| [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 | 
|---|