[613] | 1 | IBCNRRP3 ;BHAM ISC/CMW - GROUP PLAN WORKSHEET REPORT PRINT ;03-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 | ; ePHARM GROUP PLAN WORKSHEET REPORT
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| 6 | ;
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| 7 | ; Called by IBCNRRP1
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| 8 | ;
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| 9 | ; Input variables from IBCNRRP1 and IBCNRRP2:
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| 10 | ; IBCNRRTN = "IBCNRRP1"
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| 11 | ; IBCNRSPC("BEGDT") = Start Date for dt range
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| 12 | ; IBCNRSPC("ENDDT") = End Date for dt range
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| 13 | ; IBCNRSPC("SORT") = 1 - By Insurance/Group; 2 - Total Claims;
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| 14 | ; 3 - Total Charges; 4 - Exceptions
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| 15 | ; IBCNRSPC("MATCH") = 1 - Matched Only; 0 - All;
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| 16 | ;
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| 17 | ; ^TMP(IBCNRRTN,1); ^TMP(IBCNRRTN,2); ^TMP(IBCNRRTN,3)
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| 18 | ; Must call at appropriate tag
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| 19 | Q
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| 20 | ;
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| 21 | ;
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| 22 | EN(IBCNRRTN,IBCNRSPC) ; Entry pt.
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| 23 | ;
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| 24 | ; Init vars
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| 25 | N CRT,MAXCNT,IBPGC,IBBDT,IBEDT,IBMAT,IBPY,IBPXT,IBSRT,IBDTL
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| 26 | N X,Y,DIR,DTOUT,DUOUT,LIN,TOTALS
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| 27 | ;
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| 28 | S IBBDT=$G(IBCNRSPC("BEGDT"))
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| 29 | S IBEDT=$G(IBCNRSPC("ENDDT"))
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| 30 | S IBSRT=$G(IBCNRSPC("SORT"))
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| 31 | S IBMAT=$G(IBCNRSPC("MATCH"))
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| 32 | S (IBPXT,IBPGC)=0
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| 33 | ;
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| 34 | ; Determine IO parameters
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| 35 | I IOST["C-" S MAXCNT=IOSL-3,CRT=1
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| 36 | E S MAXCNT=IOSL-6,CRT=0
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| 37 | ;
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| 38 | D PRINT(IBCNRRTN,IBBDT,IBEDT,IBSRT,MAXCNT,IBPGC,IBMAT)
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| 39 | I $G(ZTSTOP)!IBPXT G EXIT3
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| 40 | I CRT,IBPGC>0,'$D(ZTQUEUED) D
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| 41 | . I MAXCNT<51 F LIN=1:1:(MAXCNT-$Y) W !
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| 42 | . S DIR(0)="E" D ^DIR K DIR
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| 43 | ;
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| 44 | EXIT3 ; Exit pt
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| 45 | Q
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| 46 | ;
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| 47 | PRINT(RTN,BDT,EDT,SRT,MAX,PGC,MAT) ; Print data
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| 48 | ; Input params: RNT = "IBCNRRP1" - routine, BDT = starting dt,
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| 49 | ; EDT = ending dt
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| 50 | ; SRT = 1/2/3
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| 51 | ; MAT = 1/0
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| 52 | ;
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| 53 | ; Init vars
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| 54 | N EORMSG,NONEMSG,TOTDASHS,DISPDATA,SORT,CT,PRT1,PRT2
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| 55 | ;
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| 56 | S EORMSG="*** END OF REPORT ***"
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| 57 | S NONEMSG="* * * N O D A T A F O U N D * * *"
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| 58 | S $P(TOTDASHS,"=",89)=""
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| 59 | S CT=0
