| [613] | 1 | IBCNRP ;DAOU/ALA - Plan Match ListMan ;13-NOV-2003 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**251**;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 | ;; ; | 
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|  | 5 | EN ; -- main entry point for IBCNR PLAN MATCH | 
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|  | 6 | D EN^VALM("IBCNR PLAN MATCH") | 
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|  | 7 | Q | 
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|  | 8 | ; | 
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|  | 9 | HDR ; -- header code | 
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|  | 10 | NEW IBCNS0,IBCNS11,IBCNS13,IBLEAD,X,X1,X2 | 
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|  | 11 | S IBCNS0=$G(^DIC(36,+IBCNSP,0)) | 
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|  | 12 | S IBCNS11=$G(^DIC(36,+IBCNSP,.11)) | 
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|  | 13 | S IBCNS13=$G(^DIC(36,+IBCNSP,.13)) | 
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|  | 14 | S X2=$S(IBW:"",1:"Active ") | 
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|  | 15 | S IBLEAD=$S(IBIND:"All "_X2,1:X2_"Group ")_"Plans for: " | 
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|  | 16 | S X="Phone: "_$S($P(IBCNS13,"^")]"":$P(IBCNS13,"^"),1:"<not filed>") | 
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|  | 17 | S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD_$P(IBCNS0,"^"),81-$L(X),40) | 
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|  | 18 | S X1="Precerts: "_$S($P(IBCNS13,"^",3)]"":$P(IBCNS13,"^",3),1:"<not filed>") | 
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|  | 19 | S X=$TR($J("",$L(IBLEAD)),""," ")_$S($P(IBCNS11,"^")]"":$P(IBCNS11,"^"),1:"<no street address>") | 
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|  | 20 | S VALMHDR(2)=$$SETSTR^VALM1(X1,X,81-$L(X1),40) | 
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|  | 21 | S X=$S($P(IBCNS11,"^",4)]"":$P(IBCNS11,"^",4),1:"<no city>")_", " | 
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|  | 22 | S X=X_$S($P(IBCNS11,"^",5):$P($G(^DIC(5,$P(IBCNS11,"^",5),0)),"^",2),1:"<no state>")_"  "_$E($P(IBCNS11,"^",6),1,5)_$S($E($P(IBCNS11,"^",6),6,9)]"":"-"_$E($P(IBCNS11,"^",6),6,9),1:"") | 
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|  | 23 | S VALMHDR(3)=$$SETSTR^VALM1(X,"",$L(IBLEAD)+1,80) | 
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|  | 24 | S X="#" I $G(IBIND) S X="#  + => Indiv. Plan" | 
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|  | 25 | I $G(IBW) S X=$E(X_$J("",23),1,23)_"* => Inactive Plan" | 
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|  | 26 | S VALMHDR(4)=$$SETSTR^VALM1(" ",X,64,17) | 
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|  | 27 | Q | 
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|  | 28 | ; | 
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|  | 29 | INIT ; -- init variables and list array | 
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|  | 30 | NEW IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCRVD,LIM | 
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|  | 31 | K ^TMP("IBCNR",$J) | 
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|  | 32 | S VALMCNT=0,VALMBG=1 | 
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|  | 33 | S IBGP0=^IBA(355.3,+IBCNGP,0) | 
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|  | 34 | I $G(IBGP0) D | 
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|  | 35 | . ;S IBCPD6=$G(IBGP0,U,6)) ;chk pre-cert | 
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|  | 36 | . ;I 'IBIND,'$P(IBGP0,"^",2) Q  ;    exclude individual plans | 
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|  | 37 | . ;I 'IBW,$P(IBGP0,"^",11) Q  ;      plan is inactive | 
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|  | 38 | . ; | 
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|  | 39 | . S VALMCNT=VALMCNT+1 | 
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|  | 40 | . S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER") | 
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|  | 41 | . ; | 
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|  | 42 | . I '$P(IBGP0,"^",2) S $E(X,4)="+" | 
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|  | 43 | . S X=$$SETFLD^VALM1($P(IBGP0,"^",3),X,"GNAME") | 
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|  | 44 | . ; | 
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|  | 45 | . I $P(IBGP0,"^",11) S $E(X,24)="*" | 
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|  | 46 | . S X=$$SETFLD^VALM1($P(IBGP0,"^",4),X,"GNUM") | 
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|  | 47 | . ; | 
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|  | 48 | . S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBGP0,"^",9)),X,"TYPE") | 
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|  | 49 | . ; | 
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|  | 50 | . S IBCNRPP=$$GET1^DIQ(355.3,IBCNGP_",",6.01,"I") | 
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|  | 51 | . I IBCNRPP'="" S IBCNRPP=$$GET1^DIQ(366.03,IBCNRPP_",",.02,"E") | 
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|  | 52 | . S X=$$SETFLD^VALM1(IBCNRPP,X,"PHARM") | 
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|  | 53 | . ; | 
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|  | 54 | . S IBCOV=$O(^IBE(355.31,"B","PHARMACY","")) | 
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|  | 55 | . S LIM="",IBCVRD=0 | 
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|  | 56 | . F  S LIM=$O(^IBA(355.32,"B",IBCNGP,LIM)) Q:LIM=""  D | 
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|  | 57 | .. I $P(^IBA(355.32,LIM,0),U,2)=IBCOV S IBCVRD=$P(^IBA(355.32,LIM,0),U,4) | 
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|  | 58 | . S X=$$SETFLD^VALM1($S(IBCVRD=0:"NO",1:"YES"),X,"COV") | 
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|  | 59 | . ; | 
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|  | 60 | . S ^TMP("IBCNR",$J,VALMCNT,0)=X | 
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|  | 61 | . S ^TMP("IBCNR",$J,"IDX",VALMCNT,VALMCNT)=IBCNGP | 
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|  | 62 | . I '$D(^TMP("IBCNR",$J)) S VALMCNT=2,^TMP("IBCNR",$J,1,0)=" ",^TMP("IBCNR",$J,2,0)="   No plans were identified for this company." | 
