1 | FBUCED ;ALBISC/TET - EDIT UNAUTHORIZED CLAIM FILES ;10/16/2001
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2 | ;;3.5;FEE BASIS;**32,38**;JAN 30, 1995
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3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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4 | EDT ;edit unauthorized claim with order less than 40 (not dispositioned
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5 | ;or order = 40 if action is reopen (called by REO tag)
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6 | S:'$D(FBACT) FBACT="EDT" S FBO=$S(FBACT="EDT":"5^10^20^30^",1:"40^")
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7 | D LOOKUP^FBUCUTL3(FBO) I 'FBOUT S FBDR="[FB UNAUTHORIZED EDIT]" D EDIT^FBUCED0(FBDR,FBACT,.FBOUT,FBARY)
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8 | G END Q
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9 | REO ;reopen a dispositioned claim (order of 40)
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10 | S FBACT="REO" G EDT
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11 | Q
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12 | APL ;appeal a dispostioned claim (order of 40)
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13 | S FBACT="APL",FBO="40^" D LOOKUP^FBUCUTL3(FBO) I 'FBOUT S FBDR="[FB UNAUTHORIZED APPEAL]" D EDIT^FBUCED0(FBDR,FBACT,.FBOUT,FBARY)
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14 | G END Q
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15 | AED ;edit an appeal to an unauthorized claim
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16 | S FBACT="AED",FBO="50^55^60^70^" D LOOKUP^FBUCUTL3(FBO) I 'FBOUT S FBDR="[FB UNAUTHORIZED APPEAL EDIT]" D EDIT^FBUCED0(FBDR,FBACT,.FBOUT,FBARY)
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17 | G END Q
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18 | COVA ;enter/edit a COVA appeal
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19 | S FBACT="COVA",FBO="70^80^90^" D LOOKUP^FBUCUTL3(FBO) I 'FBOUT S FBDR="[FB UNAUTHORIZED COVA APPEAL]" D EDIT^FBUCED0(FBDR,FBACT,.FBOUT,FBARY)
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20 | G END Q
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21 | DIS ;disposition an appeal
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22 | S FBACT="DIS",FBO=0 D LOOKUP^FBUCUTL3(FBO) I 'FBOUT S FBDR="[FB UNAUTHORIZED DISPOSITION]" D EDIT^FBUCED0(FBDR,FBACT,.FBOUT,FBARY)
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23 | G END Q
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24 | REC ;receive information which was requested
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25 | S FBACT="REC",FBO="5^10^50^55^" D LOOKUP^FBUCUTL3(FBO) I 'FBOUT,+$G(FBARY) H:+FBARY=1 1 D EDIT8
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26 | G END
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27 | REQ ;request information
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28 | S FBACT="REQ",FBO="5^10^20^30^50^55^" D LOOKUP^FBUCUTL3(FBO) I 'FBOUT,+$G(FBARY) D EDIT8
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29 | G:$G(FBOUT) END D END W !! G REQ
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30 | LET ;to update date letter printed without printing letter
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31 | N FBLETDT D DISPNP^FBUCUTL3 ;set array of letters which are waiting to be printed
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32 | D DISPX^FBUCUTL1(1) ;display array for selection
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33 | I 'FBOUT,+$G(FBARY) D LETDATE^FBUCUTL3 I 'FBOUT D
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34 | .N FBDA,FBEXP,FBI,FBLET,FBNODE,FBPL,FBUCA D PARSE^FBUCUTL4(FBARY) S FBI=0,FBLET="@" S FBLETDT=$S('+FBLETDT:DT,1:FBLETDT)
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35 | .F S FBI=$O(^TMP("FBARY",$J,FBI)) Q:'FBI S FBNODE=$G(^(FBI)),FBDA=+FBNODE,FBUCA=$G(^FB583(FBDA,0)),FBEXP=$$EXPIRE^FBUCUTL8(FBDA,FBLETDT,FBUCA,$$ORDER^FBUCUTL($P(FBUCA,U,24))) D EDITL(FBDA,FBEXP,FBLET,FBLETDT)
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36 | G END
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37 | EXT ;enter extensions for incomplete Mill Bill claims
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38 | ;
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39 | ; select mill bill claim(s) with an appropriate status
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40 | S FBACT="EXT",FBO="5^10^" D LOOKUP^FBUCUTL3(FBO,,"M")
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41 | Q:'+$G(FBARY)!FBOUT
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42 | N FBDA,FBI,FBNODE,FBPL,FBW
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43 | D PARSE^FBUCUTL4(FBARY)
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44 | ;
