[613] | 1 | IBECUSO ;RLM/DVAMC - TRICARE PHARMACY BILLING OUTPUTS ; 21-AUG-96
|
---|
| 2 | ;;2.0;INTEGRATED BILLING;**52,240,309,347**;21-MAR-94;Build 24
|
---|
| 3 | ;
|
---|
| 4 | REJ ; Generate the Pharmacy Billing Reject report.
|
---|
| 5 | ;
|
---|
| 6 | ; - quit if there are no rejects
|
---|
| 7 | I '$O(^IBA(351.52,0)) W !!,"There are no rejects to be printed." G REJQ
|
---|
| 8 | ;
|
---|
| 9 | ; - select a device
|
---|
| 10 | S %ZIS="QM" D ^%ZIS G:POP REJQ
|
---|
| 11 | I $D(IO("Q")) D G REJQ
|
---|
| 12 | .S ZTRTN="REJDQ^IBECUSO",ZTDESC="IB - LIST TRICARE PHARMACY BILLING REJECTS"
|
---|
| 13 | .D ^%ZTLOAD W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
|
---|
| 14 | .K ZTSK,IO("Q") D HOME^%ZIS
|
---|
| 15 | ;
|
---|
| 16 | U IO
|
---|
| 17 | ;
|
---|
| 18 | REJDQ ; Tasked entry point.
|
---|
| 19 | ;
|
---|
| 20 | S (IBPAG,IBQ)=0 D REJHDR
|
---|
| 21 | ;
|
---|
| 22 | ; - print rejects
|
---|
| 23 | S IBR=0 F S IBR=$O(^IBA(351.52,IBR)) Q:'IBR D Q:IBQ
|
---|
| 24 | .S IBR0=$G(^IBA(351.52,IBR,0)),IBR1=$G(^(1))
|
---|
| 25 | .Q:'IBR0
|
---|
| 26 | .;
|
---|
| 27 | .S DFN=$$FILE^IBRXUTL(+IBR0,2),IBRXD=$$RXZERO^IBRXUTL(DFN,+IBR0)
|
---|
| 28 | .Q:IBRXD=""
|
---|
| 29 | .S IBFDT=$$FDT($P(IBR0,"^"))
|
---|
| 30 | .;
|
---|
| 31 | .; - display the prescription
|
---|
| 32 | .I $Y>(IOSL-4) D PAUSE Q:IBQ D REJHDR
|
---|
| 33 | .D REJERR
|
---|
| 34 | .;
|
---|
| 35 | .; - display errors
|
---|
| 36 | .F I=1:1 Q:$P(IBR1,",",I)="" S IBERRP=$P(IBR1,",",I) Q:IBERRP="" D Q:IBQ
|
---|
| 37 | ..I $Y>(IOSL-2) D PAUSE Q:IBQ D REJHDR,REJERR
|
---|
| 38 | ..S IBTXT=$$ERRTXT^IBECUS22(IBERRP)
|
---|
| 39 | ..I IBTXT]"" W !?4,IBTXT
|
---|
| 40 | ;
|
---|
| 41 | ; - end-of-report pause
|
---|
| 42 | D:'IBQ PAUSE
|
---|
| 43 | ;
|
---|
| 44 | REJQ I '$D(ZTQUEUED) D ^%ZISC
|
---|
| 45 | K IBFDT,IBPAG,IBQ,IBR,IBR0,IBR1,IBRXD,DFN,IBERRP,IBTXT
|
---|
| 46 | Q
|
---|
| 47 | ;
|
---|
| 48 | ;
|
---|
| 49 | REJHDR ; Print the Reject report header.
|
---|
| 50 | I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
|
---|
| 51 | S IBPAG=IBPAG+1
|
---|
| 52 | W !,$$DASH(),!,"Date: ",$$DAT1^IBOUTL(DT),?(IOM/2)-14,"IPS Unresolved Reject Report"
|
---|
| 53 | W ?(IOM-10),"Page: ",IBPAG,!,$$DASH()
|
---|
| 54 | Q
|
---|
| 55 | ;
|
---|
| 56 | REJERR ; Write the prescription and name.
