[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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