[613] | 1 | BPSRCRI ;BHAM ISC/NSS - ECME REPORTS ;08-FEB-07
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| 2 | ;;1.0;E CLAIMS MGMT ENGINE;**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 | Q
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| 6 | ;
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| 7 | ;ECME Claims Response Inquiry Report
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| 8 | ;
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| 9 | ;User input prompts
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| 10 | EN ; Routine entry point
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| 11 | N BPCFILE,BP02,BP03,BPSCR,BPQ,BPX,BPVAX,ZTQUEUED
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| 12 | S BPCFILE=9002313.02
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| 13 | I $D(IOF) W @IOF
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| 14 | W !,"ECME Claims-Response Inquiry Report",!
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| 15 | ;
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| 16 | ;User selects VA CLAIM ID
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| 17 | S BP02=$$BPIEN(BPCFILE)
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| 18 | I BP02=-1 G EXIT
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| 19 | S BPVAX=$P(BP02,U,2),BP02=+BP02
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| 20 | ;
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| 21 | ;Select device
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| 22 | I $$DEVICE=-1 G EXIT
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| 23 | ;
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| 24 | ;Run the reports
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| 25 | D RUNRPT
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| 26 | ;
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| 27 | ;Prompt user to retrieve Claim IEN
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| 28 | ;Input
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| 29 | ; BPCFILE (9002313.02) user inputs VA ID#
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| 30 | ;Output
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| 31 | ; -1 (not found) or File IEN
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| 32 | BPIEN(BPCFILE) ; User is prompted for input, cross-ref "B" lookup
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| 33 | N DIC,Y,DUOUT,DTOUT,DIROUT
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| 34 | S DIC=$$ROOT^DILFD(BPCFILE)
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| 35 | S DIC("A")="Select VA Claim ID: "
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| 36 | S DIC(0)="ABEQ"
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| 37 | D ^DIC
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| 38 | I (Y=-1)!$D(DIROUT)!$D(DUOUT)!$D(DTOUT) Q -1
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| 39 | Q Y
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| 40 | ;
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| 41 | ;Select the output Device
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| 42 | DEVICE() ;
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| 43 | N %ZIS,ZTSK,ZTRTN,ZTIO,ZTSAVE,ZTDESC,POP,BPQ
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| 44 | S BPQ=0
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| 45 | S %ZIS="QM"
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| 46 | W !!,"Note: This report contains three separate sections - transaction data, claims"
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| 47 | W !," data, and response data. There will be a page break/form feed after"
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| 48 | W !," each section regardless of the page length specified in the device input.",!
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| 49 | D ^%ZIS
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| 50 | I POP Q -1
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| 51 | S BPSCR=$S($E($G(IOST),1,2)="C-":1,1:0)
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| 52 | I $D(IO("Q")) D S BPQ=-1
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| 53 | . S ZTRTN="RUNRPT^BPSRCRI"
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| 54 | . S ZTIO=ION
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| 55 | . S ZTSAVE("*")=""
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| 56 | . S ZTDESC="ECME CLAIMS RESPONSE INQUIRY REPORT"
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| 57 | . D ^%ZTLOAD
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| 58 | . W !,$S($D(ZTSK):"REQUEST QUEUED TASK="_ZTSK,1:"REQUEST CANCELLED")
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| 59 | . D HOME^%ZIS
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| 60 | U IO
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| 61 | Q BPQ
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| 62 | ;
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| 63 | ; Print or display the report
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| 64 | RUNRPT ;
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| 65 | N BPLARR,BP57,BP59,BPQ
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| 66 | D BPFLDS ; BPS TRANSACTIONS/LOG OF TRANSACTIONS
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| 67 | D PRNTRPT
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| 68 | Q
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| 69 | ;
