[623] | 1 | IBCNSP1 ;ALB/AAS - INSURANCE MANAGEMENT - policy actions ; 22-OCT-92
|
---|
| 2 | ;;2.0;INTEGRATED BILLING;**6,28,40,43,52,85,103,361**;21-MAR-94;Build 9
|
---|
| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
|
---|
| 4 | ;
|
---|
| 5 | % G EN^IBCNSP
|
---|
| 6 | ;
|
---|
| 7 | EA ; -- Edit all
|
---|
| 8 | N IBCDFN,IBTRC,IBTRN
|
---|
| 9 | D FULL^VALM1 W !!
|
---|
| 10 | S IBCDFN=$P($G(IBPPOL),"^",4) I 'IBCDFN W !!,"Can't identify the policy!" G EAQ
|
---|
| 11 | S IBCNSEH=1 D PAT^IBCNSEH
|
---|
| 12 | ;
|
---|
| 13 | D BEFORE^IBCNSEVT
|
---|
| 14 | D PATPOL^IBCNSM32(IBCDFN)
|
---|
| 15 | D AFTER^IBCNSEVT,^IBCNSEVT
|
---|
| 16 | ;
|
---|
| 17 | ; -- edit policy data
|
---|
| 18 | D POL^IBCNSEH
|
---|
| 19 | D EDPOL^IBCNSM3(IBCDFN)
|
---|
| 20 | ;
|
---|
| 21 | W !! D AI
|
---|
| 22 | ;
|
---|
| 23 | EAQ D:$G(IBTRC) AIP^IBCNSP02(IBTRC)
|
---|
| 24 | D BLD^IBCNSP
|
---|
| 25 | S VALMBCK="R"
|
---|
| 26 | Q
|
---|
| 27 | ;
|
---|
| 28 | AB ; -- Annual Benefits
|
---|
| 29 | S X=+$P($G(IBPPOL),"^",4),IBCNS=+$G(^DPT(DFN,.312,X,0)),IBCPOL=+$P($G(^(0)),"^",18)
|
---|
| 30 | I 'IBCPOL W !!,"Can't identify the plan!" S VALMBCK="" G ABQ
|
---|
| 31 | D FULL^VALM1 W !!
|
---|
| 32 | D EN^VALM("IBCNS ANNUAL BENEFITS")
|
---|
| 33 | S VALMBCK="R"
|
---|
| 34 | ABQ Q
|
---|
| 35 | ;
|
---|
| 36 | BU ; -- Benefits Used
|
---|
| 37 | S IBCDFN=+$P($G(IBPPOL),"^",4),IBCNS=+$G(^DPT(DFN,.312,IBCDFN,0)),IBCPOL=+$P($G(^(0)),"^",18)
|
---|
| 38 | I 'IBCPOL W !!,"Can't identify the plan!" S VALMBCK="" G BUQ
|
---|
| 39 | D FULL^VALM1 W !!
|
---|
| 40 | D EN^VALM("IBCNS BENEFITS USED BY DATE")
|
---|
| 41 | S VALMBCK="R"
|
---|
| 42 | BUQ Q
|
---|
| 43 | ;
|
---|
| 44 | IT ; -- edit insurance type info from patient policy and plan edit
|
---|
| 45 | D FULL^VALM1 W !!
|
---|
| 46 | N IBCDFN
|
---|
| 47 | S IBCDFN=+$P($G(IBPPOL),"^",4),IBCPOL=+$P($G(^DPT(DFN,.312,IBCDFN,0)),"^",18)
|
---|
| 48 | I 'IBCPOL W !!,"Can't identify the plan!" S VALMBCK="" G ITQ
|
---|
| 49 | D ITEDIT(IBCPOL,IBCDFN)
|
---|
| 50 | ITQ S VALMBCK="R" Q
|
---|
| 51 | ;
|
---|
| 52 | IT1 ; -- edit insurance type info from patient policy
|
---|
| 53 | D ITEDIT(IBCPOL)
|
---|
| 54 | S VALMBCK="R"
|
---|
| 55 | Q
|
---|
| 56 | ;
|
---|
| 57 | ITEDIT(IBCPOL,IBCDFN) ;Edit insurance type info once you have plan (IBCPOL)
|
---|
| 58 | ; IBCDFN = the ifn of the policy multiple for pt in ^DPT, node .312
|
---|
| 59 | ; only defined for editing via patient policy
|
---|
| 60 | G:'$G(IBCPOL) ITEDITQ
|
---|
| 61 | D SAVE^IBCNSP3(IBCPOL)
|
---|
| 62 | L +^IBA(355.3,+IBCPOL):5 I '$T D LOCKED^IBTRCD1 G ITEDITQ
|
---|
| 63 | I $G(IBCDFN) S IBCNSEH=+$G(^IBE(350.9,1,4)) D POL^IBCNSEH
|
---|
| 64 | I $P($G(^IBA(355.3,IBCPOL,0)),"^",11) W !?2,*7,"Please note that this plan is inactive!",!