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45 | ; loop through all selected claims
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46 | S FBI=0 F S FBI=$O(^TMP("FBARY",$J,FBI)) Q:'FBI D Q:FBOUT
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47 | . S FBNODE=$G(^TMP("FBARY",$J,FBI))
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48 | . S FBDA=+$P(FBNODE,";")
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49 | . N DA,DIE,DIR,DR,FBEXP,FBEXT,FBEXTD,FBUCA,FBY,Y
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50 | . ; if more than one claim selected then display current one
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51 | . I +$G(FBARY)>1 D LINE^FBUCUTL4(FBNODE,FBI,FBPL,FBW)
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52 | . ; lock claim
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53 | . D LOCK^FBUCUTL("^FB583(",FBDA) Q:'FBLOCK
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54 | . ;
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55 | . S FBUCA=$G(^FB583(FBDA,0))
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56 | . ;
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57 | . ; get current expiration date (if any)
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58 | . S FBEXP=$P(FBUCA,U,26)
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59 | . ;
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60 | . ; get most recent extension (if any)
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61 | . S FBEXT=$$EXT^FBUCUTL8(FBDA,10)
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62 | . I FBEXT W !,"Current extension date is "_$$FMTE^XLFDT($P(FBEXT,U,2))
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63 | . ;
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64 | . ; prompt for new extension date
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65 | . S FBEXTD="" F D Q:FBEXTD]""!FBOUT
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66 | . . K DA
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67 | . . I FBEXT S DA(1)=FBDA,DA=+FBEXT ; use existing value as the default
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68 | . . S DIR(0)="162.701,.04"
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69 | . . D ^DIR K DIR I $D(DIRUT) S FBOUT=1 Q
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70 | . . S FBEXTD=Y
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71 | . . ; confirm
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72 | . . S DIR(0)="Y"
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73 | . . S DIR("A")="Confirm entry of "_$$FMTE^XLFDT(FBEXTD)_" as the new extension date for the claim"
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74 | . . D ^DIR K DIR I $D(DIRUT) S FBOUT=1 Q
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75 | . . I 'Y S FBEXTD="" ; prompt again
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76 | . . I FBEXTD=$P(FBEXT,U,2) W !,"New extension date is equal to existing extension date. No change made." S FBEXTD=0
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77 | . ;
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78 | . I FBEXTD,'FBOUT D
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79 | . . ; save extension
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80 | . . K DA,DD,DO,DIC,DIE
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81 | . . S DA(1)=FBDA
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82 | . . S DIC="^FB583(DA(1),3,",DIC(0)="L",X=$$NOW^XLFDT()
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83 | . . S DIC("DR")=".02////^S X=DUZ;.03///INCOMPLETE UNAUTHORIZED CLAIM;.04///^S X=FBEXTD"
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84 | . . D FILE^DICN I Y'>0 W !,"ERROR ADDING EXTENSION" Q
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85 | . . S DA=+Y
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86 | . . ;
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87 | . . ; prompt for optional comments
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88 | . . S DIE="^FB583(DA(1),3,",DR=".05" D ^DIE
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89 | . . ;
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90 | . . ; recompute expiration date if one already exists and update claim
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91 | . . I FBEXP D
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92 | . . . N FBLETDT,FBORDER
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93 | . . . S FBLETDT=$P(FBUCA,U,19)
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94 | . . . S FBORDER=$$ORDER^FBUCUTL($P(FBUCA,U,24))
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95 | . . . S FBEXP=$$EXPIRE^FBUCUTL8(FBDA,FBLETDT,FBUCA,FBORDER)
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96 | . . . D EDITL^FBUCED(FBDA,FBEXP)
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97 | . ;
