| 1 | IBCEPTC ;ALB/TMK - EDI PREVIOUSLY TRANSMITTED CLAIMS ; 4/12/05 11:15am | 
|---|
| 2 | ;;2.0;INTEGRATED BILLING;**296,320,348,349**;21-MAR-94;Build 46 | 
|---|
| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified. | 
|---|
| 4 | ; | 
|---|
| 5 | EN ; Main entrypoint | 
|---|
| 6 | ; IBDT1,IBDT2 = last transmit date range to use | 
|---|
| 7 | ; IBSORT = primary sort criteria to use B=BATCH #,I=INS CO NAME | 
|---|
| 8 | ; IBFORM = form type to limit selection to U=UB-04,C=CMS-1500,B=BOTH | 
|---|
| 9 | ; IBCRIT = the additional sort criteria needed | 
|---|
| 10 | ; IBPTCCAN = whether or not to include cancelled claims | 
|---|
| 11 | ; IBRCBFPC = whether or not to include force print @ clearinghouse | 
|---|
| 12 | ; ^TMP("IB_PREV_CLAIM_INS",$J) = 1 for specific ins co/null for all | 
|---|
| 13 | ;                        ^($J,1,ien)="" for ien of each ins co selected | 
|---|
| 14 | ;                        ^($J,2,payer ID,ien)="" if selected | 
|---|
| 15 | ; IBREP = format output should be put in R=report,S=Listman | 
|---|
| 16 | ; | 
|---|
| 17 | N DIR,DIC,X,Y,Z,Z0,Z1,IBHOW,IBACT,IBCT,IBREP,IBCRIT,IBDT1,IBDT2 | 
|---|
| 18 | N IBFORM,IBOK,IBQUIT,IBSORT,IBY,DTOUT,DUOUT,%ZIS,ZTSAVE,ZTRTN,ZTDESC | 
|---|
| 19 | N POP,IBPAYER,EDI,INST,PROF,IBPTCCAN,DIROUT,DIRUT,DTOUT,DUOUT,IBRCBFPC | 
|---|
| 20 | ; | 
|---|
| 21 | Q1 ; | 
|---|
| 22 | W !!,"*** Please Note ***" | 
|---|
| 23 | W ?20,"2 '^' are needed to abort this option (^^)" | 
|---|
| 24 | W !?20,"1 '^' brings you back to the previous prompt (^)" | 
|---|
| 25 | W ! | 
|---|
| 26 | ; | 
|---|
| 27 | S DIR(0)="SA^C:Claim;B:Batch;L:List",DIR("A")="Select By: (C)laim, (B)atch or see a (L)ist to pick from?: ",DIR("B")="List" | 
|---|
| 28 | D ^DIR K DIR | 
|---|
| 29 | I $D(DTOUT)!$D(DUOUT) G ENQ | 
|---|
| 30 | S IBHOW=Y | 
|---|
| 31 | I IBHOW="L" G Q1A | 
|---|
| 32 | ; | 
|---|
| 33 | S IBQUIT=0,IBCT=0 | 
|---|
| 34 | K ^TMP($J,IBHOW) | 
|---|
| 35 | F  D  Q:IBQUIT | 
|---|
| 36 | . I IBHOW="C" S DIR("A")="Select a"_$S(IBCT:"nother",1:"")_" Claim: ",DIR(0)="PA^364:AEMQZ",DIR("S")="I '$P(^(0),U,7),'$O(^IBA(364,""B"",+^(0),Y))" | 
|---|
| 37 | . I IBHOW="B" S DIR("A")="Select a"_$S(IBCT:"nother",1:"")_" Batch: ",DIR(0)="PA^IBA(364.1,:AEMQ^W ""  "",$P(^(0),U,3),"" Claims""",DIR("S")="I '$P(^(0),U,14)" | 