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|  | 63 | Q | 
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|  | 64 | ; | 
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|  | 65 | HELP ; -- help code | 
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|  | 66 | S X="?" D DISP^XQORM1 W !! | 
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|  | 67 | Q | 
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|  | 68 | ; | 
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|  | 69 | EXIT ; -- exit code | 
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|  | 70 | K ^TMP("IBCNR",$J),VALMBCK,VALMY | 
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|  | 71 | D CLEAN^VALM10,CLEAR^VALM1 | 
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|  | 72 | Q | 
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|  | 73 | ; | 
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|  | 74 | EXPND ; -- expand code | 
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|  | 75 | Q | 
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|  | 76 | ; | 
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|  | 77 | SEL ; -- select plan | 
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|  | 78 | D S1 | 
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|  | 79 | I 'IBX Q  ; no group selected | 
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|  | 80 | ; | 
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|  | 81 | NEW DA,DIC,DIE,DR,D,IBPLN | 
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|  | 82 | S DIC="^IBCNR(366.03,",DIC(0)="AEMNZ" D ^DIC | 
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|  | 83 | I +Y<1 S D="F" D IX^DIC | 
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|  | 84 | I +Y<1 G SPQ | 
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|  | 85 | S IBPLN=+Y K Y,X | 
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|  | 86 | D PLCK  ; check plan status | 
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|  | 87 | S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01////^S X="_IBPLN | 
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|  | 88 | D ^DIE | 
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|  | 89 | D INIT | 
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|  | 90 | ; | 
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|  | 91 | S IBX=0 F  S IBX=$O(VALMY(IBX)) Q:'IBX  S ^TMP($J,"IBSEL",+$G(^TMP("IBCNR",$J,"IDX",IBX,IBX)))="" | 
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|  | 92 | ; | 
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|  | 93 | D SPQ | 
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|  | 94 | Q | 
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|  | 95 | ; | 
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|  | 96 | PLCK ; -- check plan status | 
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|  | 97 | NEW ARRAY | 
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|  | 98 | D STCHK^IBCNRU1(IBPLN,.ARRAY) | 
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|  | 99 | I $G(ARRAY(1))'="A" D | 
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|  | 100 | . W !!,"WARNING....PLAN NOT ACTIVE!" | 
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|  | 101 | ; | 
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|  | 102 | Q | 
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|  | 103 | ; | 
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|  | 104 | DEL ; -- remove a plan from a group | 
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|  | 105 | D S1 | 
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|  | 106 | ; | 
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|  | 107 | NEW DA,DIC,DIE,DR | 
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|  | 108 | S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01///@" | 
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|  | 109 | D ^DIE | 
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|  | 110 | D INIT | 
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|  | 111 | ; | 
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|  | 112 | S IBX=0 F  S IBX=$O(VALMY(IBX)) Q:'IBX  S ^TMP($J,"IBSEL",+$G(^TMP("IBCNR",$J,"IDX",IBX,IBX)))="" | 
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|  | 113 | ; | 
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|  | 114 | D SPQ | 
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|  | 115 | Q | 
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|  | 116 | ; | 
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|  | 117 | S1 ; | 
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|  | 118 | NEW DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y | 
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|  | 119 | D EN^VALM2($G(XQORNOD(0)),"S"),FULL^VALM1 | 
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|  | 120 | S IBX=$O(VALMY(0)),VALMBCK="R" | 
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|  | 121 | ; | 
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|  | 122 | I 'IBX W !!,"No group selected!" G SPQ | 
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|  | 123 | I 'IBMULT D  G SPQ | 
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|  | 124 | . I $O(VALMY(IBX)) W !!,*7,"You may only select a single plan!" Q | 
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|  | 125 | . I $G(IBALR),+$G(^TMP("IBCNR",$J,"IDX",IBX,IBX))=IBALR W !!,*7,"This plan is not allowed for selection!" Q | 
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|  | 126 | . D OK^IBCNSM3 | 
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|  | 127 | . I IBQUIT S VALMBCK="Q" Q | 
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|  | 128 | . I IBOK S IBSEL=+$G(^TMP("IBCNR",$J,"IDX",IBX,IBX)),VALMBCK="Q" | 
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|  | 129 | ; | 
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|  | 130 | S IBSEL=+$G(^TMP("IBCNR",$J,"IDX",IBX,IBX)) | 
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|  | 131 | Q | 
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|  | 132 | ; | 
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|  | 133 | SPQ ; | 
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|  | 134 | I '$O(IBSEL(0)),VALMBCK="R" D PAUSE^VALM1 | 
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|  | 135 | Q | 
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