[623] | 1 | IBCECSA1 ;ALB/CXW - IB STATUS AWAITING RESOLUTION SCREEN ;28-JUL-99
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| 2 | ;;2.0;INTEGRATED BILLING;**137,283,288,320**;21-MAR-94
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| 3 | ; DBIA for $$BN1^PRCAFN()
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| 4 | ;
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| 5 | BLD ; Build list entrypoint
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| 6 | N IBDA,IBREV,IBIFN,IBPAY,IBSSN,IBSER,IB399,IBLOC,IBDIV,IBUER,IBMSG,IBERR,IBPEN,SEVERITY,A,IBOAM,IBPAT,IBSTSMSG,SV1,SV2,SV3
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| 7 | K ^TMP("IBCECSA",$J),^TMP("IBCECSB",$J),^TMP("IBCECSD",$J)
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| 8 | W !!,"Compiling CSA status messages ... "
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| 9 | S IBSEV=$G(IBSEV,"R")
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| 10 | S VALMCNT=0,IB364=""
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| 11 | S SEVERITY=""
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| 12 | F S SEVERITY=$O(^IBM(361,"ACSA",SEVERITY)) Q:SEVERITY="" I SEVERITY="R"!(IBSEV="B") S IBREV="" F S IBREV=$O(^IBM(361,"ACSA",SEVERITY,IBREV)) Q:IBREV="" I IBREV<2 S IBDA=0 F S IBDA=$O(^IBM(361,"ACSA",SEVERITY,IBREV,IBDA)) Q:'IBDA D
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| 13 | . S IB=$G(^IBM(361,IBDA,0)),IBIFN=+IB
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| 14 | . S IBPEN=$$FMDIFF^XLFDT(DT,$P(IB,U,2),1)
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| 15 | . ;quit if not pending for at least the minimum # of days requested
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| 16 | . Q:IBDAYS>IBPEN
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| 17 | . S IB399=$G(^DGCR(399,IBIFN,0))
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| 18 | . ;
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| 19 | . ; no cancelled claims allowed on the CSA screen
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| 20 | . ; if we find one, then update the appropriate EDI files
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| 21 | . I $P(IB399,U,13)=7 D UPDEDI^IBCEM(+$P(IB,U,11),"C") Q
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| 22 | . ;
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| 23 | . ; automatically review this message if the claim was last printed on
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| 24 | . ; or after the MCS - 'Resubmit by Print' date
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| 25 | . I $P(IB,U,16),($P($G(^DGCR(399,IBIFN,"S")),U,14)\1)'<$P(IB,U,16) D UPDEDI^IBCEM(+$P(IB,U,11),"P") Q
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| 26 | . ;
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| 27 | . S IBDIV=+$P(IB399,U,22)
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| 28 | . S IBUER=+$P($G(^DGCR(399,IBIFN,"S")),U,11)
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| 29 | . ;
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| 30 | . ; If Request MRA bill, pull the MRA Requestor user instead
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| 31 | . I 'IBUER,$P(IB399,U,13)=2 S IBUER=+$P($G(^DGCR(399,IBIFN,"S")),U,8)
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| 32 | . I $D(^TMP("IBBIL",$J)),'$D(^TMP("IBBIL",$J,IBUER)) Q ; User not selected
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| 33 | . I $D(^TMP("IBDIV",$J)),'$D(^TMP("IBDIV",$J,IBDIV)) Q ; Div not selected
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| 34 | . ;
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| 35 | . S IBPAY=$P($G(^DIC(36,+$P($G(^DGCR(399,IBIFN,"MP")),U),0)),U)
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| 36 | . I IBPAY="" S IBPAY=$P($G(^DIC(36,+$$CURR^IBCEF2(IBIFN),0)),U)
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| 37 | . I IBPAY="" S IBPAY="UNKNOWN PAYER"
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| 38 | . S IBPAT=$G(^DPT(+$P(IB399,U,2),0))
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| 39 | . S IBSSN=$E($P(IBPAT,U,9),6,9) I IBSSN="" S IBSSN="~unk"
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| 40 | . S IBPAT=$P(IBPAT,U,1) I IBPAT="" S IBPAT="~UNKNOWN PATIENT NAME"
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| 41 | . S IBSER=$P($G(^DGCR(399,IBIFN,"U")),U)
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| 42 | . S IBLOC=$P(IB399,U,4)
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| 43 | . S IBLOC=$S(IBLOC=1:"HOSPITAL",IBLOC=2:"SKILLED NURSING",1:"CLINIC")
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| 44 | . I IBDIV S IBDIV=$P($G(^DG(40.8,IBDIV,0)),U)
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| 45 | . I IBDIV=""!(IBDIV=0) S IBDIV="UNSPECIFIED"
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| 46 | . S IBMSG=$S($P(IB,U,8):"PAYER",1:"NON-PAYER")
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| 47 | . S IBUER=$S(IBUER:$P($G(^VA(200,IBUER,0)),U),1:"UNKNOWN")_"~"_IBUER
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| 48 | . S IB364=$P(IB,U,11)
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| 49 | . S IBOAM=$G(^DGCR(399,IBIFN,"U1"))
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| 50 | . S IBOAM=$P(IBOAM,U,1)-$P(IBOAM,U,2) ; current balance (total charges - offset)
