| [613] | 1 | IBCISC ;DSI/ESG - IB EDIT SCREENS ?CLA FUNCTIONALITY ;23-FEB-2001 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**161,348**;21-MAR-94;Build 5 | 
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|  | 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified. | 
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|  | 4 | ; | 
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|  | 5 | ; Cannot be called from the top | 
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|  | 6 | Q | 
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|  | 7 | ; | 
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|  | 8 | CLA(IBIFN) ; Entry point for ?CLA processing | 
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|  | 9 | ; This is called by routine IBCSCH. | 
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|  | 10 | NEW DIR,X,Y,DTOUT,DUOUT,DIRUT,DIROUT | 
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|  | 11 | ; | 
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|  | 12 | 0 ; Clear screen and display header information | 
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|  | 13 | W @IOF | 
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|  | 14 | W !!?21,"VistA-ClaimsManager Interface Options" | 
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|  | 15 | ; | 
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|  | 16 | ; Check the bill form type to make sure it's a 1500. | 
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|  | 17 | I $$CK1^IBCIUT1(IBIFN) D  G CLAX | 
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|  | 18 | . W !!?5,"ClaimsManager is only available for CMS-1500 claims." | 
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|  | 19 | . W !!?5,"The form type of the bill you're editing" | 
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|  | 20 | . W " (",$G(IBBNO),") is " | 
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|  | 21 | . W $$EXTERNAL^DILFD(399,.19,"",$P(^DGCR(399,IBIFN,0),U,19)),"." | 
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|  | 22 | . I $P(^DGCR(399,IBIFN,0),U,27) D | 
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|  | 23 | .. W !?5,"The charge type of this bill is " | 
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|  | 24 | .. W $$EXTERNAL^DILFD(399,.27,"",$P(^DGCR(399,IBIFN,0),U,27)),"." | 
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|  | 25 | .. Q | 
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|  | 26 | . D EOP | 
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|  | 27 | . Q | 
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|  | 28 | ; | 
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|  | 29 | ; Check for a form type change | 
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|  | 30 | D CKFT^IBCIUT1(IBIFN) | 
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|  | 31 | ; | 
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|  | 32 | ; Display the options available and let the user choose | 
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|  | 33 | S DIR("A")="Select option or press RETURN to continue" | 
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|  | 34 | S DIR(0)="SO^1:Test Send to ClaimsManager;2:Display ClaimsManager Errors;3:Show ClaimsManager Information" | 
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|  | 35 | D ^DIR K DIR | 
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|  | 36 | I 'Y G CLAX | 
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|  | 37 | I Y=1 D TESTSEND G CLAX | 
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|  | 38 | I Y=2 D DISPERR G CLAX | 
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|  | 39 | I Y=3 D STATS G CLAX | 
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|  | 40 | CLAX ; | 
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|  | 41 | Q | 
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|  | 42 | ; | 
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|  | 43 | ; | 
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|  | 44 | TESTSEND ; | 
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|  | 45 | ; Send the data to ClaimsManager as it currently exists | 
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|  | 46 | ; and display any errors that ClaimsManager finds. | 
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|  | 47 | ; | 
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|  | 48 | NEW NUMBER,IBCISNT,IBCISTAT,IBCIREDT,IBCIERR | 
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|  | 49 | ; | 
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|  | 50 | ; Check for the ClaimsManager working OK flag | 
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|  | 51 | I '$$CK2^IBCIUT1() D  G TSTSNDX | 
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|  | 52 | . W !!?5,"The VistA-ClaimsManager Interface is not currently working." | 
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|  | 53 | . W !!?5,"Please try again later." | 
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|  | 54 | . D EOP | 
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|  | 55 | . Q | 
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|  | 56 | ; | 
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|  | 57 | ; Check to see if the bill is no longer editable.  We only want to | 
