !,"MEAN",?78,$J(BPTBIL/BPCNT,10,2),?100,$J(BPTINS/BPCNT,10,2),?122,$J(BPTCOLL/BPCNT,10,2) I BPRTYPE=3 D Q .W !!,?100,"----------",?122,"----------" .W !,"SUBTOTALS for DIV:",$E($$BPDIV(BPDIV),1,52),?100,$J(BPTBIL,10,2),?122,$J(BPTINS,10,2) .W !,"COUNT",?100,$J(BPCNT,10),?122,$J(BPCNT,10) .W:BPCNT !,"MEAN",?100,$J(BPTBIL/BPCNT,10,2),?122,$J(BPTINS/BPCNT,10,2) I BPRTYPE=2 D Q .W !!,?41,"----------" .W !,"SUBTOTALS for DIV:",$E($$BPDIV(BPDIV),1,22),?41,$J(BPTBIL,10,2) .W !,"COUNT",?41,$J(BPCNT,10) .W:BPCNT !,"MEAN",?41,$J(BPTBIL/BPCNT,10,2) I (BPRTYPE=5) D Q .W !!,"SUBTOTALS for DIV: ",$E($$BPDIV(BPDIV),1,43),?65,"---------------" .W !,"TOTAL CLAIMS",?65,$J(BPCNT,15) .W !,"AVERAGE ELAPSED TIME PER CLAIM",?65,$J($S(BPCNT=0:"0",1:(BPELTM\BPCNT)),15) I (BPRTYPE=7) D Q .W !!,"SUBTOTALS for DIV:",$E($$BPDIV(BPDIV),1,43) .N BPBILR .S BPBILR="" F S BPBILR=$O(BPCNT(BPBILR)) Q:BPBILR="" D Q:BPQ ..S NP=$$CHKP^BPSRPT5(1) Q:BPQ ..W !,?3,BPBILR,?65,$J($G(BPCNT(BPBILR)),5) .Q:$G(BPQ) .W !,?65,"-----" .W !,"CLOSED CLAIMS SUBTOTAL",?65,$J(BPCNT,5) ; Q ; ;Print Report Header ; Input variables (defined in BPSRPT0) - BPPHARM,BPSUMDET,BPNOW,BPMWC,BPRTBCK,BPINSINF ; BPREJCD,BPCCRSN,BPAUTREV,BPACREJ,BPQSTDRG ; BPDRUG,BPDRGCL,BPRLNRL,BPSORT,BPBEGDT,BPENDDT ; Output variable - BPSDATA -> Reset to 0 to show no actual data has been printed ; on the screen ; BPPAGE -> First set in BPSRPT0 ; BPBLINE -> Controls whether to print a blank line ; HDR(BPRTYPE,BPRPTNAM,BPPAGE) ; ;Display Excel Header I BPEXCEL D HDR^BPSRPT8(BPRTYPE) Q ; ; Define BPPDATA - Tells whether data has been displayed for a screen S BPSDATA=0 S BPBLINE="" S BPPAGE=$G(BPPAGE)+1 W @IOF W "ECME "_BPRPTNAM_" "_$S(BPSUMDET=1:"SUMMARY",1:"DETAIL")_" REPORT" W ?89,"Print Date: "_$G(BPNOW)_" Page:",$J(BPPAGE,3) W !,"DIVISION(S): ",$$GETDIVS^BPSRPT4(75,.BPPHARM) W ?93,"Fill Locations: "_$S(BPMWC="A":"C,M,W",1:BPMWC) W ?116,"Fill type: "_$S(BPRTBCK=2:"RT",BPRTBCK=3:"BB",1:"RT,BB") W !,"Insurance: "_$E($S(BPINSINF=0:"ALL",1:BPINSINF),1,30) I (",2,")[BPRTYPE W ?44,"Reject Code: ",$E($$GETREJ^BPSRPT4(BPREJCD),1,28) I (",7,")[BPRTYPE W ?44,"Close Reason: ",$E($$GETCLR^BPSRPT6(BPCCRSN),1,26) I (",4,")[BPRTYPE W ?44,$J($S(BPAUTREV=0:"ALL",1:"AUTO"),4)," Reversals" I (",4,")[BPRTYPE W ?60,$J($S(BPACREJ=1:"REJECTED",BPACREJ=2:"ACCEPTED",1:"ALL"),8)," Returned Status" W ?87,"Drugs/Classes: "_$S(BPQSTDRG=2:$$DRGNAM^BPSRPT6(BPDRUG,30),BPQSTDRG=3:$E(BPDRGCL,1,30),1:"ALL") W !,$S(BPRTYPE=5:"PRESCRIPTIONS",BPRLNRL=2:"RELEASED PRESCRIPTIONS",BPRLNRL=3:"PRESCRIPTIONS (NOT RELEASED)",1:"ALL PRESCRIPTIONS") W " BY "_$S(BPRTYPE=7:"CLOSE",1:"TRANSACTION")_" DATE: " W "From "_$$DATTIM^BPSRPT1(BPBEGDT)_" through "_$$DATTIM^BPSRPT1($P(BPENDDT,".")) ; D ULINE^BPSRPT5("=") Q:$G(BPQ) D HEADLN1^BPSRPT4(BPRTYPE) D HEADLN2^BPSRPT4(BPRTYPE) D HEADLN3^BPSRPT4(BPRTYPE) D ULINE^BPSRPT5("=") ; ;Print Division I $G(BPDIV)]"" D .W !,"DIVISION: ",$S(BPDIV=0:"BLANK",BPDIV="ALL DIVISIONS":"ALL DIVISIONS",$$DIVNAME^BPSSCRDS(BPDIV)]"":$$DIVNAME^BPSSCRDS(BPDIV),1:BPDIV) .I BPRTYPE=5!(BPRTYPE=6)!(BPSUMDET=1)!(BPGRPLAN="") D ULINE^BPSRPT5("-") ; ;Print Insurance If Defined I BPSUMDET=0,$G(BPGRPLAN)]"",$G(BPGRPLAN)'=0,$G(BPGRPLAN)'="~" D WRPLAN^BPSRPT5(BPGRPLAN) Q ; ;Special Division Handling ; BPDIV(BPDIV) Q $S(BPDIV=0:"BLANK",$$DIVNAME^BPSSCRDS(BPDIV)]"":$$DIVNAME^BPSSCRDS(BPDIV),1:BPDIV)