| [613] | 1 | IBCEOB21 ;ALB/TMP - EOB MAINTENANCE ACTIONS ;18-FEB-99 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**137,155**;21-MAR-94 | 
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|  | 3 | Q | 
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|  | 4 | ; | 
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|  | 5 | EDIT ; Edit a previously entered manual EOB | 
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|  | 6 | N IBDA,IB0,DIE,DR,X,Y,DA | 
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|  | 7 | ; | 
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|  | 8 | D FULL^VALM1 | 
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|  | 9 | S IBDA=$$SEL() | 
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|  | 10 | G:'IBDA EDITQ | 
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|  | 11 | ; | 
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|  | 12 | S IB0=$G(^IBM(361.1,IBDA,0)) | 
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|  | 13 | I $P(IB0,U,17)'=1 D  G EDITQ | 
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|  | 14 | . W !,*7,"Cannot edit an EOB that was not entered manually!!" | 
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|  | 15 | . D PAUSE^VALM1 | 
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|  | 16 | ; | 
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|  | 17 | I $P(IB0,U,15)'=$$COBN^IBCEF(IBIFN) D  G EDITQ | 
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|  | 18 | . W !,*7,"Can only edit an EOB for the current insurance sequence" | 
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|  | 19 | . D PAUSE^VALM1 | 
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|  | 20 | ; | 
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|  | 21 | S DIE="^IBM(361.1,",DA=IBDA | 
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|  | 22 | S DR="100.03///"_DUZ_";100.04///^S X=""NOW"";.06;.13;.16//^S X=$$EXTERNAL^DILFD(361.1,.16,,3)"_$S($$AMTCHG(DA):";1.01",1:"")_";21" | 
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|  | 23 | D ^DIE | 
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|  | 24 | ; | 
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|  | 25 | D BLD^IBCEOB2 | 
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|  | 26 | ; | 
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|  | 27 | D PAUSE^VALM1 | 
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|  | 28 | EDITQ S VALMBCK="R" | 
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|  | 29 | Q | 
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|  | 30 | ; | 
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|  | 31 | DELETE ; Delete a previously entered manual EOB | 
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|  | 32 | N IB0,IBDA,IBE,DIR,X,Y,DA,DIK | 
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|  | 33 | ; | 
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|  | 34 | D FULL^VALM1 | 
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|  | 35 | S IBDA=$$SEL(.IBE) | 
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|  | 36 | G:'IBDA DELQ | 
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|  | 37 | ; | 
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|  | 38 | S IB0=$G(^IBM(361.1,IBDA,0)) | 
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|  | 39 | I $P(IB0,U,17)'=1 D  G DELQ | 
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|  | 40 | . W !,*7,"Cannot delete an EOB that was not entered manually!!" | 
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|  | 41 | . D PAUSE^VALM1 | 
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|  | 42 | ; | 
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|  | 43 | I $P(IB0,U,15)'=$$COBN^IBCEF(IBIFN) D  G DELQ | 
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|  | 44 | . W !,*7,"Cannot only edit an EOB for the current insurance sequence" | 
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|  | 45 | . D PAUSE^VALM1 | 
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|  | 46 | ; | 
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|  | 47 | W !!,IBE,! | 
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|  | 48 | S DIR("A")="ARE YOU REALLY SURE YOU WANT TO DELETE THIS EOB?: ",DIR("B")="NO",DIR(0)="YA" D ^DIR K DIR | 
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|  | 49 | G:Y'=1 DELQ | 
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|  | 50 | ; | 
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|  | 51 | S DIK="^IBM(361.1,",DA=IBDA D ^DIK | 
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|  | 52 | W !!,"EOB Deleted!!",! | 
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|  | 53 | ; | 
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|  | 54 | D BLD^IBCEOB2 | 
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|  | 55 | ; | 
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|  | 56 | D PAUSE^VALM1 | 
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|  | 57 | DELQ S VALMBCK="R" | 
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|  | 58 | Q | 
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|  | 59 | ; | 
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|  | 60 | NEW ; Add a manual EOB for the current COB sequence for the claim | 
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|  | 61 | N DO,DD,DIC,DIE,DLAYGO,Y,X,IBEOB,IBOK,IB364 | 
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|  | 62 | ; | 
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|  | 63 | D FULL^VALM1 | 
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|  | 64 | ; | 
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|  | 65 | K DO,DD | 
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|  | 66 | S IB364=$$LAST364^IBCEF4(IBIFN) | 
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|  | 67 | S DIC="^IBM(361.1,",DIC(0)="L",X=IBIFN,DLAYGO=361.1 | 
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|  | 68 | S DIC("DR")=".15////"_$$COBN^IBCEF(IBIFN)_";.04////0;.05////"_$$NOW^XLFDT_";.17////1;.18///"_DUZ_$S(IB364:";.19////"_IB364,1:"") | 
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|  | 69 | D FILE^DICN K DO,DD,DLAYGO,DIC | 
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|  | 70 | G:Y<0 NEWQ | 
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|  | 71 | S DIE="^IBM(361.1,",DA=+Y,DR=".06//^S X=""NOW"";S DIE(""NO^"")="""";.13//^S X=$$EXTERNAL^DILFD(361.1,.13,,1);.16//^S X=$$EXTERNAL^DILFD(361.1,.16,,3);K DIE(""NO^"");1.01;21" | 
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|  | 72 | W ! D ^DIE K DIE | 
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|  | 73 | S IBEOB=$P($G(^IBM(361.1,DA,0)),U,6),IBOK=1 | 
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|  | 74 | I IBEOB D | 
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|  | 75 | . I $P($G(^IBM(361.1,DA,1)),U,1)="" D | 
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|  | 76 | .. S DIR(0)="YA",DIR("A",1)="Nothing entered for payer amt paid",DIR("A")="Are you sure you want to file this EOB?: ",DIR("B")="NO" | 
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|  | 77 | .. W ! D ^DIR W ! K DIR | 
