[623] | 1 | IBCBB ;ALB/AAS - EDIT CHECK ROUTINE TO BE INVOKED BEFORE ALL BILL APPROVAL ACTIONS ;2-NOV-89
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| 2 | ;;2.0;INTEGRATED BILLING;**80,51,137,288,327,361**;21-MAR-94;Build 9
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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 | ;MAP TO DGCRBB
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| 6 | ;
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| 7 | ;IBNDn = IBND(n) = ^ib(399,n)
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| 8 | ;RETURNS:
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| 9 | ;IBER=fields with errors separated by semi-colons
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| 10 | ;PRCASV("OKAY")=1 if iber="" and $D(prcasv("array")) compete
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| 11 | ;
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| 12 | GVAR ;set up variables for mccr
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| 13 | Q:'$D(IBIFN) F I=0,"M","U","U1","S","MP","TX","UF3","UF31","U2" S @("IBND"_I)=$G(^DGCR(399,IBIFN,I))
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| 14 | S IBBNO=$P(IBND0,"^"),DFN=$P(IBND0,"^",2),IBEVDT=$P(IBND0,"^",3)
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| 15 | S IBLOC=$P(IBND0,"^",4),IBCL=$P(IBND0,"^",5),IBTF=$P(IBND0,"^",6)
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| 16 | S IBAT=$P(IBND0,"^",7),IBWHO=$P(IBND0,"^",11),IBST=$P(IBND0,"^",13),IBFT=$P(IBND0,"^",19)
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| 17 | S IBFDT=$P(IBNDU,"^",1),IBTDT=$P(IBNDU,"^",2)
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| 18 | S IBTC=$P(IBNDU1,"^",1),IBFY=$P(IBNDU1,"^",9),IBFYC=$P(IBNDU1,"^",10)
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| 19 | S IBEU=$P(IBNDS,"^",2),IBRU=$P(IBNDS,"^",5),IBAU=$P(IBNDS,"^",8)
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| 20 | S IBTOB=$$TOB(IBND0),IBTOB12=$E(IBTOB,1,2)
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| 21 | K ^TMP($J,"BILL-WARN")
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| 22 | Q
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| 23 | ;
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| 24 | EN ;Entry to check for errors
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| 25 | N IBQ,IBXERR,IBXDATA,IBXSAVE,IBZPRC92,IBQUIT,IBISEQ,IDDATA,IBERRNO
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| 26 | I $D(IBFL) N IBFL
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| 27 | K ^TMP($J)
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| 28 | W !
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| 29 | S IBER="" D GVAR I '$D(IBND0) S IBER=-1 Q
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| 30 | ;
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| 31 | ;I $$ISPROS^IBCEF1(IBIFN) D
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| 32 | ;. D WARN^IBCBB11("Bill has prosthetics item(s) and will only print locally")
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| 33 | ;. I $$NEEDMRA^IBEFUNC(IBIFN) S IBQUIT=$$IBER^IBCBB3(.IBER,"098")
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| 34 | ;
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| 35 | ;patient in patient file
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| 36 | I DFN="" S IBER=IBER_"IB057;"
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| 37 | I DFN]"",'$D(^DPT(DFN)) S IBER=IBER_"IB057;"
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| 38 | ;
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| 39 | ;Event date in correct format
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| 40 | I IBEVDT="" S IBER=IBER_"IB049;"
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| 41 | I IBEVDT]"",IBEVDT'?7N&(IBEVDT'?7N1".".N) S IBER=IBER_"IB049;"
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| 42 | ;
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| 43 | ;Rate Type
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| 44 | I IBAT="" S IBER=IBER_"IB059;"
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| 45 | I IBAT]"",'$D(^DGCR(399.3,IBAT,0)) S IBER=IBER_"IB059;"
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| 46 | I IBAT]"",$D(^DGCR(399.3,IBAT,0)),'$P(^(0),"^",6) S IBER=IBER_"IB059;",IBAT=""
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| 47 | ;I IBAT]"",$D(^DGCR(399.3,IBAT,0)) S IBARTP=$P(^PRCA(430.2,$P(^DGCR(399.3,IBAT,0),"^",6),0),"^",6)
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| 48 | I IBAT]"",$P($G(^DGCR(399.3,IBAT,0)),"^",6) S IBARTP=$P($$CATN^PRCAFN($P(^DGCR(399.3,IBAT,0),"^",6)),"^",3)
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| 49 | ;Check that AR category expects same debtor as defined in who's responsible.