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| 60 | ;
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| 61 | I '$D(^XTMP(RTN)) D HEADER W !,?(132-$L(NONEMSG)\2),NONEMSG,!! G PRINT2
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| 62 | ;
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| 63 | ; Build lines of data to display
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| 64 | K ^TMP("IBCNR",$J,"RPTDATA")
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| 65 | D DATA
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| 66 | K ^TMP("IBCNR",$J,"DSPDATA")
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| 67 | D DISP
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| 68 | ; Display lines of response
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| 69 | D LINE
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| 70 | K ^TMP("IBCNR",$J,"DSPDATA"),^TMP("IBCNR",$J,"RPTDATA")
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| 71 | Q
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| 72 | ;
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| 73 | PRINT2 I $G(ZTSTOP)!IBPXT G PRINTX
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| 74 | I $Y+1>MAX!('PGC) D HEADER I $G(ZTSTOP)!$G(IBPXT) G PRINTX
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| 75 | W !,?(132-$L(EORMSG)\2),EORMSG
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| 76 | ;
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| 77 | PRINTX ; PRINT exit point
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| 78 | Q
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| 79 | ;
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| 80 | HEADER ; Print header info for each page
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| 81 | ; Assumes vars from PRINT: CRT,PGC,IBPXT,MAX,SRT,BDT,EDT,PYR,RDTL,MAR
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| 82 | ; Init vars
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| 83 | N DIR,X,Y,DTOUT,DUOUT,OFFSET,HDR,DASHES,DASHES2,LIN
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| 84 | ;
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| 85 | I CRT,PGC>0,'$D(ZTQUEUED) D I IBPXT G HEADERX
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| 86 | . I MAX<51 F LIN=1:1:(MAX-$Y) W !
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| 87 | . S DIR(0)="E" D ^DIR K DIR
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| 88 | . I $D(DTOUT)!$D(DUOUT) S IBPXT=1 Q
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| 89 | I $D(ZTQUEUED),$$S^%ZTLOAD() S (ZTSTOP,IBPXT)=1 G HEADERX
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| 90 | S PGC=PGC+1
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| 91 | W @IOF,!,?1,"ePHARM GROUP PLAN WORKSHEET REPORT"
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| 92 | S HDR=$$FMTE^XLFDT($$NOW^XLFDT,1)_" Page: "_PGC
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| 93 | S OFFSET=80-$L(HDR)
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| 94 | W ?OFFSET,HDR
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| 95 | W !,?1,"Claims with Pharmacy Coverage Sorted by: "_$S(SRT=1:"Insurance/Group",SRT=2:"Max. Total Claims",1:"Max. Total Charges")
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| 96 | S HDR=$$FMTE^XLFDT(BDT,"5Z")_" - "_$$FMTE^XLFDT(EDT,"5Z")
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| 97 | S OFFSET=80-$L(HDR)\2
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| 98 | W !,?OFFSET,HDR
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| 99 | ; Display column headings
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| 100 | W !,?1,"Insurance Company Name",?40,"Insurance Company Address"
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| 101 | W !,?3,"Group Name/Number",?42,"Pharmacy Plan",?60," BIN",?70,"PCN"
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| 102 | S $P(DASHES,"=",80)=""
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| 103 | W !,?1,DASHES
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| 104 | ;
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| 105 | HEADERX ; HEADER exit pt
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| 106 | Q
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| 107 | ;
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| 108 | LINE ; Print line of data
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| 109 | ; Assumes vars from PRINT: PGC,IBPXT,MAX
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| 110 | ; Init vars
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| 111 | N CT,II
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| 112 | ;
