RCDPESR2 ;ALB/TMK - Server auto-upd - EDI Lockbox ;06/03/02 ;;4.5;Accounts Receivable;**173,216,208,230,252**;Mar 20, 1995;Build 63 ;;Per VHA Directive 2004-038, this routine should not be modified. ; IA 4042 (IBCEOB) ; TASKERA(RCTDA) ; Task to upd ERA ; RCTDA = ien 344.5 N ZTDTH,ZTUCI,ZTSAVE,ZTIO,ZTDESC,ZTRTN,ZTSK,DIE,DR,DA S (ZTSAVE("DT"),ZTSAVE("U"),ZTSAVE("DUZ"))="",ZTSAVE("ZTREQ")="@",ZTRTN="NEWERA^RCDPESR2("_RCTDA_",0)",ZTDTH=$H,ZTIO="" D ^%ZTLOAD Q ; NEWERA(RCTDA,RCREFILE) ;Tasked ; Add new EOB's to IB & ERA tot rec to AR ; RCTDA = ien 344.5 ; RCREFILE = 1: re-filing rec via exc proc N RCDUPERR,RCPAYER,RCRTOT,RCE,RCEC,RCERR,RCR1,RCADJ,DIE,DR,DA,Z,Q S ZTREQ="@" K ^TMP($J,"RCDPERA") L +^RCY(344.5,RCTDA):5 I $D(ZTQUEUED) S DIE="^RCY(344.5,",DA=RCTDA,DR=".05////"_ZTSK_";.04////1" D ^DIE I $P($G(^RCY(344.5,RCTDA,0)),U,5),'$G(RCREFILE) S DIE="^RCY(344.5,",DA=RCTDA,DR=".1////4;.08///1" D ^DIE S RCR1=$P($G(^RCY(344.5,RCTDA,0)),U,7),RCPAYER=$P($G(^RCY(344.5,RCTDA,3)),U) S RCRTOT=$S(RCR1:RCR1,1:$$ERATOT^RCDPESR6(RCTDA,.RCERR)) ; ERA rec S RCDUPERR=$S($G(RCERR)="DUP"!($G(RCERR(1))=-2):$G(RCERR(1)),1:0) K RCERR(1) I RCRTOT,'RCR1 S DIE="^RCY(344.5,",DR=".07////"_RCRTOT,DA=RCTDA D ^DIE D:RCDUPERR'=-2 UPDEOB(RCTDA,5,$S('$G(RCREFILE):RCDUPERR,1:-1)) ; Add EOB det to IB I RCRTOT D UPDCON^RCDPESR6(RCRTOT),UPDADJ^RCDPESR6(RCRTOT),UPD3444^RCDPESR6(.RCRTOT) ; Bills added 344.41 I RCRTOT,RCTDA S DIE="^RCY(344.5,",DR=".08////0;.1///@",DA=RCTDA D ^DIE I 'RCRTOT D G QNEW .I RCDUPERR Q:'RCTDA D S RCTDA="" Q ..I RCDUPERR=-2 D BULLERA^RCDPESR0("D",RCTDA,$P($G(^RCY(344.5,RCTDA,0)),U,11),"EDI LBOX - DUPLICATE ERA NOT FILED "_$E(RCPAYER,1,20),.RCERR,0) ..D TEMPDEL^RCDPESR1(RCTDA) .S RCE(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" An error occurred while storing ERA data.",RCE(2)="No totals data was stored for this ERA record"_$S('$G(RCREFILE):" and an",1:" on this re-file attempt.") .S RCE(3)=$S('$G(RCREFILE):"ERA transmission exception was created.",1:"") .D WP^DIE(344.5,RCTDA_",",5,"A","RCE") .S DIE="^RCY(344.5,",DA=RCTDA,DR=".07///@;.08////1;.1////1" D ^DIE .K RCERR .S RCERR(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" The ERA data could not be stored. The AR receipt",RCERR(2)=" for this data must be created/processed manually for the bills included" .S RCERR(3)=" in this ERA."