IBOHLD2 ;ALB/CJM - REPORT OF CHARGES ON HOLD W/INS ;MAR 6,1991 ;;2.0;INTEGRATED BILLING;**70,95,133,153,347**;21-MAR-94;Build 24 REPORT ; N IBQUIT,IBPAGE,IBNOW,IBLINE,IBLINE2,IBCRT,IBBOT,DFN,IBNAME,IBN S IBCRT=0,IBBOT=7,IBQUIT=0 I $E(IOST,1,2)="C-" S IBCRT=1,IBBOT=7 S IBLINE="",$P(IBLINE,"=",86)="||",IBLINE=IBLINE_$E(IBLINE,1,45) S IBLINE2="",$P(IBLINE2,"-",75)="--" D NOW^%DTC S Y=X X ^DD("DD") S IBNOW=Y I IBCRT W @IOF LOOP ; S IBPAGE=1 D HEADER Q:IBQUIT S IBNAME="" F S IBNAME=$O(^TMP($J,"HOLD",IBNAME)) Q:IBNAME=""!(IBQUIT) S DFN=0 F S DFN=$O(^TMP($J,"HOLD",IBNAME,DFN)) Q:'DFN!(IBQUIT) D .D PRNTPAT,PRNTINS W:IBII ?35,IBLINE2,! Q:IBQUIT S IBN=0 F S IBN=$O(^TMP($J,"HOLD",IBNAME,DFN,IBN)) Q:'IBN!(IBQUIT) D ..D PRNTCHG,PRNTBILL:'IBQUIT Q PRNTBILL ; prints bills for a charge N IB,IB0,IBSTAT,IBCHG,IBPD,C,Y,I,IBT D:$Y+IBBOT>IOSL HEADER Q:IBQUIT S IB="" F I=1:1 S IB=$O(^TMP($J,"HOLD",IBNAME,DFN,IBN,IB)) W:'IB&(I<2) ?85,"||",! Q:'IB!(IBQUIT) D .W ?85,"||" .S IB0=$G(^DGCR(399,IB,0)) Q:IB0="" .W ?88,$P(IB0,"^",1) ; bill # .S IBSTAT=$$STA^PRCAFN(IB) .W:+IBSTAT>0 ?97,$E($P(IBSTAT,"^",2),1,14) .S IBT=$J((+^DGCR(399,IB,"U1")-$P(^("U1"),"^",2)),9,2) .W ?112,IBT ; total charges .S IBPD=$$TPR^PRCAFN(IB) S:IBPD<0 IBPD="" S IBPD=$J(IBPD,9,2) W ?123,IBPD,! D:$Y+IBBOT>IOSL HEADER Q PRNTPAT ; prints patient data N VAERR,VADM,IBSSN D DEM^VADPT S:'VAERR IBSSN=VA("BID") ; pt id,brief D:$Y+IBBOT>IOSL HEADER Q:IBQUIT W IBLINE,! W $E(IBNAME,1,20),?22,IBSSN W:IBII ?35,"Insurance Co.",?53,"Subscriber ID",?71,"Group",?88,"Eff Dt",?102,"Exp Dt",! Q PRNTINS ; prints insurance information Q:'$D(DFN)!(IBII=0) N X,IBINS,IBX D ALL^IBCNS1(DFN,"IBINS") D:$Y+IBBOT>IOSL HEADER Q:IBQUIT W IBLINE,! I '$D(IBINS) W ?35,"No Insurance Information" S X=0 F S X=$O(IBINS(X)) Q:'X S IBINS=IBINS(X,0) D .D:$Y+IBBOT>IOSL HEADER Q:IBQUIT .N COV,COVD,COVFN,IBCNT,LEDT,LIM,PLN,SP,X,X1,X2,Z0 Q:'$D(IBINS) .W ?36,$S($D(^DIC(36,+IBINS,0)):$E($P(^(0),"^",1),1,16),1:"UNKNOWN") .W ?54,$E($P(IBINS,"^",2),1,16) .W ?72,$E($$GRP($P(IBINS,"^",18)),1,10) S PLN=$P(IBINS,"^",18) .W ?88,$$DAT1^IBOUTL($P(IBINS,"^",8)),?102,$$DAT1^IBOUTL($P(IBINS,"^",4)) .I PLN="" W !,?38,"* No Group Plan Information for this Patient - Verify Insurance Info!",! Q .W !,?40,"Plan Coverage Effective Date Covered? Limit Comments",! .W ?40,"------------- -------------- -------- --------------",! .S LIM=0 F S LIM=$O(^IBE(355.31,LIM)) Q:'LIM S COV=$P($G(^(LIM,0)),U),IBCNT=0,LEDT="" F S LEDT=$O(^IBA(355.32,"APCD",PLN,LIM,LEDT)) Q:$S(LEDT="":IBCNT,1:0) D Q:LEDT="" ..D:$Y+IBBOT>IOSL