| [613] | 1 | IBCNRPS2 ;BHAM ISC/ALA - Plan Match ListMan ;13-NOV-2003 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**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 ; -- main entry point for IBCNR PLAN MATCH | 
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|  | 6 | D EN^VALM("IBCNR PLAN STATUS INQUIRY") | 
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|  | 7 | Q | 
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|  | 8 | ; | 
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|  | 9 | HDR ; -- header code | 
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|  | 10 | N 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=$G(^DIC(36,+IBCNSP,.13)) | 
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|  | 14 | S IBLEAD="All Plans for: " | 
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|  | 15 | S X="Phone: "_$S($P(IBCNS13,"^")]"":$P(IBCNS13,"^"),1:"<not filed>") | 
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|  | 16 | S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD_$P(IBCNS0,"^"),81-$L(X),40) | 
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|  | 17 | S X1="Precerts: "_$S($P(IBCNS13,"^",3)]"":$P(IBCNS13,"^",3),1:"<not filed>") | 
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|  | 18 | S X=$TR($J("",$L(IBLEAD)),""," ")_$S($P(IBCNS11,"^")]"":$P(IBCNS11,"^"),1:"<no street address>") | 
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|  | 19 | S VALMHDR(2)=$$SETSTR^VALM1(X1,X,81-$L(X1),40) | 
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|  | 20 | S X=$S($P(IBCNS11,"^",4)]"":$P(IBCNS11,"^",4),1:"<no city>")_", " | 
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|  | 21 | 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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|  | 22 | S VALMHDR(3)=$$SETSTR^VALM1(X,"",$L(IBLEAD)+1,80) | 
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|  | 23 | S X="For:  ",X=$E(X_$J("",23),1,23)_$S(IBCNTYP="A":"All",IBCNTYP="P":"Pharmacy Covered",1:"Matched")_" Group Plans." | 
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|  | 24 | S VALMHDR(4)=$$SETSTR^VALM1(" ",X,64,17) | 
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|  | 25 | Q | 
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|  | 26 | ; | 
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|  | 27 | INIT ; -- init variables and create list array or report array | 
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|  | 28 | N IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCVRD,LIM | 
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|  | 29 | K ^TMP("IBCNR",$J) | 
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|  | 30 | S VALMCNT=0,VALMBG=1,IBCNGP=0 | 
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|  | 31 | F  S IBCNGP=$O(^IBA(355.3,"B",IBCNSP,IBCNGP)) Q:'IBCNGP  D | 
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|  | 32 | . ; if we want all plans, let it pass | 
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|  | 33 | . I IBCNTYP="A" D  Q | 
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|  | 34 | . . D SETPLAN(IBCNGP) | 
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|  | 35 | . ; if we want Pharmacy plans, check for pharms | 
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|  | 36 | . I IBCNTYP="P" D  Q | 
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|  | 37 | . . S IBCOV=$O(^IBE(355.31,"B","PHARMACY","")) | 
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|  | 38 | . . S LIM="",IBCVRD=0 | 
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|  | 39 | . . F  S LIM=$O(^IBA(355.32,"B",IBCNGP,LIM)) Q:LIM=""  D | 
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|  | 40 | . . . I $P(^IBA(355.32,LIM,0),U,2)=IBCOV S IBCVRD=$P(^IBA(355.32,LIM,0),U,4) | 
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|  | 41 | . . I IBCVRD D SETPLAN(IBCNGP) | 
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|  | 42 | . ; if we want Matched plans, check for existence of Plan ID | 
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|  | 43 | . I IBCNTYP="M" D  Q | 
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|  | 44 | . . I $P($G(^IBA(355.3,IBCNGP,6)),U)'="" D SETPLAN(IBCNGP) | 
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|  | 45 | I VALMCNT=0 D | 
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|  | 46 | . S ^TMP("IBCNR",$J,"SI",1,0)="No Plans Available" | 
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|  | 47 | . S ^TMP("IBCNR",$J,"SI","IDX",1,1)=IBCNGP | 
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|  | 48 | Q | 
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|  | 49 | ; | 
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|  | 50 | SETPLAN(IBCNGP) ; | 
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|  | 51 | ; create text | 
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|  | 52 | N IBGPZ,I,IBPLN,IBPLNA | 
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|  | 53 | S VALMCNT=VALMCNT+1 | 
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|  | 54 | S IBGPZ=^IBA(355.3,+IBCNGP,0) | 
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|  | 55 | ; if creating report and not a list | 
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|  | 56 | I $G(IBCNRRPT) D  Q | 
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|  | 57 | . ; Group Name, Group #, Group Type, Plan ID, Plan Status | 
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|  | 58 | . S X=$$FO^IBCNEUT1($P(IBGPZ,U,3),18) | 
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|  | 59 | . S X=X_" "_$$FO^IBCNEUT1($P(IBGPZ,U,4),17) | 
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|  | 60 | . S X=X_" "_$$FO^IBCNEUT1($$EXPAND^IBTRE(355.3,.09,$P(IBGPZ,U,9)),13) | 
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|  | 61 | . S IBPLN=$P($G(^IBA(355.3,+IBCNGP,6)),U) | 
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|  | 62 | . ; check for plan | 
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|  | 63 | . I IBPLN="" D  Q | 
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|  | 64 | . . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=X | 
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|  | 65 | . . S VALMCNT=VALMCNT+1,^TMP("IBCNR",$J,"DSPDATA",VALMCNT)="No Plan Found." | 
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|  | 66 | . ; check plan status information | 
