| 1 | IBCERP2 ;ALB/CXW - ELECTRONIC ERROR REPORT ; 3/13/07 1:14pm | 
|---|
| 2 | ;;2.0;INTEGRATED BILLING;**137,367**;21-MAR-94;Build 11 | 
|---|
| 3 | Q | 
|---|
| 4 | BEG ; Report of electronic error | 
|---|
| 5 | N DIR,DIRUT,DIROUT,DTOUT,DUOUT,DIC,%DT,IBZ | 
|---|
| 6 | N IB0,IBBDD,IBEDT,IBST1,IBST2,IBST3,IBST4,IBERR,IBTYE,Y | 
|---|
| 7 | S IB0="No ERROR CODE as sort level when error messages are not displayed" | 
|---|
| 8 | S DIR("A")="DO YOU WANT TO INCLUDE THE ERROR MESSAGES? ",DIR(0)="YA",DIR("B")="YES" | 
|---|
| 9 | S DIR("?")="YES indicates to display the error record with messages, or NO indicates to display the error record without messages." | 
|---|
| 10 | D ^DIR K DIR | 
|---|
| 11 | I $D(DTOUT)!($D(DUOUT)) Q | 
|---|
| 12 | S IBERR=+Y | 
|---|
| 13 | BDT S %DT="AEPX",%DT("A")="Begin TRANSMIT DATE: " | 
|---|
| 14 | D ^%DT K %DT G BEGQ:Y<0 | 
|---|
| 15 | I $D(DTOUT)!($D(DUOUT)) Q | 
|---|
| 16 | S IBBDD=Y | 
|---|
| 17 | EDT S %DT="EX" R !,"End TRANSMIT DATE: ",X:DTIME | 
|---|
| 18 | S:X=" " X=IBBDD G BEGQ:(X="")!(X["^") D ^%DT K %DT G EDT:Y<0 | 
|---|
| 19 | I $D(DTOUT)!($D(DUOUT)) Q | 
|---|
| 20 | S IBEDT=Y | 
|---|
| 21 | I Y<IBBDD W *7," ??",!,"END DATE must follow BEGIN DATE." G BDT | 
|---|
| 22 | S DIR(0)="SBM^E:EDI;M:MRA;B:EDI/MRA",DIR("A")="BILL TRANSMISSION TYPE" | 
|---|
| 23 | S DIR("?")="Select the code to indicate the transmission type: EDI, MRA or both of EDI/MAR." | 
|---|
| 24 | D ^DIR K DIR | 
|---|
| 25 | I $D(DTOUT)!($D(DUOUT)) Q | 
|---|
| 26 | S IBTYE=Y | 
|---|
| 27 | S DIC="^VA(200,",DIC(0)="AMEQ",DIC("A")="Select AUTHORIZING BILLER: ALL// " D ^DIC | 
|---|
| 28 | I $D(DTOUT)!($D(DUOUT)) Q | 
|---|
| 29 | I Y<0 W "ALL" G EN0 | 
|---|
| 30 | S ^TMP($J,"IBBIL",+Y)="" | 
|---|
| 31 | S DIC("A")="Select Another AUTHORIZING BILLER: " | 
|---|
| 32 | F  D  Q:Y<0 | 
|---|
| 33 | . D ^DIC | 
|---|
| 34 | . I $D(DTOUT)!($D(DUOUT)) Q | 
|---|
| 35 | . Q:Y<0 | 
|---|
| 36 | . S ^TMP($J,"IBBIL",+Y)="" | 
|---|
| 37 | I $D(DTOUT)!($D(DUOUT)) G BEGQ | 
|---|
| 38 | EN0 K DIC | 