_$S('$G(RCREFILE):"",1:" This error occurred during a refile attempt."),RCERR(4)=" " .D BULLERA^RCDPESR0("DF",RCTDA,$P($G(^RCY(344.5,RCTDA,0)),U,11),"EDI LBOX - TOTALS FILE EXCEPTION "_$E(RCPAYER,1,20),.RCERR,0) .K RCERR I $$ADJ^RCDPEU(RCRTOT,.RCADJ) D ;Bulletin adjs .S RCEC=$$ADJERR^RCDPESR3(.RCERR) .I RCADJ'=2 S RCEC=RCEC+1,RCERR(RCEC)=" THERE ARE ERA LEVEL ADJUSTMENT(S)",RCEC=RCEC+1,RCERR(RCEC)=" " .I RCADJ'=1 S RCEC=RCEC+1,RCERR(RCEC)=" THE FOLLOWING BILL(S) HAVE RETRACTIONS:" D ..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 ..S RCEC=RCEC+1,RCERR(RCEC)=" " .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) ; QNEW I RCTDA,'$P($G(^RCY(344.5,RCTDA,0)),U,8) D TEMPDEL^RCDPESR1(RCTDA) S RCTDA="" 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 K ^TMP($J,"RCDPERA") I RCTDA L -^RCY(344.5,RCTDA) Q ; UPDEOB(RCTDA,RCFILE,DUP) ;Upd 361.1 from ERA msg in 344.5 or .4 ;RCTDA = ien ERA msg in 344.5 or ;subfile in 344.4 ;RCFILE = 4 file 344.4, 5 if 344.5 ;DUP = msg # if dup msg, but not same # or -1 if same msg # ;Returned for each bill in ERA: ;^TMP($J,"RCDPEOB",n)=Bill ien^AR bill#^SrvDt ;^TMP($J,"RCDPEOB",n,"EOB")=EOB ien^amt pd^ins co ptr^rev flg^EEOB pn^amtbld^^^^BPNPI^RNPI^ETQual^LN^FN ;^TMP($J,"RCDPEOB","ADJ",x)=adj rec ('02') ;Also: ;^TMP($J,"RCDPEOB","HDR")=hdr rec from txmn ;^TMP($J,"RCDPEOB","CONTACT")=ERA contact rec ('01') ; 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 K ^TMP($J,"RCDP-EOB"),^TMP("RCDPERR-EOB",$J) ; S RCPAYER="",RCFILED=1,RCNOUPD=0 I RCFILE=5 D .S RCGBL=$NA(^RCY(344.5,RCTDA,2)) .S RCMNUM=+$G(^RCY(344.5,RCTDA,0)),RCXMG=$P($G(^(0)),U,11) .I $G(DUP) S RCNOUPD=$S(DUP>0:+DUP,1:RCXMG) .S ^TMP($J,"RCDPEOB","HDR")=$G(^RCY(344.5,RCTDA,2,1,0)) .I $P(^TMP($J,"RCDPEOB","HDR"),U)["XFR",'$P($G(^RCY(344.5,RCTDA,0)),U,14) D ..D SENDACK^RCDPESR5(RCTDA,1) ..S DR=".14////1",DIE="^RCY(344.5,",DA=RCTDA D ^DIE ; I RCFILE=4 D .S RCGBL=$NA(^RCY(344.4,+RCTDA,1,+$P(RCTDA,";",2),1)) .S RCMNUM=$P($G(^RCY(344.4,+RCTDA,0)),U,12),RCXMG=$P($G(^(0)),U,12) .S ^TMP($J,"RCDPEOB","HDR")=$G(^RCY(344.4,+RCTDA,1,+$P(RCTDA,";",2),1,1,0)) ; S RCPAYER=$P($G(^TMP($J,"RCDPEOB","HDR")),U,6) S RCDPBNPI=$P($G(^TMP($J,"RCDPEOB","HDR")),U,18) ; ;srv dates S