| [613] | 1 | IBCEM02 ;ALB/TMP - 837 EDI RESUBMIT BATCH PROCESSING ;12-SEP-96
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| 2 | ;;2.0;INTEGRATED BILLING;**137,191,296**;21-MAR-94
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| 3 | Q
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| 4 | ;
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| 5 | BATCH2 ; Resubmit a batch of bills not necessarily in error
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| 6 | N DIR,DIC,X,Y,IB
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| 7 | K ^TMP("IBEDI_TEST_BATCH",$J)
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| 8 | F S DIC="^IBA(364.1,",DIC(0)="AEMQ" D ^DIC Q:Y<0 S IB=+Y D I IB Q:'$$BATCH(+IB)
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| 9 | . N Y,IB0
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| 10 | . S IB0=$G(^IBA(364.1,IB,0)) I $P(IB0,U,14),'$O(^IBA(364,"C",IB,0)) D Q:'IB
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| 11 | .. S DIR("A",1)="THIS IS A TEST BATCH AND CANNOT BE RESUBMITTED."
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| 12 | .. I +$P(IB0,U,15) S DIR("A",2)="IT WAS CREATED AS A RESULT OF BATCH "_$P($G(^IBA(364.1,+$P(IB0,U,15),0)),U)_" BEING RESUBMITTED.",DIR("A",3)="RESUBMIT THIS ORIGINAL BATCH INSTEAD."
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| 13 | .. S DIR("A")="PRESS RETURN TO CONTINUE: "
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| 14 | .. S DIR(0)="EA"
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| 15 | .. W ! D ^DIR K DIR W !
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| 16 | .. S IB=0
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| 17 | . ;
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| 18 | . S DIR("A")="Are you resubmitting the claims in this batch for testing?: ",DIR("B")="NO",DIR(0)="YA" D ^DIR K DIR
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| 19 | . I $D(DTOUT)!$D(DUOUT) S IB=0 Q
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| 20 | . I +Y S ^TMP("IBEDI_TEST_BATCH",$J)=1 Q
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| 21 | . K ^TMP("IBEDI_TEST_BATCH",$J)
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| 22 | K ^TMP("IBEDI_TEST_BATCH",$J)
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| 23 | Q
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| 24 | ;
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| 25 | BATCH(IBBDA) ;
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| 26 | N DIR,IBOK,IB0,IB1,ZTSK,IBSTAT,IBCE,IBASK,IBSTOP,IBTEST
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| 27 | S IB0=$G(^IBA(364.1,IBBDA,0)),IB1=$G(^(1)),IBSTAT=$P(IB0,U,2),IBASK=0
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| 28 | S IBTEST=+$G(^TMP("IBEDI_TEST_BATCH",$J))
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| 29 | ;
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| 30 | I 'IBTEST,$P(IB0,U,9) D I 'IBOK S IBASK=1 G BATCHQ
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| 31 | . S IBOK=1,ZTSK=$P(IB0,U,9) D STAT^%ZTLOAD
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| 32 | . I ZTSK(0)=0 S DIE="^IBA(364.1,",DA=IBBDA,DR=".09///@" D ^DIE Q ;Task not scheduled - delete task #
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| 33 | . I "125"[ZTSK(1) W *7,!,"Cannot resubmit this batch.",!,"This batch is currently ",$S("2"[ZTSK(1):"being resubmitted",1:"scheduled for resubmission")," - Task # is: ",$P(IB0,U,9),! S IBOK=0
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| 34 | ;
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| 35 | W !
