| [613] | 1 | IBCEF31 ;ALB/ESG - FORMATTER SPECIFIC BILL FLD FUNCTIONS - CONT ;14-NOV-03 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**155,296,349**;21-MAR-94;Build 46 | 
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|  | 3 | ;;Per VHA Directive 2004-038, this routine should not be modified. | 
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|  | 4 | ; | 
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|  | 5 | Q | 
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|  | 6 | ; | 
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|  | 7 | ALLTYP(IBIFN) ; returns codes to translate to ALL ins types on a bill | 
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|  | 8 | ; IBIFN = ien of bill | 
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|  | 9 | N IBX,Z | 
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|  | 10 | F Z=1:1:3 S $P(IBX,U,Z)=$$INSTYP(IBIFN,Z) | 
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|  | 11 | ; IBX = primary code^secondary code^tertiary code | 
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|  | 12 | Q IBX | 
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|  | 13 | ; | 
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|  | 14 | INSTYP(IBIFN,SEQ) ; Returns insurance type code for an ins on a bill | 
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|  | 15 | ; IBIFN = ien of bill | 
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|  | 16 | ; SEQ = sequence (1,2,3) of insurance wanted - prim, second, tert | 
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|  | 17 | ;       Default is current insurance co | 
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|  | 18 | ; | 
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|  | 19 | N IBA,Z | 
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|  | 20 | ; | 
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|  | 21 | I '$G(SEQ) S SEQ=$$COBN^IBCEF(IBIFN) | 
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|  | 22 | S Z=+$G(^DGCR(399,IBIFN,"I"_SEQ)) | 
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|  | 23 | ;Codes 1:HMO;2:COMMERCIAL;3:MEDICARE;4:MEDICAID;5:GROUP POLICY;9:OTHER | 
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|  | 24 | I Z D | 
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|  | 25 | . S IBA=$P($G(^DIC(36,Z,3)),U,9) | 
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|  | 26 | . I $$MCRWNR^IBEFUNC(Z) S IBA=3   ; force Medicare (WNR) definition to be correct | 
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|  | 27 | . I IBA="" S IBA=5 ;Default is group policy - 5 if blank | 
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|  | 28 | ; | 
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|  | 29 | Q $G(IBA) | 
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|  | 30 | ; | 
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|  | 31 | POLTYP(IBIFN,IBSEQ) ; Returns ins electronic policy type code for one | 
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|  | 32 | ;   ins policy on a bill | 
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|  | 33 | ; IBIFN = ien of bill | 
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|  | 34 | ; IBSEQ = sequence (1,2,3) of ins policy wanted - prim, second, tert | 
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|  | 35 | ;       Default is current insurance co | 
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|  | 36 | ; | 
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|  | 37 | N IBPLAN,IBPLTYP | 
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|  | 38 | ; | 
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|  | 39 | I '$G(IBSEQ) S IBSEQ=+$$COBN^IBCEF(IBIFN) | 
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|  | 40 | S IBPLAN=$G(^IBA(355.3,+$P($G(^DGCR(399,IBIFN,"I"_IBSEQ)),U,18),0)) | 
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|  | 41 | S IBPLTYP=$P(IBPLAN,U,15) | 
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|  | 42 | ; | 
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|  | 43 | ; esg - 06/30/05 - IB*2.0*296 - Force Medicare (WNR) to be correct | 
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|  | 44 | I $$WNRBILL^IBEFUNC(IBIFN,IBSEQ),$$FT^IBCEF(IBIFN)=2 S IBPLTYP="MB"   ; CMS-1500 ----> Medicare Part B | 
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|  | 45 | I $$WNRBILL^IBEFUNC(IBIFN,IBSEQ),$$FT^IBCEF(IBIFN)=3 S IBPLTYP="MA"   ; UB-04 -------> Medicare Part A | 
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|  | 46 | ; | 
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|  | 47 | I IBPLTYP="" S IBPLTYP="CI" ;Default is commercial - 'CI' | 
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|  | 48 | I IBPLTYP="MX" D | 
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|  | 49 | . I $P(IBPLAN,U,14)'="","AB"[$P(IBPLAN,U,14) S IBPLTYP="M"_$P(IBPLAN,U,14) Q | 
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|  | 50 | . S IBPLTYP="CI" | 
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|  | 51 | Q $G(IBPLTYP) | 
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|  | 52 | ; | 
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|  | 53 | ALLPTYP(IBIFN) ; returns insurance policy type codes for ALL ins on a bill | 
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|  | 54 | ; IBIFN = ien of bill | 
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|  | 55 | N IBX,Z S IBX="" | 
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|  | 56 | F Z=1:1:3 I $D(^DGCR(399,IBIFN,"I"_Z)) S $P(IBX,U,Z)=$$POLTYP(IBIFN,Z) | 
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|  | 57 | ; IBX = primary code^secondary code^tertiary code | 
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|  | 58 | Q IBX | 
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|  | 59 | ; | 
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|  | 60 | PGDX(DXCNT,IBX0,IBXDA,IBXLN,IBXCOL,IBXSIZE,IBXSAVE) ; Subroutine - Checks for Diagnosis Codes (Dx) beyond | 
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|  | 61 | ; the first four, that relate to the current Dx position passed in DXCNT. | 
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|  | 62 | ; This subroutine stores the Diagnosis Codes in output global using display parameters (IBXLN,IBXCOL) | 
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|  | 63 | ; If DXCNT is 1, check for Dx's 5,9,...etc & display on pages 2,3,...etc | 
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|  | 64 | ; If DXCNT is 2, check for Dx's 6,10,...etc & display on pages 2,3,...etc | 
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|  | 65 | ; If DXCNT is 3, check for Dx's 7,11,...etc & display on pages 2,3,...etc | 
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|  | 66 | ; If DXCNT is 4, check for Dx's 8,12,...etc & display on pages 2,3,...etc | 
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|  | 67 | ; | 
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|  | 68 | ; Input: DXCNT= position of current Dx (from 1 to 4) | 
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|  | 69 | ;        IBX0= zero-level of file 364.7 of current Dx | 
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|  | 70 | ;        IBXDA= ien# of file 364.6 of current Dx | 
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|  | 71 | ;        IBXLN IBXCOL= line# & Column# of current Dx | 
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|  | 72 | ;        IBXSIZE= size counter | 
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|  | 73 | ;        IBXSAVE("DX")= local array with all Dx's on current bill | 
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|  | 74 | ; | 
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|  | 75 | N JUMP,IBPG,VAL | 
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|  | 76 | F JUMP=DXCNT+4:4 Q:'$D(IBXSAVE("DX",JUMP))  D  ; | 
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|  | 77 | . ;calculate page number where Dx number JUMP will print | 
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|  | 78 | . S IBPG=JUMP\4+(JUMP#4>0) | 
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|  | 79 | . S VAL=$P($G(^ICD9(+IBXSAVE("DX",JUMP),0)),U)   ; resolve Dx pointer | 
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|  | 80 | . S VAL=$$FORMAT^IBCEF3(VAL,$G(IBX0),$G(IBXDA))  ;format Dx value | 
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|  | 81 | . D SETGBL^IBCEFG(IBPG,IBXLN,IBXCOL,VAL,.IBXSIZE) ;store in output global | 
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|  | 82 | Q  ;PGDX | 
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|  | 83 | ; | 
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