| 1 | IBCE835A ;ALB/ESG - 835 EDI EOB PROCESSING CONTINUED ;30-APR-03
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| 2 | ;;2.0;INTEGRATED BILLING;**135**;21-MAR-94
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| 3 | Q
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| 4 | ; Continue processing of IBCE835 since that routine grew too large
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| 5 | ;
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| 6 | 37(IBD) ; Process claim level adjustment data for Inpatient MEDICARE
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| 7 | ; Claim must have been referenced by a previous '05' level
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| 8 | ;
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| 9 | ; INPUT:
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| 10 | ; IBD must be passed by reference = entire message line
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| 11 | ;
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| 12 | ; OUTPUT:
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| 13 | ; IBD("LINE") = The last line # populated in the message
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| 14 | ; ^TMP("IBMSG",$J,"CLAIM",claim #,line #)=claim level adjustment msg
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| 15 | ; ,"D",37,seq#)=
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| 16 | ; ,"D1",seq#,37)=
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| 17 | ; claim level adjust. raw data
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| 18 | ;
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| 19 | N IBCLM
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| 20 | S IBCLM=$$GETCLM^IBCE277($P(IBD,U,2))
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| 21 | Q:'$D(^TMP("IBMSG",$J,"CLAIM",IBCLM))
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| 22 | S IBD("LINE")=$G(IBD("LINE"))+1
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| 23 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,IBD("LINE"))=$S($D(^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",37)):$J("",34),1:"MEDICARE ADJUDICATION MESSAGE(S): ")_"("_$P(IBD,U,4)_") "_$P(IBD,U,5)
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| 24 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",37,IBD("LINE"))="##RAW DATA: "_IBD
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| 25 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D1",IBD("LINE"),37)="##RAW DATA: "_IBD
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| 26 | Q
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| 27 | ;
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| 28 | 40(IBD) ; Process service line data
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| 29 | ;
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| 30 | ; INPUT:
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| 31 | ; IBD must be passed by reference = entire message line
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| 32 | ;
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| 33 | ; OUTPUT:
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| 34 | ; ^TMP("IBMSG",$J,"CLAIM",claim #,"D",40,msg seq #)=
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| 35 | ; "D1",msg seq #,40)=
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| 36 | ; claim status raw data
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| 37 | ; IBD("LINE") = The last line # populated in the message
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| 38 | ;
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| 39 | N IBCLM
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| 40 | S IBCLM=$$GETCLM^IBCE277($P(IBD,U,2))
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| 41 | S IBD("LINE")=$G(IBD("LINE"))+1
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| 42 | ;
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| 43 | I '$D(^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",40)) D
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| 44 | . S ^TMP("IBMSG",$J,"CLAIM",IBCLM,IBD("LINE"))="Line level detail exists for this claim"
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| 45 | . S IBD("LINE")=IBD("LINE")+1
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| 46 | ;
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| 47 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",40,IBD("LINE"))="##RAW DATA: "_IBD
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| 48 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D1",IBD("LINE"),40)="##RAW DATA: "_IBD
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| 49 | ;
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| 50 | Q
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| 51 | ;
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| 52 | 45(IBD) ; Process service line adjustment data
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| 53 | ;
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| 54 | ; INPUT:
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| 55 | ; IBD must be passed by reference = entire message line
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| 56 | ;
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| 57 | ; OUTPUT:
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| 58 | ; ^TMP("IBMSG",$J,"CLAIM",claim #,"D",45,msg seq #)=
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| 59 | ; ^TMP("IBMSG",$J,"CLAIM",claim #,"D1",msg seq #,45)=
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| 60 | ; claim status raw data
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| 61 | ; IBD("LINE") = The last line # populated in the message
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| 62 | ;
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| 63 | N IBCLM
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| 64 | S IBCLM=$$GETCLM^IBCE277($P(IBD,U,2))
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| 65 | S IBD("LINE")=$G(IBD("LINE"))+1
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| 66 | ;
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| 67 | I '$D(^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",45)) D
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| 68 | . S ^TMP("IBMSG",$J,"CLAIM",IBCLM,IBD("LINE"))="Line level adjustments exist for this claim"
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| 69 | . S IBD("LINE")=IBD("LINE")+1
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| 70 | ;
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| 71 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",45,IBD("LINE"))="##RAW DATA: "_IBD
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| 72 | S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D1",IBD("LINE"),45)="##RAW DATA: "_IBD
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| 73 | ;
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| 74 | Q
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| 75 | ;
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