[613] | 1 | IBCNSP01 ;ALB/AAS - INSURANCE MANAGEMENT - EXPANDED POLICY ;05-MAR-1993
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| 2 | ;;2.0;INTEGRATED BILLING;**43,52,85,251,371,377**;21-MAR-94;Build 23
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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 | ;
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| 6 | % D SUBSC,RIDER
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| 7 | Q
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| 8 | ;
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| 9 | SUBSC ; -- subscriber region
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| 10 | N OFFSET,START
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| 11 | S START=24,OFFSET=2
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| 12 | D SET^IBCNSP(START,OFFSET," Subscriber Information ",IORVON,IORVOFF)
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| 13 | S Y=$P(IBCDFND,"^",6),C=$P(^DD(2.312,6,0),"^",2) D Y^DIQ
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| 14 | D SET^IBCNSP(START+1,OFFSET," Whose Insurance: "_Y)
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| 15 | D SET^IBCNSP(START+2,OFFSET," Subscriber Name: "_$P(IBCDFND,"^",17))
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| 16 | S Y=$P(IBCDFND4,"^",3),C=$P(^DD(2.312,4.03,0),"^",2) D Y^DIQ
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| 17 | D SET^IBCNSP(START+3,OFFSET," Relationship: "_Y)
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| 18 | D SET^IBCNSP(START+4,OFFSET," Primary ID: "_$P(IBCDFND,"^",2))
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| 19 | S Y=$P(IBCDFND,"^",20),C=$P(^DD(2.312,.2,0),"^",2) D Y^DIQ
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| 20 | D SET^IBCNSP(START+5,OFFSET,"Coord. Benefits: "_Y)
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| 21 | D SET^IBCNSP(START+6,OFFSET,"Primary Provider: "_$P(IBCDFND4,"^",1))
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| 22 | D SET^IBCNSP(START+7,OFFSET," Prim Prov Phone: "_$P(IBCDFND4,"^",2))
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| 23 | Q
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| 24 | ;
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| 25 | VER ; -- Entered/Verfied Region
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| 26 | N OFFSET,START
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| 27 | S START=$O(^TMP("IBCNSVP",$J,""),-1)+1,OFFSET=2
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| 28 | S IB1ST("VERIFY")=START
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| 29 | D SET^IBCNSP(START,OFFSET," User Information ",IORVON,IORVOFF)
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| 30 | D SET^IBCNSP(START+1,OFFSET," Entered By: "_$E($P($G(^VA(200,+$P(IBCDFND1,"^",2),0)),"^",1),1,20))
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| 31 | D SET^IBCNSP(START+2,OFFSET," Entered On: "_$$DAT1^IBOUTL(+IBCDFND1))
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| 32 | D SET^IBCNSP(START+3,OFFSET,"Last Verified By: "_$E($P($G(^VA(200,+$P(IBCDFND1,"^",4),0)),"^",1),1,20))
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| 33 | D SET^IBCNSP(START+4,OFFSET,"Last Verified On: "_$$DAT1^IBOUTL(+$P(IBCDFND1,"^",3)))
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| 34 | D SET^IBCNSP(START+5,OFFSET," Last Updated By: "_$E($P($G(^VA(200,+$P(IBCDFND1,"^",6),0)),"^",1),1,20))
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| 35 | D SET^IBCNSP(START+6,OFFSET," Last Updated On: "_$$DAT1^IBOUTL(+$P(IBCDFND1,"^",5)))
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| 36 | D SET^IBCNSP(START+7,2," ") ; 2 blank lines to end section
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| 37 | D SET^IBCNSP(START+8,2," ")
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| 38 | VERQ Q
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| 39 | ;
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| 40 | ID ; Subscriber and patient primary and secondary ID's and qualifiers
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| 41 | NEW START,OFFSET,IBL,G,PCE,QUAL,QUAL1
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| 42 | S G=IBCDFND5
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| 43 | S (START,IBL)=$O(^TMP("IBCNSVP",$J,""),-1)+1,OFFSET=2
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| 44 | S IB1ST("ID")=START
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| 45 | D SET^IBCNSP(START,OFFSET," Insurance Company ID Numbers (use Subscriber Update Action) ",IORVON,IORVOFF)
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| 46 | S IBL=IBL+1
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| 47 | D SET^IBCNSP(IBL,OFFSET," Subscriber Primary ID: "_$P(IBCDFND,U,2))
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| 48 | ;
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| 49 | F PCE=3,5,7 D ; subscriber secondary IDs
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| 50 | . I $P(G,U,PCE)="" Q ; no secondary ID#
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| 51 | . S QUAL=$P(G,U,PCE-1) ; internal qualifier code
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| 52 | . S QUAL1=$S(QUAL="23":"Client#",QUAL="IG":"Ins. Policy#",QUAL="SY":"SSN",1:"Unknown")
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| 53 | . S IBL=IBL+1
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| 54 | . D SET^IBCNSP(IBL,OFFSET,"Subscriber Secondary ID: "_$P(G,U,PCE))
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| 55 | . D SET^IBCNSP(IBL,52,"ID Qual: "_QUAL_" ("_QUAL1_")")
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| 56 | . Q
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| 57 | ;
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| 58 | ; patient=subscriber so skip over patient ID# display
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| 59 | I +$P(IBCDFND,U,16)=1 G ID1
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| 60 | ;
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| 61 | S IBL=IBL+1 D SET^IBCNSP(IBL,2," ") ; blank line
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| 62 | S IBL=IBL+1
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| 63 | D SET^IBCNSP(IBL,OFFSET," Patient Primary ID: "_$P(G,U,1))
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| 64 | ;
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| 65 | F PCE=9,11,13 D ; patient secondary IDs
