| [613] | 1 | IBCRHBC3 ;ALB/ARH - RATES: UPLOAD HOST FILES (CMAC 2005+) ; 10-MAY-2005
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 | 2 |  ;;2.0;INTEGRATED BILLING;**307,329**;21-MAR-94
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 | 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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 | 4 |  ;
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 | 5 |  ; ROUTINE SPECIFIC FOR FORMAT OF YEAR 2005+ CMAC FILES
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 | 6 |  ;
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 | 7 | CMAC(IBPATH,IBFILE,IBNAME,IBMODP,IBMODT) ; upload CMAC file from a VMS file into ^XTMP
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 | 8 |  N X,Y,IBI,IBXRF,IBDONE,IBXRF1,IBXRF2,IBFLINE,IBINACT,IBMOD,IBCHG
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 | 9 |  N IBLOC,IBCPT,IBNFP,IBFP,IBNFNP,IBFNP,IBEFDT,IBTRDT,IBPPC,IBPTC,IBNPPC,IBNPTC
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 | 10 |  ;
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 | 11 |  D SETUP(IBFILE,IBNAME)
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 | 12 |  ;
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 | 13 |  S IBXRF=IBNAME_IBFILE,IBLOC="",IBDONE=""
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 | 14 |  ;
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 | 15 |  D OPEN^%ZISH("CMAC UPLOAD",IBPATH,IBFILE,"R") I POP W !!,"**** Unable to open ",IBPATH,IBFILE,! G CMACQ
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 | 16 |  ;
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 | 17 |  U IO(0) W !!,"Loading ",IBFILE," into ^XTMP "
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 | 18 |  ;
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 | 19 |  S IBI=0 F  S IBI=IBI+1 U IO R IBFLINE:5 Q:$$ENDF  D PARSE,STORE I '(IBI#100) U IO(0) W "."
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 | 20 |  ;
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 | 21 |  D CLOSE^%ZISH("CMAC UPLOAD")
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 | 22 |  ;
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 | 23 |  S IBDONE=(IBI-1)_U_IBXRF
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 | 24 |  ;
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 | 25 | CMACQ Q IBDONE
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 | 26 |  ;
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 | 27 | ENDF() N IBX S IBX=1 I $T,IBFLINE'="" S IBX=0
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 | 28 |  I $$STATUS^%ZISH S IBX=1
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 | 29 |  I 'IBX,'$$LNFORM(IBFLINE) D
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 | 30 |  . U IO(0)
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 | 31 |  . W !!,"**** Error while reading file: line not expected format (98 numeric characters):"
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 | 32 |  . W !!,"Line Length=",$L(IBFLINE)," characters" W:IBFLINE="" ?40,"Line read is null"
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 | 33 |  . W !,"LINE='",IBFLINE,"'",!!,"Upload Aborted!"
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 | 34 |  . S IBX=1 H 7 U IO
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 | 35 |  I IBI=1,IBFLINE="" U IO(0) W !!,"First line of file has no data, can not continue!" S IBX=1 H 7 U IO
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 | 36 |  Q IBX
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 | 37 |  ;
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 | 38 | LNFORM(LINE) ; check an individual line of the file for proper format (length=98 characters)
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 | 39 |  N IBX S IBX=0,LINE=$G(LINE) I (LINE?98N)!(LINE?3N5AN90N) S IBX=1
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 | 40 |  Q IBX
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 | 41 |  ;
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 | 42 | PARSE ; process a single line from a CMAC file: parse out into individual fields and store the line in XTMP
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 | 43 |  ;
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 | 44 |  S IBLOC=$E(IBFLINE,1,3) ; locality
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 | 45 |  S IBCPT=$E(IBFLINE,4,8) ; CPT procedure
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 | 46 |  S IBNFP=$E(IBFLINE,9,16) ;   category 2 Non-Facility Physician charge
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 | 47 |  S IBFP=$E(IBFLINE,17,24) ;   category 1 Facility Physician charge
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 | 48 |  S IBNFNP=$E(IBFLINE,25,32) ; category 4 Non-Facility Non-Physician charge
