| [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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