[613] | 1 | IBARX1 ;ALB/AAS - INTEGRATED BILLING, PHARMACY COPAY INTERFACE (CONT.) ;21-FEB-91
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| 2 | ;;2.0;INTEGRATED BILLING;**34,101,150,158,156,234,247**;21-MAR-94
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| 3 | ;;Per VHA Directive 10-93-142 ;This routine should not be modified.
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| 4 | ;
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| 5 | ; - process 1 rx entry and accumulate totals
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| 6 | ;
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| 7 | RX N IBAM,IBNOCH
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| 8 | ;if Combat Vet send alert e-mail to mailgroup "IB COMBAT VET RX COPAY"
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| 9 | D
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| 10 | . N Y D NOW^%DTC S Y=%\1
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| 11 | . D RXALRT^IBACV(DFN,Y,+$P($P($G(IBSAVX(1)),"^",1),":",2))
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| 12 | ;
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| 13 | I $P(IBX,"^")'?1.N1":"1.N.ANP S Y="-1^IB012" G RXQ
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| 14 | I $P(IBX,"^",2)<1 S Y="-1^IB013" G RXQ
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| 15 | ;
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| 16 | D BDESC
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| 17 | ;
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| 18 | S DA=IBATYP D COST^IBAUTL
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| 19 | ;
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| 20 | ; compute amount above cap
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| 21 | D NEW^IBARXMC($P(IBX,"^",2),X1,DT,.IBCHRG,.IBNOCH)
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| 22 | ;
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| 23 | S IBTCH=$P(IBX,"^",2)*X1
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| 24 | ;
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| 25 | ; add to 354.71
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| 26 | S IBAM=$$ADD^IBARXMN(DFN,"^^"_$S($G(IBEFDT):IBEFDT,1:DT)_"^^P^"_$P(IBX,"^")_"^"_$P(IBX,"^",2)_"^"_IBTCH_"^"_IBDESC_"^"_$S($G(IBAMP):IBAMP,1:"")_"^"_IBCHRG_"^"_IBNOCH_"^"_(+$P($$SITE^IBARXMU,"^",3)),IBATYP) I IBAM<1 S Y="-1^IB316" G RXQ
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| 27 | ;
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| 28 | ; setup new pieces (4, 5, 6, and 7), quit if above cap
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| 29 | S $P(IBSAVY(IBJ),"^",4,7)=$S(IBNOCH:1,1:0)_"^"_$S(IBNOCH&(IBCHRG):"P",IBCHRG:"F",1:"")_"^"_(+$G(IBEXMP))_"^"_IBAM G:'IBCHRG RXQ
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| 30 | ;
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| 31 | S IBTOTL=IBTOTL+IBCHRG
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| 32 | S IBWHER=2
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| 33 | D ADD^IBAUTL
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| 34 | I +Y<1 G RXQ
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| 35 | S IBPARNT=$S($D(IBPARNT):IBPARNT,1:IBN)
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| 36 | S $P(^IB(IBN,1),"^",1)=IBDUZ,$P(^IB(IBN,0),"^",2,13)=DFN_"^"_IBATYP_"^"_$P(IBX,"^")_"^2^"_$P(IBX,"^",2)_"^"_IBCHRG_"^"_IBDESC_"^"_IBPARNT_"^^"_IBIL_"^"_IBTRAN_"^"_IBFAC,$P(^(0),"^",19)=IBAM
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| 37 | K IBPARNT,^IB("AC",1,IBN) ;S ^IB("AC",2,IBN)=""
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| 38 | D INDEX
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| 39 | S $P(IBSAVY(IBJ),"^",1,3)=IBN_"^"_IBCHRG_"^"_IBIL
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| 40 | S:'$D(IBNOS) IBNOS="" S IBNOS=IBN_"^"_IBNOS
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| 41 | RXQ Q
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| 42 | ;
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| 43 | CANRX ; - ibx = ibn for parent entry
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| 44 | ; - ibn = new cancellation entry
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| 45 | N IBAM,IBAMY
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| 46 | S IBY(IBJ)=1
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| 47 | I '$D(^IBE(350.3,+$P(IBX,"^",2),0)) S (Y,IBY(IBJ))="-1^IB020" G CANRXQ
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| 48 | I '$D(^IB(+IBX,0)) S (Y,IBY(IBJ))="-1^IB021" G CANRXQ
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| 49 | S IBND=^IB(+IBX,0)
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| 50 | S IBCRES=$P(IBX,"^",2)
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| 51 | ; -find most recent entry for parent ibx
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| 52 | ; -if status isn't an update or new, error already cancelled?
