1 | IBCNSBL1 ;ALB/AAS - NEW INSURANCE POLICY BULLETIN ;29-AUG-93
|
---|
2 | ;;2.0;INTEGRATED BILLING;**6,28,82,249,276**;21-MAR-94
|
---|
3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
|
---|
4 | ;
|
---|
5 | BULL ; -- send bulletin
|
---|
6 | N IBCNT
|
---|
7 | S XMSUB="New Insurance Policy For "_$E($P(IBP,"^"),1,20)_" Pt. Id: "_$P(IBP,"^",2)
|
---|
8 | S IBT(1)=" A new insurance policy has been added for:"
|
---|
9 | S IBT(2)=" Patient: "_$E($P(IBP,"^")_" ",1,25)_" PT. ID: "_$P(IBP,"^",2)
|
---|
10 | S IBT(3)=""
|
---|
11 | S IBT(4)=" New Policy: "
|
---|
12 | S IBCNT=4 D HDR,NPOL
|
---|
13 | S IBCNT=IBCNT+1,IBT(IBCNT)=""
|
---|
14 | S IBCNT=IBCNT+1,IBT(IBCNT)=" Previous Policy(s): "
|
---|
15 | D HDR,OPOL
|
---|
16 | S IBCNT=IBCNT+1,IBT(IBCNT)=""
|
---|
17 | S IBCNT=IBCNT+1,IBT(IBCNT)=" Buffer Policy(s): "
|
---|
18 | D BUFF
|
---|
19 | S IBCNT=IBCNT+1,IBT(IBCNT)=""
|
---|
20 | S IBCNT=IBCNT+1,IBT(IBCNT)=" Possible billable Inpt. Care: "
|
---|
21 | D INPT
|
---|
22 | S IBCNT=IBCNT+1,IBT(IBCNT)=""
|
---|
23 | S IBCNT=IBCNT+1,IBT(IBCNT)=" Possible billable Opt. Care: "
|
---|
24 | D OPT
|
---|
25 | I $$ECMEBIL^IBNCPDPU(DFN,DT) D
|
---|
26 | . S IBCNT=IBCNT+1,IBT(IBCNT)=""
|
---|
27 | . S IBCNT=IBCNT+1,IBT(IBCNT)=" *** NOTE: Prescriptions for this patient are ECME BILLABLE and may be"
|
---|
28 | . S IBCNT=IBCNT+1,IBT(IBCNT)=" processed using the GENERATE ECME RX BILLS option contained in the"
|
---|
29 | . S IBCNT=IBCNT+1,IBT(IBCNT)=" Billing Clerk's Menu"
|
---|
30 | ;
|
---|
31 | S IBCNT=IBCNT+1,IBT(IBCNT)=""
|
---|
32 | S IBCNT=IBCNT+1,IBT(IBCNT)=" Added by: "_$P($G(^VA(200,+$P(IBEVTA1,"^",2),0)),"^")
|
---|
33 | S IBCNT=IBCNT+1,IBT(IBCNT)=" on: "_$$DAT1^IBOUTL(+IBEVTA1,"2P")
|
---|
34 | S IBCNT=IBCNT+1,IBT(IBCNT)=" Option: "
|
---|
35 | ;
|
---|
36 | I $D(XQY0) S IBT(IBCNT)=IBT(IBCNT)_$P($G(XQY0),"^",2)
|
---|
37 | I $D(ZTQUEUED),$P($G(XQY0),"^",2)="" S IBT(IBCNT)=IBT(IBCNT)_"Queued Job - "_$G(ZTDESC)
|
---|
38 | D SEND
|
---|
39 | BULLQ Q
|
---|
40 | ;
|
---|
41 | NPOL ; -- set up new policy
|
---|
42 | S IBCNT=IBCNT+1
|
---|
43 | S IBT(IBCNT)=$$D1(IBEVTA0)
|
---|
44 | Q
|
---|
45 | ;
|
---|
46 | OPOL ; -- set up old policies
|
---|
47 | N J,X,IBPCNT
|
---|
48 | S J=0 F S J=$O(^DPT(DFN,.312,J)) Q:'J I J'=IBCDFN S X=$G(^DPT(DFN,.312,J,0)) S IBCNT=IBCNT+1,IBT(IBCNT)=$$D1(X) S IBPCNT=$G(IBPCNT)+1
|
---|
49 | I $G(IBPCNT)<1 S IBCNT=IBCNT+1,IBT(IBCNT)=" No Previous Policies On file!"
