| 1 | EASPTRN5 ;ALB/CPM/GN - NIGHTLY BILLING TRANSMISSION PROCESSING ; 10/30/01 9:58am [12/17/03 1:09pm]
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| 2 |  ;;1.0;ENROLLMENT APPLICATION SYSTEM;**23,33,47**; 21-OCT-94
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| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 |  ;
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| 5 |  ; For Edb Transmission Only - VAMC-to-Edb
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| 6 |  ;
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| 7 |  ;EAS*1*47 - break up Z09's by Income year, via new "ATR" xref
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| 8 |  ;
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| 9 | EN ; This routine performs the nightly compilation and transmission
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| 10 |  ; of DHCP billing activity for IVM patients to the IVM Center.
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| 11 |  ;
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| 12 | TRNSMT ; Transmit required billing activity.
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| 13 |  Q:'$D(^IVM(301.61,"ATR"))
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| 14 |  ; =============
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| 15 |  N HL,HLDT,HLDT1,HLEID,HLMID,MID,MTIEN,RESULT,ICYR
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| 16 |  S HLEID="EAS EDB ORU-Z09 SERVER"
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| 17 |  S HLEID=$O(^ORD(101,"B",HLEID,0))
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| 18 |  D INIT^IVMUFNC(HLEID,.HL) S HLMTN="ORU"
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| 19 |  S NUMS=""
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| 20 |  F I=1:1:30 S NUMS=NUMS_$S(NUMS'="":",",1:"")_I
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| 21 |  S ICYR=0                                                    ;EAS*1*47
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| 22 |  F  S ICYR=$O(^IVM(301.61,"ATR",ICYR)) Q:'ICYR  D
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| 23 |  . D BLDZ09(ICYR)
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| 24 |  D FILE^IVMPTRN3
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| 25 |  K DFN,IVMPID,IVMTDA,IVMMTDT,IVMN,IVMSTOP,IVMEVENT,IVMHZIC,VAFPID,DGREL,DGINC,DGINR,DGDEP
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| 26 |  D CLEAN^IVMUFNC
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| 27 |  Q
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| 28 |  ;
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| 29 | BLDZ09(ICYR) ;create the Z09 per DFN
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| 30 |  S DFN=0
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| 31 |  F  S DFN=$O(^IVM(301.61,"ATR",ICYR,DFN)) Q:'DFN  D
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| 32 |  .I '$$WHERETO^EASPTRN1(ICYR,DFN) Q          ;Do not send legacy Z09's
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| 33 |  .I IVMCT=0,$G(IVMGTOT) D FILE^HLTF
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| 34 |  .S HLEVN=HLEVN+1
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| 35 |  .; ==========
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| 36 |  .; Find a slot for each batch
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| 37 |  .I HLEVN#100=1 D
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| 38 |  ..K HLDT,HLDT1,HLMID,MTIEN
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| 39 |  ..D CREATE^HLTF(.HLMID,.MTIEN,.HLDT,.HLDT1)
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| 40 |  .; ==========
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| 41 |  .;
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| 42 |  .; Setup MSH Segment
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| 43 |  .S MID=HLMID_"-"_HLEVN
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| 44 |  .D MSH^HLFNC2(.HL,MID,.RESULT)
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| 45 |  .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=RESULT
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| 46 |  .;
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| 47 |  .; - re-set msg control id into MSH segment
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| 48 |  .D MSGID^IVMUFNC4(.IVMCT)
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| 49 |  .;
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| 50 |  .; - create PID segment
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| 51 |  .K IVMPID,VAFPID
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| 52 |  .S IVMPID=$$EN^VAFCPID(DFN,"1,2,3,4,5,7,8,19")
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| 53 |  .I $D(VAFPID(1)) S IVMPID(1)=VAFPID(1)
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| 54 |  .;I $P(IVMPID_$G(IVMPID(1)),HLFS,20)["P" D PSEUDO^IVMPTRN1
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| 55 |  .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMPID
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| 56 |  .I $D(IVMPID(1)) S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMPID(1)
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| 57 |  .;
