1 | IBCEOB21 ;ALB/TMP - EOB MAINTENANCE ACTIONS ;18-FEB-99
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2 | ;;2.0;INTEGRATED BILLING;**137,155**;21-MAR-94
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3 | Q
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4 | ;
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5 | EDIT ; Edit a previously entered manual EOB
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6 | N IBDA,IB0,DIE,DR,X,Y,DA
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7 | ;
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8 | D FULL^VALM1
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9 | S IBDA=$$SEL()
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10 | G:'IBDA EDITQ
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11 | ;
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12 | S IB0=$G(^IBM(361.1,IBDA,0))
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13 | I $P(IB0,U,17)'=1 D G EDITQ
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14 | . W !,*7,"Cannot edit an EOB that was not entered manually!!"
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15 | . D PAUSE^VALM1
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16 | ;
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17 | I $P(IB0,U,15)'=$$COBN^IBCEF(IBIFN) D G EDITQ
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18 | . W !,*7,"Can only edit an EOB for the current insurance sequence"
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19 | . D PAUSE^VALM1
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20 | ;
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21 | S DIE="^IBM(361.1,",DA=IBDA
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22 | S DR="100.03///"_DUZ_";100.04///^S X=""NOW"";.06;.13;.16//^S X=$$EXTERNAL^DILFD(361.1,.16,,3)"_$S($$AMTCHG(DA):";1.01",1:"")_";21"
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23 | D ^DIE
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24 | ;
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25 | D BLD^IBCEOB2
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26 | ;
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27 | D PAUSE^VALM1
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28 | EDITQ S VALMBCK="R"
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29 | Q
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30 | ;
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31 | DELETE ; Delete a previously entered manual EOB
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32 | N IB0,IBDA,IBE,DIR,X,Y,DA,DIK
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33 | ;
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34 | D FULL^VALM1
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35 | S IBDA=$$SEL(.IBE)
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36 | G:'IBDA DELQ
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37 | ;
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38 | S IB0=$G(^IBM(361.1,IBDA,0))
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39 | I $P(IB0,U,17)'=1 D G DELQ
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40 | . W !,*7,"Cannot delete an EOB that was not entered manually!!"
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41 | . D PAUSE^VALM1
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42 | ;
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43 | I $P(IB0,U,15)'=$$COBN^IBCEF(IBIFN) D G DELQ
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44 | . W !,*7,"Cannot only edit an EOB for the current insurance sequence"
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45 | . D PAUSE^VALM1
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46 | ;
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47 | W !!,IBE,!
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48 | S DIR("A")="ARE YOU REALLY SURE YOU WANT TO DELETE THIS EOB?: ",DIR("B")="NO",DIR(0)="YA" D ^DIR K DIR
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49 | G:Y'=1 DELQ
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50 | ;
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51 | S DIK="^IBM(361.1,",DA=IBDA D ^DIK
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52 | W !!,"EOB Deleted!!",!
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53 | ;
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54 | D BLD^IBCEOB2
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55 | ;
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56 | D PAUSE^VALM1
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57 | DELQ S VALMBCK="R"
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58 | Q
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59 | ;
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60 | NEW ; Add a manual EOB for the current COB sequence for the claim
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61 | N DO,DD,DIC,DIE,DLAYGO,Y,X,IBEOB,IBOK,IB364
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62 | ;
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63 | D FULL^VALM1
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64 | ;
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65 | K DO,DD
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66 | S IB364=$$LAST364^IBCEF4(IBIFN)
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67 | S DIC="^IBM(361.1,",DIC(0)="L",X=IBIFN,DLAYGO=361.1
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68 | S DIC("DR")=".15////"_$$COBN^IBCEF(IBIFN)_";.04////0;.05////"_$$NOW^XLFDT_";.17////1;.18///"_DUZ_$S(IB364:";.19////"_IB364,1:"")
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69 | D FILE^DICN K DO,DD,DLAYGO,DIC
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70 | G:Y<0 NEWQ
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71 | S DIE="^IBM(361.1,",DA=+Y,DR=".06//^S X=""NOW"";S DIE(""NO^"")="""";.13//^S X=$$EXTERNAL^DILFD(361.1,.13,,1);.16//^S X=$$EXTERNAL^DILFD(361.1,.16,,3);K DIE(""NO^"");1.01;21"
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72 | W ! D ^DIE K DIE
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73 | S IBEOB=$P($G(^IBM(361.1,DA,0)),U,6),IBOK=1
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74 | I IBEOB D
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75 | . I $P($G(^IBM(361.1,DA,1)),U,1)="" D
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76 | .. S DIR(0)="YA",DIR("A",1)="Nothing entered for payer amt paid",DIR("A")="Are you sure you want to file this EOB?: ",DIR("B")="NO"
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77 | .. W ! D ^DIR W ! K DIR
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78 | .. I Y'=1 S (IBEOB,IBOK)=0
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79 | . I IBOK W !,"EOB added",!
