1 | IBARX1 ;ALB/AAS - INTEGRATED BILLING, PHARMACY COPAY INTERFACE (CONT.) ;21-FEB-91
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2 | ;;2.0;INTEGRATED BILLING;**34,101,150,158,156,234,247**;21-MAR-94
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3 | ;;Per VHA Directive 10-93-142 ;This routine should not be modified.
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4 | ;
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5 | ; - process 1 rx entry and accumulate totals
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6 | ;
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7 | RX N IBAM,IBNOCH
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8 | ;if Combat Vet send alert e-mail to mailgroup "IB COMBAT VET RX COPAY"
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9 | D
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10 | . N Y D NOW^%DTC S Y=%\1
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11 | . D RXALRT^IBACV(DFN,Y,+$P($P($G(IBSAVX(1)),"^",1),":",2))
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12 | ;
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13 | I $P(IBX,"^")'?1.N1":"1.N.ANP S Y="-1^IB012" G RXQ
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14 | I $P(IBX,"^",2)<1 S Y="-1^IB013" G RXQ
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15 | ;
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16 | D BDESC
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17 | ;
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18 | S DA=IBATYP D COST^IBAUTL
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19 | ;
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20 | ; compute amount above cap
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21 | D NEW^IBARXMC($P(IBX,"^",2),X1,DT,.IBCHRG,.IBNOCH)
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22 | ;
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23 | S IBTCH=$P(IBX,"^",2)*X1
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24 | ;
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25 | ; add to 354.71
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26 | S IBAM=$$ADD^IBARXMN(DFN,"^^"_$S($G(IBEFDT):IBEFDT,1:DT)_"^^P^"_$P(IBX,"^")_"^"_$P(IBX,"^",2)_"^"_IBTCH_"^"_IBDESC_"^"_$S($G(IBAMP):IBAMP,1:"")_"^"_IBCHRG_"^"_IBNOCH_"^"_(+$P($$SITE^IBARXMU,"^",3)),IBATYP) I IBAM<1 S Y="-1^IB316" G RXQ
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27 | ;
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28 | ; setup new pieces (4, 5, 6, and 7), quit if above cap
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29 | S $P(IBSAVY(IBJ),"^",4,7)=$S(IBNOCH:1,1:0)_"^"_$S(IBNOCH&(IBCHRG):"P",IBCHRG:"F",1:"")_"^"_(+$G(IBEXMP))_"^"_IBAM G:'IBCHRG RXQ
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30 | ;
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31 | S IBTOTL=IBTOTL+IBCHRG
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32 | S IBWHER=2
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33 | D ADD^IBAUTL
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34 | I +Y<1 G RXQ
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35 | S IBPARNT=$S($D(IBPARNT):IBPARNT,1:IBN)
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36 | S $P(^IB(IBN,1),"^",1)=IBDUZ,$P(^IB(IBN,0),"^",2,13)=DFN_"^"_IBATYP_"^"_$P(IBX,"^")_"^2^"_$P(IBX,"^",2)_"^"_IBCHRG_"^"_IBDESC_"^"_IBPARNT_"^^"_IBIL_"^"_IBTRAN_"^"_IBFAC,$P(^(0),"^",19)=IBAM
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37 | K IBPARNT,^IB("AC",1,IBN) ;S ^IB("AC",2,IBN)=""
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38 | D INDEX
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39 | S $P(IBSAVY(IBJ),"^",1,3)=IBN_"^"_IBCHRG_"^"_IBIL
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40 | S:'$D(IBNOS) IBNOS="" S IBNOS=IBN_"^"_IBNOS
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41 | RXQ Q
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42 | ;
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43 | CANRX ; - ibx = ibn for parent entry
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44 | ; - ibn = new cancellation entry
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45 | N IBAM,IBAMY
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46 | S IBY(IBJ)=1
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47 | I '$D(^IBE(350.3,+$P(IBX,"^",2),0)) S (Y,IBY(IBJ))="-1^IB020" G CANRXQ
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48 | I '$D(^IB(+IBX,0)) S (Y,IBY(IBJ))="-1^IB021" G CANRXQ
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49 | S IBND=^IB(+IBX,0)
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50 | S IBCRES=$P(IBX,"^",2)
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51 | ; -find most recent entry for parent ibx
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52 | ; -if status isn't an update or new, error already cancelled?
