| [613] | 1 | IBY155PO ;ALB/DSM - IB*2*155 POST INIT ROUTINE ;25-MAR-2003 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**155**; 21-MAR-94 | 
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|  | 3 | ; | 
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|  | 4 | POST ; Set up check points for post-init | 
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|  | 5 | S %=$$NEWCP^XPDUTL("ADDUSR","ADDUSR^IBY155PO") | 
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|  | 6 | ; | 
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|  | 7 | ; default a No in the automatic MRA process parameter if undefined | 
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|  | 8 | I $P($G(^IBE(350.9,1,8)),U,11)="" D | 
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|  | 9 | . NEW D,D0,DA,DI,DIC,DIE,DQ,DR,X,Y | 
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|  | 10 | . S DIE=350.9,DA=1,DR="8.11////0" D ^DIE | 
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|  | 11 | . Q | 
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|  | 12 | ; | 
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|  | 13 | ; default a Yes in the allow MRA processing parameter if undefined | 
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|  | 14 | I $P($G(^IBE(350.9,1,8)),U,12)="" D | 
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|  | 15 | . NEW D,D0,DA,DI,DIC,DIE,DQ,DR,X,Y | 
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|  | 16 | . S DIE=350.9,DA=1,DR="8.12////1" D ^DIE | 
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|  | 17 | . Q | 
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|  | 18 | ; | 
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|  | 19 | ; Add new Claims Tracking non-billable reasons (File 356.8) | 
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|  | 20 | D | 
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|  | 21 | . NEW DA,DIC,DO,X,Y | 
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|  | 22 | . F X="MRA REC'D. NO SEC RESP EXISTS","MRA REC'D. SEC NOT BILLED" D | 
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|  | 23 | .. I $D(^IBE(356.8,"B",X)) Q            ; already on file | 
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|  | 24 | .. S DIC="^IBE(356.8,",DIC(0)="F" | 
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|  | 25 | .. D FILE^DICN | 
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|  | 26 | .. Q | 
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|  | 27 | . Q | 
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|  | 28 | ; | 
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|  | 29 | ; Add a new Bill Form Type for MRA reports | 
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|  | 30 | D BFT^IBY155PR | 
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|  | 31 | ; | 
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|  | 32 | ; Modify the Medicare entries in the IB PROVIDER ID # TYPE file (355.97) | 
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|  | 33 | D | 
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|  | 34 | . NEW P,NAME,CODE,DA,DIE,DR | 
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|  | 35 | . F P="A","B" D | 
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|  | 36 | .. S NAME="MEDICARE PART "_P | 
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|  | 37 | .. I P="A" S CODE=670899 | 
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|  | 38 | .. I P="B" S CODE="VA0"_+$$SITE^VASITE() | 
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|  | 39 | .. S DA=$O(^IBE(355.97,"B",NAME,"")) Q:'DA | 
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|  | 40 | .. S DIE=355.97,DR=".03///1C;.04///"_CODE | 
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|  | 41 | .. D ^DIE | 
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|  | 42 | .. Q | 
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|  | 43 | . Q | 
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|  | 44 | ; | 
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|  | 45 | ; Update Short Description field for IEN #964 in File 364.6 | 
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|  | 46 | N IBDESC,DA,DIE,DR | 
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|  | 47 | D BMES^XPDUTL("Updating Short Description field for IEN #964 in the IB FORM SKELETON DEFINITION FILE") | 
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|  | 48 | S IBDESC="COB COVERED DAYS" | 
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|  | 49 | S DA=964,DIE="^IBA(364.6,",DR=".1///^S X=IBDESC" D ^DIE | 
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|  | 50 | D COMPLETE | 
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|  | 51 | ; | 
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|  | 52 | ; Delete 3 action protocols from the CSA screen menu protocol | 
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|  | 53 | D BMES^XPDUTL("Removing actions from the CSA screen") | 
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|  | 54 | D CSA | 
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|  | 55 | D COMPLETE | 
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|  | 56 | ; | 
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|  | 57 | ; Build the new "AMRA" index for file 361.1 | 
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|  | 58 | D BMES^XPDUTL("A new index will now be created for file 361.1.") | 
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|  | 59 | D AMRA,COMPLETE | 
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|  | 60 | ; | 
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|  | 61 | ; Delete old remark codes fields | 
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|  | 62 | D BMES^XPDUTL("Deleting old line item remarks code fields from EOB file 361.1") | 
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|  | 63 | S DIK="^DD(361.115,",DA(1)=361.115,DA=3.01 D ^DIK | 
