[613] | 1 | IBCEPTC2 ;ALB/TMK - EDI PREVIOUSLY TRANSMITTED CLAIMS LIST MGR ;01/20/05
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| 2 | ;;2.0;INTEGRATED BILLING;**296,320,348,349**;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 | ; IA 3337 for file 430.3
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| 5 | ;
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| 6 | HDR ;
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| 7 | K VALMHDR
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| 8 | S VALMHDR(1)="** A claim may appear multiple times if transmitted more than once. **"
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| 9 | ;
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| 10 | I $G(IBSORT)=1 D
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| 11 | . S VALMHDR(2)="Claims Selected: "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" (marked with *)"
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| 12 | . Q
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| 13 | ;
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| 14 | I $G(IBSORT)=2 D
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| 15 | . S VALMHDR(2)="** T = Test Claim ** R = Batch Rejected"
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| 16 | . S VALMHDR(3)="Claims Selected: "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" (marked with *)"
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| 17 | . Q
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| 18 | ;
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| 19 | Q
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| 20 | ;
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| 21 | INIT ;
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| 22 | S VALMCNT=0,VALMBG=1
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| 23 | D BLD
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| 24 | Q
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| 25 | ;
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| 26 | BLD ; Build display lines
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| 27 | N IBDA,IBS1,IBS2,IBIFN,IB0,IBX,IBCNT,IBLEV1,IBBDA
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| 28 | K ^TMP("IB_PREV_CLAIM_LIST",$J),^TMP("IB_PREV_CLAIM_SELECT",$J),^TMP("IB_PREV_CLAIM_BATCH",$J)
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| 29 | S IBCNT=0
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| 30 | I $O(^TMP("IB_PREV_CLAIM",$J,""))="" D G BLDQ
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| 31 | . S IBX=" ** NO PREVIOUSLY TRANSMITTED CLAIMS EXIST FOR SEARCH CRITERIA SELECTED **"
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| 32 | . D WRT(IBX,"",0,0,"","S","",.IBCNT,0)
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| 33 | ;
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| 34 | S IBS1="" F S IBS1=$O(^TMP("IB_PREV_CLAIM",$J,IBS1)) Q:IBS1="" D
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| 35 | . ; First level sort
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| 36 | . ; for sort by batch, display batch ID and transmit date
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| 37 | . I IBSORT=1 D
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| 38 | .. S IBLEV1=" Batch: "_$P(IBS1,U,2)_" Last Transmitted: "_$G(^TMP("IB_PREV_CLAIM",$J,IBS1))
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| 39 | .. S IBBDA=+$O(^IBA(364.1,"B",$P(IBS1,U,2),0))
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| 40 | .. I $P(IBS1,U,3) S IBLEV1=IBLEV1_" ** Test"
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| 41 | .. I $P(IBS1,U,4) S IBLEV1=IBLEV1_" ** Rejected"
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| 42 | .. Q
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| 43 | . ;
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| 44 | . ; for sort by payer, display ins co name and payer address
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| 45 | . I IBSORT=2 D
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| 46 | .. S IBLEV1=" "_$P(IBS1,U)_" "_$$CURRINS(+$G(^TMP("IB_PREV_CLAIM",$J,IBS1)),0)
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| 47 | .. Q
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| 48 | . ;
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| 49 | . ; output sort header line
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| 50 | . D WRT(IBLEV1,"",0,0,IBSORT,"S","",IBCNT,0) ; Add header line
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| 51 | . ;
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| 52 | . I IBSORT=1,IBBDA S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBBDA)=VALMCNT
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| 53 | . S IBS2="" F S IBS2=$O(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2)) Q:IBS2="" S IBDA=0 F S IBDA=$O(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2,IBDA)) Q:'IBDA D
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| 54 | .. N IBX,IBTEST
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| 55 | .. S IBIFN=+$G(^IBA(364,+IBDA,0)),IB0=$G(^DGCR(399,IBIFN,0))
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| 56 | .. S IBX=$P(^TMP("IB_PREV_CLAIM",$J,IBS1,IBS2,IBDA),U,1)
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| 57 | .. I IBX=1 S IBTEST=0 ; live 364 transmission
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| 58 | .. I IBX=2 S IBTEST=1 ; test 364 transmission
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| 59 | .. I IBX=3 S IBTEST=1 ; test 361.4 transmission
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| 60 | .. D WRT(IBS1,IBS2,IBDA,IBIFN,IBSORT,"S","",.IBCNT,0,IBTEST)
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| 61 | .. I IBSORT=1,IBBDA S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBBDA,VALMCNT)=IBIFN_U_IBCNT