|---|
| 38 | . S DIR("?")="^D SELDSP^IBCEPTC(IBHOW)" | 
|---|
| 39 | . S:IBCT $P(DIR(0),U)=$P(DIR(0),U)_"O" ; Optional prompt after one is selected | 
|---|
| 40 | . D ^DIR K DIR | 
|---|
| 41 | . I Y'>0 S IBQUIT=$S(X="^":2,X="^^":3,1:1) Q | 
|---|
| 42 | . S IBY=$S(IBHOW="C":+Y,1:""),Y=$S(IBHOW="C":+Y(0),1:Y) | 
|---|
| 43 | . I '$D(^TMP($J,IBHOW,+Y)) S IBCT=IBCT+1,^TMP($J,IBHOW,+Y)=IBY | 
|---|
| 44 | ; | 
|---|
| 45 | G:IBQUIT=3 ENQ | 
|---|
| 46 | G:IBQUIT=2!'$O(^TMP($J,IBHOW,0)) Q1 | 
|---|
| 47 | S Z=0 | 
|---|
| 48 | I IBHOW="C" F  S Z=$O(^TMP($J,"C",Z)) Q:'Z  S ^TMP("IB_PREV_CLAIM_SELECT",$J,Z,0)=^TMP($J,"C",Z) | 
|---|
| 49 | I IBHOW="B" S (Z,IBCT)=0 F  S Z=$O(^TMP($J,"B",Z)) Q:'Z  D | 
|---|
| 50 | . S Z0=0 F  S Z0=$O(^IBA(364,"C",Z,Z0)) Q:'Z0  S Z1=+$G(^IBA(364,Z0,0)) I Z1,'$D(^TMP("IB_PREV_CLAIM_SELECT",$J,Z1,0)) S ^(0)=Z0,IBCT=IBCT+1 | 
|---|
| 51 | S ^TMP("IB_PREV_CLAIM_SELECT",$J)=IBCT | 
|---|
| 52 | D RESUB^IBCEPTC3 | 
|---|
| 53 | G ENQ | 
|---|
| 54 | ; | 
|---|
| 55 | Q1A K ^TMP("IB_PREV_CLAIM_INS",$J) | 
|---|
| 56 | S DIR(0)="SA^A:All Payers;S:Selected Payers" | 
|---|
| 57 | S DIR("A")="Run for (A)ll Payers or (S)elected Payers?: " S DIR("B")="Selected Payers" | 
|---|
| 58 | W !!,"PAYER SELECTION:" D ^DIR K DIR | 
|---|
| 59 | I X="^^" G ENQ | 
|---|
| 60 | I $D(DTOUT)!$D(DUOUT) G Q1 | 
|---|
| 61 | ; | 
|---|
| 62 | I Y="A" S ^TMP("IB_PREV_CLAIM_INS",$J)="" G Q2 | 
|---|
| 63 | ; | 
|---|
| 64 | ; esg - 11/21/05 - patch 320 question | 
|---|
| 65 | W ! | 
|---|
| 66 | S DIR(0)="Y",DIR("A")="   Include all payers with the same electronic Payer ID",DIR("B")="Yes" D ^DIR K DIR | 
|---|
| 67 | I $D(DIROUT) G ENQ | 
|---|
| 68 | I $D(DIRUT) G Q1A | 
|---|
| 69 | S IBPAYER=Y | 
|---|
| 70 | W ! | 
|---|
| 71 | ; | 
|---|
| 72 | S ^TMP("IB_PREV_CLAIM_INS",$J)=1 | 
|---|
| 73 | S IBQUIT=0 | 
|---|
| 74 | F  D  Q:IBQUIT | 
|---|
| 75 | . S DIC(0)="AEMQ",DIC=36,DIC("A")="   Select Insurance Company: " | 
|---|
| 76 | . I $O(^TMP("IB_PREV_CLAIM_INS",$J,1,"")) S DIC("A")="   Select Another Insurance Company: " | 
|---|
| 77 | . S DIC("W")="D INSLIST^IBCEMCA(Y)" | 
|---|
| 78 | . D ^DIC K DIC                   ; lookup | 
|---|
| 79 | . I X="^^" S IBQUIT=2 Q          ; user entered "^^" | 