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|  | 64 | S DIK="^DD(361.115,",DA(1)=361.115,DA=3.02 D ^DIK | 
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|  | 65 | D COMPLETE | 
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|  | 66 | ; | 
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|  | 67 | ; Check the insurance company file for fake Medicare WNR entries | 
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|  | 68 | D BMES^XPDUTL("Scanning Insurance Company File for Medicare WNR Entries ...") | 
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|  | 69 | D INSCHK^IBCEMU3,COMPLETE | 
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|  | 70 | ; | 
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|  | 71 | ; | 
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|  | 72 | Q     ; IBY155PO | 
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|  | 73 | ; | 
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|  | 74 | ; | 
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|  | 75 | ; | 
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|  | 76 | ; | 
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|  | 77 | ADDUSR ; Add the Bill Authorizer for acceptable MRA secondary claims | 
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|  | 78 | ; to the New Person file (#200) | 
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|  | 79 | ; | 
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|  | 80 | N DIC,X,Y,DO,DD,DLAYGO | 
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|  | 81 | S DIC(0)="",DIC="^VA(200,",X="AUTHORIZER,IB MRA" D ^DIC | 
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|  | 82 | I Y>0 D  Q | 
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|  | 83 | . D BMES^XPDUTL("User, AUTHORIZER,IB MRA, already exists in the NEW PERSON file - not added") | 
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|  | 84 | . D COMPLETE | 
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|  | 85 | D BMES^XPDUTL("Adding new user, AUTHORIZER,IB MRA, to the NEW PERSON file") | 
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|  | 86 | S DLAYGO=200,DIC(0)="L",DIC="^VA(200,",DIC("DR")="1////MRA",X="AUTHORIZER,IB MRA" D FILE^DICN K DIC,DO,DD,DLAYGO | 
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|  | 87 | I Y'>0 D | 
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|  | 88 | . D BMES^XPDUTL("A problem was encountered trying to add user, AUTHORIZER,IB MRA") | 
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|  | 89 | . D BMES^XPDUTL("The entry must be added manually to the NEW PERSON file") | 
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|  | 90 | E  D | 
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|  | 91 | .D BMES^XPDUTL("User, AUTHORIZER,IB MRA, was successfully added to the NEW PERSON file") | 
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|  | 92 | D COMPLETE | 
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|  | 93 | Q | 
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|  | 94 | ; | 
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|  | 95 | INCLUDE(Y) ; Code executed by build to determine which entries from file 364.7 should be included | 
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|  | 96 | NEW IBOUT,LINE S IBOUT=0 | 
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|  | 97 | F LINE=2:1:5 I $P($T(ENT7+LINE),";;",2)[(U_+Y_U) S IBOUT=1 Q | 
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|  | 98 | INCX ; | 
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|  | 99 | Q IBOUT | 
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|  | 100 | ; | 
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|  | 101 | ENT7 ; changed and new entries for file 364.7 to be included in build | 
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|  | 102 | ; | 
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|  | 103 | ;;^115^176^181^182^188^268^270^275^293^296^297^305^306^308^309^310^322^344^346^353^493^503^504^ | 
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|  | 104 | ;;^623^630^631^633^635^717^728^729^736^809^814^815^816^822^823^824^832^839^842^846^851^ | 
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|  | 105 | ;;^852^853^854^855^856^857^858^859^860^861^862^864^865^870^871^872^875^876^882^883^886^890^947^951^956^957^ | 
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|  | 106 | ;;^958^959^960^961^962^963^964^965^966^967^975^978^980^982^983^985^1013^1014^ | 
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|  | 107 | Q | 
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|  | 108 | ENT6 ; new entry for file 364.6 | 
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|  | 109 | ;;^716^964^ | 
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|  | 110 | Q | 
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|  | 111 | ; | 
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|  | 112 | CSA ; Remove 3 actions from the CSA screen menu protocol | 
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|  | 113 | NEW AP,MPI,DA,DIK,API,APNM | 
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|  | 114 | S AP("IBCEM CSA EDIT BILL")="" | 
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|  | 115 | S AP("IBCEM CSA COB MANAGEMENT")="" | 
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|  | 116 | S AP("IBCEM CSA VIEW EOB")="" | 
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|  | 117 | S MPI=$O(^ORD(101,"B","IBCEM CSA MSG MENU",""))   ; menu protocol ien | 
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|  | 118 | I 'MPI G CSAX | 
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|  | 119 | S DA(1)=MPI | 
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|  | 120 | S DIK="^ORD(101,"_MPI_",10," | 
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|  | 121 | S DA=0 F  S DA=$O(^ORD(101,MPI,10,DA)) Q:'DA  D | 
