1 | IBCNRPM2 ;BHAM ISC/CMW - Match Multiple Group Plans to a Pharmacy Plan ;10-MAR-2004
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2 | ;;2.0;INTEGRATED BILLING;**251,276**;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 | EN(IBCNRP,IBCNRI,IBCNRGP) ; -- main entry point for IBCNR PAYERSHEET MATCH (LIST TEMPLATE)
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6 | D EN^VALM("IBCNR GROUP PLAN MATCH")
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7 | Q
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8 | ;
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9 | HDR ; -- header code
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10 | NEW IBCNR0,IBCNRID,IBCNRNM,IBCNR10,IBCNRPBM,IBCNRBIN,IBCNRPCN,IBLEAD
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11 | NEW IBCNR3,IBCNRIN,NST,LST,X
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12 | ; get pharmacy plan data
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13 | S IBCNR0=$G(^IBCNR(366.03,+IBCNRP,0))
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14 | S IBCNRID=$P(IBCNR0,"^",1) ;id
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15 | S IBCNRNM=$P(IBCNR0,"^",2) ;name
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16 | S IBCNR10=$G(^IBCNR(366.03,+IBCNRP,10))
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17 | S IBCNRPBM=$P(IBCNR10,"^",1) ;pbm
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18 | S IBCNRBIN=$P(IBCNR10,"^",2) ;bin
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19 | S IBCNRPCN=$P(IBCNR10,"^",3) ;pcn
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20 | S IBCNR3=$G(^IBCNR(366.03,+IBCNRP,3,1,0)) ; appl
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21 | S NST=$S($P(IBCNR3,"^",2)=0:"Inactive ",1:"Active ")
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22 | S LST=$S($P(IBCNR3,"^",3)=0:"Inactive ",1:"Active ")
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23 | ; get insurance company name
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24 | S IBCNRIN=$P($G(^DIC(36,IBCNRI,0)),U)
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25 | ; row 1
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26 | S IBLEAD="FOR PHARMACY PLAN: "
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27 | S X=IBCNRNM_" - "_IBCNRID
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28 | S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80)
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29 | ; row 2
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30 | S IBLEAD="BIN: "_IBCNRBIN
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31 | S X=" PCN: "_IBCNRPCN_" STATUS: National "_NST_"/Local "_LST
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32 | S VALMHDR(2)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80)
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33 | ; row 3
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34 | ;S X="STATUS: National "_NST_"/"
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35 | ;S VALMHDR(3)=$$SETSTR^VALM1("Local "_LST,X,$L(X)+1,80)
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36 | ; row 4
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37 | S X="FOR INSURANCE COMPANY: "
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38 | S VALMHDR(4)=$$SETSTR^VALM1(IBCNRIN,X,$L(X)+1,80)
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39 | ;
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40 | Q
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41 | ;
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42 | INIT ; -- init variables and list array
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43 | ;
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44 | I '$D(^TMP("IBCNR",$J,"GP")) D Q
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45 | . S VALMCNT=0
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46 | . W !,*7,"Warning: No Active Group Plans with Pharmacy Coverage Found."