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| 70 | ;Collect data from Transactions file #59 or Transactions Log file #57
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| 71 | BPFLDS ; Build BPLARR array of data
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| 72 | N BPL0,BPL1,BP902
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| 73 | S BP03=0,BPX=""
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| 74 | ;Determine if claim is reversal or not
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| 75 | I $D(^BPST("AE",BP02))!($D(^BPSTL("AE",BP02))) D
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| 76 | . S BPX="AE" ;Not a reversal
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| 77 | . S BPLARR(9)=" CLAIM IEN (c): "
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| 78 | . S BPLARR(10)="RESPONSE IEN (c): "
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| 79 | I BPX="",($D(^BPST("AER",BP02))!($D(^BPSTL("AER",BP02)))) D
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| 80 | . S BPX="AER" ;Reversal
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| 81 | . S BPLARR(10)="REVERSAL RESPONSE IEN (c): "
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| 82 | . S BPLARR(9)=" REVERSAL CLAIM IEN (c): "
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| 83 | I BPX="" Q
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| 84 | S (BP57,BP59)=0
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| 85 | S BP59=$O(^BPST(BPX,BP02,""),-1)
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| 86 | I BP59="" S BP59=0
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| 87 | ;
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| 88 | I BP59'=0 D ;Find claim in BPS Transactions file
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| 89 | . S BPL0=$G(^BPST(BP59,0)),BPL1=$G(^BPST(BP59,1))
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| 90 | . I BPX="AE" S BP03=$P($G(^BPST(BP59,0)),U,5)
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| 91 | . I BPX="AER" S BP03=$P($G(^BPST(BP59,4)),U,2)
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| 92 | . S BPLARR(4)="PRESCRIPTION #: "_+$$GET1^DIQ(9002313.59,BP59,1.11)
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| 93 | . D GETS^DIQ(9002313.59902,1_","_BP59,"902;902.24;902.27","E","BP902","ERROR")
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| 94 | . S BPLARR(7)=" PLAN NAME: "_$G(BP902(9002313.59902,"1,"_BP59_",",902.24,"E"))
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| 95 | . S BPLARR(8)="PHARMACY PLAN ID: "_$G(BP902(9002313.59902,"1,"_BP59_",",902.27,"E"))
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| 96 | ;
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| 97 | I BP59=0 D ;;Find claim in BPS Log of Transactions file
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| 98 | . S BP57=$O(^BPSTL(BPX,BP02,""),-1)
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| 99 | . I BP57="" S BP57=0 Q
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| 100 | . S BPL0=$G(^BPSTL(BP57,0)),BPL1=$G(^BPSTL(BP57,1)),BP59=$P($G(BPL0),U)
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| 101 | . I BPX="AE" S BP03=$P($G(^BPSTL(BP57,0)),U,5)
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| 102 | . I BPX="AER" S BP03=$P($G(^BPSTL(BP57,4)),U,2)
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| 103 | . S BPLARR(4)="PRESCRIPTION #: "_+$$GET1^DIQ(9002313.57,BP57,1.11)
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| 104 | . D GETS^DIQ(9002313.57902,1_","_BP57,"902;902.24;902.27","E","BP902","ERROR")
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| 105 | . S BPLARR(7)=" PLAN NAME: "_$G(BP902(9002313.59902,"1,"_BP57_",",902.24,"E"))
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| 106 | . S BPLARR(8)="PHARMACY PLAN ID: "_$G(BP902(9002313.59902,"1,"_BP57_",",902.27,"E"))
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| 107 | ;
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| 108 | I BP59=0,BP57=0 Q
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| 109 | ;Build rest of array components
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| 110 | S BPLARR(1)="ENTRY#: "_BP59
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| 111 | S BPLARR(2)="STATUS: "_+$P($G(BPL0),U,2)
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| 112 | S BPX=$P($G(BPL1),U,7)
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| 113 | S BPLARR(3)=" PHARMACY: "_$P($G(^BPS(9002313.56,+BPX,0)),"^")
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| 114 | S BPLARR(5)=" RXI-INTERNAL (c): "_$P($G(BPL1),U,11)
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| 115 | S BPLARR(9)=BPLARR(9)_BP02
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| 116 | S BPLARR(10)=BPLARR(10)_BP03
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| 117 | Q
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| 118 | ;
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| 119 | PRNTRPT ; Output the reports
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| 120 | N BPQ,ZTREQ
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| 121 | S BPQ=0
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| 122 | W @IOF
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| 123 | D CHKP(1) I BPQ Q
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| 124 | W "ECME Claims-Response Inquiry Report"
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| 125 | W ?48,"Print Date: "_$E(DT,4,5)_"/"_$E(DT,6,7)_"/"_$E(DT,2,3)
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| 126 | W !,"VA CLAIM ID: "_BPVAX,!