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|  | 78 | .. I Y'=1 S (IBEOB,IBOK)=0 | 
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|  | 79 | . I IBOK W !,"EOB added",! | 
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|  | 80 | I 'IBEOB D | 
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|  | 81 | . Q:DA'>0 | 
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|  | 82 | . S DIK="^IBM(361.1," D ^DIK | 
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|  | 83 | . I IBOK W !!,"EOB Date/Time needed, not entered" | 
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|  | 84 | . W !,"No EOB added!!",! | 
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|  | 85 | D BLD^IBCEOB2 | 
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|  | 86 | NEWQ D PAUSE^VALM1 | 
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|  | 87 | S VALMBCK="R" | 
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|  | 88 | Q | 
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|  | 89 | ; | 
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|  | 90 | VIEW ; View an MRA | 
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|  | 91 | N IBDA,IBSEL,IBIFN,IBEOBIFN,IBIFNSAV | 
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|  | 92 | ; | 
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|  | 93 | D FULL^VALM1 | 
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|  | 94 | D SEL(.IBDA,1)     ; select a bill from the main list | 
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|  | 95 | S IBSEL=+$O(IBDA(0)) I 'IBSEL G VIEWQ                    ; list# | 
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|  | 96 | S IBIFN=$P($G(IBDA(IBSEL)),U,1) I 'IBIFN G VIEWQ         ; bill# | 
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|  | 97 | S IBEOBIFN=$P($G(IBDA(IBSEL)),U,3) I 'IBEOBIFN G VIEWQ   ; eob ien | 
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|  | 98 | ; | 
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|  | 99 | ; If only one MRA on file, then call the Listman and quit | 
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|  | 100 | I $$MRACNT^IBCEMU1(IBIFN)=1 D EN^VALM("IBCEM VIEW EOB") G VIEWQ | 
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|  | 101 | ; | 
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|  | 102 | VLOOP ; Multiple MRA's on file.  Allow user to select the MRA to view | 
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|  | 103 | D FULL^VALM1 | 
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|  | 104 | S IBEOBIFN=$$SEL^IBCEMU1(IBIFN,1) | 
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|  | 105 | I 'IBEOBIFN G VIEWQ | 
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|  | 106 | S IBIFNSAV=IBIFN                 ; save off the bill# | 
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|  | 107 | D EN^VALM("IBCEM VIEW EOB")      ; call the Listman | 
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|  | 108 | S IBIFN=IBIFNSAV                 ; restore the bill# (just in case) | 
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|  | 109 | G VLOOP | 
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|  | 110 | ; | 
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|  | 111 | VIEWQ ; | 
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|  | 112 | S VALMBCK="R" | 
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|  | 113 | Q | 
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|  | 114 | ; | 
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|  | 115 | AMTCHG(DA) ; Function to determine if amt on EOB can be modified | 
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|  | 116 | ; DA = ien of EOB entry (file 361.1) | 
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|  | 117 | ; Function returns 1 if OK to change, 0 if the next bill in COB | 
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|  | 118 | ;  sequence has already been sent or the bill has been closed. | 
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|  | 119 | N IBOK,IBIFN,IBCOBN,IB0,IBNB | 
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|  | 120 | S IBOK=1 | 
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|  | 121 | S IBIFN=+$G(^IBM(361.1,+DA,0)),IB0=$G(^DGCR(399,IBIFN,0)) | 
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|  | 122 | I $P(IB0,U,13)=6 S IBOK=0 G AMTQ ; Bill is closed...can't change EOB amt | 
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|  | 123 | S IBCOBN=$$COBN^IBCEF(IBIFN) | 
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|  | 124 | I IBCOBN=3 G AMTQ ; Already the last bill | 
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|  | 125 | S IBNB=+$P($G(^DGCR(399,IBIFN,"M")),U,IBCOBN+5) ; Get next bill # | 
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|  | 126 | I 'IBNB G AMTQ ; No next bill | 
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|  | 127 | I $P($G(^DGCR(399,IBNB,0)),U,13)<3 G AMTQ | 
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|  | 128 | S IBOK=0 | 
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|  | 129 | ; | 
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|  | 130 | AMTQ Q IBOK | 
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|  | 131 | ; | 
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|  | 132 | SEL(IBDA,ONE) ; Select entry(s) from list | 
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|  | 133 | ; IBDA = array returned if selections made | 
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|  | 134 | ; ONE = if set to 1, only one selection can be made at a time | 
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|  | 135 | N VALMY | 
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|  | 136 | K IBDA | 
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|  | 137 | D EN^VALM2($G(XQORNOD(0)),$S('$G(ONE):"",1:"S")) | 
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|  | 138 | S IBDA=0 F  S IBDA=$O(VALMY(IBDA)) Q:'IBDA  S IBDA(IBDA)=$P($G(^TMP("IBCECOB",$J,+IBDA)),U,2,6) | 
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|  | 139 | Q | 
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|  | 140 | ; | 
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|  | 141 | CHANGE ; Select another bill to display | 
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|  | 142 | N IBNULL,IBIFN1 | 
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|  | 143 | D FULL^VALM1 | 
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|  | 144 | K VALMQUIT | 
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|  | 145 | S IBIFN1=IBIFN | 
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|  | 146 | S IBIFN=$$BILL^IBCEOB2(.VALMQUIT,.IBNULL) | 
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|  | 147 | I '$G(IBNULL) S IBIFN=IBIFN1 K VALMQUIT | 
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|  | 148 | I '$D(VALMQUIT) S VALMBCK="R" | 
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|  | 149 | Q | 
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|  | 150 | ; | 
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