[613] | 1 | IBOSTUS1 ;ALB/SGD-MCCR BILL STATUS REPORT ;25 MAY 88 14:19
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| 2 | ;;2.0;INTEGRATED BILLING;**31,118,128,153,137,161,183,155**;21-MAR-94
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| 3 | ;
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| 4 | ;MAP TO DGCROST1
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| 5 | ;
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| 6 | EN ; - Entry point from IBOSTUS.
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| 7 | N IBSUB,IBHDR,IBST1,IBST2,IBCAT,IBAMT,IBBEF,IBCRT,IBQUIT,IBMTCT,DFN,REJFLG
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| 8 | S IBBEF="",IBQUIT=0,IBCRT=$S($E($G(IOST),1,2)="C-":1,1:0)
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| 9 | I IBDTP="Entered" S IBSUB="APD",IBHDR=1
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| 10 | I IBDTP="Bill" S IBSUB="AP",IBHDR=1
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| 11 | I IBDTP="Event" S IBSUB="D",IBHDR=0
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| 12 | I IBDTP="MRA Request" S IBSUB="APM",IBHDR=0
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| 13 | I 'IBSUM D HEAD
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| 14 | ;
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| 15 | PROC ; - Get data for report(s).
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| 16 | S X1=IBBEG\1,X2=-1 D C^%DTC S IBNEX=X_.2359,X=132 X ^%ZOSF("RM")
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| 17 | F S IBNEX=$O(^DGCR(399,IBSUB,IBNEX)) Q:'IBNEX!(IBNEX>(IBEND\1_.2359))!(IBQUIT) D Q:IBQUIT
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| 18 | .I $Y>$S($D(IOSL):(IOSL-$S(IBCRT:4,1:9)),1:20) D HEAD Q:IBQUIT
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| 19 | .I IBHDR,'IBSUM D SUBHDR
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| 20 | .S IBIFN="" F J=0:0 S IBIFN=$O(^DGCR(399,IBSUB,IBNEX,IBIFN)) Q:'IBIFN!IBQUIT D SET S IBBEF=IBNEX
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| 21 | I 'IBQUIT D
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| 22 | .I '$D(IBF) W !!,?10,"*** No matches found ***"
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| 23 | .E D SUM^IBOSTUS
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| 24 | ;
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| 25 | Q I $D(ZTQUEUED) S ZTREQ="@"
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| 26 | Q
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| 27 | ;
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| 28 | SET ; This section is called for a single bill - IBIFN
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| 29 | S IBS=$G(^DGCR(399,IBIFN,"S")),IBAPP=1
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| 30 | I $P(IBS,U,17)'="" S IBBS=" CANCELLED",IBBSDT=$P(IBS,U,17),IBBSBY=$P(IBS,U,18) D:IBBST="C" PRINT G ALL
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| 31 | I $P(IBS,U,14)'="" S IBBS=" PRNT/TXMT",IBBSDT=$P(IBS,U,12),IBBSBY=$P(IBS,U,13) D:IBBST="P" PRINT G ALL
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| 32 | I $P(IBS,U,10)'="" S IBBS="* AUTHORIZED",IBAPP=$P(IBS,U,9),IBBSDT=$P(IBS,U,10),IBBSBY=$P(IBS,U,11) D:IBBST="A" PRINT G ALL
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| 33 | I $P(IBS,U,7)'="" S IBBS="* REQUEST MRA",IBBSDT=$P(IBS,U,7),IBBSBY=$P(IBS,U,8) D:IBBST="R" G ALL
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| 34 | . ; if user answered No to 'print Bills with No MRA Received and No Rejection messages', print report as usual
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| 35 | . I 'IBNOEOB D PRINT Q
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| 36 | . ; if user answered Yes (IBNOEOB=1), check two things before printing:
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| 37 | . ; 1) if MRA on file, don't print
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| 38 | . I $$CHK^IBCEMU1(IBIFN) Q
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| 39 | . ; 2) if the most recent transmission for this claim was rejected, don't print
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| 40 | . D TXSTS^IBCEMU2(IBIFN,,.REJFLG)
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| 41 | . I REJFLG Q
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| 42 | . ;
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| 43 | . ; otherwise, print bill
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| 44 | . D PRINT
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| 45 | ;
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| 46 | S IBBS="* ENTERED",IBBSDT=$P(IBS,U),IBBSBY=$P(IBS,U,2) D:IBBST="E" PRINT
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| 47 | ALL Q:IBQUIT I IBBST="ALL" D PRINT
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| 48 | Q
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| 49 | ;
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| 50 | PRINT ; - Print detail report, if necessary.
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| 51 | NEW LINE
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| 52 | I $Y>$S($D(IOSL):(IOSL-$S(IBCRT:4,1:6)),1:6) D HEAD Q:IBQUIT D SUBHDR:(IBBEF=IBNEX)&IBHDR
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| 53 | S IBF=1,IB0=$G(^DGCR(399,IBIFN,0))
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| 54 | S IBCAT=$S($D(^DGCR(399.3,+$P(IB0,U,7),0)):$P(^(0),U,4),1:"UNSPECIFIED")_$S($P(IB0,U,5)>2:"-OPT",1:"-INPT")
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| 55 | S IBU1=$G(^DGCR(399,IBIFN,"U1")),IBAMT=$S(IBU1="":0,$P(IBU1,U,2)]"":$P(IBU1,U)-$P(IBU1,U,2),1:$P(IBU1,U))
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| 56 | I IBSUM D ADD Q ; Printing summary ONLY.
