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