| 1 | IBACUS1 ;ALB/CPM - TRICARE PATIENT RX COPAY CHARGES ; 02-AUG-96
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| 2 | ;;2.0;INTEGRATED BILLING;**52,240,347**;21-MAR-94;Build 24
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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 | BILL(IBKEY,IBCHTRN) ; Create the TRICARE Rx copay charge.
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| 6 | ; Input: IBKEY -- 1 ; 2, where
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| 7 | ; 1 = Pointer to the prescription in file #52
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| 8 | ; 2 = Pointer to the refill in file #52.1, or
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| 9 | ; 0 for the original fill
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| 10 | ; IBCHTRN -- Pointer to the transaction entry in file #351.5
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| 11 | ;
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| 12 | S IBY=1
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| 13 | I '$G(IBKEY) G BILLQ
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| 14 | I $$FILE^IBRXUTL(+IBKEY,.01)="" G BILLQ
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| 15 | ;
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| 16 | ; - need patient
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| 17 | S DFN=$$FILE^IBRXUTL(+IBKEY,2)
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| 18 | I 'DFN S IBY="-1^IB002" G BILLQ
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| 19 | ;
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| 20 | ; - need action type
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| 21 | S IBATYP=$O(^IBE(350.1,"E","TRICARE RX COPAY",0))
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| 22 | I 'IBATYP S IBY="-1^IB008" G BILLQ
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| 23 | ;
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| 24 | ; - need facility number
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| 25 | I '$$CHECK^IBECEAU(0) S IBY="-1^IB009" G BILLQ
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| 26 | ;
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| 27 | ; - need the Pharmacy service pointer; get from #350.1 and check it
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| 28 | S IBSERV=$P($G(^IBE(350.1,1,0)),"^",4)
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| 29 | I '$$SERV^IBARX1(IBSERV) S IBY="-1^IB003" G BILLQ
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| 30 | ;
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| 31 | ; - need a charge amount (from file #351.5)
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| 32 | S IBCHG=+$G(^IBA(351.5,IBCHTRN,2))
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| 33 | I 'IBCHG S IBY="-1^IB029" G BILLQ
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| 34 | ;
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| 35 | ; - set remaining variables
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| 36 | S IBDESC="TRICARE RX COPAY",IBUNIT=1
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| 37 | S IBSL="52:"_+IBKEY S:$P(IBKEY,";",2) IBSL=IBSL_";1:"_$P(IBKEY,";",2)
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| 38 | S IBFR=DT
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| 39 | ;
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| 40 | ; - add the charge to file #350
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| 41 | D ADD^IBECEAU3 I IBY<0 G BILLQ
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| 42 | ;
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| 43 | ; - release the charge to AR
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| 44 | D AR^IBR
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| 45 | ;
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| 46 | ; - update the rx transaction file (#351.5)
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| 47 | S DA=IBCHTRN,DIE="^IBA(351.5,",DR=".08////"_IBN D ^DIE K DA,DIE,DR
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| 48 | ;
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| 49 | BILLQ I IBY<0 D ERRMSG^IBACVA2(1,2)
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| 50 | K IBY,IBATYP,IBSERV,IBCHG,IBDESC,IBUNIT,IBSL,IBFR
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| 51 | Q
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| 52 | ;
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| 53 | ;
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| 54 | ;
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| 55 | CANC(IBCHTRN) ; Cancel the TRICARE Rx copay charge.
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| 56 | ; Input: IBCHTRN -- Pointer to the transaction entry in file #351.5
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| 57 | ;
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| 58 | S IBY=1,IBDUZ=DUZ
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| 59 | S IBCHTRND=$G(^IBA(351.5,IBCHTRN,0)),DFN=+$P(IBCHTRND,"^",2)
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| 60 | S IBN=+$P(IBCHTRND,"^",8) I 'IBN G CANCQ
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| 61 | I '$$CHECK^IBECEAU(0) S IBY="-1^IB009" G CANCQ
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| 62 | S IBCRES=$O(^IBE(350.3,"B","RX CANCELLED",0)) S:'IBCRES IBCRES=5
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| 63 | ;
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| 64 | ; - cancel the charge
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| 65 | D CED^IBECEAU4(IBN) I IBY<0 G CANCQ
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| 66 | D CANC^IBECEAU4(IBN,IBCRES,1)
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| 67 | ;
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| 68 | CANCQ I IBY<0 D ERRMSG^IBACVA2(0,2)
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| 69 | K IBCHTRND,IBDUZ,IBN,IBCRES,DFN,IBSITE,IBFAC,IBND,IBPARNT,IBCANC,IBH
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| 70 | K IBCANTR,IBXA,IBATYP,IBSEQNO,IBIL,IBUNIT,IBCHG,IBFR
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| 71 | Q
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