| 1 | RCDPESR2 ;ALB/TMK - Server auto-upd - EDI Lockbox ;06/03/02
|
|---|
| 2 | ;;4.5;Accounts Receivable;**173,216,208,230**;Mar 20, 1995
|
|---|
| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
|
|---|
| 4 | ; IA 4042 (IBCEOB)
|
|---|
| 5 | ;
|
|---|
| 6 | TASKERA(RCTDA) ; Task to upd ERA
|
|---|
| 7 | ; RCTDA = ien 344.5
|
|---|
| 8 | N ZTDTH,ZTUCI,ZTSAVE,ZTIO,ZTDESC,ZTRTN,ZTSK,DIE,DR,DA
|
|---|
| 9 | S (ZTSAVE("DT"),ZTSAVE("U"),ZTSAVE("DUZ"))="",ZTSAVE("ZTREQ")="@",ZTRTN="NEWERA^RCDPESR2("_RCTDA_",0)",ZTDTH=$H,ZTIO=""
|
|---|
| 10 | D ^%ZTLOAD
|
|---|
| 11 | Q
|
|---|
| 12 | ;
|
|---|
| 13 | NEWERA(RCTDA,RCREFILE) ;Tasked
|
|---|
| 14 | ; Add new EOB's to IB & ERA tot rec to AR
|
|---|
| 15 | ; RCTDA = ien 344.5
|
|---|
| 16 | ; RCREFILE = 1: re-filing rec via exc proc
|
|---|
| 17 | N RCDUPERR,RCPAYER,RCRTOT,RCE,RCEC,RCERR,RCR1,RCADJ,DIE,DR,DA,Z,Q
|
|---|
| 18 | S ZTREQ="@"
|
|---|
| 19 | K ^TMP($J,"RCDPERA")
|
|---|
| 20 | L +^RCY(344.5,RCTDA):5
|
|---|
| 21 | I $D(ZTQUEUED) S DIE="^RCY(344.5,",DA=RCTDA,DR=".05////"_ZTSK_";.04////1" D ^DIE
|
|---|
| 22 | I $P($G(^RCY(344.5,RCTDA,0)),U,5),'$G(RCREFILE) S DIE="^RCY(344.5,",DA=RCTDA,DR=".1////4;.08///1" D ^DIE
|
|---|
| 23 | S RCR1=$P($G(^RCY(344.5,RCTDA,0)),U,7),RCPAYER=$P($G(^RCY(344.5,RCTDA,3)),U)
|
|---|
| 24 | S RCRTOT=$S(RCR1:RCR1,1:$$ERATOT^RCDPESR6(RCTDA,.RCERR)) ; ERA rec
|
|---|
| 25 | S RCDUPERR=$S($G(RCERR)="DUP"!($G(RCERR(1))=-2):$G(RCERR(1)),1:0) K RCERR(1)
|
|---|
| 26 | I RCRTOT,'RCR1 S DIE="^RCY(344.5,",DR=".07////"_RCRTOT,DA=RCTDA D ^DIE
|
|---|
| 27 | D:RCDUPERR'=-2 UPDEOB(RCTDA,5,$S('$G(RCREFILE):RCDUPERR,1:-1)) ; Add EOB det to IB
|
|---|
| 28 | I RCRTOT D UPDCON^RCDPESR6(RCRTOT),UPDADJ^RCDPESR6(RCRTOT),UPD3444^RCDPESR6(.RCRTOT) ; Bills added 344.41
|
|---|
| 29 | I RCRTOT,RCTDA S DIE="^RCY(344.5,",DR=".08////0;.1///@",DA=RCTDA D ^DIE
|
|---|
| 30 | I 'RCRTOT D G QNEW
|
|---|
| 31 | .I RCDUPERR Q:'RCTDA D S RCTDA="" Q
|
|---|
| 32 | ..I RCDUPERR=-2 D BULLERA^RCDPESR0("D",RCTDA,$P($G(^RCY(344.5,RCTDA,0)),U,11),"EDI LBOX - DUPLICATE ERA NOT FILED "_$E(RCPAYER,1,20),.RCERR,0)
|
|---|
| 33 | ..D TEMPDEL^RCDPESR1(RCTDA)
|
|---|
| 34 | .S RCE(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" An error occurred while storing ERA data.",RCE(2)="No totals data was stored for this ERA record"_$S('$G(RCREFILE):" and an",1:" on this re-file attempt.")
