1 | IBCEF21 ;ALB/TMP - FORMATTER SPECIFIC BILL FUNCTIONS CONTINUED ;06-FEB-96
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2 | ;;2.0;INTEGRATED BILLING;**51,296**;21-MAR-94
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3 | ;
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4 | COID(IBIFN) ; Claim office ID
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5 | N IBCOID,IBCOID1,IBIN
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6 | S IBIN=$$CURR^IBCEF2(IBIFN),IBCOID1="",IBCOID=$P($$ADDRESS^IBCNSC0(IBIN,.11,5),U,11)
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7 | ;
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8 | I IBIN D
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9 | . I $D(^IBA(364.2,"C",IBIFN)) S IBCOID1=$P($$ADDRESS^IBCNSC0(IBIN,.18,5),U,11) Q ;Rx
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10 | . I $P($G(^DGCR(399,IBIFN,0)),U,5)<3 S IBCOID1=$P($$ADDRESS^IBCNSC0(IBIN,.12,5),U,11) Q ;Inpt
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11 | . I $P($G(^DGCR(399,IBIFN,0)),U,5)'<3 S IBCOID1=$P($$ADDRESS^IBCNSC0(IBIN,.16,5),U,11) Q ;Outpt
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12 | ;
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13 | Q $S(IBCOID1'="":IBCOID1,1:IBCOID)
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14 | ;
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15 | ESGHPST(IBIFN,COB) ; return insureds employment status if the bill policy defined by COB is an Employer Sponsored Group Health Plan
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16 | ; ESGHP FLAG (2.312,2.1) ^ the employment status (2.312,2.11)
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17 | ;
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18 | N PPOL,DFN,X,Y S Y=""
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19 | S PPOL=$$PPOL^IBCEF2($G(IBIFN),$G(COB)),DFN=$P($G(^DGCR(399,+$G(IBIFN),0)),U,2)
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20 | I +PPOL,+DFN S X=$G(^DPT(DFN,.312,+PPOL,2)) S Y=+$P(X,U,10)_U_$P(X,U,11)
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21 | Q Y
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22 | ;
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23 | ESGHPNL(IBIFN,COB) ; return employer name and location if the bill policy defined by COB is an Employer Sponsored Group Health Plan
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24 | ; ESGHP FLAG (2.312,2.1) ^ employer name (2.312,2.015) ^ employer city (2.312,2.05)
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25 | ; ^ employer state abbr (2.312,2.06) ^ employer state ifn (2.312,2.06)
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26 | ;
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27 | N PPOL,DFN,X,Y S Y=""
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28 | S PPOL=$$PPOL^IBCEF2($G(IBIFN),$G(COB)),DFN=$P($G(^DGCR(399,+$G(IBIFN),0)),U,2)
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29 | I +PPOL,+DFN S X=$G(^DPT(DFN,.312,+PPOL,2)) S Y=+$P(X,U,10)_U_$P(X,U,9)_U_$P(X,U,5)_U_$P($G(^DIC(5,+$P(X,U,6),0)),U,2)_U_$P(X,U,6)
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30 | Q Y
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31 | ;
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32 | REMARKS(IBIFN) ; Compile array of bill remarks
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33 | ;IBIFN = bill ien
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34 | N Z,Z0,Z1,IBARRAY,IBSM
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35 | S Z=0
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36 | ;S:$P($G(^DGCR(399,IBIFN,"U1")),U,2) Z=Z+1,Z0=$P(^("U1"),U,2),IBXDATA(Z)="OFFSET AMOUNT: "_"$"_+$P(Z0,".")_"."_$E($P(Z0,".",2)_"00",1,2)
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37 | S:$P($G(^DGCR(399,IBIFN,"U1")),U,8)'="" Z=Z+1,IBXDATA(Z)=$P(^("U1"),U,8) ;Bill comment on bill
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38 | S Z0=$G(^DGCR(399,IBIFN,0)),Z1=$G(^DGCR(399.3,+$P(Z0,U,7),0))
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39 | D SET^IBCSC5B(IBIFN,.IBARRAY)
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40 | I $P($G(IBARRAY),U,2) D ;Prosthetics
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41 | . S Z0=0 F S Z0=$O(IBARRAY(Z0)) Q:Z0="" S Z1=0 F S Z1=$O(IBARRAY(Z0,Z1)) Q:'Z1 S Z=Z+1,IBXDATA(Z)="Prosthetic: "_$E($P($$PIN^IBCSC5B(Z1),U,2),1,39)_" "_$E(Z0,4,5)_"/"_$E(Z0,6,7)_"/"_$E(Z0,1,2)
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42 | Q
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43 | ;
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44 | CREM(IBIFN) ; Compile array of bill remarks common to every bill
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45 | ;IBIFN = bill ien
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46 | N Z
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47 | S Z=0
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48 | S:$P($G(^IBE(350.9,1,1)),U,4)'="" Z=Z+1,IBXDATA(Z)=$P(^(1),U,4) ;Site specific 'every bill' comment
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49 | Q
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50 | ;
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51 | ADMDT(IBIFN,NOOUTCK) ; Calculate admission/start of care date/time
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52 | ; IBIFN = bill ien
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53 | ; NOOUTCK = flag that will:
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54 | ; (1) no check for inpt episode overlap for outpt
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55 | ; (0 or null) performs check for inpt episode overlap for outpt
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56 | ;
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57 | ; Returns IBXDATA = fileman date format
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58 | N Z,Z0,Z1
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59 | S Z=$G(^DGCR(399,IBIFN,0)),Z1=$P($G(^("U")),U,20),Z0=$$INPAT^IBCEF(IBIFN,1)
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60 | S IBXDATA=$S(Z0&$P(Z,U,8):$P($G(^DGPT(+$P(Z,U,8),0)),U,2),1:"")
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61 | S:'IBXDATA IBXDATA=$P(Z,U,3)_$S(Z0&(Z1<25):"."_$E("0",$L(Z1))_Z1,1:"")
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62 | ; Check to see if outpt episode (date in event date) overlaps inpt
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63 | ; episode - use admit date if it does
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64 | I 'Z0,IBXDATA,'$G(NOOUTCK) D
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65 | . N VAINDT,VAIN,DFN
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66 | . S VAINDT=IBXDATA,DFN=$P($G(^DGCR(399,IBIFN,0)),U)
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67 | . D INP^VADPT S IBXDATA=+VAIN(7) S:'IBXDATA IBXDATA=""
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68 | I 'IBXDATA,'Z0 S IBXDATA=$$SERVDT^IBCEF(IBIFN,,2)
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69 | Q
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70 | ;
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71 | DISDT(IBIFN) ; Calculate discharge date
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72 | ; IBIFN = bill ien
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73 | N Z,Z0
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74 | S Z=$$INPAT^IBCEF(IBIFN,1),Z0=$G(^DGCR(399,IBIFN,0))
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75 | I Z S IBXDATA=+$G(^DGPT(+$P(Z0,U,8),70)) S:'IBXDATA IBXDATA=$P(Z0,U,16)
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76 | I 'Z N VAINDT,VAIN,DFN S DFN=$P($G(^DGCR(399,IBIFN,0)),U,2) D INP^VADPT I VAIN(1) S IBXDATA=+$G(^DGPM(+$P($G(^DGPM(+VAIN(1),0)),U,17),0))
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77 | Q
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78 | ;
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