1 | IBCNRRP3 ;BHAM ISC/CMW - GROUP PLAN WORKSHEET REPORT PRINT ;03-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 | ; ePHARM GROUP PLAN WORKSHEET REPORT
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6 | ;
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7 | ; Called by IBCNRRP1
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8 | ;
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9 | ; Input variables from IBCNRRP1 and IBCNRRP2:
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10 | ; IBCNRRTN = "IBCNRRP1"
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11 | ; IBCNRSPC("BEGDT") = Start Date for dt range
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12 | ; IBCNRSPC("ENDDT") = End Date for dt range
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13 | ; IBCNRSPC("SORT") = 1 - By Insurance/Group; 2 - Total Claims;
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14 | ; 3 - Total Charges; 4 - Exceptions
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15 | ; IBCNRSPC("MATCH") = 1 - Matched Only; 0 - All;
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16 | ;
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17 | ; ^TMP(IBCNRRTN,1); ^TMP(IBCNRRTN,2); ^TMP(IBCNRRTN,3)
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18 | ; Must call at appropriate tag
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19 | Q
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20 | ;
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21 | ;
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22 | EN(IBCNRRTN,IBCNRSPC) ; Entry pt.
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23 | ;
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24 | ; Init vars
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25 | N CRT,MAXCNT,IBPGC,IBBDT,IBEDT,IBMAT,IBPY,IBPXT,IBSRT,IBDTL
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26 | N X,Y,DIR,DTOUT,DUOUT,LIN,TOTALS
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27 | ;
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28 | S IBBDT=$G(IBCNRSPC("BEGDT"))
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29 | S IBEDT=$G(IBCNRSPC("ENDDT"))
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30 | S IBSRT=$G(IBCNRSPC("SORT"))
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31 | S IBMAT=$G(IBCNRSPC("MATCH"))
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32 | S (IBPXT,IBPGC)=0
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33 | ;
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34 | ; Determine IO parameters
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35 | I IOST["C-" S MAXCNT=IOSL-3,CRT=1
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36 | E S MAXCNT=IOSL-6,CRT=0
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37 | ;
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38 | D PRINT(IBCNRRTN,IBBDT,IBEDT,IBSRT,MAXCNT,IBPGC,IBMAT)
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39 | I $G(ZTSTOP)!IBPXT G EXIT3
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40 | I CRT,IBPGC>0,'$D(ZTQUEUED) D
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41 | . I MAXCNT<51 F LIN=1:1:(MAXCNT-$Y) W !
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42 | . S DIR(0)="E" D ^DIR K DIR
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43 | ;
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44 | EXIT3 ; Exit pt
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45 | Q
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46 | ;
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47 | PRINT(RTN,BDT,EDT,SRT,MAX,PGC,MAT) ; Print data
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48 | ; Input params: RNT = "IBCNRRP1" - routine, BDT = starting dt,
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49 | ; EDT = ending dt
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50 | ; SRT = 1/2/3
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51 | ; MAT = 1/0
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52 | ;
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53 | ; Init vars
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54 | N EORMSG,NONEMSG,TOTDASHS,DISPDATA,SORT,CT,PRT1,PRT2
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55 | ;
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56 | S EORMSG="*** END OF REPORT ***"
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57 | S NONEMSG="* * * N O D A T A F O U N D * * *"
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58 | S $P(TOTDASHS,"=",89)=""
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59 | S CT=0
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60 | ;
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61 | I '$D(^XTMP(RTN)) D HEADER W !,?(132-$L(NONEMSG)\2),NONEMSG,!! G PRINT2
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62 | ;
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63 | ; Build lines of data to display
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64 | K ^TMP("IBCNR",$J,"RPTDATA")
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65 | D DATA
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66 | K ^TMP("IBCNR",$J,"DSPDATA")
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67 | D DISP
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68 | ; Display lines of response
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69 | D LINE
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70 | K ^TMP("IBCNR",$J,"DSPDATA"),^TMP("IBCNR",$J,"RPTDATA")
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71 | Q
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72 | ;
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73 | PRINT2 I $G(ZTSTOP)!IBPXT G PRINTX
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74 | I $Y+1>MAX!('PGC) D HEADER I $G(ZTSTOP)!$G(IBPXT) G PRINTX
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75 | W !,?(132-$L(EORMSG)\2),EORMSG
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76 | ;
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77 | PRINTX ; PRINT exit point
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78 | Q
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79 | ;
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80 | HEADER ; Print header info for each page
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81 | ; Assumes vars from PRINT: CRT,PGC,IBPXT,MAX,SRT,BDT,EDT,PYR,RDTL,MAR
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82 | ; Init vars
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83 | N DIR,X,Y,DTOUT,DUOUT,OFFSET,HDR,DASHES,DASHES2,LIN
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84 | ;
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85 | I CRT,PGC>0,'$D(ZTQUEUED) D I IBPXT G HEADERX
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86 | . I MAX<51 F LIN=1:1:(MAX-$Y) W !