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| 127 | D PRTTRANS ; BPS Transaction (or Transaction log) file fields
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| 128 | I 'BPSCR W !,@IOF
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| 129 | E I 'BPQ D PAUSE
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| 130 | Q:BPQ
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| 131 | D PRT02 ; BPS CLAIMS FILE
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| 132 | I 'BPSCR W !,@IOF
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| 133 | E I 'BPQ D PAUSE
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| 134 | Q:BPQ
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| 135 | D PRT03 ; BPS RESPONSE FILE
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| 136 | Q:BPQ
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| 137 | I 'BPSCR W !,@IOF
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| 138 | E I 'BPQ D PAUSE2
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| 139 | I $D(ZTQUEUED) S ZTREQ="@" Q
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| 140 | D ^%ZISC
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| 141 | Q
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| 142 | ;
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| 143 | ; Display transaction log fields
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| 144 | PRTTRANS ; Print transaction file report
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| 145 | W !,"BPS TRANSACTION/BPS LOG OF TRANSACTION DATA: ",!
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| 146 | I BPX="" W !,"NO TRANSACTION MATCHES FOUND",!! Q
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| 147 | ;
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| 148 | ;Loop through the array
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| 149 | N BPX
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| 150 | S BPX=0 F S BPX=$O(BPLARR(BPX)) Q:'BPX D I BPQ Q
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| 151 | . D CHKP(1) I BPQ Q
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| 152 | . I BPX=1 W !,BPLARR(BPX) Q
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| 153 | . I BPX#2=0 W ?40,BPLARR(BPX) Q
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| 154 | . W !,BPLARR(BPX)
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| 155 | Q
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| 156 | ;
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| 157 | ;Run claim file data report #9002313.02
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| 158 | PRT02 ; Claims file output
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| 159 | W !,"BPS CLAIMS FILE DATA: "
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| 160 | N DIC,DR,DA,DIQ,DTOUT,DIRUT
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| 161 | S DIC=$$ROOT^DILFD(BPCFILE),DA=BP02
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| 162 | I $D(IOF) W @IOF
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| 163 | D EN^DIQ
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| 164 | I ($G(DUOUT)=1)!($G(DTOUT)=1) S BPQ=1
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| 165 | Q
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| 166 | ;
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| 167 | ;Run response file data report #9002313.03
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| 168 | PRT03 ; Response file output
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| 169 | W !!,"BPS RESPONSE FILE DATA: ",!
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| 170 | I BP03=0!(BP03="") W !,"NO RESPONSE FILE DATA FOUND",!! Q
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| 171 | N DIC,DR,DA,DIQ,DTOUT,DIRUT
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| 172 | S DIC=$$ROOT^DILFD(9002313.03),DA=BP03
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| 173 | D EN^DIQ
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| 174 | I ($G(DUOUT)=1)!($G(DTOUT)=1) S BPQ=1
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| 175 | Q
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| 176 | ;
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| 177 | ;Check for End of Page
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| 178 | ; Input variable -> BPLINES - Number of lines from bottom
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| 179 | ; CONT - 0 = New Entry, 1 = Continue Entry
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| 180 | CHKP(BPLINES) ;
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| 181 | S BPLINES=BPLINES+1
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| 182 | I $G(BPSCR) S BPLINES=BPLINES+1
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| 183 | I $Y>(IOSL-BPLINES) D:$G(BPSCR) PAUSE Q:$G(BPQ) 0 Q 1
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| 184 | Q 0
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| 185 | ;
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| 186 | PAUSE ;
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| 187 | N X
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| 188 | U IO(0)
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| 189 | R !!,"Press RETURN to continue, '^' to exit: ",X:DTIME
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| 190 | I '$T S X="^"
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| 191 | I X["^" S BPQ=1
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| 192 | U IO
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| 193 | Q
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| 194 | ;
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| 195 | PAUSE2 ;
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| 196 | N X
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| 197 | U IO(0)
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| 198 | R !,"Press RETURN to continue: ",X:DTIME
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| 199 | U IO
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| 200 | Q
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| 201 | ;
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| 202 | ;EXIT
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| 203 | EXIT ;
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| 204 | Q
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| 205 | ;
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