HEADER Q:IBQUIT ..S COVFN=+$O(^IBA(355.32,"APCD",PLN,LIM,+LEDT,"")),COVD=$G(^IBA(355.32,+COVFN,0)) ..I COVD="" W ?40,COV,?86,"BY DEFAULT",! Q ..S IBCNT=IBCNT+1 ..S X1=" "_$S(IBCNT=1:COV,1:"") ;Don't duplicate category ..S X2=$$PR(X1,18)_$$PR($$DAT1^IBOUTL($P(LEDT,"-",2)),16)_$$PR($S($P(COVD,U,4):$S($P(COVD,U,4)<2:"YES",$P(COVD,U,4)=2:"CONDITIONAL",1:"UNKNOWN"),1:"NO"),14) ..I '$O(^IBA(355.32,COVFN,2,0)) W ?40,X2,! Q ..S Z0=0 F S Z0=$O(^IBA(355.32,COVFN,2,Z0)) Q:'Z0 S SP="" W ?40,$S(Z0=1:X2_$G(^IBA(355.32,COVFN,2,Z0,0)),1:$$PR(SP,48)_$G(^IBA(355.32,COVFN,2,Z0,0))),! Q GRP(IBCPOL) ; get group name/group policy N X,Y S X="" S X=$G(^IBA(355.3,+$G(IBCPOL),0)) S Y=$S($P(X,"^",4)'="":$P(X,"^",4),1:$P(X,"^",3)) I $P(X,"^",10) S Y="Ind Plan "_Y GRPQ Q Y PR(STR,LEN) ; pad right N B S STR=$E(STR,1,LEN),$P(B," ",LEN-$L(STR))=" " Q STR_$G(B) PRNTCHG ; prints a charge N IBACT,IBTYPE,IBBILL,IBFR,IBTO,IBCHG,IBND,IBND1 N IBRX,IBRXN,IBRF,IBRDT,IBX,IENS S IBND=$G(^IB(IBN,0)) S IBND1=$G(^IB(IBN,1)) S (IBRX,IBRXN,IBRF,IBRDT,IBX)=0 ; action id S IBACT=+IBND ; type S IBTYPE=$P(IBND,"^",3),IBTYPE=$P($G(^IBE(350.1,IBTYPE,0)),"^",1),IBTYPE=$S(IBTYPE["PSO NSC":"RXNSC",IBTYPE["PSO SC":"RX SC",1:$E(IBTYPE,4,7)) ; bill # S IBBILL=$P($P(IBND,"^",11),"-",2) ; rx info I $P(IBND,"^",4)["52:" S IBRXN=$P($P(IBND,"^",4),":",2),IBRX=$P($P(IBND,"^",8),"-"),IBRF=$P($P(IBND,"^",4),":",3) I $P(IBND,"^",4)["52:" D .I +IBRF>0 D ..S IENS=+IBRF ..S IBRDT=$$SUBFILE^IBRXUTL(+IBRXN,+IENS,52,.01) .I +IBRF=0 D ..S IENS=+IBRXN ..S IBRDT=$$FILE^IBRXUTL(+IENS,22) S IBX=$$APPT^IBCU3(IBRDT,DFN) ; from/rx fill date S IBFR=$$DAT1^IBOUTL($S(IBRXN>0:IBRDT,1:$P(IBND,"^",15))) ; to date S IBTO=$$DAT1^IBOUTL($S($P(IBND,"^",15)'="":($P(IBND,"^",15)),1:$P(IBND1,"^",2))) ; charge$ S IBCHG=$J(+$P(IBND,"^",7),9,2) W ?29,IBACT,?39,IBTYPE,?46,IBBILL W:IBRX>0 ?55,"Rx #: "_IBRX_$S(IBRF>0:"("_IBRF_")",1:""),?85,"||",! W:IBX=1 ?54,"*" W ?55,IBFR,?66,IBTO,?75,IBCHG Q HEADER ; writes the report header Q:IBQUIT I IBCRT,$Y>1 D Q:IBQUIT ;F Q:$Y>(IOSL-1) W ! .W ! N T R " Press RETURN to continue",T:DTIME I '$T!(T["^") S IBQUIT=1 Q I IBPAGE>1 W !,@IOF W ?53,"MEANS TEST CHARGES ON HOLD",?110,IBNOW," PAGE ",IBPAGE,!,"HELD CHARGES",?87,"CORRESPONDING THIRD PARTY BILLS",!,IBLINE W !,"Name",?22,"Pt.ID",?29,"Act.ID",?39,"Type",?46,"Bill#",?55,"Fr/Fl Dt",?66,"To/Rls Dt",?78,"Charge",?85,"||",?88,"Bill#",?97,"AR-Status",?115,"Charge",?128,"Paid" W !,IBLINE,! W ?20,"'*' = outpt visit on same day as Rx fill date",?85,"||",!,IBLINE,! S IBPAGE=IBPAGE+1 Q