|---|
| 39 | S (IBZ,DIR(0))="SBM^A:AUTHORIZING BILLER;B:BILLED AMOUNT;E:EPISODE OF CARE;P:PATIENT NAME;S:PATIENT SSN;Y:PAYER NAME;C:ERROR CODE",DIR("A")="PRIMARY SORT BY" | 
|---|
| 40 | S DIR("?")="Enter a code to indicate how the messages should be organized within the first sort level" | 
|---|
| 41 | D ^DIR K DIR | 
|---|
| 42 | I $D(DTOUT)!($D(DUOUT)) G BEGQ | 
|---|
| 43 | I 'IBERR,Y="C" W !,IB0 G EN0 | 
|---|
| 44 | S IBST1=Y,IBST3=Y(0) | 
|---|
| 45 | ST2 S DIR(0)=IBZ,DIR("A")="SECONDARY SORT BY" | 
|---|
| 46 | S DIR("?")="Enter a code to indicate how the messages should be organized within the second sort level" | 
|---|
| 47 | D ^DIR K DIR | 
|---|
| 48 | I $D(DTOUT)!($D(DUOUT)) G BEGQ | 
|---|
| 49 | I 'IBERR,Y="C" W !,IB0 G ST2 | 
|---|
| 50 | S IBST2=Y,IBST4=Y(0) | 
|---|
| 51 | I IBST1=IBST2 W !,"SECONDARY SORT must be different from PRIMARY SORT." G ST2 | 
|---|
| 52 | ; | 
|---|
| 53 | N %ZIS,ZTSAVE,ZTRTN,ZTDESC | 
|---|
| 54 | S %ZIS="QM" D ^%ZIS Q:POP | 
|---|
| 55 | I $D(IO("Q")) K IO("Q") D  G BEGQ | 
|---|
| 56 | . S ZTRTN="EN^IBCERP2" | 
|---|
| 57 | . S ZTSAVE("IBST*")="",ZTSAVE("IBERR")="",ZTSAVE("IBTYE")="" | 
|---|
| 58 | . S ZTSAVE("IBBDD")="",ZTSAVE("IBEDT")="" | 
|---|
| 59 | . S ZTSAVE("^TMP($J,""IBSORT"",")="" | 
|---|
| 60 | . S ZTDESC="IB - Electronic Error Report" | 
|---|
| 61 | . D ^%ZTLOAD K ZTSK D HOME^%ZIS | 
|---|
| 62 | U IO | 
|---|
| 63 | EN ; Queued job entrypoint | 
|---|
| 64 | N IBSTOP,IBIFN,IBPAGE,IBLINE,IB,IB1,IBMRA,IBNAM,IBTOL,IBPAY,IBSSN,IBUER,IBDPT,IBCOD,IBDDT,IBSO1,IBSO2,IBEPO,IB399 | 
|---|
| 65 | W:$E(IOST,1,2)["C-" @IOF ;Only initial form feed for print to screen | 
|---|
| 66 | S IBDDT=IBBDD-1 F  S IBDDT=$O(^DGCR(399,"ALEX",IBDDT)) Q:'IBDDT!(IBDDT<IBBDD)!(IBDDT>IBEDT)  S IBIFN=0 F  S IBIFN=$O(^DGCR(399,"ALEX",IBDDT,IBIFN)) Q:'IBIFN  D | 
|---|
| 67 | . ;episode of care by event dt for op, adm dt for in | 
|---|
| 68 | . S IB399=$G(^DGCR(399,IBIFN,0)) | 
|---|
| 69 | . S IBEPO=$P(IB399,U,5) | 
|---|
| 70 | . S IBEPO=$S(IBEPO<3:"I",1:"O") | 
|---|
