source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNRPMT.m@ 1261

Last change on this file since 1261 was 613, checked in by George Lilly, 15 years ago

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1IBCNRPMT ;DAOU/ALA - Match Group Plan to Pharmacy Plan ;14-NOV-2003
2 ;;2.0;INTEGRATED BILLING;**251**;21-MAR-94
3 ;;Per VHA Directive 10-93-142, this routine should not be modified.
4 ;
5 ;**Program Description**
6 ; This program select an insurance company and displays
7 ; all the active group plans for that insurance company
8 ;
9EN ; Select an insurance company
10 S DIR(0)="350.9,4.06"
11 S DIR("A")="Select INSURANCE COMPANY",DIR("??")="^D ADH^IBCNSM3"
12 S DIR("?")="Select the Insurance Company for the plan you are entering"
13 D ^DIR K DIR S IBCNSP=+Y I Y<1 G EXIT
14 I $P($G(^DIC(36,+IBCNSP,0)),"^",2)="N" W !,"This company does not reimburse. "
15 I $P($G(^DIC(36,+IBCNSP,0)),"^",5) W !,*7,"Warning: Inactive Company" H 3 K IBCNSP G EXIT
16 ;
17GRP NEW DIC,DTOUT,DUOUT,X,Y
18 S (IBIND,IBMULT,IBW)=1
19 S DIC(0)="BEFSXZ"
20 S DIC("S")="S DNM=$NA(^(0)),DIEN=$QS(DNM,2),GST=$$GPS^IBCNRPMT(IBCNSP,DIEN),DIEN=$G(@DNM) I GST'=0"
21 S DIC("W")="W $P(^(0),U,3),"" - "",$P(^(0),U,4)"
22 S DIC="^IBA(355.3,"
23 S D="B",X=IBCNSP
24 D IX^DIC I Y<1 G EN
25 S IBCNGP=+Y
26 ;
27 D EN^IBCNRP
28 G EN
29 ;
30GPS(INIEN,GPIEN) ; screen for valid GIPF
31 ;W !,"***",GPIEN
32 N GST1,GP0,IBCOV,LIM,IBCOV
33 S GST1=1
34 S GP0=$G(^IBA(355.3,GPIEN,0))
35 ;chk insurance company
36 I $P(GP0,U,1)'=INIEN S GST1=0 Q GST1
37 ;chk for active group
38 I $P(GP0,U,11)=1 S GST1=0 Q GST1
39 ;chk for pharm plan coverage
40 S IBCOV=$O(^IBE(355.31,"B","PHARMACY",""))
41 S LIM="",IBCVRD=0
42 F S LIM=$O(^IBA(355.32,"B",GPIEN,LIM)) Q:LIM="" D
43 . I $P(^IBA(355.32,LIM,0),U,2)=IBCOV D
44 .. ;chk covered status
45 .. S IBCVRD=$P(^IBA(355.32,LIM,0),U,4)
46 I IBCVRD=0 S GST1=0
47 ;W !,"***",GPIEN," - ",GST1 ;
48 Q GST1
49 ;
50EXIT K IBCNSP,IBCPOL,IBIND,IBMULT,IBSEL,IBW,IBALR,IBGRP,IBCNGP
51 Q
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