|---|
| 80 | . I +Y'>0 S IBQUIT=1 Q           ; user is done | 
|---|
| 81 | . W ! | 
|---|
| 82 | . S ^TMP("IB_PREV_CLAIM_INS",$J,1,+Y)="" | 
|---|
| 83 | . I 'IBPAYER Q | 
|---|
| 84 | . S EDI=$$UP^XLFSTR($G(^DIC(36,+Y,3))) | 
|---|
| 85 | . S PROF=$P(EDI,U,2),INST=$P(EDI,U,4) | 
|---|
| 86 | . I PROF'="",PROF'["PRNT" S ^TMP("IB_PREV_CLAIM_INS",$J,2,PROF,+Y)="" | 
|---|
| 87 | . I INST'="",INST'["PRNT" S ^TMP("IB_PREV_CLAIM_INS",$J,2,INST,+Y)="" | 
|---|
| 88 | . Q | 
|---|
| 89 | ; | 
|---|
| 90 | I IBQUIT=2 G ENQ | 
|---|
| 91 | ; | 
|---|
| 92 | I '$O(^TMP("IB_PREV_CLAIM_INS",$J,1,0)) D  G Q1A | 
|---|
| 93 | . W *7,!!?3,"No payers have been selected.  Please try again." | 
|---|
| 94 | . Q | 
|---|
| 95 | ; | 
|---|
| 96 | Q2 S DIR(0)="SA^C:CMS-1500;U:UB-04;B:Both",DIR("B")="Both" | 
|---|
| 97 | S DIR("A")="Run for (U)B-04, (C)MS-1500 or (B)oth: " | 
|---|
| 98 | W !!,"BILL FORM TYPE SELECTION:" D ^DIR K DIR | 
|---|
| 99 | I X="^^" G ENQ | 
|---|
| 100 | I $D(DTOUT)!$D(DUOUT) G Q1A | 
|---|
| 101 | S IBFORM=Y | 
|---|
| 102 | ; | 
|---|
| 103 | Q3 S DIR(0)="DA^0:9999999:EPX",DIR("A")="Start with Date Last Transmitted: " | 
|---|
| 104 | S DIR("?",1)="This is the earliest date on which a batch that you want to include on this",DIR("?",2)=" report was last transmitted. You may choose a maximum date range of 90 days.",DIR("?")=" " | 
|---|
| 105 | W !!,"LAST BATCH TRANSMIT DATE RANGE SELECTION:" D ^DIR K DIR | 
|---|
| 106 | I X="^^" G ENQ | 
|---|
| 107 | I $D(DTOUT)!$D(DUOUT) G Q2 | 
|---|
| 108 | S IBDT1=Y | 
|---|
| 109 | S IBDT2=$$FMADD^XLFDT(IBDT1,90) I IBDT2>DT S IBDT2=DT | 
|---|
| 110 | S DIR("?",1)="This is the latest date on which a batch that you want to include on this",DIR("?",2)=" report was last transmitted. You may choose a maximum date range of 90 days.",DIR("?")=" " | 
|---|
| 111 | S DIR("B")=$$FMTE^XLFDT(IBDT2,2),DIR(0)="DA^"_IBDT1_":"_IBDT2_":EPX" | 
|---|
| 112 | S DIR("A")="Go to Date Last Transmitted:("_$$FMTE^XLFDT(IBDT1,2)_"-"_$$FMTE^XLFDT(IBDT2,2)_"): " D ^DIR K DIR | 
|---|
| 113 | I X="^^" G ENQ | 
|---|
| 114 | I $D(DTOUT)!$D(DUOUT) G Q3 | 
|---|
| 115 | S IBDT2=Y | 
|---|
| 116 | ; | 
|---|
| 117 | Q4 ; Additional selection criteria | 
|---|