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 | 49 |  S IBFNP=$E(IBFLINE,33,40) ;  category 3 Facility Non-Physician charge
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 | 50 |  S IBEFDT=$E(IBFLINE,41,48) ; effective date
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 | 51 |  S IBTRDT=$E(IBFLINE,57,64) ; termination date
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 | 52 |  S IBPPC=$E(IBFLINE,65,72) ;  Physician professional component
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 | 53 |  S IBPTC=$E(IBFLINE,73,80) ;  Physician technical component
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 | 54 |  S IBNPPC=$E(IBFLINE,81,88) ; Non-Physician professional component
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 | 55 |  S IBNPTC=$E(IBFLINE,89,96) ; Non-Physician technical component
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 | 56 |  Q
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 | 57 |  ;
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 | 58 | STORE ;
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 | 59 |  S IBXRF1=IBXRF_"  "_IBLOC
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 | 60 |  ;
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 | 61 |  S IBMOD="",IBEFDT=$$DATE(IBEFDT),IBINACT="" I IBTRDT'=99999999,+IBTRDT S IBINACT=$$DATE(IBTRDT)
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 | 62 |  ;
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 | 63 |  I +IBFP S IBCHG=$$CGF(IBFP),IBMOD="" S IBXRF2="FAC/PHYS CAT 1" D SET
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 | 64 |  I +IBFNP S IBCHG=$$CGF(IBFNP),IBMOD="" S IBXRF2="FAC/NONPHYS CAT 3" D SET
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 | 65 |  ;
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 | 66 |  I +IBNFP S IBCHG=$$CGF(IBNFP),IBMOD="" S IBXRF2="NONFAC/PHYS CAT 2" D SET
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 | 67 |  I +IBNFNP S IBCHG=$$CGF(IBNFNP),IBMOD="" S IBXRF2="NONFAC/NONPHYS CAT 4" D SET
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 | 68 |  ;
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 | 69 |  I +IBMODP,+IBPPC S IBCHG=$$CGF(IBPPC),IBMOD=IBMODP S IBXRF2="FAC/PHYS PC" D SET S IBXRF2="NON"_IBXRF2 D SET
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 | 70 |  I +IBMODT,+IBPTC S IBCHG=$$CGF(IBPTC),IBMOD=IBMODT S IBXRF2="FAC/PHYS TC" D SET S IBXRF2="NON"_IBXRF2 D SET
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 | 71 |  ;
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 | 72 |  I +IBMODP,+IBNPPC S IBCHG=$$CGF(IBNPPC),IBMOD=IBMODP S IBXRF2="FAC/NONPHYS PC" D SET S IBXRF2="NON"_IBXRF2 D SET
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 | 73 |  I +IBMODT,+IBNPTC S IBCHG=$$CGF(IBNPTC),IBMOD=IBMODT S IBXRF2="FAC/NONPHYS TC" D SET S IBXRF2="NON"_IBXRF2 D SET
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 | 74 |  ;
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 | 75 |  Q
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 | 76 |  ;
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 | 77 | CGF(AMT) ; return charge string from file line in dollar format
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 | 78 |  Q +($E(AMT,1,6)_"."_$E(AMT,7,8))
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 | 79 |  ;
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 | 80 | SET ;
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 | 81 |  N IBX S IBX=$G(^XTMP(IBXRF1,0)) I IBX="" D SETHDR
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 | 82 |  S $P(^XTMP(IBXRF1,0),U,4)=+$P(IBX,U,4)+1
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 | 83 |  S $P(^XTMP(IBXRF1,IBXRF2),U,1)=+$G(^XTMP(IBXRF1,IBXRF2))+1
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 | 84 |  S ^XTMP(IBXRF1,IBXRF2,IBI)=IBCPT_U_IBEFDT_U_IBINACT_U_+IBCHG_U_IBMOD
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 | 85 |  Q
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 | 86 |  ;
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 | 87 | SETHDR ;
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 | 88 |  N IBX S IBX="IB upload of Host file "_IBFILE_", on "_$$HTE^XLFDT($H,2)_" by "_$P($G(^VA(200,+$G(DUZ),0)),U,1)
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 | 89 |  S ^XTMP(IBXRF1,0)=$$FMADD^XLFDT(DT,2)_U_DT_U_IBX
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 | 90 |  ;
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 | 91 |  S ^XTMP(IBXRF1,IBXRF2)=0_U_2_U_$G(IBCS)
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 | 92 |  Q
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 | 93 |  ;
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 | 94 |  ;
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 | 95 | DATE(DATE) ; return yymmdd in FM format
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 | 96 |  N IBX S IBX="" I $G(DATE)?8N S IBX=$S($E(DATE,1,2)<20:"2",1:"3")_$E(DATE,3,8)