|
---|
| 57 | W !!,"RX# ",$P(IBRXD,"^"),", filled on ",$$DAT1^IBOUTL(IBFDT)
|
---|
| 58 | W " (",$E($P($G(^DPT(DFN,0)),"^"),1,17)," ",$P($G(^(0)),"^",9),")"
|
---|
| 59 | W " rejected because:"
|
---|
| 60 | Q
|
---|
| 61 | ;
|
---|
| 62 | DASH() ; Return a dashed line.
|
---|
| 63 | Q $TR($J("",IOM)," ","=")
|
---|
| 64 | ;
|
---|
| 65 | PAUSE ; Page break
|
---|
| 66 | Q:$E(IOST,1,2)'="C-"
|
---|
| 67 | N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
|
---|
| 68 | F IBX=$Y:1:(IOSL-3) W !
|
---|
| 69 | S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
|
---|
| 70 | Q
|
---|
| 71 | ;
|
---|
| 72 | ;
|
---|
| 73 | ;
|
---|
| 74 | TRN ; Generate the Pharmacy Billing Transmission Report
|
---|
| 75 | ;
|
---|
| 76 | ; - select dates
|
---|
| 77 | K DIR S DIR(0)="D^2960101:"_DT,DIR("A")="Beginning Date:" D ^DIR G:$D(DIRUT) TRNQ S IBBEG=Y
|
---|
| 78 | K DIR S DIR(0)="D^"_IBBEG_":"_DT,DIR("A")="Ending Date:" D ^DIR G:$D(DIRUT) TRNQ S IBEND=Y
|
---|
| 79 | I IBBEG>IBEND W !,"Beginning data must be before ending date.",! G TRN
|
---|
| 80 | ;
|
---|
| 81 | ; - select a device
|
---|
| 82 | S %ZIS="QM" D ^%ZIS G:POP TRNQ
|
---|
| 83 | I $D(IO("Q")) D G TRNQ
|
---|
| 84 | .S ZTRTN="TRNDQ^IBECUSO",ZTDESC="IB - LIST TRICARE PHARMACY BILLING TRANSMISSIONS"
|
---|
| 85 | .F I="IBBEG","IBEND" S ZTSAVE(I)=""
|
---|
| 86 | .D ^%ZTLOAD W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
|
---|
| 87 | .K ZTSK,IO("Q") D HOME^%ZIS
|
---|
| 88 | ;
|
---|
| 89 | U IO
|
---|
| 90 | ;
|
---|
| 91 | TRNDQ ; Tasked entry point.
