| [613] | 1 | IBCEPTC3 ;ALB/ESG - EDI PREVIOUSLY TRANSMITTED CLAIMS ACTIONS ;12/19/05 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**320**;21-MAR-94 | 
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|  | 3 | ; | 
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|  | 4 | Q | 
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|  | 5 | ; | 
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|  | 6 | SELECT ; Select claims to resubmit | 
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|  | 7 | N IBIFN,IBZ,IBI,IBQ,DIR,VALMY,X,Y | 
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|  | 8 | D FULL^VALM1 | 
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|  | 9 | D EN^VALM2($G(XQORNOD(0))) | 
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|  | 10 | S IBZ=0 F  S IBZ=$O(VALMY(IBZ)) Q:'IBZ  D | 
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|  | 11 | . S IBQ=$G(^TMP("IB_PREV_CLAIM_LIST_DX",$J,IBZ)),IBI=+$P(IBQ,U,2),IBQ=+IBQ | 
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|  | 12 | . S IBIFN=+$G(^IBA(364,IBI,0)) | 
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|  | 13 | . Q:'IBIFN | 
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|  | 14 | . D MARK(IBIFN,IBZ,IBQ,IBI,1,.VALMHDR) | 
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|  | 15 | S VALMBCK="R" | 
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|  | 16 | Q | 
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|  | 17 | ; | 
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|  | 18 | SELBATCH ; Select a batch to resubmit | 
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|  | 19 | ; Assumes IBSORT is defined | 
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|  | 20 | N DIC,DIR,X,Y,Z,IBQ,IBZ,IBI,IBDX,IBASK,IBOK,IBY,DTOUT,DUOUT | 
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|  | 21 | D FULL^VALM1 | 
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|  | 22 | I IBSORT'=1 D  G SELBQ | 
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|  | 23 | . S DIR(0)="EA",DIR("A",1)="This action is not available unless you chose to sort by batch",DIR("A")="Press return to continue: " | 
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|  | 24 | . W ! D ^DIR K DIR | 
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|  | 25 | S DIC="^IBA(364.1,",DIC(0)="AEMQ",DIC("S")="I $D(^TMP(""IB_PREV_CLAIM_BATCH"",$J,+Y))" | 
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|  | 26 | D ^DIC K DIC | 
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|  | 27 | I Y'>0 G SELBQ | 
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|  | 28 | S IBY=+Y,VALMBG=+$G(^TMP("IB_PREV_CLAIM_BATCH",$J,IBY)) | 
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|  | 29 | ; | 
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|  | 30 | S (IBOK,IBASK)=1 | 
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|  | 31 | I $G(^TMP("IB_PREV_CLAIM_BATCH",$J,IBY,"SEL")) D  G:'IBOK SELBQ | 
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|  | 32 | . S DIR(0)="YA",DIR("A",1)="This batch was previously selected.",DIR("A")="Do you want to de-select all claims in this batch?: ",DIR("B")="No" | 
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|  | 33 | . W ! D ^DIR K DIR | 
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|  | 34 | . I $D(DTOUT)!$D(DUOUT) S IBOK=0 Q | 
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|  | 35 | . I Y S IBASK=0 K ^TMP("IB_PREV_CLAIM_BATCH",$J,IBY,"SEL") | 
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|  | 36 | ; | 
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|  | 37 | S IBQ=0      ; last screen row# for claim | 
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|  | 38 | F  S IBQ=$O(^TMP("IB_PREV_CLAIM_BATCH",$J,IBY,IBQ)) Q:'IBQ  D | 
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|  | 39 | . S IBZ=$G(^(IBQ))      ; IBIFN^selection# | 
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|  | 40 | . S Z=$P(IBZ,U,2)       ; selection# | 
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|  | 41 | . S IBDX=$G(^TMP("IB_PREV_CLAIM_LIST_DX",$J,+Z))   ; 1st screen row# for claim^364 ien | 
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|  | 42 | . S IBI=$P(IBDX,U,2)    ; 364 ien | 
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|  | 43 | . D MARK(+IBZ,Z,+IBDX,IBI,IBASK,.VALMHDR) | 
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|  | 44 | ; | 
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|  | 45 | I IBASK S ^TMP("IB_PREV_CLAIM_BATCH",$J,IBY,"SEL")=1 | 
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|  | 46 | ; | 
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|  | 47 | SELBQ S VALMBCK="R" | 
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|  | 48 | Q | 
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|  | 49 | ; | 
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|  | 50 | MARK(IBIFN,IBZ,IBQ,IBI,IBASK,VALMHDR) ; Mark claim as selected for resubmit | 
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|  | 51 | ; Returns VALMHDR killed if any selections/de-selections made | 
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|  | 52 | N DIR,X,Y | 
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|  | 53 | I $D(^TMP("IB_PREV_CLAIM_SELECT",$J,IBIFN)) D  Q | 
