| 1 | IBCSC82 ;ALB/MJB - MCCR SCREEN 8 (UB-04 BILL SPECIFIC INFO) ;27 MAY 88 10:20 | 
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| 2 | ;;2.0;INTEGRATED BILLING;**51,137,210,232,155,343,349**;21-MAR-94;Build 46 | 
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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 | EN S IBCUBFT=$$FT^IBCU3(IBIFN) I IBCUBFT=2 K IBCUBFT G ^IBCSC8H ;CMS-1500 | 
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| 6 | ; | 
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| 7 | N I,IB,IBX,Z | 
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| 8 | D ^IBCSCU S IBSR=8,IBSR1=2,IBV1="00000" S:IBV IBV1="11111" F I="U","U1",0,"UF3","UF31","U2","TX","U3" S IB(I)=$G(^DGCR(399,IBIFN,I)) | 
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| 9 | N IBZ,IBPRV,IBREQ,IBMRASEC,TEXT | 
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| 10 | D GETPRV^IBCEU(IBIFN,"ALL",.IBPRV) | 
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| 11 | K IB("PRV") | 
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| 12 | S IBZ=0 F  S IBZ=$O(IBPRV(IBZ)) Q:'IBZ  I $O(IBPRV(IBZ,0))!$D(IBPRV(IBZ,"NOTOPT")) M IB("PRV",IBZ)=IBPRV(IBZ) | 
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| 13 | ; | 
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| 14 | D H^IBCSCU | 
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| 15 | S Z=1,IBW=1 X IBWW W " Bill Remarks",!?5,"- FL-80",?22,": " | 
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| 16 | S TEXT=$P($G(^DGCR(399,IBIFN,"UF2")),U,3)  ; field# 402 | 
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| 17 | I TEXT="" W IBUN                           ; unspecified [not required] | 
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| 18 | I TEXT'="" D | 
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| 19 | . N IBZ,Z | 
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| 20 | . D REMARK^IBCEF77(IBIFN,.IBZ) | 
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| 21 | . S Z=0 F  S Z=$O(IBZ(Z)) Q:'Z  D | 
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| 22 | .. W ?24,$G(IBZ(Z)) | 
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| 23 | .. I Z>4 W ?48,$G(IBVI)," <--- This Line Will Not Print ",$G(IBVO) | 
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| 24 | .. I $O(IBZ(Z)) W ! | 
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| 25 | .. Q | 
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| 26 | . Q | 
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| 27 | ; | 
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| 28 | S IBZ="",IBZ=$S($P(IB("UF3"),U,4)]"":"Pri: "_$P(IB("UF3"),U,4),1:"")_$S($P(IB("UF3"),U,5)'="":"  Sec: "_$P(IB("UF3"),U,5),1:"")_$S($P(IB("UF3"),U,6)'="":" Ter: "_$P(IB("UF3"),U,6),1:"") | 
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| 29 | S:IBZ="" IBZ=IBUN | 
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| 30 | W !,?3," ICN/DCN(s)        : ",IBZ | 
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| 31 | S IBZ="",IBZ=$S($P(IB("U"),U,13)]"":"Pri: "_$P(IB("U"),U,13),1:"")_$S($P(IB("U2"),U,8)'="":"  Sec: "_$P(IB("U2"),U,8),1:"")_$S($P(IB("U2"),U,9)'="":"  Ter: "_$P(IB("U2"),U,9),1:"") | 
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| 32 | S:IBZ="" IBZ=IBUN | 
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| 33 | W !,?3," Tx Auth. Code(s)  : ",IBZ | 
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| 34 | W !,?3," Admitting Dx      : " S IBX=$$ICD9^IBACSV(+IB("U2"),$$BDATE^IBACSV(IBIFN)) W $S(IBX'="":$P(IBX,U)_" - "_$P(IBX,U,3),'$$INPAT^IBCEF(IBIFN):IBUN,1:IBU) | 
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| 35 | I $P(IB(0),U,5)>2 W !,?3," Admission Source  : " S IBX=$$EXTERNAL^DILFD(399,159,,$P(IB("U"),U,9)) W $S(IBX'="":IBX,1:IBU) ;Outpatient only | 
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| 36 | S Z=2,IBW=1 X IBWW | 
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| 37 | W " Providers         : ",$S('$O(IB("PRV",0)):IBU,1:"") | 
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| 38 | I $D(IB("PRV")) D | 
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| 39 | . N Z,IBT,IBQ,IBARR,IBTAX,IBNOTAX,IBSPEC,IBNOSPEC | 
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| 40 | . S IBZ=0 | 
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| 41 | . D DEFSEC^IBCEF74(IBIFN,.IBARR) | 
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| 42 | . ; PRXM/KJH - Add Taxonomy code to display for patch 343. Moved secondary IDs slightly (below). | 