|
|---|
| 35 | .S RCE(3)=$S('$G(RCREFILE):"ERA transmission exception was created.",1:"")
|
|---|
| 36 | .D WP^DIE(344.5,RCTDA_",",5,"A","RCE")
|
|---|
| 37 | .S DIE="^RCY(344.5,",DA=RCTDA,DR=".07///@;.08////1;.1////1" D ^DIE
|
|---|
| 38 | .K RCERR
|
|---|
| 39 | .S RCERR(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" The ERA data could not be stored. The AR receipt",RCERR(2)=" for this data must be created/processed manually for the bills included"
|
|---|
| 40 | .S RCERR(3)=" in this ERA."_$S('$G(RCREFILE):"",1:" This error occurred during a refile attempt."),RCERR(4)=" "
|
|---|
| 41 | .D BULLERA^RCDPESR0("DF",RCTDA,$P($G(^RCY(344.5,RCTDA,0)),U,11),"EDI LBOX - TOTALS FILE EXCEPTION "_$E(RCPAYER,1,20),.RCERR,0)
|
|---|
| 42 | .K RCERR
|
|---|
| 43 | I $$ADJ^RCDPEU(RCRTOT,.RCADJ) D ;Bulletin adjs
|
|---|
| 44 | .S RCEC=$$ADJERR^RCDPESR3(.RCERR)
|
|---|
| 45 | .I RCADJ'=2 S RCEC=RCEC+1,RCERR(RCEC)=" THERE ARE ERA LEVEL ADJUSTMENT(S)",RCEC=RCEC+1,RCERR(RCEC)=" "
|
|---|
| 46 | .I RCADJ'=1 S RCEC=RCEC+1,RCERR(RCEC)=" THE FOLLOWING BILL(S) HAVE RETRACTIONS:" D
|
|---|
| 47 | ..S (Q,Z)=0 S Z=0 F S Z=$O(RCADJ(RCRTOT,Z)) Q:'Z S:'Q RCEC=RCEC+1,RCERR(RCEC)=" " S Q=Q+1,RCERR(RCEC)=RCERR(RCEC)_" "_RCADJ(RCRTOT,Z) S:Q=4 Q=0
|
|---|
| 48 | ..S RCEC=RCEC+1,RCERR(RCEC)=" "
|
|---|
| 49 | .D BULLERA^RCDPESR0("D",RCTDA,$P($G(^RCY(344.5,RCTDA,0)),U,11),"EDI LBOX - ERA HAS ADJ/TAKEBACKS "_$E(RCPAYER,1,20),.RCERR,0)
|
|---|
| 50 | ;
|
|---|
| 51 | QNEW I RCTDA,'$P($G(^RCY(344.5,RCTDA,0)),U,8) D TEMPDEL^RCDPESR1(RCTDA) S RCTDA=""
|
|---|
| 52 | I RCTDA,$P($G(^RCY(344.5,RCTDA,0)),U)'="" S DIE="^RCY(344.5,",DR=".04////0;.05///@"_$S('$G(RCR1)&$G(RCRTOT):";.07////"_RCRTOT,1:""),DA=RCTDA D ^DIE
|
|---|
| 53 | K ^TMP($J,"RCDPERA")
|
|---|
| 54 | I RCTDA L -^RCY(344.5,RCTDA)
|
|---|
| 55 | Q
|
|---|
| 56 | ;
|
|---|
| 57 | UPDEOB(RCTDA,RCFILE,DUP) ;Upd 361.1 from ERA msg in 344.5 or .4
|
|---|
| 58 | ; RCTDA = ien ERA msg in 344.5 or ;subfile in 344.4
|
|---|
| 59 | ; RCFILE = 4 file 344.4, 5 if 344.5
|
|---|
| 60 | ; DUP = msg # if dup msg, but not same # or -1 if same msg #
|
|---|
| 61 | ;Returned for each bill in ERA:
|
|---|
| 62 | ; ^TMP($J,"RCDPEOB",n)=Bill ien^AR bill#^Service Date
|
|---|
| 63 | ; ^TMP($J,"RCDPEOB",n,"EOB")=EOB ien^amt pd^ins co ptr^reversal flag^pt name on EEOB^amt billed
|
|---|
| 64 | ; ^TMP($J,"RCDPEOB","ADJ",x)=adj rec ('02')
|
|---|
| 65 | ;Also:
|
|---|
| 66 | ; ^TMP($J,"RCDPEOB","HDR")=hdr rec from txmn
|
|---|
| 67 | ; ^TMP($J,"RCDPEOB","CONTACT")=ERA contact rec ('01')
|
|---|
| 68 | ;
|
|---|
| 69 | N RCGBL,RC,RC0,RCCT,RCCT1,RCEOB,RCBILL,RCMNUM,RCIFN,RCIB,RCERR,RCSTAR,RCET,RCX,RCXMG,Z,Q,DA,DR,DIE,RCPAYER,RCFILED,RCEOBD,RCNOUPD,REFORM,RCSD,RCERR1,C5