| 71 | . I IBEPO="I" D  ;inpatient with adm date | 
|---|
| 72 | .. S IBEPO=$P(IB399,U,2),IBEPO=$S($D(^DPT(IBEPO,.105)):$P(^DGPM(^DPT(IBEPO,.105),0),U),1:$P(IB399,U,3)) | 
|---|
| 73 | . I IBEPO="O" S IBEPO=$P(IB399,U,3) | 
|---|
| 74 | . S IBUER=$P($G(^DGCR(399,IBIFN,"S")),U,11) | 
|---|
| 75 | . I $O(^TMP($J,"IBBIL",""))'="",'$D(^TMP($J,"IBBIL",+IBUER)) Q | 
|---|
| 76 | . S IBDPT=$G(^DPT(+$P($G(^DGCR(399,IBIFN,0)),U,2),0)) | 
|---|
| 77 | . S IBUER=$S(IBUER="":"UNKNOWN",1:$P($G(^VA(200,IBUER,0)),U)) | 
|---|
| 78 | . S IBTOL=-$P($G(^DGCR(399,IBIFN,"U1")),U) | 
|---|
| 79 | . S IBNAM=$E($P(IBDPT,U),1,26) | 
|---|
| 80 | . S IBSSN=$E($P(IBDPT,U,9),1,9) | 
|---|
| 81 | . S IBPAY=$G(^DGCR(399,IBIFN,"MP")) | 
|---|
| 82 | . S IBPAY=$S(+IBPAY:$P($G(^DIC(36,+IBPAY,0)),U,1),$$MCRWNR^IBEFUNC($$CURR^IBCEF2(IBIFN)):"MEDICARE (WNR)",1:"PAYER NAME NOT FOUND") | 
|---|
| 83 | . S IB=0 F  S IB=$O(^IBM(361,"B",IBIFN,IB)) Q:'IB  D | 
|---|
| 84 | .. S IB1=$G(^IBM(361,IB,0)) | 
|---|
| 85 | .. Q:$P(IB1,U,3)'="R"  ;only display record with error message | 
|---|
| 86 | .. S IBMRA=$$MCRWNR^IBEFUNC(+$$POLICY^IBCEF(IBIFN,1,$P(IB1,U,7))) | 
|---|
| 87 | .. I IBTYE="M",'IBMRA Q | 
|---|
| 88 | .. I IBTYE="E",IBMRA Q | 
|---|
| 89 | .. S IBCOD=0 | 
|---|
| 90 | .. S IBSO1=0 F  S IBSO1=$O(^IBM(361,IB,1,IBSO1)) Q:'IBSO1  S IBSO2=$G(^IBM(361,IB,1,IBSO1,0)) I IBSO2["Error" S IBCOD=IBSO2 Q | 
|---|
| 91 | .. S IBSO1=$S(IBST1="B":IBTOL,IBST1="A":IBUER,IBST1="E":IBEPO,IBST1="P":IBNAM,IBST1="S":IBSSN,IBST1="Y":IBPAY,1:IBCOD) | 
|---|
| 92 | .. S IBSO2=$S(IBST2="B":IBTOL,IBST2="A":IBUER,IBST2="E":IBEPO,IBST2="P":IBNAM,IBST2="S":IBSSN,IBST2="Y":IBPAY,1:IBCOD) | 
|---|
| 93 | .. S ^TMP($J,"IBSORT",IBSO1,IBSO2,IB)=IBIFN_U_IBTOL_U_IBUER_U_IBSSN_U_IBNAM_U_$S(IBPAY=0:"",1:IBPAY)_U_IBCOD_U_$S($P(IB1,U,4):"PAYER",1:"NONE PAYER")_U_IBDDT_U_$P(IB1,U,2)_U_IBEPO | 
|---|
| 94 | ; | 
|---|
| 95 | LIST ;display | 
|---|
| 96 | N IBFLG,IBPAT,IBFST,IBSEC,IBWNR,IBUER,IBWR | 
|---|
| 97 | S (IBFLG,IBSO2,IBSTOP,IBPAGE,IBWNR,IBWR)=0 | 
|---|