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80 | I 'IBEOB D
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81 | . Q:DA'>0
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82 | . S DIK="^IBM(361.1," D ^DIK
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83 | . I IBOK W !!,"EOB Date/Time needed, not entered"
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84 | . W !,"No EOB added!!",!
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85 | D BLD^IBCEOB2
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86 | NEWQ D PAUSE^VALM1
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87 | S VALMBCK="R"
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88 | Q
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89 | ;
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90 | VIEW ; View an MRA
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91 | N IBDA,IBSEL,IBIFN,IBEOBIFN,IBIFNSAV
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92 | ;
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93 | D FULL^VALM1
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94 | D SEL(.IBDA,1) ; select a bill from the main list
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95 | S IBSEL=+$O(IBDA(0)) I 'IBSEL G VIEWQ ; list#
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96 | S IBIFN=$P($G(IBDA(IBSEL)),U,1) I 'IBIFN G VIEWQ ; bill#
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97 | S IBEOBIFN=$P($G(IBDA(IBSEL)),U,3) I 'IBEOBIFN G VIEWQ ; eob ien
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98 | ;
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99 | ; If only one MRA on file, then call the Listman and quit
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100 | I $$MRACNT^IBCEMU1(IBIFN)=1 D EN^VALM("IBCEM VIEW EOB") G VIEWQ
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101 | ;
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102 | VLOOP ; Multiple MRA's on file. Allow user to select the MRA to view
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103 | D FULL^VALM1
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104 | S IBEOBIFN=$$SEL^IBCEMU1(IBIFN,1)
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105 | I 'IBEOBIFN G VIEWQ
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106 | S IBIFNSAV=IBIFN ; save off the bill#
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107 | D EN^VALM("IBCEM VIEW EOB") ; call the Listman
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108 | S IBIFN=IBIFNSAV ; restore the bill# (just in case)
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109 | G VLOOP
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110 | ;
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111 | VIEWQ ;
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112 | S VALMBCK="R"
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113 | Q
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114 | ;
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115 | AMTCHG(DA) ; Function to determine if amt on EOB can be modified
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116 | ; DA = ien of EOB entry (file 361.1)
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117 | ; Function returns 1 if OK to change, 0 if the next bill in COB
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118 | ; sequence has already been sent or the bill has been closed.
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119 | N IBOK,IBIFN,IBCOBN,IB0,IBNB
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120 | S IBOK=1
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121 | S IBIFN=+$G(^IBM(361.1,+DA,0)),IB0=$G(^DGCR(399,IBIFN,0))
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122 | I $P(IB0,U,13)=6 S IBOK=0 G AMTQ ; Bill is closed...can't change EOB amt
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123 | S IBCOBN=$$COBN^IBCEF(IBIFN)
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124 | I IBCOBN=3 G AMTQ ; Already the last bill
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125 | S IBNB=+$P($G(^DGCR(399,IBIFN,"M")),U,IBCOBN+5) ; Get next bill #
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126 | I 'IBNB G AMTQ ; No next bill
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127 | I $P($G(^DGCR(399,IBNB,0)),U,13)<3 G AMTQ
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128 | S IBOK=0
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129 | ;
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130 | AMTQ Q IBOK
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131 | ;
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132 | SEL(IBDA,ONE) ; Select entry(s) from list
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133 | ; IBDA = array returned if selections made
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134 | ; ONE = if set to 1, only one selection can be made at a time
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135 | N VALMY
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136 | K IBDA
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137 | D EN^VALM2($G(XQORNOD(0)),$S('$G(ONE):"",1:"S"))
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138 | S IBDA=0 F S IBDA=$O(VALMY(IBDA)) Q:'IBDA S IBDA(IBDA)=$P($G(^TMP("IBCECOB",$J,+IBDA)),U,2,6)
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139 | Q
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140 | ;
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141 | CHANGE ; Select another bill to display
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142 | N IBNULL,IBIFN1
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143 | D FULL^VALM1
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144 | K VALMQUIT
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145 | S IBIFN1=IBIFN
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146 | S IBIFN=$$BILL^IBCEOB2(.VALMQUIT,.IBNULL)
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147 | I '$G(IBNULL) S IBIFN=IBIFN1 K VALMQUIT
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148 | I '$D(VALMQUIT) S VALMBCK="R"
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149 | Q
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150 | ;
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