| 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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