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87 | . S DIR(0)="E" D ^DIR K DIR
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88 | . I $D(DTOUT)!$D(DUOUT) S IBPXT=1 Q
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89 | I $D(ZTQUEUED),$$S^%ZTLOAD() S (ZTSTOP,IBPXT)=1 G HEADERX
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90 | S PGC=PGC+1
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91 | W @IOF,!,?1,"ePHARM GROUP PLAN WORKSHEET REPORT"
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92 | S HDR=$$FMTE^XLFDT($$NOW^XLFDT,1)_" Page: "_PGC
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93 | S OFFSET=80-$L(HDR)
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94 | W ?OFFSET,HDR
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95 | W !,?1,"Claims with Pharmacy Coverage Sorted by: "_$S(SRT=1:"Insurance/Group",SRT=2:"Max. Total Claims",1:"Max. Total Charges")
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96 | S HDR=$$FMTE^XLFDT(BDT,"5Z")_" - "_$$FMTE^XLFDT(EDT,"5Z")
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97 | S OFFSET=80-$L(HDR)\2
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98 | W !,?OFFSET,HDR
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99 | ; Display column headings
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100 | W !,?1,"Insurance Company Name",?40,"Insurance Company Address"
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101 | W !,?3,"Group Name/Number",?42,"Pharmacy Plan",?60," BIN",?70,"PCN"
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102 | S $P(DASHES,"=",80)=""
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103 | W !,?1,DASHES
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104 | ;
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105 | HEADERX ; HEADER exit pt
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106 | Q
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107 | ;
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108 | LINE ; Print line of data
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109 | ; Assumes vars from PRINT: PGC,IBPXT,MAX
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110 | ; Init vars
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111 | N CT,II
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112 | ;
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113 | S CT=+$O(^TMP("IBCNR",$J,"DSPDATA",""),-1)
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114 | I $Y+1+CT>MAX D HEADER I $G(ZTSTOP)!IBPXT G LINEX
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115 | F II=1:1:CT D Q:$G(ZTSTOP)!IBPXT
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116 | . I $Y+1>MAX!('PGC) D HEADER I $G(ZTSTOP)!IBPXT Q
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117 | . W !,?1,^TMP("IBCNR",$J,"DSPDATA",II)
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118 | . Q
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119 | ;
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120 | LINEX ; LINE exit pt
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121 | Q
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122 | ;
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123 | DATA ; Gather and format lines of data to be printed
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124 | ; Assumes vars from PRINT: RTN,SRT,SRT,RDTL,CT,PRT1,PRT2
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125 | ; Init vars
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126 | ;
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127 | ;Loop through and sort TMP file
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128 | N CNT,IBINS,IBINSNM,IBGRP,IBGRPNM,IBGRPNB,RPDT,RPTOT,RPTCNT,RPTCHG
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129 | N IBGRP0,IBGRP6,IBGRPNM,IBPLBIN,IBPLNNM,IBPLPCN,IBPPIEN
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130 | S IBINS=0,CNT=0
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131 | F S IBINS=$O(^XTMP(RTN,IBINS)) Q:IBINS="" D
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132 | . ;get insurance company name
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133 | . S IBINSNM=$P($G(^DIC(36,IBINS,0)),U)
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134 | . I IBINSNM="" S IBINSNM="NO NAME EXISTS"
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135 | . S IBGRP=0
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136 | . F S IBGRP=$O(^XTMP(RTN,IBINS,IBGRP)) Q:IBGRP="" D
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137 | .. ;get group info
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138 | .. S IBGRP0=$G(^IBA(355.3,IBGRP,0))
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139 | .. ;get pharmacy plan info
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140 | .. S IBGRP6=$G(^IBA(355.3,IBGRP,6))
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141 | .. I 'IBGRP6,$G(MAT) Q ; Matched only
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142 | .. I IBGRP0 D
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143 | ... S (IBGRPNM,IBGRPNB)=""
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144 | ... S IBGRPNM=$P($G(IBGRP0),U,3) I $G(IBGRPNM)="" S IBGRPNM="<blank>"
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145 | ... S IBGRPNB=$P($G(IBGRP0),U,4) I $G(IBGRPNB)="" S IBGRPNB="<blank>"
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146 | ... S RPDT=IBGRPNB
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147 | .. I IBGRP6 D
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148 | ... S (IBPPIEN,IBPLNNM,IBPLPCN)=""
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149 | ... S IBPPIEN=$P($G(IBGRP6),U)
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150 | ... S IBPLNNM=$P($G(^IBCNR(366.03,IBPPIEN,0)),U,2)