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|  | 54 | . S Y=1 | 
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|  | 55 | . I IBASK D | 
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|  | 56 | .. S DIR(0)="YA",DIR("B")="No",DIR("A",1)="Claim "_$P($G(^DGCR(399,IBIFN,0)),U)_" for entry # "_IBZ_" has already been selected",DIR("A")="Do you want to de-select it?: " W ! D ^DIR K DIR | 
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|  | 57 | . I Y=1 K ^TMP("IB_PREV_CLAIM_SELECT",$J,IBIFN) S $E(^TMP("IB_PREV_CLAIM_LIST",$J,IBQ,0),6)=" ",^TMP("IB_PREV_CLAIM_SELECT",$J)=^TMP("IB_PREV_CLAIM_SELECT",$J)-1 K VALMHDR | 
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|  | 58 | ; | 
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|  | 59 | S ^TMP("IB_PREV_CLAIM_SELECT",$J,IBIFN)=IBQ,^TMP("IB_PREV_CLAIM_SELECT",$J,IBIFN,0)=IBI,^TMP("IB_PREV_CLAIM_SELECT",$J)=$G(^TMP("IB_PREV_CLAIM_SELECT",$J))+1 | 
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|  | 60 | S $E(^TMP("IB_PREV_CLAIM_LIST",$J,IBQ,0),6)="*" K VALMHDR | 
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|  | 61 | Q | 
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|  | 62 | ; | 
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|  | 63 | VIEW ; View claims selected | 
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|  | 64 | N IBCT,IBQUIT,DIR,X,Y,Z,Z0 | 
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|  | 65 | D FULL^VALM1 | 
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|  | 66 | I '$O(^TMP("IB_PREV_CLAIM_SELECT",$J,0)) D  G VIEWQ | 
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|  | 67 | . S DIR(0)="EA",DIR("A")="No claims have been selected - Press return to continue " D ^DIR K DIR | 
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|  | 68 | W @IOF | 
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|  | 69 | S (IBQUIT,IBCT)=0 | 
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|  | 70 | W !,+^TMP("IB_PREV_CLAIM_SELECT",$J)," claims selected:" | 
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|  | 71 | S Z="" F  S Z=$O(^TMP("IB_PREV_CLAIM_SELECT",$J,Z)) Q:'Z  S Z0=+$G(^(Z)) D | 
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|  | 72 | . Q:'$D(^TMP("IB_PREV_CLAIM_LIST",$J,Z0,0)) | 
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|  | 73 | . S IBCT=IBCT+1 | 
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|  | 74 | . I '(IBCT#15) S IBQUIT=0 D  Q:IBQUIT | 
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|  | 75 | .. S DIR(0)="E" D ^DIR K DIR | 
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|  | 76 | .. I 'Y S IBQUIT=1 | 
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|  | 77 | . W !,"  ",$E(^TMP("IB_PREV_CLAIM_LIST",$J,Z0,0),7,47) | 
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|  | 78 | ; | 
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|  | 79 | G:IBQUIT VIEWQ | 
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|  | 80 | S DIR(0)="E" D ^DIR K DIR | 
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|  | 81 | ; | 
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|  | 82 | VIEWQ S VALMBCK="R" | 
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|  | 83 | Q | 
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|  | 84 | ; | 
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|  | 85 | RESUB ; Resubmit selected claims | 
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|  | 86 | N DIR,X,Y,IBIFN,IB364,Z1,IBTYPPTC,DIRUT,DIROUT,DTOUT,DUOUT,IBFSKIP,IBABORT | 
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|  | 87 | D FULL^VALM1 | 
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|  | 88 | I '$O(^TMP("IB_PREV_CLAIM_SELECT",$J,0)) D  G RESUBQ | 
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|  | 89 | . N DIR,X,Y | 
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|  | 90 | . S DIR(0)="EA",DIR("A")="No claims have been selected - Press return to continue " D ^DIR K DIR | 
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|  | 91 | ; | 
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|  | 92 | ; Ask user if resubmit as production or as test | 
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|  | 93 | S DIR(0)="SA^P:Production;T:Test Only" | 
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|  | 94 | S DIR("A")="Resubmit Claims: " | 
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|  | 95 | S DIR("B")="Production" | 
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|  | 96 | S DIR("?",1)="  Select Production to resubmit the claims to the payer for payment." | 
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|  | 97 | S DIR("?")="  Select Test to resubmit the claims as Test claims only." | 
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|  | 98 | W ! D ^DIR K DIR | 
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|  | 99 | I $D(DIRUT) G RESUBQ | 
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|  | 100 | S IBTYPPTC="TEST" | 
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|  | 101 | I Y="P" S IBTYPPTC="PRODUCTION" | 
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|  | 102 | ; | 
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|  | 103 | S DIR(0)="YA",DIR("B")="No" | 
