| [613] | 1 | IBCNADD ;ALB/AAS - ADDRESS RETRIEVAL ENGINE FOR FILE 399 ; 29-AUG-93
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| 2 | ;;2.0;INTEGRATED BILLING;**52,80,377**;21-MAR-94;Build 23
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;
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| 5 | ADD(DA,IBCOB) ; -- Retrieve correct billing address for a bill, mailing address of Bill Payer
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| 6 | ; assumes that new policy field points to valid ins. policy
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| 7 | ; DA = ien to file 399
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| 8 | ; IBCOB = payer sequence PST or 123 (optional)
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| 9 | ;
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| 10 | N X,Y,I,J,IB01,IB02,IBTYP,DFN,IBCNS,IBCDFN,IBCNT,IBAGAIN,IBFND,IBBILLTY,IBCHRGTY
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| 11 | S IB02=""
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| 12 | S DFN=$P($G(^DGCR(399,DA,0)),"^",2)
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| 13 | S IBBILLTY=$P($G(^DGCR(399,DA,0)),"^",5),IBCHRGTY=$P($$CHGTYPE^IBCU(DA),"^;",1)
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| 14 | ;
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| 15 | S IBCNS=+$P($G(^DGCR(399,DA,"MP")),U,1)
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| 16 | S IBCDFN=$P($G(^DGCR(399,DA,"MP")),U,2)
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| 17 | ;
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| 18 | ; If a specific payer sequence was passed in, get the ins. company and the policy ptr
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| 19 | ; No address returned for Medicare
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| 20 | I $G(IBCOB)'="" D I $$MCRWNR^IBEFUNC(IBCNS) G MAINQ
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| 21 | . S IBCOB=$TR(IBCOB,"PST","123")
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| 22 | . S IBCNS=+$P($G(^DGCR(399,DA,"I"_IBCOB)),U,1)
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| 23 | . S IBCDFN=+$P($G(^DGCR(399,DA,"M")),U,IBCOB+11)
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| 24 | . Q
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| 25 | ;
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| 26 | I 'IBCNS G MAINQ
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| 27 | I IBCDFN S IBCNS=+$G(^DPT(+DFN,.312,+IBCDFN,0))
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| 28 | I '$D(^DIC(36,+IBCNS,0)) G MAINQ
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| 29 | ;
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| 30 | ; -- if send bill to employer and state is filled in use this
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| 31 | I +$G(^DPT(DFN,.312,+IBCDFN,2)),+$P(^(2),"^",6) S IB02=$P(^(2),"^",2,99) G MAINQ
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| 32 | ;
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| 33 | MAIN ; -- determine address for company for type bill
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| 34 | ;
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| 35 | ; -- get main address
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| 36 | S IB02=$S($D(^DIC(36,+IBCNS,.11)):^(.11),1:"")
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| 37 | S IBCNT=$G(IBCNT)+1
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| 38 | ;
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| 39 | ; -- if process the same co. more than once you are in an infinite loop
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| 40 | I $D(IBCNT(IBCNS)) G MAINQ ;already processed this company use main add
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| 41 | S IBCNT(IBCNS)=""
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| 42 | ;
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| 43 | ; -- type of charges: Rx charges - if ins company has an rx address use it, otherwise use opt address
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| 44 | I IBCHRGTY=3 S IBTYP="R" D @IBTYP G:$D(IBFND) MAINQ I $D(IBAGAIN) K IBAGAIN G MAIN
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| 45 | ;
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| 46 | ; -- type of bill: inpatient<3, outpatient>2
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| 47 | S IBTYP=$S(IBBILLTY<3:"I",1:"O")
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| 48 | D @IBTYP I $D(IBAGAIN) K IBAGAIN G MAIN
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| 49 | ;
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| 50 | ; -- return address
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| 51 | MAINQ Q IB02
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| 52 | ;
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| 53 | I ; -- see if there is an inpatient address
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| 54 | ; -- use if state is there
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| 55 | I $P($G(^DIC(36,+IBCNS,.12)),"^",5) S IB02=$P($G(^(.12)),"^",1,6)
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| 56 | ;
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| 57 | ; -- if other company processes claims start again
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| 58 | I $P($G(^DIC(36,+IBCNS,.12)),"^",7) S IBCNS=$P($G(^DIC(36,+IBCNS,.12)),"^",7) S IBAGAIN=1
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| 59 | Q
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| 60 | ;
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| 61 | O ; -- see if there is an outpatient address
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| 62 | ; -- use if state is there
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| 63 | I $P($G(^DIC(36,+IBCNS,.16)),"^",5) S IB02=$P($G(^(.16)),"^",1,6)
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| 64 | ;
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| 65 | ; -- if other company processes claims start again
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| 66 | I $P($G(^DIC(36,+IBCNS,.16)),"^",7) S IBCNS=$P($G(^DIC(36,+IBCNS,.16)),"^",7) S IBAGAIN=1
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| 67 | Q
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| 68 | ;
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| 69 | R ; -- see if there is an Rx address
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| 70 | ; -- use if state is there
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| 71 | I $P($G(^DIC(36,+IBCNS,.18)),"^",5) S IB02=$P($G(^(.18)),"^",1,6) S IBFND=1
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| 72 | ;
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| 73 | ; -- if other company processes claims start again
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| 74 | I $P($G(^DIC(36,+IBCNS,.18)),"^",7) S IBCNS=$P($G(^DIC(36,+IBCNS,.18)),"^",7) S IBAGAIN=1 K IBFND
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| 75 | Q
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