1 | IBCNSC1 ;ALB/NLR - IBCNS INSURANCE COMPANY ;23-MAR-93
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2 | ;;2.0;INTEGRATED BILLING;**62,137,232,291,320,348,349**;21-MAR-94;Build 46
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3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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4 | ;
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5 | % G EN^IBCNSC
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6 | ;
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7 | AI ; -- (In)Activate Company
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8 | D FULL^VALM1 W !!
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9 | I '$D(^XUSEC("IB INSURANCE SUPERVISOR",DUZ)) D SORRY G EXIT
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10 | D ^IBCNSC2
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11 | G EXIT
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12 | CC ; -- Change Insurance Company
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13 | D FULL^VALM1 W !!
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14 | S IBCNS1=IBCNS K IBCNS D INSCO^IBCNSC
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15 | I '$D(IBCNS) S IBCNS=IBCNS1
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16 | K IBCNS1,VALMQUIT
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17 | G EXIT
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18 | EA ; -- Billing,Claims,Appeals,Inquiry,Telephone,Main,Remarks,Synonyms
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19 | D FULL^VALM1
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20 | ;
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21 | ; IB*2*320 - check key for associate company action
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22 | I $G(IBY)=",13,",'$$KCHK^XUSRB("IB EDI INSURANCE EDIT") D G EXIT
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23 | . W !!?5,"You must hold the IB EDI INSURANCE EDIT key to access this option."
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24 | . D PAUSE^VALM1
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25 | . Q
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26 | ;
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27 | W !!
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28 | D MAIN
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29 | ;
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30 | ; -- was company deleted
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31 | I '$D(^DIC(36,IBCNS)) W !!,"<DELETED>",!! S VALMQUIT="" Q
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32 | ;
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33 | EXIT ;
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34 | D HDR^IBCNSC,BLD^IBCNSC
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35 | S VALMBCK="R"
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36 | Q
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37 | MAIN ; -- Call edit template
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38 | N IBEDIKEY,Z
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39 | L +^DIC(36,+IBCNS):5 I '$T D LOCKED^IBTRCD1 G MAINQ
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40 | I $G(IBY)=",12," D FACID
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41 | F Z=1,2,4,9,13,14 S IBEDIKEY(Z)=$P($G(^DIC(36,+IBCNS,3)),U,Z) ; save EDI data fields
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42 | I $G(IBY)'=",12," N DIE,DA,DR S DIE="^DIC(36,",(DA,Y)=IBCNS,DR="[IBEDIT INS CO1]" D ^DIE K DIE I $D(Y) S IB("^")=1
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43 | I $G(IBY)=",12," D EDITID^IBCEP(+IBCNS)
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44 | I $F(",6,13,",$G(IBY)) D PARENT^IBCNSC02(+IBCNS) ; parent/child management
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45 | L -^DIC(36,+IBCNS)
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46 | MAINQ Q
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47 | ;
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48 | FACID ; -- Edit facility ids
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49 | D FACID^IBCEP2B(+IBCNS,"E")
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50 | Q
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51 | ;
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52 | SORRY ; -- can't inactivate, don't have key
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53 | W !!,"You do not have access to Inactivate entries. See your application coordinator.",! D PAUSE^VALM1
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54 | Q
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55 | PRESCR ;
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56 | N OFFSET,START,IBCNS18,IBADD
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57 | S IBCNS18=$$ADDRESS^IBCNSC0(IBCNS,.18,11)
