| 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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