RCSD=$NA(^TMP($J,"RCSRVDT")) K @RCSD S RC=1,C5=0 F S RC=$O(@RCGBL@(RC)) Q:'RC S RC0=$G(^(RC,0)) D .I RC0<5 Q .I +RC0=5 S C5=RC Q .I +RC0=40,$P(RC0,U,2)?1.7N,C5,'$D(@RCSD@(C5)) S @RCSD@(C5)=$P(RC0,U,19) ;serv date ; S RC=1,(RCCT,RCCT1,RCX,REFORM)=0,RCBILL="" S RCERR1=$NA(^TMP("RCERR1",$J)) K @RCERR1 F S RC=$O(@RCGBL@(RC)) Q:'RC S RC0=$G(^(RC,0)) D .I RCFILE=5,+RC0=1 D Q ..S ^TMP($J,"RCDPEOB","CONTACT")=RC0 .; .I RCFILE=5,+RC0=2 D Q ..S RCX=RCX+1,^TMP($J,"RCDPEOB","ADJ",RCX)=RC0 .; .I +RC0=5 S RCCT=RCCT+1,RCCT1=0 D ..S REFORM=0 ..S Z=$$BILL^RCDPESR1($P(RC0,U,2),$G(@RCSD@(RC)),.RCIB) ..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 ..S RCBILL=$P(RC0,U,2) ..S Z=$S(Z>0:$S($G(RCIB):Z,1:-1),1:-1) ..S ^TMP($J,"RCDP-EOB",RCCT,0)=Z_U_RCBILL_U_$G(@RCSD@(RC)) ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,5)=$P(RC0,U,3)_","_$P(RC0,U,4)_" "_$P(RC0,U,5) ;Save pt nm ..I Z>0 S Q=+$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 .; .I +RC0>5,REFORM S $P(RC0,U,2)=RCBILL ; .I +RC0=10 D ;Save amt pd/billed, rev flg ..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) ..I $P(RC0,U,6)="Y"!($P(RC0,U,7)=22) S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,4)=1 ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,10,14)=RCDPBNPI_U_$P(RC0,U,16,19) .I RCBILL=$P(RC0,U,2) S RCCT1=RCCT1+1,^TMP($J,"RCDP-EOB",RCCT,RCCT1,0)=RC0 ; S RCSTAR=$TR($J("",15)," ","*"),RCET=RCSTAR_"ERROR/WARNING EEOB DETAIL SEQ #" S RCCT=0 F S RCCT=$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 .S RCEOB=-1,RCEOBD="" .I $S(RCIFN>0:$P(^PRCA(430.3,+$P($G(^PRCA(430,+RCIFN,0)),U,8),0),U,3)'=102,RCIFN'>0&($G(DUP)'>0):1,1:0) D ..S @RCERR1@(RCCT)=" ",@RCERR1@(RCCT,1)=RCET_RCCT_RCSTAR ..S @RCERR1@(RCCT,2)="Bill "_RCBILL_" is"_$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") ..S:RCFILE=5 @RCERR1@(RCCT,"*")=@RCERR1@(RCCT,2) ..S @RCERR1@(RCCT,3)=" The reported amount paid on this bill was: "_$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U,2) ..I RCIFN'>0 D ...S @RCERR1@(RCCT,4)=" If the bill is not for your site, it must be transferred to the" ...S @RCERR1@(RCCT,5)=" correct site and manually adjusted in your AR." ...S @RCERR1@(RCCT,6)=" You can perform this transfer using EDI Lockbox ERA/EEOB exception process." ...S @RCERR1@(RCCT,7)=" " ..D DISP1^RCDPESR5(RCCT,1) ..S Q=0 F S Q=$O(^TMP($J,"RCDP-EOB",RCCT,Q)) Q:'Q S ^TMP($J,"RCDPEOB",RCCT,Q)=$G(^TMP($J,"RCDP-EOB",RCCT,Q,0)) ..S ^TMP($J,"RCDPEOB",RCCT)=^TMP($J,"RCDP-EOB",RCCT,0) M ^TMP($J,"RCDPEOB",RCCT,"ERR")=@RCERR1@(RCCT) ..I RCFILE=5 D ;Store err if trans-in failed ...N RCE,RC,DIE,X,Y,DA,DR ...S RCE(1)=$$FMTE^XLFDT($$NOW^XLFDT(),2)_" "_$G(@RCERR1@(RCCT,"*")) ...S RCE(2)=" ",RCFILED=0 ...D WP^DIE(344.5,RCTDA_",",5,"A","RCE") .I RCIFN>0 D ..N RCDUPEOB,RCALLDUP ..;Chk rec exists ..S RCDUPEOB=0 ..S RCEOB=$$DUP^RCDPESR3(RCMNUM,RCIFN,$P($G(^TMP($J,"RCDPEOB",RCCT,"EOB")),U,2),$P($G(^TMP($J,"RCDPEOB",RCCT,"EOB")),U,6)) ;Same msg for update? ..I RCEOB,$P(RCEOB,U,2) S RCEOB=0 ;If chksum exists, let below check it ..S ^TMP($J,"RCDP-EOB",RCCT,.5,0)="835ERA" ;Needed - checksum ..S RCALLDUP=$$DUP^IBCEOB("^TMP("_$J_",""RCDP-EOB"","_RCCT_")",RCIFN) ..I $S(RCALLDUP:1,RCEOB:$G(DUP)'>0,1:0) D ...S RCDUPEOB=1 ...D DUPREC^RCDPESR6(RCET,RCCT,RCSTAR,RCFILE,RCALLDUP,RCEOB,RCBILL,.RCDUPEOB) ...S:RCALLDUP RCEOBD=RCALLDUP ..;Add stub to 361.1 ..I 'RCDUPEOB S RCEOB=+$$ADD3611^IBCEOB(RCMNUM,"","",RCIFN,1,"^TMP("_$J_",""RCDP-EOB"","_RCCT_")") ;IA 4042 ..K ^TMP($J,"RCDP-EOB",RCCT,.5,0) ..I RCEOB<0 D:$G(DUP)'>0 Q ...S @RCERR1@(RCCT)=" ",^(RCCT,1)=RCET_RCCT_RCSTAR,RCFILED=0 ...S @RCERR1@(RCCT,2)="Error - EEOB detail not added to IB for bill "_RCBILL,$P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U)="" ...S:RCFILE=5 @RCERR1@(RCCT,"*")=@RCERR1@(RCCT,2) ...D DISP1^RCDPESR5(RCCT,1) ...S Q=0 F S Q=$O(^TMP($J,"RCDP-EOB",RCCT,Q)) Q:'Q S ^TMP($J,"RCDPEOB",RCCT,Q)=$G(^TMP($J,"RCDP-EOB",RCCT,Q,0)) ...S ^TMP($J,"RCDPEOB",RCCT)=^TMP($J,"RCDP-EOB",RCCT,0) M ^TMP($J,"RCDPEOB",RCCT,"ERR")=@RCERR1@(RCCT) ..;Upd 361.1, needs ^TMP($J,"RCDPEOB","HDR" and $J,"RCDP-EOB" ..I RCDUPEOB'<0 S RCNOUPD=0 D UPD3611^IBCEOB(RCEOB,RCCT,1) ..;errors in ^TMP("RCDPERR-EOB",$J ..I $O(^TMP("RCDPERR-EOB",$J,0)) D ERRUPD^IBCEOB(RCEOB,"RCDPERR-EOB") ..S $P(^TMP($J,"RCDPEOB",RCCT,"EOB"),U)=$S('$G(RCEOBD):RCEOB,1:RCEOBD) .K ^TMP("RCDPERR-EOB",$J) ; I RCNOUPD D DUPERA^RCDPESR3($G(DUP),RCNOUPD) I $O(@RCERR1@("")) D BULLS^RCDPESR3(RCFILE,RCTDA,$S(RCNOUPD:RCNOUPD,1:$G(DUP)),$G(RCXMG)) K ^TMP("RCDPERR-EOB",$J),^TMP($J,"RCDP-EOB"),@RCERR1,@RCSD D CLEAN^DILF Q