IBCEPTC2 ;ALB/TMK - EDI PREVIOUSLY TRANSMITTED CLAIMS LIST MGR ;01/20/05 ;;2.0;INTEGRATED BILLING;**296,320,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; IA 3337 for file 430.3 ; HDR ; K VALMHDR S VALMHDR(1)="** A claim may appear multiple times if transmitted more than once. **" ; I $G(IBSORT)=1 D . S VALMHDR(2)="Claims Selected: "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" (marked with *)" . Q ; I $G(IBSORT)=2 D . S VALMHDR(2)="** T = Test Claim ** R = Batch Rejected" . S VALMHDR(3)="Claims Selected: "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" (marked with *)" . Q ; Q ; INIT ; S VALMCNT=0,VALMBG=1 D BLD Q ; BLD ; Build display lines N IBDA,IBS1,IBS2,IBIFN,IB0,IBX,IBCNT,IBLEV1,IBBDA K ^TMP("IB_PREV_CLAIM_LIST",$J),^TMP("IB_PREV_CLAIM_SELECT",$J),^TMP("IB_PREV_CLAIM_BATCH",$J) S IBCNT=0 I $O(^TMP("IB_PREV_CLAIM",$J,""))="" D G BLDQ . S IBX=" ** NO PREVIOUSLY TRANSMITTED CLAIMS EXIST FOR SEARCH CRITERIA SELECTED **" . D WRT(IBX,"",0,0,"","S","",.IBCNT,0) ; S IBS1="" F S IBS1=$O(^TMP("IB_PREV_CLAIM",$J,IBS1)) Q:IBS1="" D . ; First level sort . ; for sort by batch, display batch ID and transmit date . I IBSORT=1 D .. S IBLEV1=" Batch: "_$P(IBS1,U,2)_" Last Transmitted: "_$G(^TMP("IB_PREV_CLAIM",$J,IBS1)) .. S IBBDA=+$O(^IBA(364.1,"B",$P(IBS1,U,2),0)) .. I $P(IBS1,U,3) S IBLEV1=IBLEV1_" ** Test" .. I $P(IBS1,U,4) S IBLEV1=IBLEV1_" ** Rejected" .. Q . ; . ; for sort by payer, display ins co name and payer address . I IBSORT=2 D .. S IBLEV1=" "_$P(IBS1,U)_" "_$$CURRINS(+$G(^TMP("IB_PREV_CLAIM",$J,IBS1)),0) .. Q . ; . ; output sort header line . D WRT(IBLEV1,"",0,0,IBSORT,"S","",IBCNT,0) ; Add header line . ; . I IBSORT=1,IBBDA S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBBDA)=VALMCNT . S IBS2="" F S IBS2=$O(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2)) Q:IBS2="" S IBDA=0 F S IBDA=$O(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2,IBDA)) Q:'IBDA D .. N IBX,IBTEST .. S IBIFN=+$G(^IBA(364,+IBDA,0)),IB0=$G(^DGCR(399,IBIFN,0)) .. S IBX=$P(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2,IBDA),U,1) .. I IBX=1 S IBTEST=0 ; live 364 transmission .. I IBX=2 S IBTEST=1 ; test 364 transmission .. I IBX=3 S IBTEST=1 ; test 361.4 transmission .. D WRT(IBS1,IBS2,IBDA,IBIFN,IBSORT,"S","",.IBCNT,0,IBTEST) .. I IBSORT=1,IBBDA S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBBDA,VALMCNT)=IBIFN_U_IBCNT .. Q . Q ; BLDQ Q ; EXIT ; Clean up code ; K ^TMP("IB_PREV_CLAIM_LIST",$J) K ^TMP("IB_PREV_CLAIM_SELECT",$J) K ^TMP("IB_PREV_CLAIM_LIST_DX",$J) K ^TMP("IB_PREV_CLAIM_BATCH",$J) D CLEAR^VALM1 Q ; WRT(IBS1,IBS2,IBDA,IBIFN,IBSORT,IBREP,IBHDR,IBPAGE,IBSTOP,IBTEST) ; Wrt/output ; N IBX,IB0,Z,IBCNT,ARSTAT S IBCNT=IBPAGE ; I 'IBIFN D G WRTQ . ; . ; for report output . I IBREP="R" D Q .. S Z="",$P(Z,"=",133)="" .. D SET(Z,1,IBDA,IBREP,IBHDR,1,0,.IBPAGE,.IBSTOP) .. D SET(IBS1,2,IBDA,IBREP,IBHDR,1,0,.IBPAGE,.IBSTOP) .. Q . ; . ; for ListMan screen output . D SET(IBS1,0,IBDA,IBREP,IBHDR,IBCNT+1,.VALMCNT,.IBPAGE,.IBSTOP) . Q ; S IB0=$G(^DGCR(399,IBIFN,0)) S IBX=$$FO^IBCNEUT1($P(IB0,U,1),8) ; claim# S IBX=IBX_$S(IBSORT=2&$G(IBTEST):"T",1:" ")_" " S