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|  | 67 | . S IBPLNA=$P($G(^IBCNR(366.03,IBPLN,0)),U) | 
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|  | 68 | . S X=X_" "_$$FO^IBCNEUT1(IBPLNA,13) | 
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|  | 69 | . ; | 
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|  | 70 | . N ARRAY D STCHK^IBCNRU1(IBPLN,.ARRAY) | 
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|  | 71 | . S X=X_"      "_$$FO^IBCNEUT1($S($G(ARRAY(1))="I":"INACTIVE",1:"ACTIVE"),8) | 
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|  | 72 | . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=X | 
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|  | 73 | . I $G(ARRAY(6)) D | 
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|  | 74 | . . N STATAR | 
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|  | 75 | . . D STATAR^IBCNRU1(.STATAR) | 
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|  | 76 | . . F I=1:1:$L(ARRAY(6),",") D | 
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|  | 77 | . . . S VALMCNT=VALMCNT+1 | 
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|  | 78 | . . . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)="       "_$G(STATAR($P(ARRAY(6),",",I))) | 
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|  | 79 | ; | 
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|  | 80 | S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER") | 
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|  | 81 | ; | 
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|  | 82 | I '$P(IBGPZ,U,2) S $E(X,4)="+" | 
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|  | 83 | S X=$$SETFLD^VALM1($P(IBGPZ,U,3),X,"GNAME") | 
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|  | 84 | ; | 
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|  | 85 | I '$P(IBGPZ,U,11) S $E(X,24)="*" | 
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|  | 86 | S X=$$SETFLD^VALM1($P(IBGPZ,U,4),X,"GNUM") | 
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|  | 87 | ; | 
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|  | 88 | S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBGPZ,U,9)),X,"TYPE") | 
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|  | 89 | ; matched plan active or not | 
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|  | 90 | S IBPLN=$P($G(^IBA(355.3,+IBCNGP,6)),U) | 
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|  | 91 | I IBPLN'="" D | 
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|  | 92 | . S IBPLNA=$P($G(^IBCNR(366.03,+IBPLN,0)),U) | 
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|  | 93 | . S X=$$SETFLD^VALM1(IBPLNA,X,"PHARM") | 
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|  | 94 | . N ARRAY | 
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|  | 95 | . D STCHK^IBCNRU1(IBPLN,.ARRAY) | 
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|  | 96 | . S X=$$SETFLD^VALM1($S($G(ARRAY(1))="A":"ACTIVE",1:"INACTIVE"),X,"COV") | 
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|  | 97 | S ^TMP("IBCNR",$J,"SI",VALMCNT,0)=X | 
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|  | 98 | S ^TMP("IBCNR",$J,"SI","IDX",VALMCNT,VALMCNT)=IBCNGP | 
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|  | 99 | Q | 
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|  | 100 | ; | 
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|  | 101 | HELP ; -- help code | 
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|  | 102 | S X="?" D DISP^XQORM1 W !! | 
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|  | 103 | Q | 
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|  | 104 | ; | 
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|  | 105 | EXIT ; -- exit code | 
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|  | 106 | K ^TMP("IBCNR",$J),VALMBCK,VALMY | 
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|  | 107 | D CLEAN^VALM10,CLEAR^VALM1 | 
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|  | 108 | Q | 
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|  | 109 | ; | 
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|  | 110 | SEL ; -- select plan | 
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|  | 111 | N IBSEL,IBX | 
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|  | 112 | D S1 | 
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|  | 113 | I 'IBX Q  ; no group selected | 
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|  | 114 | ; | 
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|  | 115 | D | 
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|  | 116 | . N IBCNRRPT,IBCNGP,VALMCNT,LST,IBCNRDEV | 
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|  | 117 | . S VALMCNT=0,IBCNRRPT=1,IBCNRDEV=0,IBCNGP=IBSEL | 
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|  | 118 | . K ^TMP("IBCNR",$J,"DSPDATA") | 
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|  | 119 | . D SETPLAN(IBSEL) | 
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|  | 120 | . D PRINT^IBCNRPSI | 
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|  | 121 | D SPQ | 
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|  | 122 | Q | 
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|  | 123 | S1 ; | 
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|  | 124 | N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y | 
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|  | 125 | D EN^VALM2($G(XQORNOD(0)),"S"),FULL^VALM1 | 
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|  | 126 | S IBX=$O(VALMY(0)),VALMBCK="R" | 
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|  | 127 | ; | 
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|  | 128 | I 'IBX W !!,"No group selected!" G SPQ | 
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|  | 129 | S IBSEL=+$G(^TMP("IBCNR",$J,"SI","IDX",IBX,IBX)) | 
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|  | 130 | Q | 
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|  | 131 | ; | 
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|  | 132 | SPQ ; | 
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|  | 133 | I '$O(IBSEL(0)),VALMBCK="R" D PAUSE^VALM1 | 
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|  | 134 | Q | 
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