1 | IB20PT5 ;ALB/CPM - IB V2.0 POST-INIT ONE-TIME ITEMS ; 03-SEP-93
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2 | ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
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3 | ;
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4 | ; Perform various one-time post-init items
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5 | D ACHG ; kill any dangling nodes in the IB ACTION TYPE file
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6 | D DEF ; enter the default billing form, if necessary
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7 | D STAT ; populate the IB ACTION STATUS (#350.21) file
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8 | D BASC ; update the BASC start date to 10/1/99
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9 | D PSO ; update eligibility logic for PSO SC RX COPAY NEW (#350.1)
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10 | D CRES ; update the cancellation reason MT CHARGE EDITED (#350.3)
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11 | D CCMG ; update the central collection mailgroup
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12 | D FT ; update form type file
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13 | D ABP ; set auto biller parameters
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14 | D ^IB20PT51 ; keep going...
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15 | Q
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16 | ;
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17 | ;
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18 | ACHG ; Clean up any IB ACTION CHARGE (#350.2) nodes left hanging.
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19 | W !!,">>> Cleaning up dangling nodes in the IB ACTION CHARGE (#350.2) file..."
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20 | S I=0 F S I=$O(^IBE(350.2,I)) Q:'I I '$D(^(I,0)) K ^IBE(350.2,I)
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21 | Q
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22 | ;
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23 | DEF ; Enter default billing form type.
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24 | W !!,">>> Initializing the DEFAULT FORM TYPE, if necessary..."
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25 | I '$P($G(^IBE(350.9,1,1)),U,26) S DA=1,DIE="^IBE(350.9,",DR="1.26////1" D ^DIE K DA,DIE,DR
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26 | Q
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27 | ;
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28 | BASC ; Update the BASC start date to 10/1/99.
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29 | W !!,">>> Updating the BASC start date to 10/1/99..."
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30 | S $P(^IBE(350.9,1,1),"^",24)=2991001
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31 | Q
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32 | ;
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33 | STAT ; Set new entries into the IB ACTION STATUS (#350.21) file.
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34 | W !!,">>> Populating the IB ACTION (#350.21) file... "
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35 | K ^IBE(350.21)
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36 | S ^IBE(350.21,0)="IB ACTION STATUS^350.21^99^12"
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37 | S ^IBE(350.21,1,0)="INCOMPLETE^INCOMPLETE^INC^0^0^0"
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38 | S ^IBE(350.21,2,0)="COMPLETE^PENDING A/R^PEND^0^0^0"
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39 | S ^IBE(350.21,3,0)="BILLED^BILLED^BILL^1^0^0"
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40 | S ^IBE(350.21,4,0)="UPDATED^UPDATED^UPD^1^0^0"
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41 | S ^IBE(350.21,8,0)="ON HOLD^ON HOLD (INS)^INS^0^0^1"
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42 | S ^IBE(350.21,9,0)="ERROR ENCOUNTERED^ERROR^ERR^0^1^0"
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43 | S ^IBE(350.21,10,0)="CANCELLED^CANCELLED^CANC^1^1^0"
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44 | S ^IBE(350.21,11,0)="CO-PAY EXEMPTION CANCELLATION^CANCELLED (EXEMPTED)^EXEMPTED^1^1^0"
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45 | S ^IBE(350.21,20,0)="HOLD - RATE^ON HOLD (RATE)^RATE^0^0^1"
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46 | S ^IBE(350.21,99,0)="CONVERTED RECORD^CONVERTED RECORD^CONV^0^0^0"
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47 | S DIK="^IBE(350.21," D IXALL^DIK K DIK
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48 | Q
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49 | ;
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50 | CCMG ; Update the central collection mailgroup in file #350.9
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51 | W !!,">>> Updating the central collection mailgroup to G.MCCR DATA@FORUM.VA.GOV ..."
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52 | S IBX="G.MCCR DATA@FORUM.VA.GOV"
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53 | S DA=1,DIE="^IBE(350.9,",DR="4.05///^S X=IBX" D ^DIE K DA,DR,DIE,IBX
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54 | Q
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55 | ;
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56 | CRES ; Update the cancellation reason MT CHARGE EDITED in file #350.3
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57 | W !!,">>> Updating the cancellation reason MT CHARGE EDITED in file #350.3 ..."
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58 | S DA=$O(^IBE(350.3,"B","MT CHARGE EDITED",0))
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59 | I DA S DIE="^IBE(350.3,",DR=".03////2" D ^DIE K DIE,DR,DA
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60 | Q
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61 | ;
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62 | FT ; Update called routine for form type HCFA 1500
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63 | W !!,">>> Updating the Form Types in #353..."
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64 | S IBFT="HCFA 1500" S IBFTI=$O(^IBE(353,"B",IBFT,0)) I +IBFTI S DIE="^IBE(353,",DA=IBFTI,DR="1.01////EN^IBCF2" D ^DIE K DIE,DR,DA
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65 | ;K DD,DO S DIC="^IBE(353,",DIC(0)="L",X="UB-92",DIC("DR")="1.01////EN^IBCF3" D FILE^DICN K DIC,X
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66 | K IBFT,IBFTI
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67 | Q
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68 | ;
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69 | PSO ; Update the eligibility logic for PSO SC RX COPAY NEW
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70 | W !!,">>> Updating the Eligibility logic for SC veterans for Pharmacy copay..."
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71 | S IBNEWSC=$P($T(NEWCODE),";;",2,99)
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72 | S IBX="PSO SC RX COPAY NEW",IBDA=+$O(^IBE(350.1,"B",IBX,0))
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73 | S ^IBE(350.1,IBDA,40)=IBNEWSC
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74 | K IBDA,IBNEWSC,IBX
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75 | Q
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76 | ;
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77 | NEWCODE ;;S X=0,X1="",X2="" G:'$D(VAEL) 1^IBAERR I VAEL(4),+VAEL(3),'IBDOM S X=$S($P(VAEL(3),"^",2)<50:2,1:0) I X S:$$RXEXMT^IBARXEU0(DFN,DT) X=0 I X S X2=$P(^IBE(350.1,DA,0),"^",4) D COST^IBAUTL
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78 | ;
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79 | ;
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80 | ABP ; Set auto biller parameters.
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81 | Q:'$G(IBAUTOBP)
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82 | W !!,">>> Initializing the AUTO BILLER PARAMETERS ..."
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83 | S DA=1,DIE="^IBE(350.9,",DR="7.01////7;7.02////"_DT D ^DIE K DA,DIE,DR
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84 | S DA=1,DIE="^IBE(356.6,",DR=".04////1;.06////2" D ^DIE K DA,DIE,DR
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85 | Q
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