1 | IBCNRPS2 ;BHAM ISC/ALA - Plan Match ListMan ;13-NOV-2003
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2 | ;;2.0;INTEGRATED BILLING;**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 ; -- main entry point for IBCNR PLAN MATCH
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6 | D EN^VALM("IBCNR PLAN STATUS INQUIRY")
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7 | Q
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8 | ;
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9 | HDR ; -- header code
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10 | N IBCNS0,IBCNS11,IBCNS13,IBLEAD,X,X1,X2
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11 | S IBCNS0=$G(^DIC(36,+IBCNSP,0))
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12 | S IBCNS11=$G(^DIC(36,+IBCNSP,.11))
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13 | S IBCNS13=$G(^DIC(36,+IBCNSP,.13))
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14 | S IBLEAD="All Plans for: "
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15 | S X="Phone: "_$S($P(IBCNS13,"^")]"":$P(IBCNS13,"^"),1:"<not filed>")
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16 | S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD_$P(IBCNS0,"^"),81-$L(X),40)
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17 | S X1="Precerts: "_$S($P(IBCNS13,"^",3)]"":$P(IBCNS13,"^",3),1:"<not filed>")
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18 | S X=$TR($J("",$L(IBLEAD)),""," ")_$S($P(IBCNS11,"^")]"":$P(IBCNS11,"^"),1:"<no street address>")
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19 | S VALMHDR(2)=$$SETSTR^VALM1(X1,X,81-$L(X1),40)
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20 | S X=$S($P(IBCNS11,"^",4)]"":$P(IBCNS11,"^",4),1:"<no city>")_", "
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21 | S X=X_$S($P(IBCNS11,"^",5):$P($G(^DIC(5,$P(IBCNS11,"^",5),0)),"^",2),1:"<no state>")_" "_$E($P(IBCNS11,"^",6),1,5)_$S($E($P(IBCNS11,"^",6),6,9)]"":"-"_$E($P(IBCNS11,"^",6),6,9),1:"")
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22 | S VALMHDR(3)=$$SETSTR^VALM1(X,"",$L(IBLEAD)+1,80)
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23 | S X="For: ",X=$E(X_$J("",23),1,23)_$S(IBCNTYP="A":"All",IBCNTYP="P":"Pharmacy Covered",1:"Matched")_" Group Plans."
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24 | S VALMHDR(4)=$$SETSTR^VALM1(" ",X,64,17)
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25 | Q
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26 | ;
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27 | INIT ; -- init variables and create list array or report array
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28 | N IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCVRD,LIM
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29 | K ^TMP("IBCNR",$J)
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30 | S VALMCNT=0,VALMBG=1,IBCNGP=0
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31 | F S IBCNGP=$O(^IBA(355.3,"B",IBCNSP,IBCNGP)) Q:'IBCNGP D
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32 | . ; if we want all plans, let it pass
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33 | . I IBCNTYP="A" D Q
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34 | . . D SETPLAN(IBCNGP)
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35 | . ; if we want Pharmacy plans, check for pharms
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36 | . I IBCNTYP="P" D Q
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37 | . . S IBCOV=$O(^IBE(355.31,"B","PHARMACY",""))
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38 | . . S LIM="",IBCVRD=0
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39 | . . F S LIM=$O(^IBA(355.32,"B",IBCNGP,LIM)) Q:LIM="" D
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40 | . . . I $P(^IBA(355.32,LIM,0),U,2)=IBCOV S IBCVRD=$P(^IBA(355.32,LIM,0),U,4)
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41 | . . I IBCVRD D SETPLAN(IBCNGP)
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42 | . ; if we want Matched plans, check for existence of Plan ID
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43 | . I IBCNTYP="M" D Q
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44 | . . I $P($G(^IBA(355.3,IBCNGP,6)),U)'="" D SETPLAN(IBCNGP)
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45 | I VALMCNT=0 D
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46 | . S ^TMP("IBCNR",$J,"SI",1,0)="No Plans Available"
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47 | . S ^TMP("IBCNR",$J,"SI","IDX",1,1)=IBCNGP
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48 | Q
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49 | ;
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50 | SETPLAN(IBCNGP) ;
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51 | ; create text
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52 | N IBGPZ,I,IBPLN,IBPLNA
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53 | S VALMCNT=VALMCNT+1
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54 | S IBGPZ=^IBA(355.3,+IBCNGP,0)
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55 | ; if creating report and not a list
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56 | I $G(IBCNRRPT) D Q
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57 | . ; Group Name, Group #, Group Type, Plan ID, Plan Status
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58 | . S X=$$FO^IBCNEUT1($P(IBGPZ,U,3),18)
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59 | . S X=X_" "_$$FO^IBCNEUT1($P(IBGPZ,U,4),17)
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60 | . S X=X_" "_$$FO^IBCNEUT1($$EXPAND^IBTRE(355.3,.09,$P(IBGPZ,U,9)),13)
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61 | . S IBPLN=$P($G(^IBA(355.3,+IBCNGP,6)),U)
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62 | . ; check for plan
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63 | . I IBPLN="" D Q
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64 | . . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=X
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65 | . . S VALMCNT=VALMCNT+1,^TMP("IBCNR",$J,"DSPDATA",VALMCNT)="No Plan Found."
