- Timestamp:
- Dec 4, 2009, 12:11:15 AM (14 years ago)
- File:
-
- 1 edited
Legend:
- Unmodified
- Added
- Removed
-
WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCE277.m
r613 r623 1 IBCE277 ;ALB/TMP - 277 EDI CLAIM STATUS MESSAGE PROCESSING ;15-JUL-98 2 ;;2.0;INTEGRATED BILLING;**137,155,368**;21-MAR-94;Build 21 3 ;;Per VHA Directive 2004-038, this routine should not be modified. 4 Q 5 ; MESSAGE HEADER DATA STRING = 6 ; type of message^msg queue^msg #^bill #^REF NUM/Batch #^date/time 7 ; 8 HDR(ENTITY,ENTVAL,IBTYPE,IBD) ;Process header data 9 ; INPUT: 10 ; ENTITY = "BATCH" or "CLAIM" for batch/claim level messages respectively 11 ; ENTVAL = claim # 12 ; IBTYPE = the type of status msg this piece of the message represents 13 ; (837REC1, 837REJ1) 14 ; ^TMP("IBMSGH",$J,0) = header message text 15 ; 16 ; OUTPUT: 17 ; IBD array returned with processed data 18 ; "DATE" = Date/Time of status (Fileman format) 19 ; "MRA" = 1 if MRA, 0 if not "X12" = 1 if X12, 0 if not 20 ; "BATCH" = Batch ien for batch level calls 21 ; "SOURCE" = Source of message code^source name, if known 22 ; 23 ; ^TMP("IBMSG",$J,"BATCH",batch #,0)=MESSAGE HEADER DATA STRING 24 ; if batch level message 25 ; ,"D",0,1)=header record raw data 26 ; ,line #)=batch status message lines 27 ; 28 ; ^TMP("IBMSG",$J,"CLAIM",claim #,0)=MESSAGE HEADER DATA STRING 29 ; if claim level message 30 ; ,"D",0,1)=header record raw data 31 ; ,line #)=claim status message lines 32 ; 33 N DATA,IBD0,L,PC,X,Y 34 S IBD0=$G(^TMP("IBMSGH",$J,0)) Q:IBD0="" 35 S Y=0,L=1 36 ; Convert claim date/time 37 S X=$$DATE($P(IBD0,U,3))_"@"_$E($P(IBD0,U,4)_"0000",1,4) I X S %DT="XTS" D ^%DT 38 ; populate IBD array 39 S IBD("DATE")=$S(Y>0:Y,1:""),IBD("MRA")=$P(IBD0,U,5),IBD("X12")=($P(IBD0,U,2)="X") 40 S IBD("SOURCE")=$P(IBD0,U,12,13),IBD("BATCH")=$P(IBD0,U,14) 41 I +$TR($P(IBD0,U,6,9),U) F PC=6:1:9 D 42 .I $P(IBD0,U,PC)'="" S DATA=$P("# Claims Submitted^# Claims Rejected^Total Charges Submitted^Total Charges Rejected",U,PC-5)_": "_$S(PC<8:+$P(IBD0,U,PC),1:$FNUMBER($P(IBD0,U,PC)/100,"",2))_" " 43 .I $L($G(^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L)))+$L(DATA)>70 S L=L+1 ; if data doesn't fit into current line, go to the next line 44 .S ^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L)=$G(^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L))_DATA ; file this piece of data 45 .Q 46 ; file batch ref. number 47 S:IBD("BATCH")'="" L=L+1,^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L)="Batch