[613] | 1 | IBCICMSP ;DSI/JSR - ClaimsManager STATUS REPORT ;6-APR-2001
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| 2 | ;;2.0;INTEGRATED BILLING;**161**;21-MAR-94
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | ;; ** Program Description **
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| 5 | ; This routine has only 1 entry point EN.
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| 6 | ; This routine is invoked when ^IBCICMS is run from the menu option.
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| 7 | ; ^IBCICMS is and extraction routine which collects claims which
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| 8 | ; the user defined report extracted for reporting purposes.
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| 9 | ; This routine ^IBCICMSP is the print routine which permits the
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| 10 | ; user to print the report to the screen or to queue as a background
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| 11 | ; job which can be stopped at any time using TaskManager.
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| 12 | ; Variables
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| 13 | ; IBCIPXT = (0 or 1) halts job if report is stopped.
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| 14 | ; SORT1 = will always be a 1
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| 15 | ; SORT2 = will always be a 1
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| 16 | ; SORT3 = "1" or the Assigned to person name
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| 17 | ; SORT4 = a space concatenated with whatever data the user is
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| 18 | ; sorting by (terminal digit, Insurance company name,
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| 19 | ; patient last name, negative charge amount, or bill#.
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| 20 | ; SORT5 = 1 will always be a 1
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| 21 | ; MAXCNT = Kernel determines the Max Lines per Page for each device
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| 22 | ; CRT = Determines if output is sent to screen.
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| 23 | ; RPTTYP = Identifies type of report being compiled.
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| 24 | EN ; this is the only entry point
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| 25 | N ASSIGN,AUDIT,COMMEN,CRT,DATE,EFLAG,ERRSEQ,GROUPBY,I,IBCI1,IBCI10
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| 26 | N IBCI2,IBCI3,IBCI4,IBCI5,IBCI6,IBCI7,IBCI8,IBCI9,IBCIARR
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| 27 | N IBCIBEG,IBCIDATA,IBCIDT,IBCIEND,IBCIPGCT,IBCIARR,IBCIEMN
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| 28 | N IBCIRUN,IBCISEQ,IBCITXT,IBCIX,IBIFN,MAXCNT,PREV
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| 29 | N IBCIPXT,RPTTYP,SORT1,SORT2,SORT3,SORT4,SORT5,Y,Z,X,STOP,NAME
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| 30 | S ASSIGN=RPTSPECS("ASNSORT") ; PRIMARY SORT BY ASSIGN TO PERSON 1 YES 0 NO
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| 31 | S COMMEN=RPTSPECS("IBCICOMM") ; FLAG PRINT COMMENT 1 YES 0 NO
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| 32 | S GROUPBY=RPTSPECS("SORTBY") ;TYPE 2=INS LOGIC DIFF SORT4
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| 33 | S IBCIBEG=RPTSPECS("BEGDATE")
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| 34 | S DATE=RPTSPECS("DATYP")
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| 35 | S IBCIEND=RPTSPECS("ENDDATE")
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| 36 | S (IBCIPXT,IBCIPGCT)=0 ; flags quit and header
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| 37 | S Z=($P($G(^IBA(351.91,0)),U,4))
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| 38 | F I=1:1:Z S (IBCIARR(I))=$P($G(^IBA(351.91,I,0)),U,2) ; CM status
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| 39 | S RPTTYP(1)="Terminal Digit"
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| 40 | S RPTTYP(2)="Insurance Company"
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| 41 | S RPTTYP(3)="Patient Last Name"
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| 42 | S RPTTYP(4)="Dollar Impact"
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| 43 | S RPTTYP(5)="Bill Number" ; jsr 6/12/01
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| 44 | ;
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| 45 | I IOST["C" S MAXCNT=IOSL-4,CRT=1
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| 46 | E S MAXCNT=IOSL-6,CRT=0
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| 47 | I RPTSPECS("TYPE")="D" D PRINT ;Detailed report ;DSI/DJW 3/21/02
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| 48 | D PRINT2
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| 49 | I CRT,IBCIPGCT>0,'$D(ZTQUEUED),IBCIPXT=0 S DIR(0)="E" D ^DIR K DIR I $D(DTOUT)!($D(DUOUT)) S IBCIPXT=1 Q
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| 50 | I $D(ZTQUEUED),$$S^%ZTLOAD() S ZTSTOP=1 Q
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| 51 | G XIT
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| 52 | Q
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| 53 | PRINT ; prints data extracted
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| 54 | I '$D(^TMP($J,IBCIRTN)) D HEADER W ?35,"N O D A T A F O U N D",!!
