1 | IBCEP5B ;ALB/TMP - EDI UTILITIES for prov ID ;29-SEP-00
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2 | ;;2.0;INTEGRATED BILLING;**137,239,232,320,348,349**;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 | NEWID(IBFILE,IBINS,IBPRV,IBPTYP,IBIEN,IBF) ; Generic add prov id
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6 | ; at both prov (file 355.9) and ins co levels (355.91)
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7 | ; IBFILE = 355.9 or 355.91 - the file being edited
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8 | ; IBINS = ien of ins co (36) or *ALL* for all ins co
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9 | ; IBPRV = vp ien of billing prov
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10 | ; IBPTYP = ien of prov type (file 355.97)
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11 | ; IBIEN = ien of entry being added (req'd)
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12 | ; IBF = 1 if deleting from ins-related options, "" from prov-related
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13 | N DIC,DIR,X,Y,Z,DA,DR,DIE,DO,DD,DLAYGO,DTOUT,DUOUT,IBQ,IBCUND,IB3559,IB35591,Q,IBDR,IBID,AFT
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14 | S IB35591(.03)="",IBPTYP=$G(IBPTYP)
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15 | F Z=.04,.05,.03 D G:Z="" NEWQ
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16 | . I $S(Z'=.03:1,1:$S('$G(IBINS):0,1:$G(IBCUND))) D Q:Z=""
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17 | .. N DA
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18 | .. I Z'=.03 S DIR(0)=IBFILE_","_Z
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19 | .. I Z=.03 D
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20 | ... S DIR(0)="PAO^355.95:AEMQ"
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21 | ... S DIR("S")="I $O(^IBA(355.96,""AUNIQ"","_IBINS_",Y,"_$G(IB3559(.04))_","_$G(IB3559(.05))_","_IBPTYP_",0))!($O(^IBA(355.96,""AUNIQ"","_IBINS_",Y,"_$G(IB3559(.04))_",0,"_IBPTYP_",0)))"
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22 | ... S DIR("S")=DIR("S")_"!($O(^IBA(355.96,""AUNIQ"","_IBINS_",Y,0,"_$G(IB3559(.05))_","_IBPTYP_",0)))!($O(^IBA(355.96,""AUNIQ"","_IBINS_",Y,0,0,"_IBPTYP_",0)))"
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23 | ... S DIR("?",1)="Care unit describes areas of service and is assigned by the payer, if",DIR("?")=" applicable. Use Care Unit Maintenance to add or modify care units."
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24 | .. ;
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25 | .. I Z=.04,IBPRV["355.93",$$GET1^DIQ(355.93,+IBPRV,.02,"I")=1 D
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26 | ... I $$GET1^DIQ(355.97,IBPTYP,.03,"I")="EI" S $P(DIR(0),U,3)="K:Y'=1 X",DIR("?")="Provider ID Qualifier selected only allows institutional (UB type) forms" Q
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27 | ... I $$GET1^DIQ(355.97,IBPTYP,.03,"I")="TJ" S $P(DIR(0),U,3)="K:Y'=2 X",DIR("?")="Provider ID Qualifier selected only allows professional (CMS-1500) forms" Q
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28 | ... N AFT
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29 | ... S AFT=$$GET1^DIQ(355.97,IBPTYP,.07,"I") ; get allowable form type for this Provider ID Type
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30 | ... I AFT="B" S $P(DIR(0),U,3)="K:"".0.1.2.""'[("".""_Y_""."") X",DIR("?")="Provider ID Qualifier selected allows institutional, professional or both" Q
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31 | ... I AFT="P" S $P(DIR(0),U,3)="K:Y'=2 X",DIR("?")="Provider ID Qualifier selected only allows professional (CMS-1500) forms" Q
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32 | ... I AFT="I" S $P(DIR(0),U,3)="K:Y'=1 X",DIR("?")="Provider ID Qualifier selected only allows institutional (UB type) forms" Q
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33 | .. ;
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34 | .. S DA=0
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35 | .. I Z=.04,$P($G(^IBE(355.97,+IBPTYP,0)),U,3)="1A" D SETDIR(.DIR)
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36 | .. D ^DIR K DIR
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37 | .. I $D(DTOUT)!$D(DUOUT) S Z="" K IB3559,IB35591 Q
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38 | .. S IB3559(Z)=$S(Z'=.03:$P(Y,U),1:$S($P(Y,U)>0:$P(Y,U),1:"*N/A*"))
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39 | . I Z=.05 D
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40 | .. S IBCUND=$$CAREUN^IBCEP3(IBINS,IBPTYP,IB3559(.04),IB3559(.05),IB3559(.05)=3)
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41 | .. S:'IBCUND!($G(IB3559(.03))=0) IB3559(.03)="*N/A*"
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42 | .. I '$G(IBINS) S IBINS="*ALL*"
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43 | . I Z=.03 D CAREUN^IBCEP5C
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44 | ;
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45 | I $D(IB3559) D
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46 | . N Q,Z2,Z3,Z4,Z5,Z6,IBLAST,IBOK,DIR,Y,X