|
---|
| 65 | S DA=IBCPOL,DIE="^IBA(355.3,",DR=".05;.12;.06;.07;.08"
|
---|
| 66 | D ^DIE K DIC,DIE,DA,DR
|
---|
| 67 | D COMP^IBCNSP3(IBCPOL)
|
---|
| 68 | I IBDIF D UPDATE^IBCNSP3(IBCPOL) D:$G(IBCDFN) UPDATPT^IBCNSP3(DFN,IBCDFN),BLD^IBCNSP D:'$G(IBCDFN) INIT^IBCNSC4
|
---|
| 69 | L -^IBA(355.3,+IBCPOL)
|
---|
| 70 | ITEDITQ Q
|
---|
| 71 | ;
|
---|
| 72 | ED ; -- Edit effective dates
|
---|
| 73 | D FULL^VALM1 W !!
|
---|
| 74 | N IBDIF,DA,DR,DIE,DIC
|
---|
| 75 | D BEFORE^IBCNSEVT
|
---|
| 76 | D SAVEPT^IBCNSP3(DFN,IBCDFN)
|
---|
| 77 | L +^DPT(DFN,.312,+$P($G(IBPPOL),"^",4)):5 I '$T D LOCKED^IBTRCD1 G EDQ
|
---|
| 78 | D VARS^IBCNSP3
|
---|
| 79 | S DR="8;3;1.09//;3.04"
|
---|
| 80 | D ^DIE K DIC,DIE,DA,DR
|
---|
| 81 | D COMPPT^IBCNSP3(DFN,IBCDFN) I IBDIF D UPDATPT^IBCNSP3(DFN,IBCDFN),AFTER^IBCNSEVT,^IBCNSEVT,BLD^IBCNSP
|
---|
| 82 | L -^DPT(DFN,.312,+$P($G(IBPPOL),"^",4))
|
---|
| 83 | EDQ S VALMBCK="R" Q
|
---|
| 84 | ;
|
---|
| 85 | VC ; -- Verify Coverage
|
---|
| 86 | D FULL^VALM1 W !!
|
---|
| 87 | D VFY^IBCNSM2
|
---|
| 88 | D BLD^IBCNSP
|
---|
| 89 | S VALMBCK="R" Q
|
---|
| 90 | ;
|
---|
| 91 | SU ; -- Subscriber Update
|
---|
| 92 | D FULL^VALM1 W !!
|
---|
| 93 | ;Patch 40
|
---|
| 94 | N IBDIF,DA,DR,DIC,DIE,DGSENFLG
|
---|
| 95 | S DGSENFLG=1
|
---|
| 96 | D SAVEPT^IBCNSP3(DFN,IBCDFN)
|
---|
| 97 | D VARS^IBCNSP3
|
---|
| 98 | L +^DPT(DFN,.312,+$P($G(IBPPOL),"^",4)):5 I '$T D LOCKED^IBTRCD1 G SUQ
|
---|
| 99 | S DR="6;S IBAD=X;K X I '$$VET^IBCNSU1() S Y=""@10"";17///^S X=$P(^DPT(DFN,0),U);16///^S X=""01"""
|
---|
| 100 | S DR=DR_";S Y=""@20"";@10;17;16//^S X=$S(IBAD=""s"":""02"",1:"""");@20;1;.2;4.01;4.02;3.01;3.12;3.02;3.03;3.05:3.11"
|
---|
| 101 | D ^DIE K DIC,DIE,DA,DR
|
---|
| 102 | D COMPPT^IBCNSP3(DFN,IBCDFN)
|
---|
| 103 | I IBDIF D UPDATPT^IBCNSP3(DFN,IBCDFN),BLD^IBCNSP
|
---|
| 104 | L -^DPT(DFN,.312,+$P($G(IBPPOL),"^",4))
|
---|
| 105 | SUQ S VALMBCK="R" Q
|
---|
| 106 | ;
|
---|
| 107 | IC ; -- Insurance Contact Information
|
---|
| 108 | D FULL^VALM1 W !!
|
---|
| 109 | N IBDIF,DA,DR,DIC,DIE,IBTRC,DIR,DUOUT,DTOUT,DIRUT,IBTRN
|
---|
| 110 | D AI
|
---|
| 111 | D:$G(IBTRC) AIP^IBCNSP02(IBTRC),BLD^IBCNSP
|
---|
| 112 | S VALMBCK="R" Q
|
---|
| 113 | Q
|
---|
| 114 | AI ; -- Add ins. verification entry
|
---|
| 115 | N X,Y,I,J,DA,DR,DIC,DIE,DR,DD,DO,VA,VAIN,VAERR,IBQUIT,IBXIFN,IBTRN,DUOUT,IBX,IBQUIT,DTOUT
|
---|
| 116 | Q:'$G(DFN)
|
---|
| 117 | Q:'$G(IBCDFN) S IBQUIT=0
|
---|
| 118 | D AI^IBCNSP02
|
---|
| 119 | Q
|
---|