source: WorldVistAEHR/trunk/r/ACCOUNTS_RECEIVABLE-PRCA-PRY-RC/RCDPESR2.m@ 613

Last change on this file since 613 was 613, checked in by George Lilly, 15 years ago

initial load of WorldVistAEHR
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1RCDPESR2 ;ALB/TMK - Server auto-upd - EDI Lockbox ;06/03/02
2 ;;4.5;Accounts Receivable;**173,216,208,230,252**;Mar 20, 1995;Build 63
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ; IA 4042 (IBCEOB)
5 ;
6TASKERA(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=$H,ZTIO=""
10 D ^%ZTLOAD
11 Q
12 ;
13NEWERA(RCTDA,RCREFILE) ;Tasked
14 ; Add new EOB's to IB & ERA tot rec to AR
15 ; RCTDA = ien 344.5
16 ; RCREFILE = 1: re-filing rec via exc proc
17 N RCDUPERR,RCPAYER,RCRTOT,RCE,RCEC,RCERR,RCR1,RCADJ,DIE,DR,DA,Z,Q
18 S ZTREQ="@"
19 K ^TMP($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 ;
51QNEW 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 ;
57UPDEOB(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#^SrvDt
63 ;^TMP($J,"RCDPEOB",n,"EOB")=EOB ien^amt pd^ins co ptr^rev flg^EEOB pn^amtbld^^^^BPNPI^RNPI^ETQual^LN^FN
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,RCDPBNPI,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 S RCDPBNPI=$P($G(^TMP($J,"RCDPEOB","HDR")),U,18)
89 ;
90 ;srv dates
91 S RCSD=$NA(^TMP($J,"RCSRVDT")) K @RCSD
92 S RC=1,C5=0
93 F S RC=$O(@RCGBL@(RC)) Q:'RC S RC0=$G(^(RC,0)) D
94 .I RC0<5 Q
95 .I +RC0=5 S C5=RC Q
96 .I +RC0=40,$P(RC0,U,2)?1.7N,C5,'$D(@RCSD@(C5)) S @RCSD@(C5)=$P(RC0,U,19) ;serv date
97 ;
98 S RC=1,(RCCT,RCCT1,RCX,REFORM)=0,RCBILL=""
99 S RCERR1=$NA(^TMP("RCERR1",$J)) K @RCERR1
100 F S RC=$O(@RCGBL@(RC)) Q:'RC S RC0=$G(^(RC,0)) D
101 .I RCFILE=5,+RC0=1 D Q
102 ..S ^TMP($J,"RCDPEOB","CONTACT")=RC0
103 .;
104 .I RCFILE=5,+RC0=2 D Q
105 ..S RCX=RCX+1,^TMP($J,"RCDPEOB","ADJ",RCX)=RC0
106 .;
107 .I +RC0=5 S RCCT=RCCT+1,RCCT1=0 D
108 ..S REFORM=0
109 ..S Z=$$BILL^RCDPESR1($P(RC0,U,2),$G(@RCSD@(RC)),.RCIB)
110 ..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
111 ..S RCBILL=$P(RC0,U,2)
112 ..S Z=$S(Z>0:$S($G(RCIB):Z,1:-1),1:-1)
113 ..S ^TMP($J,"RCDP-EOB",RCCT,0)=Z_U_RCBILL_U_$G(@RCSD@(RC))
114 ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,5)=$P(RC0,U,3)_","_$P(RC0,U,4)_" "_$P(RC0,U,5) ;Save pt nm
115 ..I Z>0 S Q=+$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
116 .;
117 .I +RC0>5,REFORM S $P(RC0,U,2)=RCBILL ;
118 .I +RC0=10 D ;Save amt pd/billed, rev flg
119 ..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)
120 ..I $P(RC0,U,6)="Y"!($P(RC0,U,7)=22) S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,4)=1
121 ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,10,14)=RCDPBNPI_U_$P(RC0,U,16,19)
122 .I RCBILL=$P(RC0,U,2) S RCCT1=RCCT1+1,^TMP($J,"RCDP-EOB",RCCT,RCCT1,0)=RC0
123 ;
124 S RCSTAR=$TR($J("",15)," ","*"),RCET=RCSTAR_"ERROR/WARNING EEOB DETAIL SEQ #"
125 S RCCT=0 F S RCCT=$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
126 .S RCEOB=-1,RCEOBD=""
127 .I $S(RCIFN>0:$P(^PRCA(430.3,+$P($G(^PRCA(430,+RCIFN,0)),U,8),0),U,3)'=102,RCIFN'>0&($G(DUP)'>0):1,1:0) D
128 ..S @RCERR1@(RCCT)=" ",@RCERR1@(RCCT,1)=RCET_RCCT_RCSTAR
129 ..S @RCERR1@(RCCT,2)="Bill "_RCBILL_" is"_$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")
130 ..S:RCFILE=5 @RCERR1@(RCCT,"*")=@RCERR1@(RCCT,2)
131 ..S @RCERR1@(RCCT,3)=" The reported amount paid on this bill was: "_$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,2)
132 ..I RCIFN'>0 D
133 ...S @RCERR1@(RCCT,4)=" If the bill is not for your site, it must be transferred to the"
134 ...S @RCERR1@(RCCT,5)=" correct site and manually adjusted in your AR."