| 118 | S DIR(0)="SAO^1:MRA Secondary Only;2:Primary Claims Only;3:Secondary Claims Only;4:Claims Previously Printed at Clearinghouse" | 
|---|
| 119 | S DIR("A",1)="ADDITIONAL SELECTION CRITERIA:",DIR("A",2)=" ",DIR("A",3)="1 - MRA Secondary Only",DIR("A",4)="2 - Primary Claims Only",DIR("A",5)="3 - Secondary Claims Only" | 
|---|
| 120 | S DIR("A",6)="4 - Claims Sent to Print at Clearinghouse Only",DIR("A",7)=" ",DIR("A")="Select Additional Limiting Criteria (optional): " | 
|---|
| 121 | S DIR("?")="Select one of the listed criteria to further limit the claims to include" | 
|---|
| 122 | W ! D ^DIR K DIR | 
|---|
| 123 | I X="^^" G ENQ | 
|---|
| 124 | I $D(DTOUT)!$D(DUOUT) G Q3 | 
|---|
| 125 | S IBCRIT=Y | 
|---|
| 126 | ; | 
|---|
| 127 | Q41 ; Ask user if they want to include cancelled claims | 
|---|
| 128 | S DIR(0)="Y",DIR("B")="No",DIR("A")="Would you like to include cancelled claims" | 
|---|
| 129 | W ! D ^DIR K DIR | 
|---|
| 130 | I X="^^" G ENQ | 
|---|
| 131 | I $D(DIRUT) G Q4 | 
|---|
| 132 | S IBPTCCAN=Y | 
|---|
| 133 | ; | 
|---|
| 134 | Q42 ; Include claims that are forced to print at clearinghouse? | 
|---|
| 135 | S DIR(0)="Y",DIR("B")="No",DIR("A")="Would you like to include claims Forced to Print at the Clearinghouse" | 
|---|
| 136 | W ! D ^DIR K DIR | 
|---|
| 137 | I X="^^" G ENQ | 
|---|
| 138 | I $D(DIRUT) G Q41 | 
|---|
| 139 | S IBRCBFPC=Y | 
|---|
| 140 | ; | 
|---|
| 141 | Q5 S DIR("L",1)="Select one of the following: ",DIR("L",2)=" ",DIR("L",3)=$J("",10)_"1         Batch By Last Transmitted Date (Claims within a Batch)",DIR("L",4)=$J("",10)_"2         Current Payer (Insurance Company)" | 
|---|
| 142 | S DIR("L",5)=" " | 
|---|
| 143 | S DIR(0)="SA^1:Batch By Last Transmitted Date (Claims within a Batch);2:Current Payer (Insurance Company)",DIR("B")="Current Payer" | 
|---|
| 144 | S DIR("A")="Sort By: " | 
|---|
| 145 | W ! D ^DIR K DIR | 
|---|
| 146 | I X="^^" G ENQ | 
|---|
| 147 | I $D(DTOUT)!$D(DUOUT) G Q42 | 
|---|
| 148 | S IBSORT=Y | 
|---|
| 149 | ; | 
|---|
| 150 | Q6 S DIR(0)="SA^R:Report;S:Screen List" | 
|---|
| 151 | S DIR("A")="Do you want a (R)eport or a (S)creen List format?: " | 
|---|
| 152 | S DIR("B")="Screen List" | 
|---|
| 153 | W ! D ^DIR K DIR | 
|---|
| 154 | I X="^^" G ENQ | 
|---|
| 155 | I $D(DTOUT)!$D(DUOUT) G Q5 | 