|
---|
50 | Q
|
---|
51 | ;
|
---|
52 | SEND S XMDUZ="INTEGRATED BILLING PACKAGE",XMTEXT="IBT("
|
---|
53 | K XMY S XMN=0
|
---|
54 | S IBGRP=$P($G(^XMB(3.8,+$P($G(^IBE(350.9,1,4)),"^",4),0)),"^")
|
---|
55 | I IBGRP]"" S XMY("G."_IBGRP_"@"_^XMB("NETNAME"))=""
|
---|
56 | D ^XMD
|
---|
57 | K X,Y,IBI,IBT,IBGRP,XMDUZ,XMTEXT,XMY,XMSUB
|
---|
58 | Q
|
---|
59 | ;
|
---|
60 | HDR ; -- print standard header
|
---|
61 | D HDR1("=",76)
|
---|
62 | Q
|
---|
63 | ;
|
---|
64 | HDR1(CHAR,LENG) ; -- print header, specify character
|
---|
65 | S IBCNT=IBCNT+1
|
---|
66 | S IBT(IBCNT)=" Insurance Co. Subscriber ID Group Holder Effective Expires"
|
---|
67 | S IBCNT=IBCNT+1,X="",$P(X,CHAR,LENG)=""
|
---|
68 | S IBT(IBCNT)=X
|
---|
69 | Q
|
---|
70 | ;
|
---|
71 | ;
|
---|
72 | D1(IBINS) N X,IBX
|
---|
73 | S IBX="" I '$G(IBINS) G DQ
|
---|
74 | S IBX=" "_$E($S($D(^DIC(36,+IBINS,0)):$E($P(^(0),"^",1),1,16),1:"UNKNOWN")_" ",1,16)_" "
|
---|
75 | S IBX=IBX_$E($P(IBINS,"^",2)_" ",1,16)_" "
|
---|
76 | S IBX=IBX_$E($$GRP^IBCNS($P(IBINS,"^",18))_" ",1,10)_" "
|
---|
77 | S X=$P(IBINS,"^",6) S IBX=IBX_$E($S(X="v":"SELF",X="s":"SPOUSE",1:"OTHER")_" ",1,8)
|
---|
78 | S IBX=IBX_$E($$DAT1^IBOUTL($P(IBINS,"^",8))_" ",1,10)_$$DAT1^IBOUTL($P(IBINS,"^",4))
|
---|
79 | DQ Q IBX
|
---|
80 | ;
|
---|
81 | OPT ; -- list opt treatment (sched appoints only)
|
---|
82 | N CNT S CNT=0
|
---|
83 | ;
|
---|
84 | I $D(^TMP($J,"SDAMA201","GETAPPT","ERROR")) S IBCNT=IBCNT+1,IBT(IBCNT)=" Unable to look-up Scheduled Appointments." D Q
|
---|
85 | . F S CNT=$O(^TMP($J,"SDAMA201","GETAPPT","ERROR",CNT)) Q:'CNT S IBCNT=IBCNT+1,IBT(IBCNT)=" "_$G(^TMP($J,"SDAMA201","GETAPPT","ERROR",CNT))
|
---|
86 | ;
|
---|
87 | S OPT=0 F S OPT=$O(^TMP($J,"SDAMA201","GETAPPT",OPT)) Q:'OPT D
|
---|
88 | .S IBCNT=IBCNT+1
|
---|
89 | .I IBCNT>100 S IBT(IBCNT)="Too many to list" S OPT=9999999 Q
|
---|
90 | .S IBT(IBCNT)=" Outpatient Visit on "_$$DAT1^IBOUTL($G(^TMP($J,"SDAMA201","GETAPPT",OPT,1)))_" to "_$P($G(^TMP($J,"SDAMA201","GETAPPT",OPT,2)),"^",2)
|
---|
91 | .S CNT=CNT+1
|
---|
92 | I 'CNT S IBCNT=IBCNT+1,IBT(IBCNT)=" No Scheduled appointments found."
