| 1 | PRCATP5 ; GENERATED FROM 'PRCA 3RD PROFILE' PRINT TEMPLATE (#386) ; 06/27/96 ; (FILE 430, MARGIN=80)
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| 2 | G BEGIN
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| 3 | N W !
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| 4 | T W:$X ! I '$D(DIOT(2)),DN,$D(IOSL),$S('$D(DIWF):1,$P(DIWF,"B",2):$P(DIWF,"B",2),1:1)+$Y'<IOSL,$D(^UTILITY($J,1))#2,^(1)?1U1P1E.E X ^(1)
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| 5 | S DISTP=DISTP+1,DILCT=DILCT+1 D:'(DISTP#100) CSTP^DIO2
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| 6 | Q
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| 7 | DT I $G(DUZ("LANG"))>1,Y W $$OUT^DIALOGU(Y,"DD") Q
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| 8 | I Y W $P("JAN^FEB^MAR^APR^MAY^JUN^JUL^AUG^SEP^OCT^NOV^DEC",U,$E(Y,4,5))_" " W:Y#100 $J(Y#100\1,2)_"," W Y\10000+1700 W:Y#1 " "_$E(Y_0,9,10)_":"_$E(Y_"000",11,12) Q
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| 9 | W Y Q
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| 10 | M D @DIXX
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| 11 | Q
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| 12 | BEGIN ;
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| 13 | S:'$D(DN) DN=1 S DISTP=$G(DISTP),DILCT=$G(DILCT)
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| 14 | I $D(DXS)<9 F X=0:0 S X=$O(^DIPT(386,"DXS",X)) Q:'X S Y=$O(^(X,"")) F X=X:0 Q:Y="" S DXS(X,Y)=^(Y),Y=$O(^(Y))
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| 15 | W ?0 S %=$P($H,",",2),X=DT_(%\60#60/100+(%\3600)+(%#60/10000)/100) S Y=X K DIP K:DN Y S Y=X D DT
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| 16 | W ?20 W " 3RD PARTY ACCOUNTS RECEIVABLE PROFILE"
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| 17 | D N:$X>0 Q:'DN W ?0 S X="=",DIP(1)=X S X=75,X1=DIP(1) S %=X,X="" Q:X1="" S $P(X,X1,%\$L(X1)+1)=X1,X=$E(X,1,%) K DIP K:DN Y W X
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| 18 | D N:$X>0 Q:'DN W ?0 W "PATIENT NAME: "
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| 19 | S X=$G(^PRCA(430,D0,0)) S Y=$P(X,U,7) S Y=$S(Y="":Y,$D(^DPT(Y,0))#2:$P(^(0),U,1),1:Y) W $E(Y,1,30)
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| 20 | D N:$X>39 Q:'DN W ?39 W "BILL #: "
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| 21 | W ?0,$E($P(X,U,1),1,30)
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| 22 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W "CURRENT STATUS: "
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| 23 | S Y=$P(X,U,8) S Y=$S(Y="":Y,$D(^PRCA(430.3,Y,0))#2:$P(^(0),U,1),1:Y) W $E(Y,1,30)
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| 24 | D N:$X>39 Q:'DN W ?39 W "CATEGORY: "
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| 25 | S Y=$P(X,U,2) S Y=$S(Y="":Y,$D(^PRCA(430.2,Y,0))#2:$P(^(0),U,1),1:Y) W $E(Y,1,30)
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| 26 | D N:$X>0 Q:'DN W ?0 W "CP: "
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| 27 | S X=$G(^PRCA(430,D0,11)) W ?0,$E($P(X,U,1),1,15)
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| 28 | D N:$X>39 Q:'DN W ?39 W "FUND (APPROPRIATION): "
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| 29 | W ?0,$E($P(X,U,17),1,6)
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| 30 | D N:$X>39 Q:'DN W ?39 W "DATE BILL PREPARED: "
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| 31 | S X=$G(^PRCA(430,D0,0)) S Y=$P(X,U,10) D DT
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| 32 | D N:$X>39 Q:'DN W ?39 W "TYPE OF CARE: "
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| 33 | W ?55 S X=D0 D ^DGCRAMS W ?59,$S(Y=-1:"","^249^293^"[("^"_Y_"^"):"OUTPATIENT",1:"INPATIENT") K DIP K:DN Y
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| 34 | D N:$X>39 Q:'DN W ?39 W "DATES OF SERVICE: "
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| 35 | W ?59 S X=$$SVDT^PRCADR(D0) W:+X $$FMTE^XLFDT($P(X,U,3))_" -",!,?59,$$FMTE^XLFDT($P(X,U,4)) K DIP K:DN Y
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| 36 | W ?70 D EN1^PRCADR1 K DIP K:DN Y
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| 37 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W "3RD PARTY: "
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| 38 | S X=$G(^PRCA(430,D0,0)) D N:$X>12 Q:'DN W ?12 S Y=$P(X,U,9) S C=$P(^DD(430,9,0),U,2) D Y^DIQ:Y S C="," W $E(Y,1,27)
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| 39 | W ?41 D EN4^PRCADR K DIP K:DN Y
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| 40 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W "INSURED'S NAME"
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| 41 | D N:$X>25 Q:'DN W ?25 W "S"
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| 42 | D N:$X>28 Q:'DN W ?28 W "ID NO."