Reference Number: "_IBD("BATCH") 48 I $TR($P(IBD0,U,10,13),U)'="" D 49 .S L=L+1 50 .; generate and file Payer Name / Payer Id line 51 .S DATA="Payer Name: "_$S($P(IBD0,U,10)'="":$P(IBD0,U,10),1:"N/A")_" Payer ID: "_$S($P(IBD0,U,11)'="":$P(IBD0,U,11),1:"N/A") 52 .S ^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L)=DATA 53 .I $P(IBD0,U,12)'=""!($P(IBD0,U,13)'="") D 54 ..; generate and file Message Source line 55 ..S DATA="Source: "_$S($P(IBD0,U,12)="Y":"Sent by payer",$P(IBD0,U,13)'="":"Sent by non-payer ("_$P(IBD0,U,13)_")",1:"UNKNOWN") 56 ..S L=L+1,^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L)=DATA 57 ..Q 58 .Q 59 S ^TMP("IBMSG",$J,ENTITY,ENTVAL,0)=IBTYPE_U_$G(IBD("MSG#"))_U_$G(IBD("SUBJ"))_U_$$GETBILL(ENTVAL)_U_U_IBD("DATE")_U_IBD("SOURCE") 60 ; file raw data 61 S ^TMP("IBMSG",$J,ENTITY,ENTVAL,"D",0,1)="##RAW DATA: "_IBD0 62 Q 63 ; 64 9(IBD) ; Process Message Header record 65 ; INPUT: 66 ; IBD must be passed by reference = entire message line 67 ; OUTPUT: 68 ; IBD array returned with processed data 69 ; "CLAIM" = claim # 70 ; "LINE" = last line # populated in the message 71 ; 72 ; ^TMP("IBMSG",$J,"CLAIM",claim #,line#)= message data lines 73 ; ,"D",9,msg seq #)= raw data 74 N ENTITY,ERR,FLD,IBCLM,IBIFN,L 75 D STRTREC Q:IBCLM="" ; if no claim/batch number, bail out 76 ; make sure that we have data to file 77 S ERR=$P(IBD,U,4) Q:ERR="" 78 ; file error along with corresponding field number (if available) 79 S L=L+1,FLD=$P(IBD,U,5),^TMP("IBMSG",$J,ENTITY,IBCLM,L)="Error"_$S(FLD'="":" in field "_FLD,1:"")_":" 80 S L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)=ERR 81 D ENDREC(9) 82 Q 83 ; 84 10(IBD) ; Process message data 85 ; INPUT: 86 ; IBD must be passed by reference = entire message line 87 ; OUTPUT: 88 ; IBD array returned with processed data 89 ; "CLAIM" = claim # 90 ; "LINE" = last line # populated in the message 91 ; 92 ; ^TMP("IBMSG",$J,"CLAIM",claim #,line#)= message data lines 93 ; ,"D",10,msg seq #)= raw data 94 ; ^TMP("IBCONF",$J,claim #")="" for invalid claims within the batch 95 ; 96 N CODE,DATA,ENTITY,IBCLM,IBIFN,IBTYPE,L,Z 97 D STRTREC Q:IBCLM="" ; if no claim number, bail out 98 S:$P(IBD,U,3)="R" ^TMP("IBCONF",$J,IBIFN)="" 99 S IBTYPE=$S($P(IBD,U,3)="R":"837REJ1",1:"837REC1") 100 ;Process header data if not already done 101 I '$D(^TMP("IBMSG",$J,ENTITY,IBCLM,0)) D HDR(ENTITY,IBCLM,IBTYPE,.IBD) 102 I IBTYPE="837REJ1",$P($G(^TMP("IBMSG",$J,ENTITY,IBCLM,0)),U,1)'="837REJ1" D