source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCNSP0.m@ 1154

Last change on this file since 1154 was 623, checked in by George Lilly, 15 years ago

revised back to 6/30/08 version
File size: 5.6 KB
Line 
1IBCNSP0 ;ALB/AAS - INSURANCE MANAGEMENT - EXPANDED POLICY ;05-MAR-1993
2 ;;2.0;INTEGRATED BILLING;**28,43,52,85,93,103,137,229,251,363**;21-MAR-94;Build 35
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5 ;
6CONTACT ; -- Insurance Contact Information
7 N OFFSET,START
8 S START=41+$G(IBLCNT),OFFSET=42
9 N IBTRC,IBTRCD,IBTCOD
10 S IBTCOD=$O(^IBE(356.11,"ACODE",85,0))
11 ;
12 S IBTRC=0,IBTRCD=""
13 F S IBTRC=$O(^IBT(356.2,"D",DFN,IBTRC)) Q:'IBTRC D
14 .Q:$P($G(^IBT(356.2,+IBTRC,1)),"^",5)'=IBCDFN ; must be same policy
15 .Q:$P($G(^IBT(356.2,+IBTRC,0)),"^",4)'=IBTCOD ; must be ins. ver. type
16 .S IBTRCD=$G(^IBT(356.2,+IBTRC,0))
17 ;
18 I '$D(@VALMAR@(START-1)) D SET(START-1,OFFSET," ")
19 D SET(START,OFFSET," Insurance Contact (last) ",IORVON,IORVOFF)
20 D SET(START+1,OFFSET," Person Contacted: "_$$EXPAND^IBTRE(356.2,.06,$P(IBTRCD,"^",6)))
21 D SET(START+2,OFFSET,"Method of Contact: "_$$EXPAND^IBTRE(356.2,.17,$P(IBTRCD,"^",17)))
22 D SET(START+3,OFFSET," Contact's Phone: "_$$EXPAND^IBTRE(356.2,.07,$P(IBTRCD,"^",7)))
23 D SET(START+4,OFFSET," Call Ref. No.: "_$$EXPAND^IBTRE(356.2,.09,$P(IBTRCD,"^",9)))
24 D SET(START+5,OFFSET," Contact Date: "_$$EXPAND^IBTRE(356.2,.01,$P(IBTRCD,"^")))
25 Q
26 ;
27POLICY ; -- Policy Region
28 ; -- if pointer to policy file exists get data from policy file
29 N OFFSET,START,IBP,IBX,IBPLNID,IBPLNNM,IBPLNNA,IBPLNLA
30 S (IBPLNID,IBPLNNM,IBPLNNA,IBPLNLA)=""
31 S START=1,OFFSET=2
32 D GPLAN(+IBCPOLD2)
33 D SET(START,OFFSET," Plan Information ",IORVON,IORVOFF)
34 D SET(START+1,OFFSET," Is Group Plan: "_$S($P(IBCPOLD,"^",2)=1:"YES",1:"NO"))
35 D SET(START+2,OFFSET," Group Name: "_$P(IBCPOLD,"^",3))
36 D SET(START+3,OFFSET," Group Number: "_$P(IBCPOLD,"^",4))
37 D SET(START+4,OFFSET," BIN: "_$P(IBCPOLD2,"^",2)) ;;Daou/EEN
38 D SET(START+5,OFFSET," PCN: "_$P(IBCPOLD2,"^",3)) ;;04/09/04
39 D SET(START+6,OFFSET," Type of Plan: "_$E($P($G(^IBE(355.1,+$P(IBCPOLD,"^",9),0)),"^"),1,23))
40 S IBX=7
41 I $P(IBCPOLD,U,14)]"" D
42 . D SET(START+IBX,OFFSET," Plan Category: "_$$EXPAND^IBTRE(355.3,.14,$P(IBCPOLD,"^",14))) S IBX=IBX+1
43 I $P(IBCPOLD,U,15)]"" D
44 . D SET(START+IBX,OFFSET," Electronic Type: "_$$EXPAND^IBTRE(355.3,.15,$P(IBCPOLD,"^",15))) S IBX=IBX+1
45 D SET(START+IBX,OFFSET," Plan Filing TF: "_$P(IBCPOLD,"^",13)) S IBX=IBX+1
46 ; -- in case pointer is missing
47 D SET(START+IBX,OFFSET," ePharmacy Plan ID: "_IBPLNID) S IBX=IBX+1
48 D SET(START+IBX,OFFSET," ePharmacy Plan Name: "_IBPLNNM) S IBX=IBX+1
49 D SET(START+IBX,OFFSET," ePharmacy Natl Status: "_IBPLNNA) S IBX=IBX+1
50 D SET(START+IBX,OFFSET," ePharmacy Local Status: "_IBPLNLA) S IBX=IBX+1
51 I '$G(^IBA(355.3,+$P(IBCDFND,"^",18),0)) D
52 .D SET(START+1,OFFSET,"Insurance Number: "_$P(IBCDFND,"^",2))
53 .D SET(START+2,OFFSET," Group Name: "_$P(IBCDFND,"^",15))
54 .D SET(START+3,OFFSET," Group Number: "_$P(IBCDFND,"^",3))
55 .Q
56 Q
57 ;
