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