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| 36 | S DIR("A",1)=$P(IB0,U,8)
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| 37 | S DIR("A",2)="Current Batch Status: "_$$EXPAND^IBTRE(364.1,.02,IBSTAT)
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| 38 | S DIR("A",3)=" Recorded On: "_$$FMTE^XLFDT($P(IB1,U,6),2)
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| 39 | S DIR("A",4)=" "
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| 40 | S DIR("A",5)=" Date Last Sent: "_$$FMTE^XLFDT($P(IB1,U,3),2)
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| 41 | S DIR("A",6)=" Last Sent By: "_$$EXPAND^IBTRE(364.1,1.04,$P(IB1,U,4))
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| 42 | S DIR("A",7)=" "
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| 43 | S DIR("A",8)=" Date First Sent: "_$$FMTE^XLFDT($P(IB1,U),2)
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| 44 | S DIR("A",9)=" First Sent By: "_$$EXPAND^IBTRE(364.1,1.02,$P(IB1,U,2))
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| 45 | S DIR("A",10)=" Number Of Bills: "_$P(IB0,U,3)
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| 46 | S DIR("A",11)=" "
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| 47 | ;
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| 48 | I $P(IB0,U,13),'IBTEST D G:IBSTOP BATCHQ
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| 49 | . S DIR("A",12)="BATCH WAS LAST RESUBMITTED ON "_$$FMTE^XLFDT($P(IB0,U,13),2),DIR("A",13)=" "
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| 50 | . S DIR(0)="YA",DIR("A")="ARE YOU SURE YOU WANT TO RESUBMIT IT AGAIN?: ",DIR("B")="NO" D ^DIR K DIR I 'Y!$D(DTOUT)!$D(DUOUT) S IBSTOP=1 Q
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| 51 | . S IBSTOP=0
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| 52 | ;
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| 53 | I IBSTAT'="P",'IBTEST S DIR("A",11)="WARNING - BATCH TRANSMITTED PREVIOUSLY & CONFIRMED RECEIVED BY "_$P("AUSTIN^PAYER/INTERMEDIARY",U,$TR(IBSTAT,"A")+1)
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| 54 | S DIR("A")="ARE YOU SURE YOU WANT TO RESUBMIT THIS BATCH"_$S(IBTEST:" FOR TEST",1:"")_"?: "
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| 55 | S DIR(0)="YA",DIR("B")="NO"
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| 56 | D ^DIR K DIR
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| 57 | S IBSTOP=('Y)
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| 58 | ;
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| 59 | K ^TMP("IBNOT",$J)
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| 60 | W !
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| 61 | I IBSTOP S IBASK=1 G BATCHQ
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| 62 | I IBSTAT'="P"!IBTEST D
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| 63 | . S DIR("A")="Do you want to exclude any bills from being resubmitted?: ",DIR("B")="NO",DIR(0)="YA" D ^DIR K DIR
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| 64 | . I Y D
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| 65 | .. N IBDAB,Z,IBCEFUNC
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| 66 | .. S IBCEFUNC=1,IBCE("VALMSG")="Select bills that should NOT be resubmitted"
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| 67 | .. D EN^VALM("IBCEM BATCH BILL LIST")
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| 68 | W !
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| 69 | D RESUB(IBBDA,$S(IBTEST:0,IBSTAT="P":1,1:0))
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| 70 | ;
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| 71 | BATCHQ Q IBASK
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| 72 | ;
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| 73 | RESUB(IBBDA,IBOLD) ; Resubmit a batch entry # IBBDA in file 364.1
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| 74 | ;IBOLD = 1 if old batch # should be used 0 if new batch # needed
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| 75 | ;
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| 76 | N IBIFN,IB0,IBS,IBS1,IBSCT,IBEXCT,IBE,IB,DIR,Y,IBT,IBPT,IBB,IBZTSK,IBTEST
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| 77 | K ^TMP("IBRESUBMIT",$J),^TMP("IBRESUB",$J)
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| 78 | S IBTEST=+$G(^TMP("IBEDI_TEST_BATCH",$J))
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| 79 | S IBOLD=+$G(IBOLD),^TMP("IBRESUB",$J)=$P($G(^IBA(364.1,IBBDA,0)),U)_U_IBBDA_U_IBOLD_U_IBTEST
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| 80 | ;
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| 81 | S (IBE,IBE(0),IBSCT,IBEXCT,IBIFN)=0
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| 82 | F S IBIFN=$O(^IBA(364,"ABABI",IBBDA,IBIFN)) Q:'IBIFN S IB=$O(^IBA(364,"ABABI",IBBDA,IBIFN,"")) Q:'IB S IB0=$G(^IBA(364,IB,0)),IBS=$P($G(^DGCR(399,IBIFN,0)),U,13) D
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| 83 | . I $D(^TMP("IBNOT",$J,IB)) S IBEXCT=IBEXCT+1 Q
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| 84 | . S IBSCT=IBSCT+1,IBS1=$P(IB0,U,3)
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| 85 | . I IBTEST!(IBS>1&(IBS<6)&("CRDZ"'[IBS1)) S ^TMP("IBRESUB",$J,IB)=IBIFN Q
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| 86 | . S IBE(0)=IBE(0)+1
