1 | IBCEPTC2 ;ALB/TMK - EDI PREVIOUSLY TRANSMITTED CLAIMS LIST MGR ;01/20/05
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2 | ;;2.0;INTEGRATED BILLING;**296,320,348,349**;21-MAR-94;Build 46
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3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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4 | ; IA 3337 for file 430.3
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5 | ;
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6 | HDR ;
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7 | K VALMHDR
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8 | S VALMHDR(1)="** A claim may appear multiple times if transmitted more than once. **"
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9 | ;
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10 | I $G(IBSORT)=1 D
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11 | . S VALMHDR(2)="Claims Selected: "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" (marked with *)"
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12 | . Q
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13 | ;
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14 | I $G(IBSORT)=2 D
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15 | . S VALMHDR(2)="** T = Test Claim ** R = Batch Rejected"
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16 | . S VALMHDR(3)="Claims Selected: "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" (marked with *)"
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17 | . Q
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18 | ;
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19 | Q
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20 | ;
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21 | INIT ;
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22 | S VALMCNT=0,VALMBG=1
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23 | D BLD
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24 | Q
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25 | ;
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26 | BLD ; Build display lines
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27 | N IBDA,IBS1,IBS2,IBIFN,IB0,IBX,IBCNT,IBLEV1,IBBDA
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28 | K ^TMP("IB_PREV_CLAIM_LIST",$J),^TMP("IB_PREV_CLAIM_SELECT",$J),^TMP("IB_PREV_CLAIM_BATCH",$J)
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29 | S IBCNT=0
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30 | I $O(^TMP("IB_PREV_CLAIM",$J,""))="" D G BLDQ
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31 | . S IBX=" ** NO PREVIOUSLY TRANSMITTED CLAIMS EXIST FOR SEARCH CRITERIA SELECTED **"
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32 | . D WRT(IBX,"",0,0,"","S","",.IBCNT,0)
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33 | ;
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34 | S IBS1="" F S IBS1=$O(^TMP("IB_PREV_CLAIM",$J,IBS1)) Q:IBS1="" D
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35 | . ; First level sort
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36 | . ; for sort by batch, display batch ID and transmit date
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37 | . I IBSORT=1 D
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38 | .. S IBLEV1=" Batch: "_$P(IBS1,U,2)_" Last Transmitted: "_$G(^TMP("IB_PREV_CLAIM",$J,IBS1))
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39 | .. S IBBDA=+$O(^IBA(364.1,"B",$P(IBS1,U,2),0))
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40 | .. I $P(IBS1,U,3) S IBLEV1=IBLEV1_" ** Test"
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41 | .. I $P(IBS1,U,4) S IBLEV1=IBLEV1_" ** Rejected"
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42 | .. Q
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43 | . ;
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44 | . ; for sort by payer, display ins co name and payer address
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45 | . I IBSORT=2 D
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46 | .. S IBLEV1=" "_$P(IBS1,U)_" "_$$CURRINS(+$G(^TMP("IB_PREV_CLAIM",$J,IBS1)),0)
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47 | .. Q
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48 | . ;
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49 | . ; output sort header line
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50 | . D WRT(IBLEV1,"",0,0,IBSORT,"S","",IBCNT,0) ; Add header line
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51 | . ;
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52 | . I IBSORT=1,IBBDA S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBBDA)=VALMCNT
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53 | . 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
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54 | .. N IBX,IBTEST
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55 | .. S IBIFN=+$G(^IBA(364,+IBDA,0)),IB0=$G(^DGCR(399,IBIFN,0))
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56 | .. S IBX=$P(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2,IBDA),U,1)
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57 | .. I IBX=1 S IBTEST=0 ; live 364 transmission
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58 | .. I IBX=2 S IBTEST=1 ; test 364 transmission
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59 | .. I IBX=3 S IBTEST=1 ; test 361.4 transmission
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60 | .. D WRT(IBS1,IBS2,IBDA,IBIFN,IBSORT,"S","",.IBCNT,0,IBTEST)
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61 | .. I IBSORT=1,IBBDA S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBBDA,VALMCNT)=IBIFN_U_IBCNT
