1 | FBAASL1 ;AISC/GRR-PRINT SUSPENSION LETTERS CONTINUED ;7/NOV/2006
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2 | ;;3.5;FEE BASIS;**12,23,69,101**;JAN 30, 1995;Build 2
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3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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4 | N FBACRR,FBSCDT
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5 | F K=0:0 S K=$O(^FBAA(162.1,"AG",K)) Q:K'>0 I $S($G(IFN):IFN=K,1:1) S FBSW=1,FBDT=BEGDATE-.001 F ZZ=0:0 S FBDT=$O(^FBAA(162.1,"AG",K,FBDT)) D WPBOT:FBDT'>0&(FBSW=0)!(FBDT>ENDDATE)&(FBSW=0) Q:FBDT'>0!(FBDT>ENDDATE) S FBSCDT=FBDT D MORE
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6 | Q
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7 | MORE F J=0:0 S J=$O(^FBAA(162.1,"AG",K,FBDT,J)) Q:J'>0 I $S($G(DFN):DFN=J,1:1) D:$D(^DPT(J,0)) GOTP^FBAASLP I $D(^FBAAV(K,0)) D MID
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8 | Q
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9 | GOTV S Y(0)=^FBAAV(K,0),VNAM=$P(Y(0),"^",1),FBSW=0
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10 | I VNAM["," S VNAM=$P(VNAM,",",2)_" "_$P(VNAM,",",1)
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11 | S VST1=$P(Y(0),"^",3),VST2=$P(Y(0),"^",14),VCITY=$P(Y(0),"^",4),VSTATE=$S($D(^DIC(5,+$P(Y(0),"^",5),0)):$P(^(0),"^",2),1:" "),VZIP=$P(Y(0),"^",6)
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12 | W @IOF,!!!!!!!,?5,VNAM,!,?5,VST1,! I VST2]"" W ?5,VST2,!
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13 | W ?5,VCITY," ",VSTATE," ",VZIP,!!!!
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14 | WPBEG S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W")
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15 | I $D(^FBAA(161.3,FBLET,1,1)) F FBRR=0:0 S FBRR=$O(^FBAA(161.3,FBLET,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
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16 | D ^DIWW:$D(FBXX) K FBXX
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17 | D HED
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18 | Q
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19 | MID S FBA=0 F FBAA=0:0 S FBA=$O(^FBAA(162.1,"AG",K,FBDT,J,FBA)) Q:FBA="" I $S(FBSLW=0:1,FBSLW=1&($D(FBAAS(FBA))):1,1:0) D MORE2
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20 | Q
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21 | MORE2 F L=0:0 S L=$O(^FBAA(162.1,"AG",K,FBDT,J,FBA,L)) Q:L'>0 F M=0:0 S M=$O(^FBAA(162.1,"AG",K,FBDT,J,FBA,L,M)) Q:M'>0 I $D(^FBAA(162.1,L,"RX",M,0)) S Z(0)=^(0) D:$P(Z(0),"^",20)'="R" BOT
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22 | Q
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23 | WPBOT D:$D(FBACRR) ACT^FBAASLP K FBACRR
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24 | S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W") W !!
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25 | I $D(^FBAA(161.3,FBLET,2)) F FBRR=0:0 S FBRR=$O(^FBAA(161.3,FBLET,2,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
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26 | D ^DIWW:$D(FBXX) K FBXX
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27 | Q
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28 | BOT Q:$S($G(FBDEN):$P(Z(0),U,16)>0,1:0)
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29 | N FBFPPSC S FBFPPSC=$P($G(^FBAA(162.1,L,0)),U,13)
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30 | Q:$S(FBENA=2&(FBFPPSC]""):1,FBENA=1&(FBFPPSC=""):1,1:0)
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31 | N FBFPPSL,FBX,FBADJLR,FBADJLA,FBRRMKL,T,TAMT,FBJ,FBAC
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32 | S FBFPPSL=$P($G(^FBAA(162.1,L,"RX",M,3)),U)
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33 | S FBX=$$ADJLRA^FBRXFA(M_","_L_",")
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34 | S FBADJLR=$P(FBX,U)
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35 | F FBJ=1:1 S FBAC=$P(FBADJLR,",",FBJ) Q:FBAC="" S FBACRR(FBAC)=""
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36 | S FBADJLA=$P(FBX,U,2)
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37 | S T=$P(Z(0),U,8)
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38 | I T]"" S T=$P($G(^FBAA(161.27,+T,0)),U)
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39 | S TAMT=$FN($P(Z(0),U,7),"",2)
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40 | S FBRRMKL=$$RRL^FBRXFR(M_","_L_",")
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41 | I FBSW=1 D GOTV^FBAASLP,HED S FBSW=0,FBGOT=1
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42 | S FBDOS=$P(Z(0),"^",3),FBDRUG=$P(Z(0),"^",2)
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43 | S FBRX=$P(Z(0),"^",1),A1=$P(Z(0),"^",4)+.0001,A2=$P(Z(0),"^",16)+.0001,A1=$P(A1,".",1)_"."_$E($P(A1,".",2),1,2),A2=$P(A2,".",1)_"."_$E($P(A2,".",2),1,2)
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44 | I $Y+4>IOSL W @IOF D HED
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45 | W !!,PNAME,?32,PSSN,?47,$$FMTE^XLFDT(FBDOS),?61,FBRX,!,?15,$J(A1,6),?30,$J(A2,6),?50,FBDRUG,!
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46 | ; write adjustment reasons, if null then write suspend code
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47 | W ?15,$S(FBADJLR]"":FBADJLR,1:T)
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48 | ; write adjustment amounts, if null then write amount suspended
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49 | W ?31,$S(FBADJLA]"":FBADJLA,1:TAMT)
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50 | W ?49,FBRRMKL
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51 | I FBFPPSC]"" W !,?15,"FPPS Claim ID: ",FBFPPSC,?43,"FPPS Line Item: ",FBFPPSL,!
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52 | I FBADJLR="" G:FBA=4&($D(^FBAA(162.1,L,"RX",M,1))) WPFT D
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53 | . S DIWL=1,DIWF="WC79",FBI=FBA K ^UTILITY($J,"W")
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54 | . F FBRR=0:0 S FBRR=$O(^FBAA(161.27,FBI,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
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55 | . D ^DIWW:$D(FBXX) K FBXX
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56 | Q
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57 | HED W !,"PATIENT NAME",?36,"SSN",?47,"RX DATE",?61,"RX #",!,?15,"AMT CLAIMED",?30,"AMT PAID",?50,"DRUG NAME"
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58 | W !,?15,"ADJ CODE",?30,"ADJ AMOUNT",?49,"MEDICARE REMITTANCE REMARK"
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59 | W !,UL,! Q
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60 | ;
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61 | GOTP ; Utilize new API for Name Standardization
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62 | ;
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63 | S Y(0)=^DPT(J,0),PNAME=$P(Y(0),"^",1),PSSN=$TR($$SSNL4^FBAAUTL($$SSN^FBAAUTL(J)),"-","")
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64 | I PNAME["," D
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65 | .N FBNAMES
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66 | .S FBNAMES("FILE")=2,FBNAMES("IENS")=J_",",FBNAMES("FIELD")=.01
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67 | .S PNAME=$$NAMEFMT^XLFNAME(.FBNAMES)
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68 | Q
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69 | WPFT S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W")
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70 | F FBRR=0:0 S FBRR=$O(^FBAA(162.1,L,"RX",M,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
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71 | D ^DIWW:$D(FBXX) K FBXX
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72 | Q
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