IBX=IBX_$S($P(IB0,U,19)=2:"1500",1:"UB04")_" " S Z=$$INPAT^IBCEF(IBIFN) S IBX=IBX_$S(Z:"INPT ",1:"OUTPT") S IBX=IBX_$J($P(IB0,U,21),3)_" " S Z=$$EXTERNAL^DILFD(399,.13,"",$P(IB0,U,13)) S IBX=IBX_$$FO^IBCNEUT1(Z,11)_" " ; claim status S ARSTAT=+$P($$BILL^RCJIBFN2(IBIFN),U,2) ; ien S ARSTAT=$P($G(^PRCA(430.3,ARSTAT,0)),U,2) ; abbreviation S IBX=IBX_$$FO^IBCNEUT1(ARSTAT,4) ; a/r status display ; I IBSORT=1 D ; sort by batch . N Z,IBZ,IBXDATA . ; Print current payer, payer address, other payers, pat name . D F^IBCEF("N-CURR INSURANCE COMPANY NAME","IBZ",,IBIFN) . S IBX=IBX_$$FO^IBCNEUT1(IBZ,25)_" " ; ins co name . S IBX=IBX_$$FO^IBCNEUT1($$CURRINS(IBIFN,1),29)_" " ; address . K IBZ D F^IBCEF("N-OTH INSURANCE CO. NAME","IBZ",,IBIFN) . S IBX=IBX_$$FO^IBCNEUT1($P($G(IBZ(1)),U,1),15)_" " ; other payer . S Z=$P($G(^DPT(+$P(IB0,U,2),0)),U,1) . S IBX=IBX_$E(Z,1,18) ; patient name . ; . ; set line into list . S IBCNT=IBCNT+1 . D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP) . S IBX="" . ; . I $G(IBZ(2))'="" D ; other payer #2 if it exists .. S IBX=$J("",98)_$E($P(IBZ(2),U,1),1,15) .. D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP) .. Q . Q ; I IBSORT=2 D ; sort by payer . N Z,IBZ . S IBX=IBX_" " . ; Print other payers, patient name, date last trans, batch #, reject flag . D F^IBCEF("N-OTH INSURANCE CO. NAME","IBZ",,IBIFN) . S IBX=IBX_$$FO^IBCNEUT1($P($G(IBZ(1)),U,1),18)_" " ; oth payer#1 . S Z=$P($G(^DPT(+$P(IB0,U,2),0)),U,1) . S IBX=IBX_$$FO^IBCNEUT1(Z,18)_" " ; patient name . ; . S Z=+$P($G(^IBA(364,+IBDA,0)),U,2) ; Batch ptr . S IBX=IBX_$$FO^IBCNEUT1($$FMTE^XLFDT($P($G(^IBA(364.1,+Z,1)),U,3)\1,"1"),17) ; date last transmitted . S IBX=IBX_$$FO^IBCNEUT1($P($G(^IBA(364.1,Z,0)),U,1),10) ; batch# . S IBX=IBX_$S($P($G(^IBA(364.1,Z,0)),U,5):" R",1:"") ; batch rejected flag . ; . ; set line into list . S IBCNT=IBCNT+1 . D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP) . S IBX="" . ; . I $G(IBZ(2))'="" D ; other payer#2 if it exists .. S IBX=$J("",44)_$E($P(IBZ(2),U),1,18) .. D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP) .. Q . Q ; WRTQ I IBREP="S" S IBPAGE=IBCNT Q ; SET(IBX,IBLINE,IBDA,IBREP,IBHDR,IBCNT,VALMCNT,IBPAGE,IBSTOP) ; N Q,Z,IBZ S IBZ=IBX,IBX="" I IBREP="R" D Q . D:($Y+5)>IOSL!'IBPAGE HDR^IBCEPTC1(IBHDR,IBSORT,.IBPAGE,.IBSTOP) D . I IBLINE F Z=1:1:IBLINE W ! . W:'IBSTOP IBZ . Q ; ; only display the counter if we have a line with the claim# S VALMCNT=VALMCNT+1 I IBDA,$TR($E(IBZ,1,8)," ")'="" S IBZ=$$FO^IBCNEUT1($J(IBCNT,3),6)_IBZ I IBDA,$TR($E(IBZ,1,8)," ")="" S IBZ=" "_IBZ ; S ^TMP("IB_PREV_CLAIM_LIST",$J,VALMCNT,0)=IBZ S ^TMP("IB_PREV_CLAIM_LIST",$J,"IDX",VALMCNT,IBCNT)="" I IBDA,$TR($E(IBZ,1,8)," ")'="" S ^TMP("IB_PREV_CLAIM_LIST_DX",$J,IBCNT)=VALMCNT_U_IBDA Q ; CURRINS(IBIFN,TRUNC) ; Returns Current insurance address for given claim ; TRUNC = truncate flag; 1 to truncate the address and city N IBX,IBZ,L1,CITY,ST D F^IBCEF("N-CURR INS CO FULL ADDRESS","IBZ",,IBIFN) S L1=$G(IBZ(1)) I +$G(TRUNC) S L1=$E(L1,1,15) S CITY=$G(IBZ(4)) I +$G(TRUNC) S CITY=$E(CITY,1,10) S ST=$G(IBZ(5)) I ST S ST=$P($G(^DIC(5,ST,0)),U,2) S IBX=L1_" "_CITY I CITY'="",ST'="" S IBX=IBX_","_ST E S IBX=IBX_" "_ST Q IBX ;