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|  | 122 | . S API=+$G(^ORD(101,MPI,10,DA,0)) | 
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|  | 123 | . S APNM=$P($G(^ORD(101,API,0)),U,1) | 
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|  | 124 | . I APNM="" Q | 
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|  | 125 | . I '$D(AP(APNM)) Q | 
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|  | 126 | . D ^DIK | 
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|  | 127 | . Q | 
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|  | 128 | CSAX ; | 
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|  | 129 | Q | 
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|  | 130 | ; | 
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|  | 131 | AMRA ; Build the new index | 
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|  | 132 | N MRAXR,MRARES,MRAOUT | 
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|  | 133 | S MRAXR("FILE")=361.1 | 
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|  | 134 | S MRAXR("NAME")="AMRA" | 
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|  | 135 | S MRAXR("TYPE")="R" | 
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|  | 136 | S MRAXR("USE")="S" | 
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|  | 137 | S MRAXR("EXECUTION")="R" | 
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|  | 138 | S MRAXR("ACTIVITY")="IR" | 
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|  | 139 | S MRAXR("SHORT DESCR")="Index by EOB type and Review Status" | 
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|  | 140 | S MRAXR("VAL",1)=.04 | 
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|  | 141 | S MRAXR("VAL",1,"SUBSCRIPT")=1 | 
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|  | 142 | S MRAXR("VAL",1,"COLLATION")="F" | 
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|  | 143 | S MRAXR("VAL",2)=.16 | 
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|  | 144 | S MRAXR("VAL",2,"SUBSCRIPT")=2 | 
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|  | 145 | S MRAXR("VAL",2,"COLLATION")="F" | 
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|  | 146 | D CREIXN^DDMOD(.MRAXR,"SW",.MRARES,"MRAOUT") | 
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|  | 147 | I +$G(MRARES) D MES^XPDUTL("Index successfully created!") G AMRAX | 
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|  | 148 | ; | 
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|  | 149 | ; Index file failure.  Not created for some reason | 
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|  | 150 | ; | 
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|  | 151 | D MES^XPDUTL("A PROBLEM WAS ENCOUNTERED.  INDEX FILE NOT CREATED!!!") | 
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|  | 152 | D MES^XPDUTL("SENDING MAILMAN MESSAGE...") | 
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|  | 153 | D MES^XPDUTL("PLACING THE MRA MANAGEMENT SCREEN OUT-OF-ORDER.") | 
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|  | 154 | NEW XMDUZ,XMSUBJ,XMBODY,MSG,XMTO,DA,DIE,DR | 
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|  | 155 | S XMDUZ=DUZ,XMSUBJ="IB*2*155 Error:  AMRA index not built",XMBODY="MSG" | 
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|  | 156 | S MSG(1)="The new ""AMRA"" index for file 361.1 was not created at" | 
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|  | 157 | S MSG(2)=" " | 
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|  | 158 | S MSG(3)="     "_$$SITE^VASITE | 
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|  | 159 | S MSG(4)=" " | 
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|  | 160 | S MSG(5)="The MRA management worklist has been placed out of order." | 
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|  | 161 | ; | 
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|  | 162 | ; recipients of message | 
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|  | 163 | S XMTO(DUZ)="" | 
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|  | 164 | S XMTO("eric.gustafson@daou.com")="" | 
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|  | 165 | S XMTO("michael.f.pida@us.pwc.com")="" | 
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|  | 166 | S XMTO("Janet.Harris2@med.va.gov")="" | 
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|  | 167 | S XMTO("Loretta.Gulley2@med.va.gov")="" | 
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|  | 168 | S XMTO("G.PATCHES")="" | 
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|  | 169 | S XMTO("G.IB EDI")="" | 
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|  | 170 | S XMTO("G.IB EDI SUPERVISOR")="" | 
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|  | 171 | ; | 
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|  | 172 | D SENDMSG^XMXAPI(XMDUZ,XMSUBJ,XMBODY,.XMTO) | 
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|  | 173 | ; | 
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|  | 174 | ; place MRA management worklist screen out of order | 
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|  | 175 | S DA=$O(^DIC(19,"B","IBCE MRA MANAGEMENT","")) | 
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|  | 176 | I DA S DIE=19,DR="2////IB Patch 155 Installation Failure" D ^DIE | 
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|  | 177 | ; | 
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|  | 178 | AMRAX ; | 
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|  | 179 | Q | 
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|  | 180 | ; | 
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|  | 181 | COMPLETE ; | 
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|  | 182 | D BMES^XPDUTL("Step complete.") | 
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|  | 183 | Q | 
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|  | 184 | ; | 
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