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|  | 58 | ; do test sends if the bill is still editable. | 
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|  | 59 | I '$F(".1.","."_$P($G(^DGCR(399,IBIFN,0)),U,13)_".") D  G TSTSNDX  ;DSI/DJW 3/21/02 | 
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|  | 60 | . W !!?5,"This bill is no longer editable.  The ClaimsManager interface" | 
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|  | 61 | . W !?5,"Test Send functionality is not available for this bill." | 
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|  | 62 | . D EOP | 
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|  | 63 | . Q | 
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|  | 64 | ; | 
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|  | 65 | ; Refresh the data in file 351.9 if either of these functions | 
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|  | 66 | ; report that there are no line items.  We've got to know what's | 
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|  | 67 | ; going on in this case.  (esg - 3/20/02) | 
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|  | 68 | I '$$LITMS^IBCIUT1(IBIFN)!'$$CKLI^IBCIUT1(IBIFN) D UPDT^IBCIADD1 | 
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|  | 69 | ; | 
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|  | 70 | ; Check for the existence of line items | 
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|  | 71 | I '$$CKLI^IBCIUT1(IBIFN) D MSG4^IBCIST,EOP G TSTSNDX | 
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|  | 72 | ; | 
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|  | 73 | ; Send to ClaimsManager after setting IBCISNT=3 to indicate test send | 
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|  | 74 | S IBCISNT=3 | 
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|  | 75 | D ST2^IBCIST | 
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|  | 76 | ; | 
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|  | 77 | ; No errors found by ClaimsManager | 
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|  | 78 | I IBCISTAT=3 D EOP G TSTSNDX | 
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|  | 79 | ; | 
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|  | 80 | ; Errors were found by ClaimsManager | 
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|  | 81 | I IBCISTAT=4 D  G TSTSNDX | 
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|  | 82 | . W !!?5,"ClaimsManager found " | 
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|  | 83 | . S NUMBER=$O(^TMP("IBCITST",$J,""),-1) | 
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|  | 84 | . W NUMBER," error" W:NUMBER>1 "s" | 
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|  | 85 | . W " with this bill." | 
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|  | 86 | . W !?5,"Press RETURN to view the error" W:NUMBER>1 "s" W "." | 
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|  | 87 | . D EOP Q:($D(DTOUT)!$D(DUOUT)) | 
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|  | 88 | . ; | 
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|  | 89 | . ; Invoke the utility to display the ClaimsManager errors | 
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|  | 90 | . ; | 
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|  | 91 | . D EN^IBCIWK(0) | 
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|  | 92 | . Q | 
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|  | 93 | ; | 
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|  | 94 | ; At this point, we know that IBCISTAT=6 so there was a communication | 
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|  | 95 | ; problem of some kind.  A more descriptive error message should have | 
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|  | 96 | ; been displayed by IBCIST and a mail message should have been sent. | 
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|  | 97 | ; | 
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|  | 98 | W !!?5,"There was a communications failure:" | 
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|  | 99 | W !?8,$P(IBCIERR,U,2) | 
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|  | 100 | I $P(IBCIERR,U,3)'="" D | 
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|  | 101 | . W !?8,$P($P(IBCIERR,U,3)," - ",1) | 
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|  | 102 | . W !?8,$P($P(IBCIERR,U,3,99)," - ",2,99) | 
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|  | 103 | . Q | 
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|  | 104 | W !!?5,"Please report these errors to your system manager." | 
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|  | 105 | W !?5,"This bill was NOT successfully analyzed by ClaimsManager." | 
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|  | 106 | ; | 
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|  | 107 | D EOP | 
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|  | 108 | ; | 
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|  | 109 | TSTSNDX ; | 
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|  | 110 | Q | 
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|  | 111 | ; | 
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|  | 112 | DISPERR ; Display the errors that were received during the last transaction | 
