| [613] | 1 | BPSOSUC ;BHAM ISC/FCS/DRS/FLS - ECME utilities ;06/01/2004
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| 2 | ;;1.0;E CLAIMS MGMT ENGINE;**1,5**;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 | Q
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| 5 | ; CATEG returns the status of a Transaction or Log of Transaction
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| 6 | ; entry. It is used mainly by STATUS^BPSOSRX but is also
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| 7 | ; called by some other routines as well as computed fields of BPS Log
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| 8 | ; of Transactions and BPS Tranasctions
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| 9 | CATEG(N,WANTREV) ;
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| 10 | ; N - If decimal, IEN from BPS Transaction
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| 11 | ; - If integer, IEN from BPS Log of Transactions
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| 12 | ; $G(WANTREV) = true if you care about reversals
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| 13 | ; (that's the default if N is an IEN59)
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| 14 | ; $G(WANTREV) = false if you want to ignore reversals
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| 15 | ; (that's the default if IEN57)
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| 16 | ;
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| 17 | ; Many routines rely on these exact return values; do not change them:
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| 18 | ; Return values:
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| 19 | ; For both reversals and submissions:
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| 20 | ; CORRUPT - Should never happen
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| 21 | ;
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| 22 | ; For submissions:
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| 23 | ; E PAYABLE, E CAPTURED, E DUPLICATE, E REJECTED, E OTHER, and
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| 24 | ; E STRANDED
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| 25 | ;
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| 26 | ; For Reversals:
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| 27 | ; E REVERSAL ACCEPTED, E REVERSAL REJECTED, E REVERSAL OTHER, and
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| 28 | ; E REVERSAL STRANDED
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| 29 | ;
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| 30 | I N<1 Q "" ; Should not happen
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| 31 | N FILENUM S FILENUM=$S(N[".":9002313.59,1:9002313.57)
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| 32 | I '$D(WANTREV) S WANTREV=$S(FILENUM=9002313.57:0,FILENUM=9002313.59:1)
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| 33 | N RETVAL,CLAIM,RESP,X,RESP500,CODE,STAT,DISYS
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| 34 | I '$$GET1^DIQ(FILENUM,N_",",.01) Q "CORRUPT"
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| 35 | S CLAIM=$$GET1^DIQ(FILENUM,N_",",3,"I")
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| 36 | S RESP=$$GET1^DIQ(FILENUM,N_",",4,"I")
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| 37 | S CODE=$$GET1^DIQ(FILENUM,N_",",201,"I")
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| 38 | S STAT=$$GET1^DIQ(FILENUM,N_",",202,"I")
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| 39 | I $P(STAT,";")="E REVERSAL STRANDED" Q "E REVERSAL STRANDED"
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| 40 | I $P(STAT,";")="E STRANDED" Q "E STRANDED"
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| 41 | ; During a reversal/resubmit, you may get the next line between the reversal and
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| 42 | ; and the resubmit
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| 43 | I 'CLAIM S RETVAL="E OTHER" Q RETVAL
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| 44 | I WANTREV S X=$$GET1^DIQ(FILENUM,N_",",401,"I") I X D Q RETVAL
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| 45 | . S RESP=$$GET1^DIQ(FILENUM,N_",",402,"I")
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| 46 | . S RETVAL="E REVERSAL "
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| 47 | . I 'RESP S RETVAL=RETVAL_"OTHER" Q
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| 48 | . S RESP500=$$RESP500^BPSOSQ4(RESP,"I")
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| 49 | . S X=$$RESP1000^BPSOSQ4(RESP,1,"I")
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| 50 | . I RESP500="R"!(X="R") S RETVAL=RETVAL_"REJECTED" Q
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| 51 | . ; Treat Duplicate of Accepted Reversal ("S") as Accepted
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| 52 | . I RESP500="A",X="A"!(X="S") S RETVAL=RETVAL_"ACCEPTED" Q
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| 53 | . S RETVAL=RETVAL_"OTHER"
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| 54 | ; Response not received yet
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| 55 | I 'RESP S RETVAL="E OTHER" Q RETVAL
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| 56 | S RESP500=$$RESP500^BPSOSQ4(RESP,"I")
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| 57 | N POS S POS=$$GET1^DIQ(FILENUM,N_",",14)
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| 58 | S X=$$RESP1000^BPSOSQ4(RESP,POS,"I")
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| 59 | I X="P"!(X="DP") Q "E PAYABLE"
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| 60 | I X="D" Q "E DUPLICATE" ; SHOULD NEVER HAPPEN as of 02/06/2001
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| 61 | I X="R" Q "E REJECTED"
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| 62 | I X="C"!(X="DC") Q "E CAPTURED"
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| 63 | ; 1000 indefinite, fall back to 500
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| 64 | I RESP500="R" Q "E REJECTED"
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| 65 | Q "E OTHER" ; corrupt?
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