1 | IBCIMG ;DSI/JSR - IBCI CLAIMS MANAGER MGR WORKSHEET ;6-MAR-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 is a ListManager routine invoked when the user is in
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6 | ; the bill edit screen. This is a hybrid routine used for 3 reasons:
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7 | ; 1) To define and display all ListManager Template data with
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8 | ; aesthetic consistency.
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9 | ; 2) To permit Overriding Access for override CM errors.
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10 | ; 3) To Define and display MailMan header claims specific
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11 | ; information
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12 | ; IBCIMG is the main routine utilized when calling all 3 ListManager
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13 | ; templates. IBCIMG contains all the visual display details for all
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14 | ; LM templates and is also utilized for the building of MailMan
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15 | ; Messages.
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16 | ; Manager Access:
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17 | ; Is only permitted when IBCIMG security key action is
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18 | ; allocated for Manager Override access.
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19 | ; MailMan Messages:
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20 | ; Invoked by IBCIUT6 with a call to HDR^IBCIMG.
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21 | EN ; -- main entry point
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22 | D EN^VALM("IBCI CLAIMSMANAGER MGR WK")
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23 | Q
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24 | ;
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25 | HDR ; -- header code
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26 | S:'$D(IBCINAM) IBCINAM=IBCIPAD
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27 | S:'$D(IBCICLNO) IBCICLNO=IBCIPAD
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28 | S:'$D(IBCIBIR) IBCIBIR=IBCIPAD
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29 | S:'$D(IBCISEX) IBCISEX=IBCIPAD
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30 | S:'$D(IBCICNM) IBCICNM=IBCIPAD
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31 | S:'$D(IBCIASN) IBCIASN=IBCIPAD
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32 | S:'$D(IBCIBIL) IBCIBIL=IBCIPAD
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33 | S:'$D(IBCISRR) IBCISRR=IBCIPAD
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34 | S:'$D(IBCIEVV) IBCIEVV=IBCIPAD
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35 | S:'$D(IBCICAR) IBCICAR=IBCIPAD_IBCIPAD
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36 | S VALMHDR(1)=" Name: "_$E(IBCINAM,1,27)_"Sex: "_$E(IBCISEX,1)_" DOB: "_$E(IBCIBIR,1,11)_" Claim: "_$E(IBCICLNO,1,8)_"("_IBCISRR_")"
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37 | S VALMHDR(2)=" Ins: "_$E(IBCICAR,1,40)_" Provider: "_$E(IBCIPRV,1,16)
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38 | S VALMHDR(3)="Coder: "_$E(IBCICNM,1,16)_" Biller: "_$E(IBCIBIL,1,16)_" Assigned: "_$E(IBCIASN,1,16)
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39 | Q
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40 | ;
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41 | INIT ; -- init variables and list array
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42 | S QUITDP=0
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43 | K ^TMP("IBCIMG",$J),^TMP("IBCIMG1",$J)
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44 | S IBCICMP=""
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45 | F I=1:1:50 S IBCICMP=IBCICMP_" "
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46 | D BLD
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47 | Q
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48 | ;
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49 | HELP ; -- help code
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50 | S X="?" D DISP^XQORM1 W !!
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51 | Q
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52 | ;
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53 | EXIT ; -- exit code
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54 | ; User is prompted to enter comments for each claim that has error if
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55 | ; they exit before fixing the claim.