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| 51 | . ;
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| 52 | . S IBSTSMSG=$$TXT(IBDA) ; status message text
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| 53 | . S IBERR=$E(IBSTSMSG,1,30)
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| 54 | . I IBERR="" S IBERR="-"
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| 55 | . ;
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| 56 | . S IB=$$BN1^PRCAFN(IBIFN) ; external bill#
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| 57 | . S A=IBIFN_U_IBPAY_U_IBPAT_U_IBSSN_U_IBSER_U_IBOAM_U_IBLOC_U_IBDIV_U_IBUER_U_IBMSG_U_IBPEN_U_$S(IBREV:"*",1:"")_U_IB364_U_IB
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| 58 | . ;
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| 59 | . S SV1=$$SRTV($G(IBSORT1),IBDA)
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| 60 | . S SV2=$$SRTV($G(IBSORT2),IBDA)
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| 61 | . S SV3=$$SRTV($G(IBSORT3),IBDA)
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| 62 | . S ^TMP("IBCECSB",$J,SV1,SV2,SV3,IBDA)=A
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| 63 | . S ^TMP("IBCECSB",$J,SV1,SV2,SV3,IBDA,"MSG")=IBSTSMSG
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| 64 | . Q
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| 65 | ;
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| 66 | I '$D(^TMP("IBCECSB",$J)) D NMAT Q
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| 67 | D SCRN
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| 68 | Q
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| 69 | ;
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| 70 | NMAT ;No CSA list
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| 71 | S VALMCNT=2,IBCNT=2
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| 72 | S ^TMP("IBCECSA",$J,1,0)=" "
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| 73 | S ^TMP("IBCECSA",$J,2,0)="No Messages Matching Selection Criteria Found"
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| 74 | Q
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| 75 | ;
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| 76 | SRTV(SORT,IBDA) ; sort value calculation given the sort code letter
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| 77 | I SORT="" Q IBDA
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| 78 | Q $$SV^IBCECSA(SORT)
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| 79 | ;
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| 80 | SCRN ;
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| 81 | NEW IBSRT1,IBSRT2,IBSRT3,IBX,IBCNT,IBIFN,IBDA,IB,INFX,DAT,X
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| 82 | W !,"Building the CSA list display ... "
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| 83 | S IBCNT=0,IBSRT1=""
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| 84 | F S IBSRT1=$O(^TMP("IBCECSB",$J,IBSRT1)) Q:IBSRT1="" D
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| 85 | . D SRTBRK(1,$G(IBSORT1),IBSRT1)
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| 86 | . S IBSRT2=""
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| 87 | . F S IBSRT2=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2)) Q:IBSRT2="" D
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| 88 | .. D SRTBRK(2,$G(IBSORT2),IBSRT2)
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| 89 | .. S IBSRT3=""
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| 90 | .. F S IBSRT3=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3)) Q:IBSRT3="" D
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| 91 | ... D SRTBRK(3,$G(IBSORT3),IBSRT3)
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| 92 | ... S IBDA=0
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| 93 | ... F S IBDA=$O(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA)) Q:'IBDA D
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| 94 | .... S IB=$G(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA))
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| 95 | .... S IBSTSMSG=$G(^TMP("IBCECSB",$J,IBSRT1,IBSRT2,IBSRT3,IBDA,"MSG"))
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| 96 | .... S IBIFN=+IB
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| 97 | .... S IB364=$P(IB,U,13)
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| 98 | .... S DAT=IBIFN_U_IBDA_U_IBSRT1_U_IBSRT2_U_IB364_U_IBSRT3
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| 99 | .... ;
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| 100 | .... S IBCNT=IBCNT+1
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| 101 | .... S X=$$SETFLD^VALM1($J(IBCNT,3),"","NUMBER")
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| 102 | .... D SETL1(IB,.X)
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| 103 | .... D SET(X,IBCNT,DAT)
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| 104 | .... ;
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| 105 | .... S X=$$SETSTR^VALM1(IBSTSMSG,"",6,75)
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| 106 | .... D SET(X,IBCNT,DAT)
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| 107 | .... Q
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| 108 | ... Q
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| 109 | .. Q
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| 110 | . Q