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47 | . S IBLAST=0
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48 | . D DISP^IBCEP4("Q",IBINS,IBPTYP,IB3559(.04),IB3559(.05),1)
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49 | . W !!,"THE FOLLOWING WAS CHOSEN:"
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50 | . S Q=0 F S Q=$O(Q(Q)) Q:'Q W !,?3,Q(Q)
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51 | . I IBCUND W !,?3,"CARE UNIT: "_$$EXPAND^IBTRE(355.96,.01,IB3559(.03))
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52 | . S Z2=IBINS,Z3=IB35591(.03),Z4=IB3559(.04),Z5=IB3559(.05),Z6=IBPTYP
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53 | . S IBOK=1
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54 | . ; If both forms, chk for specific
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55 | . I 'Z4 S IBOK=$$COMBOK^IBCEP5C(IBFILE,IBPRV_U_4_U_Z2_U_Z3_U_Z4_U_Z5_U_Z6,1,$G(IBFILE)=355.91)
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56 | . ; If specific form, chk for all
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57 | . I IBOK,Z4 S IBOK=$$COMBOK^IBCEP5C(IBFILE,IBPRV_U_4_U_Z2_U_Z3_U_Z4_U_Z5_U_Z6,0,$G(IBFILE)=355.91)
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58 | . ; If both care types, chk for specific
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59 | . I IBOK,'Z5 S IBOK=$$COMBOK^IBCEP5C(IBFILE,IBPRV_U_5_U_Z2_U_Z3_U_Z4_U_Z5_U_Z6,1,$G(IBFILE)=355.91)
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60 | . ; If specific care type, chk for all
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61 | . I IBOK,Z5 S IBOK=$$COMBOK^IBCEP5C(IBFILE,IBPRV_U_5_U_Z2_U_Z3_U_Z4_U_Z5_U_Z6,0,$G(IBFILE)=355.91)
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62 | . I 'IBOK K IB3559,IB35591
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63 | . I IBOK D
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64 | .. S DIR(0)=IBFILE_",.07"
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65 | .. W ! D ^DIR K DIR
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66 | .. S IBID=Y
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67 | .. I $D(DTOUT)!$D(DUOUT) K IB3559,IB35591 S IBOK=0 Q
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68 | .. S IBDR=$S(IBFILE=355.9:$S($G(IBINS):".02////"_IBINS_";",1:""),1:"")_$S($G(IBCUND):".03////"_$S(IB35591(.03):IB35591(.03),1:"*N/A*")_";",1:"")_".04////"_IB3559(.04)_";.05////"_IB3559(.05)_";.06////"_IBPTYP_$S(IBID'="":";.07////"_IBID,1:"")
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69 | .. ;
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70 | .. I $G(IBIEN) D
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71 | ... S DR=IBDR,DA=IBIEN,DIE="^IBA("_IBFILE_","
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72 | ... D ^DIE
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73 | ... I $D(Y) K IB3559,IB35591 S IBOK=0
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74 | ;
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75 | NEWQ ;
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76 | I '$D(IB3559),$G(IBIEN) D Q
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77 | . N DIR,DIK,DA,X,Y
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78 | . S DA=IBIEN,DIK="^IBA("_IBFILE_"," D ^DIK
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79 | . S DIR(0)="EA",DIR("A",1)=$S('$G(IBOK):"",1:"PROBLEM ENCOUNTERED FILING THE RECORD - ")_"RECORD NOT ADDED",DIR("A")="PRESS ENTER to continue " W ! D ^DIR K DIR
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80 | ;
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81 | ; Save this for Copy ID actions
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82 | I $G(IBIEN) D
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83 | . I IBFILE=355.91!(IBFILE=355.9&($P($G(^IBA(IBFILE,IBIEN,0)),U)["VA(200,")) D
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84 | .. N NEXTONE S NEXTONE=$$NEXTONE^IBCEP5A()
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85 | .. S ^TMP("IB_EDITED_IDS",$J,NEXTONE)=IBIEN_U_"ADD"_U_IBFILE
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86 | .. S ^TMP("IB_EDITED_IDS",$J,NEXTONE,0)=$G(^IBA(IBFILE,IBIEN,0))
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87 | Q
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88 | ;
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89 | CHG(IBFILE,IBDA) ; Generic call - edit prov id
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90 | ; IBFILE = 355.9 or 355.91 (file being edited)
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91 | ; IBDA = ien in file
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92 | ;
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93 | N DIR,DIE,DA,DR,IBCUCHK,IBOK,IB0,IBOLD,X,Y,Z
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94 | F Z=1:1:3 L +^IBA(IBFILE,IBDA):5 Q:$T W !,"Attempting to lock record"
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95 | I '$T D G CHGQ
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96 | . W !,"RECORD LOCKED BY ANOTHER USER - TRY AGAIN LATER"
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97 | . D ENTER(.DIR)
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98 | . W ! D ^DIR K DIR W !
