IBCIADD1 ;DSI/SLM - ADD ENTRY TO FILE 351.9 ;17-JAN-2001 ;;2.0;INTEGRATED BILLING;**161,203,155**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ADD ;add an entry Q:'IBIFN N FDA,IENS S IBCIADD=1 S DIC="^IBA(351.9,",(X,DINUM)=IBIFN,DIC(0)="Z" D FILE^DICN I Y<0 W !!,IBIFN," NOT ADDED TO FILE 351.9" K Y Q UPDT ; update an entry I $G(IBCISNT)=7 Q ; esg - 1/3/2002 ; ; esg - 3/20/02 - No need to rebuild the 3,4,5 nodes in the event of ; a cancel because we want to send the claim lines that were ; most recently sent to CM, not whatever Vista has now. ; esg - 10/9/02 - However, if the 3,4,5 nodes are not there, then we ; need to rebuild them based on whatever Vista has now. ; I $G(IBCISNT)=4,$P($G(^IBA(351.9,IBIFN,3)),U,1) Q ; D CLEAN^IBCIUT2,DELTI^IBCIUT4 NEW IBRFID,IBRFLN,IBRFMN,IBRFFN,IBRFDEPT,IBRFSPEC S (IBRFID,IBRFLN,IBRFMN,IBRFFN,IBRFDEPT,IBRFSPEC)="" I '$D(IBCIADD) S IBCIADD=0 D INIT1 S IENS=IBIFN_"," S FDA(351.9,IENS,.02)=IBCIST I $P(^IBA(351.9,IBIFN,0),U,6)']"" D .S FDA(351.9,IENS,.06)=IBCIDE,FDA(351.9,IENS,.07)=IBCIEB S FDA(351.9,IENS,3.01)=IBCIPID,FDA(351.9,IENS,3.02)=IBCIPTLA S FDA(351.9,IENS,3.03)=IBCIPTMI,FDA(351.9,IENS,3.04)=IBCIPTFI S FDA(351.9,IENS,3.05)=IBCIDOB,FDA(351.9,IENS,3.06)=IBCISEX S FDA(351.9,IENS,3.07)=IBCIET ; ; Add referring provider fields S FDA(351.9,IENS,3.08)=IBRFID ; ID S FDA(351.9,IENS,3.09)=IBRFLN ; last name S FDA(351.9,IENS,3.1)=IBRFMN ; middle name S FDA(351.9,IENS,3.11)=IBRFFN ; first name S FDA(351.9,IENS,4.01)=IBRFDEPT ; department S FDA(351.9,IENS,4.02)=IBRFSPEC ; specialty ; D FILE^DIE("K","FDA"),UPDT1^IBCIST ; S IBCILSEG=0 F S IBCILSEG=$O(IBXDATA(IBCILSEG)) Q:'IBCILSEG D .I '$D(^IBA(351.9,IBIFN,5,IBCILSEG)) D ADDSUB .S DR=".06////"_IBCIBDOS(IBCILSEG)_";.02////"_IBCIXLID(IBCILSEG) .S DR=DR_";.03////"_IBCIOGID(IBCILSEG)_";.04////"_IBCIOID(IBCILSEG) .S DR=DR_";.07////"_IBCIEDOS(IBCILSEG)_";.08////"_IBCIPOS(IBCILSEG) .S DR=DR_";.09////"_IBCISPC(IBCILSEG)_";.1////"_IBCIAPC(IBCILSEG) .S DR=DR_";.11////"_IBCISAMT(IBCILSEG)_";.12////"_IBCIPAC(IBCILSEG) .S DIE="^IBA(351.9,"_IBIFN_",5,",DA=IBCILSEG,DA(1)=IBIFN D ^DIE .S DR=".13////"_IBCISPID(IBCILSEG)_";1.01////"_IBCISPLA(IBCILSEG) .S DR=DR_";1.02////"_IBCISPMI(IBCILSEG)_";1.03////"_IBCISPFI(IBCILSEG) .S