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58 | S START=34,OFFSET=2
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59 | D SET^IBCNSP(START,OFFSET+19," Prescription Claims Office Information ",IORVON,IORVOFF)
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60 | D SET^IBCNSP(START+1,OFFSET," Company Name: "_$P($G(^DIC(36,+$P(IBCNS18,"^",7),0)),"^",1))
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61 | D SET^IBCNSP(START+2,OFFSET," Street: "_$P(IBCNS18,"^",1))
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62 | D SET^IBCNSP(START+3,OFFSET," Street 2: "_$P(IBCNS18,"^",2))
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63 | ; D SET^IBCNSP(START+4,OFFSET,"Claim Off. ID: "_$P(IBCNS18,"^",11))
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64 | N OFFSET S OFFSET=45
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65 | D SET^IBCNSP(START+1,OFFSET," Street 3: "_$P(IBCNS18,"^",3)) S IBADD=1
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66 | D SET^IBCNSP(START+1+IBADD,OFFSET," City/State: "_$E($P(IBCNS18,"^",4),1,15)_$S($P(IBCNS18,"^",4)="":"",1:", ")_$P($G(^DIC(5,+$P(IBCNS18,"^",5),0)),"^",2)_" "_$E($P(IBCNS18,"^",6),1,5))
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67 | D SET^IBCNSP(START+2+IBADD,OFFSET," Phone: "_$P(IBCNS18,"^",8))
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68 | D SET^IBCNSP(START+3+IBADD,OFFSET," Fax: "_$P(IBCNS18,"^",9))
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69 | Q
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70 | ;
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71 | PROVID N OFFSET,START,IBCNS4,IBCNS3,IBDISP,Z,LINE
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72 | S START=$O(^TMP("IBCNSC",$J,""),-1)+1
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73 | S (IB1ST("PROVID"),LINE)=START
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74 | S OFFSET=2,IBCNS4=$G(^DIC(36,IBCNS,4)),IBCNS3=$G(^(3))
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75 | ;
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76 | D SET^IBCNSP(LINE,OFFSET+25,"Provider IDs",IORVON,IORVOFF)
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77 | N OFFSET
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78 | S LINE=LINE+1,OFFSET=1
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79 | D SET^IBCNSP(LINE,OFFSET,"Billing Provider Secondary ID")
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80 | ;
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81 | N Z,Z0,Z1,IBS,I,DIV,FT,CU,CUF,DIVISION,FORMTYPE,PIDT
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82 | S Z=0 F S Z=$O(^IBA(355.92,"B",+IBCNS,Z)) Q:'Z D
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83 | . S Z0=$G(^IBA(355.92,Z,0))
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84 | . Q:'$P(Z0,U,6)!($P(Z0,U,7)="") ; Quit if no provider id or id type
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85 | . Q:'($P(Z0,U,8)="E")
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86 | . S IBS(+$P(Z0,U,5),+$P(Z0,U,3),+$P(Z0,U,4))=$P(Z0,U,6)_U_$P(Z0,U,7)
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87 | ;
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88 | S DIV="" F S DIV=$O(IBS(DIV)) Q:DIV="" D
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89 | . S DIVISION=$$DIV^IBCEP7(DIV)
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90 | . S CU="",CUF=0 F S CU=$O(IBS(DIV,CU)) Q:CU="" D
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91 | .. S FT="" F S FT=$O(IBS(DIV,CU,FT)) Q:FT="" D
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92 | ... S FORMTYPE=$S(FT=1:"UB-04",FT=2:"1500",1:"UNKNOWN")
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93 | ... S LINE=LINE+1
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94 | ... I 'CUF,+CU S CUF=1 S TEXT=$P(DIVISION,"/")_" Care Units :",OFFSET=5 D SET^IBCNSP(LINE,OFFSET,TEXT) S LINE=LINE+1
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95 | ... I CU=0 S TEXT=DIVISION_"/"_FORMTYPE_": "_$$GET1^DIQ(355.97,$P(IBS(DIV,CU,FT),U),.03,"E")_" "_$P(IBS(DIV,CU,FT),U,2),OFFSET=2
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96 | ... I +CU S TEXT=$$EXPAND^IBTRE(355.92,.03,CU)_"/"_FORMTYPE_": "_$$GET1^DIQ(355.97,$P(IBS(DIV,CU,FT),U),.03,"E")_" "_$P(IBS(DIV,CU,FT),U,2),OFFSET=5
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97 | ... D SET^IBCNSP(LINE,OFFSET,TEXT)
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98 | ;
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99 | S LINE=LINE+1 D SET^IBCNSP(LINE,2," ")
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100 | ;
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101 | K IBS
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102 | S OFFSET=1,LINE=LINE+1
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103 | D SET^IBCNSP(LINE,OFFSET,"Additional Billing Provider Secondary IDs")