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99 | S (IB0,IBOLD)=$G(^IBA(IBFILE,IBDA,0))
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100 | G:IB0="" CHGQ
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101 | F Z=.04,.05,.06,.03 S IBOK=$$EDIT(IBFILE,Z,IB0,IBOLD,IBDA,0) S:IBOK="*ALL*" IBOK="" Q:$P(IBOK,U,2) S $P(IB0,U,Z*100)=$P(IBOK,U)
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102 | I $P(IBOK,U,2) S DIR(0)="EA",DIR("A")="NO CHANGES MADE, PRESS ENTER TO CONTINUE: " W ! D ^DIR K DIR W ! G CHGQ
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103 | S IBOK=$$EDIT(IBFILE,.07,IB0,IBOLD,IBDA,1)
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104 | I '$P(IBOK,U,2) S $P(IB0,U,7)=$P(IBOK,U)
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105 | I $P(IBOK,U,2)!(IB0=IBOLD) S DIR(0)="EA",DIR("A")="NO CHANGES MADE, PRESS ENTER TO CONTINUE: " W ! D ^DIR K DIR W ! G CHGQ
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106 | S IBCUCHK=$$CUCHK^IBCEP5C(IBDA,IB0) G:IBCUCHK CHGQ
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107 | S DR=""
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108 | F Z=2,4:1:7,3 I $P(IB0,U,Z)'=$P(IBOLD,U,Z) S DR=DR_$S(DR'="":";",1:"")_(Z/100)_"///"_$S($P(IB0,U,Z)'="@":"/",1:"")_$P(IB0,U,Z)
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109 | I DR'="" D
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110 | . I IBFILE=355.91!(IBFILE=355.9&($P(IB0,U)["VA(200,")) D
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111 | .. N NEXTONE
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112 | .. S NEXTONE=$$NEXTONE^IBCEP5A()
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113 | .. S ^TMP("IB_EDITED_IDS",$J,NEXTONE)=IBDA_U_"MOD"_U_IBFILE_U_IBDA
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114 | .. S ^TMP("IB_EDITED_IDS",$J,NEXTONE,"OLD0")=IBOLD
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115 | .. S ^TMP("IB_EDITED_IDS",$J,NEXTONE,0)=IB0
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116 | . S DIE="^IBA("_IBFILE_",",DA=IBDA D ^DIE
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117 | CHGQ L -^IBA(IBFILE,IBDA)
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118 | Q
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119 | ;
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120 | DEL(IBFILE,IBDA,IBF) ; Delete prov specific ID's
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121 | ; IBFILE = 355.9 or 355.91 for the file
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122 | ; IBDA = ien of entry in file IBFILE
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123 | ; IBF = 1 if deleting from ins co-related options, ""
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124 | ; from prov-related options
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125 | D DEL^IBCEP5C(IBFILE,IBDA,$G(IBF))
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126 | Q
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127 | ;
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128 | EDIT(IBFILE,IBFLD,IB0,IBOLD,IBIEN,IBCK1) ; Generic edit flds
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129 | Q $$EDIT^IBCEP5D($G(IBFILE),$G(IBFLD),$G(IB0),$G(IBOLD),$G(IBIEN),$G(IBCK1))
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130 | ;
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131 | SETDIR(DIR) ; Sets dir for BLUE CROSS only UB-04 form type
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132 | S DIR("B")="UB-04",$P(DIR(0),U,3)="K:Y'=1 X",DIR("?")="ONLY UB-04 FORM TYPE IS VALID FOR BLUE CROSS ID"
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133 | Q
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134 | ;
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135 | ENTER(DIR) ;
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136 | S DIR(0)="EA",DIR("A")="PRESS ENTER TO CONTINUE: "
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137 | Q
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