| 1 | IBJDI4 ;ALB/CPM - PATIENTS WITH UNIDENTIFIED INSURANCE ; 17-DEC-96 | 
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| 2 | ;;2.0;INTEGRATED BILLING;**69,98,100,118**;21-MAR-94 | 
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| 3 | ; | 
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| 4 | EN ; - Option entry point. | 
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| 5 | ; | 
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| 6 | W !!,"This report provides the number of patients who have been treated," | 
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| 7 | W !,"but not identified as having or not having insurance.",! | 
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| 8 | ; | 
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| 9 | DATE D DATE^IBOUTL I IBBDT=""!(IBEDT="") G ENQ | 
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| 10 | ; | 
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| 11 | ; - Sort by division? | 
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| 12 | S DIR(0)="Y",DIR("B")="NO",DIR("?")="^D HLP1^IBJDI4" | 
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| 13 | S DIR("A")="Do you wish to sort this report by division" W ! | 
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| 14 | D ^DIR S IBSORT=+Y I $D(DIRUT)!$D(DTOUT)!$D(DUOUT)!$D(DIROUT) G ENQ | 
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| 15 | K DIR,DIROUT,DTOUT,DUOUT,DIRUT | 
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| 16 | ; | 
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| 17 | I IBSORT D PSDR^IBODIV G:Y<0 ENQ ; Select division(s). | 
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| 18 | ; | 
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| 19 | ; - Select a detailed or summary report. | 
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| 20 | D DS^IBJD G:IBRPT["^" ENQ S IBSEL=0 | 
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| 21 | I IBRPT="S" W !!,"This report only requires an 80 column printer." G DEV | 
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| 22 | ; | 
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| 23 | SEL W !!,"Print 1-MAIN REPORT or 2-LINE ITEM REPORTS: 1// " | 
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| 24 | R X:DTIME G:'$T!(X["^") ENQ S:X="" X=1 I "1^2"'[X D HLP2 G SEL | 
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| 25 | W "  ",$S(X=2:"LINE ITEM REPORTS",1:"MAIN REPORT") I X=1 G RMK | 
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| 26 | ; | 
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| 27 | RPTS ; - Select line item report(s). | 
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| 28 | W ! S DIR(0)="LO^1:9^K:+$P(X,""-"",2)>9 X" | 
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| 29 | F X=1:1:9 S DIR("A",X)=X_" - Print "_$$TITLE(X) | 
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| 30 | S DIR("A",10)="",DIR("A")="Select",DIR("B")=1 D ^DIR K DIR I Y["^" G ENQ | 
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| 31 | W ! S IBSEL=Y,DIR(0)="YO",DIR("A",1)="You have selected" | 
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| 32 | I X="1-9" S DIR("A",1)=DIR("A",1)_" ALL the above reports." | 
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| 33 | E  F X=1:1 S X1=$P(IBSEL,",",X) Q:'X1  S DIR("A",X+1)=" "_$$TITLE(X1) | 
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| 34 | S DIR("A")="Are you sure",DIR("B")="NO" D ^DIR K DIR I Y["^" G ENQ | 
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| 35 | I 'Y G RPTS | 
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| 36 | ; | 
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| 37 | RMK ; - Select print/not print remarks. | 
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| 38 | W ! S DIR(0)="YO" | 
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| 39 | S DIR("A")="Do you want the patient's remarks to print on the report" | 
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| 40 | S DIR("B")="NO" D ^DIR K DIR S IBRMK=Y I IBRMK["^" G ENQ | 
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| 41 | ; | 
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| 42 | W !!,"You will need a 132 column printer for this report." | 
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| 43 | ; | 
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| 44 | DEV ; - Select a device. | 
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| 45 | W !!,"Note: This report may take a while to run." | 
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| 46 | W !?6,"You should queue this report to run after normal business hours.",! | 
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| 47 | ; | 
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| 48 | S %ZIS="QM" D ^%ZIS G:POP ENQ | 
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| 49 | I $D(IO("Q")) D  G ENQ | 
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| 50 | .S ZTRTN="DQ^IBJDI4",ZTDESC="IB - PATIENTS WITH UNIDENTIFIED INSURANCE" | 
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| 51 | .F I="IB*","VAUTD","VAUTD(" S ZTSAVE(I)="" | 
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| 52 | .D ^%ZTLOAD | 
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| 53 | .W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.") | 
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| 54 | .K ZTSK,IO("Q") D HOME^%ZIS | 
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| 55 | ; | 
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| 56 | U IO | 
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| 57 | ; | 
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| 58 | DQ ; - Tasked entry point. | 
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| 59 | ; | 
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| 60 | I $G(IBXTRACT) D E^IBJDE(4,1) ; Change extract status. | 
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| 61 | ; | 
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| 62 | N IBQUERY K IB,^TMP("IBJDI41",$J),^TMP("IBJDI42",$J) | 
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| 63 | S IBC="BILL^DEC^HMO^IND^MEDC^MEDG^NO^NULL^TOT^UNK^YES",IBQ=0 | 
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| 64 | I IBSORT D  G PROC | 
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| 65 | .S I=0 F  S I=$S(VAUTD:$O(^DG(40.8,I)),1:$O(VAUTD(I))) Q:'I  D | 