|---|
| 156 | S IBREP=Y | 
|---|
| 157 | ; | 
|---|
| 158 | I IBREP="S" D LIST^IBCEPTC0 G ENQ | 
|---|
| 159 | ; | 
|---|
| 160 | Q7 ; Select device | 
|---|
| 161 | F  S IBACT=0 D DEVSEL(.IBACT) Q:IBACT | 
|---|
| 162 | I IBACT=99 G ENQ | 
|---|
| 163 | U IO | 
|---|
| 164 | D LIST^IBCEPTC0 | 
|---|
| 165 | ; | 
|---|
| 166 | ENQ K ^TMP("IB_PREV_CLAIM_INS",$J),^TMP("IB_PREV_CLAIM_SELECT",$J) | 
|---|
| 167 | Q | 
|---|
| 168 | ; | 
|---|
| 169 | DEVSEL(IBACT) ; | 
|---|
| 170 | N DIR,POP,X,Y,ZTRTN,ZTSAVE | 
|---|
| 171 | W !!,"You will need a 132 column printer for this report!" | 
|---|
| 172 | S %ZIS="QM" D ^%ZIS I POP S IBACT=99 G DEVSELQ | 
|---|
| 173 | I $G(IOM),IOM<132 S IBOK=1 D  I 'IBOK S IBACT=0 G DEVSELQ | 
|---|
| 174 | . S DIR(0)="YA",DIR("A",1)="This report requires output to a 132 column device.",DIR("A",2)="The device you have chosen is only set for "_IOM_".",DIR("A")="Are you sure you want to continue?: ",DIR("B")="No" | 
|---|
| 175 | . W ! D ^DIR K DIR | 
|---|
| 176 | . I Y'=1 S IBOK=0 W ! | 
|---|
| 177 | I $D(IO("Q")) D  S IBACT=99 G DEVSELQ | 
|---|
| 178 | . K IO("Q") | 
|---|
| 179 | . S ZTRTN="LIST^IBCEPTC0",ZTSAVE("IBCRIT(")="",ZTSAVE("IB*")="",ZTSAVE("^TMP(""IB_PREV_CLAIM_INS"",$J)")="",ZTSAVE("^TMP(""IB_PREV_CLAIM_INS"",$J,")="",ZTDESC="IB - Previously Transmitted Claims Report" | 
|---|
| 180 | . D ^%ZTLOAD K ZTSK D HOME^%ZIS | 
|---|
| 181 | S IBACT=1 | 
|---|
| 182 | DEVSELQ Q | 
|---|
| 183 | ; | 
|---|
| 184 | SELDSP(IBHOW) ; Display list of selected claims/batches | 
|---|
| 185 | ; IBHOW = "C" for claims   "B" for batches | 
|---|
| 186 | N Z,DIR,CT,QUIT | 
|---|
| 187 | I '$O(^TMP($J,IBHOW,0)) Q | 
|---|
| 188 | S (CT,QUIT)=0 | 
|---|
| 189 | W !!,$S(IBHOW="C":"Claims",1:"Batches")," Already Selected:" | 
|---|
| 190 | S Z=0 F  S Z=$O(^TMP($J,IBHOW,Z)) Q:'Z!QUIT  S Z0=$G(^(Z)) D  Q:QUIT | 
|---|
| 191 | . I IBHOW="C" W !,?3,$P($G(^DGCR(399,Z,0)),U) Q | 
|---|
| 192 | . W !,?3,$P($G(^IBA(364.1,Z,0)),U),"  ",$P(^(0),U,3)," Claims" | 
|---|
| 193 | . S CT=CT+1 | 
|---|
| 194 | . I '(CT#10),$O(^TMP($J,IBHOW,Z)) S DIR("A")="Press return for more or '^' to exit ",DIR(0)="EA" W ! D ^DIR K DIR I $D(DTOUT)!$D(DUOUT) S QUIT=1 | 
|---|
| 195 | W ! | 
|---|
| 196 | Q | 
|---|
| 197 | ; | 
|---|