source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSM31.m@ 1757

Last change on this file since 1757 was 628, checked in by George Lilly, 15 years ago

initial load of FOIAVistA 6/30/08 version

File size: 4.1 KB
Line 
1IBCNSM31 ;ALB/AAS - INSURANCE MANAGEMENT - OUTPUTS ; 28-MAY-93
2 ;;Version 2.0 ; INTEGRATED BILLING ;**6,28,68**; 21-MAR-94
3 ;;Per VHA Directive 10-93-142, this routine should not be modified.
4 ;
5% G EN^IBCNSM
6 ;
7EA ; -- Edit all insurance policy data
8 N IBDIF,I,J,IBXX,IBCDFN,IBTRC,VALMY
9 D EN^VALM2($G(XQORNOD(0)))
10 D FULL^VALM1
11 I $D(VALMY) S IBXX=0 F S IBXX=$O(VALMY(IBXX)) Q:'IBXX D ;W !,"Entry ",X,"Selected" D
12 .S IBPPOL=$G(^TMP("IBNSMDX",$J,$O(^TMP("IBNSM",$J,"IDX",IBXX,0))))
13 .Q:IBPPOL=""
14 .S IBCDFN=$P($G(IBPPOL),"^",4) I 'IBCDFN W !!,"Can't identify the policy!" Q
15 .; -- edit patient data
16 .N IBQUIT S IBQUIT=0
17 .S IBCNSEH=$P($G(^IBE(350.9,1,4)),"^",1) D PAT^IBCNSEH
18 .D BEFORE^IBCNSEVT
19 .D PATPOL^IBCNSM32(IBCDFN)
20 .D AFTER^IBCNSEVT,^IBCNSEVT
21 .; -- edit policy data
22 .D:'$G(IBQUIT) POL^IBCNSEH,EDPOL^IBCNSM3(IBCDFN)
23 .W ! D AI^IBCNSP1 D:$G(IBTRC) AIP^IBCNSP02(IBTRC)
24 .Q
25 ;
26EAQ D BLD^IBCNSM
27 S VALMBCK="R"
28 Q
29 ;
30LK(IBCNS) ; -- screened look up to policy file
31 ; input: IBCNS = pointer to insurance company file (36)
32 ;
33 N DIC,IBX,DIR,DUOUT,DTOUT,DIROUT,DIRUT,X,Y,IBCPOL
34 S IBCPOL=""
35 I $G(IBCNS)="" G LKQ
36 ;
37 I '$$ANYGP^IBCNSJ(IBCNS) W !!,"This company does not offer any active group plans." G LKQ
38 ;
39 S DIR(0)="Y",DIR("A")="This company offers active group plans. Do you wish to select one"
40 S DIR("?")="The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'YES' if you wish to select a plan from this look-up, or 'NO' to add your own plan."
41 D ^DIR K DIR I 'Y G LKQ
42 ;
43 S DIR(0)="Y",DIR("B")="YES",DIR("A")="Do you wish to directly enter this plan"
44 S DIR("?")="The look-up facility to select an active group plan has been enhanced to use the List Manager. Enter 'NO' if you wish to select a plan from this look-up, or 'YES' to directly enter the plan."
45 D ^DIR K DIR I $D(DIRUT) G LKQ
46 ;
47 I 'Y D LKP^IBCNSU2(IBCNS,0,0,.IBCPOL,$G(IBALR)) G LKQ
48 ;
49 S DIC("A")="Select an Active GROUP PLAN: "
50 S DIC="^IBA(355.3,",DIC(0)="AEQM",DIC("S")="I +^(0)=IBCNS,$P(^(0),U,2),'$P(^(0),U,11),$G(IBALR)'=+Y"
51 S DIC("W")="N IBX S IBX=$G(^(0)) W "" Name: "",$E($S($P(IBX,U,3)]"""":$P(IBX,U,3),1:""<none>"")_$J("""",20),1,20),"" Number: "",$S($P(IBX,U,4)]"""":$P(IBX,U,4),1:""<none>"")"
52 D ^DIC K DIC I +Y>0 S IBCPOL=+Y
53 ;
54 ; -- see if only one policy
55 ;I '$O(^IBA(355.3,"B",+IBCNS,IBX) D G LKQ
56 ;
57 ; -- is more than one plan to choose from, let fileman do it.
58 ;S DIC("A")="Select GROUP INSURANCE PLAN: "
59 ;
60 ;S DIC="^IBA(355.3,",DIC(0)="AEQM",DIC("S")="I $P(^(0),U)=IBCNS,($P(^(0),U,2)=1!($P(^(0),U,10)=$G(DFN)))"
61 ;
62 ;D ^DIC K DIC I +Y>0 S IBCPOL=+Y
63 ;
64LKQ Q IBCPOL
65 ;
66FUTURE ; -- if expiration date in future give warning
67 I $G(IBFUTUR) K IBFUTUR Q
68 I $P(^DPT(DFN,.312,IBCDFN,0),"^",4),$P(^(0),"^",4)>DT W !!,*7,"WARNING: The expiration date for this policy is in the future!",!," Normally this is a past date or left blank or a past date",! S Y="@333"
69 S IBFUTUR=1
70 Q
71 ;
72COVERED(DFN,IBCOVP) ; -- update covered by insurance in background
73 ; -- input ibcovp = the covered by insurance field prior to editing
74 ; (add/edit/delete) of the 2.312 insurance type mult.
75 ;
76 Q:$G(DFN)<1
77 N X,Y,I,IBCOV,IBNCOV,DA,DR,DIE,DIC,IBINS,IBINSD
78 S (IBCOV,IBNCOV)=$P($G(^DPT(DFN,.31)),"^",11)
79 D ALL^IBCNS1(DFN,"IBINS",2,DT) S IBINSD=+$G(IBINS(0))
80 ;
81 ; -- initial value ="" or Unknown
82 I $G(IBCOVP)=""!($G(IBCOVP)="U") S IBNCOV=$S('$O(^DPT(DFN,.312,0)):"U",IBINSD:"Y",1:"N")
83 ;
84 ; -- initial value = YES or NO (treat the same)
85 I $G(IBCOVP)="Y"!($G(IBCOVP)="N") S IBNCOV=$S('$O(^DPT(DFN,.312,0)):"N",IBINSD:"Y",1:"N")
86 ;
87 ;
88 I IBCOV'=IBNCOV D
89 .S DIE="^DPT(",DR=".3192////"_IBNCOV,DA=DFN D ^DIE
90 .I '$D(ZTQUEUED) W !!,"COVERED BY HEALTH INSURANCE changed to '"_$S(IBNCOV="Y":"YES",IBNCOV="N":"NO",1:"UNKNOWN"),"'.",!
91 .H 3
92 .Q
93 Q
94 ;
953 ; -- display group name as uneditable
96 ; called by die, expects da = entry in 355.3
97 N X
98 S X=$P($G(^IBA(355.3,DA,0)),"^",3)
99 W !,"GROUP NAME: ",X,$S(X'="":"// ",1:"")," (No Editing)"
100 Q
101 ;
1024 ; -- display group number as uneditable
103 ; called by die, expects da = entry in 355.3
104 N X
105 S X=$P($G(^IBA(355.3,DA,0)),"^",4)
106 W !,"GROUP NUMBER: ",X,$S(X'="":"// ",1:"")," (No Editing)"
107 Q
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