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| 113 | S CT=+$O(^TMP("IBCNR",$J,"DSPDATA",""),-1)
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| 114 | I $Y+1+CT>MAX D HEADER I $G(ZTSTOP)!IBPXT G LINEX
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| 115 | F II=1:1:CT D Q:$G(ZTSTOP)!IBPXT
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| 116 | . I $Y+1>MAX!('PGC) D HEADER I $G(ZTSTOP)!IBPXT Q
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| 117 | . W !,?1,^TMP("IBCNR",$J,"DSPDATA",II)
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| 118 | . Q
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| 119 | ;
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| 120 | LINEX ; LINE exit pt
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| 121 | Q
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| 122 | ;
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| 123 | DATA ; Gather and format lines of data to be printed
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| 124 | ; Assumes vars from PRINT: RTN,SRT,SRT,RDTL,CT,PRT1,PRT2
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| 125 | ; Init vars
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| 126 | ;
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| 127 | ;Loop through and sort TMP file
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| 128 | N CNT,IBINS,IBINSNM,IBGRP,IBGRPNM,IBGRPNB,RPDT,RPTOT,RPTCNT,RPTCHG
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| 129 | N IBGRP0,IBGRP6,IBGRPNM,IBPLBIN,IBPLNNM,IBPLPCN,IBPPIEN
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| 130 | S IBINS=0,CNT=0
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| 131 | F S IBINS=$O(^XTMP(RTN,IBINS)) Q:IBINS="" D
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| 132 | . ;get insurance company name
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| 133 | . S IBINSNM=$P($G(^DIC(36,IBINS,0)),U)
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| 134 | . I IBINSNM="" S IBINSNM="NO NAME EXISTS"
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| 135 | . S IBGRP=0
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| 136 | . F S IBGRP=$O(^XTMP(RTN,IBINS,IBGRP)) Q:IBGRP="" D
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| 137 | .. ;get group info
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| 138 | .. S IBGRP0=$G(^IBA(355.3,IBGRP,0))
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| 139 | .. ;get pharmacy plan info
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| 140 | .. S IBGRP6=$G(^IBA(355.3,IBGRP,6))
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| 141 | .. I 'IBGRP6,$G(MAT) Q ; Matched only
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| 142 | .. I IBGRP0 D
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| 143 | ... S (IBGRPNM,IBGRPNB)=""
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| 144 | ... S IBGRPNM=$P($G(IBGRP0),U,3) I $G(IBGRPNM)="" S IBGRPNM="<blank>"
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| 145 | ... S IBGRPNB=$P($G(IBGRP0),U,4) I $G(IBGRPNB)="" S IBGRPNB="<blank>"
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| 146 | ... S RPDT=IBGRPNB
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| 147 | .. I IBGRP6 D
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| 148 | ... S (IBPPIEN,IBPLNNM,IBPLPCN)=""
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| 149 | ... S IBPPIEN=$P($G(IBGRP6),U)
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| 150 | ... S IBPLNNM=$P($G(^IBCNR(366.03,IBPPIEN,0)),U,2)
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| 151 | ... S IBPLBIN=$P($G(^IBCNR(366.03,IBPPIEN,10)),U,2)
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| 152 | ... S IBPLPCN=$P($G(^IBCNR(366.03,IBPPIEN,10)),U,3)
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| 153 | ... S RPDT=$G(RPDT)_U_$G(IBPLNNM)_U_$G(IBPLBIN)_U_$G(IBPLPCN)
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| 154 | .. E S RPDT=$G(RPDT)_U_U_U
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| 155 | .. S RPDT=$G(RPDT)_U_$P($G(IBGRP6),U,2,3)
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| 156 | .. S RPTOT=^XTMP(RTN,IBINS,IBGRP)
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| 157 | .. S RPTCNT=$P(RPTOT,U),RPTCHG=$P(RPTOT,U,2)
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| 158 | .. I SRT=1 D Q
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| 159 | ... S ^TMP("IBCNR",$J,"RPTDATA",SRT,IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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| 160 | .. I SRT=2 D Q
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| 161 | ... S ^TMP("IBCNR",$J,"RPTDATA",-$G(RPTCNT),IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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| 162 | .. I SRT=3 D Q