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|  | 113 | ; with Ingenix ClaimsManager.  These are the errors that are stored | 
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|  | 114 | ; in the error fields in the CLAIMSMANAGER FILE (#351.9).  These | 
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|  | 115 | ; fields are the ERROR CODE, ERROR DATA, and ERROR TEXT.  They are all | 
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|  | 116 | ; stored at or under the 1 node. | 
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|  | 117 | ; | 
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|  | 118 | I '$P($G(^IBA(351.9,IBIFN,1,0)),U,4) D  G DISPERX | 
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|  | 119 | . W !!?5,"There are no errors recorded in the file." | 
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|  | 120 | . D EOP | 
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|  | 121 | . Q | 
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|  | 122 | ; | 
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|  | 123 | ; At this point we know that some errors exist.  Process and display | 
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|  | 124 | ; the errors stored on the 1 node file 351.9. | 
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|  | 125 | ; | 
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|  | 126 | ; Invoke the utility to display the ClaimsManager errors | 
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|  | 127 | ; '0' indicates 'browse' mode of the ListMan display | 
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|  | 128 | ; | 
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|  | 129 | D EN^IBCIWK(0) | 
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|  | 130 | DISPERX ; | 
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|  | 131 | Q | 
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|  | 132 | ; | 
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|  | 133 | STATS ; Display the data elements on the 0 node of file 351.9. | 
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|  | 134 | NEW J,IBA0 | 
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|  | 135 | S J=30 | 
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|  | 136 | S IBA0=$G(^IBA(351.9,IBIFN,0)) | 
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|  | 137 | W !!,$J("Current Status: ",J) | 
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|  | 138 | W $$EXTERNAL^DILFD(351.9,.02,"",$P(IBA0,U,2)) | 
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|  | 139 | W !!,$J("Times sent to ClaimsManager: ",J) | 
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|  | 140 | W $$EXTERNAL^DILFD(351.9,.04,"",$P(IBA0,U,4)) | 
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|  | 141 | W !,$J("Last sent date/time: ",J) | 
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|  | 142 | W $$EXTERNAL^DILFD(351.9,.03,"",$P(IBA0,U,3)) | 
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|  | 143 | W !,$J("Last sent by: ",J) | 
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|  | 144 | W $$EXTERNAL^DILFD(351.9,.05,"",$P(IBA0,U,5)) | 
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|  | 145 | W !!,$J("Date/time Entered: ",J) | 
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|  | 146 | W $$EXTERNAL^DILFD(351.9,.06,"",$P(IBA0,U,6)) | 
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|  | 147 | W !,$J("Entered by: ",J) | 
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|  | 148 | W $$EXTERNAL^DILFD(351.9,.07,"",$P(IBA0,U,7)) | 
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|  | 149 | W !,$J("Date/time Last Edited: ",J) | 
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|  | 150 | W $$EXTERNAL^DILFD(351.9,.08,"",$P(IBA0,U,8)) | 
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|  | 151 | W !,$J("Last Edited by: ",J) | 
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|  | 152 | W $$EXTERNAL^DILFD(351.9,.09,"",$P(IBA0,U,9)) | 
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|  | 153 | W !!,$J("Assigned to: ",J) | 
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|  | 154 | W $$EXTERNAL^DILFD(351.9,.12,"",$P(IBA0,U,12)) | 
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|  | 155 | W !,$J("Coder: ",J) | 
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|  | 156 | W $P($$CODER^IBCIUT5(IBIFN),U,3) | 
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|  | 157 | W !,$J("Biller: ",J) | 
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|  | 158 | W $P($$BILLER^IBCIUT5(IBIFN),U,2) | 
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|  | 159 | D EOP | 
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|  | 160 | STATSX ; | 
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|  | 161 | Q | 
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|  | 162 | ; | 
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|  | 163 | EOP ; End of page | 
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|  | 164 | W !! S DIR("A")="Press RETURN to continue",DIR(0)="E" D ^DIR K DIR | 
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|  | 165 | EOPX ; | 
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|  | 166 | Q | 
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|  | 167 | ; | 
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