| 98 | I '$D(^TMP($J,"IBSORT")) D  G BEGQ | 
|---|
| 99 | . D HDR1 | 
|---|
| 100 | . W !,"No entries found for this report" | 
|---|
| 101 | S IBFST="" F  S IBFST=$O(^TMP($J,"IBSORT",IBFST)) Q:IBFST=""!IBSTOP  D | 
|---|
| 102 | . I 'IBFLG D HDR1 Q:IBSTOP  S IBFLG=1 | 
|---|
| 103 | . I (IBST1="A")!(IBST1="P") S IBSO1=0,IBFLG=0 | 
|---|
| 104 | . S IBSEC="" F  S IBSEC=$O(^TMP($J,"IBSORT",IBFST,IBSEC)) Q:IBSEC=""!IBSTOP  S IB1=0 F  S IB1=$O(^TMP($J,"IBSORT",IBFST,IBSEC,IB1)) Q:'IB1!IBSTOP  S IB=^TMP($J,"IBSORT",IBFST,IBSEC,IB1) D | 
|---|
| 105 | .. I (IBST1="A")!(IBST1="P") S IBSO1=IBSO1+1 | 
|---|
| 106 | .. I $P(IB,U,6)["WNR" S IBWNR=IBWNR+1 | 
|---|
| 107 | .. E  S IBWR=IBWR+1 | 
|---|
| 108 | .. S IBSO2=IBSO2+1 | 
|---|
| 109 | .. I IBST1="E"!(IBST2="E") W "EPISODE OF CARE: "_$$DAT1^IBOUTL($P(IB,U,11)),! | 
|---|
| 110 | .. W:IBST2="A" "AUTHORIZING BILLER: "_$P(IB,U,3),! | 
|---|
| 111 | .. W $$BN1^PRCAFN(+IB),?13,$P(IB,U,4),?25,$E($P(IB,U,6),1,20),?50,$$DAT1^IBOUTL($P(IB,U,10)),?61,$$DAT1^IBOUTL($P(IB,U,9)),?71,$J(-$P(IB,U,2),0,2),! | 
|---|
| 112 | .. I IBST1'="P",'IBERR W "PATIENT: "_$P(IB,U,5),!! | 
|---|
| 113 | .. I ($Y+5)>IOSL D HDR1 Q:IBSTOP | 
|---|
| 114 | .. Q:'IBERR  ;no display error msg | 
|---|
| 115 | .. S IB0=0 F  S IB0=$O(^IBM(361,IB1,1,IB0)) Q:'IB0!IBSTOP  D | 
|---|
| 116 | ... N IBX,IBY S IBX=$G(^IBM(361,IB1,1,IB0,0)) | 
|---|
| 117 | ... F IBY=1:80:$L(IBX) D  Q:IBSTOP | 
|---|
| 118 | .... I ($Y+5)>IOSL D HDR1 Q:IBSTOP | 
|---|
| 119 | .... W $E(IBX,IBY,IBY+79),! | 
|---|
| 120 | .. Q:IBSTOP | 
|---|
| 121 | .. W ! | 
|---|
| 122 | .. S IBCOD=0 | 
|---|
| 123 | .. S IBX=0 F  S IBX=$O(^IBM(361.1,"B",+IB,IBX)) Q:'IBX!IBCOD  D | 
|---|
| 124 | ... S IBY=$P($G(^IBM(361.1,IBX,0)),U,15) | 
|---|
| 125 | ... S IBY=$S(IBY=1:"P",IBY=2:"S",1:"T") | 
|---|
| 126 | ... I $P($G(^IBM(361,IB1,0)),7)=IBY S IBCOD=IBX | 
|---|
| 127 | .. I IBCOD,$P($G(^IBM(361.1,IBCOD,0)),U,13)=2 D  Q:IBSTOP  ;denied msg | 
|---|
| 128 | ... S IB0=0 | 
|---|
| 129 | ... F  S IB0=$O(^IBM(361.1,IBCOD,"ERR",IB0)) Q:'IB0!IBSTOP  D | 
