[613] | 1 | IBOHLD2 ;ALB/CJM - REPORT OF CHARGES ON HOLD W/INS ;MAR 6,1991
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| 2 | ;;2.0;INTEGRATED BILLING;**70,95,133,153,347**;21-MAR-94;Build 24
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| 3 | REPORT ;
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| 4 | N IBQUIT,IBPAGE,IBNOW,IBLINE,IBLINE2,IBCRT,IBBOT,DFN,IBNAME,IBN
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| 5 | S IBCRT=0,IBBOT=7,IBQUIT=0 I $E(IOST,1,2)="C-" S IBCRT=1,IBBOT=7
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| 6 | S IBLINE="",$P(IBLINE,"=",86)="||",IBLINE=IBLINE_$E(IBLINE,1,45)
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| 7 | S IBLINE2="",$P(IBLINE2,"-",75)="--"
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| 8 | D NOW^%DTC S Y=X X ^DD("DD") S IBNOW=Y
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| 9 | I IBCRT W @IOF
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| 10 | LOOP ;
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| 11 | S IBPAGE=1 D HEADER Q:IBQUIT
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| 12 | S IBNAME="" F S IBNAME=$O(^TMP($J,"HOLD",IBNAME)) Q:IBNAME=""!(IBQUIT) S DFN=0 F S DFN=$O(^TMP($J,"HOLD",IBNAME,DFN)) Q:'DFN!(IBQUIT) D
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| 13 | .D PRNTPAT,PRNTINS W:IBII ?35,IBLINE2,! Q:IBQUIT S IBN=0 F S IBN=$O(^TMP($J,"HOLD",IBNAME,DFN,IBN)) Q:'IBN!(IBQUIT) D
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| 14 | ..D PRNTCHG,PRNTBILL:'IBQUIT
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| 15 | Q
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| 16 | PRNTBILL ; prints bills for a charge
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| 17 | N IB,IB0,IBSTAT,IBCHG,IBPD,C,Y,I,IBT
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| 18 | D:$Y+IBBOT>IOSL HEADER Q:IBQUIT
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| 19 | S IB="" F I=1:1 S IB=$O(^TMP($J,"HOLD",IBNAME,DFN,IBN,IB)) W:'IB&(I<2) ?85,"||",! Q:'IB!(IBQUIT) D
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| 20 | .W ?85,"||"
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| 21 | .S IB0=$G(^DGCR(399,IB,0)) Q:IB0=""
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| 22 | .W ?88,$P(IB0,"^",1) ; bill #
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| 23 | .S IBSTAT=$$STA^PRCAFN(IB)
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| 24 | .W:+IBSTAT>0 ?97,$E($P(IBSTAT,"^",2),1,14)
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| 25 | .S IBT=$J((+^DGCR(399,IB,"U1")-$P(^("U1"),"^",2)),9,2)
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| 26 | .W ?112,IBT ; total charges
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| 27 | .S IBPD=$$TPR^PRCAFN(IB) S:IBPD<0 IBPD="" S IBPD=$J(IBPD,9,2) W ?123,IBPD,! D:$Y+IBBOT>IOSL HEADER
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| 28 | Q
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| 29 | PRNTPAT ; prints patient data
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| 30 | N VAERR,VADM,IBSSN D DEM^VADPT S:'VAERR IBSSN=VA("BID") ; pt id,brief
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| 31 | D:$Y+IBBOT>IOSL HEADER Q:IBQUIT
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| 32 | W IBLINE,!
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| 33 | W $E(IBNAME,1,20),?22,IBSSN
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| 34 | W:IBII ?35,"Insurance Co.",?53,"Subscriber ID",?71,"Group",?88,"Eff Dt",?102,"Exp Dt",!
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| 35 | Q
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| 36 | PRNTINS ; prints insurance information
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| 37 | Q:'$D(DFN)!(IBII=0)
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| 38 | N X,IBINS,IBX
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| 39 | D ALL^IBCNS1(DFN,"IBINS")
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| 40 | D:$Y+IBBOT>IOSL HEADER Q:IBQUIT
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| 41 | W IBLINE,!
