| 1 | IBCEMMR ;ALB/ESG - IB MRA Report of Patients w/o Medicare WNR ;20-NOV-2003
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| 2 | ;;2.0;INTEGRATED BILLING;**155,366**;21-MAR-94;Build 3
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| 3 | ;
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| 4 | ; Find patients with Medicare supplemental insurance or Medigap
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| 5 | ; insurance (etc.) but who do not have MEDICARE (WNR) on file as
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| 6 | ; one of their insurances.
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| 7 | ;
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| 8 | Q
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| 9 | ;
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| 10 | EN ; Entry Point
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| 11 | NEW IBMSORT
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| 12 | D SORT I 'IBMSORT G EX
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| 13 | D DEVICE
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| 14 | EX ; Exit Point
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| 15 | Q
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| 16 | ;
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| 17 | SORT ; Ask user how to sort the report
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| 18 | NEW CH,DIR,X,Y,DIRUT,DIROUT
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| 19 | W @IOF,!?20,"Patients Without MEDICARE (WNR) Insurance"
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| 20 | W !!?2,"This option finds patients who do not have active MEDICARE (WNR) insurance,"
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| 21 | W !?2,"but who do have active insurance with a Plan Type of Medigap, Carve-Out, or"
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| 22 | W !?2,"Medicare Secondary. In these cases, MEDICARE (WNR) should be primary."
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| 23 | W !!?2,"The insurances for all living patients will be analyzed, but"
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| 24 | W !?2,"you can determine how this information will be sorted."
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| 25 | S IBMSORT=""
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| 26 | W !
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| 27 | S CH="1:Patient Name;2:SSN - Last 4 Digits;3:Insurance Company;"
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| 28 | S CH=CH_"4:Type of Plan;5:Appointment Date"
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| 29 | S DIR(0)="SO^"_CH
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| 30 | S DIR("A")="Please enter the Sort Criteria"
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| 31 | S DIR("B")="Patient Name"
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| 32 | D ^DIR K DIR
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| 33 | I 'Y G SORTX
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| 34 | S IBMSORT=Y
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| 35 | SORTX ;
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| 36 | Q
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| 37 | ;
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| 38 | COMPILE ; Entry point for both background and foreground task execution
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| 39 | ;
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| 40 | NEW RTN,DFN,CNT,MS,DPT,PTNM,SSN,APPT,APDTE,A
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| 41 | NEW INS,GRP,PLN,INSNM,PLNTYP,SORT,X,IBNEXT
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| 42 | S RTN="IBCEMMR"
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| 43 | K ^TMP($J,RTN),^("IBCEPT"),^("IBSDNEXT"),^("IBDPT"),^("IBLAST")
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| 44 | S DFN=" ",CNT=0
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| 45 | F S DFN=$O(^DPT(DFN),-1) Q:'DFN!($G(ZTSTOP)) D
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| 46 | . S CNT=CNT+1
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| 47 | . I '$D(ZTQUEUED),CNT#500=0 U IO(0) W "." U IO
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| 48 | . I $D(ZTQUEUED),CNT#500=0,$$S^%ZTLOAD() S ZTSTOP=1 Q
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| 49 | . I $P($G(^DPT(DFN,.35)),U,1) Q ; date of death
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| 50 | . I '$$PTINS(DFN,.MS) Q ; eligible for report
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| 51 | . S ^TMP($J,"IBNEXT",DFN)=""
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| 52 | . S ^TMP($J,"IBLAST",DFN)=""
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| 53 | . S ^TMP($J,"IBDPT",DFN)=""
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| 54 | ;
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| 55 | S X=$$NEXT^IBSDU("^TMP($J,""IBNEXT"",")
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| 56 | S X=$$LAST^IBSDU("^TMP($J,""IBLAST"",")
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| 57 | ;
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| 58 | S DFN=0 F S DFN=$O(^TMP($J,"IBDPT",DFN)) Q:'DFN!($G(ZTSTOP)) D
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| 59 | . I '$D(ZTQUEUED),CNT#500=0 U IO(0) W "." U IO
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| 60 | . I $D(ZTQUEUED),CNT#500=0,$$S^%ZTLOAD() S ZTSTOP=1 Q
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| 61 | . I '$$PTINS(DFN,.MS) ; get MS data
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| 62 | . S DPT=$G(^DPT(DFN,0))
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| 63 | . S PTNM=$P(DPT,U,1)