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104 | S Z=0 F S Z=$O(^IBA(355.92,"B",+IBCNS,Z)) Q:'Z D
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105 | . S Z0=$G(^IBA(355.92,Z,0))
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106 | . Q:'$P(Z0,U,6)!($P(Z0,U,7)="") ; Quit if no provider id or id type
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107 | . Q:'($P(Z0,U,8)="A")
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108 | . ; IBS(DIVISION,FORMTYPE,IDTYPE)=ID
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109 | . S IBS(+$P(Z0,U,5),+$P(Z0,U,4),+$P(Z0,U,6))=$P(Z0,U,7)
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110 | ;
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111 | S DIVISION=$$DIV^IBCEP7(0)
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112 | S DIV="" F S DIV=$O(IBS(DIV)) Q:DIV="" D
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113 | . S FT="" F S FT=$O(IBS(DIV,FT)) Q:FT="" D
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114 | .. S FORMTYPE=$S(FT=1:"UB-04",FT=2:"1500",1:"UNKNOWN")
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115 | .. S TEXT=DIVISION_"/"_FORMTYPE_": "
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116 | .. S LINE=LINE+1,OFFSET=2
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117 | .. D SET^IBCNSP(LINE,OFFSET,TEXT)
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118 | .. S PIDT="" F S PIDT=$O(IBS(DIV,FT,PIDT)) Q:PIDT="" D
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119 | ... S LINE=LINE+1
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120 | ... S TEXT=$$GET1^DIQ(355.97,PIDT,.03,"E")_" "_IBS(DIV,FT,PIDT),OFFSET=5
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121 | ... D SET^IBCNSP(LINE,OFFSET,TEXT)
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122 | ;
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123 | S LINE=LINE+1 D SET^IBCNSP(LINE,2," ")
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124 | ;
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125 | K IBS
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126 | S OFFSET=1,LINE=LINE+1
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127 | D SET^IBCNSP(LINE,OFFSET,"VA-Laboratory or Facility Secondary IDs")
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128 | S Z=0 F S Z=$O(^IBA(355.92,"B",+IBCNS,Z)) Q:'Z D
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129 | . S Z0=$G(^IBA(355.92,Z,0))
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130 | . Q:'$P(Z0,U,6)!($P(Z0,U,7)="") ; Quit if no provider id or id type
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131 | . Q:'($P(Z0,U,8)="LF")
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132 | . ; IBS(DIVISION,FORMTYPE,IDTYPE)=ID
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133 | . S IBS(+$P(Z0,U,5),+$P(Z0,U,4),+$P(Z0,U,6))=$P(Z0,U,7)
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134 | ;
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135 | S DIVISION=$$DIV^IBCEP7(0)
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136 | S DIV="" F S DIV=$O(IBS(DIV)) Q:DIV="" D
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137 | . S FT="" F S FT=$O(IBS(DIV,FT)) Q:FT="" D
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138 | .. S FORMTYPE=$S(FT=1:"UB-04",FT=2:"1500",1:"UNKNOWN")
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139 | .. S TEXT=DIVISION_"/"_FORMTYPE_": "
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140 | .. S LINE=LINE+1,OFFSET=2
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141 | .. D SET^IBCNSP(LINE,OFFSET,TEXT)
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142 | .. S PIDT="" F S PIDT=$O(IBS(DIV,FT,PIDT)) Q:PIDT="" D
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143 | ... S LINE=LINE+1
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144 | ... ;S TEXT=$$EXPAND^IBTRE(355.92,.06,PIDT)_" "_IBS(DIV,FT,PIDT),OFFSET=5
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145 | ... S TEXT=$$GET1^DIQ(355.97,PIDT,.03,"E")_" "_IBS(DIV,FT,PIDT),OFFSET=5
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146 | ... D SET^IBCNSP(LINE,OFFSET,TEXT)
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147 | ;
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148 | ;
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149 | S LINE=LINE+1 D SET^IBCNSP(LINE,2," ")
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150 | S LINE=LINE+1 D SET^IBCNSP(LINE,2," ")
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151 | S OFFSET=2
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152 | S LINE=LINE+1 D SET^IBCNSP(LINE,OFFSET+25,"ID Parameters",IORVON,IORVOFF)
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153 | ;
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154 | S IBCNS4=$G(^DIC(36,IBCNS,4)),IBCNS3=$G(^(3)),OFFSET=1
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155 | S TEXT="Attending/Rendering Provider Secondary ID Qualifier (1500): "_$$EXPAND^IBTRE(36,4.01,+$P(IBCNS4,U))