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| 57 | ;
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| 58 | S DFN=$P(IB0,U,2) D PID^VADPT6 W !,$P(IB0,U),?10,$E($P(^DPT($P(IB0,U,2),0),U),1,20),?31,VA("BID"),?39,$E($P(IB0,U,3),4,5),"/",$E($P(IB0,U,3),6,7),"/",$E($P(IB0,U,3),2,3)
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| 59 | S IBBY=$P(IBS,U,2) W:IBBY ?50,$E($S($D(^VA(200,IBBY,0)):$P(^(0),U,2),1:"UNKN"),1,4) W ?57,IBCAT
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| 60 | ;
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| 61 | ; - MT status as of event date.
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| 62 | S IBMTCT=$P($$LST^DGMTU(DFN,$P(IB0,U,3)),U,4)
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| 63 | S IBMTCT=$S(IBMTCT="C":"YES",IBMTCT="P":"PEN",IBMTCT="R":"REQ",IBMTCT="G":"GMT",1:"NO")
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| 64 | W ?72,IBMTCT
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| 65 | ;
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| 66 | S X=IBAMT,X2="2$" D COMMA^%DTC W ?77,$J(X,10)
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| 67 | W ?90,IBBS,$S('IBAPP:"/DISAPP",1:"")," ",$E(IBBSDT,4,5),"/",$E(IBBSDT,6,7),"/",$E(IBBSDT,2,3)," (",$S($D(^VA(200,+IBBSBY,0)):$P(^(0),U,2),1:"UNKN USER"),"/",IBBSBY,")" K VA("BID"),VA("PID")
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| 68 | ;
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| 69 | ; If the user chose to print the ClaimsManager comments, then show
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| 70 | ; them all here. Also do the appropriate $Y checks for the next page.
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| 71 | ;
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| 72 | I 'IBCICOMM G SKPCMM ; user doesn't want comments
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| 73 | I '$D(^IBA(351.9,IBIFN,2)) G SKPCMM ; no comments exist
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| 74 | ;
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| 75 | W !!?8,$$CMTINFO^IBCIUT5(IBIFN)
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| 76 | S LINE=0
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| 77 | F S LINE=$O(^IBA(351.9,IBIFN,2,LINE)) Q:'LINE D Q:IBQUIT
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| 78 | . I $Y>(IOSL-$S(IBCRT:4,1:6)) D HEAD Q:IBQUIT
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| 79 | . W !?10,$G(^IBA(351.9,IBIFN,2,LINE,0))
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| 80 | . Q
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| 81 | Q:IBQUIT
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| 82 | W !
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| 83 | ;
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| 84 | SKPCMM ; skip to here if we're not printing ClaimsManager comments
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| 85 | ;
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| 86 | D ADD
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| 87 | Q
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| 88 | ;
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| 89 | HEAD ; - Print report header.
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| 90 | I $G(IBPAGE)>0,IBCRT S DIR(0)="E" D ^DIR K DIR I $D(DTOUT)!($D(DUOUT)) S IBQUIT=1 Q
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| 91 | S IBPAGE=$G(IBPAGE)+1,$P(IBL,"=",IOM)="",Y=IBBEG X ^DD("DD")
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| 92 | W @IOF,!,"MCCR Bill Status ",$S(IBSUM:"Statistics",1:"Report")," for ",$S(IBBEG'=IBEND:"period covering ",1:"")_Y
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| 93 | I IBBEG<IBEND S Y=IBEND X ^DD("DD") W " thru "_Y
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| 94 | I '$D(IBRUN) D NOW^%DTC S Y=$E(%,1,12) X ^DD("DD") S IBRUN=Y
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| 95 | I 'IBSUM W ?100,IBRUN,?123,"Page ",$J(IBPAGE,3)
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| 96 | W ! I $D(IBHD) W "Bill Status: ",IBHD," "
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| 97 | I 'IBSUM W:IBBST'="C"&(IBBST'="P") "* Denotes that the bill status is not Printed or Cancelled" W:IBCICOMM ?106,"ClaimsManager Comments ON"
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| 98 | E W "Run Date: ",IBRUN
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| 99 | ; if user answered Yes to 'No MRA Received and No Rejection messages' question, print this line in header
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| 100 | I IBNOEOB W !,"**** Bills with No MRA Received and No current CSA Rejection messages ****"
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| 101 | I 'IBSUM D
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| 102 | .W !!?39,"EVENT",?49,"ENTRD",?73,"MT",!,"BILL NO.",?10,"PATIENT NAME"
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| 103 | .W ?31,"PT.ID",?39,"DATE",?50,"BY",?57,"RATE TYPE",?70,"STATUS"
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| 104 | .W ?81,"CHARGES",?94,"BILL STATUS"
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| 105 | ;
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| 106 | W !,IBL W:IBSUM ! K IBL
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| 107 | Q
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| 108 | ;
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| 109 | SUBHDR W !!?3,IBDTP_" Date: "_$$DAT1^IBOUTL(IBNEX)
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| 110 | Q
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| 111 | ;
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| 112 | ADD ; - For summary statistics.
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| 113 | S IBST1(IBCAT,"C")=1+$G(IBST1(IBCAT,"C"))
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| 114 | S IBST1(IBCAT,"$")=IBAMT+$G(IBST1(IBCAT,"$"))
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| 115 | S:IBBS["* " IBBS=$P(IBBS,"* ",2)
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| 116 | S:IBBS[" " IBBS=$P(IBBS," ",2)
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| 117 | S:IBBS="" IBBS="UNKNOWN"
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| 118 | S IBST2(IBBS,"C")=1+$G(IBST2(IBBS,"C"))
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| 119 | S IBST2(IBBS,"$")=IBAMT+$G(IBST2(IBBS,"$"))
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| 120 | Q
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