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| 64 | . I PTNM="" S PTNM="~UNKNOWN"
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| 65 | . S SSN=$E($P(DPT,U,9),6,99)_" "
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| 66 | . I SSN="" S SSN="~UNK"
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| 67 | . S (APPT,IBNEXT)=$G(^TMP($J,"IBNEXT",DFN),"UNKNOWN")
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| 68 | . I 'APPT S APPT=$G(^TMP($J,"IBLAST",DFN),"UNKNOWN")
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| 69 | . S APDTE=$S(APPT:$$FMTE^XLFDT($P(APPT,"."),"2Z"),$L(IBNEXT):IBNEXT,$L(APPT):APPT,1:"N/A")
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| 70 | . S APPT=+APPT
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| 71 | . S A=0 F S A=$O(MS(A)) Q:'A D
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| 72 | .. S INS=+$P(MS(A),U,1),GRP=+$P(MS(A),U,2)
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| 73 | .. S PLN=+$P(MS(A),U,3)
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| 74 | .. S INSNM=$P($G(^DIC(36,INS,0)),U,1)
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| 75 | .. I INSNM="" S INSNM="~UNKNOWN"
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| 76 | .. S PLNTYP=$P($G(^IBE(355.1,PLN,0)),U,1)
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| 77 | .. I PLNTYP="" S PLNTYP="~UNKNOWN"
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| 78 | .. S SORT=$S(IBMSORT=1:PTNM,IBMSORT=2:SSN,IBMSORT=3:INSNM,IBMSORT=4:PLNTYP,IBMSORT=5:-APPT,1:PTNM)
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| 79 | .. S ^TMP($J,RTN,SORT,PTNM,DFN,A)=SSN_U_INSNM_U_PLNTYP_U_APDTE
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| 80 | .. Q
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| 81 | . Q
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| 82 | ;
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| 83 | I '$G(ZTSTOP) D PRINT ; print the report
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| 84 | D ^%ZISC ; close the device
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| 85 | K ^TMP($J,RTN),^("IBCEPT"),^("IBSDNEXT"),^("IBDPT"),^("IBLAST") ;cleanup
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| 86 | I $D(ZTQUEUED) S ZTREQ="@" ; purge the task record
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| 87 | COMPX ;
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| 88 | Q
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| 89 | ;
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| 90 | PRINT ; print the report to the device specified
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| 91 | N MAXCNT,CRT,PAGECNT,STOP,SORT,PTNM,DFN,A,DATA,DIR,X,Y,DIRUT,DIROUT,IBX
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| 92 | I IOST["C-" S MAXCNT=IOSL-3,CRT=1
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| 93 | E S MAXCNT=IOSL-6,CRT=0
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| 94 | S PAGECNT=0,STOP=0
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| 95 | ;
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| 96 | ; Check for no data
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| 97 | I '$D(^TMP($J,RTN)) D HEADER W !!?5,"No Data Found"
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| 98 | ;
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| 99 | S SORT=""
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| 100 | F S SORT=$O(^TMP($J,RTN,SORT)) Q:SORT="" D Q:STOP
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| 101 | . S PTNM=""
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| 102 | . F S PTNM=$O(^TMP($J,RTN,SORT,PTNM)) Q:PTNM="" D Q:STOP
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| 103 | .. S DFN=0
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| 104 | .. F S DFN=$O(^TMP($J,RTN,SORT,PTNM,DFN)) Q:'DFN D Q:STOP
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| 105 | ... S A=0
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| 106 | ... F S A=$O(^TMP($J,RTN,SORT,PTNM,DFN,A)) Q:'A D Q:STOP
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| 107 | .... S DATA=$G(^TMP($J,RTN,SORT,PTNM,DFN,A))
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| 108 | .... I $Y+1>MAXCNT!'PAGECNT D HEADER Q:STOP
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| 109 | .... W !,$E(PTNM,1,20),?23,$P(DATA,U,1),?30,$E($P(DATA,U,2),1,20)
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| 110 | .... W ?53,$E($P(DATA,U,3),1,13),?69,$P(DATA,U,4)
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| 111 | .... Q
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| 112 | ... Q
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| 113 | .. Q
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| 114 | . Q
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| 115 | ;
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| 116 | I STOP G PRINTX
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| 117 | W !!?30,"*** End of Report ***"
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| 118 | I CRT,'$D(ZTQUEUED) S DIR(0)="E" D ^DIR K DIR
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| 119 | PRINTX ;
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| 120 | Q
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| 121 | ;
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| 122 | HEADER ; page break and report header information
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| 123 | NEW LIN,HDR,TAB
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| 124 | S STOP=0
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| 125 | ; ask screen user if they want to continue
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| 126 | I CRT,PAGECNT>0,'$D(ZTQUEUED) D I STOP G HEADERX
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| 127 | . I MAXCNT<51 F LIN=1:1:(MAXCNT-$Y) W !