HDR(ENTITY,IBCLM,IBTYPE,.IBD) 103 S CODE=$P(IBD,U,4) I CODE'="",$TR($P(IBD,U,5,6),U)'="" D 104 .S Z=CODE_$P(IBD,U,5) I Z'=$G(IBD("SCODE")) D 105 ..; determine type of status code and file it 106 ..S L=L+1,DATA=$S(CODE="W":"Warning",CODE="E":"Error",1:"Informational")_" " 107 ..I $P(IBD,U,5)'="" S ^TMP("IBMSG",$J,ENTITY,IBCLM,L)=DATA_"Code: "_$P(IBD,U,5) 108 ..I $P(IBD,U,6)'="" S:$P(IBD,U,5)'="" L=L+1 S ^TMP("IBMSG",$J,ENTITY,IBCLM,L)=DATA_"Message:",L=L+1 109 ..S IBD("SCODE")=Z 110 ..Q 111 .; file status message 112 .I $P(IBD,U,6)'="" S ^TMP("IBMSG",$J,ENTITY,IBCLM,L)=$P(IBD,U,6),L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)=" " 113 .Q 114 D ENDREC(10) 115 Q 116 ; 117 13(IBD) ; Process claim data 118 ; Claim must have been referenced by a previous '10' level 119 ; INPUT: 120 ; IBD must be passed by reference = entire message line 121 ; 122 ; OUTPUT: 123 ; IBD("LINE") = The last line # populated in the message 124 ; 125 ; ^TMP("IBMSG",$J,"CLAIM",claim #,line#)=claim data lines 126 ; ,"D",13,msg seq #)=raw data 127 ; 128 N CTYPE,ENTITY,IBCLM,IBIFN,L,Z1,Z2 129 D STRTREC 130 ; quit if no claim number or no previous 'line 10' record 131 Q:$S(IBCLM="":1,1:'$D(^TMP("IBMSG",$J,"CLAIM",IBCLM))) 132 ; file clearinghouse trace number 133 I $P(IBD,U,3)'="" S L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)="Clearinghouse Trace Number: "_$P(IBD,U,3) 134 ; file payer status date 135 I $P(IBD,U,4)'="" S L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)=" Payer Status Date: "_$$DATE($P(IBD,U,4)) 136 ; file payer claim number 137 I $P(IBD,U,5)'="" S L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)=" Payer Claim Number: "_$P(IBD,U,5) 138 ; file split claim indicator 139 I +$P(IBD,U,6)'=0 S L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)=" Split Claim: "_$S(+$P(IBD,U,6)=1:"No",1:"Yes ("_+$P(IBD,U,6)_" parts)") 140 ; file claim type if it either doesn't match value in VistA or if it's a dental claim 141 S Z1=$P(IBD,U,7),Z2=$$FT^IBCEF(IBIFN),CTYPE=$S(Z1="P"&(Z2'=2):"Professional",Z1="I"&(Z2'=3):"Institutional",Z1="D":"Dental",1:"") 142 S:CTYPE'="" L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)=" Claim Type: "_CTYPE 143 D ENDREC(13) 144 Q 145 ; 146 15(IBD) ; Process subscriber/patient data 147 ; Claim must have been referenced by a previous '10' level 148 ; INPUT: 149 ; IBD must be passed by reference = entire message line 150 ; 151 ; OUTPUT: 152 ; IBD("LINE") = The last line # populated in the message 153 ; 154 ; ^TMP("IBMSG",$J,"CLAIM",claim #,line#)=formatted service dates 155 ; ,"D",15,msg seq #)= 156 ; subscr/patient raw data 157 ; 158 N ENTITY,DATA,IBCLM,IBIFN,IBNM,IBNUM,IBDFN,L 159 D STRTREC 160 ; quit if no claim number or no previous 'line 10' record 161 Q:$S(IBCLM="":1,1:'$D(^TMP("IBMSG",$J,"CLAIM",IBCLM))) 162 S IBDFN=+$P(^DGCR(399,IBIFN,0),U,2) 163 S IBNM=$S($P(IBD,U,3)'="":$P(IBD,U,3)_","_$P(IBD,U,4)_$S($P(IBD,U,5)'="":" "_$P(IBD,U,5),1:""),1:$P($G(^DPT(IBDFN,0)),U)) 164 S IBNUM=$S($P(IBD,U,6)'="":$P(IBD,U,6),1:$P($G(^DPT(IBDFN,0)),U,9)) 165 S L=L+1,^TMP("IBMSG",$J,ENTITY,IBCLM,L)="Patient: "_IBNM_" "_IBNUM 166 I $P(IBD,U,11) D 167 .S DATA=$$DATE($P(IBD,U,11)),L=L+1 168 .S ^TMP("IBMSG",$J,ENTITY,IBCLM,L)="Service Dates: "_DATA_" - "_$S($P(IBD,U,12):$$DATE($P(IBD,U,12)),1:DATA) 169 .Q 170 D ENDREC(15) 171 Q 172 ; 173 STRTREC ; start processing of the record 174 ; 175 ; OUTPUT: 176 ; sets the following variables 177 ; IBCLM = claim # 178 ; ENTITY = "CLAIM" (all 277STAT messages are on claim level) 179 ; L = last populated line number 180 ; 181 S IBCLM=$$GETCLM($P(IBD,U,2)),ENTITY="CLAIM",L=+$G(IBD("LINE")) 182 S IBIFN=+$O(^DGCR(399,"B",IBCLM,0)) 183 Q 184 ; 185 ENDREC(TYPE) ; finish processing of the record 186 ; INPUT: 187 ; TYPE = record type (line type) 188 ; 189 ; OUTPUT: 190 ; IBD("LINE") = is updated with last populated line number 191 ; 192 ;make sure all variables are set properly 193 Q:$G(ENTITY)="" 194 Q:$G(IBCLM)="" 195 Q:$G(TYPE)="" 196 ; file raw data 197 S ^TMP("IBMSG",$J,ENTITY,IBCLM,"D",TYPE,$O(^TMP("IBMSG",$J,ENTITY,IBCLM,"D",TYPE,""),-1)+1)="##RAW DATA: "_IBD 198 ; update line count 199 S IBD("LINE")=$G(IBD("LINE"))+L 200 Q 201 ; 202 GETBILL(CLAIM) ; Extract transmission # 203 N TRANS 204 S TRANS=$$LAST364^IBCEF4(IBIFN) 205 ; if status of the last transmission is "X" or "P", keep searching backwards through file 364 until record 206 ; with different status is found 207 I TRANS F Q:"XP"'[$P(^IBA(364,TRANS,0),U,3) S TRANS=$O(^IBA(364,"B",IBIFN,TRANS),-1) Q:TRANS="" ; 208 Q +TRANS 209 ; 210 DATE(DT) ; Convert YYMMDD Date into MM/DD/YY or YYYYMMDD into MM/DD/YYYY 211 N D,Y 212 S D=DT,Y="" 213 I $L(DT)=8 S D=$E(DT,3,8),Y=$E(DT,1,2) 214 Q ($E(D,3,4)_"/"_$E(D,5,6)_"/"_Y_$E(D,1,2)) 215 ; 216 GETCLM(X) ; Extract the claim # without site id from the data in X 217 N IBCLM 218 S IBCLM=$P(X,"-",2) I IBCLM="",X'="" S IBCLM=$E(X,$S($L(X)>7:4,1:1),$L(X)) 