|
---|
| 92 | ;
|
---|
| 93 | S (IBPAG,IBQ)=0 D TRNHDR
|
---|
| 94 | ;
|
---|
| 95 | ; - print transactions
|
---|
| 96 | S IBC=0 F S IBC=$O(^IBA(351.5,IBC)) Q:'IBC D Q:IBQ
|
---|
| 97 | .S IBCD=$G(^IBA(351.5,IBC,0)),IBCD2=$G(^(2)),IBCD5=$G(^(5)),IBCD6=$G(^(6))
|
---|
| 98 | .Q:'IBCD
|
---|
| 99 | .S IBD=$$FILE^IBRXUTL(+IBCD,101) I IBD="" S IBD=$$FILE^IBRXUTL(+IBCD,22)
|
---|
| 100 | .I IBD<IBBEG Q
|
---|
| 101 | .I IBD>IBEND Q
|
---|
| 102 | .;
|
---|
| 103 | .S IBDPT(0)=$G(^DPT($P(IBCD,"^",2),0)),IBRXD=$$RXZERO^IBRXUTL($P(IBCD,"^",2),+IBCD)
|
---|
| 104 | .S IBFDT=$$FDT($P(IBCD,"^"))
|
---|
| 105 | .;
|
---|
| 106 | .I $Y>(IOSL-5) D PAUSE Q:IBQ D TRNHDR
|
---|
| 107 | .D TRNDAT
|
---|
| 108 | .D ZERO^IBRXUTL(+$P(IBRXD,"^",6))
|
---|
| 109 | .W !," Drug Name: ",$G(^TMP($J,"IBDRUG",+$P(IBRXD,"^",6),.01))
|
---|
| 110 | .K ^TMP($J,"IBDRUG")
|
---|
| 111 | .;
|
---|
| 112 | .W !?5,"Status: ",$S($P(IBCD6,"^")]"":"Reversed",IBCD5]"":"Rejected",1:"Accepted")
|
---|
| 113 | .;
|
---|
| 114 | .; - display errors
|
---|
| 115 | .I IBCD5]"" F I=1:1 S IBERRP=$P(IBCD5,",",I) Q:IBERRP="" D Q:IBQ
|
---|
| 116 | ..I $Y>(IOSL-2) D PAUSE Q:IBQ D TRNHDR,TRNDAT
|
---|
| 117 | ..S IBTXT=$$ERRTXT^IBECUS22(IBERRP)
|
---|
| 118 | ..I IBTXT]"" W !?4,IBTXT
|
---|
| 119 | .Q:IBCD5]""
|
---|
| 120 | .;
|
---|
| 121 | .I $Y>(IOSL-3) D PAUSE Q:IBQ D TRNHDR,TRNDAT
|
---|
| 122 | .W !,$P(IBCD,"^",4),?15,$J($P(IBCD,"^",5),6),?25,$J($P(IBCD2,"^"),6),?35,$J($P(IBCD2,"^",2),6),?45,$J($P(IBCD2,"^",3),6),?55,$J($P(IBCD2,"^",5),6)
|
---|
| 123 | .W !?15,$P(IBCD2,"^",6),?39,$P(IBCD2,"^",7)
|
---|
| 124 | .;
|
---|
| 125 | .I $P(IBCD6,"^",3)]"" F I=1:1 S IBERRP=$P($P(IBCD6,"^",3),",",I) Q:IBERRP="" D Q:IBQ
|
---|
| 126 | ..I $Y>(IOSL-2) D PAUSE Q:IBQ D TRNHDR,TRNDAT
|
---|
| 127 | ..S IBTXT=$$ERRTXT^IBECUS22(IBERRP)
|
---|
| 128 | ..I IBTXT]"" W !?4,IBTXT
|
---|
| 129 | .;
|
---|
| 130 | .I $P(IBCD6,"^")]"" D
|
---|
| 131 | ..I $Y>(IOSL-1) D PAUSE Q:IBQ D TRNHDR,TRNDAT
|
---|
| 132 | ..W !,"Reversal Authorization # ",$P(IBCD6,"^"),?40,"Reversed by: ",$P($G(^VA(200,+$P(IBCD6,"^",2),0)),"^")
|
---|
| 133 | ;
|
---|
| 134 | ; - end-of-report pause
|
---|
| 135 | D:'IBQ PAUSE
|
---|
| 136 | ;
|
---|
| 137 | TRNQ I '$D(ZTQUEUED) D ^%ZISC
|
---|
| 138 | K IBPAG,IBQ,IBR,IBR0,IBR1,IBRXD,DFN,IBERRP,IBTXT,IBBEG,IBEND
|
---|
| 139 | K IBC,IBCD,IBCD2,IBCD5,IBCD6,IBDPT,IBD,IBFDT
|
---|
| 140 | Q
|
---|
| 141 | ;
|
---|
| 142 | TRNHDR ; Print the Transmission Report header.
