| 1 | IBJTBA1 ;ALB/TMK - TPJI BILL CHARGE INFO SCREEN ;01-MAR-1995
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| 2 |  ;;2.0;INTEGRATED BILLING;**135,265,155,349**;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 | SHEOB(IBI,IBSPL,IBEOBCT,IBCTOF) ; Format EOB called from IBJTBA
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| 6 |  ; IBSPL = 0 if EOB represents one bill's payment
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| 7 |  ;       =  1 if AR had to split the EOB between multiple bills
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| 8 |  ; Assumes IBLN is defined and returns it with line count
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| 9 |  ; Assumes IBEOBDET may be defined as a flag to control detail level of print
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| 10 |  N X,IBPT,IBCN,IBM,IBM1,IBM2,IBTY,IBPY,IBPR,IBST,IBSTR,IBCA,IBTS,IBTA,Z,Z0
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| 11 |  S X="0.00"
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| 12 |  S IBM=$G(^IBM(361.1,IBI,0))
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| 13 |  S IBTY=$P(IBM,U,4),IBTY=$S(IBTY:"MEDICARE MRA",1:"NORMAL EOB")
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| 14 |  I IBTY'["MRA",IBSPL S IBTY="A/R SPLIT/COVERS MORE THAN 1 BILL"
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| 15 |  I $P(IBM,U,13)>1,$P(IBM,U,13)<5 S IBTY=IBTY_" ("_$$EXTERNAL^DILFD(361.1,.13,,$P(IBM,U,13))_")"
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| 16 |  S IBCN=$P(IBM,U,14),IBPY=$P(IBM,U,2)
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| 17 |  S:IBPY IBPY=$P($G(^DIC(36,IBPY,0)),U)
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| 18 |  S IBPR=$$FMTE^XLFDT($P(IBM,U,6)),IBST=$P(IBM,U,16)
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| 19 |  S IBST=$$EXPAND^IBTRE(361.1,.16,+IBST)
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| 20 |  S IBM1=$G(^IBM(361.1,IBI,1))
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| 21 |  ;
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| 22 |  S IBPT=$P(IBM1,U,2)   ; patient responsibility 1.02 field
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| 23 |  ; If MRA & UB, then calculate patient responsiblity value
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| 24 |  I $P(IBM,U,4),$$FT^IBCEF(+$P(IBM,U,1))=3 S IBPT=$$PTRESPI^IBCECOB1(IBI)
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| 25 |  ;
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| 26 |  S IBCA=$P(IBM1,U)
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| 27 |  S IBM2=$G(^IBM(361.1,IBI,2)),IBTA=$P(IBM2,U,3)
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| 28 |  ; if no Total Allowed Amount, sum up amounts on Line Level Adjustment
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| 29 |  I IBTA="" S IBTA=$$ALLOWED^IBCEMU2(IBI)
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| 30 |  S IBTS=$P(IBM2,U,4)
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| 31 |  D MRA2
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| 32 |  S IBLN=$$SET^IBJTBA("",IBLN)
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| 33 |  I '$G(IBEOBDET),IBSPL D
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| 34 |  . S IBSTR=$$SETLN^IBJTBA("    **A/R CORRECTED PAYMENT DATA:","",1,50),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 35 |  . S IBSTR=$$SETLN^IBJTBA("     TOTAL AMT PD: "_$J(+$P($G(^IBM(361.1,IBI,1)),U,1),"",2),"",1,75),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 36 |  . S Z=0 F  S Z=$O(^IBM(361.1,IBI,8,Z)) Q:'Z  S Z0=$G(^(Z,0)) D
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| 37 |  .. S IBSTR=$$SETLN^IBJTBA($E($J("",8)_$S($P(Z0,U,3):$$BN1^PRCAFN(+$P(Z0,U,3)),1:"[suspense]"_$P(Z0,U))_$J("",25),1,25)_"  "_$J(+$P(Z0,U,2),"",2),"",1,75),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 38 |  ;
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| 39 |  I $G(IBEOBDET) D
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| 40 |  . I $P($G(^IBM(361.1,IBI,0)),U,4) D  Q     ; Medicare MRA processing
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| 41 |  .. N VALMCNT
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| 42 |  .. K ^TMP("IBCECSD",$J)
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| 43 |  .. D GETEOB^IBCECSA6(IBI,0,,+$G(IBLN)-1)
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| 44 |  .. S Z=0 F  S Z=$O(^TMP("IBCECSD",$J,Z)) Q:'Z  S IBSTR=$$SETLN^IBJTBA($G(^TMP("IBCECSD",$J,Z,0)),"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 45 |  .. K ^TMP("IBCECSD",$J)
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| 46 |  .. D EOBERR
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| 47 |  .. Q
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| 48 |  . ;
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| 49 |  . ; Normal EOB processing
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| 50 |  . N VALMCNT
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| 51 |  . K ^TMP("PRCA_EOB",$J)
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| 52 |  . D GETEOB^IBCECSA6(IBI,1)
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| 53 |  . S Z=0 F  S Z=$O(^TMP("PRCA_EOB",$J,IBI,Z)) Q:'Z  S IBSTR=$$SETLN^IBJTBA($G(^TMP("PRCA_EOB",$J,IBI,Z)),"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 54 |  . K ^TMP("PRCA_EOB",$J)
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| 55 |  . D EOBERR
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| 56 |  . Q