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| 55 | S SORT1="" F S SORT1=$O(^TMP($J,IBCIRTN,SORT1)) Q:SORT1=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 56 | . S SORT2="" F S SORT2=$O(^TMP($J,IBCIRTN,SORT1,SORT2)) Q:SORT2=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 57 | . . S SORT3="" F S SORT3=$O(^TMP($J,IBCIRTN,SORT1,SORT2,SORT3)) Q:SORT3=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 58 | . . . I ASSIGN D HEADER
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| 59 | . . . S SORT4="" F S SORT4=$O(^TMP($J,IBCIRTN,SORT1,SORT2,SORT3,SORT4)) Q:SORT4=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 60 | . . . . S PREV=SORT4
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| 61 | . . . . I GROUPBY=2,IBCIPXT=0,IBCIPGCT>0 D HEAD2
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| 62 | . . . . S SORT5="" F S SORT5=$O(^TMP($J,IBCIRTN,SORT1,SORT2,SORT3,SORT4,SORT5)) Q:SORT5=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 63 | . . . . . S NAME="" F S NAME=$O(^TMP($J,IBCIRTN,SORT1,SORT2,SORT3,SORT4,SORT5,NAME)) Q:NAME=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 64 | . . . . . . S IBIFN="" F S IBIFN=$O(^TMP($J,IBCIRTN,SORT1,SORT2,SORT3,SORT4,SORT5,NAME,IBIFN)) Q:IBIFN=""!(IBCIPXT=1)!($G(ZTSTOP)) D
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| 65 | . . . . . . . D DATA
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| 66 | . . . . . . . D LINE
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| 67 | . . . . . . . I COMMEN D COMM
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| 68 | ; Exit from the PRINT procedure
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| 69 | Q
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| 70 | ;
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| 71 | PRINT2 ; Print the totals by CM status at the end of the report
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| 72 | ; esg - 5/22/01
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| 73 | ;
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| 74 | I RPTSPECS("TYPE")="D" G PR2 ; detailed report
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| 75 | D HEADER
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| 76 | I '$D(^TMP($J,IBCIRTN)) W ?35,"N O D A T A F O U N D",!! G PRX
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| 77 | PR2 ;
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| 78 | I $D(IBCISCNT),'$G(IBCIPXT),'$G(ZTSTOP) D TOTALS
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| 79 | ;
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| 80 | PRX ; Exit from the PRINT2 procedure
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| 81 | Q
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| 82 | ;
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| 83 | ;
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| 84 | HEADER ; header for main report
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| 85 | I CRT,IBCIPGCT>0,'$D(ZTQUEUED),IBCIPXT=0 S DIR(0)="E" D ^DIR K DIR I $D(DTOUT)!($D(DUOUT)) S IBCIPXT=1 Q
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| 86 | I $D(ZTQUEUED),$$S^%ZTLOAD() S ZTSTOP=1 Q
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| 87 | S IBCIPGCT=IBCIPGCT+1
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| 88 | W @IOF,!,"ClaimsManager Status Report sort by "_RPTTYP(GROUPBY)_" for "
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| 89 | W $E(IBCIBEG,4,5)_"/"_$E(IBCIBEG,6,7)_"/"_$E(IBCIBEG,2,3)_" thru "_$E(IBCIEND,4,5)_"/"_$E(IBCIEND,6,7)_"/"_$E(IBCIEND,2,3)
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| 90 | W ?100,"Page :"_IBCIPGCT,!
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| 91 | I RPTSPECS("TYPE")="S" W "Summary Report"
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| 92 | E W "Detailed Report"
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| 93 | S Y=$$NOW^XLFDT X ^DD("DD") S IBCIRUN=Y
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| 94 | W ?100,"Run Date: "_IBCIRUN,!!
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| 95 | ;
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| 96 | ; skip the column headings for the summary report
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| 97 | I RPTSPECS("TYPE")="S" G HEADERX
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| 98 | ;
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| 99 | I DATE=1 W ?8,"BILL NO.",?18,"PATIENT NAME",?44,"PID",?50," EVENT",?60,"BILLER",?68,"CODER",?76,"ASSIGN",?84,"ERROR CODES",?102,"TYPE",?108,"CHARGES",?116,"CM STATUS"
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| 100 | E W ?8,"BILL NO.",?18,"PATIENT NAME",?44,"PID",?50," ENTER",?60,"BILLER",?68,"CODER",?76,"ASSIGN",?84,"ERROR CODES",?102,"TYPE",?108,"CHARGES",?116,"CM STATUS"
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| 101 | N X S $P(X,"=",130)="" W !,X,!
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| 102 | HEADERX ;
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| 103 | Q
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| 104 | ;
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| 105 | HEAD2 ; only printed when insurance is a selected sort
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| 106 | Q:GROUPBY'=2
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| 107 | Q:IBCIPXT=1
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| 108 | I $Y+4>MAXCNT,IBCIPXT=0 D HEADER
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| 109 | I $Y=6,IBCIPXT=0 W ?2,"INSURANCE: "_SORT4,!
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| 110 | E W:IBCIPXT=0 !,?2,"INSURANCE: "_SORT4,!
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| 111 | Q
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| 112 | DATA ; formats line item data - note claims with same edit error mnemonic
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| 113 | ; may print mulitple times if the HFCA line item is an unique line
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| 114 | ; with the same error type. The report prints the error mnemonic and
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| 115 | ; the HCFA line # as it relates to IB.