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| 42 | I '$D(IBINS) W ?35,"No Insurance Information"
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| 43 | S X=0 F S X=$O(IBINS(X)) Q:'X S IBINS=IBINS(X,0) D
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| 44 | .D:$Y+IBBOT>IOSL HEADER Q:IBQUIT
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| 45 | .N COV,COVD,COVFN,IBCNT,LEDT,LIM,PLN,SP,X,X1,X2,Z0 Q:'$D(IBINS)
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| 46 | .W ?36,$S($D(^DIC(36,+IBINS,0)):$E($P(^(0),"^",1),1,16),1:"UNKNOWN")
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| 47 | .W ?54,$E($P(IBINS,"^",2),1,16)
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| 48 | .W ?72,$E($$GRP($P(IBINS,"^",18)),1,10) S PLN=$P(IBINS,"^",18)
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| 49 | .W ?88,$$DAT1^IBOUTL($P(IBINS,"^",8)),?102,$$DAT1^IBOUTL($P(IBINS,"^",4))
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| 50 | .I PLN="" W !,?38,"* No Group Plan Information for this Patient - Verify Insurance Info!",! Q
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| 51 | .W !,?40,"Plan Coverage Effective Date Covered? Limit Comments",!
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| 52 | .W ?40,"------------- -------------- -------- --------------",!
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| 53 | .S LIM=0 F S LIM=$O(^IBE(355.31,LIM)) Q:'LIM S COV=$P($G(^(LIM,0)),U),IBCNT=0,LEDT="" F S LEDT=$O(^IBA(355.32,"APCD",PLN,LIM,LEDT)) Q:$S(LEDT="":IBCNT,1:0) D Q:LEDT=""
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| 54 | ..D:$Y+IBBOT>IOSL HEADER Q:IBQUIT
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| 55 | ..S COVFN=+$O(^IBA(355.32,"APCD",PLN,LIM,+LEDT,"")),COVD=$G(^IBA(355.32,+COVFN,0))
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| 56 | ..I COVD="" W ?40,COV,?86,"BY DEFAULT",! Q
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| 57 | ..S IBCNT=IBCNT+1
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| 58 | ..S X1=" "_$S(IBCNT=1:COV,1:"") ;Don't duplicate category
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| 59 | ..S X2=$$PR(X1,18)_$$PR($$DAT1^IBOUTL($P(LEDT,"-",2)),16)_$$PR($S($P(COVD,U,4):$S($P(COVD,U,4)<2:"YES",$P(COVD,U,4)=2:"CONDITIONAL",1:"UNKNOWN"),1:"NO"),14)
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| 60 | ..I '$O(^IBA(355.32,COVFN,2,0)) W ?40,X2,! Q
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| 61 | ..S Z0=0 F S Z0=$O(^IBA(355.32,COVFN,2,Z0)) Q:'Z0 S SP="" W ?40,$S(Z0=1:X2_$G(^IBA(355.32,COVFN,2,Z0,0)),1:$$PR(SP,48)_$G(^IBA(355.32,COVFN,2,Z0,0))),!
