| 1 | IBCNRPS2 ;BHAM ISC/ALA - Plan Match ListMan ;13-NOV-2003
 | 
|---|
| 2 |  ;;2.0;INTEGRATED BILLING;**276**;21-MAR-94
 | 
|---|
| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
 | 
|---|
| 4 |  ;;
 | 
|---|
| 5 | EN ; -- main entry point for IBCNR PLAN MATCH
 | 
|---|
| 6 |  D EN^VALM("IBCNR PLAN STATUS INQUIRY")
 | 
|---|
| 7 |  Q
 | 
|---|
| 8 |  ;
 | 
|---|
| 9 | HDR ; -- header code
 | 
|---|
| 10 |  N IBCNS0,IBCNS11,IBCNS13,IBLEAD,X,X1,X2
 | 
|---|
| 11 |  S IBCNS0=$G(^DIC(36,+IBCNSP,0))
 | 
|---|
| 12 |  S IBCNS11=$G(^DIC(36,+IBCNSP,.11))
 | 
|---|
| 13 |  S IBCNS13=$G(^DIC(36,+IBCNSP,.13))
 | 
|---|
| 14 |  S IBLEAD="All Plans for: "
 | 
|---|
| 15 |  S X="Phone: "_$S($P(IBCNS13,"^")]"":$P(IBCNS13,"^"),1:"<not filed>")
 | 
|---|
| 16 |  S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD_$P(IBCNS0,"^"),81-$L(X),40)
 | 
|---|
| 17 |  S X1="Precerts: "_$S($P(IBCNS13,"^",3)]"":$P(IBCNS13,"^",3),1:"<not filed>")
 | 
|---|
| 18 |  S X=$TR($J("",$L(IBLEAD)),""," ")_$S($P(IBCNS11,"^")]"":$P(IBCNS11,"^"),1:"<no street address>")
 | 
|---|
| 19 |  S VALMHDR(2)=$$SETSTR^VALM1(X1,X,81-$L(X1),40)
 | 
|---|
| 20 |  S X=$S($P(IBCNS11,"^",4)]"":$P(IBCNS11,"^",4),1:"<no city>")_", "
 | 
|---|
| 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:"")
 | 
|---|
| 22 |  S VALMHDR(3)=$$SETSTR^VALM1(X,"",$L(IBLEAD)+1,80)
 | 
|---|
| 23 |  S X="For:  ",X=$E(X_$J("",23),1,23)_$S(IBCNTYP="A":"All",IBCNTYP="P":"Pharmacy Covered",1:"Matched")_" Group Plans."
 | 
|---|
| 24 |  S VALMHDR(4)=$$SETSTR^VALM1(" ",X,64,17)
 | 
|---|
| 25 |  Q
 | 
|---|
| 26 |  ;
 | 
|---|
| 27 | INIT ; -- init variables and create list array or report array
 | 
|---|
| 28 |  N IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCVRD,LIM
 | 
|---|
| 29 |  K ^TMP("IBCNR",$J)
 | 
|---|
| 30 |  S VALMCNT=0,VALMBG=1,IBCNGP=0
 | 
|---|
| 31 |  F  S IBCNGP=$O(^IBA(355.3,"B",IBCNSP,IBCNGP)) Q:'IBCNGP  D
 | 
|---|
| 32 |  . ; if we want all plans, let it pass
 | 
|---|
| 33 |  . I IBCNTYP="A" D  Q
 | 
|---|
| 34 |  . . D SETPLAN(IBCNGP)
 | 
|---|
| 35 |  . ; if we want Pharmacy plans, check for pharms
 | 
|---|
| 36 |  . I IBCNTYP="P" D  Q
 | 
|---|
| 37 |  . . S IBCOV=$O(^IBE(355.31,"B","PHARMACY",""))
 | 
|---|
| 38 |  . . S LIM="",IBCVRD=0
 | 
|---|
