[613] | 1 | IBCNRPM2 ;BHAM ISC/CMW - Match Multiple Group Plans to a Pharmacy Plan ;10-MAR-2004
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| 2 | ;;2.0;INTEGRATED BILLING;**251,276**;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(IBCNRP,IBCNRI,IBCNRGP) ; -- main entry point for IBCNR PAYERSHEET MATCH (LIST TEMPLATE)
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| 6 | D EN^VALM("IBCNR GROUP 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 IBCNR0,IBCNRID,IBCNRNM,IBCNR10,IBCNRPBM,IBCNRBIN,IBCNRPCN,IBLEAD
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| 11 | NEW IBCNR3,IBCNRIN,NST,LST,X
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| 12 | ; get pharmacy plan data
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| 13 | S IBCNR0=$G(^IBCNR(366.03,+IBCNRP,0))
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| 14 | S IBCNRID=$P(IBCNR0,"^",1) ;id
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| 15 | S IBCNRNM=$P(IBCNR0,"^",2) ;name
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| 16 | S IBCNR10=$G(^IBCNR(366.03,+IBCNRP,10))
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| 17 | S IBCNRPBM=$P(IBCNR10,"^",1) ;pbm
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| 18 | S IBCNRBIN=$P(IBCNR10,"^",2) ;bin
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| 19 | S IBCNRPCN=$P(IBCNR10,"^",3) ;pcn
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| 20 | S IBCNR3=$G(^IBCNR(366.03,+IBCNRP,3,1,0)) ; appl
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| 21 | S NST=$S($P(IBCNR3,"^",2)=0:"Inactive ",1:"Active ")
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| 22 | S LST=$S($P(IBCNR3,"^",3)=0:"Inactive ",1:"Active ")
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| 23 | ; get insurance company name
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| 24 | S IBCNRIN=$P($G(^DIC(36,IBCNRI,0)),U)
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| 25 | ; row 1
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| 26 | S IBLEAD="FOR PHARMACY PLAN: "
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| 27 | S X=IBCNRNM_" - "_IBCNRID
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| 28 | S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80)
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| 29 | ; row 2
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| 30 | S IBLEAD="BIN: "_IBCNRBIN
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| 31 | S X=" PCN: "_IBCNRPCN_" STATUS: National "_NST_"/Local "_LST
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| 32 | S VALMHDR(2)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80)
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| 33 | ; row 3
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| 34 | ;S X="STATUS: National "_NST_"/"
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| 35 | ;S VALMHDR(3)=$$SETSTR^VALM1("Local "_LST,X,$L(X)+1,80)
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| 36 | ; row 4
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| 37 | S X="FOR INSURANCE COMPANY: "
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| 38 | S VALMHDR(4)=$$SETSTR^VALM1(IBCNRIN,X,$L(X)+1,80)
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| 39 | ;
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| 40 | Q
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| 41 | ;
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| 42 | INIT ; -- init variables and list array
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| 43 | ;
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| 44 | I '$D(^TMP("IBCNR",$J,"GP")) D Q
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| 45 | . S VALMCNT=0
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| 46 | . W !,*7,"Warning: No Active Group Plans with Pharmacy Coverage Found."
