[613] | 1 | IB20P375 ;ALB/CXW - IB*2.0*375 POST INIT ;14-MAY-07
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| 2 | ;;2.0;INTEGRATED BILLING;**375**;21-MAR-94;Build 4
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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 | ;1) Update the transmission status with "X" for MRA 2nd bills in
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| 6 | ; field/file (.03/364) based on these criteria:
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| 7 | ; bill authorized but not transmitted in field/file (.13/399)
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| 8 | ; bill has at least one Medicare MRA in field/file (.04/361.1)
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| 9 | ; bill has been passed to AR & generated in file (430)
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| 10 | ; bill's status is active in field/file (8/430)
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| 11 | ; bill has no total amount collected in field/file (15/433)
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| 12 | ; bill exists in file (364) for EDI transmission
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| 13 | ; bill has no batch # associated in field/file (.02/364)
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| 14 | ; bill is not ready for extract in field/file (.03/364)
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| 15 | ; bill's COB Sequence is Secondary in field/file (.08/364)
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| 16 | ;
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| 17 | ;2) Update the CLAM MRA STATUS with VALID MRA RECEIVED in field/file
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| 18 | ; (24/399) if bill has at least one Medicare MRA, otherwise store
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| 19 | ; NO MRA NEEDED status.
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| 20 | ;
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| 21 | ;3) List of all claims excludes ACTIVE AR status with 0 total amount
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| 22 | ; collected.
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| 23 | ;
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| 24 | ;Output-XTMP("IB20P375",0)=purge date_U_today_U_patch #
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| 25 | ; 1,0)=update transmit status_U_total bills
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| 26 | ; IEN)=IBIFN_U_Bill #_U_statement covers from dt
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| 27 | ; 2,0)=list of claims_U_total bills
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| 28 | ; IBIFN)=IBIFN_U_Bill #_U_IEN AR status_U_AR total
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| 29 | ; amount collected
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| 30 | ;
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| 31 | ;
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| 32 | ;
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| 33 | ;Not delete XTMP file until 30 days from now
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| 34 | Q
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| 35 | POST ;
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| 36 | START D MES^XPDUTL("** ALL RECORDS ARE IN ^XTMP(""IB20P375"") WHEN THE PROCESS HAS BEEN COMPLETED **")
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| 37 | D MES^XPDUTL(" >> Starting the Post init routine ...")
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| 38 | ;
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| 39 | N ARACT,ARAMT,IB375,IBIFN,IBMRA,IBILL,IBAR,IBCDT,IBDA,IBST,IBEDI,IBCT1,IBCT2,U,X,X1,X2,DA,DIE,DR
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| 40 | S U="^",IB375="IB20P375",(IBCT1,IBCT2)=0
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| 41 | K ^XTMP(IB375)
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| 42 | S DT=$$DT^XLFDT,X1=DT,X2=30 D C^%DTC
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| 43 | S ^XTMP(IB375,0)=X_U_DT_U_"IB*2.0*375 POST-INIT"
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| 44 | S ^XTMP(IB375,1,0)="Updating the transmit status in file 364 for MRA secondary claim"
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| 45 | S ^XTMP(IB375,2,0)="List of all claims excludes ACTIVE AR Status with 0 Total Amount Collected"
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| 46 | ;
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| 47 | S IBIFN=0 F S IBIFN=$O(^DGCR(399,"AST",3,IBIFN)) Q:'IBIFN D
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| 48 | . S IBMRA=$$MRACNT^IBCEMU1(IBIFN),IBILL=$P($G(^DGCR(399,IBIFN,0)),U),IBAR=$$BILL^RCJIBFN2(IBIFN),IBCDT=$P($G(^DGCR(399,IBIFN,"U")),U,1),ARACT=$P(IBAR,U,2),ARAMT=$P(IBAR,U,4)
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| 49 | . ;update CLAIM MRA STATUS
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| 50 | . I +$P($G(^DGCR(399,IBIFN,"TX")),U,5) D
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| 51 | .. N IBMST,DIE,DA,DR S IBMST=0 ; assume no MRA needed
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| 52 | .. S:IBMRA IBMST="C" ;Medicare MRA on file
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| 53 | .. S DIE=399,DA=IBIFN,DR="24///"_IBMST
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| 54 | .. D ^DIE
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| 55 | . ;quit if bill no Medicare MRA
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| 56 | . Q:'IBMRA
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| 57 | . I ARACT'=16!ARAMT D ;no active status or total amt collected do list
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| 58 | .. S ^XTMP(IB375,2,IBIFN)=IBIFN_U_IBILL_U_ARACT_U_ARAMT
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| 59 | .. S IBCT2=IBCT2+1
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| 60 | .. ;
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| 61 | . I ARACT=16,'ARAMT D ;active status & no total amt collected
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| 62 | .. S IBDA=0 F S IBDA=$O(^IBA(364,"B",IBIFN,IBDA)) Q:'IBDA D
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| 63 | ... S IBEDI=$G(^IBA(364,IBDA,0)),IBST=$P(IBEDI,U,3)
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| 64 | ... ;
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| 65 | ... ;quit if batch # exists or ready for extract status or primary sequence
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| 66 | ... I $P(IBEDI,U,2)!(IBST="X")!($P(IBEDI,U,8)'="S") Q
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| 67 | ... N DA,DIE,DR
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| 68 | ... S DIE=364,DA=IBDA,DR=".03////X;.04///NOW" D ^DIE
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| 69 | ... S ^XTMP(IB375,1,IBDA)=IBIFN_U_IBILL_U_IBCDT,IBCT1=IBCT1+1
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| 70 | S $P(^XTMP(IB375,1,0),U,2)=IBCT1,$P(^XTMP(IB375,2,0),U,2)=IBCT2
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| 71 | NOPRINT ;
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| 72 | I 'IBCT1,'IBCT2 D G END
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| 73 | . D BMES^XPDUTL(" No claims met criteria, no transmit status update, no list of claims")
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| 74 | PRINT1 ;
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| 75 | D BMES^XPDUTL($P(^XTMP(IB375,1,0),U))
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| 76 | S IBDA=0
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| 77 | F S IBDA=$O(^XTMP(IB375,1,IBDA)) Q:'IBDA S IBEDI=$G(^(IBDA)) D
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| 78 | . D MES^XPDUTL(" Bill #: "_$P(IBEDI,U,2)_" Statement Covers From Date: "_$$FMTE^XLFDT($P(IBEDI,U,3))_" Transmit Status: X")
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| 79 | D MES^XPDUTL("Total "_$S(IBCT1=1:IBCT1_" bill has",1:IBCT1_" bills have")_" been updated.")
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| 80 | PRINT2 ;
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| 81 | D BMES^XPDUTL($P(^XTMP(IB375,2,0),U))
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| 82 | S IBDA=0
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| 83 | F S IBDA=$O(^XTMP(IB375,2,IBDA)) Q:'IBDA S IBEDI=$G(^(IBDA)) D
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| 84 | . D MES^XPDUTL(" Bill #: "_$P(IBEDI,U,2)_" AR Status: "_$P($G(^PRCA(430.3,+$P(IBEDI,U,3),0)),U)_" Total Amount Collected: $"_$J($P(IBEDI,U,4),0,2))
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| 85 | D MES^XPDUTL("Total "_$S(IBCT2=1:IBCT2_" bill has",1:IBCT2_" bills have")_" been listed.")
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| 86 | ;
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| 87 | END D BMES^XPDUTL(" >> End of the Post init routine ...")
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| 88 | Q
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| 89 | ;
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