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47 | ;
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48 | N GPIEN,IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCRVD,LIM
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49 | N IBGNA,IBGNM,IBCNA,IBCNM,IBDAT
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50 | K ^TMP("IBCNR",$J,"PM")
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51 | S VALMCNT=0,VALMBG=1,(IBCNA,IBCNM)=""
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52 | S (IBIND,IBMULT,IBW)=1
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53 | F S IBCNA=$O(^TMP("IBCNR",$J,"GP",IBCNA)) Q:IBCNA="" D
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54 | . F S IBCNM=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM)) Q:IBCNM="" D
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55 | .. ;get pharm plan id
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56 | .. S GPIEN=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,"")),IBDAT=^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,GPIEN)
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57 | .. ;set up list
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58 | .. S VALMCNT=VALMCNT+1
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59 | .. S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER")
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60 | .. ;
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61 | .. ;group name
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62 | .. S X=$$SETFLD^VALM1(IBCNA,X,"GNAME")
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63 | .. ;
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64 | .. ;group number
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65 | .. S X=$$SETFLD^VALM1(IBCNM,X,"GNUM")
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66 | .. ;
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67 | .. ;group plan type
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68 | .. S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBDAT,"^",2)),X,"GTYP")
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69 | .. ;
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70 | .. ;pharmacy plan
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71 | .. S IBCNRPP=$P($G(IBDAT),U)
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72 | .. I IBCNRPP'="" S IBCNRPP=$$GET1^DIQ(366.03,IBCNRPP_",",.02,"E")
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73 | .. S X=$$SETFLD^VALM1(IBCNRPP,X,"PHRM")
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74 | .. ;
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75 | .. ; set up tmp for SEL
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76 | .. S ^TMP("IBCNR",$J,"PM",VALMCNT,0)=X
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77 | .. S ^TMP("IBCNR",$J,"PM","IDX",VALMCNT,VALMCNT)=GPIEN
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78 | ;
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79 | Q
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80 | ;
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81 | HELP ; -- help code
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82 | S X="?" D DISP^XQORM1 W !!
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83 | Q
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84 | ;
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85 | EXIT ; -- exit code
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86 | K ^TMP("IBCNR",$J,"PM"),VALMBCK,VALMY
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87 | K IBIND,IBMULT,IBW,IBX
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88 | D CLEAN^VALM10,CLEAR^VALM1
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89 | Q
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90 | ;
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91 | EXPND ; -- expand code
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92 | Q
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93 | ;
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94 | SEL ; Select Plan
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95 | ;
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96 | D S1
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97 | ;
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98 | I 'IBX Q ; no group selected
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99 | ;
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100 | N DA,DIC,DIE,DR,D,IBSEL
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101 | S IBX=0
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102 | F S IBX=$O(VALMY(IBX)) Q:IBX="" D
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103 | . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX))
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104 | . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01////^S X="_IBCNRP
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105 | . D ^DIE
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106 | D GIPF^IBCNRPM1
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107 | D INIT
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108 | ;
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109 | S IBX=0 F S IBX=$O(VALMY(IBX)) Q:'IBX D
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110 | . S ^TMP($J,"IBSEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))=""
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111 | ;
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112 | Q
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113 | ;
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114 | DEL ; remove a plan from a group
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115 | D S1
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116 | ;
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117 | I 'IBX Q ; no group selected
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118 | ;
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119 | NEW DA,DIC,DIE,DR,IBSEL
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120 | S IBX=0
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121 | F S IBX=$O(VALMY(IBX)) Q:IBX="" D
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122 | . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX))
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123 | . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01///@"
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124 | . D ^DIE
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125 | D GIPF^IBCNRPM1
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126 | D INIT
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127 | ;
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128 | S IBX=0 F S IBX=$O(VALMY(IBX)) Q:'IBX S ^TMP($J,"IBDEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))=""
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129 | ;
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130 | Q
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131 | ;
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132 | S1 N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y,X
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133 | D EN^VALM2($G(XQORNOD(0))),FULL^VALM1
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134 | S IBX=$O(VALMY(0)),VALMBCK="R"
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135 | ;
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136 | I 'IBX W !!,"No group selected!" D PAUSE^VALM1 Q
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137 | I 'IBMULT D G SPQ
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138 | . D OK^IBCNSM3
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139 | . I IBQUIT S VALMBCK="Q" Q
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140 | . I IBOK S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX)),VALMBCK="Q"
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141 | ;
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142 | ;S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX))
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143 | ;Q
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144 | ;
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145 | SPQ ;
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146 | S DIR(0)="SB^Y:YES;N:NO",DIR("B")="NO",DIR("A")="OK to Continue? "
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147 | D ^DIR K DIR
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148 | I $G(Y)="^" S IBX="" Q
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149 | I $G(Y(0))="NO" S IBX=""
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150 | Q
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