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| 116 | S IBCIDATA=^TMP($J,IBCIRTN,SORT1,SORT2,SORT3,SORT4,SORT5,NAME,IBIFN)
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| 117 | S IBCI1=$P(IBCIDATA,U,1) ; [1] External Bill#
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| 118 | S IBCI2=$P(IBCIDATA,U,2) ; [2] Patient SSN
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| 119 | S IBCI3=$P(IBCIDATA,U,3) ; ck logic [3] EventDate or Bill
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| 120 | S IBCIDT=$E(IBCI3,4,5)_"/"_$E(IBCI3,6,7)_"/"_$E(IBCI3,2,3)
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| 121 | S IBCI4=$P(IBCIDATA,U,4) ; [4] Biller name
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| 122 | S IBCI5=$P(IBCIDATA,U,5) ; [5] Coder name
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| 123 | S IBCI6=$P(IBCIDATA,U,6) ; [6] Assigned to person name
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| 124 | S IBCI7=$P(IBCIDATA,U,7) ;[7] inpatient/outpatient flag
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| 125 | S IBCI8=$P(IBCIDATA,U,8) ;[8] Charges
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| 126 | S IBCI9=$P(IBCIDATA,U,9) ;[9] ien of current ClaimsManager
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| 127 | S IBCI10=$P(IBCIDATA,U,10) ;[10] String of error code mne
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| 128 | S IBCIX=(IBCIARR(IBCI9))
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| 129 | Q
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| 130 | COMM ; print CM user comments these comments are keyed by the user
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| 131 | I '$D(^IBA(351.9,IBIFN,2,0)) W ! Q ; JSR 6/13/01 line feed correction
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| 132 | I $Y+2>MAXCNT,IBCIPXT=0 D HEADER
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| 133 | Q:IBCIPXT=1
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| 134 | W ?10,$$CMTINFO^IBCIUT5(IBIFN),!
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| 135 | S IBCISEQ=0 F S IBCISEQ=$O(^IBA(351.9,IBIFN,2,IBCISEQ)) Q:'IBCISEQ!(IBCIPXT=1) D
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| 136 | . S IBCITXT=$G(^IBA(351.9,IBIFN,2,IBCISEQ,0))
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| 137 | . I $Y+1>MAXCNT,IBCIPXT=0 D HEADER
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| 138 | . Q:IBCIPXT=1
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| 139 | . W ?28,IBCITXT,!
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| 140 | W !
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| 141 | Q
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| 142 | LINE ; print report detail line
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| 143 | Q:IBCIPXT=1
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| 144 | I $Y+1>MAXCNT,IBCIPXT=0 D HEADER
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| 145 | I IBCIPGCT=0,IBCIPXT=0 D HEADER D HEAD2
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| 146 | Q:IBCIPXT=1
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| 147 | W ?8,IBCI1,?19,$E(NAME,1,23),?44,$E(IBCI2,6,9),?50,IBCIDT
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| 148 | W ?60,$E(IBCI4,1,6),?68,$E(IBCI5,1,6),?76,$E(IBCI6,1,6),?84,IBCI10
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| 149 | W ?102,IBCI7,?108,$J($FN(IBCI8,",",0),6),?116,IBCIX,!
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| 150 | Q
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| 151 | XIT ; one exit point
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| 152 | Q
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| 153 | ;
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| 154 | ;
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| 155 | TOTALS ; Print totals - esg - 5/22/01
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| 156 | NEW CMDESC,CMSTS
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| 157 | I $Y+5>MAXCNT D HEADER Q:IBCIPXT!$G(ZTSTOP)
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| 158 | W !!?32,"ClaimsManager Bill Totals by ClaimsManager Status",!
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| 159 | S CMDESC=""
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| 160 | F S CMDESC=$O(^IBA(351.91,"B",CMDESC)) Q:CMDESC="" D Q:IBCIPXT!$G(ZTSTOP)
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| 161 | . S CMSTS=0
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| 162 | . F S CMSTS=$O(^IBA(351.91,"B",CMDESC,CMSTS)) Q:'CMSTS D Q:IBCIPXT!$G(ZTSTOP)
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| 163 | .. I '$D(IBCISCNT(1,CMSTS)) Q ; no bill with this status on report
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| 164 | .. I $Y+3>MAXCNT D HEADER Q:IBCIPXT!$G(ZTSTOP)
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| 165 | .. W !?22,$P(^IBA(351.91,CMSTS,0),U,1),?63,$J(IBCISCNT(1,CMSTS),6)
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| 166 | .. W ?76,$J("$"_$FN(IBCISCNT(2,CMSTS),",",0),12)
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| 167 | .. Q
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| 168 | . Q
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| 169 | Q:IBCIPXT!$G(ZTSTOP)
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| 170 | I $Y+4>MAXCNT D HEADER Q:IBCIPXT!$G(ZTSTOP)
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| 171 | W !?62,"-------",?75,"-------------"
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| 172 | W !?22,"GRAND TOTAL",?63,$J(IBCISCNT(1),6)
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| 173 | W ?76,$J("$"_$FN(IBCISCNT(2),",",0),12)
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| 174 | Q
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| 175 | ;
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