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| 50 | I $D(IBARTP),IBWHO="i"&(IBARTP'="T")!(IBWHO="p"&("PC"'[IBARTP))!(IBWHO="o"&(IBARTP'="N")) S IBER=IBER_"IB058;"
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| 51 | ;
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| 52 | ;Who's Responsible
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| 53 | I IBWHO=""!($L(IBWHO)>1)!("iop"'[IBWHO) S IBER=IBER_"IB065;"
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| 54 | S IBMRA=$S($$MCRWNR^IBEFUNC(+$$CURR^IBCEF2(IBIFN)):$$TXMT^IBCEF4(IBIFN)>0,1:0)
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| 55 | ; MCR will not reimburse is only valid if there is subsequent insurance
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| 56 | ; that will reimburse
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| 57 | I IBWHO="i" D
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| 58 | . I IBMRA D Q
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| 59 | .. N Z,IBZ
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| 60 | .. S IBZ=0
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| 61 | .. F Z=$$COBN^IBCEF(IBIFN):1:3 I $D(^DGCR(399,IBIFN,"I"_(Z+1))),$P($G(^DIC(36,+$G(^DGCR(399,IBIFN,"I"_(Z+1))),0)),U,2)'="N" S IBZ=1 Q
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| 62 | .. I 'IBZ S IBER=IBER_"IB054;" D WARN^IBCBB11("A valid claim for MEDICARE WNR needs subsequent ins. that will reimburse")
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| 63 | ..
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| 64 | . I $$COB^IBCEF(IBIFN)="S",$$MCRWNR^IBEFUNC(+$$CURR^IBCEF2(IBIFN))=1,$D(^DGCR(399,IBIFN,"I3")) Q
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| 65 | . I $S('IBNDMP:1,1:$P(IBNDMP,U,2)'=$$BPP^IBCNS2(IBIFN,1)) S IBER=IBER_"IB054;"
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| 66 | I IBWHO="o",'$P(IBNDM,"^",11) S IBER=IBER_"IB053;"
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| 67 | ;
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| 68 | ; All insurance subscribers must have a birth date on file
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| 69 | ; - 11/10/04 - IB*2.0*288
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| 70 | ; - 12/14/06 - IB*2.0*361 - must have INSURED'S SEX too
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| 71 | ; IB error codes
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| 72 | ; IB221 - Primary insurance subscriber missing date of birth
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| 73 | ; IB222 - Secondary insurance subscriber missing date of birth
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| 74 | ; IB223 - Tertiary insurance subscriber missing date of birth
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| 75 | ; IB261 - Primary insurance subscriber is missing INSURED'S SEX
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| 76 | ; IB262 - Secondary insurance subscriber is missing INSURED'S SEX
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| 77 | ; IB263 - Tertiary insurance subscriber is missing INSURED'S SEX
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| 78 | ;
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| 79 | F IBISEQ=1:1:3 D
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| 80 | . I '$P($G(^DGCR(399,IBIFN,"I"_IBISEQ)),U,1) Q ; no insurance here
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| 81 | . K ^UTILITY("VADM",$J),^UTILITY("VAPA",$J)
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| 82 | . S IDDATA=$$INSDEM^IBCEF(IBIFN,IBISEQ)
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| 83 | . K ^UTILITY("VADM",$J),^UTILITY("VAPA",$J)
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| 84 | . I '$P(IDDATA,U,1) D ; birth date missing
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| 85 | .. S IBERRNO=220+IBISEQ
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| 86 | .. S IBER=IBER_"IB"_IBERRNO_";"
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| 87 | . I "^M^F^"'[(U_$P(IDDATA,U,2)_U) D ; sex missing
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| 88 | .. S IBERRNO=260+IBISEQ
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| 89 | .. S IBER=IBER_"IB"_IBERRNO_";"
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| 90 | . Q
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| 91 | ;
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| 92 | D ^IBCBB1
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| 93 | Q
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| 94 | ;
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| 95 | EDIT(IBIFN) ; Run edits from within the billing edit screens
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| 96 | N IBVIEW,IBDISP,IBNOFIX,DIR,X,Y
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| 97 | S (IBNOFIX,IBVIEW,IBDISP)=1
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| 98 | D EDITS^IBCB2
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| 99 | W ! S DIR("A")="Press RETURN to continue",DIR(0)="E" D ^DIR K DIR
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| 100 | Q
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| 101 | ;
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| 102 | TOB(IBND0) ;
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| 103 | ; IBND0 = the 0-node of the bill (file 399)
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| 104 | Q ($P(IBND0,U,24)_$P($G(^DGCR(399.1,+$P(IBND0,U,25),0)),U,2)_$P(IBND0,U,26))
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| 105 | ;
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