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| 62 | .. Q
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| 63 | . Q
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| 64 | ;
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| 65 | BLDQ Q
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| 66 | ;
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| 67 | EXIT ; Clean up code
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| 68 | ;
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| 69 | K ^TMP("IB_PREV_CLAIM_LIST",$J)
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| 70 | K ^TMP("IB_PREV_CLAIM_SELECT",$J)
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| 71 | K ^TMP("IB_PREV_CLAIM_LIST_DX",$J)
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| 72 | K ^TMP("IB_PREV_CLAIM_BATCH",$J)
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| 73 | D CLEAR^VALM1
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| 74 | Q
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| 75 | ;
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| 76 | WRT(IBS1,IBS2,IBDA,IBIFN,IBSORT,IBREP,IBHDR,IBPAGE,IBSTOP,IBTEST) ; Wrt/output
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| 77 | ;
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| 78 | N IBX,IB0,Z,IBCNT,ARSTAT
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| 79 | S IBCNT=IBPAGE
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| 80 | ;
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| 81 | I 'IBIFN D G WRTQ
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| 82 | . ;
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| 83 | . ; for report output
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| 84 | . I IBREP="R" D Q
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| 85 | .. S Z="",$P(Z,"=",133)=""
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| 86 | .. D SET(Z,1,IBDA,IBREP,IBHDR,1,0,.IBPAGE,.IBSTOP)
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| 87 | .. D SET(IBS1,2,IBDA,IBREP,IBHDR,1,0,.IBPAGE,.IBSTOP)
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| 88 | .. Q
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| 89 | . ;
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| 90 | . ; for ListMan screen output
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| 91 | . D SET(IBS1,0,IBDA,IBREP,IBHDR,IBCNT+1,.VALMCNT,.IBPAGE,.IBSTOP)
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| 92 | . Q
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| 93 | ;
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| 94 | S IB0=$G(^DGCR(399,IBIFN,0))
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| 95 | S IBX=$$FO^IBCNEUT1($P(IB0,U,1),8) ; claim#
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| 96 | S IBX=IBX_$S(IBSORT=2&$G(IBTEST):"T",1:" ")_" "
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| 97 | S IBX=IBX_$S($P(IB0,U,19)=2:"1500",1:"UB04")_" "
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| 98 | S Z=$$INPAT^IBCEF(IBIFN) S IBX=IBX_$S(Z:"INPT ",1:"OUTPT")
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| 99 | S IBX=IBX_$J($P(IB0,U,21),3)_" "
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| 100 | S Z=$$EXTERNAL^DILFD(399,.13,"",$P(IB0,U,13))
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| 101 | S IBX=IBX_$$FO^IBCNEUT1(Z,11)_" " ; claim status
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| 102 | S ARSTAT=+$P($$BILL^RCJIBFN2(IBIFN),U,2) ; ien
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| 103 | S ARSTAT=$P($G(^PRCA(430.3,ARSTAT,0)),U,2) ; abbreviation
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| 104 | S IBX=IBX_$$FO^IBCNEUT1(ARSTAT,4) ; a/r status display
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| 105 | ;
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| 106 | I IBSORT=1 D ; sort by batch
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| 107 | . N Z,IBZ,IBXDATA
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| 108 | . ; Print current payer, payer address, other payers, pat name
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| 109 | . D F^IBCEF("N-CURR INSURANCE COMPANY NAME","IBZ",,IBIFN)
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| 110 | . S IBX=IBX_$$FO^IBCNEUT1(IBZ,25)_" " ; ins co name
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| 111 | . S IBX=IBX_$$FO^IBCNEUT1($$CURRINS(IBIFN,1),29)_" " ; address
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| 112 | . K IBZ D F^IBCEF("N-OTH INSURANCE CO. NAME","IBZ",,IBIFN)
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| 113 | . S IBX=IBX_$$FO^IBCNEUT1($P($G(IBZ(1)),U,1),15)_" " ; other payer
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| 114 | . S Z=$P($G(^DPT(+$P(IB0,U,2),0)),U,1)
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| 115 | . S IBX=IBX_$E(Z,1,18) ; patient name
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| 116 | . ;
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| 117 | . ; set line into list
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| 118 | . S IBCNT=IBCNT+1
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| 119 | . D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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| 120 | . S IBX=""
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| 121 | . ;
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| 122 | . I $G(IBZ(2))'="" D ; other payer #2 if it exists
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| 123 | .. S IBX=$J("",98)_$E($P(IBZ(2),U,1),1,15)
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| 124 | .. D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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| 125 | .. Q
