source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBJTEA.m@ 1800

IBJTEA ;ALB/ARH-TPI PATIENT ELIGIBLITY SCREEN ;16-FEB-1995

 ;;2.0;INTEGRATED BILLING;**39,153,183**;21-MAR-94

 ;;Per VHA Directive 10-93-142, this routine should not be modified.

 ;

 ; the EL Patient Eligibility screen is based on the Eligibility Inquiry for Patient Billing 

 ;       [DG PATIENT ELIGIBILITY INQUIRY] display option

 ;

EN ; -- main entry point for IBJ TP CLAIMS INFO

 D EN^VALM("IBJT PT ELIGIBILITY")

 Q

 ;

HDR ; -- header code

 D HDR^IBJTU1(+$G(IBIFN),+DFN,1)

 Q

 ;

INIT ; -- init variables and list array

 K ^TMP("IBJTEA",$J)

 I '$G(DFN) S VALMQUIT="" G INITQ

 I '$G(IBIFN) D PRTCL^IBJU1("IBJT SHORT MENU")

 D BLD

INITQ Q

 ;

HELP ; -- help code

 S X="?" D DISP^XQORM1 W !!

 Q

 ;

EXIT ; -- exit code

 K ^TMP("IBJTEA",$J)

 D CLEAR^VALM1

 Q

 ;

BLD ; DFN, required, uses Statment From date of the bill if available, DT if not

 I '$G(DFN) G BLDQ

 N IBX,IBY,IBI,IBDU,IBDT,IBDTE,IBLN,IBD,IBT,IBTC,IBTW,IBSW,IBLR,IBGRPB,IBGRPE,IBCNT

 S (IBLN,VALMCNT)=1

 S IBTC(1)=1,IBTW(1)=25,IBSW(1)=23,IBTC(2)=52,IBTW(2)=15,IBSW(2)=11,IBTC(4)=1,IBTW(4)=0,IBSW(4)=38

 ;

 S IBGRPB=IBLN,IBLR=1

 ;

 S IBX=$$LST^DGMTU(DFN)

 S IBT="Means Test: ",IBD=$P(IBX,U,4)

 S IBD=$S('IBX:"Not in Means Test File",IBD="P":"PEN",IBD="C":"YES",IBD="G":"GMT",IBD="R":"REQ",1:"NO")

 S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 S IBT="Date of Test: ",IBD=$$DATE^IBJU1($P(IBX,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 S IBX=$$LST^DGMTU(DFN,"",2)

 S IBT="Co-pay Exemption Test: ",IBD=$P(IBX,U,3) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 S IBT="Date of Test: ",IBD=$$DATE^IBJU1($P(IBX,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 ;

 I +$$BIL^DGMTUB(DFN) S IBT="",IBD="Patient has agreed to pay deductible" S IBLN=$$SET(IBT,IBD,IBLN,4)

 ;

 S IBGRPE=IBLN,IBLN=IBGRPB,IBLR=2

 ;

 S IBT="Insured: ",IBD=$S(+$$INSURED^IBCNS1(DFN):"Yes",1:"No") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 D SVC^VADPT

 S IBT="A/O Exposure: ",IBD=$S(+VASV(2):"Yes",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 S IBT="Rad. Exposure: ",IBD=$S(+VASV(3):"Yes",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 K VASV

 ;

 S (IBLN,VALMCNT)=$S(IBLN>IBGRPE:IBLN,1:IBGRPE)

 S IBTC(5)=1,IBTW(5)=25,IBSW(5)=53,IBLR=5

 S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 ;

 D ELIG^VADPT

 S IBT="Primary Elig. Code: ",IBD=$P(VAEL(1),U,2)_$S(VAEL(8)'="":"  --  "_$P(VAEL(8),U,2),1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 I $D(VAEL(1))>1 S IBT="Other Elig. Code(s): ",IBI=0 F  S IBI=$O(VAEL(1,IBI)) Q:'IBI  D

 . S IBD=$P(VAEL(1,IBI),U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT=""

 S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 ;

 S IBT="Service Connected: ",IBD=$S('VAEL(3):"No",1:$P(VAEL(3),U,2)_"%")  S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 S IBT="Rated Disabilities: " D

 . I 'VAEL(4) S IBD="Not a Veteran" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) Q

 . I '$O(^DPT(DFN,.372,0)) S IBD="None" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) Q

 . S IBI=0 F  S IBI=$O(^DPT(DFN,.372,IBI)) Q:'IBI  D

 .. S IBX=$G(^DPT(DFN,.372,IBI,0)),IBY=$G(^DIC(31,+IBX,0))

 .. S IBD=$S($P(IBY,U,4)="":$P(IBY,U,1),1:$P(IBY,U,4))_" ("_$P(IBX,U,2)_"%-"_$S(+$P(IBX,U,3):"SC",1:"NSC")_")"

 .. S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT=""

 K VAEL

 ;

 ; initially requested by a test site, but group decided only rated disablities should be displayed

 ;I $O(^DPT(DFN,.373,0)) D

 ;. ;

 ;. S IBTC(1)=0,IBTW(1)=0,IBSW(1)=79,IBLR=1

 ;. S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 ;. ;

 ;. S IBT="",IBD="  Service Connected Conditions as stated by applicant" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 ;. S IBT="",IBD="  ---------------------------------------------------" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)

 ;. ;

 ;. S (IBT,IBD)="",(IBCNT,IBI)=0

 ;. F  S IBI=$O(^DPT(DFN,.373,IBI)) Q:'IBI  D

 ;.. S IBX=$G(^DPT(DFN,.373,IBI,0)) Q:IBX=""

 ;.. S IBY=$P(IBX,U,1)_" ("_$P(IBX,U,2)_"%)"

 ;.. S IBD=IBD_"  "_IBY_$J("",(37-$L(IBY))),IBCNT=IBCNT+1

 ;.. I IBCNT>1 S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBD="",IBCNT=0

 ;. I IBD'="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBD="",IBCNT=0

 ;

 S VALMCNT=IBLN-1

 ;

BLDQ K VAERR

 Q

 ;

SET(TTL,DATA,LN,LR) ;

 N IBY

 S IBY=$J(TTL,IBTW(LR))_DATA D SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))

 S LN=LN+1

 Q LN

 ;

SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data

 N IBX S IBX=$G(^TMP("IBJTEA",$J,LN,0))

 S IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)

 D SET^VALM10(LN,IBX) I $G(RV)'="" D CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)

 Q