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| 111 | Q
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| 112 | ;
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| 113 | SRTBRK(LVL,SORT,IBSRT) ; sort break for display of certain sort data
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| 114 | ; LVL - sort level
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| 115 | ; SORT - sort letter code
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| 116 | ; IBSRT - subscript data
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| 117 | ;
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| 118 | NEW IBS,DSPDATA
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| 119 | I '$F(".A.D.N.","."_$G(SORT)_".") G SRTBRKX
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| 120 | S IBS=$$SD^IBCECSA(SORT)
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| 121 | S DSPDATA=IBSRT
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| 122 | I SORT="A" S DSPDATA=$P(DSPDATA,"~",1) ; biller name
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| 123 | I SORT="N" S DSPDATA=-DSPDATA ; number of days pending
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| 124 | D SET($J("",LVL-1)_IBS_": "_DSPDATA,IBCNT,"")
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| 125 | SRTBRKX ;
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| 126 | Q
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| 127 | ;
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| 128 | SET(X,CNT,DAT) ;set up list manager screen array
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| 129 | S VALMCNT=VALMCNT+1
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| 130 | I 'CNT S CNT=1
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| 131 | S ^TMP("IBCECSA",$J,VALMCNT,0)=X
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| 132 | S ^TMP("IBCECSA",$J,"IDX",VALMCNT,CNT)=""
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| 133 | I DAT'="" S ^TMP("IBCECSA",$J,CNT)=VALMCNT_U_DAT
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| 134 | Q
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| 135 | ;
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| 136 | SETL1(IB,X) ;
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| 137 | S X=$$SETFLD^VALM1($P($G(^DGCR(399,+IB,0)),U,1)_$P(IB,U,12),X,"BILL")
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| 138 | S X=$$SETFLD^VALM1($P(IB,U,2),X,"PNAME")
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| 139 | S X=$$SETFLD^VALM1($P(IB,U,3),X,"PANAME")
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| 140 | S X=$$SETFLD^VALM1($P(IB,U,4),X,"SSN")
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| 141 | S X=$$SETFLD^VALM1($$FMTE^XLFDT($P(IB,U,5),"2Z"),X,"SERVICE")
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| 142 | S X=$$SETFLD^VALM1($J("$"_$FN($P(IB,U,6),"",2),10),X,"CURBAL")
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| 143 | Q
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| 144 | ;
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| 145 | TXT(IBDA,LEN) ; Return a string of status message text
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| 146 | ; IBDA - ien to file 361
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| 147 | ; LEN - desired maximum length of combined text string
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| 148 | NEW MSG,LN,STOP,TX,HLN,REFN,DELIM
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| 149 | S MSG="",LN=0,LEN=$G(LEN,75),STOP=0
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| 150 | F S LN=$O(^IBM(361,+$G(IBDA),1,LN)) Q:'LN D Q:STOP
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| 151 | . S TX=$G(^IBM(361,IBDA,1,LN,0))
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| 152 | . I $E(TX,1,5)="Error" S TX=$E(TX,6,999)
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| 153 | . S TX=$$TRIM^XLFSTR(TX)
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| 154 | . I $E(TX,1,8)="Patient:" S STOP=1 Q
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| 155 | . I $E(TX,1,14)="Service Dates:" S STOP=1 Q
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| 156 | . I $E(TX,1,11)="Payer Name:" S STOP=1 Q
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| 157 | . I $E(TX,1,7)="Source:" S STOP=1 Q
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| 158 | . I $E(TX,1,11)="Claim Line:" S STOP=1 Q
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| 159 | . I $E(TX,1,13)="Service Type:" S STOP=1 Q
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| 160 | . I TX["HL=" S HLN=+$P(TX,"HL=",2),DELIM="HL="_HLN,TX=$P(TX,DELIM,1)_"HL= "_$P(TX,DELIM,2,9)
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| 161 | . I TX["ENVOY REF: " S REFN=$E($P(TX,"ENVOY REF: ",2),1,14),DELIM="ENVOY REF: "_REFN,TX=$P(TX,DELIM,1)_"ENVOY REF: "_$P(TX,DELIM,2,9)
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| 162 | . I ($L(MSG)+$L(TX))>500 S STOP=1 Q
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| 163 | . S MSG=MSG_$S(MSG="":"",1:" ")_TX
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| 164 | . I $L(MSG)>LEN S STOP=1
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| 165 | . Q
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| 166 | Q $E(MSG,1,LEN)
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| 167 | ;
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