|
|---|
| 70 | K ^TMP($J,"RCDP-EOB"),^TMP("RCDPERR-EOB",$J)
|
|---|
| 71 | ;
|
|---|
| 72 | S RCPAYER="",RCFILED=1,RCNOUPD=0
|
|---|
| 73 | I RCFILE=5 D
|
|---|
| 74 | .S RCGBL=$NA(^RCY(344.5,RCTDA,2))
|
|---|
| 75 | .S RCMNUM=+$G(^RCY(344.5,RCTDA,0)),RCXMG=$P($G(^(0)),U,11)
|
|---|
| 76 | .I $G(DUP) S RCNOUPD=$S(DUP>0:+DUP,1:RCXMG)
|
|---|
| 77 | .S ^TMP($J,"RCDPEOB","HDR")=$G(^RCY(344.5,RCTDA,2,1,0))
|
|---|
| 78 | .I $P(^TMP($J,"RCDPEOB","HDR"),U)["XFR",'$P($G(^RCY(344.5,RCTDA,0)),U,14) D
|
|---|
| 79 | ..D SENDACK^RCDPESR5(RCTDA,1)
|
|---|
| 80 | ..S DR=".14////1",DIE="^RCY(344.5,",DA=RCTDA D ^DIE
|
|---|
| 81 | ;
|
|---|
| 82 | I RCFILE=4 D
|
|---|
| 83 | .S RCGBL=$NA(^RCY(344.4,+RCTDA,1,+$P(RCTDA,";",2),1))
|
|---|
| 84 | .S RCMNUM=$P($G(^RCY(344.4,+RCTDA,0)),U,12),RCXMG=$P($G(^(0)),U,12)
|
|---|
| 85 | .S ^TMP($J,"RCDPEOB","HDR")=$G(^RCY(344.4,+RCTDA,1,+$P(RCTDA,";",2),1,1,0))
|
|---|
| 86 | ;
|
|---|
| 87 | S RCPAYER=$P($G(^TMP($J,"RCDPEOB","HDR")),U,6)
|
|---|
| 88 | ;
|
|---|
| 89 | ;srv dates
|
|---|
| 90 | S RCSD=$NA(^TMP($J,"RCSRVDT")) K @RCSD
|
|---|
| 91 | S RC=1,C5=0
|
|---|
| 92 | F S RC=$O(@RCGBL@(RC)) Q:'RC S RC0=$G(^(RC,0)) D
|
|---|
| 93 | .I RC0<5 Q
|
|---|
| 94 | .I +RC0=5 S C5=RC Q
|
|---|
| 95 | .I +RC0=40,$P(RC0,U,2)?1.7N,C5,'$D(@RCSD@(C5)) S @RCSD@(C5)=$P(RC0,U,19) ;serv date
|
|---|
| 96 | ;
|
|---|
| 97 | S RC=1,(RCCT,RCCT1,RCX,REFORM)=0,RCBILL=""
|
|---|
| 98 | S RCERR1=$NA(^TMP("RCERR1",$J)) K @RCERR1
|
|---|
| 99 | F S RC=$O(@RCGBL@(RC)) Q:'RC S RC0=$G(^(RC,0)) D
|
|---|
| 100 | .I RCFILE=5,+RC0=1 D Q
|
|---|
| 101 | ..S ^TMP($J,"RCDPEOB","CONTACT")=RC0
|
|---|
| 102 | .;
|
|---|
| 103 | .I RCFILE=5,+RC0=2 D Q
|
|---|
| 104 | ..S RCX=RCX+1,^TMP($J,"RCDPEOB","ADJ",RCX)=RC0
|
|---|
| 105 | .;
|
|---|
| 106 | .I +RC0=5 S RCCT=RCCT+1,RCCT1=0 D
|
|---|
| 107 | ..S REFORM=0
|
|---|
| 108 | ..S Z=$$BILL^RCDPESR1($P(RC0,U,2),$G(@RCSD@(RC)),.RCIB)
|
|---|
| 109 | ..I Z S RCBILL=$P($G(^PRCA(430,Z,0)),U) I RCBILL'="",RCBILL'=$P(RC0,U,2) S REFORM=1,$P(RC0,U,2)=RCBILL
|
|---|
| 110 | ..S RCBILL=$P(RC0,U,2)
|
|---|
| 111 | ..S Z=$S(Z>0:$S($G(RCIB):Z,1:-1),1:-1)
|
|---|
| 112 | ..S ^TMP($J,"RCDP-EOB",RCCT,0)=Z_U_RCBILL_U_$G(@RCSD@(RC))
|
|---|
| 113 | ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,5)=$P(RC0,U,3)_","_$P(RC0,U,4)_" "_$P(RC0,U,5) ;Save pt nm
|
|---|
| 114 | ..I Z>0 S Q=+$P($G(^PRCA(430,Z,0)),U,9) I $P($G(^RCD(340,Q,0)),U)["DIC(36," S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,3)=+^RCD(340,Q,0) ;Save ins co
|
|---|
| 115 | .;
|
|---|
| 116 | .I +RC0>5,REFORM S $P(RC0,U,2)=RCBILL ;