58INS ; -- Insurance Co. Region
59 N OFFSET,START,IBADD,IBCDFNDA,IBCDFNDB
60 S START=1,OFFSET=45
61 D SET(START,OFFSET," Insurance Company ",IORVON,IORVOFF)
62 D SET(START+1,OFFSET," Company: "_$P($G(^DIC(36,+IBCDFND,0)),"^"))
63 S IBCDFNDA=$G(^DIC(36,+IBCDFND,.11)),IBCDFNDB=$G(^(.13))
64 G:IBCDFNDA="" INSQ
65 D SET(START+2,OFFSET," Street: "_$P(IBCDFNDA,"^")) S IBADD=1
66 I $P(IBCDFNDA,"^",2)'="" D SET(START+3,OFFSET," Street 2: "_$P(IBCDFNDA,"^",2)) S IBADD=2
67 I $P(IBCDFNDA,"^",3)'="" D SET(START+4,OFFSET," Street 3: "_$P(IBCDFNDA,"^",3)) S IBADD=3
68 D SET(START+2+IBADD,OFFSET,"City/State: "_$E($P(IBCDFNDA,"^",4),1,15)_$S($P(IBCDFNDA,"^",4)="":"",1:", ")_$P($G(^DIC(5,+$P(IBCDFNDA,"^",5),0)),"^",2)_" "_$E($P(IBCDFNDA,"^",6),1,5))
69 D SET(START+3+IBADD,OFFSET,"Billing Ph: "_$P(IBCDFNDB,"^",2))
70 D SET(START+4+IBADD,OFFSET,"Precert Ph: "_$$PHONE^IBCNSC01(IBCDFNDB))
71 ;
72INSQ Q
73 ;
74SPON ; -- Sponsor (Insured Person) Region
75 N IBC3,IBSSN,IBZIP,START,OFFSET,IBA,DA,DR,DIC,DIQ
76 S IBC3=$G(^DPT(DFN,.312,IBCDFN,3)),IBSSN=$P(IBC3,"^",5)
77 S DA=+$P(IBC3,"^",2),DR=.01,DIQ(0)="E",DIC="^DIC(23,",DIQ="IBA" D EN^DIQ1
78 S START=30,OFFSET=4
79 D SET(START,OFFSET," Insured Person's Information (use Subscriber Update action) ",IORVON,IORVOFF)
80 D SET(START+1,OFFSET," Insured's DOB: "_$$DAT3^IBOUTL($P(IBC3,"^")))
81 D SET(START+2,OFFSET," Insured's Branch: "_$G(IBA(23,DA,.01,"E")))
82 D SET(START+3,OFFSET," Insured's Rank: "_$P(IBC3,"^",3))
83 D SET(START+4,OFFSET," Insured's SSN: "_$S(IBSSN]"":$E(IBSSN,1,3)_"-"_$E(IBSSN,4,5)_"-"_$E(IBSSN,6,9),1:""))
84 ;
85 S OFFSET=43
86 S Y=$P(IBC3,"^",10) D ZIPOUT^VAFADDR S IBZIP=Y
87 D SET(START+1,OFFSET," Str 1: "_$P(IBC3,"^",6))
88 D SET(START+2,OFFSET," Str 2: "_$P(IBC3,"^",7))
89 D SET(START+3,OFFSET," City: "_$P(IBC3,"^",8))
90 D SET(START+4,OFFSET,"St/Zip: "_$P($G(^DIC(5,+$P(IBC3,"^",9),0)),"^",2)_" "_IBZIP)
91 D SET(START+5,OFFSET," Phone: "_$P(IBC3,"^",11))
92 Q
93 ;
94BLANK(LINE) ; -- Build blank line
95 D SET^VALM10(.LINE,$J("",80))
96 Q
97 ;
98SET(LINE,COL,TEXT,ON,OFF) ; -- set display info in array
99 D:'$D(@VALMAR@(LINE,0)) BLANK(.LINE)
100 D SET^VALM10(.LINE,$$SETSTR^VALM1(.TEXT,@VALMAR@(LINE,0),.COL,$L(TEXT)))
101 D:$G(ON)]""!($G(OFF)]"") CNTRL^VALM10(.LINE,.COL,$L(TEXT),$G(ON),$G(OFF))
102 W:'(LINE#5) "."
103 Q
104GPLAN(IBPLDA) ; get data from PLAN file (#366.03) related to the
105 ; GROUP INSURANCE PLAN file (#355.3) and the INSURANCE COMPANY file (#36)
106 ; that is associated with the PATIENT
107 ; input - IBPLDA - ien of the PLAN file (#366.03)
108 N IBPLN0,IBAIEN,IBAPIEN,IBAP0
109 S IBPLN0=$G(^IBCNR(366.03,IBPLDA,0)) ;; Q:'$P(IBPLN0,"^",3) ;quit if payer not defined
110 S IBPLNID=$P(IBPLN0,"^"),IBPLNNM=$P(IBPLN0,"^",2)
111 S IBAIEN=$O(^IBCNR(366.13,"B","E-PHARM","")) Q:'IBAIEN
112 S IBAPIEN=$O(^IBCNR(366.03,IBPLDA,3,"B",IBAIEN,"")) Q:'IBAPIEN
113 S IBAP0=$G(^IBCNR(366.03,IBPLDA,3,IBAPIEN,0))
114 S IBPLNNA=$S($P(IBAP0,"^",2)=0:"NOT ACTIVE",1:"ACTIVE")
115 S IBPLNLA=$S($P(IBAP0,"^",3)=0:"NOT ACTIVE",1:"ACTIVE")
116 Q
117 ;
118 ;IBCNSP0
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