| [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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