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62 | .. Q
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63 | . Q
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64 | ;
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65 | BLDQ Q
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66 | ;
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67 | EXIT ; Clean up code
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68 | ;
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69 | K ^TMP("IB_PREV_CLAIM_LIST",$J)
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70 | K ^TMP("IB_PREV_CLAIM_SELECT",$J)
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71 | K ^TMP("IB_PREV_CLAIM_LIST_DX",$J)
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72 | K ^TMP("IB_PREV_CLAIM_BATCH",$J)
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73 | D CLEAR^VALM1
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74 | Q
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75 | ;
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76 | WRT(IBS1,IBS2,IBDA,IBIFN,IBSORT,IBREP,IBHDR,IBPAGE,IBSTOP,IBTEST) ; Wrt/output
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77 | ;
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78 | N IBX,IB0,Z,IBCNT,ARSTAT
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79 | S IBCNT=IBPAGE
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80 | ;
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81 | I 'IBIFN D G WRTQ
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82 | . ;
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83 | . ; for report output
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84 | . I IBREP="R" D Q
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85 | .. S Z="",$P(Z,"=",133)=""
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86 | .. D SET(Z,1,IBDA,IBREP,IBHDR,1,0,.IBPAGE,.IBSTOP)
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87 | .. D SET(IBS1,2,IBDA,IBREP,IBHDR,1,0,.IBPAGE,.IBSTOP)
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88 | .. Q
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89 | . ;
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90 | . ; for ListMan screen output
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91 | . D SET(IBS1,0,IBDA,IBREP,IBHDR,IBCNT+1,.VALMCNT,.IBPAGE,.IBSTOP)
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92 | . Q
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93 | ;
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94 | S IB0=$G(^DGCR(399,IBIFN,0))
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95 | S IBX=$$FO^IBCNEUT1($P(IB0,U,1),8) ; claim#
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96 | S IBX=IBX_$S(IBSORT=2&$G(IBTEST):"T",1:" ")_" "
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97 | S IBX=IBX_$S($P(IB0,U,19)=2:"1500",1:"UB04")_" "
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98 | S Z=$$INPAT^IBCEF(IBIFN) S IBX=IBX_$S(Z:"INPT ",1:"OUTPT")
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99 | S IBX=IBX_$J($P(IB0,U,21),3)_" "
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100 | S Z=$$EXTERNAL^DILFD(399,.13,"",$P(IB0,U,13))
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101 | S IBX=IBX_$$FO^IBCNEUT1(Z,11)_" " ; claim status
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102 | S ARSTAT=+$P($$BILL^RCJIBFN2(IBIFN),U,2) ; ien
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103 | S ARSTAT=$P($G(^PRCA(430.3,ARSTAT,0)),U,2) ; abbreviation
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104 | S IBX=IBX_$$FO^IBCNEUT1(ARSTAT,4) ; a/r status display
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105 | ;
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106 | I IBSORT=1 D ; sort by batch
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107 | . N Z,IBZ,IBXDATA
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108 | . ; Print current payer, payer address, other payers, pat name
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109 | . D F^IBCEF("N-CURR INSURANCE COMPANY NAME","IBZ",,IBIFN)
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110 | . S IBX=IBX_$$FO^IBCNEUT1(IBZ,25)_" " ; ins co name
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111 | . S IBX=IBX_$$FO^IBCNEUT1($$CURRINS(IBIFN,1),29)_" " ; address
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112 | . K IBZ D F^IBCEF("N-OTH INSURANCE CO. NAME","IBZ",,IBIFN)
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113 | . S IBX=IBX_$$FO^IBCNEUT1($P($G(IBZ(1)),U,1),15)_" " ; other payer
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114 | . S Z=$P($G(^DPT(+$P(IB0,U,2),0)),U,1)
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115 | . S IBX=IBX_$E(Z,1,18) ; patient name
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116 | . ;
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117 | . ; set line into list
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118 | . S IBCNT=IBCNT+1
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119 | . D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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120 | . S IBX=""
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121 | . ;
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122 | . I $G(IBZ(2))'="" D ; other payer #2 if it exists
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123 | .. S IBX=$J("",98)_$E($P(IBZ(2),U,1),1,15)
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124 | .. D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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125 | .. Q