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| 66 | ..S J=$P($G(^DG(40.8,I,0)),U) F K=1:1:11 S IB(J,$P(IBC,U,K))=0 | 
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| 67 | S IBDIV="ALL" F I=1:1:11 S IB("ALL",$P(IBC,U,I))=0 | 
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| 68 | ; | 
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| 69 | PROC D EN^IBJDI41 ; Process and print report(s). | 
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| 70 | ; | 
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| 71 | ENQ K ^TMP("IBJDI41",$J),^TMP("IBJDI42",$J) | 
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| 72 | I $D(ZTQUEUED) S ZTREQ="@" G ENQ1 | 
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| 73 | ; | 
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| 74 | D ^%ZISC | 
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| 75 | ENQ1 K IB,IBQ,IBBDT,IBEDT,IBRMK,IBRPT,IBD,IBDN,IBPH,IBPAG,IBRUN,IBX,IBX1,IBX2 | 
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| 76 | K IBC,IBELIG,IBPER,IBPM,IBPMD,IBDOD,IBFL,IBFL1,IBIPC,IBINSC,IBPAT,IBSEL | 
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| 77 | K IBDIV,IBSEL1,IBSORT,VAUTD,DFN,POP,I,J,K,X,X1,X2,Y,ZTDESC,ZTRTN,ZTSAVE | 
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| 78 | K DIR,DIROUT,DTOUT,DUOUT,DIRUT,%,%ZIS | 
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| 79 | Q | 
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| 80 | ; | 
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| 81 | HLP1 ; - 'Sort by division' prompt. | 
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| 82 | W !!,"Select: '<CR>' to print the trend report without regard to" | 
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| 83 | W !?15,"division" | 
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| 84 | W !?11,"'Y' to select those divisions for which a separate" | 
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| 85 | W !?15,"trend report should be created",!?11,"'^' to quit" | 
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| 86 | Q | 
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| 87 | ; | 
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| 88 | HLP2 ; - 'Print 1-MAIN REPORT'... prompt. | 
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| 89 | W !!,"Select: '1' to print the Patients w/Unidentified Insurance Report" | 
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| 90 | W !?8,"'2' to print up to nine specific reports based on the line items" | 
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| 91 | W !?12,"of the summary report",!?8,"'^' to quit" | 
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| 92 | Q | 
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| 93 | ; | 
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| 94 | TITLE(X) ; - Print report title. | 
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| 95 | Q $P($T(TITLE1+X),";;",2) | 
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| 96 | ; | 
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| 97 | TITLE1 ;;Patients with Unidentified Insurance | 
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| 98 | ;;Patients Covered by Insurance | 
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| 99 | ;;Patients Covered by Billable Insurance | 
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| 100 | ;;Patients Covered by an HMO | 
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| 101 | ;;Patients Covered by Medicare | 
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| 102 | ;;Patients Covered by Medigap | 
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| 103 | ;;Patients Covered by an Indemnity Policy | 
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| 104 | ;;Patients Not Covered by Insurance | 
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| 105 | ;;Patients with Unknown Insurance | 
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| 106 | ;;Patients with Insurance Question Unanswered | 
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| 107 | ; | 
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| 108 | TYPE(INS) ; - Find type of insurance. | 
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| 109 | ;  Input: INS=Patient's insurance info in file #2 (.3121) | 
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| 110 | ; Output:   Y=1-HMO, 2-Medicare, 3-Medigap, 4-Indemnity, or | 
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| 111 | ;             0-None of the above | 
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| 112 | ; | 
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| 113 | N TYP | 
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| 114 | S Y=0,TYP=+$P($G(^IBA(355.3,+$P(INS,U,18),0)),U,9) I 'TYP G TYP1 | 
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| 115 | I $D(^IBE(355.1,"B","HEALTH MAINTENANCE ORGANIZ",TYP)) S Y=1 | 
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| 116 | I $D(^IBE(355.1,"B","POINT OF SERVICE",TYP)) S Y=1 | 
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| 117 | I $D(^IBE(355.1,"B","PREPAID GROUP PRACTICE PLAN",TYP)) S Y=1 | 
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| 118 | I $D(^IBE(355.1,"B","MEDICARE (M)",TYP)) S Y=2 | 
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| 119 | I $D(^IBE(355.1,"B","MEDICARE/MEDICAID (MEDI-CAL)",TYP)) S Y=2 | 
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| 120 | I $D(^IBE(355.1,"B","MEDIGAP (SUPPLEMENTAL)",TYP)) S Y=3 | 
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| 121 | I $D(^IBE(355.1,"B","INCOME PROTECTION (INDEMNITY)",TYP)) S Y=4 | 
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| 122 | ; | 
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| 123 | TYP1 G:Y TYPQ S TYP=+$P($G(^DIC(36,+INS,0)),U,13) I 'TYP G TYPQ | 
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| 124 | I $D(^IBE(355.2,"B","HEALTH MAINTENANCE ORG.",TYP)) S Y=1 | 
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| 125 | I $D(^IBE(355.2,"B","MEDICARE",TYP)) S Y=2 | 
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| 126 | I $D(^IBE(355.2,"B","MEDIGAP",TYP)) S Y=3 | 
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| 127 | I $D(^IBE(355.2,"B","INDEMNITY",TYP)) S Y=4 | 
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| 128 | ; | 
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| 129 | TYPQ Q Y | 
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