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 | 97 |  Q IBX
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 | 98 |  ;
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 | 99 |  ;
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 | 100 | LNDT(LINE) ; return the date of an individual line, in FM format
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 | 101 |  N IBX S IBX=$E($G(LINE),41,48) S IBX=$$DATE(IBX)
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 | 102 |  Q IBX
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 | 103 |  ;
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 | 104 |  ;
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 | 105 |  ;
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 | 106 | SETUP(IBFILE,IBNAME) ; set up Charge Sets, Billing Regions, Rate Schedule links for new charges
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 | 107 |  ; if new region entered, asks user for divisions
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 | 108 |  N IBLOC,IBXRF1,IBXRF2,IBEVENT,IBCT,IBBS,IBRV,IBRG,IBCS
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 | 109 |  ;
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 | 110 |  S IBLOC=$P($P($G(IBFILE),"CMAC",2),".",1),IBXRF1=$G(IBNAME)_IBFILE_"  "_IBLOC
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 | 111 |  S IBEVENT="PROCEDURE",IBCT="PROF",IBBS="OUTPATIENT VISIT",IBRV=510
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 | 112 |  ;
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 | 113 |  ;
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 | 114 |  ; Find/Create Billing Region
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 | 115 |  S IBRG=$$RG^IBCRHU2("CMAC "_IBLOC,,IBLOC)
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 | 116 |  ;
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 | 117 |  ;
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 | 118 |  ; Category 1 Facility Physician Charges
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 | 119 |  S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" FAC/PHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS)
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 | 120 |  D RSBR^IBCRHU2(IBCS,1,$G(IBGLBEFF))
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 | 121 |  F IBXRF2="FAC/PHYS CAT 1","FAC/PHYS PC","FAC/PHYS TC" D SETHDR
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 | 122 |  ;
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 | 123 |  ;
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 | 124 |  ; Category 3 Facility Non-Physician Charges
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 | 125 |  S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" FAC/NONPHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS)
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 | 126 |  D RSBR^IBCRHU2(IBCS,0,$G(IBGLBEFF))
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 | 127 |  F IBXRF2="FAC/NONPHYS CAT 3","FAC/NONPHYS PC","FAC/NONPHYS TC" D SETHDR
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 | 128 |  ;
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 | 129 |  ;
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 | 130 |  ; Category 2 Non-Facility Physician Charges
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 | 131 |  S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" NONFAC/PHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS)
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 | 132 |  D RSBR^IBCRHU2(IBCS,0,$G(IBGLBEFF))
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 | 133 |  F IBXRF2="NONFAC/PHYS CAT 2","NONFAC/PHYS PC","NONFAC/PHYS TC" D SETHDR
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 | 134 |  ;
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 | 135 |  ;
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 | 136 |  ; Category 4 Non-Facility Non-Physician Charges
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 | 137 |  S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" NONFAC/NONPHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS)
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 | 138 |  D RSBR^IBCRHU2(IBCS,0,$G(IBGLBEFF))
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 | 139 |  F IBXRF2="NONFAC/NONPHYS CAT 4","NONFAC/NONPHYS PC","NONFAC/NONPHYS TC" D SETHDR
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 | 140 |  ;
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 | 141 |  ;
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 | 142 |  ; get divisions added to new Billing Region
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 | 143 |  I +$P(IBRG,U,3) D GETDIV^IBCRHU2(+IBRG)
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 | 144 |  Q
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