|
|---|
| 117 | .I +RC0=10 D ;Save amt pd/billed, rev flg
|
|---|
| 118 | ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,2)=$S(+$P(RC0,U,11):$J($P(RC0,U,11)/100,"",2),1:0),$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,6)=$J($P(RC0,U,11),"",2)
|
|---|
| 119 | ..I $P(RC0,U,6)="Y"!($P(RC0,U,7)=22) S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,4)=1
|
|---|
| 120 | .I RCBILL=$P(RC0,U,2) S RCCT1=RCCT1+1,^TMP($J,"RCDP-EOB",RCCT,RCCT1,0)=RC0
|
|---|
| 121 | ;
|
|---|
| 122 | S RCSTAR=$TR($J("",15)," ","*"),RCET=RCSTAR_"ERROR/WARNING EEOB DETAIL SEQ #"
|
|---|
| 123 | S RCCT=0 F S RCCT=$O(^TMP($J,"RCDP-EOB",RCCT)) Q:'RCCT S RCIFN=+$G(^(RCCT,0)),RCBILL=$P($G(^(0)),U,2),^TMP($J,"RCDPEOB",RCCT)=$G(^TMP($J,"RCDP-EOB",RCCT,0)) D
|
|---|
| 124 | .S RCEOB=-1,RCEOBD=""
|
|---|
| 125 | .I $S(RCIFN>0:$P(^PRCA(430.3,+$P($G(^PRCA(430,+RCIFN,0)),U,8),0),U,3)'=102,RCIFN'>0&($G(DUP)'>0):1,1:0) D
|
|---|
| 126 | ..S @RCERR1@(RCCT)=" ",@RCERR1@(RCCT,1)=RCET_RCCT_RCSTAR
|
|---|
| 127 | ..S @RCERR1@(RCCT,2)="Bill "_RCBILL_" is"_$S(RCIFN>0:" not in an ACTIVE status in your A/R",1:"n't valid/wasn't found so its detail wasn't stored in IB")
|
|---|
| 128 | ..S:RCFILE=5 @RCERR1@(RCCT,"*")=@RCERR1@(RCCT,2)
|
|---|
| 129 | ..S @RCERR1@(RCCT,3)=" The reported amount paid on this bill was: "_$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,2)
|
|---|
| 130 | ..I RCIFN'>0 D
|
|---|
| 131 | ...S @RCERR1@(RCCT,4)=" If the bill is not for your site, it must be transferred to the"
|
|---|
| 132 | ...S @RCERR1@(RCCT,5)=" correct site and manually adjusted in your AR."
|
|---|
| 133 | ...S @RCERR1@(RCCT,6)=" You can perform this transfer using EDI Lockbox ERA/EEOB exception process."
|
|---|
| 134 | ...S @RCERR1@(RCCT,7)=" "
|
|---|
| 135 | ..D DISP1^RCDPESR5(RCCT,1)
|
|---|
| 136 | ..S Q=0 F S Q=$O(^TMP($J,"RCDP-EOB",RCCT,Q)) Q:'Q S ^TMP($J,"RCDPEOB",RCCT,Q)=$G(^TMP($J,"RCDP-EOB",RCCT,Q,0))
|
|---|
| 137 | ..S ^TMP($J,"RCDPEOB",RCCT)=^TMP($J,"RCDP-EOB",RCCT,0) M ^TMP($J,"RCDPEOB",RCCT,"ERR")=@RCERR1@(RCCT)
|
|---|
| 138 | ..I RCFILE=5 D ;Store err if trans-in failed
|
|---|
| 139 | ...N RCE,RC,DIE,X,Y,DA,DR
|
|---|
| 140 | ...S RCE(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" "_$G(@RCERR1@(RCCT,"*"))
|
|---|
| 141 | ...S RCE(2)=" ",RCFILED=0
|
|---|
| 142 | ...D WP^DIE(344.5,RCTDA_",",5,"A","RCE")
|
|---|
| 143 | .I RCIFN>0 D
|
|---|
| 144 | ..N RCDUPEOB,RCALLDUP
|
|---|
| 145 | ..;Chk rec exists
|
|---|
| 146 | ..S RCDUPEOB=0
|
|---|
| 147 | ..S RCEOB=$$DUP^RCDPESR3(RCMNUM,RCIFN,$P($G(^TMP($J,"RCDPEOB",RCCT,"EOB")),U,2),$P($G(^TMP($J,"RCDPEOB",RCCT,"EOB")),U,6)) ;Same msg for update?