135 ...S @RCERR1@(RCCT,6)=" You can perform this transfer using EDI Lockbox ERA/EEOB exception process."
136 ...S @RCERR1@(RCCT,7)=" "
137 ..D DISP1^RCDPESR5(RCCT,1)
138 ..S Q=0 F S Q=$O(^TMP($J,"RCDP-EOB",RCCT,Q)) Q:'Q S ^TMP($J,"RCDPEOB",RCCT,Q)=$G(^TMP($J,"RCDP-EOB",RCCT,Q,0))
139 ..S ^TMP($J,"RCDPEOB",RCCT)=^TMP($J,"RCDP-EOB",RCCT,0) M ^TMP($J,"RCDPEOB",RCCT,"ERR")=@RCERR1@(RCCT)
140 ..I RCFILE=5 D ;Store err if trans-in failed
141 ...N RCE,RC,DIE,X,Y,DA,DR
142 ...S RCE(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" "_$G(@RCERR1@(RCCT,"*"))
143 ...S RCE(2)=" ",RCFILED=0
144 ...D WP^DIE(344.5,RCTDA_",",5,"A","RCE")
145 .I RCIFN>0 D
146 ..N RCDUPEOB,RCALLDUP
147 ..;Chk rec exists
148 ..S RCDUPEOB=0
149 ..S RCEOB=$$DUP^RCDPESR3(RCMNUM,RCIFN,$P($G(^TMP($J,"RCDPEOB",RCCT,"EOB")),U,2),$P($G(^TMP($J,"RCDPEOB",RCCT,"EOB")),U,6)) ;Same msg for update?
150 ..I RCEOB,$P(RCEOB,U,2) S RCEOB=0 ;If chksum exists, let below check it
151 ..S ^TMP($J,"RCDP-EOB",RCCT,.5,0)="835ERA" ;Needed - checksum
152 ..S RCALLDUP=$$DUP^IBCEOB("^TMP("_$J_",""RCDP-EOB"","_RCCT_")",RCIFN)
153 ..I $S(RCALLDUP:1,RCEOB:$G(DUP)'>0,1:0) D
154 ...S RCDUPEOB=1
155 ...D DUPREC^RCDPESR6(RCET,RCCT,RCSTAR,RCFILE,RCALLDUP,RCEOB,RCBILL,.RCDUPEOB)
156 ...S:RCALLDUP RCEOBD=RCALLDUP
157 ..;Add stub to 361.1
158 ..I 'RCDUPEOB S RCEOB=+$$ADD3611^IBCEOB(RCMNUM,"","",RCIFN,1,"^TMP("_$J_",""RCDP-EOB"","_RCCT_")") ;IA 4042
159 ..K ^TMP($J,"RCDP-EOB",RCCT,.5,0)
160 ..I RCEOB<0 D:$G(DUP)'>0 Q
161 ...S @RCERR1@(RCCT)=" ",^(RCCT,1)=RCET_RCCT_RCSTAR,RCFILED=0
162 ...S @RCERR1@(RCCT,2)="Error - EEOB detail not added to IB for bill "_RCBILL,$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U)=""
163 ...S:RCFILE=5 @RCERR1@(RCCT,"*")=@RCERR1@(RCCT,2)
164 ...D DISP1^RCDPESR5(RCCT,1)
165 ...S Q=0 F S Q=$O(^TMP($J,"RCDP-EOB",RCCT,Q)) Q:'Q S ^TMP($J,"RCDPEOB",RCCT,Q)=$G(^TMP($J,"RCDP-EOB",RCCT,Q,0))
166 ...S ^TMP($J,"RCDPEOB",RCCT)=^TMP($J,"RCDP-EOB",RCCT,0) M ^TMP($J,"RCDPEOB",RCCT,"ERR")=@RCERR1@(RCCT)
167 ..;Upd 361.1, needs ^TMP($J,"RCDPEOB","HDR" and $J,"RCDP-EOB"
168 ..I RCDUPEOB'<0 S RCNOUPD=0 D UPD3611^IBCEOB(RCEOB,RCCT,1)
169 ..;errors in ^TMP("RCDPERR-EOB",$J
170 ..I $O(^TMP("RCDPERR-EOB",$J,0)) D ERRUPD^IBCEOB(RCEOB,"RCDPERR-EOB")
171 ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U)=$S('$G(RCEOBD):RCEOB,1:RCEOBD)
172 .K ^TMP("RCDPERR-EOB",$J)
173 ;
174 I RCNOUPD D DUPERA^RCDPESR3($G(DUP),RCNOUPD)
175 I $O(@RCERR1@("")) D BULLS^RCDPESR3(RCFILE,RCTDA,$S(RCNOUPD:RCNOUPD,1:$G(DUP)),$G(RCXMG))
176 K ^TMP("RCDPERR-EOB",$J),^TMP($J,"RCDP-EOB"),@RCERR1,@RCSD
177 D CLEAN^DILF
178 Q
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