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156 | S LINE=LINE+1
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157 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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158 | ;
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159 | S TEXT="Attending/Rendering Provider Secondary ID Qualifier (UB-04): "_$$EXPAND^IBTRE(36,4.02,+$P(IBCNS4,U,2))
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160 | S LINE=LINE+1
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161 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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162 | ;
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163 | S TEXT="Attending/Rendering Secondary ID Requirement: "_$$EXPAND^IBTRE(36,4.03,+$P(IBCNS4,U,3))
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164 | S LINE=LINE+1
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165 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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166 | ;
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167 | S TEXT="Referring Provider Secondary ID Qualifier (1500): "_$$EXPAND^IBTRE(36,4.04,+$P(IBCNS4,U,4))
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168 | S LINE=LINE+1
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169 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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170 | ;
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171 | S TEXT="Referring Provider Secondary ID Requirement: "_$$EXPAND^IBTRE(36,4.05,+$P(IBCNS4,U,5))
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172 | S LINE=LINE+1
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173 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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174 | ;
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175 | S TEXT="Use Att/Rend ID as Billing Provider Sec. ID (1500): "_$$EXPAND^IBTRE(36,4.06,+$P(IBCNS4,U,6))
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176 | S LINE=LINE+1
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177 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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178 | ;
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179 | S TEXT="Use Att/Rend ID as Billing Provider Sec. ID (UB-04): "_$$EXPAND^IBTRE(36,4.08,+$P(IBCNS4,U,8))
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180 | S LINE=LINE+1
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181 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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182 | ;
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183 | S TEXT="Send VA Lab/Facility IDs or Facility Data for VAMC?: "_$$EXPAND^IBTRE(36,4.07,+$P(IBCNS4,U,7))
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184 | S LINE=LINE+1
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185 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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186 | ;
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187 | S TEXT="Transmit no Billing Provider Sec. ID for the Electronic Plan Types: "
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188 | S LINE=LINE+1
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189 | D SET^IBCNSP(LINE,OFFSET,TEXT)
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190 | ;
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191 | N TAR,ERR,IBCT
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192 | D LIST^DIC(36.013,","_IBCNS_",",".01",,10,,,,,,"TAR","ERR")
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193 | F IBCT=1:1:+$G(TAR("DILIST",0)) D
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194 | . S TEXT=TAR("DILIST",1,IBCT)
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195 | . S LINE=LINE+1
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196 | . D SET^IBCNSP(LINE,OFFSET,TEXT)
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197 | ;
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198 | S LINE=LINE+1 D SET^IBCNSP(LINE,2," ")
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199 | S LINE=LINE+1 D SET^IBCNSP(LINE,2," ")
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200 | Q
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201 | ;
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202 | INSDEF(IBINS,IBPTYP) ; Returns the default id # for an ins co, if possible
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203 | N X
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204 | S X=""
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205 | I IBINS,IBPTYP S X=$P($G(^IBA(355.91,+$O(^IBA(355.91,"AC",IBINS,IBPTYP,"*N/A*","")),0)),U,7)
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206 | Q X
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