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| 62 | Q
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| 63 | GRP(IBCPOL) ; get group name/group policy
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| 64 | N X,Y S X=""
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| 65 | S X=$G(^IBA(355.3,+$G(IBCPOL),0))
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| 66 | S Y=$S($P(X,"^",4)'="":$P(X,"^",4),1:$P(X,"^",3))
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| 67 | I $P(X,"^",10) S Y="Ind Plan "_Y
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| 68 | GRPQ Q Y
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| 69 | PR(STR,LEN) ; pad right
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| 70 | N B S STR=$E(STR,1,LEN),$P(B," ",LEN-$L(STR))=" "
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| 71 | Q STR_$G(B)
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| 72 | PRNTCHG ; prints a charge
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| 73 | N IBACT,IBTYPE,IBBILL,IBFR,IBTO,IBCHG,IBND,IBND1
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| 74 | N IBRX,IBRXN,IBRF,IBRDT,IBX,IENS
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| 75 | S IBND=$G(^IB(IBN,0))
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| 76 | S IBND1=$G(^IB(IBN,1))
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| 77 | S (IBRX,IBRXN,IBRF,IBRDT,IBX)=0
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| 78 | ; action id
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| 79 | S IBACT=+IBND
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| 80 | ; type
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| 81 | S IBTYPE=$P(IBND,"^",3),IBTYPE=$P($G(^IBE(350.1,IBTYPE,0)),"^",1),IBTYPE=$S(IBTYPE["PSO NSC":"RXNSC",IBTYPE["PSO SC":"RX SC",1:$E(IBTYPE,4,7))
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| 82 | ; bill #
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| 83 | S IBBILL=$P($P(IBND,"^",11),"-",2)
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| 84 | ; rx info
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| 85 | I $P(IBND,"^",4)["52:" S IBRXN=$P($P(IBND,"^",4),":",2),IBRX=$P($P(IBND,"^",8),"-"),IBRF=$P($P(IBND,"^",4),":",3)
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| 86 | I $P(IBND,"^",4)["52:" D
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| 87 | .I +IBRF>0 D
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| 88 | ..S IENS=+IBRF
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| 89 | ..S IBRDT=$$SUBFILE^IBRXUTL(+IBRXN,+IENS,52,.01)
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| 90 | .I +IBRF=0 D
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| 91 | ..S IENS=+IBRXN
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| 92 | ..S IBRDT=$$FILE^IBRXUTL(+IENS,22)
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| 93 | S IBX=$$APPT^IBCU3(IBRDT,DFN)
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| 94 | ; from/rx fill date
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| 95 | S IBFR=$$DAT1^IBOUTL($S(IBRXN>0:IBRDT,1:$P(IBND,"^",15)))
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| 96 | ; to date
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| 97 | S IBTO=$$DAT1^IBOUTL($S($P(IBND,"^",15)'="":($P(IBND,"^",15)),1:$P(IBND1,"^",2)))
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| 98 | ; charge$
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| 99 | S IBCHG=$J(+$P(IBND,"^",7),9,2)
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| 100 | W ?29,IBACT,?39,IBTYPE,?46,IBBILL W:IBRX>0 ?55,"Rx #: "_IBRX_$S(IBRF>0:"("_IBRF_")",1:""),?85,"||",!
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| 101 | W:IBX=1 ?54,"*"
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| 102 | W ?55,IBFR,?66,IBTO,?75,IBCHG
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| 103 | Q
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| 104 | HEADER ; writes the report header
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| 105 | Q:IBQUIT
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| 106 | I IBCRT,$Y>1 D Q:IBQUIT ;F Q:$Y>(IOSL-1) W !
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| 107 | .W ! N T R " Press RETURN to continue",T:DTIME I '$T!(T["^") S IBQUIT=1 Q
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| 108 | I IBPAGE>1 W !,@IOF
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| 109 | W ?53,"MEANS TEST CHARGES ON HOLD",?110,IBNOW," PAGE ",IBPAGE,!,"HELD CHARGES",?87,"CORRESPONDING THIRD PARTY BILLS",!,IBLINE
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| 110 | W !,"Name",?22,"Pt.ID",?29,"Act.ID",?39,"Type",?46,"Bill#",?55,"Fr/Fl Dt",?66,"To/Rls Dt",?78,"Charge",?85,"||",?88,"Bill#",?97,"AR-Status",?115,"Charge",?128,"Paid"
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| 111 | W !,IBLINE,!
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| 112 | W ?20,"'*' = outpt visit on same day as Rx fill date",?85,"||",!,IBLINE,!
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| 113 | S IBPAGE=IBPAGE+1
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| 114 | Q
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