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| 53 | D LAST I IBLAST'=IBPARNT,$D(^IB(IBLAST,0)),$P(^IBE(350.1,$P(^IB(IBLAST,0),"^",3),0),"^",5)=2 S (Y,IBY(IBJ))="-1^IB026^ Ref. No: "_+^IB(+IBLAST,0) G CANRXQ ;already cancelled
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| 54 | ;
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| 55 | ; cancel 354.71
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| 56 | S IBAM=$$CANCEL^IBARXMN(DFN,$P(IBND,"^",19),.IBAMY,IBCRES) I $G(IBAMY)<0 S (Y,IBY(IBJ))=IBAMY G CANRXQ
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| 57 | ;
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| 58 | I $P(IBND,"^",5)=8 D QUIT ;Cancel a charge with a status of HOLD
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| 59 | . N DIE,DA,DR
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| 60 | . S DIE="^IB(",DA=+IBX,DR=".05////10;.1////"_IBCRES
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| 61 | . DO ^DIE
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| 62 | . S Y=1,IBY(IBJ)=1,Y(IBJ)=+IBX
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| 63 | ;
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| 64 | S IBPARNT=$P(IBND,"^",9) I '$D(^IB(IBPARNT,0)) S (Y,IBY(IBJ))="-1^IB027" G CANRXQ
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| 65 | S IBATYP=$P(^IBE(350.1,$P(IBND,"^",3),0),"^",6) ;cancellation action type for parent
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| 66 | I '$D(^IBE(350.1,+IBATYP,0)) S (Y,IBY(IBJ))="-1^IB022" G CANRXQ
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| 67 | S IBSEQNO=$P(^IBE(350.1,+IBATYP,0),"^",5) I 'IBSEQNO S (Y,IBY(IBJ))="-1^IB023" G CANRXQ
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| 68 | S IBIL=$P(IBND,"^",11) I IBIL="" S (Y,IBY(IBJ))="-1^IB024" G CANRXQ
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| 69 | S IBUNIT=$S($D(^IB(+IBLAST,0)):$P(^(0),"^",6),1:$P(IBND,"^",6)) I IBUNIT<1 S (Y,IBY(IBJ))="-1^IB025" G CANRXQ
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| 70 | S IBCHRG=$S($D(^IB(+IBLAST,0)):$P(^(0),"^",7),1:$P(IBND,"^",7)) I IBCHRG<1 S (Y,IBY(IBJ))="-1^IB025" G CANRXQ
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| 71 | S IBTOTL=IBTOTL+IBCHRG
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| 72 | S IBWHER=2
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| 73 | D ADD^IBAUTL I +Y<1 S IBY(IBJ)=Y G CANRXQ
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| 74 | S $P(^IB(IBN,1),"^",1)=IBDUZ,$P(^IB(IBN,0),"^",2,13)=DFN_"^"_IBATYP_"^"_$P(IBND,"^",4)_"^2^"_IBUNIT_"^"_IBCHRG_"^"_$P(IBND,"^",8)_"^"_IBPARNT_"^"_IBCRES_"^"_IBIL_"^^"_IBFAC S:IBAM $P(^(0),"^",19)=IBAM
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| 75 | K ^IB("AC",1,IBN) ;S ^IB("AC",2,IBN)=""
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| 76 | D INDEX
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| 77 | S Y(IBJ)=IBN_"^"_IBCHRG_"^"_IBIL
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| 78 | S IBNOS=IBN
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| 79 | CANRXQ Q
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| 80 | ;
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| 81 | BDESC ; -return brief description
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| 82 | N X,Y S IBDESC="",X=$P(IBX,"^")
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| 83 | I $D(^IBE(350.1,IBATYP,20)) X ^(20) S IBDESC=X
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| 84 | Q
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| 85 | LAST ;find last entry
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| 86 | S IBLAST=""
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| 87 | S IBPARNT=$P(^IB(+IBX,0),"^",9) I 'IBPARNT S IBPARNT=+IBX
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| 88 | S IBLDT=$O(^IB("APDT",IBPARNT,"")) I +IBLDT F IBL=0:0 S IBL=$O(^IB("APDT",IBPARNT,IBLDT,IBL)) Q:'IBL S IBLAST=IBL
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| 89 | I IBLAST="" S IBLAST=IBPARNT
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| 90 | Q
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| 91 | ;
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| 92 | INDEX ;cross-reference entry
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| 93 | N X,Y
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| 94 | S DA=IBN,DIK="^IB(" D IX^DIK
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| 95 | K DIK Q
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| 96 | ;
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| 97 | SERV(Y) ; -- Service check for Pharmacy
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| 98 | ; called by the screen in the input transform for the IB SERVICE/SECTION
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| 99 | ; field of the PHARMACY SITE file.
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| 100 | ; input = Y internal entry number in service section file
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| 101 | ; output = 1 if okay to use (service matches) or 0 if not okay
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| 102 | ;
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| 103 | ; -- screen logic for field 1003 in file 59 should be
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| 104 | ; S DIC("S")="I $$SERV^IBARX1(+Y)"
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| 105 | ;
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| 106 | Q $S('$G(Y):0,1:$D(^IBE(350.1,"ANEW",Y,1,1))&$D(^IBE(350.1,"ANEW",Y,1,2)))
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