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| 43 | D N:$X>45 Q:'DN W ?45 W "GROUP NAME"
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| 44 | D N:$X>60 Q:'DN W ?60 W "GROUP NO."
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| 45 | S X=$G(^PRCA(430,D0,202)) D N:$X>1 Q:'DN W ?1,$E($P(X,U,1),1,30)
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| 46 | D N:$X>25 Q:'DN W ?25 S DIP(1)=$S($D(^PRCA(430,D0,202)):^(202),1:"") S X=$P(DIP(1),U,2),X=X K DIP K:DN Y W X
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| 47 | S X=$G(^PRCA(430,D0,202)) D N:$X>28 Q:'DN W ?28,$E($P(X,U,4),1,20)
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| 48 | D N:$X>45 Q:'DN W ?45,$E($P(X,U,5),1,20)
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| 49 | D N:$X>60 Q:'DN W ?60,$E($P(X,U,6),1,10)
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| 50 | D T Q:'DN W ?2 D EN5^PRCADR Q:$D(PRCA("HALT")) W "" K DIP K:DN Y
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| 51 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W "EMPLOYER NAME"
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| 52 | D N:$X>28 Q:'DN W ?28 W "EMPLOYEE ID"
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| 53 | D N:$X>44 Q:'DN W ?44 W "EMPLOYER LOCATION"
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| 54 | S X=$G(^PRCA(430,D0,202)) D N:$X>1 Q:'DN W ?1,$E($P(X,U,9),1,30)
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| 55 | D N:$X>28 Q:'DN W ?28,$E($P(X,U,10),1,11)
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| 56 | D T Q:'DN W ?44,$E($P(X,U,11),1,40)
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| 57 | D N:$X>0 Q:'DN W ?0 W "SECONDARY INSURANCE COMPANY: "
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| 58 | S X=$G(^PRCA(430,D0,0)) W ?31 S Y=$P(X,U,19) S Y=$S(Y="":Y,$D(^DIC(36,Y,0))#2:$P(^(0),U,1),1:Y) W $E(Y,1,30)
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| 59 | D N:$X>0 Q:'DN W ?0 W "TERTIARY INSUANCE COMPANY: "
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| 60 | W ?29 S Y=$P(X,U,20) S Y=$S(Y="":Y,$D(^DIC(36,Y,0))#2:$P(^(0),U,1),1:Y) W $E(Y,1,30)
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| 61 | W ?61 D EN3^PRCADR K DIP K:DN Y
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| 62 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W "TRANSACTIONS: "
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| 63 | W ?16 D EN2^PRCADR K DIP K:DN Y
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| 64 | W ?27 Q:$D(PRCA("HALT")) W "" K DIP K:DN Y
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| 65 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W "BILL RESULTING FROM: "
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| 66 | W ?23 X DXS(1,9) K DIP K:DN Y
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| 67 | W ?34 D PRCOMM^PRCAUT3 K DIP K:DN Y
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| 68 | W ?45 Q:'$D(PRCA("WROFF")) W "" K DIP K:DN Y
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| 69 | W ?56 K DXS S D0=PRCA("WROFF") D ^PRCATW1 K DXS K DIP K:DN Y
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| 70 | K Y
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| 71 | Q
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| 72 | HEAD ;
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| 73 | W !,"--------------------------------------------------------------------------------",!!
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