| 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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