1 | IBJTEA ;ALB/ARH-TPI PATIENT ELIGIBLITY SCREEN ;16-FEB-1995
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2 | ;;2.0;INTEGRATED BILLING;**39,153,183**;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 | ; the EL Patient Eligibility screen is based on the Eligibility Inquiry for Patient Billing
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6 | ; [DG PATIENT ELIGIBILITY INQUIRY] display option
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7 | ;
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8 | EN ; -- main entry point for IBJ TP CLAIMS INFO
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9 | D EN^VALM("IBJT PT ELIGIBILITY")
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10 | Q
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11 | ;
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12 | HDR ; -- header code
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13 | D HDR^IBJTU1(+$G(IBIFN),+DFN,1)
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14 | Q
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15 | ;
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16 | INIT ; -- init variables and list array
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17 | K ^TMP("IBJTEA",$J)
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18 | I '$G(DFN) S VALMQUIT="" G INITQ
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19 | I '$G(IBIFN) D PRTCL^IBJU1("IBJT SHORT MENU")
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20 | D BLD
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21 | INITQ Q
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22 | ;
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23 | HELP ; -- help code
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24 | S X="?" D DISP^XQORM1 W !!
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25 | Q
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26 | ;
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27 | EXIT ; -- exit code
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28 | K ^TMP("IBJTEA",$J)
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29 | D CLEAR^VALM1
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30 | Q
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31 | ;
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32 | BLD ; DFN, required, uses Statment From date of the bill if available, DT if not
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33 | I '$G(DFN) G BLDQ
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34 | N IBX,IBY,IBI,IBDU,IBDT,IBDTE,IBLN,IBD,IBT,IBTC,IBTW,IBSW,IBLR,IBGRPB,IBGRPE,IBCNT
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35 | S (IBLN,VALMCNT)=1
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36 | S IBTC(1)=1,IBTW(1)=25,IBSW(1)=23,IBTC(2)=52,IBTW(2)=15,IBSW(2)=11,IBTC(4)=1,IBTW(4)=0,IBSW(4)=38
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37 | ;
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38 | S IBGRPB=IBLN,IBLR=1
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39 | ;
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40 | S IBX=$$LST^DGMTU(DFN)
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41 | S IBT="Means Test: ",IBD=$P(IBX,U,4)
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42 | S IBD=$S('IBX:"Not in Means Test File",IBD="P":"PEN",IBD="C":"YES",IBD="G":"GMT",IBD="R":"REQ",1:"NO")
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43 | S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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44 | S IBT="Date of Test: ",IBD=$$DATE^IBJU1($P(IBX,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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45 | S IBX=$$LST^DGMTU(DFN,"",2)
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46 | S IBT="Co-pay Exemption Test: ",IBD=$P(IBX,U,3) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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47 | S IBT="Date of Test: ",IBD=$$DATE^IBJU1($P(IBX,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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48 | ;
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49 | I +$$BIL^DGMTUB(DFN) S IBT="",IBD="Patient has agreed to pay deductible" S IBLN=$$SET(IBT,IBD,IBLN,4)
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50 | ;
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51 | S IBGRPE=IBLN,IBLN=IBGRPB,IBLR=2
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52 | ;
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53 | S IBT="Insured: ",IBD=$S(+$$INSURED^IBCNS1(DFN):"Yes",1:"No") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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54 | D SVC^VADPT
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55 | S IBT="A/O Exposure: ",IBD=$S(+VASV(2):"Yes",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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56 | S IBT="Rad. Exposure: ",IBD=$S(+VASV(3):"Yes",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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57 | K VASV
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58 | ;
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59 | S (IBLN,VALMCNT)=$S(IBLN>IBGRPE:IBLN,1:IBGRPE)
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60 | S IBTC(5)=1,IBTW(5)=25,IBSW(5)=53,IBLR=5
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61 | S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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62 | ;
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63 | D ELIG^VADPT
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64 | S IBT="Primary Elig. Code: ",IBD=$P(VAEL(1),U,2)_$S(VAEL(8)'="":" -- "_$P(VAEL(8),U,2),1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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65 | I $D(VAEL(1))>1 S IBT="Other Elig. Code(s): ",IBI=0 F S IBI=$O(VAEL(1,IBI)) Q:'IBI D
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66 | . S IBD=$P(VAEL(1,IBI),U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT=""
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67 | S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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68 | ;
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69 | S IBT="Service Connected: ",IBD=$S('VAEL(3):"No",1:$P(VAEL(3),U,2)_"%") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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70 | S IBT="Rated Disabilities: " D
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71 | . I 'VAEL(4) S IBD="Not a Veteran" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) Q
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72 | . I '$O(^DPT(DFN,.372,0)) S IBD="None" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) Q
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73 | . S IBI=0 F S IBI=$O(^DPT(DFN,.372,IBI)) Q:'IBI D
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74 | .. S IBX=$G(^DPT(DFN,.372,IBI,0)),IBY=$G(^DIC(31,+IBX,0))
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75 | .. S IBD=$S($P(IBY,U,4)="":$P(IBY,U,1),1:$P(IBY,U,4))_" ("_$P(IBX,U,2)_"%-"_$S(+$P(IBX,U,3):"SC",1:"NSC")_")"
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76 | .. S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT=""
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77 | K VAEL
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78 | ;
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79 | ; initially requested by a test site, but group decided only rated disablities should be displayed
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80 | ;I $O(^DPT(DFN,.373,0)) D
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81 | ;. ;
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82 | ;. S IBTC(1)=0,IBTW(1)=0,IBSW(1)=79,IBLR=1
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83 | ;. S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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84 | ;. ;
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85 | ;. S IBT="",IBD=" Service Connected Conditions as stated by applicant" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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86 | ;. S IBT="",IBD=" ---------------------------------------------------" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
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87 | ;. ;
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88 | ;. S (IBT,IBD)="",(IBCNT,IBI)=0
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89 | ;. F S IBI=$O(^DPT(DFN,.373,IBI)) Q:'IBI D
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90 | ;.. S IBX=$G(^DPT(DFN,.373,IBI,0)) Q:IBX=""
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91 | ;.. S IBY=$P(IBX,U,1)_" ("_$P(IBX,U,2)_"%)"
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92 | ;.. S IBD=IBD_" "_IBY_$J("",(37-$L(IBY))),IBCNT=IBCNT+1
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93 | ;.. I IBCNT>1 S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBD="",IBCNT=0
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94 | ;. I IBD'="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBD="",IBCNT=0
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95 | ;
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96 | S VALMCNT=IBLN-1
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97 | ;
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98 | BLDQ K VAERR
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99 | Q
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100 | ;
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101 | SET(TTL,DATA,LN,LR) ;
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102 | N IBY
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103 | S IBY=$J(TTL,IBTW(LR))_DATA D SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))
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104 | S LN=LN+1
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105 | Q LN
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106 | ;
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107 | SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data
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108 | N IBX S IBX=$G(^TMP("IBJTEA",$J,LN,0))
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109 | S IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)
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110 | D SET^VALM10(LN,IBX) I $G(RV)'="" D CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)
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111 | Q
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