source: WorldVistAEHR/trunk/r/E_CLAIMS_MGMT_ENGINE-BPS/BPSOSQF.m@ 975

Last change on this file since 975 was 613, checked in by George Lilly, 15 years ago

initial load of WorldVistAEHR

File size: 2.5 KB
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1BPSOSQF ;BHAM ISC/FCS/DRS/FLS - Insurer asleep - status 31 ;06/01/2004
2 ;;1.0;E CLAIMS MGMT ENGINE;**1,5**;JUN 2004;Build 45
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 Q
5 ;
6 ; Check for insurer asleep claims
7 ;
8STATUS31 ;EP - BPSOSQ2
9 ; Situation: you have 1 or 2 or maybe 200 claims in status 31,
10 ; because we've determined that the insurer is asleep.
11 ; change at most one claim per insurer to status 30, to let it
12 ; go through and try again. But if the insurer is awake for sure,
13 ; let all of the claims for that insurer go on through.
14 ;
15 ; Initialization
16 N RETRY,PROBER,IEN59,PAYERSH,X
17 S IEN59=""
18 K ^TMP("BPSOSQF",$J) ; build ^TMP("BPSOSQF",$J,PAYERSH,IEN59)=""
19 ;
20 ; Make sure we can get the lock
21 I '$$LOCK59^BPSOSQ2(31) Q
22 ;
23 ; Loop through transaction that are 31 per cent
24 F S IEN59=$$NEXT59^BPSOSQ2(IEN59,31) Q:'IEN59 D
25 . ; if $$NEXT59() returned us an IEN59, then the waiting time
26 . ; has expired - or better yet, the insurer has awakened
27 . ;
28 . ; Get the payer sheet for the transaction
29 . S PAYERSH=$$PAYERSH(IEN59)
30 . I PAYERSH="" D LOG^BPSOSL(IEN59,$T(+0)_"-No payersheet was found") Q
31 . ;
32 . ; Get Retry Time and Prober
33 . S X=$G(^BPSF(9002313.92,PAYERSH,1))
34 . S RETRY=$P(X,U,12),PROBER=$P(X,U,11)
35 . ;
36 . ; If still in wait, but wait expired, just allow one claim thru.
37 . ; But if wait has been canceled - that is, we had a successful
38 . ; transmit, meaning the insurer has awakened - then let them all
39 . ; go through to status 30.
40 . ; if somehow the prober became complete, without clearing 101;6
41 . ; (maybe this happens if cancellation takes place?)
42 . I PROBER D
43 .. S X=$P($G(^BPST(PROBER,0)),U,2)
44 .. I X=99!(X="") S PROBER=""
45 . I RETRY,PROBER,PROBER'=IEN59 Q ; only prober can go thru during wait
46 . ;
47 . ; Don't we need to compare RETRY time to the current time?
48 . I RETRY S $P(^BPSF(9002313.92,PAYERSH,1),U,11)=IEN59,PROBER=IEN59
49 . S ^TMP("BPSOSQF",$J,PAYERSH,IEN59)=""
50 D UNLOCK59^BPSOSQ2(31)
51 ;
52 ; Loop through payer sheet and transactions and change status to 30%
53 S PAYERSH="" F S PAYERSH=$O(^TMP("BPSOSQF",$J,PAYERSH)) Q:'PAYERSH D
54 . S IEN59="" F S IEN59=$O(^TMP("BPSOSQF",$J,PAYERSH,IEN59)) Q:'IEN59 D
55 . . D SETSTAT^BPSOSU(IEN59,30) ; reset to status 30
56 . . D LOG^BPSOSL(IEN59,$T(+0)_"-Retrying Asleep Claim. Prober? "_$S(PROBER=IEN59:"YES",1:"NO"))
57 Q
58 ;
59 ; Function to get the payer sheet for a given transaction
60PAYERSH(IEN59) ;
61 N POS
62 S POS=$P($G(^BPST(IEN59,9)),U,1)
63 I POS="" Q ""
64 Q $$GET1^DIQ(9002313.59902,POS_","_IEN59_",",902.02,"I")
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