| [613] | 1 | IBOUNP2 ;ALB/CJM - OUTPATIENT INSURANCE REPORT ;JAN 25,1992
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| 2 | ;;2.0;INTEGRATED BILLING;**249**;21-MAR-94
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | ;
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| 5 | ; IBOTIME appointment time
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| 6 | ; IBODIV division
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| 7 | ; IBOCLNC clinic
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| 8 | ; IBOCTG category vet is in (no=noinsurance,expired,unknow)
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| 9 | ; IBOEND2 end of the date range + 30 days
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| 10 | ; IBOINS =1 in there is insurance data
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| 11 | ; IBORPTD =1 if appt should appear on report
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| 12 | ;
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| 13 | LOOPPT ; loops through patients returned from API
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| 14 | N IBOCLNC,IBOTIME,IBOEND2,IBOCTG,IBOINS,IBORPTD,IBONAME S DFN=""
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| 15 | S X1=IBOEND,X2=30 D C^%DTC S IBOEND2=X
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| 16 | F S DFN=$O(^TMP($J,"SDAMA301",DFN)) Q:'DFN I $$VET(DFN) S IBOTIME=$O(^TMP($J,"SDAMA301",DFN,0)),IBSDDAT=^TMP($J,"SDAMA301",DFN,IBOTIME) D INFO,INDEX:IBORPTD
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| 17 | Q
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| 18 | ;
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| 19 | INFO ; looks up info, assumes IBSDDAT
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| 20 | S IBONAME=$P($P(IBSDDAT,"^",4),";",2)
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| 21 | S IBOCLNC=+$P(IBSDDAT,"^",2)
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| 22 | S IBOCLN=$P($P(IBSDDAT,"^",2),";",2) I IBOCLN="" S IBOCLN="NOT KNOWN"
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| 23 | S IBODIV=$P($G(^SC(IBOCLNC,0)),"^",15) S:IBODIV IBODIV=$P($G(^DG(40.8,IBODIV,0)),"^",1) S:IBODIV="" IBODIV="UNKNOWN"
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| 24 | S IBORPTD=0 D UNK:IBOUK,EXP:'IBORPTD&IBOEXP,UNI:'IBORPTD&IBOUI
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| 25 | Q
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| 26 | ;
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| 27 | VET(DFN) ; checks if patient is a vet
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| 28 | D ELIG^VADPT
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| 29 | Q $S(VAERR:0,VAEL(4):1,1:0)
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| 30 | ;
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| 31 | INDEX ; indexes appointment
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| 32 | S ^TMP("IBOUNP",$J,IBOCTG,IBODIV,IBOCLN,IBONAME,DFN)=IBOTIME
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| 33 | Q
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| 34 | UNK ; goes in 'unknown' category if the field COVERED BY HEALTH INSURANCE
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| 35 | ; was not answered, was answered unknown, and there is no insurance data
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| 36 | S IBORPTD=0 N T S T=$P($G(^DPT(DFN,.31)),"^",11) I T="U"!(T="") D CKINS I 'IBOINS S IBOCTG="UNKNOWN",IBORPTD=1 Q
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| 37 | Q
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| 38 | EXP ; goes in expired category only if there is insurance and
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| 39 | ; all of it expired before end of specified period + 30 days
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| 40 | S IBORPTD=0 N T,E D CKINS Q:'IBOINS
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| 41 | S IBORPTD=1,IBOCTG="EXPIRED" F T=0:0 S T=$O(^DPT(DFN,.312,T)) Q:T'>0 S E=$P($G(^(T,0)),"^",4) I E=""!(E>IBOEND2) S IBORPTD=0 Q
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| 42 | Q
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| 43 | UNI ; goes in unisured category if there is no insurance data and
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| 44 | ; the field COVERED BY HEALTH INSURANCE was answered YES or NO
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| 45 | S IBORPTD=0 N T S T=$P($G(^DPT(DFN,.31)),"^",11) I T="N"!(T="Y") D CKINS I 'IBOINS S IBOCTG="NO",IBORPTD=1
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| 46 | Q
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| 47 | CKINS ; checks if any insurance in insurance multiple of patient record
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| 48 | S IBOINS=0 I $O(^DPT(DFN,.312,0)) S IBOINS=1
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| 49 | Q
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