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| 58 |  .; - create PD1 segment - Patient CMOR segment <<<<<<<<<<<<<<<<<
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| 59 |  .;S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^VAFHLPD1(DFN,"1,2,3,4")
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| 60 |  .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^VAFHLPD1(DFN,"1,3")
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| 61 |  .;
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| 62 |  .; - find the patient's Means Test date and create ZIC segment
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| 63 |  .S IVMTDA=$O(^IVM(301.61,"ATR",ICYR,DFN,0))
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| 64 |  .S IVMMTDT=$S(IVMTDA:$P($G(^IVM(301.61,IVMTDA,0)),"^",5),1:DT)
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| 65 |  .D ALL^DGMTU21(DFN,"V",IVMMTDT,"IPR",+$$LST^DGMTU(DFN,IVMMTDT))
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| 66 |  .S IVMHZIC=$$EN^VAFHLZIC(+$G(DGINC("V")),"1,2")
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| 67 |  .;S IVMHZIC=$$EN^VAFHLZIC(+$G(DGINC("V")),$P(NUMS,",",1,23))
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| 68 |  .I '$P(IVMHZIC,"^",3) S $P(IVMHZIC,"^",3)=$$HLDATE^HLFNC($O(^IVM(301.5,"APT",DFN,0)))
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| 69 |  .;
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| 70 |  .; - find all transactions for the patient and create FT1 segments
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| 71 |  .S IVMTDA=0 F  S IVMTDA=$O(^IVM(301.61,"ATR",ICYR,DFN,IVMTDA)) Q:'IVMTDA  D
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| 72 |  ..S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$FT1^EASUFNC3(IVMTDA)
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| 73 |  ..S IVMN=$G(^IVM(301.61,IVMTDA,0))
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| 74 |  ..;
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| 75 |  ..; - if a payment has been made (or if the bill is closed),
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| 76 |  ..; - but the bill has never been transmitted, re-transmit.
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| 77 |  ..I ($P(IVMN,"^",9)!($P(IVMN,"^",10))),'$P(IVMN,"^",13) D
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| 78 |  ...D NOW^%DTC S DA=IVMTDA,DIE="^IVM(301.61,",DR=".13////"_% D ^DIE
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| 79 |  ...S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$FT1^EASUFNC3(IVMTDA)
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| 80 |  ..;
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| 81 |  ..; - update transmission record
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| 82 |  ..;D:ISITESW'["H"
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| 83 |  ..S IVMSTOP=0
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| 84 |  ..I $P(IVMN,"^",10)!$P(IVMN,"^",11) S IVMSTOP=1
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| 85 |  ..I $P(IVMN,"^",4)>1 S IVMSTOP=1
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| 86 |  ..D NOW^%DTC S DR=".12////0;.13////"_%
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| 87 |  ..I IVMSTOP S DR=DR_";.14////1"
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| 88 |  ..S DR=DR_";1.03////"_%_";1.04////"_DUZ
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| 89 |  ..S DA=IVMTDA,DIE="^IVM(301.61," D ^DIE K DA,DR,DIE
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| 90 |  .;
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| 91 |  .; - set ZIC segment
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| 92 |  .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMHZIC
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| 93 |  .;
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| 94 |  .S IVMEVENT="Z09"
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| 95 |  .I HLEVN'<100 D FILE^IVMPTRN3
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| 96 |  ;
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| 97 |  Q
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| 98 |  ;
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| 99 |  ;
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| 100 | INIT(DFN) ; Find the initial date for which to return patient charges.
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| 101 |  ;  Input:   DFN  --  Pointer to the patient in file #2
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| 102 |  ; Output:   Date patient became Cat C, or null (for ins. patients)
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| 103 |  ;
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| 104 |  N IVMDATE,X,Y S IVMDATE=0
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| 105 |  I '$G(DFN) G INITQ
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| 106 |  S X=0 F  S X=$O(^IVM(301.61,"C",DFN,X)) Q:'X  S Y=$G(^IVM(301.61,X,0)) I $P(Y,"^",4)>1,$P(Y,"^",5) S IVMDATE=$P(Y,"^",5) Q
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| 107 |  I IVMDATE S IVMDATE=$P($$LST^DGMTU(DFN,IVMDATE),"^",2)
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| 108 | INITQ Q IVMDATE
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