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56 | I ($G(Y)="Q")!($G(Y)=-1) D
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57 | . D UTIL2
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58 | . I Y'=1 S QUITDP=1 Q
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59 | . D CLEAR^VALM1,CLEAN^VALM10
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60 | . D COMMENT^IBCIUT7(IBIFN,1)
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61 | K ^TMP("IBCILM",$J)
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62 | K ^TMP("IBCIMG",$J),^TMP("IBCIMG1",$J)
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63 | Q
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64 | ;
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65 | BLD ; build array for display
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66 | N IBRT,IBCISEQ,IBCICNT,IBTC,IBTW,IBSW,IBLR,IBLN,IBT,IBD,IBGRPB,IBGRPE
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67 | N ICDL,ICDSP,ICDXX,LMDX,LMDX2,MODS,MOD2,EOLM
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68 | S (IBCICNT,VALMCNT)=1
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69 | S IBPREV=""
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70 | S IBTC(1)=1,IBTC(2)=30,IBTW(1)=1,IBTW(2)=10,IBSW(1)=79,IBSW(2)=12
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71 | ; create LM display array
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72 | S IBCIERL=0 F S IBCIERL=$O(^TMP("IBCILM",$J,IBCIERL)) Q:'IBCIERL D
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73 | . S YARR=""
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74 | . S IBCIZZZ=^TMP("IBCILM",$J,IBCIERL,0)
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75 | . S IBCIYYY=$TR(IBCIZZZ,"~","^")
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76 | . S TYPE=$P($G(IBCIYYY),U,1)
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77 | . S IBLINE=$P($G(IBCIYYY),U,2)
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78 | . S IBCILEV=$P($G(IBCIYYY),U,3)
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79 | . I IBLINE'=IBPREV D
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80 | .. S LMLINE="Line: "_IBLINE
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81 | .. S IBCILD1=$G(^IBA(351.9,IBIFN,5,IBLINE,0))
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82 | .. S IBCILD2=$G(^IBA(351.9,IBIFN,5,IBLINE,2))
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83 | .. S LMBDATE=$P($G(IBCILD1),U,6)
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84 | .. S LMEDATE=$P($G(IBCILD1),U,7)
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85 | .. S LMPOS=$P($G(IBCILD1),U,8)
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86 | .. S LMTOS=$P($G(IBCILD2),U,11)
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87 | .. S LMUNIT=$P($G(IBCILD2),U,12)
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88 | .. S LMCPT=$P($G(IBCILD1),U,9)
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89 | .. S LMCHARG=$P($G(IBCILD1),U,11)
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90 | .. S MODS=$TR($P($G(^IBA(351.9,IBIFN,5,IBLINE,3)),U,1),",","")
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91 | .. S LMMOD=$E(MODS,1,6)
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92 | .. S MOD2=$E(MODS,7,14)
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93 | .. S YARR=$$SETFLD^VALM1(LMTOS,YARR,"TOS")
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94 | .. S YARR=$$SETFLD^VALM1(LMPOS,YARR,"POS")
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95 | .. S YARR=$$SETFLD^VALM1(($E(LMBDATE,5,6)_"/"_$E(LMBDATE,7,8)_"/"_$E(LMBDATE,1,4)),YARR,"BDATE")
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96 | .. S YARR=$$SETFLD^VALM1(($E(LMEDATE,5,6)_"/"_$E(LMEDATE,7,8)_"/"_$E(LMEDATE,1,4)),YARR,"EDATE")
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97 | .. S YARR=$$SETFLD^VALM1($J($FN(LMCHARG,"",2),7),YARR,"CHARGE") ;JSR 6/22/2001 Number Format fix
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98 | .. S YARR=$$SETFLD^VALM1(LMCPT,YARR,"CPT")
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99 | .. S YARR=$$SETFLD^VALM1(LMMOD,YARR,"MODIFY")
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100 | .. S YARR=$$SETFLD^VALM1(LMUNIT,YARR,"UNITS")
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101 | .. S YARR=$$SETFLD^VALM1(LMLINE,YARR,"LINE")
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102 | .. I IBCICNT'=1 S IBT="",IBD="" S IBCICNT=$$SET(IBT,IBD,IBCICNT,1)
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103 | .. S IBT="",IBD=YARR S IBCICNT=$$SET(IBT,IBD,IBCICNT,1)
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104 | .. D CNTRL^VALM10((IBCICNT-1),1,79,IOINHI,IOINORM)
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105 | .. ; ******
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106 | .. D DIAG^IBCIUT1(IBIFN)
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107 | .. S ICDXX=""
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108 | .. S ICDSP=""
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109 | .. S ICDL=""
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110 | .. F S ICDL=$O(^TMP("DISPLAY",$J,IBIFN,"ICD",IBLINE,ICDL)) Q:ICDL="" D
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111 | ... S ICDXX=ICDXX_ICDSP_^TMP("DISPLAY",$J,IBIFN,"ICD",IBLINE,ICDL)
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112 | ... S ICDSP=" / "
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113 | .. S LMDX=" Dx's: "
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114 | .. S LMDX2=ICDXX
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115 | .. ;
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116 | .. ; esg - 10/26/01 - squeeze in 4th thru 7th modifiers on the 2nd line
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117 | .. I $L(ICDXX)<46,MOD2'="" S LMDX2=ICDXX_$J("",47-$L(ICDXX))_MOD2
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118 | .. S IBLR=1
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119 | .. S IBT=$E(LMDX,1,60),IBD=LMDX2 S IBCICNT=$$SET(IBT,IBD,IBCICNT,IBLR)
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120 | .. D CNTRL^VALM10((IBCICNT-1),1,79,IOINHI,IOINORM)
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121 | .. ; *****
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122 | .. S IBGRPB=IBCICNT
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123 | . I IBLINE=IBPREV D
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124 | .. S IBGRPB=IBCICNT,IBLR=1
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125 | .. S IBT="",IBD="" S IBCICNT=$$SET(IBT,IBD,IBCICNT,IBLR)
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126 | . S IBGRPB=IBCICNT,IBLR=1
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127 | . S IBPREV=IBLINE
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128 | . S IBCISEQ=0 F S IBCISEQ=$O(^TMP("IBCILM",$J,IBCIERL,IBCISEQ)) Q:'IBCISEQ D
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129 | .. S IBCICM2="Error Level: "_IBCILEV
