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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