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| 126 | . Q
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| 127 | ;
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| 128 | I IBSORT=2 D ; sort by payer
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| 129 | . N Z,IBZ
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| 130 | . S IBX=IBX_" "
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| 131 | . ; Print other payers, patient name, date last trans, batch #, reject flag
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| 132 | . D F^IBCEF("N-OTH INSURANCE CO. NAME","IBZ",,IBIFN)
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| 133 | . S IBX=IBX_$$FO^IBCNEUT1($P($G(IBZ(1)),U,1),18)_" " ; oth payer#1
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| 134 | . S Z=$P($G(^DPT(+$P(IB0,U,2),0)),U,1)
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| 135 | . S IBX=IBX_$$FO^IBCNEUT1(Z,18)_" " ; patient name
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| 136 | . ;
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| 137 | . S Z=+$P($G(^IBA(364,+IBDA,0)),U,2) ; Batch ptr
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| 138 | . S IBX=IBX_$$FO^IBCNEUT1($$FMTE^XLFDT($P($G(^IBA(364.1,+Z,1)),U,3)\1,"1"),17) ; date last transmitted
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| 139 | . S IBX=IBX_$$FO^IBCNEUT1($P($G(^IBA(364.1,Z,0)),U,1),10) ; batch#
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| 140 | . S IBX=IBX_$S($P($G(^IBA(364.1,Z,0)),U,5):" R",1:"") ; batch rejected flag
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| 141 | . ;
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| 142 | . ; set line into list
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| 143 | . S IBCNT=IBCNT+1
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| 144 | . D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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| 145 | . S IBX=""
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| 146 | . ;
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| 147 | . I $G(IBZ(2))'="" D ; other payer#2 if it exists
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| 148 | .. S IBX=$J("",44)_$E($P(IBZ(2),U),1,18)
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| 149 | .. D SET(.IBX,1,IBDA,IBREP,IBHDR,IBCNT,.VALMCNT,.IBPAGE,.IBSTOP)
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| 150 | .. Q
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| 151 | . Q
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| 152 | ;
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| 153 | WRTQ I IBREP="S" S IBPAGE=IBCNT
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| 154 | Q
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| 155 | ;
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| 156 | SET(IBX,IBLINE,IBDA,IBREP,IBHDR,IBCNT,VALMCNT,IBPAGE,IBSTOP) ;
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| 157 | N Q,Z,IBZ
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| 158 | S IBZ=IBX,IBX=""
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| 159 | I IBREP="R" D Q
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| 160 | . D:($Y+5)>IOSL!'IBPAGE HDR^IBCEPTC1(IBHDR,IBSORT,.IBPAGE,.IBSTOP) D
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| 161 | . I IBLINE F Z=1:1:IBLINE W !
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| 162 | . W:'IBSTOP IBZ
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| 163 | . Q
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| 164 | ;
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| 165 | ; only display the counter if we have a line with the claim#
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| 166 | S VALMCNT=VALMCNT+1
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| 167 | I IBDA,$TR($E(IBZ,1,8)," ")'="" S IBZ=$$FO^IBCNEUT1($J(IBCNT,3),6)_IBZ
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| 168 | I IBDA,$TR($E(IBZ,1,8)," ")="" S IBZ=" "_IBZ
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| 169 | ;
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| 170 | S ^TMP("IB_PREV_CLAIM_LIST",$J,VALMCNT,0)=IBZ
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| 171 | S ^TMP("IB_PREV_CLAIM_LIST",$J,"IDX",VALMCNT,IBCNT)=""
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| 172 | I IBDA,$TR($E(IBZ,1,8)," ")'="" S ^TMP("IB_PREV_CLAIM_LIST_DX",$J,IBCNT)=VALMCNT_U_IBDA
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| 173 | Q
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| 174 | ;
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| 175 | CURRINS(IBIFN,TRUNC) ; Returns Current insurance address for given claim
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| 176 | ; TRUNC = truncate flag; 1 to truncate the address and city
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| 177 | N IBX,IBZ,L1,CITY,ST
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| 178 | D F^IBCEF("N-CURR INS CO FULL ADDRESS","IBZ",,IBIFN)
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| 179 | S L1=$G(IBZ(1)) I +$G(TRUNC) S L1=$E(L1,1,15)
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| 180 | S CITY=$G(IBZ(4)) I +$G(TRUNC) S CITY=$E(CITY,1,10)
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| 181 | S ST=$G(IBZ(5))
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| 182 | I ST S ST=$P($G(^DIC(5,ST,0)),U,2)
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| 183 | S IBX=L1_" "_CITY
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| 184 | I CITY'="",ST'="" S IBX=IBX_","_ST
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| 185 | E S IBX=IBX_" "_ST
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| 186 | Q IBX
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| 187 | ;
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