219 Q IBCLM 220 ; 1 IBCE277 ;ALB/TMP - 277 EDI CLAIM STATUS MESSAGE PROCESSING ;15-JUL-98 2 ;;2.0;INTEGRATED BILLING;**137,155**;21-MAR-94 3 Q 4 ; MESSAGE HEADER DATA STRING = 5 ; type of message^msg queue^msg #^bill #^REF NUM/Batch #^date/time 6 ; 7 HDR(ENTITY,ENTVAL,IBTYPE,IBD) ;Process header data 8 ; INPUT: 9 ; ENTITY = "BATCH" if batch level message 10 ; "CLAIM" if claim level message 11 ; ENTVAL = batch # or claim # 12 ; IBTYPE = the type of status msg this piece of the message represents 13 ; (837REC1, 837REJ1) 14 ; ^TMP("IBMSGH",$J,0) = header message text 15 ; 16 ; OUTPUT: 17 ; IBD array returned with processed data 18 ; "LINE" = The last line # populated in the message 19 ; "DATE" = Date/Time of status (Fileman format) 20 ; "MRA" = 1 if MRA, 0 if not "X12" = 1 if X12, 0 if not 21 ; "BATCH" = Batch ien for batch level calls 22 ; "SOURCE" = Source of message code^source name, if known 23 ; 24 ; ^TMP("IBMSG",$J,"BATCH",batch #,0)=MESSAGE HEADER DATA STRING 25 ; if called from batch level 26 ; ,"D",0,1)=header record raw data 27 ; ,line #)=batch status message lines 28 ; 29 ; ^TMP("IBMSG",$J,"CLAIM",claim #,0)=MESSAGE HEADER DATA STRING 30 ; if called from claim level 31 ; ,"D",0,1)=header record raw data 32 ; ,line #)=claim status message lines 33 ; 34 N CT,CT1,IBBILL,IBD0,L,LINE,PC,Z,X,Y 35 S IBD0=$G(^TMP("IBMSGH",$J,0)),IBD("LINE")=0 36 Q:IBD0="" 37 S Y=0,X=$$DATE($P(IBD0,U,3))_"@"_$E($P(IBD0,U,4)_"0000",1,4) 38 I X S %DT="XTS" D ^%DT 39 S IBD("DATE")=$S(Y>0:Y,1:"") 40 S IBD("MRA")=$P(IBD0,U,5),IBD("X12")=($P(IBD0,U,2)="X") 41 S IBD("SOURCE")=$P(IBD0,U,12,13) 42 S CT=0 43 ; 44 I ENTITY="BATCH",ENTVAL'="" D ;Only pertinent for batch level extract 45 . S IBD("BATCH")=$O(^IBA(364.1,"B",ENTVAL,0)) 46 . F PC=6:1:9 D 47 .. I $P(IBD0,U,PC)'="" S DATA=$P("# Claims Submitted^# Claims Rejected^Total Charges Submitted^Total Charges Rejected",U,PC-5)_": "_$S(PC<8:+$P(IBD0,U,PC),1:$FNUMBER($P(IBD0,U,PC)/100,"",2))_" " 48 .. I CT,$L($G(LINE(CT)))+$L(DATA)>80 S CT=CT+1 49 .. S:'CT CT=1 S LINE(CT)=$G(LINE(CT))_DATA 50 ; 51 I ENTVAL'="",$TR($P(IBD0,U,10,13),U)'="" S CT1=CT,CT=CT+1 F PC=10,11,12 D ;Both batch, claim levels extract 52 . Q:$P(IBD0,U,PC)="" 53 . I PC<12 S LINE(CT)=$G(LINE(CT))_$P("Payer Name^Payer ID",U,PC-9)_": "_$P(IBD0,U,PC)_" ",CT1=CT Q 54 . I $P(IBD0,U,12)'=""!($P(IBD0,U,13)'="") S:$P(IBD0,U,10)'=""!