1 | IBCNSJ3 ;ALB/CPM - ADD NEW INSURANCE PLAN ; 11-JAN-95
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2 | ;;Version 2.0 ; INTEGRATED BILLING ;**28**; 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 | NEW(IBCNS,IBCPOL,IBFG) ; Add a new insurance plan
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6 | ; Input: IBCNS -- Pointer to an insurance company in file #36
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7 | ; IBFG -- [Optional] -> Set to 1 to force creation
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8 | ; of a group plan
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9 | ; Output: IBCPOL -- 0, if a new plan was not added, or
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10 | ; >0 => pointer to the new plan in file #355.3
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11 | ;
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12 | N DA,DIR,DIRUT,DIROUT,DTOUT,DUOUT,IBTL,IBGRP,IBGNA,IBGNU,X,Y
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13 | S IBCPOL=0
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14 | I '$G(IBCNS) G NEWQ
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15 | ;
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16 | S DIR(0)="Y",DIR("B")="NO",DIR("A")="Do you wish to add a new Insurance Plan"
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17 | S DIR("?")="If you have identified a new plan that has not been previously entered, and you wish to add it, answer 'YES'. If you do not wish to add a new plan, enter 'NO'."
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18 | D ^DIR K DIR I Y<1!($D(DIRUT)) G NEWQ
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19 | ;
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20 | ; - collect plan characteristics
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21 | I $G(IBFG) S IBGRP=1 G MORE
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22 | S DIR(0)="355.3,.02",DIR("A")=" IS THIS A GROUP PLAN" D ^DIR K DIR S IBGRP=Y
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23 | I $D(DIRUT) G NEWQ
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24 | ;
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25 | MORE S IBTL=" "_$S(IBGRP:"GROUP",1:"INDIVIDUAL")_" PLAN "
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26 | S DIR(0)="355.3,.03",DIR("A")=IBTL_"NAME" D ^DIR K DIR G NEWQ:$D(DUOUT)!$D(DTOUT) S IBGNA=Y
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27 | S DIR(0)="355.3,.04",DIR("A")=IBTL_"NUMBER" D ^DIR K DIR G NEWQ:$D(DUOUT)!$D(DTOUT) S IBGNU=Y
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28 | ;
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29 | ; - check for duplicates and file the plan
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30 | I $$CHECK(IBCNS,IBGNA,IBGNU) S IBCPOL=$$ADDH^IBCNSU(IBCNS,IBGRP,IBGNA,IBGNU)
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31 | NEWQ Q
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32 | ;
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33 | ;
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34 | CHECK(IBCNS,IBGNA,IBGNU) ; Check for potential duplicate plans
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35 | ; Input: IBCNS -- Pointer to an insurance company in file #36
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36 | ; IBGNA -- Plan Name for potential new plan
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37 | ; IBGNU -- Plan Number for potential new plan
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38 | ; Output: IBANS -- 1 -> Okay to add the new plan
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39 | ; 0 -> Don't add the new plan.
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40 | ;
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41 | N IBANS,IBCT,IBCNSD
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42 | S (IBANS,IBCT)=1
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43 | S IBCNSD=$G(^DIC(36,+$G(IBCNS),0)) I IBCNSD="" G CHECKQ
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44 | K ^TMP($J,"DUP"),^TMP($J,"DUP1")
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45 | W !!," Searching for potential duplicate plans offered by ",$E($P(IBCNSD,"^"),1,20),"..."
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46 | I '$D(^IBA(355.3,"B",IBCNS)) G CHECKQ
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47 | ;
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48 | ; - look for potential duplicate plans
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49 | D:$G(IBGNA)]"" FIND(IBCNS,IBGNA)
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50 | D:$G(IBGNU)]"" FIND(IBCNS,IBGNU)
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51 | ;
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52 | ; - display potential duplicates and see if plan should be filed
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53 | I $D(^TMP($J,"DUP")) D LIST
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54 | ;
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55 | CHECKQ I '$D(^TMP($J,"DUP")) W !!," No potential duplicate plans have been identified."
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56 | K ^TMP($J,"DUP"),^TMP($J,"DUP1")
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57 | Q IBANS
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58 | ;
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59 | ;
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60 | FIND(IBCNS,IBGN) ; Check cross-references for duplicate plans
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61 | ; Input: IBCNS -- Pointer to the insurance company in file #36
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62 | ; IBGN -- value to use to find duplicates
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63 | ;
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64 | N INP,LEN,SUB,TYPE
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65 | F SUB="AGNA","AGNU","ACCP" D
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66 | .I SUB="ACCP" S IBGN=$$COMP^IBCNSJ(IBGN)
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67 | .S INP=IBGN,LEN=$L(INP) Q:LEN<2!(LEN>20)
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68 | .S TYPE=$S(IBGN?1N.N:"NUM",1:"STR")
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69 | .I $D(^IBA(355.3,SUB,IBCNS,INP)) D GDATA
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70 | .I TYPE="STR" F S INP=$O(^IBA(355.3,SUB,IBCNS,INP)) Q:$E(INP,1,LEN)'=IBGN D GDATA
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71 | .I TYPE="NUM" F S INP=$O(^IBA(355.3,SUB,IBCNS,INP)) Q:INP="" I $E(INP,1,LEN)=IBGN D GDATA
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72 | Q
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73 | ;
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74 | GDATA ; Place potential duplicate plan into an array.
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75 | N X,Y S X=0
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76 | F S X=$O(^IBA(355.3,SUB,IBCNS,INP,X)) Q:'X I '$D(^TMP($J,"DUP",X)) D
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77 | .S Y=$G(^IBA(355.3,X,0)),IBCT=IBCT+1
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78 | .S ^TMP($J,"DUP",X)="",^TMP($J,"DUP1",IBCT)=$P(Y,"^",4)_U_$P(Y,"^",3)_U_$P(Y,"^",2)_U_$P(Y,"^",11)
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79 | Q
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80 | ;
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81 | LIST ; List potential duplicates to screen and prompt to add plan.
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82 | W !!," The following plans have been identified as potential duplicates:"
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83 | W !!,?3,"PLAN",?22,"PLAN",?45,"GROUP",?55,"ACTIVE",!,?2,"NUMBER",?22,"NAME",?45,"PLAN?",?55,"PLAN?",!
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84 | S IBCT=0 F S IBCT=$O(^TMP($J,"DUP1",IBCT)) Q:'IBCT D
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85 | .S IBST=$G(^TMP($J,"DUP1",IBCT))
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86 | .W !?2,$S($P(IBST,"^")'="":$P(IBST,"^"),1:"<NO PLAN NUM>"),?22,$S($P(IBST,"^",2)'="":$P(IBST,"^",2),1:"<NO PLAN NAME>")
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87 | .W ?45,$S($P(IBST,"^",3)'="":$$EXPAND^IBTRE(355.3,.02,$P(IBST,"^",3)),1:"<UNK>"),?55,$S($P(IBST,"^",4):"NO",1:"YES")
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88 | ;
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89 | ; - see if it is okay to add the plan
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90 | S DIR(0)="Y",DIR("A",1)="Do you still want to add a new plan with Plan Name "_$S(IBGNA'="":IBGNA,1:"<NO PLAN NAME>")
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91 | S DIR("A")="and Plan Number "_$S(IBGNU'="":IBGNU,1:"<NO PLAN NUMBER>")
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92 | S DIR("B")="NO"
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93 | W ! D ^DIR K DIR S IBANS=Y
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94 | Q
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