1 | RCDPRTP1 ;ALB/LDB - CLAIMS MATCHING REPORT (PRINT) ;1/26/01 2:56 PM
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2 | ;;4.5;Accounts Receivable;**151,169**;Mar 20, 1995
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3 | ;
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4 | ;
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5 | EN ; Entry point to print the Claims Matching Report.
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6 | N %,DATEDIS1,DATEDIS2,NOW,PG,RCBILL,RCAMT,RCAMT1,RCIBDAT,RCIBFN,RCNAM,RCNAM1,RCNO,RCNOW,RCDLINE,RCLINE,RCPHIT,RCQ,RCSSN,RCSTAT,RCTP,X,Y
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7 | ;
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8 | ; - initialize report header variables
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9 | S PG=0
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10 | I RCSORT'=2,(RCSORT'=4) D
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11 | .S Y=$P(DATESTRT,".") D DD^%DT S DATEDIS1=Y
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12 | .S Y=$P(DATEEND,".") D DD^%DT S DATEDIS2=Y
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13 | D NOW^%DTC S Y=% D DD^%DT S RCNOW=$E(Y,1,18)
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14 | S RCDLINE=$TR($J("",80)," ","-")
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15 | S RCLINE=$TR($J("",80)," ","*")
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16 | ;
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17 | ; - main report loop
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18 | K ^TMP($J)
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19 | ;
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20 | ;
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21 | D HDR ; initial header
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22 | S RCNO=0 ; flag to indicate at least one matching claim
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23 | ;
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24 | S RCNAM="" F S RCNAM=$O(^TMP("RCDPRTPB",$J,RCNAM)) Q:RCNAM=""!$G(RCQ) D
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25 | .S RCBILL=0 F S RCBILL=$O(^TMP("RCDPRTPB",$J,RCNAM,RCBILL)) Q:'RCBILL!$G(RCQ) D
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26 | ..;
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27 | ..S RCPHIT=0 ; flag that requires patient info to print
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28 | ..D PROC ; process a single third party bill
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29 | ..K ^TMP("IBRBT",$J),^TMP("IBRBF",$J)
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30 | ;
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31 | I $G(RCQ) G ENQ
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32 | ;
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33 | I $O(^TMP("RCDPRTPB",$J,0))="" W !!,?18,"No matching debts." Q
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34 | I 'RCNO W !!,?18,"No matching debts."
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35 | ENQ ;
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36 | Q
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37 | ;
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38 | ;
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39 | PROC ; Process each third party bill for a patient.
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40 | D RELBILL^IBRFN(RCBILL)
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41 | ;
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42 | ; - quit if there are no associated first party bills
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43 | I '$O(^TMP("IBRBF",$J,0)) K ^TMP("RCDPRTPB",$J,RCNAM,RCBILL) G PROCQ
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44 | ;
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45 | S (RCAMT(0),RCAMT(1))=0
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46 | ;
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47 | S RCTP(0)=0 F S RCTP(0)=$O(^TMP("IBRBF",$J,RCTP(0))) Q:'RCTP(0) S RCTP(1)=0 F S RCTP(1)=$O(^TMP("IBRBF",$J,RCTP(0),RCTP(1))) Q:'RCTP(1) S ^TMP($J,"IBRBF",RCTP(1),RCTP(0))=""
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48 | S RCPT(0)=0 F S RCTP(0)=$O(^TMP($J,"IBRBF",RCTP(0))) Q:'RCTP(0) S RCTP(1)=0 F S RCTP(1)=$O(^TMP($J,"IBRBF",RCTP(0),RCTP(1))) Q:'RCTP(1) D
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49 | .I RCTP(1)=RCBILL Q
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50 | .I $D(^TMP($J,"IBRBF",RCTP(0),RCBILL))!(RCTP(1)'=$O(^TMP($J,"IBRBF",RCTP(0),0))) K ^TMP("IBRBF",$J,RCTP(1),RCTP(0)),^TMP($J,"IBRBF",RCTP(0),RCTP(1)) I '$O(^TMP("IBRBF",$J,RCTP(1),0)) K ^TMP("IBRBF",$J,RCTP(1))
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51 | S RCTP(0)="" F S RCTP(0)=$O(^TMP("IBRBT",$J,RCBILL,RCTP(0))) Q:RCTP(0)="" D
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52 | .;if associated third party has had payment also do not list twice
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53 | .I $D(^TMP("RCDPRTPB",$J,RCNAM,RCTP(0))),(RCBILL'=RCTP(0)) S RCTP(RCTP(0))=^TMP("RCDPRTPB",$J,RCNAM,RCTP(0)) K ^(RCTP(0))
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54 | .;if no prescription coverage exclude associated rx co-pay charges
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55 | .I '$P(^TMP("IBRBT",$J,RCBILL),"^") D
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56 | ..S RCTP(1)=0 F S RCTP(1)=$O(^TMP("IBRBF",$J,RCTP(0),RCTP(1))) Q:RCTP(1)="" I $G(^TMP("IBRBF",$J,RCTP(0),RCTP(1)))["RX" K ^TMP("IBRBF",$J,RCTP(0),RCTP(1)) I '$O(^TMP("IBRBF",$J,RCTP(0),"")) K ^TMP("IBRBF",$J,RCTP(0))
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57 | .;if duplicate charges exclude them from report
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58 | S RCTP(0)=0 F S RCTP(0)=$O(^TMP("IBRBF",$J,RCTP(0))) Q:RCTP(0)="" S RCTP(1)=0 F S RCTP(1)=$O(^TMP("IBRBF",$J,RCTP(0),RCTP(1))) Q:'RCTP(1) D
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59 | .I RCTP(0)'=RCBILL,($D(^TMP("IBRBF",$J,RCBILL,RCTP(1)))) K ^TMP("IBRBF",$J,RCTP(0),RCTP(1)) K:'$O(^TMP("IBRBF",$J,RCTP(0),0)) ^TMP("IBRBF",$J,RCTP(0))