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| 66 | . I $P(G,U,PCE)="" Q ; no secondary ID#
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| 67 | . S QUAL=$P(G,U,PCE-1) ; internal qualifier code
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| 68 | . S QUAL1=$S(QUAL="23":"Client#",QUAL="IG":"Ins. Policy#",QUAL="SY":"SSN",1:"Unknown")
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| 69 | . S IBL=IBL+1
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| 70 | . D SET^IBCNSP(IBL,OFFSET," Patient Secondary ID: "_$P(G,U,PCE))
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| 71 | . D SET^IBCNSP(IBL,52,"ID Qual: "_QUAL_" ("_QUAL1_")")
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| 72 | . Q
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| 73 | ;
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| 74 | ID1 ; end of section - 2 blank lines
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| 75 | S IBL=IBL+1 D SET^IBCNSP(IBL,2," ")
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| 76 | S IBL=IBL+1 D SET^IBCNSP(IBL,2," ")
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| 77 | IDQ ;
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| 78 | Q
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| 79 | ;
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| 80 | RIDER ; -- Personal policy riders
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| 81 | N OFFSET,START,IBI,IBL,IBPR,IBPRD
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| 82 | S START=$O(^TMP("IBCNSVP",$J,""),-1)+1,OFFSET=2,IBL=0
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| 83 | D SET^IBCNSP(START,OFFSET," Personal Riders ",IORVON,IORVOFF)
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| 84 | S IBI="" F S IBI=$O(^IBA(355.7,"APP",DFN,IBCDFN,IBI)) Q:'IBI S IBPR=$O(^(IBI,0)),IBPRD=+$G(^IBA(355.7,IBPR,0)),IBL=IBL+1 D
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| 85 | . D SET^IBCNSP(START+IBL,OFFSET," Rider #"_IBL_": "_$$EXPAND^IBTRE(355.7,.01,IBPRD))
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| 86 | . Q
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| 87 | S IBL=IBL+1 D SET^IBCNSP(START+IBL,OFFSET," ")
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| 88 | S IBL=IBL+1 D SET^IBCNSP(START+IBL,OFFSET," ")
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| 89 | Q
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| 90 | ;
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| 91 | AI ; -- Add ins. verification entry
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| 92 | ; called from ai^ibcnsp1
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| 93 | ;
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| 94 | ; -- see if current inpatient
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| 95 | D INP^VADPT I +VAIN(1) D
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| 96 | .S IBTRN=$O(^IBT(356,"AD",+VAIN(1),0))
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| 97 | ;
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| 98 | S IBXIFN=$O(^IBE(356.11,"ACODE",85,0))
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| 99 | ;
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| 100 | ; -- if not tracking id allow selecting
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| 101 | I '$G(IBTRN) D G:IBQUIT AIQ
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| 102 | .W !,"You can now enter a contact and relate it to a Claims Tracking Admission entry."
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| 103 | .S DIC("A")="Select RELATED ADMISSION DATE: "
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| 104 | .S DIC="^IBT(356,",DIC(0)="AEQ",D="ADFN"_DFN,DIC("S")="I $P(^(0),U,5)"
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| 105 | .D IX^DIC K DA,DR,DIC,DIE I $D(DUOUT)!($D(DTOUT)) S IBQUIT=1 Q
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| 106 | .I +Y>1 S IBTRN=+Y
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| 107 | ;
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| 108 | I '$G(IBTRN) W !!,"Warning: This contact is not associated with any care in Claims Tracking.",!,"You may only edit or view this contact using this action.",!
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| 109 | ;
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| 110 | ; -- select date
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| 111 | S IBOK=0,IBI=0 F S IBI=$O(^IBT(356.2,"D",DFN,IBI)) Q:'IBI I $P($G(^IBT(356.2,+IBI,0)),"^",4)=IBXIFN,$P($G(^(1)),"^",5)=IBCDFN S IBOK=1
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| 112 | I IBOK D G:IBQUIT AIQ
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| 113 | .S DIC="^IBT(356.2,",DIC("A")="Select Contact Date: "
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| 114 | .S X="??",DIC(0)="EQ",DIC("S")="I $P($G(^(1)),U,5)=IBCDFN,$P(^(0),U,4)=IBXIFN" ;,DLAYGO=356.2
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| 115 | .S D="ADFN"_DFN
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| 116 | .D IX^DIC K DIC,DR,DA,DIE,D I $D(DUOUT)!($D(DTOUT)) S IBQUIT=1
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| 117 | ;
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| 118 | S DIC="^IBT(356.2,",DIC("A")="Select Contact Date: ",DIC("B")="TODAY"
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| 119 | S DIC("DR")=".02////"_$G(IBTRN)_";.04////"_IBXIFN_";.05////"_DFN_";.19////1;1.01///NOW;1.02////"_DUZ_";1.05////"_IBCDFN
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| 120 | S DIC(0)="AEQL",DIC("S")="I $P(^(0),U,5)=DFN,$P($G(^(1)),U,5)=IBCDFN,$P(^(0),U,4)=IBXIFN",DLAYGO=356.2
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| 121 | D ^DIC K DIC
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| 122 | I $D(DTOUT)!($D(DUOUT))!(+Y<1) G AIQ
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| 123 | S IBTRC=+Y
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| 124 | I $G(IBTRC),$G(IBTRN),'$P(^IBT(356.2,+IBTRC,0),"^",2) S DA=IBTRC,DIE="^IBT(356.2,",DR=".02////"_$G(IBTRN) D ^DIE
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| 125 | ;
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| 126 | ; -- edit ins ver type
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| 127 | D EDIT^IBTRCD1("[IBT INS VERIFICATION]",1)
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| 128 | AIQ Q
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