| [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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