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|  | 104 | S DIR("A",1)="You are about to resubmit "_+^TMP("IB_PREV_CLAIM_SELECT",$J)_" claims as "_IBTYPPTC_" claims." | 
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|  | 105 | S DIR("A")="Are you sure you want to continue?: " | 
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|  | 106 | W ! D ^DIR K DIR | 
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|  | 107 | I Y'=1 G RESUBQ | 
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|  | 108 | ; | 
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|  | 109 | ; OK to proceed and resubmit | 
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|  | 110 | W !!,"Resubmission in process ... " | 
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|  | 111 | ; | 
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|  | 112 | ; loop thru selected claims and set into scratch globals | 
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|  | 113 | S IBFSKIP=0 | 
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|  | 114 | KILL ^TMP("IBRCBOLD",$J) | 
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|  | 115 | S IBIFN=0 F  S IBIFN=$O(^TMP("IB_PREV_CLAIM_SELECT",$J,IBIFN)) Q:'IBIFN  S Z1=+$G(^(IBIFN)),IB364=+$G(^(IBIFN,0)) I IB364 D | 
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|  | 116 | . ; | 
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|  | 117 | . I IBTYPPTC="TEST" D | 
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|  | 118 | .. S ^TMP("IBEDI_TEST_BATCH",$J,IB364)="" | 
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|  | 119 | .. S ^TMP("IBRESUBMIT",$J,IB364)="" | 
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|  | 120 | .. I Z1 D MARK(IBIFN,"",Z1,IB364,0,.VALMHDR) | 
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|  | 121 | .. Q | 
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|  | 122 | . ; | 
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|  | 123 | . I IBTYPPTC="PRODUCTION" D | 
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|  | 124 | .. I '$$TXOK(IBIFN) S IBFSKIP=IBFSKIP+1 Q    ; transmission not allowed | 
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|  | 125 | .. N Y S Y=$$ADDTBILL^IBCB1(IBIFN)  ; new entry in file 364 - "X" status | 
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|  | 126 | .. I '$P(Y,U,3) Q                   ; quit if new entry didn't get added | 
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|  | 127 | .. S ^TMP("IBSELX",$J,+Y)="" | 
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|  | 128 | .. S ^TMP("IBRCBOLD",$J,IB364)=""   ; save list of old transmit bills | 
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|  | 129 | .. I Z1 D MARK(IBIFN,"",Z1,IB364,0,.VALMHDR) | 
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|  | 130 | .. Q | 
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|  | 131 | . ; | 
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|  | 132 | . Q | 
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|  | 133 | ; | 
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|  | 134 | ; set top level of scratch globals based on test or production | 
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|  | 135 | I IBTYPPTC="TEST" S ^TMP("IBRESUBMIT",$J)="^^0^1",^TMP("IBEDI_TEST_BATCH",$J)=1 | 
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|  | 136 | E  KILL ^TMP("IBRESUBMIT",$J),^TMP("IBEDI_TEST_BATCH",$J),^TMP("IBONE",$J) S ^TMP("IBSELX",$J)=0 | 
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|  | 137 | ; | 
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|  | 138 | ; resubmit call | 
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|  | 139 | D EN1^IBCE837B("","","",.IBABORT) | 
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|  | 140 | ; | 
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|  | 141 | ; if user aborted at the last minute, then get rid of the new entries | 
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|  | 142 | ; in file 364 that were added for production claim sending | 
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|  | 143 | I IBABORT D | 
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|  | 144 | . N IB,DIK,DA | 
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|  | 145 | . S IB=0 F  S IB=$O(^TMP("IBSELX",$J,IB)) Q:'IB  S DIK="^IBA(364,",DA=IB D ^DIK | 
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|  | 146 | . Q | 
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|  | 147 | ; | 
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|  | 148 | ; update EDI files for the old transmit bills | 
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|  | 149 | I 'IBABORT D | 
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|  | 150 | . N IB | 
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|  | 151 | . S IB=0 F  S IB=$O(^TMP("IBRCBOLD",$J,IB)) Q:'IB  D UPDEDI^IBCEM(IB,"R") | 
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|  | 152 | . Q | 
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|  | 153 | ; | 
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|  | 154 | ; cleanup | 
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|  | 155 | K ^TMP("IBEDI_TEST_BATCH",$J),^TMP("IBRESUBMIT",$J),^TMP("IBSELX",$J),^TMP("IBRCBOLD",$J) | 
