[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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