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| 57 |  ;
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| 58 |  Q
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| 59 |  ;
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| 60 | MRA2 ;
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| 61 |  N IBD
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| 62 |  S IBLN=$$SET^IBJTBA("",IBLN)
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| 63 |  S IBD="EOB/MRA Information"_$S($D(IBCTOF):" ("_$G(IBEOBCT)_" OF "_IBCTOF_")",1:"")
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| 64 |  S IBSTR=$$SETLN^IBJTBA(IBD,"",30,45),$E(IBSTR,1,2)=">>",IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 65 |  S IBD="EOB Type: "_IBTY,IBSTR=$$SETLN^IBJTBA(IBD,"",5,59)
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| 66 |  S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 67 |  S IBD="ICN: "_IBCN,IBSTR=$$SETLN^IBJTBA(IBD,"",10,30)
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| 68 |  S IBD="Patient Resp Amount: "_$S('IBPT:X,1:IBPT)
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| 69 |  S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,44,35)
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| 70 |  S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 71 |  S IBD="Payer Name: "_IBPY,IBSTR=$$SETLN^IBJTBA(IBD,"",3,40)
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| 72 |  S IBD="Total Allowed Amount: "_$S('IBTA:X,1:IBTA)
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| 73 |  S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,43,36)
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| 74 |  S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 75 |  S IBD="EOB Date: "_IBPR,IBSTR=$$SETLN^IBJTBA(IBD,"",5,35)
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| 76 |  S IBD="Total Submitted Charges: "_$S('IBTS:X,1:IBTS)
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| 77 |  S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,40,39)
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| 78 |  S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 79 |  S IBD="Svc From Dt: "_$$DAT1^IBOUTL($P(IBM1,U,10))
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| 80 |  S IBSTR=$$SETLN^IBJTBA(IBD,"",2,38)
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| 81 |  S IBD="Svc To Dt: "_$$DAT1^IBOUTL($P(IBM1,U,11))
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| 82 |  S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,54,25)
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| 83 |  S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 84 |  S IBSTR=""
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| 85 |  I IBTY["MRA" S IBD="MRA Review Status: "_IBST,IBSTR=$$SETLN^IBJTBA(IBD,"",2,38)
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| 86 |  S IBD=$S('$G(IBSPL):"  ",1:"**")_"Reported Payment Amt: "_$S('IBCA:$J(X,"",2),1:$J(+IBCA,"",2))
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| 87 |  S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,41,37)
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| 88 |  S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 89 |  ;
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| 90 |  I IBTY["MRA",$D(^IBM(361.1,IBI,21)) D
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| 91 |  . S IBD=$TR($J("",35)," ","-")_"Review"_$TR($J("",38)," ","-")
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| 92 |  . S IBSTR=$$SETLN^IBJTBA(IBD,"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 93 |  . S (IBST,IBCN)=0 F  S IBCN=$O(^IBM(361.1,IBI,21,IBCN)) Q:'IBCN  S X=$G(^(IBCN,0)) D
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| 94 |  .. S IBST=0
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| 95 |  .. S IBD="Review Date: "_$$DAT1^IBOUTL($P(X,U))
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| 96 |  .. S IBSTR=$$SETLN^IBJTBA(IBD,"",1,30)
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| 97 |  .. S IBD="Reviewed By: "_$P($G(^VA(200,+$P(X,U,2),0)),U)
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| 98 |  .. S IBSTR=$$SETLN^IBJTBA(IBD,IBSTR,40,39)
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| 99 |  .. S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 100 |  .. S IBD=0 F  S IBD=$O(^IBM(361.1,IBI,21,IBCN,1,IBD)) Q:'IBD  S IBSTR=$$SETLN^IBJTBA($S('IBST:"Comments: ",1:"")_$G(^(IBD,0)),"",1,$S('IBST:69,1:79)),IBST=1,IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 101 |  . I 'IBST D
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| 102 |  .. S IBSTR=$$SETLN^IBJTBA("None","",1,10)
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| 103 |  .. S IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 104 |  Q
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| 105 |  ;
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| 106 | EOBERR ; Display information about any 361.1 message storage or filing errors
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| 107 |  I '$O(^IBM(361.1,IBI,"ERR",0)) Q
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| 108 |  S IBSTR=$$SETLN^IBJTBA(" ** MESSAGE STORAGE ERRORS  **","",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 109 |  S Z=0 F  S Z=$O(^IBM(361.1,IBI,"ERR",Z)) Q:'Z  S IBSTR=$$SETLN^IBJTBA($G(^(Z,0)),"",1,79),IBLN=$$SET^IBJTBA(IBSTR,IBLN)
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| 110 |  Q
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| 111 |  ;
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