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151 | ... S IBPLBIN=$P($G(^IBCNR(366.03,IBPPIEN,10)),U,2)
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152 | ... S IBPLPCN=$P($G(^IBCNR(366.03,IBPPIEN,10)),U,3)
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153 | ... S RPDT=$G(RPDT)_U_$G(IBPLNNM)_U_$G(IBPLBIN)_U_$G(IBPLPCN)
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154 | .. E S RPDT=$G(RPDT)_U_U_U
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155 | .. S RPDT=$G(RPDT)_U_$P($G(IBGRP6),U,2,3)
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156 | .. S RPTOT=^XTMP(RTN,IBINS,IBGRP)
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157 | .. S RPTCNT=$P(RPTOT,U),RPTCHG=$P(RPTOT,U,2)
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158 | .. I SRT=1 D Q
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159 | ... S ^TMP("IBCNR",$J,"RPTDATA",SRT,IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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160 | .. I SRT=2 D Q
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161 | ... S ^TMP("IBCNR",$J,"RPTDATA",-$G(RPTCNT),IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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162 | .. I SRT=3 D Q
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163 | ... S ^TMP("IBCNR",$J,"RPTDATA",-$G(RPTCHG),IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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164 | .. I SRT=4 D Q
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165 | ... I '$G(IBGRP6) Q
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166 | ... N OK S OK=1
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167 | ... I $G(IBPLBIN)'="",$P(IBGRP6,U,2)'="",IBPLBIN'=$P(IBGRP6,U,2) S OK=0
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168 | ... I $G(IBPLPCN)'="",$P(IBGRP6,U,3)'="",IBPLPCN'=$P(IBGRP6,U,3) S OK=0
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169 | ... I 'OK S ^TMP("IBCNR",$J,"RPTDATA",SRT,IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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170 | Q
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171 | ;
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172 | DISP ;set up display data
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173 | N CNT,DISP1,DISP2,DISP3,DISP4,DISP5,DISPD,DASHES2
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174 | N IBCNADR,IBCIN11,IBCINST,I
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175 | S DISP1="",CNT=0,$P(DASHES2,"-",80)=""
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176 | F S DISP1=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1)) Q:DISP1="" D
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177 | . S DISP2=""
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178 | . F S DISP2=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2)) Q:DISP2="" D
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179 | .. S DISP3=0
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180 | .. F S DISP3=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3)) Q:DISP3="" D
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181 | ... S DISP4=""
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182 | ... F S DISP4=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3,DISP4)) Q:DISP4="" D
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183 | .... S DISP5=0
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184 | .... F S DISP5=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3,DISP4,DISP5)) Q:DISP5="" D
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185 | ..... S DISPD=$G(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3,DISP4,DISP5))
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186 | ..... ;get insurance addr
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187 | ..... S IBCIN11=$G(^DIC(36,DISP3,.11))
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188 | ..... S IBCINST=$S($P(IBCIN11,U,5)="":"--",1:$P($G(^DIC(5,$P(IBCIN11,U,5),0)),U,2))
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189 | ..... S IBCNADR=$E($P(IBCIN11,U),1,15)_","_$E($P(IBCIN11,U,4),1,10)_","_IBCINST_" "_$E($P(IBCIN11,U,6),1,5)
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190 | ..... S CNT=CNT+1
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191 | ..... ;insurance co and group/plan
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192 | ..... S ^TMP("IBCNR",$J,"DSPDATA",CNT)=$$FO^IBCNEUT1(DISP2,40)_$$FO^IBCNEUT1(IBCNADR,35,"L")
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193 | ..... ;bin; pcn; and pharmacy plan
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194 | ..... S CNT=CNT+1
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195 | ..... S ^TMP("IBCNR",$J,"DSPDATA",CNT)=$$FO^IBCNEUT1(DISP4_"/"_$P(DISPD,U),35,"L")_$$FO^IBCNEUT1(" "_$P(DISPD,U,2),24,"L")_$$FO^IBCNEUT1(" "_$P(DISPD,U,3),10,"L")_$$FO^IBCNEUT1($P(DISPD,U,4),10,"L")
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196 | ..... S I=$$FO^IBCNEUT1("",60)_$$FO^IBCNEUT1($P(DISPD,U,5),10,"L")_$$FO^IBCNEUT1($P(DISPD,U,6),10,"L")
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197 | ..... I $TR(I," ")'="" S CNT=CNT+1,^TMP("IBCNR",$J,"DSPDATA",CNT)=I
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198 | ..... S CNT=CNT+1
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199 | ..... S ^TMP("IBCNR",$J,"DSPDATA",CNT)=$$FO^IBCNEUT1(DASHES2,79,"L")
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200 | ;
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201 | DATAX ; DATA exit pt
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202 | K RPTDATA
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203 | Q
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204 | ;
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