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126 | . Q
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127 | ;
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128 | I IBSORT=2 D ; sort by payer
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129 | . N Z,IBZ
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130 | . S IBX=IBX_" "
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131 | . ; Print other payers, patient name, date last trans, batch #, reject flag
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132 | . D F^IBCEF("N-OTH INSURANCE CO. NAME","IBZ",,IBIFN)
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133 | . S IBX=IBX_$$FO^IBCNEUT1($P($G(IBZ(1)),U,1),18)_" " ; oth payer#1
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134 | . S Z=$P($G(^DPT(+$P(IB0,U,2),0)),U,1)
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135 | . S IBX=IBX_$$FO^IBCNEUT1(Z,18)_" " ; patient name
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136 | . ;
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137 | . S Z=+$P($G(^IBA(364,+IBDA,0)),U,2) ; Batch ptr
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138 | . S IBX=IBX_$$FO^IBCNEUT1($$FMTE^XLFDT($P($G(^IBA(364.1,+Z,1)),U,3)\1,"1"),17) ; date last transmitted
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139 | . S IBX=IBX_$$FO^IBCNEUT1($P($G(^IBA(364.1,Z,0)),U,1),10) ; batch#
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140 | . S IBX=IBX_$S($P($G(^IBA(364.1,Z,0)),U,5):" R",1:"") ; batch rejected flag
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141 | . ;
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142 | . ; set line into list
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143 | . S IBCNT=IBCNT+1
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144 | . D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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145 | . S IBX=""
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146 | . ;
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147 | . I $G(IBZ(2))'="" D ; other payer#2 if it exists
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148 | .. S IBX=$J("",44)_$E($P(IBZ(2),U),1,18)
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149 | .. D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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150 | .. Q
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151 | . Q
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152 | ;
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153 | WRTQ I IBREP="S" S IBPAGE=IBCNT
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154 | Q
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155 | ;
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156 | SET(IBX,IBLINE,IBDA,IBREP,IBHDR,IBCNT,VALMCNT,IBPAGE,IBSTOP) ;
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157 | N Q,Z,IBZ
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158 | S IBZ=IBX,IBX=""
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159 | I IBREP="R" D Q
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160 | . D:($Y+5)>IOSL!'IBPAGE HDR^IBCEPTC1(IBHDR,IBSORT,.IBPAGE,.IBSTOP) D
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161 | . I IBLINE F Z=1:1:IBLINE W !
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162 | . W:'IBSTOP IBZ
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163 | . Q
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164 | ;
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165 | ; only display the counter if we have a line with the claim#
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166 | S VALMCNT=VALMCNT+1
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167 | I IBDA,$TR($E(IBZ,1,8)," ")'="" S IBZ=$$FO^IBCNEUT1($J(IBCNT,3),6)_IBZ
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168 | I IBDA,$TR($E(IBZ,1,8)," ")="" S IBZ=" "_IBZ
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169 | ;
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170 | S ^TMP("IB_PREV_CLAIM_LIST",$J,VALMCNT,0)=IBZ
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171 | S ^TMP("IB_PREV_CLAIM_LIST",$J,"IDX",VALMCNT,IBCNT)=""
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172 | I IBDA,$TR($E(IBZ,1,8)," ")'="" S ^TMP("IB_PREV_CLAIM_LIST_DX",$J,IBCNT)=VALMCNT_U_IBDA
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173 | Q
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174 | ;
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175 | CURRINS(IBIFN,TRUNC) ; Returns Current insurance address for given claim
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176 | ; TRUNC = truncate flag; 1 to truncate the address and city
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177 | N IBX,IBZ,L1,CITY,ST
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178 | D F^IBCEF("N-CURR INS CO FULL ADDRESS","IBZ",,IBIFN)
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179 | S L1=$G(IBZ(1)) I +$G(TRUNC) S L1=$E(L1,1,15)
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180 | S CITY=$G(IBZ(4)) I +$G(TRUNC) S CITY=$E(CITY,1,10)
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181 | S ST=$G(IBZ(5))
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182 | I ST S ST=$P($G(^DIC(5,ST,0)),U,2)
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183 | S IBX=L1_" "_CITY
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184 | I CITY'="",ST'="" S IBX=IBX_","_ST
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185 | E S IBX=IBX_" "_ST
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186 | Q IBX
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187 | ;
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