| 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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