| 39 |  . . F  S LIM=$O(^IBA(355.32,"B",IBCNGP,LIM)) Q:LIM=""  D
 | 
|---|
| 40 |  . . . I $P(^IBA(355.32,LIM,0),U,2)=IBCOV S IBCVRD=$P(^IBA(355.32,LIM,0),U,4)
 | 
|---|
| 41 |  . . I IBCVRD D SETPLAN(IBCNGP)
 | 
|---|
| 42 |  . ; if we want Matched plans, check for existence of Plan ID
 | 
|---|
| 43 |  . I IBCNTYP="M" D  Q
 | 
|---|
| 44 |  . . I $P($G(^IBA(355.3,IBCNGP,6)),U)'="" D SETPLAN(IBCNGP)
 | 
|---|
| 45 |  I VALMCNT=0 D
 | 
|---|
| 46 |  . S ^TMP("IBCNR",$J,"SI",1,0)="No Plans Available"
 | 
|---|
| 47 |  . S ^TMP("IBCNR",$J,"SI","IDX",1,1)=IBCNGP
 | 
|---|
| 48 |  Q
 | 
|---|
| 49 |  ;
 | 
|---|
| 50 | SETPLAN(IBCNGP) ;
 | 
|---|
| 51 |  ; create text
 | 
|---|
| 52 |  N IBGPZ,I,IBPLN,IBPLNA
 | 
|---|
| 53 |  S VALMCNT=VALMCNT+1
 | 
|---|
| 54 |  S IBGPZ=^IBA(355.3,+IBCNGP,0)
 | 
|---|
| 55 |  ; if creating report and not a list 
 | 
|---|
| 56 |  I $G(IBCNRRPT) D  Q
 | 
|---|
| 57 |  . ; Group Name, Group #, Group Type, Plan ID, Plan Status
 | 
|---|
| 58 |  . S X=$$FO^IBCNEUT1($P(IBGPZ,U,3),18)
 | 
|---|
| 59 |  . S X=X_" "_$$FO^IBCNEUT1($P(IBGPZ,U,4),17)
 | 
|---|
| 60 |  . S X=X_" "_$$FO^IBCNEUT1($$EXPAND^IBTRE(355.3,.09,$P(IBGPZ,U,9)),13)
 | 
|---|
| 61 |  . S IBPLN=$P($G(^IBA(355.3,+IBCNGP,6)),U)
 | 
|---|
| 62 |  . ; check for plan
 | 
|---|
| 63 |  . I IBPLN="" D  Q
 | 
|---|
| 64 |  . . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=X
 | 
|---|
| 65 |  . . S VALMCNT=VALMCNT+1,^TMP("IBCNR",$J,"DSPDATA",VALMCNT)="No Plan Found."
 | 
|---|
| 66 |  . ; check plan status information
 | 
|---|
| 67 |  . S IBPLNA=$P($G(^IBCNR(366.03,IBPLN,0)),U)
 | 
|---|
| 68 |  . S X=X_" "_$$FO^IBCNEUT1(IBPLNA,13)
 | 
|---|
| 69 |  . ;
 | 
|---|
| 70 |  . N ARRAY D STCHK^IBCNRU1(IBPLN,.ARRAY)
 | 
|---|
| 71 |  . S X=X_"      "_$$FO^IBCNEUT1($S($G(ARRAY(1))="I":"INACTIVE",1:"ACTIVE"),8)
 | 
|---|
| 72 |  . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)=X
 | 
|---|
| 73 |  . I $G(ARRAY(6)) D
 | 
|---|
| 74 |  . . N STATAR
 | 
|---|
| 75 |  . . D STATAR^IBCNRU1(.STATAR)
 | 
|---|
| 76 |  . . F I=1:1:$L(ARRAY(6),",") D
 | 
|---|
| 77 |  . . . S VALMCNT=VALMCNT+1
 | 
|---|
| 78 |  . . . S ^TMP("IBCNR",$J,"DSPDATA",VALMCNT)="       "_$G(STATAR($P(ARRAY(6),",",I)))
 | 
|---|
| 79 |  ;
 | 
|---|
| 80 |  S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER")