|
---|
| 143 | I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
|
---|
| 144 | S IBPAG=IBPAG+1
|
---|
| 145 | W !,$$DASH(),!,"Date: ",$$DAT1^IBOUTL(DT),?(IOM/2)-16,"IPS Prescription Status Report"
|
---|
| 146 | W ?(IOM-10),"Page: ",IBPAG
|
---|
| 147 | W !?(IOM/2)-17 S Y=IBBEG X ^DD("DD") W Y," through " S Y=IBEND X ^DD("DD") W Y
|
---|
| 148 | W !,"RX#",?15,"Fill Date",?27,"Patient Name",?62,"Patient SSN"
|
---|
| 149 | W !,"NDC",?15,"AWP",?25,"Copay",?35,"Ing Cost",?45,"Fee Paid",?55,"Total PD"
|
---|
| 150 | W !?15,"Auth. #",?39,"Message"
|
---|
| 151 | W !,"Reject Failure Codes"
|
---|
| 152 | W !,$$DASH(),!
|
---|
| 153 | Q
|
---|
| 154 | ;
|
---|
| 155 | TRNDAT ; Display basic description information.
|
---|
| 156 | W !!,$P(IBRXD,"^"),?15,$$DAT1^IBOUTL(IBFDT)
|
---|
| 157 | W ?27,$P(IBDPT(0),"^"),?62,$P(IBDPT(0),"^",9)
|
---|
| 158 | Q
|
---|
| 159 | ;
|
---|
| 160 | FDT(X) ; Find the Fill Date for the prescription.
|
---|
| 161 | ; Input: X -- 1;2 where 1 :> pointer to the rx in file #52, and
|
---|
| 162 | ; 2 :> pointer to the re-fill in #52.1, or
|
---|
| 163 | ; 0 if this is the original fill.
|
---|
| 164 | N IBRXN,Y,DFN S Y=""
|
---|
| 165 | I $G(X)="" G FDTQ
|
---|
| 166 | S IBRXN=+X
|
---|
| 167 | I $P(X,";",2) S Y=$$SUBFILE^IBRXUTL(IBRXN,$P(X,";",2),52,.01) G FDTQ
|
---|
| 168 | S DFN=$$FILE^IBRXUTL(IBRXN,2),Z2=$$RXSEC^IBRXUTL(DFN,IBRXN),Z3=$$RX3^IBRXUTL(DFN,IBRXN)
|
---|
| 169 | S Y=$S($P(Z2,"^",2):$P(Z2,"^",2),+Z3:+Z3,$P(Z2,"^",5):$P(Z2,"^",5),1:"")
|
---|
| 170 | FDTQ Q Y
|
---|
| 171 | ;
|
---|
| 172 | AWP ;
|
---|
| 173 | I '$D(^JADUTIL("AWP UPDATE")) W !,"No updates on file" Q
|
---|
| 174 | W !,"Date Quantity"
|
---|
| 175 | S A="" F S A=$O(^JADUTIL("AWP UPDATE",A)) Q:'A D
|
---|
| 176 | .I A<($P($H,",")-52) K ^JADUTIL("AWP UPDATE",A) Q
|
---|
| 177 | .S %H=A D YMD^%DTC S Y=X X ^DD("DD")
|
---|
| 178 | .W !,Y," ",^JADUTIL("AWP UPDATE",A)
|
---|
| 179 | Q
|
---|
| 180 | ;
|
---|
| 181 | ;
|
---|
| 182 | ;
|
---|
| 183 | REM ; Delete rejects.
|
---|
| 184 | W !!,"Delete entry from IPS error file"
|
---|
| 185 | W !,"Delete RX#: " R JADTA:DTIME Q:JADTA=""!(JADTA="^")
|
---|
| 186 | I '$D(^JADREJ(JADTA)) W !,JADTA," is not in the error file." G REM
|
---|
| 187 | K ^JADREJ(JADTA) W !,JADTA," has been deleted." G REM
|
---|
| 188 | Q
|
---|