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| 128 | . S DIR(0)="E" D ^DIR K DIR
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| 129 | . I 'Y S STOP=1 Q
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| 130 | . Q
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| 131 | ;
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| 132 | S PAGECNT=PAGECNT+1
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| 133 | W @IOF,!,"Patients Without MEDICARE (WNR) Insurance"
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| 134 | S HDR="Page: "_PAGECNT
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| 135 | S TAB=80-$L(HDR)-1
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| 136 | W ?TAB,HDR
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| 137 | W !,"Sorted by ",$S(IBMSORT=1:"Patient Name",IBMSORT=2:"SSN - Last 4 Digits",IBMSORT=3:"Insurance Company",IBMSORT=4:"Type of Plan",IBMSORT=5:"Appointment Date",1:"Patient Name")
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| 138 | S HDR=$$FMTE^XLFDT($$NOW^XLFDT,"1Z")
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| 139 | S TAB=80-$L(HDR)-1
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| 140 | W ?TAB,HDR
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| 141 | W !,"Patient Name",?24,"SSN",?30,"Insurance Company"
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| 142 | W ?53,"Type of Plan",?69,"ApptDate"
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| 143 | W !,$$RJ^XLFSTR("",80,"=")
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| 144 | ;
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| 145 | ; check for stop request
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| 146 | I $D(ZTQUEUED),$$S^%ZTLOAD() D G HEADERX
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| 147 | . S (ZTSTOP,STOP)=1
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| 148 | . W !!!?5,"*** Report Halted by TaskManager Request ***"
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| 149 | . Q
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| 150 | ;
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| 151 | HEADERX ;
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| 152 | Q
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| 153 | ;
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| 154 | PTINS(DFN,MCRSUP) ; Function to determine if a patient should be
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| 155 | ; included in this report or not.
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| 156 | ; Input: DFN - patient ien
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| 157 | ; Output: Function value is either 0 (don't include) or 1 (include)
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| 158 | ; MCRSUP array pass by reference
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| 159 | ; MCRSUP(seq) = [1] insurance co ien pointer to file 36
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| 160 | ; [2] group pointer to file 355.3
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| 161 | ; [3] type of plan pointer to file 355.1
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| 162 | ;
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| 163 | NEW INCLUDE,INS,A,MCRWNR,MCRZ,IBINS,IBGRP,GP,TP,PLABBR
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| 164 | S INCLUDE=0 KILL MCRSUP
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| 165 | I '$G(DFN) G PTINSX
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| 166 | I '$D(^DPT(DFN)) G PTINSX
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| 167 | D ALLWNR^IBCNS1(DFN,"INS",DT)
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| 168 | S A=0,(MCRWNR,MCRZ)=0
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| 169 | F S A=$O(INS(A)) Q:'A D Q:MCRWNR
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| 170 | . S IBINS=$P($G(INS(A,0)),U,1)
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| 171 | . S IBGRP=$P($G(INS(A,0)),U,18)
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| 172 | . I $$MCRWNR^IBEFUNC(IBINS) S MCRWNR=1 Q ; Medicare WNR on file
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| 173 | . S GP=$G(INS(A,355.3)) ; group/plan info
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| 174 | . S TP=$P(GP,U,9),PLABBR="" ; type of plan pointer
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| 175 | . I TP S PLABBR=$P($G(^IBE(355.1,TP,0)),U,2) ; plan abbreviation
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| 176 | . I '$F(".MG.MS.COUT.","."_PLABBR_".") Q ; check plan
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| 177 | . S MCRZ=1 ; Medicare other on file
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| 178 | . S MCRSUP(A)=IBINS_U_IBGRP_U_TP
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| 179 | . Q
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| 180 | ;
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| 181 | ; If Medicare Other was found, but no Medicare WNR, then include it
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| 182 | I MCRZ,'MCRWNR S INCLUDE=1
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| 183 | ;
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| 184 | PTINSX ;
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| 185 | I 'INCLUDE K MCRSUP
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| 186 | Q INCLUDE
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| 187 | ;
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| 188 | ;
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| 189 | DEVICE ; This procedure displays a warning message and prompts for the
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| 190 | ; device on which to print the report.
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| 191 | ;
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| 192 | NEW ZTRTN,ZTDESC,ZTSAVE,POP
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| 193 | W *7,!!!?14,"*** WARNING ***"
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| 194 | W !?2,"This report takes a long time to compile!"
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| 195 | W !!?2,"The active insurance coverage for all living patients is analyzed."
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| 196 | W !!?2,"It is recommended that you queue this report to the background and"
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| 197 | W !?2,"run it after hours or on the weekend."
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| 198 | W !!?2,"This report is 80 characters wide."
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| 199 | W !
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| 200 | ;
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| 201 | S ZTRTN="COMPILE^IBCEMMR"
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| 202 | S ZTDESC="Patients without MEDICARE (WNR) Insurance"
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| 203 | S ZTSAVE("IBMSORT")=""
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| 204 | D EN^XUTMDEVQ(ZTRTN,ZTDESC,.ZTSAVE)
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| 205 | DEVICEX ;
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| 206 | Q
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| 207 | ;
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