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66 | . ; check plan status information
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67 | . S IBPLNA=$P($G(^IBCNR(366.03,IBPLN,0)),U)
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68 | . S X=X_" "_$$FO^IBCNEUT1(IBPLNA,13)
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69 | . ;
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70 | . N ARRAY D STCHK^IBCNRU1(IBPLN,.ARRAY)
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71 | . S X=X_" "_$$FO^IBCNEUT1($S($G(ARRAY(1))="I":"INACTIVE",1:"ACTIVE"),8)
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72 | . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=X
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73 | . I $G(ARRAY(6)) D
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74 | . . N STATAR
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75 | . . D STATAR^IBCNRU1(.STATAR)
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76 | . . F I=1:1:$L(ARRAY(6),",") D
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77 | . . . S VALMCNT=VALMCNT+1
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78 | . . . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=" "_$G(STATAR($P(ARRAY(6),",",I)))
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79 | ;
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80 | S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER")
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81 | ;
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82 | I '$P(IBGPZ,U,2) S $E(X,4)="+"
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83 | S X=$$SETFLD^VALM1($P(IBGPZ,U,3),X,"GNAME")
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84 | ;
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85 | I '$P(IBGPZ,U,11) S $E(X,24)="*"
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86 | S X=$$SETFLD^VALM1($P(IBGPZ,U,4),X,"GNUM")
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87 | ;
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88 | S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBGPZ,U,9)),X,"TYPE")
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89 | ; matched plan active or not
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90 | S IBPLN=$P($G(^IBA(355.3,+IBCNGP,6)),U)
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91 | I IBPLN'="" D
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92 | . S IBPLNA=$P($G(^IBCNR(366.03,+IBPLN,0)),U)
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93 | . S X=$$SETFLD^VALM1(IBPLNA,X,"PHARM")
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94 | . N ARRAY
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95 | . D STCHK^IBCNRU1(IBPLN,.ARRAY)
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96 | . S X=$$SETFLD^VALM1($S($G(ARRAY(1))="A":"ACTIVE",1:"INACTIVE"),X,"COV")
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97 | S ^TMP("IBCNR",$J,"SI",VALMCNT,0)=X
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98 | S ^TMP("IBCNR",$J,"SI","IDX",VALMCNT,VALMCNT)=IBCNGP
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99 | Q
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100 | ;
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101 | HELP ; -- help code
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102 | S X="?" D DISP^XQORM1 W !!
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103 | Q
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104 | ;
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105 | EXIT ; -- exit code
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106 | K ^TMP("IBCNR",$J),VALMBCK,VALMY
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107 | D CLEAN^VALM10,CLEAR^VALM1
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108 | Q
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109 | ;
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110 | SEL ; -- select plan
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111 | N IBSEL,IBX
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112 | D S1
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113 | I 'IBX Q ; no group selected
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114 | ;
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115 | D
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116 | . N IBCNRRPT,IBCNGP,VALMCNT,LST,IBCNRDEV
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117 | . S VALMCNT=0,IBCNRRPT=1,IBCNRDEV=0,IBCNGP=IBSEL
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118 | . K ^TMP("IBCNR",$J,"DSPDATA")
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119 | . D SETPLAN(IBSEL)
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120 | . D PRINT^IBCNRPSI
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121 | D SPQ
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122 | Q
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123 | S1 ;
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124 | N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y
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125 | D EN^VALM2($G(XQORNOD(0)),"S"),FULL^VALM1
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126 | S IBX=$O(VALMY(0)),VALMBCK="R"
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127 | ;
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128 | I 'IBX W !!,"No group selected!" G SPQ
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129 | S IBSEL=+$G(^TMP("IBCNR",$J,"SI","IDX",IBX,IBX))
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130 | Q
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131 | ;
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132 | SPQ ;
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133 | I '$O(IBSEL(0)),VALMBCK="R" D PAUSE^VALM1
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134 | Q
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