IBXSC74 ; ;01/03/09 D DE G BEGIN DE S DIE="^DGCR(399,",DIC=DIE,DP=399,DL=1,DIEL=0,DU="" K DG,DE,DB Q:$O(^DGCR(399,DA,""))="" I $D(^(0)) S %Z=^(0) S %=$P(%Z,U,19) S:%]"" DE(1)=% I $D(^("U")) S %Z=^("U") S %=$P(%Z,U,1) S:%]"" DE(15)=% S %=$P(%Z,U,2) S:%]"" DE(16)=% S %=$P(%Z,U,3) S:%]"" DE(12)=% S %=$P(%Z,U,5) S:%]"" DE(7)=% S %=$P(%Z,U,6) S:%]"" DE(10)=% S %=$P(%Z,U,7) S:%]"" DE(9)=% I $D(^("U1")) S %Z=^("U1") S %=$P(%Z,U,2) S:%]"" DE(21)=% S %=$P(%Z,U,3) S:%]"" DE(23)=% S %=$P(%Z,U,10) S:%]"" DE(26)=% I $D(^("U2")) S %Z=^("U2") S %=$P(%Z,U,4) S:%]"" DE(31)=% K %Z Q ; W W !?DL+DL-2,DLB_": " Q O D W W Y W:$X>45 !?9 I $L(Y)>19,'DV,DV'["I",(DV["F"!(DV["K")) G RW^DIR2 W:Y]"" "// " I 'DV,DV["I",$D(DE(DQ))#2 S X="" W " (No Editing)" Q TR R X:DTIME E S (DTOUT,X)=U W $C(7) Q A K DQ(DQ) S DQ=DQ+1 B G @DQ RE G PR:$D(DE(DQ)) D W,TR N I X="" G NKEY:$D(^DD("KEY","F",DP,DIFLD)),A:DV'["R",X:'DV,X:D'>0,A RD G QS:X?."?" I X["^" D D G ^DIE17 I X="@" D D G Z^DIE2 I X=" ",DV["d",DV'["P",$D(^DISV(DUZ,"DIE",DLB)) S X=^(DLB) I DV'["D",DV'["S" W " "_X T G M^DIE17:DV,^DIE3:DV["V",P:DV'["S" X:$D(^DD(DP,DIFLD,12.1)) ^(12.1) I X?.ANP D SET I 'DDER X:$D(DIC("S")) DIC("S") I W:'$D(DB(DQ)) " "_% G V K DDER G X P I DV["P" S DIC=U_DU,DIC(0)=$E("EN",$D(DB(DQ))+1)_"M"_$E("L",DV'["'") S:DIC(0)["L" DLAYGO=+$P(DV,"P",2) G:DV["*" AST^DIED D NOSCR^DIED S X=+Y,DIC=DIE G X:X<0 G V:DV'["N" D D I $L($P(X,"."))>24 K X G Z I $P(DQ(DQ),U,5)'["$",X?.1"-".N.1".".N,$P(DQ(DQ),U,5,99)["+X'=X" S X=+X V D @("X"_DQ) K YS Z K DIC("S"),DLAYGO I $D(X),X'=U D:$G(DE(DW,"INDEX")) SAVEVALS G:'$$KEYCHK UNIQFERR^DIE17 S DG(DW)=X S:DV["d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o",$D(DB(DQ)))_U_DU,DIR("V")=1 I $D(DB(DQ)),'$D(DIQUIET) N DIQUIET S DIQUIET=1 D ^DIR I 'DDER S %=Y(0),X=Y Q SAVEVALS S @DIEZTMP@("V",DP,DIIENS,DIFLD,"O")=$G(DE(DQ)) S:$D(^("F"))[0 ^("F")=$G(DE(DQ)) I $D(DE(DW,"4/")) S @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/")="" E K @DIEZTMP@("V",DP,DIIENS,DIFLD,"4/") Q NKEY W:'$D(ZTQUEUED) "?? Required key field" S X="?BAD" G QS KEYCHK() Q:$G(DE(DW,"KEY"))="" 1 Q @DE(DW,"KEY") BEGIN S DNM="IBXSC74",DQ=1 1 D:$D(DG)>9 F^DIE17,DE S DQ=1,DW="0;19",DV="R*P353'",DU="",DLB="FORM TYPE",DIFLD=.19 S DE(DW)="C1^IBXSC74" S DU="IBE(353," S X=$G(DIPA("FT1")) S Y=X S X=Y,DB(DQ)=1 G:X="" N^DIE17:DV,A I $D(DE(DQ)),DV["I"!(DV["#") D E^DIE0 G A:'$D(X) G RD C1 G C1S:$D(DE(1))[0 K DB S X=DE(1),DIC=DIE ; S X=DE(1),DIC=DIE S DGRVRCAL=2 S X=DE(1),DIC=DIE D ALLID^IBCEP3(DA,.19,2) S X=DE(1),DIC=DIE ; S X=DE(1),DIC=DIE D ATTREND^IBCU1(DA,"","") C1S S X="" G:DG(DQ)=X C1F1 K DB S X=DG(DQ),DIC=DIE X ^DD(399,.19,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^DGCR(399,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X S DIU=X K Y S X=DIV S X=5 S DIH=$G(^DGCR(399,DIV(0),0)),DIV=X S $P(^(0),U,9)=DIV,DIH=399,DIG=.09 D ^DICR S X=DG(DQ),DIC=DIE S DGRVRCAL=1 S X=DG(DQ),DIC=DIE D ALLID^IBCEP3(DA,.19,1) S X=DG(DQ),DIC=DIE D BILLPNS^IBCU(DA) S X=DG(DQ),DIC=DIE D ATTREND^IBCU1(DA,"","") C1F1 Q X1 S DIC("S")="N Z S Z=$G(^IBE(353,Y,2)) I $P(Z,U,2)=""P"",$P(Z,U,4)" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X Q ; 2 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=2 D X2 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X2 S Y="@714" Q 3 S DQ=4 ;@715 4 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=4 D X4 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X4 D FTPRV^IBCEU5(DA) Q 5 S DQ=6 ;@72 6 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=6 D X6 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X6 S:IBDR20'["72" Y="@73" Q 7 D:$D(DG)>9 F^DIE17,DE S DQ=7,DW="U;5",DV="RFOX",DU="",DLB="IS THIS A SENSITIVE RECORD?",DIFLD=155 S DQ(7,2)="S Y(0)=Y S Y=$S(Y:""YES"",Y=0:""NO"",1:"""")" G RE X7 I $D(X) D YN^IBCU I $D(X),X'?.ANP K X Q ; 8 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=8 D X8 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X8 S:X=0 Y=156 Q 9 S DW="U;7",DV="FOX",DU="",DLB="R.O.I. FORM(S) COMPLETED?",DIFLD=157 S DQ(9,2)="S Y(0)=Y S Y=$S(Y:""YES"",Y=0:""NO"",1:"""")" G RE X9 I $D(X) D YN^IBCU I $D(X),X'?.ANP K X Q ; 10 S DW="U;6",DV="RFOX",DU="",DLB="ASSIGNMENT OF BENEFITS",DIFLD=156 S DQ(10,2)="S Y(0)=Y S Y=$S(Y="""":"""",""Yy1""[Y:""YES"",""Nn0""[Y:""NO"",1:"""")" G RE X10 I $D(X) D YN^IBCU I $D(X) X:X=0 ^DD(399,156,9.3) K IBRATY I $D(X),X'?.ANP K X Q ; 11 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=11 D X11 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X11 S:'$D(IBOX) Y="@73" Q 12 S DW="U;3",DV="RFOX",DU="",DLB="POWER OF ATTORNEY COMPLETED?",DIFLD=153 S DQ(12,2)="S Y(0)=Y S Y=$S(Y:""YES"",Y=0:""NO"",1:"""")" G RE X12 I $D(X) D YN^IBCU I $D(X),X'?.ANP K X Q ; 13 S DQ=14 ;@73 14 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=14 D X14 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X14 S:IBDR20'["73" Y="@75" Q 15 S DW="U;1",DV="RDX",DU="",DLB="STATEMENT COVERS FROM",DIFLD=151 S DE(DW)="C15^IBXSC74" G RE C15 G C15S:$D(DE(15))[0 K DB S X=DE(15),DIC=DIE ; S X=DE(15),DIC=DIE S DGRVRCAL=2 S X=DE(15),DIC=DIE ; S X=DE(15),DIC=DIE K:$P(^DGCR(399,DA,0),"^",2) ^DGCR(399,"APDS",$P(^(0),U,2),-X,DA) C15S S X="" G:DG(DQ)=X C15F1 K DB S X=DG(DQ),DIC=DIE K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X I $P(^DGCR(399,DA,0),U,5)<3 I X S X=DIV S Y(1)=$S($D(^DGCR(399,D0,"U")):^("U"),1:"") S X=$P(Y(1),U,15),X=X S DIU=X K Y S X=DIV S X=$$LOS1^IBCU64(DA) X ^DD(399,151,1,1,1.4) S X=DG(DQ),DIC=DIE S DGRVRCAL=1 S X=DG(DQ),DIC=DIE K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X I +$G(^DGCR(399,DA,"U1"))=0 I X S X=DIV S Y(1)=$S($D(^DGCR(399,D0,"U1")):^("U1"),1:"") S X=$P(Y(1),U,1),X=X S DIU=X K Y S X=DIV S X=0 X ^DD(399,151,1,3,1.4) S X=DG(DQ),DIC=DIE S:$P(^DGCR(399,DA,0),"^",2) ^DGCR(399,"APDS",$P(^(0),U,2),-X,DA)="" C15F1 Q X15 S %DT="ETP" D ^%DT S X=Y K:Y<1 X I $D(X) D DDAT^IBCU4 K IB00 Q ; 16 D:$D(DG)>9 F^DIE17,DE S DQ=16,DW="U;2",DV="RDX",DU="",DLB="STATEMENT COVERS TO",DIFLD=152 S DE(DW)="C16^IBXSC74" G RE C16 G C16S:$D(DE(16))[0 K DB S X=DE(16),DIC=DIE ; S X=DE(16),DIC=DIE S DGRVRCAL=2 C16S S X="" G:DG(DQ)=X C16F1 K DB S X=DG(DQ),DIC=DIE K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X I $P(^DGCR(399,DA,0),U,5)<3 I X S X=DIV S Y(1)=$S($D(^DGCR(399,D0,"U")):^("U"),1:"") S X=$P(Y(1),U,15),X=X S DIU=X K Y S X=DIV S X=$$LOS1^IBCU64(DA) X ^DD(399,152,1,1,1.4) S X=DG(DQ),DIC=DIE S DGRVRCAL=1 C16F1 Q X16 S %DT="ETP" D ^%DT S X=Y K:Y<1 X I $D(X) D DDAT1^IBCU4 K IB00 Q ; 17 S DQ=18 ;@75 18 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=18 D X18 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X18 S:IBDR20'["75" Y="@76" Q 19 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=19 D X19 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X19 D RCD^IBCU1 Q 20 D:$D(DG)>9 F^DIE17,DE S DQ=20,D=0 K DE(1) ;42 S DIFLD=42,DGO="^IBXSC75",DC="15^399.042IPA^RC^",DV="399.042MR*P399.2'",DW="0;1",DOW="REVENUE CODE",DLB="Select "_DOW S:D DC=DC_D S DU="DGCR(399.2," G RE:D I $D(DSC(399.042))#2,$P(DSC(399.042),"I $D(^UTILITY(",1)="" X DSC(399.042) S D=$O(^(0)) S:D="" D=-1 G M20 S D=$S($D(^DGCR(399,DA,"RC",0)):$P(^(0),U,3,4),$O(^(0))'="":$O(^(0)),1:-1) M20 I D>0 S DC=DC_D I $D(^DGCR(399,DA,"RC",+D,0)) S DE(20)=$P(^(0),U,1) G RE R20 D DE S D=$S($D(^DGCR(399,DA,"RC",0)):$P(^(0),U,3,4),1:1) G 20+1 ; 21 S DW="U1;2",DV="NJ8,2",DU="",DLB="OFFSET AMOUNT",DIFLD=202 S DE(DW)="C21^IBXSC74" G RE C21 G C21S:$D(DE(21))[0 K DB S X=DE(21),DIC=DIE K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(1)=$S($D(^DGCR(399,D0,"U1")):^("U1"),1:"") S X=$P(Y(1),U,2)="" I X S X=DIV S Y(1)=$S($D(^DGCR(399,D0,"U1")):^("U1"),1:"") S X=$P(Y(1),U,3),X=X S DIU=X K Y S X="" X ^DD(399,202,1,1,2.4) C21S S X="" G:DG(DQ)=X C21F1 K DB S X=DG(DQ),DIC=DIE ; C21F1 Q X21 S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X Q ; 22 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=22 D X22 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X22 S:'X Y="@757" Q 23 D:$D(DG)>9 F^DIE17,DE S DQ=23,DW="U1;3",DV="FX",DU="",DLB="OFFSET DESCRIPTION",DIFLD=203 G RE X23 K:$L(X)>24!($L(X)<3) X I $D(X),X'?.ANP K X Q ; 24 S DQ=25 ;@757 25 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=25 D X25 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X25 I $P(^DGCR(399,DA,"U1"),"^",11)']"" S Y="@76" Q 26 S DW="U1;10",DV="RNJ10,2",DU="",DLB="*FY 1 CHARGES",DIFLD=210 G RE X26 S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999)!(X<0) X Q ; 27 S DQ=28 ;@76 28 S DQ=29 ;@77 29 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=29 D X29 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X29 S:IBDR20'["77" Y="@78" Q 30 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=30 D X30 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X30 S:'$D(^DGCR(399,DA,"I1")) Y="@772" Q 31 S DW="U2;4",DV="NJ11,2",DU="",DLB="PRIMARY PRIOR PAYMENT",DIFLD=218 S DE(DW)="C31^IBXSC74" G RE C31 G C31S:$D(DE(31))[0 K DB D ^IBXSC76 C31S S X="" G:DG(DQ)=X C31F1 K DB D ^IBXSC77 C31F1 Q X31 S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999999)!(X<0) X Q ; 32 S DQ=33 ;@772 33 D:$D(DG)>9 F^DIE17,DE S Y=U,DQ=33 D X33 D:$D(DIEFIRE)#2 FIREREC^DIE17 G A:$D(Y)[0,A:Y=U S X=Y,DIC(0)="F",DW=DQ G OUT^DIE17 X33 S:'$D(^DGCR(399,DA,"I2")) Y="@773" Q 34 D:$D(DG)>9 F^DIE17 G ^IBXSC78