|
---|
93 | Q
|
---|
94 | ;
|
---|
95 | INPT ; -- list inpt. treatment (admissions only)
|
---|
96 | N CNT S CNT=0
|
---|
97 | I $G(^DPT(DFN,.1))]"" S CNT=CNT+1,IBCNT=IBCNT+1,IBT(IBCNT)=" Currently an Inpatient on "_$G(^DPT(DFN,.1))
|
---|
98 | I $G(IBTADD) S IBCNT=IBCNT+1,IBT(IBCNT)=" Entry Added to Claims Tracking for Current Admission."
|
---|
99 | I $G(VAIN(1)) S CNT=CNT+1,IBCNT=IBCNT+1,IBT(IBCNT)=" Previously an inpatient on ward "_$P(VAIN(4),"^",2)_" on "_$$DAT1^IBOUTL($P(START,"."))
|
---|
100 | S INPT=START F S INPT=$O(^DGPM("APTT1",DFN,INPT)) Q:'INPT!(INPT>END) S DGPM=0 F S DGPM=$O(^DGPM("APTT1",DFN,INPT,DGPM)) Q:'DGPM D
|
---|
101 | .Q:'$G(^DGPM(DGPM,0))
|
---|
102 | .S IBCNT=IBCNT+1
|
---|
103 | .S IBT(IBCNT)=" Inpatient Admission on "_$$DAT1^IBOUTL(+^DGPM(DGPM,0),"2P")
|
---|
104 | .S CNT=CNT+1
|
---|
105 | I 'CNT S IBCNT=IBCNT+1,IBT(IBCNT)=" No Admissions found."
|
---|
106 | Q
|
---|
107 | ;
|
---|
108 | BUFF ; -- list insurance buffer entries for the patient
|
---|
109 | N IBBDA,IBX,IBY,IBB40,IBB60
|
---|
110 | I '$$BUFFER^IBCNBU1(DFN) S IBCNT=IBCNT+1,IBT(IBCNT)=" No Insurance Buffer entries for this Patient." Q
|
---|
111 | ;
|
---|
112 | S IBBDA=0 F S IBBDA=$O(^IBA(355.33,"C",DFN,IBBDA)) Q:'IBBDA D
|
---|
113 | . S IBB40=$G(^IBA(355.33,IBBDA,40)),IBB60=$G(^IBA(355.33,IBBDA,60))
|
---|
114 | . ;
|
---|
115 | . S IBY=$P($G(^IBA(355.33,+IBBDA,20)),U,1),IBX=" "_$E($S(IBY'="":IBY,1:"UNKNOWN")_" ",1,16)_" "
|
---|
116 | . S IBX=IBX_$E($P(IBB60,"^",4)_" ",1,16)_" "
|
---|
117 | . S IBX=IBX_$E($S($P(IBB40,U,3)'="":$P(IBB40,U,3),$P(IBB40,U,2)'="":$P(IBB40,U,2),$P(IBB40,U,1)=0:"Ind. Plan",1:"")_" ",1,10)_" "
|
---|
118 | . S IBY=$P(IBB60,"^",5) S IBX=IBX_$E($S(IBY="v":"SELF",IBY="s":"SPOUSE",1:"OTHER")_" ",1,8)
|
---|
119 | . S IBX=IBX_$E($$DAT1^IBOUTL($P(IBB60,"^",2))_" ",1,10)_$$DAT1^IBOUTL($P(IBB60,"^",3))
|
---|
120 | . S IBCNT=IBCNT+1,IBT(IBCNT)=IBX
|
---|
121 | Q
|
---|