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60 | ;exclude cancelled charges if not selected to be on report
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61 | I 'RCAN D
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62 | .S RCTP(0)=0 F S RCTP(0)=$O(^TMP("IBRBF",$J,RCTP(0))) Q:RCTP(0)="" S RCTP(1)=0 F S RCTP(1)=$O(^TMP("IBRBF",$J,RCTP(0),RCTP(1))) Q:'RCTP(1) D
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63 | ..I $P(^TMP("IBRBF",$J,RCTP(0),RCTP(1)),"^",3) K ^TMP("IBRBF",$J,RCTP(0),RCTP(1)) Q
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64 | ..S RCPT(2)=$O(^PRCA(430,"B",+$P(^TMP("IBRBF",$J,RCTP(0),RCTP(1)),"^",4),0)) I $P($G(^PRCA(430,+RCPT(2),0)),"^",8)=39 K ^TMP("IBRBF",$J,RCTP(0),RCTP(1))
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65 | ..I '$O(^TMP("IBRBF",$J,RCTP(0),"")) K ^TMP("IBRBF",$J,RCTP(0))
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66 | I '$O(^TMP("IBRBF",$J,RCBILL,0)) K ^TMP("RCDPRTPB",$J,RCNAM,RCBILL) G PROCQ
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67 | ;
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68 | ; - print patient detail line
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69 | I 'RCPHIT S RCPHIT=1 D PRINT3^RCDPRTP2 G:$G(RCQ) PROCQ
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70 | ;
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71 | ; - print third party bills
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72 | ; o print the header first; need room for the header and
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73 | ; the bill that was paid.
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74 | ; o print the bill that was paid.
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75 | S RCTP=RCBILL,RCIBDAT=$G(^TMP("IBRBT",$J,RCBILL,RCBILL))
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76 | I $Y>(IOSL-7) D PAUSE^RCDPRTP2 G:$G(RCQ) PROCQ D HDR
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77 | D HDR1^RCDPRTP2,PRINT1^RCDPRTP2 G:$G(RCQ) PROCQ
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78 | ;
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79 | ; - print the other assoicated third party bills
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80 | S RCTP=0 F S RCTP=$O(^TMP("IBRBT",$J,RCBILL,RCTP)) Q:'RCTP!$G(RCQ) D
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81 | .I RCBILL=RCTP Q ; don't reprint the bill that was paid.
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82 | .S RCIBDAT=$G(^TMP("IBRBT",$J,RCBILL,RCTP))
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83 | .I 'RCAN,($P(RCIBDAT,"^",3)) Q ; exclude cancelled claims
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84 | .D PRINT1^RCDPRTP2
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85 | G:$G(RCQ) PROCQ
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86 | ;
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87 | ; - print the third party totals
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88 | I $Y>(IOSL-2) D PAUSE^RCDPRTP2 G:$G(RCQ) PROCQ D HDR W !
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89 | W !,?57,"---------",?68,"---------"
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90 | W !,?57,$J(RCAMT(0),9,2),?68,$J(RCAMT(1),9,2)
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91 | ;
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92 | ; - print the associated first party charges
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93 | S RCTP(0)=0 F S RCTP(0)=$O(^TMP("IBRBF",$J,RCTP(0))) Q:'RCTP(0)!$G(RCQ) D
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94 | .I RCTP(0)=$O(^TMP("IBRBF",$J,0)) D
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95 | ..I $Y>(IOSL-5) D PAUSE^RCDPRTP2 Q:$G(RCQ) D HDR
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96 | ..D HDR2^RCDPRTP2
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97 | .S RCTP=0 F S RCTP=$O(^TMP("IBRBF",$J,RCTP(0),RCTP)) Q:'RCTP!$G(RCQ) D
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98 | ..S RCNO=1 ; set flag for at least one match
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99 | ..;
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100 | ..S RCIBDAT=$G(^TMP("IBRBF",$J,RCTP(0),RCTP))
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101 | ..;
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102 | ..; - print the header for the first charge
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103 | ..;
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104 | ..; - print the patient detail line
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105 | ..D PRINT2^RCDPRTP2
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106 | ;.
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107 | PROCQ K ^TMP($J) Q
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108 | ;
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109 | ;
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110 | HDR ; Print the main report header.
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111 | S PG=PG+1 I PG'=1!($E(IOST,1,2)="C-") W @IOF
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112 | W !,?5,"THIRD PARTY CLAIMS W/MATCHING FIRST PARTY DEBTS ",RCNOW," PAGE ",PG
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113 | I RCSORT'=2,(RCSORT'=4) W !,?18,"FOR THE PAYMENT DATES: ",DATEDIS1," TO ",DATEDIS2
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114 | I RCSORT=4 W !,?18,"RECEIPT NUMBER ",RCPT
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115 | W !,RCDLINE
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116 | I PG=1 D
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117 | .W !!,"Remember that any actions taken to decrease the first party receivables must"
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118 | .W !,"consider any applicable deductibles or coinsurance amounts specified on the EOB."
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119 | Q
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120 | ;
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