|---|
| 130 | .... W ?11,$G(^IBM(361.1,1,IBCOD,"ERR",IB0,0)),! | 
|---|
| 131 | .... I ($Y+5)>IOSL D HDR1 Q:IBSTOP | 
|---|
| 132 | . Q:IBSTOP | 
|---|
| 133 | . I (IBST1="A")!(IBST1="P") D  Q:IBSTOP | 
|---|
| 134 | .. I ($Y+5)>IOSL D HDR1 Q:IBSTOP | 
|---|
| 135 | .. W:'IBERR ! W "SUBTOTAL # OF BILLS FOR "_IBFST_"= ",IBSO1,!! | 
|---|
| 136 | G:IBSTOP BEGQ | 
|---|
| 137 | I IBTYE="M"!(IBTYE="B") D  G:IBSTOP BEGQ | 
|---|
| 138 | . I ($Y+5)>IOSL D HDR1 Q:IBSTOP | 
|---|
| 139 | . W !,"TOTAL # OF MEDICARE (WNR) BILLS = ",IBWNR | 
|---|
| 140 | I IBTYE="E"!(IBTYE="B") D  G:IBSTOP BEGQ | 
|---|
| 141 | . I ($Y+5)>IOSL D HDR1 Q:IBSTOP | 
|---|
| 142 | . W !,"TOTAL # OF EDI BILLS = ",IBWR | 
|---|
| 143 | I ($Y+5)>IOSL D HDR1 G:IBSTOP BEGQ | 
|---|
| 144 | W !,"GRAND TOTAL # OF BILLS = ",IBSO2 | 
|---|
| 145 | I $E(IOST,1,2)["C-" K DIR S DIR(0)="E" D ^DIR K DIR | 
|---|
| 146 | BEGQ K ^TMP($J,"IBSORT"),^TMP($J,"IBBIL") | 
|---|
| 147 | I $D(ZTQUEUED) S ZTREQ="@" | 
|---|
| 148 | I '$D(ZTQUEUED) W ! D ^%ZISC | 
|---|
| 149 | Q | 
|---|
| 150 | HDR1 ; | 
|---|
| 151 | N DIR,Y | 
|---|
| 152 | I IBPAGE D  Q:IBSTOP | 
|---|
| 153 | . I $E(IOST,1,2)["C-" K DIR S DIR(0)="E" D ^DIR K DIR S IBSTOP=('Y) Q:IBSTOP | 
|---|
| 154 | . W @IOF | 
|---|
| 155 | S IBPAGE=IBPAGE+1 | 
|---|
| 156 | W !,?25,"ELECTRONIC ERROR REPORT",?72,"PAGE: ",IBPAGE,!,?25,"RUN DATE: ",$$HTE^XLFDT($H,"2") | 
|---|
| 157 | W !,?25,"DATE TRANSMITTED: ",$$DAT1^IBOUTL(IBBDD)_" - "_$$DAT1^IBOUTL(IBEDT) | 
|---|
| 158 | W !,?25,"BILL TRANSMISSION TYPE: ",$S(IBTYE="E":"EDI",IBTYE="M":"MRA",1:"EDI/MRA") | 
|---|
| 159 | W !,?25,"SORT BY: "_IBST3_", "_IBST4 | 
|---|
| 160 | I (IBST1="A")!(IBST1="P") W !,$S(IBST1="A":"AUTHORIZING BILLER: ",1:"PATIENT NAME: "),$G(IBFST) | 
|---|
| 161 | W !,?61,"DATE OF" | 
|---|
| 162 | W !,?51,"DATE OF",?62,"LAST",?71,"BILLED" | 
|---|
| 163 | W !,"BILL NUMBER",?13,"SSN",?25,"PAYER NAME",?50,"REJECTION",?61,"TRANSMIT",?71,"AMOUNT" | 
|---|
| 164 | W !,$TR($J("",80)," ","-"),! | 
|---|
| 165 | Q | 
|---|
| 166 | ; | 
|---|