($P(IBD0,U,11)'="") CT=CT+1 S LINE(CT)="Source: "_$S($P(IBD0,U,12)="Y":"Sent by payer",$P(IBD0,U,13)'="":"Sent by non-payer ("_$P(IBD0,U,13)_")",1:"UNKNOWN")_" " 55 ; 56 I CT D 57 . S (L,Z)=0 58 . F S Z=$O(LINE(Z)) Q:'Z S L=L+1,^TMP("IBMSG-H",$J,ENTITY,ENTVAL,L)=LINE(Z) 59 . ;S IBD("LINE")=$G(IBD("LINE"))+CT 60 ; 61 I ENTITY="CLAIM" D 62 . N Z0 63 . S Z0=+$O(^DGCR(399,"B",ENTVAL,0)) 64 . I $G(IBD("BATCH")) S IBBILL=$O(^IBA(364,"ABABI",+$G(IBD("BATCH")),Z0,""),-1) Q 65 . S IBBILL=$$LAST364^IBCEF4(Z0) 66 S ^TMP("IBMSG",$J,ENTITY,ENTVAL,0)=IBTYPE_U_$G(IBD("MSG#"))_U_$G(IBD("SUBJ"))_U_$S(ENTITY="CLAIM":IBBILL,1:"")_U_$S(ENTITY="BATCH":ENTVAL,1:"")_U_IBD("DATE")_U_IBD("SOURCE") 67 ; 68 S ^TMP("IBMSG",$J,ENTITY,ENTVAL,"D",0,1)="##RAW DATA: "_IBD0 69 Q 70 ; 71 5(IBD) ; Process batch status data 72 ; INPUT: 73 ; IBD must be passed by reference = entire message line 74 ; OUTPUT: 75 ; IBD array returned with processed data 76 ; "LINE" = The last line # populated in the message 77 ; 78 ; ^TMP("IBMSG",$J,"BATCH",batch #,line#)=batch status message lines 79 ; ,"D",5,msg seq #)= 80 ; batch status message raw data 81 ; 82 N CT,DATA,IBBTCH,IBTYPE,L,LINE,Z 83 K ^TMP("IBCONF",$J) 84 S IBBTCH=+$P(IBD,U,2) 85 S IBTYPE=$S($P(IBD,U,3)="R":"837REJ1",1:"837REC1") 86 I '$D(^TMP("IBMSG",$J,"BATCH",IBBTCH)) D HDR("BATCH",IBBTCH,IBTYPE,.IBD) ;Process header data if not already done for batch 87 S CT=0,LINE(1)="" 88 S DATA=$P(IBD,U,4) 89 I DATA'="",$TR($P(IBD,U,5,7),U)'="" D 90 . Q:$G(^TMP("IBMSG",$J,"BATCH",IBBTCH))=DATA 91 . S:'CT CT=CT+1 S LINE(CT)=$G(LINE(CT))_$S(DATA="W":"Warning",DATA="E":"Error",1:"Informational")_" " 92 S ^TMP("IBMSG",$J,"BATCH",IBBTCH)=DATA 93 I $P(IBD,U,5)'="" S:'CT CT=CT+1 S LINE(CT)=$G(LINE(CT))_"Code: "_$P(IBD,U,5) 94 I $P(IBD,U,6)'="" S:'CT CT=CT+1 S LINE(CT)=$G(LINE(CT))_" "_$P(IBD,U,6),CT=CT+1 95 I $P(IBD,U,7)'="" S:'CT CT=CT+1 S LINE(CT)=$G(LINE(CT))_" "_$P(IBD,U,7) 96 I CT D 97 . S L=$G(IBD("LINE")),Z=0 98 . F S Z=$O(LINE(Z)) Q:'Z S L=L+1,^TMP("IBMSG",$J,"BATCH",IBBTCH,L)=LINE(Z) 99 . S ^TMP("IBMSG",$J,"BATCH",IBBTCH,"D",5,$O(^TMP("IBMSG",$J,"BATCH",IBBTCH,"D",5,""),-1)+1)="##RAW DATA: "_IBD 100 . S IBD("LINE")=$G(IBD("LINE"))+CT 101 Q 102 ; 103 10(IBD) ; Process claim status data 104 ; INPUT: 105 ; IBD must be passed by reference = entire message line 106 ; OUTPUT: 107 ; IBD array returned with processed data 108 ; "CLAIM" = The claim # 109 ; "LINE" = The last line # populated in the message 110 ; 111 ; ^TMP("IBMSG",$J,"CLAIM",claim #,line#)=claim status message lines 112 ; ,"D",10,msg seq #)= 113 ; claim status raw data 114 ; ^TMP("IBCONF",$J,claim #")="" for invalid claims within the batch 115 ; 116 N CT,DATA,IBCLM,IBTYPE,L,LINE,Z 117 S IBCLM=$$GETCLM($P(IBD,U,2)) 118 Q:IBCLM="" 119 S:$P(IBD,U,3)="R" ^TMP("IBCONF",$J,+$O(^DGCR(399,"B",IBCLM,0)))="" 120 S IBTYPE=$S($P(IBD,U,3)="R":"837REJ1",1:"837REC1") 121 I '$D(^TMP("IBMSG",$J,"CLAIM",IBCLM)) D HDR("CLAIM",IBCLM,IBTYPE,.IBD) ;Process header data if not already done for claim 122 I IBTYPE="837REJ1",$P($G(^TMP("IBMSG",$J,"CLAIM",IBCLM,0)),U,1)'="837REJ1" D HDR("CLAIM",IBCLM,IBTYPE,.IBD) 123 S CT=0,DATA=$P(IBD,U,4) 124 I DATA'="",$TR($P(IBD,U,5,7),U)'="" D 125 . Q:$G(^TMP("IBMSG",$J,"CLAIM",IBCLM))=DATA 126 . S ^TMP("IBMSG",$J,"CLAIM",IBCLM)=DATA 127 . S CT=CT+1,LINE(CT)=$G(LINE(CT))_$S(DATA="W":"Warning",DATA="E":"Error",1:"Informational")_" " 128 I $P(IBD,U,5)'="" S CT=$S('CT:1,1:CT),LINE(CT)=$G(LINE(CT))_"Code: "_$P(IBD,U,5) 129 I $P(IBD,U,6)'="" S CT=$S('CT:1,1:CT),LINE(CT)=$G(LINE(CT))_" "_$P(IBD,U,6) 130 I $P(IBD,U,7)'="" S CT=CT+1,LINE(CT)=" "_$P(IBD,U,7) 131 I CT D 132 . S L=$G(IBD("LINE")),Z=0 133 . F S Z=$O(LINE(Z)) Q:'Z S L=L+1,^TMP("IBMSG",$J,"CLAIM",IBCLM,L)=LINE(Z) 134 . S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",10,$O(^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",10,""),-1)+1)="##RAW DATA: "_IBD 135 . S IBD("LINE")=$G(IBD("LINE"))+CT 136 Q 137 ; 138 15(IBD) ; Process subscriber/patient data 139 ; Claim must have been referenced by a previous '10' level 140 ; INPUT: 141 ; IBD must be passed by reference = entire message line 142 ; 143 ; OUTPUT: 144 ; IBD("LINE") = The last line # populated in the message 145 ; 146 ; ^TMP("IBMSG",$J,"CLAIM",claim #,line#)=formatted service dates 147 ; ,"D",15,msg seq #)= 148 ; subscr/patient raw data 149 ; 150 N CT,Z,L,LINE,DATA,IBCLM,IBNM,IBNUM,IBDFN 151 S IBCLM=$$GETCLM($P(IBD,U,2)),CT=0,L=$G(IBD("LINE")) 152 Q:$S(IBCLM="":1,1:'$D(^TMP("IBMSG",$J,"CLAIM",IBCLM))) 153 S IBDFN=+$G(^DGCR(+$O(^DGCR(399,"B",IBCLM,0)),0)) 154 S IBNM=$S($P(IBD,U,3)'="":$P(IBD,U,3)_","_$P(IBD,U,4)_$S($P(IBD,U,5)'="":" "_$P(IBD,U,5),1:""),1:$P($G(^DPT(IBDFN,0)),U)) 155 S IBNUM=$S($P(IBD,U,6)'="":$P(IBD,U,6),1:$P($G(^DPT(IBDFN,0)),U,9)) 156 S CT=CT+1,LINE(CT)="Patient: "_IBNM_" "_IBNUM 157 I $P(IBD,U,11) D 158 . S DATA=$$DATE($P(IBD,U,11)),CT=CT+1 159 . S LINE(CT)="Service Dates: "_DATA_" - "_$S($P(IBD,U,12):$$DATE($P(IBD,U,12)),1:DATA)_" " 160 . ; Add additional lines of display data here for record 15 161 S