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| 43 | . S IBTAX=$$PROVTAX^IBCEF73A(IBIFN,.IBNOTAX) | 
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| 44 | . S IBSPEC=$$SPECTAX^IBCEF73A(IBIFN,.IBNOSPEC) | 
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| 45 | . F  S IBZ=$O(IB("PRV",IBZ)) Q:'IBZ  D | 
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| 46 | .. N A,A1 | 
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| 47 | .. S IBQ="" | 
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| 48 | .. W !,?5,"- " | 
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| 49 | .. S A=$$EXPAND^IBTRE(399.0222,.01,IBZ) | 
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| 50 | .. I $P($G(IB("PRV",IBZ,1)),U,4)'="" S A1=" ("_$E($P(IB("PRV",IBZ,1),U,4),1,3)_")",A=$E(A,1,15-$L(A1))_A1 | 
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| 51 | .. W $E(A_$J("",15),1,15),": " | 
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| 52 | .. I '$P($G(IB("PRV",IBZ,1)),U,3),$P($G(IB("PRV",IBZ,1)),U)="" W IBU Q | 
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| 53 | .. I $P($G(IB("PRV",IBZ,1)),U)'="" W:'$G(IB("PRV",IBZ)) $E($P(IB("PRV",IBZ,1),U)_$J("",20),1,20) W:$G(IB("PRV",IBZ)) "(OLD PROV DATA) "_$P(IB("PRV",IBZ,1),U) | 
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| 54 | .. I $P($G(IB("PRV",IBZ,1)),U)="",$P($G(IB("PRV",IBZ)),U)'="" W $E($P(IB("PRV",IBZ),U)_$J("",20),1,20) | 
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| 55 | .. W "    Taxonomy: ",$S($P(IBTAX,U,IBZ)'="":$P(IBTAX,U,IBZ),1:IBU),$S($P(IBSPEC,U,IBZ)'="":" ("_$P(IBSPEC,U,IBZ)_")",1:"") | 
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| 56 | .. F A=1:1:3 I $G(IBARR(IBZ,A))'="" S IBQ=IBQ_"["_$E("PST",A)_"]"_IBARR(IBZ,A)_" " | 
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| 57 | .. I $L(IBQ) W !,?30,$E(IBQ,1,49) | 
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| 58 | K IB("PRV") | 
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| 59 | ; | 
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| 60 | S IBREQ=+$$REQMRA^IBEFUNC(IBIFN) S:IBREQ IBREQ=1 | 
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| 61 | S IBMRASEC=$$MRASEC^IBCEF4(IBIFN) | 
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| 62 | S Z=3,IBW=1 X IBWW W " ",$S('IBREQ:"Force To Print?    : ",1:"Force MRA Sec Prt?: ") | 
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| 63 | S IBZ=$$EXTERNAL^DILFD(399,27+IBREQ,,+$P(IB("TX"),U,8+IBREQ)) | 
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| 64 | I IBMRASEC,'$P(IB("TX"),U,8),$P(IB("TX"),U,9) S IBZ="FORCED TO PRINT BY MRA PRIMARY",$P(IB("TX"),U,8)=0 | 
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| 65 | W $S(IBZ'=""&($P(IB("TX"),U,8+IBREQ)'=""):IBZ,'$$TXMT^IBCEF4(IBIFN):"[NOT APPLICABLE - NOT TRANSMITTABLE]",IBREQ:"NO FORCED PRINT",1:IBZ) | 
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| 66 | S Z=4,IBW=1 X IBWW | 
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| 67 | W " Provider ID Maint  : (Edit Provider ID information)" | 
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| 68 | S Z=5,IBW=1 X IBWW | 
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| 69 | W " Other Facility (VA/non): " S IBZ=$$EXPAND^IBTRE(399,232,+$P(IB("U2"),U,10)) | 
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| 70 | W $S(IBZ'="":$E(IBZ,1,23),$$PSRV^IBCEU(IBIFN):IBU,1:IBUN) | 
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| 71 | I IBZ'="" D | 
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| 72 | . ; PRXM/KJH - Add Taxonomy code to display for patch 343. | 
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| 73 | . W ?53,"Taxonomy: " | 
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| 74 | . S IBZ=$$GET1^DIQ(8932.1,+$P(IB("U3"),U,3),"X12 CODE") W $S(IBZ'="":IBZ,1:IBU) | 
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| 75 | . S IBZ=$$GET1^DIQ(8932.1,+$P(IB("U3"),U,3),"SPECIALTY CODE") W $S(IBZ'="":" ("_IBZ_")",1:"") | 
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| 76 | . Q | 
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| 77 | ; | 
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| 78 | G ^IBCSCP | 
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| 79 | Q Q | 
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| 80 | ;IBCSC82 | 
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