DR=DR_";1.04////"_IBCISPTI(IBCILSEG)_";1.05////"_IBCISPDE(IBCILSEG) .S DIE="^IBA(351.9,"_IBIFN_",5,",DA=IBCILSEG,DA(1)=IBIFN D ^DIE .S DR="1.06////"_IBCISPSP(IBCILSEG)_";1.07////"_IBCISPDI(IBCILSEG) .S DR=DR_";1.08////"_IBCISPUP(IBCILSEG)_";1.09////"_IBCIBPID(IBCILSEG) .S DIE="^IBA(351.9,"_IBIFN_",5,",DA=IBCILSEG,DA(1)=IBIFN D ^DIE .S DR="2.01////"_IBCIBPLA(IBCILSEG)_";2.02////"_IBCIBPMI(IBCILSEG) .S DR=DR_";2.03////"_IBCIBPFI(IBCILSEG)_";2.04////"_IBCIBPTI(IBCILSEG) .S DR=DR_";2.05////"_IBCIBPDE(IBCILSEG)_";2.06////"_IBCIBPSP(IBCILSEG) .S DIE="^IBA(351.9,"_IBIFN_",5,",DA=IBCILSEG,DA(1)=IBIFN D ^DIE .S DR="2.07////"_IBCIBPDI(IBCILSEG)_";2.08////"_IBCIBPUP(IBCILSEG) .S DR=DR_";2.09////"_IBCIPPID(IBCILSEG)_";2.1////"_IBCISPAI(IBCILSEG) .S DR=DR_";2.11////"_IBCITOS(IBCILSEG)_";2.12////"_IBCIUNIT(IBCILSEG) .S DR=DR_";3.01////"_IBCICPT(IBCILSEG) .S DIE="^IBA(351.9,"_IBIFN_",5,",DA=IBCILSEG,DA(1)=IBIFN D ^DIE .Q D CLEAN^IBCIUT2 K IBCIADD Q ; INIT1 ; Initialize variables for adding entry in 351.9 NEW IBZ,IBPRV S IBCIDFN=$P(^DGCR(399,IBIFN,0),U,2) S IBCICL=$P(^DGCR(399,IBIFN,0),U) S IBCIST=$S(IBCIADD=1:1,1:$P(^IBA(351.9,IBIFN,0),U,2)),IBCIEB=DUZ S (IBCIDE,IBCIET)=$$NOW^XLFDT S IBCIPID=$P(^DPT(IBCIDFN,0),U,9) S X=$P(^DPT(IBCIDFN,0),U) D NAMSP^IBCIUT1 S IBCIPTLA=$P(Y,U,1),IBCIPTFI=$P(Y,U,2),IBCIPTMI=$P(Y,U,3) S IBCIDOB=$P(^DPT(IBCIDFN,0),U,3),IBCISEX=$P(^DPT(IBCIDFN,0),U,2) ; ; capture referring provider information D GETPRV^IBCEU(IBIFN,1,.IBZ) ; "1" signifies referring provider S IBZ=$G(IBZ(1,1)) I IBZ'="" D . S IBPRV=$P(IBZ,U,3) . S IBRFLN=$$NAME^IBCEFG1($P(IBZ,U,1)),IBRFMN=$P(IBRFLN,U,3),IBRFFN=$P(IBRFLN,U,2),IBRFLN=$P(IBRFLN,U,1) . S IBRFSPEC=$$BILLSPEC^IBCEU3(IBIFN,IBPRV) ; ref prov specialty . I IBPRV'["IBA(355.93" D ; va provider data .. S IBRFID=+IBPRV .. S IBRFDEPT=$P($G(^VA(200,+IBPRV,5)),U,1) .. Q . I IBPRV["IBA(355.93" D ; non-va provider data .. S IBRFID="NVA"_+IBPRV .. S IBRFDEPT="NVA" .. Q . Q ; ;initialize variables for line items in 351.9 and save D F^IBCEF("N-HCFA 1500 SERVICES (PRINT)",,,IBIFN) S IBCILSEG=0 F S IBCILSEG=$O(IBXDATA(IBCILSEG)) Q:'IBCILSEG D . NEW CURRENT,DIV . S X=$P(IBXDATA(IBCILSEG),U),IBCIBDOS(IBCILSEG)=$$NOW1^IBCIUT1(X) . I $P(IBXDATA(IBCILSEG),U,2)]"" S X=$P(IBXDATA(IBCILSEG),U,2),IBCIEDOS(IBCILSEG)=$$NOW1^IBCIUT1(X) . I $P(IBXDATA(IBCILSEG),U,2)']"" S IBCIEDOS(IBCILSEG)=IBCIBDOS(IBCILSEG) . S IBCIPOS(IBCILSEG)=$P(IBXDATA(IBCILSEG),U,3) . S IBCITOS(IBCILSEG)=$P(IBXDATA(IBCILSEG),U,4) . S IBCISPC(IBCILSEG)=$P(IBXDATA(IBCILSEG),U,5) . S IBCISAMT(IBCILSEG)=$P(IBXDATA(IBCILSEG),U,8) . S IBCIUNIT(IBCILSEG)=$P(IBXDATA(IBCILSEG),U,9) . S IBCICPT(IBCILSEG)=$P(IBXDATA(IBCILSEG),U,10) . S IBCICPT(IBCILSEG)=$$GETMOD^IBCIUT5(IBCICPT(IBCILSEG)) . I IBCIUNIT(IBCILSEG)>1 S IBCISAMT(IBCILSEG)=IBCISAMT(IBCILSEG)*IBCIUNIT(IBCILSEG) . S IBCIAPC(IBCILSEG)="",IBCIXLID(IBCILSEG)=IBCILSEG . S IBCIOGID(IBCILSEG)="",IBCIOID(IBCILSEG)="",IBCIPAC(IBCILSEG)="" . ; . ; capture the default division (field# .22) for the organization id . S DIV=$P($G(^DGCR(399,IBIFN,0)),U,22) . I DIV S IBCIOID(IBCILSEG)=$P($G(^DG(40.8,DIV,0)),U,2) . ; . ; Billing provider information . S IBXDAT1=$$RPHY^IBCIUT1(IBIFN) ; Get provider information . S IBCIBPID(IBCILSEG)=$P(IBXDAT1,U,2) ; provider ID . S X=$P(IBXDAT1,U,1) D NAMSP^IBCIUT1 ; parse full provider name . S IBCIBPLA(IBCILSEG)=$P(Y,U,1) ; provider last name . S IBCIBPFI(IBCILSEG)=$P(Y,U,2) ; provider first name . S IBCIBPMI(IBCILSEG)=$P(Y,U,3) ; provider middle name . S IBCIBPDE(IBCILSEG)=$P(IBXDAT1,U,3) ; provider department . S IBCIBPSP(IBCILSEG)=$P(IBXDAT1,U,4) ; provider specialty . S IBCIBPDI(IBCILSEG)="" ; provider degree ID . S IBCIBPTI(IBCILSEG)="" ; provider title . S IBCIBPUP(IBCILSEG)="" ; provider UPIN . KILL X,Y ; clean up . ; . ; Primary payer ID . S IBCIPPID(IBCILSEG)=$$FINDINS^IBCEF1(IBIFN) . ; . ; Get the secondary payer ID based on the current bill sequence . ; . S IBCISPAI(IBCILSEG)="" . S CURRENT=$$COB^IBCEF(IBIFN) . I CURRENT="P" S IBCISPAI(IBCILSEG)=$$FINDINS^IBCEF1(IBIFN,"S") . I CURRENT="S" S IBCISPAI(IBCILSEG)=$$FINDINS^IBCEF1(IBIFN,"T") . ; . S IBCISPID(IBCILSEG)="",IBCISPLA(IBCILSEG)="",IBCISPFI(IBCILSEG)="" . S IBCISPMI(IBCILSEG)="",IBCISPTI(IBCILSEG)="",IBCISPDE(IBCILSEG)="" . S IBCISPSP(IBCILSEG)="",IBCISPDI(IBCILSEG)="",IBCISPUP(IBCILSEG)="" . Q Q ; ADDSUB ;create the subfile S DIC="^IBA(351.9,"_IBIFN_",5,",DA(1)=IBIFN,DIC(0)="LMN",(DA,X)=IBCILSEG D FILE^DICN Q