source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSM.m@ 1464

IBCNSM ;ALB/AAS - INSURANCE MANAGEMENT, LIST MANAGER INIT ROUTINE ;21-OCT-92

 ;;2.0;INTEGRATED BILLING;**28,46,56,52,82,103,199,276**;21-MAR-94

 ;;Per VHA Directive 10-93-142, this routine should not be modified.

 ;

 ;also used for IA #4694

 ;

% ; -- main entry point

EN ;

 D DT^DICRW

 K XQORS,VALMEVL

 D EN^VALM("IBCNS INSURANCE MANAGEMENT")

ENQ K DFN

 Q

 ;

 ;

INIT ; -- set up inital variables

 S U="^",VALMCNT=0,VALMBG=1

 K ^TMP("IBNSM",$J),^TMP("IBNSMDX",$J)

 ;K I,X,SDBEG,SDEND,SDB,XQORNOD,SDFN,SDCLN,DA,DR,DIE,DNM,DQ

 S DIR(0)="350.9,4.02",DIR("A")="Select Patient Name or Insurance Co."

 D ^DIR K DIR I $D(DIRUT) S VALMQUIT="" G INITQ

 S IBY=Y

 I IBY["DPT(" S IBTYP="P",DFN=+IBY D BLD

 I IBY["DIC(" S IBTYP="I",IBCNS=+IBY D EN^VALM("IBCNS INSURANCE COMPANY") S VALMQUIT=""

 ;

INITQ Q

 ;

 ;

PAT ; -- select patient you are working with

 N DPTNOFZY S DPTNOFZY=1  ;Suppress PATIENT file fuzzy lookups

 S DIC(0)="AEQMN",DIC="^DPT(" D ^DIC I +Y<1 S VALMQUIT="" Q

 S DFN=+Y

 Q

 ;

 ;

BLD ; -- build list of bills

 K ^TMP("IBNSM",$J),^TMP("IBNSMDX",$J)

 N I,J,K,IBHOLD,IBGRP,IBINS,IBCNT,IBCDFND,IBCPOLD

 S (IBN,IBCNT,VALMCNT)=0,IBFILE=2

 ;

 ; -- find all ins. co data

 K IBINS S IBINS=0

 D POL^IBCNSU41(DFN)

 D ALL^IBCNS1(DFN,"IBINS")

 I $G(IBINS(0)) S K=0 F  S K=$O(IBINS(K)) Q:'K  D

 .; -- add to list

 .W "."

 .S IBCNT=IBCNT+1

 .S IBCDFND=$G(IBINS(K,0))

 .S IBCDFND1=$G(IBINS(K,1))

 .S IBCPOLD=$G(^IBA(355.3,+$P($G(IBINS(K,0)),"^",18),0))

 .S X=""

 .S X=$$SETFLD^VALM1(IBCNT,X,"NUMBER")

 .I $D(^DIC(36,+IBCDFND,0)) S X=$$SETFLD^VALM1($P(^(0),"^"),X,"NAME")

 .S X=$$SETFLD^VALM1($E($P(IBCDFND,"^",2),1,14),X,"POLICY")

 .S IBHOLD=$P(IBCDFND,"^",6),X=$$SETFLD^VALM1($S(IBHOLD="v":"SELF",IBHOLD="s":"SPOUSE",IBHOLD="o":"OTHER",1:"UNKNOWN"),X,"HOLDER")

 .S X=$$SETFLD^VALM1($E($$GRP^IBCNS($P(IBCDFND,"^",18)),1,10),X,"GROUP")

 .S X=$$SETFLD^VALM1($$DAT1^IBOUTL($P(IBCDFND,"^",8)),X,"EFFDT")

 .S X=$$SETFLD^VALM1($$DAT1^IBOUTL($P(IBCDFND,"^",4)),X,"EXPIRE")

 .S X=$$SETFLD^VALM1($E($P($G(^IBE(355.1,+$P(IBCPOLD,"^",9),0)),U),1,8),X,"TYPE")

 .S X=$$SETFLD^VALM1($P($G(^IBE(355.1,+$P($G(^IBA(355.3,+$P(IBCDFND,"^",18),0)),"^",9),0)),"^"),X,"TYPEPOL")

 .S X=$$SETFLD^VALM1($E($P($G(^VA(200,+$P(IBCDFND1,"^",4),0)),U),1,15),X,"VERIFIED BY")

 .S X=$$SETFLD^VALM1($$DAT1^IBOUTL($P(IBCDFND1,"^",3)),X,"VERIFIED ON")

 .S X=$$SETFLD^VALM1($$YN($P(IBCPOLD,"^",6)),X,"PRECERT")

 .S X=$$SETFLD^VALM1($$YN($P(IBCPOLD,"^",5)),X,"UR")

 .S X=$$SETFLD^VALM1($$YN($P(IBCDFND,"^",20)),X,"COB")

 .K IBHOLD,IBGRP

 .D SET(X)

 I '$D(^TMP("IBNSM",$J)) D

 .S VALMCNT=2,IBCNT=2,^TMP("IBNSM",$J,1,0)=" "

 .S ^TMP("IBNSM",$J,2,0)="    No Insurance Policies on file for this patient."

 S X=$G(^IBA(354,DFN,60)) I X D

 .S IBCNT=IBCNT+1

 .S ^TMP("IBNSM",$J,IBCNT,0)="       Verification of No Coverage "_$$FMTE^XLFDT(X)

BLDQ ;

 Q

 ;

SET(X) ; -- set arrays

 S VALMCNT=VALMCNT+1,^TMP("IBNSM",$J,VALMCNT,0)=X

 S ^TMP("IBNSM",$J,"IDX",VALMCNT,IBCNT)=""

 S ^TMP("IBNSMDX",$J,IBCNT)=VALMCNT_"^"_IBFILE_"^"_DFN_"^"_K_"^"_IBCDFND

 Q

 ;

HDR ; -- screen header for initial screen

 D PID^VADPT

 S VALMHDR(1)="Insurance Management for Patient: "_$E($P($G(^DPT(DFN,0)),"^"),1,20)_" "_$E($G(^(0)),1)_VA("BID")

 S VALMHDR(2)=" "

 I +$$BUFFER^IBCNBU1(DFN) S VALMHDR(2)="*** Patient has Insurance Buffer Records"

 Q

 ;

FNL ; -- exit and clean up

 K ^TMP("IBNSM",$J),^TMP("IBNSMDX",$J)

 K IBFASTXT

 D CLEAN^VALM10

 Q

 ;

YN(X,Y) ; -- convert 1 or 0 to yes/no/unknown

 Q $S($G(X)="":$S($G(Y):"",1:"UNK"),X=0:"NO",X=1:"YES",1:"")

 ;

CP ; -- change patient

 N VALMQUIT

 D FULL^VALM1

 S IBDFN=DFN D PAT

 I $D(VALMQUIT) S DFN=IBDFN

 D HDR,BLD

 S VALMBCK="R"

CPQ K IBDFN

 Q

 ;

PCI S VALMBCK="R" Q

 ;

FASTEXIT ;just sets a flag signaling system should be exited

 S VALMBCK="Q"

 D FULL^VALM1

 K DIR S DIR(0)="Y",DIR("A")="Exit option entirely",DIR("B")="NO" D ^DIR

 I $D(DIRUT)!(Y) S IBFASTXT=1

 K DIR

 Q