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| 163 | ... S ^TMP("IBCNR",$J,"RPTDATA",-$G(RPTCHG),IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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| 164 | .. I SRT=4 D Q
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| 165 | ... I '$G(IBGRP6) Q
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| 166 | ... N OK S OK=1
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| 167 | ... I $G(IBPLBIN)'="",$P(IBGRP6,U,2)'="",IBPLBIN'=$P(IBGRP6,U,2) S OK=0
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| 168 | ... I $G(IBPLPCN)'="",$P(IBGRP6,U,3)'="",IBPLPCN'=$P(IBGRP6,U,3) S OK=0
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| 169 | ... I 'OK S ^TMP("IBCNR",$J,"RPTDATA",SRT,IBINSNM,IBINS,IBGRPNM,IBGRP)=$G(RPDT)
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| 170 | Q
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| 171 | ;
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| 172 | DISP ;set up display data
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| 173 | N CNT,DISP1,DISP2,DISP3,DISP4,DISP5,DISPD,DASHES2
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| 174 | N IBCNADR,IBCIN11,IBCINST,I
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| 175 | S DISP1="",CNT=0,$P(DASHES2,"-",80)=""
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| 176 | F S DISP1=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1)) Q:DISP1="" D
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| 177 | . S DISP2=""
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| 178 | . F S DISP2=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2)) Q:DISP2="" D
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| 179 | .. S DISP3=0
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| 180 | .. F S DISP3=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3)) Q:DISP3="" D
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| 181 | ... S DISP4=""
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| 182 | ... F S DISP4=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3,DISP4)) Q:DISP4="" D
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| 183 | .... S DISP5=0
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| 184 | .... F S DISP5=$O(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3,DISP4,DISP5)) Q:DISP5="" D
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| 185 | ..... S DISPD=$G(^TMP("IBCNR",$J,"RPTDATA",DISP1,DISP2,DISP3,DISP4,DISP5))
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| 186 | ..... ;get insurance addr
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| 187 | ..... S IBCIN11=$G(^DIC(36,DISP3,.11))
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| 188 | ..... S IBCINST=$S($P(IBCIN11,U,5)="":"--",1:$P($G(^DIC(5,$P(IBCIN11,U,5),0)),U,2))
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| 189 | ..... S IBCNADR=$E($P(IBCIN11,U),1,15)_","_$E($P(IBCIN11,U,4),1,10)_","_IBCINST_" "_$E($P(IBCIN11,U,6),1,5)
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| 190 | ..... S CNT=CNT+1
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| 191 | ..... ;insurance co and group/plan
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| 192 | ..... S ^TMP("IBCNR",$J,"DSPDATA",CNT)=$$FO^IBCNEUT1(DISP2,40)_$$FO^IBCNEUT1(IBCNADR,35,"L")
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| 193 | ..... ;bin; pcn; and pharmacy plan
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| 194 | ..... S CNT=CNT+1
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| 195 | ..... S ^TMP("IBCNR",$J,"DSPDATA",CNT)=$$FO^IBCNEUT1(DISP4_"/"_$P(DISPD,U),35,"L")_$$FO^IBCNEUT1(" "_$P(DISPD,U,2),24,"L")_$$FO^IBCNEUT1(" "_$P(DISPD,U,3),10,"L")_$$FO^IBCNEUT1($P(DISPD,U,4),10,"L")
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| 196 | ..... S I=$$FO^IBCNEUT1("",60)_$$FO^IBCNEUT1($P(DISPD,U,5),10,"L")_$$FO^IBCNEUT1($P(DISPD,U,6),10,"L")
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| 197 | ..... I $TR(I," ")'="" S CNT=CNT+1,^TMP("IBCNR",$J,"DSPDATA",CNT)=I
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| 198 | ..... S CNT=CNT+1
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| 199 | ..... S ^TMP("IBCNR",$J,"DSPDATA",CNT)=$$FO^IBCNEUT1(DASHES2,79,"L")
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| 200 | ;
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| 201 | DATAX ; DATA exit pt
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| 202 | K RPTDATA
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| 203 | Q
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| 204 | ;
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