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53 | D LAST I IBLAST'=IBPARNT,$D(^IB(IBLAST,0)),$P(^IBE(350.1,$P(^IB(IBLAST,0),"^",3),0),"^",5)=2 S (Y,IBY(IBJ))="-1^IB026^ Ref. No: "_+^IB(+IBLAST,0) G CANRXQ ;already cancelled
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54 | ;
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55 | ; cancel 354.71
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56 | S IBAM=$$CANCEL^IBARXMN(DFN,$P(IBND,"^",19),.IBAMY,IBCRES) I $G(IBAMY)<0 S (Y,IBY(IBJ))=IBAMY G CANRXQ
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57 | ;
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58 | I $P(IBND,"^",5)=8 D QUIT ;Cancel a charge with a status of HOLD
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59 | . N DIE,DA,DR
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60 | . S DIE="^IB(",DA=+IBX,DR=".05////10;.1////"_IBCRES
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61 | . DO ^DIE
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62 | . S Y=1,IBY(IBJ)=1,Y(IBJ)=+IBX
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63 | ;
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64 | S IBPARNT=$P(IBND,"^",9) I '$D(^IB(IBPARNT,0)) S (Y,IBY(IBJ))="-1^IB027" G CANRXQ
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65 | S IBATYP=$P(^IBE(350.1,$P(IBND,"^",3),0),"^",6) ;cancellation action type for parent
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66 | I '$D(^IBE(350.1,+IBATYP,0)) S (Y,IBY(IBJ))="-1^IB022" G CANRXQ
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67 | S IBSEQNO=$P(^IBE(350.1,+IBATYP,0),"^",5) I 'IBSEQNO S (Y,IBY(IBJ))="-1^IB023" G CANRXQ
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68 | S IBIL=$P(IBND,"^",11) I IBIL="" S (Y,IBY(IBJ))="-1^IB024" G CANRXQ
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69 | S IBUNIT=$S($D(^IB(+IBLAST,0)):$P(^(0),"^",6),1:$P(IBND,"^",6)) I IBUNIT<1 S (Y,IBY(IBJ))="-1^IB025" G CANRXQ
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70 | S IBCHRG=$S($D(^IB(+IBLAST,0)):$P(^(0),"^",7),1:$P(IBND,"^",7)) I IBCHRG<1 S (Y,IBY(IBJ))="-1^IB025" G CANRXQ
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71 | S IBTOTL=IBTOTL+IBCHRG
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72 | S IBWHER=2
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73 | D ADD^IBAUTL I +Y<1 S IBY(IBJ)=Y G CANRXQ
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74 | S $P(^IB(IBN,1),"^",1)=IBDUZ,$P(^IB(IBN,0),"^",2,13)=DFN_"^"_IBATYP_"^"_$P(IBND,"^",4)_"^2^"_IBUNIT_"^"_IBCHRG_"^"_$P(IBND,"^",8)_"^"_IBPARNT_"^"_IBCRES_"^"_IBIL_"^^"_IBFAC S:IBAM $P(^(0),"^",19)=IBAM
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75 | K ^IB("AC",1,IBN) ;S ^IB("AC",2,IBN)=""
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76 | D INDEX
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77 | S Y(IBJ)=IBN_"^"_IBCHRG_"^"_IBIL
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78 | S IBNOS=IBN
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79 | CANRXQ Q
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80 | ;
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81 | BDESC ; -return brief description
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82 | N X,Y S IBDESC="",X=$P(IBX,"^")
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83 | I $D(^IBE(350.1,IBATYP,20)) X ^(20) S IBDESC=X
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84 | Q
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85 | LAST ;find last entry
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86 | S IBLAST=""
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87 | S IBPARNT=$P(^IB(+IBX,0),"^",9) I 'IBPARNT S IBPARNT=+IBX
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88 | S IBLDT=$O(^IB("APDT",IBPARNT,"")) I +IBLDT F IBL=0:0 S IBL=$O(^IB("APDT",IBPARNT,IBLDT,IBL)) Q:'IBL S IBLAST=IBL
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89 | I IBLAST="" S IBLAST=IBPARNT
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90 | Q
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91 | ;
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92 | INDEX ;cross-reference entry
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93 | N X,Y
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94 | S DA=IBN,DIK="^IB(" D IX^DIK
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95 | K DIK Q
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96 | ;
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97 | SERV(Y) ; -- Service check for Pharmacy
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98 | ; called by the screen in the input transform for the IB SERVICE/SECTION
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99 | ; field of the PHARMACY SITE file.
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100 | ; input = Y internal entry number in service section file
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101 | ; output = 1 if okay to use (service matches) or 0 if not okay
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102 | ;
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103 | ; -- screen logic for field 1003 in file 59 should be
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104 | ; S DIC("S")="I $$SERV^IBARX1(+Y)"
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105 | ;
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106 | Q $S('$G(Y):0,1:$D(^IBE(350.1,"ANEW",Y,1,1))&$D(^IBE(350.1,"ANEW",Y,1,2)))
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