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98 | . ; unlock claim
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99 | . L -^FB583(FBDA)
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100 | ;
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101 | G END
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102 | REQENT ;enter/edit requested information file, 162.93
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103 | S DLAYGO=162.93,DIC(0)="AELMQZ",DIC="^FB(162.93," D ^DIC K DLAYGO I +Y>0 S DIE=DIC,DA=+Y,FBDA=DA,DR=".01:1" D LOCK^FBUCUTL(DIE,FBDA,0) I FBLOCK D ^DIE L -^FB(162.93,FBDA) K DIE,DE,DA,DQ,DR,FBDA,FBLOCK W ! G REQENT
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104 | G END
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105 | DISENT ;enter/edit disapproval reasons file 162.94
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106 | S DLAYGO=162.94,DIC(0)="AELMQZ",DIC="^FB(162.94," D ^DIC K DLAYGO I +Y>0 S DIE=DIC,DA=+Y,FBDA=DA,DR=".01:1" D LOCK^FBUCUTL(DIE,FBDA,0) I FBLOCK D ^DIE L -^FB(162.94,FBDA) K DIE,DE,DA,DQ,DR,FBDA,FBLOCK W ! G DISENT
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107 | G END
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108 | DSPENT ;edit disposition file 162.91
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109 | S DIC(0)="AEMQZ",DIC="^FB(162.91," D ^DIC I +Y>0 S DIE=DIC,DA=+Y,FBDA=DA,DR="1:3" D LOCK^FBUCUTL(DIE,FBDA,0) I FBLOCK D ^DIE L -^FB(162.91,FBDA) K DIE,DE,DA,DQ,DR,FBDA,FBLOCK W ! G DSPENT
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110 | END ;kill and quit
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111 | K DA,DE,DIC,DIE,DQ,DR,DTOUT,DUOUT,FBACT,FBAR,FBARY,FBDR,FBIEN,FBIX,FBLOCK,FBO,FBOUT,FBUCPDX,X,Y
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112 | K ^TMP("FBAR",$J),^TMP("FBARY",$J),^TMP("FBPARY",$J) Q
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113 | EDIT8 ;edit file 162.8, call before/after & update
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114 | N FBDA,FBI,FBNODE,FBP,FBPL,FBUCA,FBUCAA,FBUCP,FBUCPA,FBW D PARSE^FBUCUTL4(FBARY) S %X="^TMP(""FBARY"",$J,",%Y="^TMP(""FBPARY"",$J," D %XY^%RCR K %X,%Y
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115 | S FBI=0 F S FBI=$O(^TMP("FBPARY",$J,FBI)) Q:'FBI S FBNODE=$G(^(FBI)),FBDA=+FBNODE,FBNODE=$P(FBNODE,";",2) D G:FBOUT END
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116 | .I +$G(FBPARY)>1 W !! F FBP=1:1:FBPL W ?($P(FBW,U,FBP)),$P(FBNODE,U,FBP)
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117 | .D PRIOR^FBUCEVT(FBDA,FBACT)
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118 | .N FBARY D REQ^FBUCPEND:FBACT="REQ",REC^FBUCPEND:FBACT="REC" Q:FBOUT D FREQ^FBUCPEND:FBACT="REQ",FREC^FBUCPEND:FBACT="REC"
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119 | .D AFTER^FBUCEVT(FBDA,FBACT),^FBUCUPD(FBUCP,FBUCPA,FBUCA,FBUCAA,FBDA,FBACT)
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120 | Q
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121 | EDITL(FBDA,FBEXP,FBLET,FBLETDT,FBTAMT) ;edit letter sent info,
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122 | ;may be called to just update expiration, or update print flag, date letter sent &/or expiration, or amount approved
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123 | ;INPUT: FBDA = ien of unauthorized claim (# 162.7)
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124 | ; FBEXP = expiration date (optional)
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125 | ; FBLET = flag for letter printed (optional)
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126 | ; FBLETDT = date letter sent (optional)
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127 | ; FBLET = '@' to delete letter flag
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128 | ; FBEXP = expiration date or 0
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129 | ; FBTAMT = amount approved (optional)
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130 | ;OUTPUT: nothing - update all or some flds in 162.7: 19,19.5,26,14
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131 | Q:'+$G(FBDA)
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132 | S FBEXP=+$G(FBEXP),FBLET=$G(FBLET),FBLETDT=+$G(FBLETDT)
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133 | S FBTAMT=$G(FBTAMT)
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134 | I 'FBEXP,FBLET']"",'FBLETDT,FBTAMT']"" Q
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135 | N FBLOCK,DIE,DA,DR
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136 | S DIE="^FB583(",DR="[FB UNAUTHORIZED LETTER UPDATE]",DA=FBDA
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137 | D LOCK^FBUCUTL(DIE,DA,1) I FBLOCK D ^DIE L -^FB583(FBDA) K FBLOCK
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138 | Q
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