Z=0 F S Z=$O(LINE(Z)) Q:'Z S L=L+1,^TMP("IBMSG",$J,"CLAIM",IBCLM,L)=LINE(Z) 162 S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",15,$O(^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",15,""),-1)+1)="##RAW DATA: "_IBD 163 S IBD("LINE")=$G(IBD("LINE"))+CT 164 Q 165 ; 166 20(IBD) ; Process service line status data 167 ; Claim must have been referenced by a previous '10' level 168 ; INPUT: 169 ; IBD must be passed by reference = entire message line 170 ; OUTPUT: 171 ; IBD array returned with processed data 172 ; "LINE" = The last line # populated in the message 173 ; "TYPE" = The msg type of status record (Confirmation/rejection) 174 ; Note: returned if not already set at batch or claim level 175 ; 176 ; ^TMP("IBMSG",$J,"CLAIM",claim #)="" 177 ; ,line#)=service line status msg lines 178 ; ,"D",20,msg seq #)= 179 ; service line status raw data 180 ; 181 N CT,DATA,L,LINE,Z,IBCLM,IBLNUM 182 S IBCLM=$$GETCLM($P(IBD,U,2)),IBLNUM=$P(IBD,U,8) 183 Q:'$D(^TMP("IBMSG",$J,"CLAIM",IBCLM)) 184 S CT=0 185 I IBLNUM'="" S CT=CT+1,LINE(CT)="Claim Line: "_IBLNUM,^TMP("IBMSG",$J,"LINE",IBCLM,IBLNUM)="" 186 S DATA=$P(IBD,U,4) 187 I DATA'="",$TR($P(IBD,U,5,7),U)'="" S:'CT CT=CT+1 S LINE(CT)=$S(DATA="W":"Warning",DATA="E":"Error",1:"Informational")_" "_$G(LINE(CT)) 188 S:$G(IBD("TYPE"))="" IBD("TYPE")=$S(DATA="E":"837REJ1",1:"837REC1") 189 I $P(IBD,U,5)'="" S:'CT CT=CT+1 S LINE(CT)=LINE(CT)_$P(IBD,U,5) 190 I $P(IBD,U,6)'="" S CT=CT+1,LINE(CT)=" "_$P(IBD,U,6) 191 I $P(IBD,U,7)'="" S CT=CT+1,LINE(CT)=" "_$P(IBD,U,7) 192 I CT D 193 . S L=$G(IBD("LINE")),Z=0 194 . F S Z=$O(LINE(Z)) Q:'Z S L=L+1,^TMP("IBMSG",$J,"CLAIM",IBCLM,L)=LINE(Z) 195 . S ^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",20,$O(^TMP("IBMSG",$J,"CLAIM",IBCLM,"D",20,""),-1)+1)="##RAW DATA: "_IBD 196 . S IBD("LINE")=$G(IBD("LINE"))+CT 197 Q 198 ; 199 21(IBD) ; Process service line ID data 200 ; Moved for size too big 201 D 21^IBCE277A(IBD) 202 Q 203 ; 204 DATE(DT) ; Convert YYMMDD Date into MM/DD/YY or YYYYMMDD into MM/DD/YYYY 205 N D,Y 206 S D=DT,Y="" 207 I $L(DT)=8 S D=$E(DT,3,8),Y=$E(DT,1,2) 208 Q ($E(D,3,4)_"/"_$E(D,5,6)_"/"_Y_$E(D,1,2)) 209 ; 210 GETCLM(X) ; Extract the claim # without site id from the data in X 211 N IBCLM 212 S IBCLM=$P(X,"-",2) 213 I IBCLM="",X'="" S IBCLM=$E(X,$S($L(X)>7:4,1:1),$L(X)) 214 ;S IBCLM=$E(X,$L(IBCLM)-6,$L(IBCLM)) ; Only take last 7 char 215 Q IBCLM 216 ;
Note:
See TracChangeset
for help on using the changeset viewer.