 | 
|---|
| 81 |  ;
 | 
|---|
| 82 |  I '$P(IBGPZ,U,2) S $E(X,4)="+"
 | 
|---|
| 83 |  S X=$$SETFLD^VALM1($P(IBGPZ,U,3),X,"GNAME")
 | 
|---|
| 84 |  ;
 | 
|---|
| 85 |  I '$P(IBGPZ,U,11) S $E(X,24)="*"
 | 
|---|
| 86 |  S X=$$SETFLD^VALM1($P(IBGPZ,U,4),X,"GNUM")
 | 
|---|
| 87 |  ; 
 | 
|---|
| 88 |  S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBGPZ,U,9)),X,"TYPE")
 | 
|---|
| 89 |  ; matched plan active or not
 | 
|---|
| 90 |  S IBPLN=$P($G(^IBA(355.3,+IBCNGP,6)),U)
 | 
|---|
| 91 |  I IBPLN'="" D
 | 
|---|
| 92 |  . S IBPLNA=$P($G(^IBCNR(366.03,+IBPLN,0)),U)
 | 
|---|
| 93 |  . S X=$$SETFLD^VALM1(IBPLNA,X,"PHARM")
 | 
|---|
| 94 |  . N ARRAY
 | 
|---|
| 95 |  . D STCHK^IBCNRU1(IBPLN,.ARRAY)
 | 
|---|
| 96 |  . S X=$$SETFLD^VALM1($S($G(ARRAY(1))="A":"ACTIVE",1:"INACTIVE"),X,"COV")
 | 
|---|
| 97 |  S ^TMP("IBCNR",$J,"SI",VALMCNT,0)=X
 | 
|---|
| 98 |  S ^TMP("IBCNR",$J,"SI","IDX",VALMCNT,VALMCNT)=IBCNGP
 | 
|---|
| 99 |  Q
 | 
|---|
| 100 |  ;
 | 
|---|
| 101 | HELP ; -- help code
 | 
|---|
| 102 |  S X="?" D DISP^XQORM1 W !!
 | 
|---|
| 103 |  Q
 | 
|---|
| 104 |  ;
 | 
|---|
| 105 | EXIT ; -- exit code
 | 
|---|
| 106 |  K ^TMP("IBCNR",$J),VALMBCK,VALMY
 | 
|---|
| 107 |  D CLEAN^VALM10,CLEAR^VALM1
 | 
|---|
| 108 |  Q
 | 
|---|
| 109 |  ;
 | 
|---|
| 110 | SEL ; -- select plan
 | 
|---|
| 111 |  N IBSEL,IBX
 | 
|---|
| 112 |  D S1
 | 
|---|
| 113 |  I 'IBX Q  ; no group selected
 | 
|---|
| 114 |  ;
 | 
|---|
| 115 |  D 
 | 
|---|
| 116 |  . N IBCNRRPT,IBCNGP,VALMCNT,LST,IBCNRDEV
 | 
|---|
| 117 |  . S VALMCNT=0,IBCNRRPT=1,IBCNRDEV=0,IBCNGP=IBSEL
 | 
|---|
| 118 |  . K ^TMP("IBCNR",$J,"DSPDATA")
 | 
|---|
| 119 |  . D SETPLAN(IBSEL)
 | 
|---|
| 120 |  . D PRINT^IBCNRPSI
 | 
|---|
| 121 |  D SPQ
 | 
|---|
| 122 |  Q
 | 
|---|
| 123 | S1 ;
 | 
|---|
| 124 |  N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y
 | 
|---|
| 125 |  D EN^VALM2($G(XQORNOD(0)),"S"),FULL^VALM1
 | 
|---|
| 126 |  S IBX=$O(VALMY(0)),VALMBCK="R"
 | 
|---|
| 127 |  ;
 | 
|---|
| 128 |  I 'IBX W !!,"No group selected!" G SPQ
 | 
|---|
| 129 |  S IBSEL=+$G(^TMP("IBCNR",$J,"SI","IDX",IBX,IBX))
 | 
|---|
| 130 |  Q
 | 
|---|
| 131 |  ;
 | 
|---|
| 132 | SPQ ;
 | 
|---|
| 133 |  I '$O(IBSEL(0)),VALMBCK="R" D PAUSE^VALM1
 | 
|---|
| 134 |  Q
 | 
|---|