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| 47 | ;
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| 48 | N GPIEN,IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCRVD,LIM
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| 49 | N IBGNA,IBGNM,IBCNA,IBCNM,IBDAT
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| 50 | K ^TMP("IBCNR",$J,"PM")
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| 51 | S VALMCNT=0,VALMBG=1,(IBCNA,IBCNM)=""
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| 52 | S (IBIND,IBMULT,IBW)=1
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| 53 | F S IBCNA=$O(^TMP("IBCNR",$J,"GP",IBCNA)) Q:IBCNA="" D
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| 54 | . F S IBCNM=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM)) Q:IBCNM="" D
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| 55 | .. ;get pharm plan id
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| 56 | .. S GPIEN=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,"")),IBDAT=^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,GPIEN)
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| 57 | .. ;set up list
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| 58 | .. S VALMCNT=VALMCNT+1
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| 59 | .. S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER")
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| 60 | .. ;
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| 61 | .. ;group name
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| 62 | .. S X=$$SETFLD^VALM1(IBCNA,X,"GNAME")
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| 63 | .. ;
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| 64 | .. ;group number
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| 65 | .. S X=$$SETFLD^VALM1(IBCNM,X,"GNUM")
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| 66 | .. ;
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| 67 | .. ;group plan type
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| 68 | .. S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBDAT,"^",2)),X,"GTYP")
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| 69 | .. ;
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| 70 | .. ;pharmacy plan
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| 71 | .. S IBCNRPP=$P($G(IBDAT),U)
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| 72 | .. I IBCNRPP'="" S IBCNRPP=$$GET1^DIQ(366.03,IBCNRPP_",",.02,"E")
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| 73 | .. S X=$$SETFLD^VALM1(IBCNRPP,X,"PHRM")
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| 74 | .. ;
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| 75 | .. ; set up tmp for SEL
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| 76 | .. S ^TMP("IBCNR",$J,"PM",VALMCNT,0)=X
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| 77 | .. S ^TMP("IBCNR",$J,"PM","IDX",VALMCNT,VALMCNT)=GPIEN
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| 78 | ;
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| 79 | Q
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| 80 | ;
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| 81 | HELP ; -- help code
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| 82 | S X="?" D DISP^XQORM1 W !!
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| 83 | Q
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| 84 | ;
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| 85 | EXIT ; -- exit code
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| 86 | K ^TMP("IBCNR",$J,"PM"),VALMBCK,VALMY
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| 87 | K IBIND,IBMULT,IBW,IBX
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| 88 | D CLEAN^VALM10,CLEAR^VALM1
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| 89 | Q
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| 90 | ;
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| 91 | EXPND ; -- expand code
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| 92 | Q
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| 93 | ;
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| 94 | SEL ; Select Plan
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| 95 | ;
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| 96 | D S1
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| 97 | ;
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| 98 | I 'IBX Q ; no group selected
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| 99 | ;
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| 100 | N DA,DIC,DIE,DR,D,IBSEL
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| 101 | S IBX=0
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| 102 | F S IBX=$O(VALMY(IBX)) Q:IBX="" D
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| 103 | . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX))
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| 104 | . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01////^S X="_IBCNRP
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| 105 | . D ^DIE
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| 106 | D GIPF^IBCNRPM1
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| 107 | D INIT
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| 108 | ;
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| 109 | S IBX=0 F S IBX=$O(VALMY(IBX)) Q:'IBX D
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| 110 | . S ^TMP($J,"IBSEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))=""
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| 111 | ;
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| 112 | Q
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| 113 | ;
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| 114 | DEL ; remove a plan from a group
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| 115 | D S1
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| 116 | ;
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| 117 | I 'IBX Q ; no group selected
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| 118 | ;
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| 119 | NEW DA,DIC,DIE,DR,IBSEL
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| 120 | S IBX=0
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| 121 | F S IBX=$O(VALMY(IBX)) Q:IBX="" D
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| 122 | . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX))
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| 123 | . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01///@"
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| 124 | . D ^DIE
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| 125 | D GIPF^IBCNRPM1
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| 126 | D INIT
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| 127 | ;
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| 128 | S IBX=0 F S IBX=$O(VALMY(IBX)) Q:'IBX S ^TMP($J,"IBDEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))=""
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| 129 | ;
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| 130 | Q
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| 131 | ;
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| 132 | S1 N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y,X
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| 133 | D EN^VALM2($G(XQORNOD(0))),FULL^VALM1
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| 134 | S IBX=$O(VALMY(0)),VALMBCK="R"
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| 135 | ;
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| 136 | I 'IBX W !!,"No group selected!" D PAUSE^VALM1 Q
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| 137 | I 'IBMULT D G SPQ
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| 138 | . D OK^IBCNSM3
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| 139 | . I IBQUIT S VALMBCK="Q" Q
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| 140 | . I IBOK S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX)),VALMBCK="Q"
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| 141 | ;
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| 142 | ;S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX))
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| 143 | ;Q
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| 144 | ;
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| 145 | SPQ ;
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| 146 | S DIR(0)="SB^Y:YES;N:NO",DIR("B")="NO",DIR("A")="OK to Continue? "
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| 147 | D ^DIR K DIR
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| 148 | I $G(Y)="^" S IBX="" Q
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| 149 | I $G(Y(0))="NO" S IBX=""
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| 150 | Q
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