source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSOK1.m@ 1259

Last change on this file since 1259 was 613, checked in by George Lilly, 15 years ago

initial load of WorldVistAEHR

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1IBCNSOK1 ;ALB/AAS - Insurance consisitency stuff ; 2/22/93
2 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
3 ;;Per VHA Directive 10-93-142, this routine should not be modified.
4 ;
5DUPCO(DFN,IBCNS,IBCDFN,IBTALK) ; -- is this a duplicate company for this patient
6 ; -- make this call after selecting a company
7 ; -- input DFN = patient file pointer (required)
8 ; IBCNS = new insurance company selected
9 ; IBCDFN = if added to patient ins type mult is required as enter number in multiple
10 ; IBTALK = (optional) if defined and true will write messages to current device if not queued
11 ; -- output = $p1 - 0 if no other entry 1 if possible dup.
12 ; $p2 - 1 if another active entry for same company
13 ; $p3 - 1 if same co, same subscriber
14 ; $p4 - 1 if same co, same dates
15 ; $p5 - 1 if same co, same plan
16 ; $p6 - 1 if spouse insurer but not listed
17 ; $p7 - 1 if spouse insurer but no employer
18 N IBI,IBJ,IBX,IBY,I,J,X,Y,Z,IBDUP,IBACT,IBCDFND
19 S (I,IBDUP)=0
20 I '$O(^DPT(DFN,.312,0)) G DUPCOQ ; no policies on file, don't bother
21 ;
22 ; -- use b x-ref
23 F S I=$O(^DPT(DFN,.312,"B",IBCNS,I)) Q:'I S IBX=$G(^DPT(DFN,.312,I,0)) I $S('$G(IBCDFN):1,I=$G(IBCDFN):0,1:1) D
24 .S IBDUP=1
25 .S IBACT=$$CHK^IBCNS1(IBX,DT,2) I IBACT S $P(IBDUP,"^",2)=1 ; another active entry
26 .I '$G(IBCDFN) Q ;quit if not stored in dpt
27 .I 'IBACT Q
28 .;
29 .S IBCDFND=$G(^DPT(DFN,.312,+IBCDFN,0)) I IBCDFND=""!(IBCDFND=+IBCDFND) Q
30 .I $P(IBX,"^",6)=$P(IBCDFND,"^",6) S $P(IBDUP,"^",3)=1 ; same whose ins.
31 .I $P(IBX,"^",4)="",$P(IBCDFND,"^",4)="" S $P(IBDUP,"^",4)=1 ; no expiration date
32 .I $P(IBX,"^",8)="",$P(IBCDFND,"^",8)="" S $P(IBDUP,"^",4)=1 ; no effective date
33 .; need to figure out overlapping date logic. not simple
34 .I $P(IBX,"^",18)=$P(IBCDFND,"^",18) S $P(IBDUP,"^",5)=1 ; same plan
35 .I $P(IBCDFND,"^",6)="s" I $P(^DPT(DFN,0),"^",5)=6!($P(^DPT(DFN,0),"^",5)=7) S $P(IBDUP,"^",6)=1 ; marital status inconsistent
36 .I $P(IBCDFND,"^",6)="s",$P($G(^DPT(DFN,.25)),"^")="" S $P(IBDUP,"^",7)=1
37 I 'IBDUP G DUPCOQ
38 I IBDUP,$G(IBTALK),'$D(ZTQUEUED) D
39 .W !!,*7,"Warning: Insurance Company selected already on file for this patient."
40 .I $P(IBDUP,"^",2) W !," The previous entry is active."
41 .I $P(IBDUP,"^",3) W !," The WHOSE INSURANCE are the same."
42 .I $P(IBDUP,"^",4) W !," The Effective and Expiration dates may cover overlapping dates."
43 .I $P(IBDUP,"^",5) W !," The Group Plans are the same."
44 .I $P(IBDUP,"^",6) W !," WHOSE INSURANCE is Spouse, patient marital Status Inconsistent."
45 .I $P(IBDUP,"^",7) W !," WHOSE INSURANCE is Spouse but no Employer listed."
46 .Q
47 ;
48DUPCOQ Q IBDUP
49 ;
50DUPPOL(IBCPOL,IBTALK) ; -- is this a duplicate policy for this company
51 N I,J,X,Y,Z,IBDUP,IBCNS
52 S (I,IBDUP)=0,J=$G(^IBA(355.3,IBCPOL,0)),IBCNS=+J
53 F S I=$O(^IBA(355.3,"B",IBCNS,I)) Q:'I I I'=IBCPOL S X=$G(^IBA(355.3,I,0)) D
54 .Q:'$P(X,"^",2) ;skip individual policies
55 .I $P(J,"^",3)'="",$P(J,"^",3)=$P(X,"^",3) S $P(IBDUP,"^")=1
56 .I $P(J,"^",4)'="",$P(J,"^",4)=$P(X,"^",4) S $P(IBDUP,"^",2)=1
57 I IBDUP,$G(IBTALK),'$D(ZTQUEUED) D
58 .I $P(IBDUP,"^",1) W !!,"Warning: There is another policy with the same Group Name."
59 .I $P(IBDUP,"^",2) W !!,"Warning: There is another policy with the same Group Number."
60 ;
61DUPPOLQ Q IBDUP
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