| [613] | 1 | BPSECX1 ;BHAM ISC/FCS/DRS/VA/DLF - Create new Claim ID for Claim Submission file ;05/17/2004
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| 2 | ;;1.0;E CLAIMS MGMT ENGINE;**1,2,5**;JUN 2004;Build 45
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;----------------------------------------------------------------------
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| 5 | ;Create new Claim ID for Claim Submission file (9002313.02)
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| 6 | ;
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| 7 | ;Function Returns: VA<YYYY>=<Pharmacy ID>=<Plan ID>=<Sequence Number>
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| 8 | ; Where: <YYYY> is the year
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| 9 | ; <Pharmacy ID> NPI or NCPDPP of the BPS Pharmacy
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| 10 | ; <Plan ID> is the VA National Plan ID w/o leading alphas
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| 11 | ; <Sequence #> is a unique counter stored in BPS SETUP
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| 12 | ;----------------------------------------------------------------------
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| 13 | ;
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| 14 | CLAIMID(IEN59) ;EP - Called from BPSOSCE (billing requests) and BPSECA8 (reversals)
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| 15 | ; Check parameters
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| 16 | I '$G(IEN59) Q ""
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| 17 | ;
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| 18 | ; Initialization
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| 19 | N PHARMACY,FACID,THIRD,DEL,PLAN,I,SEQNUM
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| 20 | ;
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| 21 | ; Get and format the Facility ID (second piece of the transmission ID)
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| 22 | ; 1. Try to get NPI first.
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| 23 | ; 2. If we do not get the NPI, get the NCPDP and left-pad it with zeros
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| 24 | ; up to seven characters.
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| 25 | ; 3. Right-pad the final ID with spaces up to 10 characters
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| 26 | S PHARMACY=+$P($G(^BPST(IEN59,1)),U,7)
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| 27 | S FACID=$P($G(^BPS(9002313.56,PHARMACY,"NPI")),U,1)
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| 28 | I FACID="" D
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| 29 | . S FACID=$P($G(^BPS(9002313.56,PHARMACY,0)),U,2)
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| 30 | . S FACID=$TR($J("",7-$L(FACID))," ","0")_FACID
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| 31 | S FACID=$RE($J($RE(FACID),10))
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| 32 | ;
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| 33 | ; Get the third piece of the transmission ID
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| 34 | ; If the National Plan ID is available, use it with '=' delimiter (new format)
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| 35 | ; If not, it will need to be the BIN with the '-' delimiter (old format)
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| 36 | S THIRD="",PLAN=$$GET1^DIQ(9002313.59902,"1,"_IEN59_",","902.27")
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| 37 | I PLAN]"" D
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| 38 | . F I=1:1:$L(PLAN) I $E(PLAN,I)?1N Q
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| 39 | . S PLAN=$E(PLAN,I,$L(PLAN))
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| 40 | . S THIRD=PLAN,DEL="="
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| 41 | ;
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| 42 | ; If no plan, get BIN and use '-' delimiter (old format)
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| 43 | I THIRD="" S DEL="-",THIRD=$$GET1^DIQ(9002313.59902,"1,"_IEN59_",","902.03")
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| 44 | ;
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| 45 | ; Pad third piece with zeros
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| 46 | S THIRD=$TR($J("",6-$L(THIRD))," ","0")_THIRD
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| 47 | ;
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| 48 | ; Get and format the sequence number (fourth piece)
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| 49 | L +^BPS(9002313.99,1,3):15
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| 50 | I '$T D IMPOSS^BPSOSUE("DB,P","TI","",,"Can't lock BPS(9002313.99,1,3)",$T(+0))
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| 51 | S SEQNUM=+$G(^BPS(9002313.99,1,3)),^BPS(9002313.99,1,3)=SEQNUM+1
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| 52 | I $L(SEQNUM<7) S SEQNUM=$E($TR($J("",7-$L(SEQNUM))," ","0")_SEQNUM,1,7)
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| 53 | L -^BPS(9002313.99,1,3)
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| 54 | ;
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| 55 | ; Create the Transmission ID
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| 56 | Q "VA"_($E(DT,1,3)+1700)_DEL_FACID_DEL_THIRD_DEL_SEQNUM
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