| 1 | IBJTEA ;ALB/ARH-TPI PATIENT ELIGIBLITY SCREEN ;16-FEB-1995
 | 
|---|
| 2 |  ;;2.0;INTEGRATED BILLING;**39,153,183**;21-MAR-94
 | 
|---|
| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
 | 
|---|
| 4 |  ;
 | 
|---|
| 5 |  ; the EL Patient Eligibility screen is based on the Eligibility Inquiry for Patient Billing 
 | 
|---|
| 6 |  ;       [DG PATIENT ELIGIBILITY INQUIRY] display option
 | 
|---|
| 7 |  ;
 | 
|---|
| 8 | EN ; -- main entry point for IBJ TP CLAIMS INFO
 | 
|---|
| 9 |  D EN^VALM("IBJT PT ELIGIBILITY")
 | 
|---|
| 10 |  Q
 | 
|---|
| 11 |  ;
 | 
|---|
| 12 | HDR ; -- header code
 | 
|---|
| 13 |  D HDR^IBJTU1(+$G(IBIFN),+DFN,1)
 | 
|---|
| 14 |  Q
 | 
|---|
| 15 |  ;
 | 
|---|
| 16 | INIT ; -- init variables and list array
 | 
|---|
| 17 |  K ^TMP("IBJTEA",$J)
 | 
|---|
| 18 |  I '$G(DFN) S VALMQUIT="" G INITQ
 | 
|---|
| 19 |  I '$G(IBIFN) D PRTCL^IBJU1("IBJT SHORT MENU")
 | 
|---|
| 20 |  D BLD
 | 
|---|
| 21 | INITQ Q
 | 
|---|
| 22 |  ;
 | 
|---|
| 23 | HELP ; -- help code
 | 
|---|
| 24 |  S X="?" D DISP^XQORM1 W !!
 | 
|---|
| 25 |  Q
 | 
|---|
| 26 |  ;
 | 
|---|
| 27 | EXIT ; -- exit code
 | 
|---|
| 28 |  K ^TMP("IBJTEA",$J)
 | 
|---|
| 29 |  D CLEAR^VALM1
 | 
|---|
| 30 |  Q
 | 
|---|
| 31 |  ;
 | 
|---|
| 32 | BLD ; DFN, required, uses Statment From date of the bill if available, DT if not
 | 
|---|
| 33 |  I '$G(DFN) G BLDQ
 | 
|---|
| 34 |  N IBX,IBY,IBI,IBDU,IBDT,IBDTE,IBLN,IBD,IBT,IBTC,IBTW,IBSW,IBLR,IBGRPB,IBGRPE,IBCNT
 | 
|---|
| 35 |  S (IBLN,VALMCNT)=1
 | 
|---|
| 36 |  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
 | 
|---|
| 37 |  ;
 | 
|---|
| 38 |  S IBGRPB=IBLN,IBLR=1
 | 
|---|
| 39 |  ;
 | 
|---|
| 40 |  S IBX=$$LST^DGMTU(DFN)
 | 
|---|
| 41 |  S IBT="Means Test: ",IBD=$P(IBX,U,4)
 | 
|---|
| 42 |  S IBD=$S('IBX:"Not in Means Test File",IBD="P":"PEN",IBD="C":"YES",IBD="G":"GMT",IBD="R":"REQ",1:"NO")
 | 
|---|
| 43 |  S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 44 |  S IBT="Date of Test: ",IBD=$$DATE^IBJU1($P(IBX,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 45 |  S IBX=$$LST^DGMTU(DFN,"",2)
 | 
|---|
| 46 |  S IBT="Co-pay Exemption Test: ",IBD=$P(IBX,U,3) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 47 |  S IBT="Date of Test: ",IBD=$$DATE^IBJU1($P(IBX,U,2)) S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 48 |  ;
 | 
|---|
| 49 |  I +$$BIL^DGMTUB(DFN) S IBT="",IBD="Patient has agreed to pay deductible" S IBLN=$$SET(IBT,IBD,IBLN,4)
 | 
|---|
| 50 |  ;
 | 
|---|
| 51 |  S IBGRPE=IBLN,IBLN=IBGRPB,IBLR=2
 | 
|---|
| 52 |  ;
 | 
|---|
| 53 |  S IBT="Insured: ",IBD=$S(+$$INSURED^IBCNS1(DFN):"Yes",1:"No") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 54 |  D SVC^VADPT
 | 
|---|
| 55 |  S IBT="A/O Exposure: ",IBD=$S(+VASV(2):"Yes",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 56 |  S IBT="Rad. Exposure: ",IBD=$S(+VASV(3):"Yes",1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 57 |  K VASV
 | 
|---|
| 58 |  ;
 | 
|---|
| 59 |  S (IBLN,VALMCNT)=$S(IBLN>IBGRPE:IBLN,1:IBGRPE)
 | 
|---|
| 60 |  S IBTC(5)=1,IBTW(5)=25,IBSW(5)=53,IBLR=5
 | 
|---|