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| 87 | . I IBS1'="","CRDZ"[IBS1 S IBE(IBS1)=$G(IBE(IBS1))+1 Q
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| 88 | . S IBE=IBE+1,^TMP("IBNOT",$J,IB)=IBIFN
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| 89 | ;
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| 90 | I 'IBTEST,'IBE(0),'IBSCT,'$D(^TMP("IBNOT",$J)) D CKRES^IBCESRV2(IBBDA) G RESUBQ
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| 91 | I IBE(0)!'IBSCT S Y=1 D G:'Y RESUBQ
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| 92 | . I IBE(0)=IBSCT W !,*7,"There are no bill(s) in this batch in a valid status to be resubmitted" W:IBEXCT !,IBEXCT," bill(s) in this batch have been specifically excluded" D PAUSE^VALM1 S Y="" Q
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| 93 | . F Z="C","R","D" I $D(IBE(Z)) W !,*7,IBE(Z)," bill(s) in this batch have been ",$S(Z="C":"cancelled",Z="R":"resubmitted",1:"deleted from batch")," previously"
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| 94 | . I IBE W !,*7,IBE," bill(s) in this batch are not in a valid status to be re-submitted"
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| 95 | . I IBEXCT W !,IBEXCT," bill(s) in this batch have been specifically excluded" Q:'IBE
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| 96 | . K DIR S DIR("A")="Do you want to resubmit the other "_(IBSCT-IBE(0))_" bill(s) in this batch?: ",DIR(0)="YA",DIR("B")="NO" D ^DIR K DIR
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| 97 | . W !
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| 98 | . I 'Y W !,*7,"Batch NOT resubmitted" D PAUSE^VALM1 S Y=0,IBSTOP=1 K ^TMP("IBRESUB",$J),^TMP("IBNOT",$J) Q
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| 99 | ;
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| 100 | S IBZTSK=""
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| 101 | I $O(^TMP("IBRESUB",$J,0)) D
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| 102 | . S ^TMP("IBRESUBMIT",$J)=$G(^TMP("IBRESUB",$J))
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| 103 | . S IB="" F S IB=$O(^TMP("IBRESUB",$J,IB)) Q:'IB S IBIFN=$P($G(^IBA(364,IB,0)),U),Y=$S('IBOLD&'IBTEST:$$ADDTBILL^IBCB1(IBIFN),1:IB) D
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| 104 | .. I IBTEST Q:$D(^TMP("IBNOT",$J,IB))
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| 105 | .. I 'IBTEST,'IBOLD,'$P(Y,U,3) S ^TMP("IBNOT",$J,IB)=IBIFN K ^TMP("IBRESUB",$J,IB) Q
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| 106 | .. S ^TMP("IBRESUBMIT",$J,+Y)=^TMP("IBRESUB",$J,IB),^TMP("IBRESUBMIT",$J,+Y,"OLD")=$S('IBTEST:IB,1:0)
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| 107 | . D EN1^IBCE837B(.IBZTSK,0)
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| 108 | . I 'IBTEST,$G(^TMP("IBRESUBMIT",$J))="ABORT" D ; No resubmit - delete entries
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| 109 | .. S IB="" F S IB=$O(^TMP("IBRESUBMIT",$J,IB)) Q:'IB S DIK="^IBA(364,",DA=IB D ^DIK
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| 110 | .. K ^TMP("IBRESUBMIT",$J)
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| 111 | I IBZTSK S ^TMP("IBRESUBMIT",$J)=^TMP("IBRESUB",$J),DIE="^IBA(364.1,",DR=".09////"_IBZTSK,DA=$S('IBTEST:+$P($G(^TMP("IBRESUBMIT",$J)),U,2),1:0) D:DA ^DIE ;task was queued
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| 112 | ;
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| 113 | RESUBQ Q
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| 114 | ;
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| 115 | RESUBUP ; Update old entries in file 364 for resubmitted bills, send bulletin
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| 116 | ; for bills not resubmitted in batch, if any, update new batch(s) with
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| 117 | ; old batch reference
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| 118 | N IBBA,IBE,IBT,IB,IBV,IBB,XMSUBJ,XMBODY,XMTO,XMDUZ
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| 119 | ;
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| 120 | S IBBA=+$P($G(^TMP("IBRESUBMIT",$J)),U,2) ;Original batch entry #
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| 121 | ;
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| 122 | I $O(^TMP("IBNOT",$J,0)) D
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| 123 | . S IBE=5,IB=""
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| 124 | . F S IB=$O(^TMP("IBNOT",$J,IB)) Q:IB="" S IBB=+$G(^(IB)),IBV=$$DISP^IBCEM3(IBB,"",1) D
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| 125 | .. Q:"CRDZ"[$P($G(^IBA(364,IB,0)),U,3)
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| 126 | .. S IBE=IBE+1,IBPT=$P(IBV,U,3)
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| 127 | .. S IBT(IBE)=" "_$E($P(IBV,U,2)_$J("",10),1,10)_$E($E($P(IBPT,"("),1,20)_"("_$P(IBPT,"(",2)_$J("",32),1,32)_" "_$E($P(IBV,U,4)_$J("",10),1,10)_" "_$$EXPAND^IBTRE(399,.13,$P($G(^DGCR(399,IBB,0)),U,13))
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| 128 | . I IBE>5 D ;Batch resubmit is still incomplete
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| 129 | .. S IBT(1)="The resubmission of bills in batch "_$P($G(^TMP("IBRESUB",$J)),U)_" was incomplete."
