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