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130 | .. S IBCICM1="("_IBCIERL_") "_"ClaimsManager Error: "_TYPE_IBCICMP
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131 | .. S IBT=$E(IBCICM1,1,60),IBD=IBCICM2 S IBCICNT=$$SET(IBT,IBD,IBCICNT,IBLR)
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132 | .. S IBCIERT=0 F S IBCIERT=$O(^TMP("IBCILM",$J,IBCIERL,IBCISEQ,IBCIERT)) Q:'IBCIERT D
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133 | ... S IBGRPB=IBCICNT,IBLR=1
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134 | ... S DATA=$G(^TMP("IBCILM",$J,IBCIERL,IBCISEQ,IBCIERT,0))
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135 | ... S IBT=" ",IBD=DATA S IBCICNT=$$SET(IBT,IBD,IBCICNT,IBLR)
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136 | ... S IBGRPE=IBCICNT,IBCICNT=IBGRPB,IBLR=2
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137 | ... S (IBCICNT,VALMCNT)=$S(IBCICNT>IBGRPE:IBCICNT,1:IBGRPE)
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138 | F I=1:1:5 S IBT="",IBD="" S IBCICNT=$$SET(IBT,IBD,IBCICNT,1)
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139 | S EOLM=IBCICNT-7
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140 | ;
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141 | I EOLM=-1 S IBCICNT=$$SET(" ","",1,1),IBCICNT=$$SET("No ERRORS defined for claim EVENT DATE: "_IBCIEVV,"",2,1),VALMSG="No Errors found by ClaimsManager."
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142 | ;
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143 | K ^TMP("DISPLAY",$J) ; This is the arrary for the dx & line assoc.
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144 | Q
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145 | ;
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146 | SETO(RT,LN) ;
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147 | ; set line number of beginning line of ClaimsManager error message
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148 | S ^TMP("IBCIMG1",$J,+$G(RT))=+$G(LN)
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149 | Q
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150 | ;
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151 | SET(TTL,DATA,LN,LR) ;
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152 | N IBY
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153 | S IBY=$J(TTL,IBTW(LR))_DATA D SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))
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154 | S LN=LN+1
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155 | Q LN
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156 | ;
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157 | SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data
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158 | N IBX S IBX=$G(^TMP("IBCIMG",$J,LN,0))
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159 | S IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)
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160 | D SET^VALM10(LN,IBX) I $G(RV)'="" D CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)
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161 | Q
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162 | CBILL ;Cancel Bill
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163 | ; Uses core IB and takes user cancel and populates Comment
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164 | D CLEAR^VALM1
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165 | N IBQUIT,IBCCCC,I,IBCICNCL
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166 | S IBCICNCL=1
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167 | D PROCESS^IBCC(IBIFN) I IBQUIT=1 S VALMBCK="R" Q
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168 | S VALMBCK="Q"
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169 | K ^TMP("IBCILM",$J)
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170 | Q
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171 | EBILL ; re-edit action no need to capture comments
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172 | ; Uses core IB routines and allows user to re-edit bill
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173 | D CLEAR^VALM1,CLEAN^VALM10
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174 | S IBCIREDT=1
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175 | Q
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176 | ABILL ; override action
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177 | ; This Protocol driven option only appears for those user witht he override key
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178 | N IBCISNT
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179 | S VALMBCK="R"
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180 | S DIR(0)="Y"
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181 | S DIR("A")="Are you sure you want to Override the errors of this bill"
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182 | S DIR("B")="YES"
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183 | D ^DIR K DIR
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184 | Q:$D(DIRUT)
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185 | I Y'=1 Q
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186 | S VALMBCK="Q"
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187 | D CLEAR^VALM1,CLEAN^VALM10
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188 | S IBCISNT=5
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189 | D ST2^IBCIST
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190 | D COMMENT^IBCIUT7(IBIFN,2)
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191 | Q
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192 | XIT ;
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193 | S VALMBCK="R"
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194 | D UTIL2
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195 | I Y'=1 Q
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196 | S VALMBCK="Q"
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197 | D CLEAR^VALM1,CLEAN^VALM10
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198 | D COMMENT^IBCIUT7(IBIFN,1)
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199 | Q
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200 | ;
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201 | UTIL2 ;
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202 | S DIR(0)="Y"
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203 | S DIR("A")="Are you sure you want to Exit the ClaimsManager Interface process"
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204 | S DIR("B")="YES"
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205 | D ^DIR K DIR
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206 | I $D(DIRUT) S Y=1
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207 | K DIRUT
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208 | Q
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