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| 130 | .. S IBT(2)="The following bills were NOT resubmitted:"
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| 131 | .. S IBT(3)=" ",IBT(4)=" BILL # PATIENT"_$J("",27)_"TYPE BILL STATUS",IBT(5)="",$P(IBT(5),"-",76)="",IBT(5)=" "_IBT(5)
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| 132 | .. S XMSUBJ="BILLS NOT RESUBMITTED WITH THEIR BATCH",XMBODY="IBT",XMDUZ="",XMTO("I:G.IB EDI")=""
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| 133 | .. D SENDMSG^XMXAPI(XMDUZ,XMSUBJ,XMBODY,.XMTO,,.XMZ)
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| 134 | .. I '$P($G(^IBE(364.1,IBBA,0)),U,10) S DIE="^IBA(364.1,",DR=".1////1",DA=IBBA D ^DIE
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| 135 | ;
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| 136 | I $G(^TMP("IBRESUBMIT",$J,0)),'$P($G(^TMP("IBRESUBMIT",$J)),U,3) D
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| 137 | . N IB,IBCT,IBO,IBIFN
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| 138 | . S (IB,IBCT)=0
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| 139 | . F S IB=$O(^TMP("IBRESUBMIT",$J,IB)) Q:'IB S IBIFN=+$G(^(IB)),IBO=$G(^(IB,"OLD")) D:IBO
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| 140 | .. S IBCT=IBCT+1
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| 141 | .. D UPDEDI^IBCEM(IBO,"R",1)
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| 142 | . D CTDOWN(IBBA,IBCT)
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| 143 | S DA=IBBA,DIE="^IBA(364.1,",DR=".09///@;.13///NOW;1.03///NOW;1.04////.5" D ^DIE
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| 144 | L -^IBA(364.1,DA)
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| 145 | K ^TMP("IBNOT",$J),^TMP("IBRESUB",$J)
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| 146 | Q
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| 147 | ;
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| 148 | CTDOWN(IBBA,IBCT) ; Upd the count, incomplete resubmit status on the batch
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| 149 | ;IBBA = batch file ien
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| 150 | ;IBCT = the # to decrease the count
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| 151 | Q:'IBBA
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| 152 | N IBCT1,IBSTAT,IB0
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| 153 | S IB0=$G(^IBA(364.1,IBBA,0)),IBCT1=$P(IB0,U,3)-IBCT,IBSTAT=$P(IB0,U,10)
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| 154 | S:IBCT1<0 IBCT1=0
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| 155 | S IBINC=$S('IBSTAT:"",1:$$CKINC^IBCEM02(IBBA)),DIE="^IBA(364.1,",DR=".03////"_IBCT1_$S(IBINC'="":";.1////"_IBINC,1:""),DA=IBBA D ^DIE
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| 156 | Q
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| 157 | ;
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| 158 | CKINC(IBBA) ;Check to see if batch resubmit is incomplete
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| 159 | ; IBBA = internal file 364.1 entry # of batch to check
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| 160 | N IBZ,IBINC,DR,DA,DIE
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| 161 | S IBZ="",IBINC=0
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| 162 | F S IBZ=$O(^IBA(364,"ABAST",IBBA,IBZ)) Q:IBZ="" I "CRD"'[IBZ S IBINC=1 Q
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| 163 | Q IBINC
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| 164 | ;
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| 165 | LOCK(FILE,IBBDA) ; Lock file # FILE entry # IBBDA
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| 166 | I IBBDA L +^IBA(FILE,IBBDA):5
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| 167 | Q $T
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| 168 | ;
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