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|  | 156 | I '$O(^TMP("IB_PREV_CLAIM_SELECT",$J,0)) K ^TMP("IB_PREV_CLAIM_SELECT",$J) | 
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|  | 157 | S DIR(0)="EA" | 
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|  | 158 | S DIR("A",1)="Selected claims have been resubmitted as "_IBTYPPTC_"." | 
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|  | 159 | I IBFSKIP D | 
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|  | 160 | . S DIR("A",2)="Please note: Some claims were not eligible to be resubmitted as live claims." | 
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|  | 161 | . S DIR("A",3)="             These claims are still indicated as being selected." | 
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|  | 162 | . Q | 
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|  | 163 | I IBABORT K DIR("A") S DIR("A",1)="No claims were resubmitted." | 
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|  | 164 | S DIR("A")="Press return to continue " | 
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|  | 165 | W ! D ^DIR K DIR | 
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|  | 166 | K VALMHDR | 
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|  | 167 | ; | 
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|  | 168 | RESUBQ ; | 
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|  | 169 | S VALMBCK="R" | 
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|  | 170 | Q | 
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|  | 171 | ; | 
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|  | 172 | REPORT ; Print report | 
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|  | 173 | ; Assumes IBSORT, IBDT1, IBDT2 defined | 
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|  | 174 | N IBACT,Z | 
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|  | 175 | D FULL^VALM1 | 
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|  | 176 | F  S IBACT=0 D DEVSEL^IBCEPTC(.IBACT) Q:IBACT | 
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|  | 177 | I IBACT'=99 D | 
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|  | 178 | . N IBREP | 
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|  | 179 | . S IBREP="R" D RPT^IBCEPTC1(IBSORT,IBDT1,IBDT2) | 
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|  | 180 | ; | 
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|  | 181 | D HOME^%ZIS | 
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|  | 182 | S VALMBCK="R" | 
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|  | 183 | Q | 
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|  | 184 | ; | 
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|  | 185 | CKSENT(VALMBCK) ; Make sure selected entries are transmitted | 
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|  | 186 | ; | 
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|  | 187 | N IBOK,DIR,X,Y | 
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|  | 188 | S IBOK=1 | 
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|  | 189 | I $O(^TMP("IB_PREV_CLAIM_SELECT",$J,0)) D | 
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|  | 190 | . D FULL^VALM1 | 
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|  | 191 | . S DIR(0)="YA",DIR("A",1)="You have selected "_+$G(^TMP("IB_PREV_CLAIM_SELECT",$J))_" claims, but have not resubmitted them",DIR("A")="Are you sure you want to quit before you resubmit them?: ",DIR("B")="No" | 
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|  | 192 | . W ! D ^DIR K DIR | 
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|  | 193 | . I Y'=1 S VALMBCK="R",IBOK=0 | 
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|  | 194 | I IBOK S VALMBCK="Q" | 
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|  | 195 | Q | 
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|  | 196 | ; | 
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|  | 197 | TXOK(IBIFN) ; Function determines if claim is OK for live resubmission | 
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|  | 198 | NEW OK,IB364,IBD,IBSTAT | 
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|  | 199 | S OK=0 | 
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|  | 200 | I '$P($G(^DGCR(399,+$G(IBIFN),"TX")),U,2) G TXOKX                  ; last electronic extract date | 
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|  | 201 | I '$F(".2.3.4.","."_$P($G(^DGCR(399,IBIFN,0)),U,13)_".") G TXOKX   ; claim status | 
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|  | 202 | S IB364=+$$LAST364^IBCEF4(+$G(IBIFN)) I 'IB364 G TXOKX             ; transmit bill exists | 
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|  | 203 | S IBD=$G(^IBA(364,IB364,0)) I IBD="" G TXOKX | 
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|  | 204 | S IBSTAT=$P(IBD,U,3) I IBSTAT="X" G TXOKX                          ; already awaiting extract | 
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|  | 205 | S OK=1 | 
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|  | 206 | TXOKX ; | 
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|  | 207 | Q OK | 
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|  | 208 | ; | 
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