|
|---|
| 148 | ..I RCEOB,$P(RCEOB,U,2) S RCEOB=0 ;If chksum exists, let below check it
|
|---|
| 149 | ..S ^TMP($J,"RCDP-EOB",RCCT,.5,0)="835ERA" ;Needed - checksum
|
|---|
| 150 | ..S RCALLDUP=$$DUP^IBCEOB("^TMP("_$J_",""RCDP-EOB"","_RCCT_")",RCIFN)
|
|---|
| 151 | ..I $S(RCALLDUP:1,RCEOB:$G(DUP)'>0,1:0) D
|
|---|
| 152 | ...S RCDUPEOB=1
|
|---|
| 153 | ...D DUPREC^RCDPESR6(RCET,RCCT,RCSTAR,RCFILE,RCALLDUP,RCEOB,RCBILL,.RCDUPEOB)
|
|---|
| 154 | ...S:RCALLDUP RCEOBD=RCALLDUP
|
|---|
| 155 | ..;Add stub to 361.1
|
|---|
| 156 | ..I 'RCDUPEOB S RCEOB=+$$ADD3611^IBCEOB(RCMNUM,"","",RCIFN,1,"^TMP("_$J_",""RCDP-EOB"","_RCCT_")") ;IA 4042
|
|---|
| 157 | ..K ^TMP($J,"RCDP-EOB",RCCT,.5,0)
|
|---|
| 158 | ..I RCEOB<0 D:$G(DUP)'>0 Q
|
|---|
| 159 | ...S @RCERR1@(RCCT)=" ",^(RCCT,1)=RCET_RCCT_RCSTAR,RCFILED=0
|
|---|
| 160 | ...S @RCERR1@(RCCT,2)="Error - EEOB detail not added to IB for bill "_RCBILL,$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U)=""
|
|---|
| 161 | ...S:RCFILE=5 @RCERR1@(RCCT,"*")=@RCERR1@(RCCT,2)
|
|---|
| 162 | ...D DISP1^RCDPESR5(RCCT,1)
|
|---|
| 163 | ...S Q=0 F S Q=$O(^TMP($J,"RCDP-EOB",RCCT,Q)) Q:'Q S ^TMP($J,"RCDPEOB",RCCT,Q)=$G(^TMP($J,"RCDP-EOB",RCCT,Q,0))
|
|---|
| 164 | ...S ^TMP($J,"RCDPEOB",RCCT)=^TMP($J,"RCDP-EOB",RCCT,0) M ^TMP($J,"RCDPEOB",RCCT,"ERR")=@RCERR1@(RCCT)
|
|---|
| 165 | ..;Upd 361.1, needs ^TMP($J,"RCDPEOB","HDR" and $J,"RCDP-EOB"
|
|---|
| 166 | ..I RCDUPEOB'<0 S RCNOUPD=0 D UPD3611^IBCEOB(RCEOB,RCCT,1)
|
|---|
| 167 | ..;errors in ^TMP("RCDPERR-EOB",$J
|
|---|
| 168 | ..I $O(^TMP("RCDPERR-EOB",$J,0)) D ERRUPD^IBCEOB(RCEOB,"RCDPERR-EOB")
|
|---|
| 169 | ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U)=$S('$G(RCEOBD):RCEOB,1:RCEOBD)
|
|---|
| 170 | .K ^TMP("RCDPERR-EOB",$J)
|
|---|
| 171 | ;
|
|---|
| 172 | I RCNOUPD D DUPERA^RCDPESR3($G(DUP),RCNOUPD)
|
|---|
| 173 | I $O(@RCERR1@("")) D BULLS^RCDPESR3(RCFILE,RCTDA,$S(RCNOUPD:RCNOUPD,1:$G(DUP)),$G(RCXMG))
|
|---|
| 174 | K ^TMP("RCDPERR-EOB",$J),^TMP($J,"RCDP-EOB"),@RCERR1,@RCSD
|
|---|
| 175 | D CLEAN^DILF
|
|---|
| 176 | Q
|
|---|