| 61 |  S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 62 |  ;
 | 
|---|
| 63 |  D ELIG^VADPT
 | 
|---|
| 64 |  S IBT="Primary Elig. Code: ",IBD=$P(VAEL(1),U,2)_$S(VAEL(8)'="":"  --  "_$P(VAEL(8),U,2),1:"") S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 65 |  I $D(VAEL(1))>1 S IBT="Other Elig. Code(s): ",IBI=0 F  S IBI=$O(VAEL(1,IBI)) Q:'IBI  D
 | 
|---|
| 66 |  . S IBD=$P(VAEL(1,IBI),U,2) S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT=""
 | 
|---|
| 67 |  S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 68 |  ;
 | 
|---|
| 69 |  S IBT="Service Connected: ",IBD=$S('VAEL(3):"No",1:$P(VAEL(3),U,2)_"%")  S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 70 |  S IBT="Rated Disabilities: " D
 | 
|---|
| 71 |  . I 'VAEL(4) S IBD="Not a Veteran" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) Q
 | 
|---|
| 72 |  . I '$O(^DPT(DFN,.372,0)) S IBD="None" S IBLN=$$SET(IBT,IBD,IBLN,IBLR) Q
 | 
|---|
| 73 |  . S IBI=0 F  S IBI=$O(^DPT(DFN,.372,IBI)) Q:'IBI  D
 | 
|---|
| 74 |  .. S IBX=$G(^DPT(DFN,.372,IBI,0)),IBY=$G(^DIC(31,+IBX,0))
 | 
|---|
| 75 |  .. S IBD=$S($P(IBY,U,4)="":$P(IBY,U,1),1:$P(IBY,U,4))_" ("_$P(IBX,U,2)_"%-"_$S(+$P(IBX,U,3):"SC",1:"NSC")_")"
 | 
|---|
| 76 |  .. S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBT=""
 | 
|---|
| 77 |  K VAEL
 | 
|---|
| 78 |  ;
 | 
|---|
| 79 |  ; initially requested by a test site, but group decided only rated disablities should be displayed
 | 
|---|
| 80 |  ;I $O(^DPT(DFN,.373,0)) D
 | 
|---|
| 81 |  ;. ;
 | 
|---|
| 82 |  ;. S IBTC(1)=0,IBTW(1)=0,IBSW(1)=79,IBLR=1
 | 
|---|
| 83 |  ;. S (IBT,IBD)="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 84 |  ;. ;
 | 
|---|
| 85 |  ;. S IBT="",IBD="  Service Connected Conditions as stated by applicant" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 86 |  ;. S IBT="",IBD="  ---------------------------------------------------" S IBLN=$$SET(IBT,IBD,IBLN,IBLR)
 | 
|---|
| 87 |  ;. ;
 | 
|---|
| 88 |  ;. S (IBT,IBD)="",(IBCNT,IBI)=0
 | 
|---|
| 89 |  ;. F  S IBI=$O(^DPT(DFN,.373,IBI)) Q:'IBI  D
 | 
|---|
| 90 |  ;.. S IBX=$G(^DPT(DFN,.373,IBI,0)) Q:IBX=""
 | 
|---|
| 91 |  ;.. S IBY=$P(IBX,U,1)_" ("_$P(IBX,U,2)_"%)"
 | 
|---|
| 92 |  ;.. S IBD=IBD_"  "_IBY_$J("",(37-$L(IBY))),IBCNT=IBCNT+1
 | 
|---|
| 93 |  ;.. I IBCNT>1 S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBD="",IBCNT=0
 | 
|---|
| 94 |  ;. I IBD'="" S IBLN=$$SET(IBT,IBD,IBLN,IBLR),IBD="",IBCNT=0
 | 
|---|
| 95 |  ;
 | 
|---|
| 96 |  S VALMCNT=IBLN-1
 | 
|---|
| 97 |  ;
 | 
|---|
| 98 | BLDQ K VAERR
 | 
|---|
| 99 |  Q
 | 
|---|
| 100 |  ;
 | 
|---|
| 101 | SET(TTL,DATA,LN,LR) ;
 | 
|---|
| 102 |  N IBY
 | 
|---|
| 103 |  S IBY=$J(TTL,IBTW(LR))_DATA D SET1(IBY,LN,IBTC(LR),(IBTW(LR)+IBSW(LR)))
 | 
|---|
| 104 |  S LN=LN+1
 | 
|---|
| 105 |  Q LN
 | 
|---|
| 106 |  ;
 | 
|---|
| 107 | SET1(STR,LN,COL,WD,RV) ; set up TMP array with screen data
 | 
|---|
| 108 |  N IBX S IBX=$G(^TMP("IBJTEA",$J,LN,0))
 | 
|---|
| 109 |  S IBX=$$SETSTR^VALM1(STR,IBX,COL,WD)
 | 
|---|
| 110 |  D SET^VALM10(LN,IBX) I $G(RV)'="" D CNTRL^VALM10(LN,COL,WD,IORVON,IORVOFF)
 | 
|---|
| 111 |  Q
 | 
|---|