IBCBB1	;ALB/AAS - CONTINUATION OF EDIT CHECK ROUTINE ;2-NOV-89
	;;2.0;INTEGRATED BILLING;**27,52,80,93,106,51,151,148,153,137,232,280,155,320,343,349,363,371,395**;21-MAR-94;Build 3
	;;Per VHA Directive 2004-038, this routine should not be modified.
	;
	;MAP TO DGCRBB1
	;
%	;Bill Status
	N Z,Z0,Z1
	I $S(+IBST=0:1,1:"^1^2^3^4^7^"'[(U_IBST_U)) S IBER=IBER_"IB045;"
	;
	;Statement Covers From
	I IBFDT="" S IBER=IBER_"IB061;"
	I IBFDT]"",IBFDT'?7N&(IBFDT'?7N1".".N) S IBER=IBER_"IB061;"
	I IBFDT>IBTDT S IBER=IBER_"IB061;" ; from must be on or before the to date 
	S IBFFY=$$FY^IBOUTL(IBFDT)
	; if inpat - from date must not be prior to admit date.
	I $$INPAT^IBCEF(IBIFN,1),(IBFDT<($P($G(^DGPT(+$P(IBND0,U,8),0)),U,2)\1))  S IBER=IBER_"IB061;"
	;
	;Statement Covers To
	I IBTDT="" S IBER=IBER_"IB062;"
	I IBTDT]"",IBTDT'?7N&(IBTDT'?7N1".".N) S IBER=IBER_"IB062;"
	I IBTDT>DT!(IBTDT<IBFDT) S IBER=IBER_"IB062;"  ; to date must not be >than today's date
	S IBTFY=$$FY^IBOUTL(IBTDT)
	;
	;Total Charges
	I +IBTC'>0!(+IBTC'=IBTC) S IBER=IBER_"IB064;"
	;
	;Billable charges for secondary claim
	I $$MCRONBIL^IBEFUNC(IBIFN)&(($P(IBNDU1,U,1)-$P(IBNDU1,U,2))'>0) S IBER=IBER_"IB094;"
	;Fiscal Year 1
	S IBFFY=$$FY^IBOUTL(IBFDT)
	;
	;Check provider link for current user, enterer, reviewer and Authorizor
	I '$D(^VA(200,DUZ,0)) S IBER=IBER_"IB048;"
	I IBEU]"",'$D(^VA(200,IBEU,0)) S IBER=IBER_"IB048;"
	I IBRU]"",'$D(^VA(200,IBRU,0)) S IBER=IBER_"IB060;"
	I IBAU]"",'$D(^VA(200,IBAU,0)) S IBER=IBER_"IB041;"
	;
	I IBER="",+$$STA^PRCAFN(IBIFN)=104 S IBER=IBER_"IB040;"
	; If ins bill, must have valid COB sequence
	I $P(IBND0,U,11)="i",$S($P(IBND0,U,21)="":1,1:"PST"'[$P(IBND0,U,21)) S IBER=IBER_"IB324;"
	;
	; Check for valid sec provider id for current ins
	S Z=0 F  S Z=$O(^DGCR(399,IBIFN,"PRV",Z)) Q:'Z  S Z0=$G(^(Z,0)),Z1=+$$COBN^IBCEF(IBIFN) I $P(Z0,U,4+Z1)'="",$P(Z0,U,11+Z1)'="" D
	. I '$$SECIDCK^IBCEF74(IBIFN,Z1,$P(Z0,U,11+Z1),Z) D WARN^IBCBB11("Prov secondary id type for the "_$P("PRIMARY^SECONDARY^TERTIARY",U,Z1)_" "_$$EXTERNAL^DILFD(399.0222,.01,,+Z0)_" is invalid/won't transmit")
	; Check NPIs
	D NPICHK^IBCBB11
	;
	; Check multiple rx NPIs
	D RXNPI^IBCBB11(IBIFN)
	;
	; Check taxonomies
	D TAXCHK^IBCBB11
	;
	; Check for Physician Name
	K IBXDATA D F^IBCEF("N-ATT/REND PHYSICIAN NAME",,,IBIFN)
	I $P($G(IBXDATA),U)="" S IBER=IBER_"IB303;"
	;
	N FUNCTION,IBINS
	S FUNCTION=$S($$FT^IBCEF(IBIFN)=3:4,1:3)
	I IBER'["IB303;" D
	. F IBINS=1:1:3 D
	.. S Z=$$GETTYP^IBCEP2A(IBIFN,IBINS)
	.. I Z,$P(Z,U,2) D  ; Rendering/attending prov secondary id required
	... N IBID,IBOK,Q0
	... D PROVINF^IBCEF74(IBIFN,IBINS,.IBID,1,"C")  ; check all as though they were current
	... S IBOK=0
	... S Q0=0 F  S Q0=$O(IBID(1,FUNCTION,Q0)) Q:'Q0  I $P(IBID(1,FUNCTION,Q0),U,9)=+Z S IBOK=1 Q
	... I 'IBOK S IBER=IBER_$S(IBINS=1:"IB236;",IBINS=2:"IB237;",IBINS=3:"IB238;",1:"")
	;
	D PRIIDCHK^IBCBB11
	;
	N IBM,IBM1
	S IBM=$G(^DGCR(399,IBIFN,"M"))
	S IBM1=$G(^DGCR(399,IBIFN,"M1"))
	I $P(IBM,U),$P($G(^DIC(36,$P(IBM,U),4)),U,6),$P(IBM1,U,2)="" S IBER=IBER_"IB244;"
	I $P(IBM,U,2),$P($G(^DIC(36,$P(IBM,U,2),4)),U,6),$P(IBM1,U,3)="" S IBER=IBER_"IB245;"
	I $P(IBM,U,3),$P($G(^DIC(36,$P(IBM,U,3),4)),U,6),$P(IBM1,U,4)="" S IBER=IBER_"IB246;"
	;
	; If outside facility, check for ID and qualifier in 355.93
	; 5/15/06 - esg - hard error IB243 turned into warning message instead
	S Z=$P($G(^DGCR(399,IBIFN,"U2")),U,10)
	I Z D
	. I $P($G(^IBA(355.93,Z,0)),U,9)=""!($P($G(^IBA(355.93,Z,0)),U,13)="") D
	.. N Z1,Z2
	.. S Z1="Missing Lab or Facility Primary ID for non-VA facility, "
	.. S Z2=$$EXTERNAL^DILFD(399,232,,Z)
	.. I $L(Z2)'>19 D WARN^IBCBB11(Z1_Z2) Q
	.. D WARN^IBCBB11(Z1),WARN^IBCBB11("     "_Z2)
	.. Q
	. Q
	;
	; Must be one and only one division on bill
	S IBZ=$$MULTDIV^IBCBB11(IBIFN,IBND0)
	I IBZ S IBER=IBER_$S(IBZ=1:"IB095;",IBZ=2:"IB104;",1:"IB105;")
	; Division address must be defined in institution file
	I $P(IBND0,U,22) D
	. N Z,Z0,Z1
	. S Z0=$G(^DIC(4,+$P($G(^DG(40.8,+$P(IBND0,U,22),0)),U,7),0))
	. S Z1=$G(^DIC(4,+$P($G(^DG(40.8,+$P(IBND0,U,22),0)),U,7),1))
	. I $P(Z0,U,2)="" S IBER=IBER_"IB097;" Q
	. F Z=1,3,4 I $P(Z1,U,Z)="" S IBER=IBER_"IB097;" Q
	;
	;CHAMPVA Rate Type and Primary Insurance Carriers Type of Coverage must match
	S (IBRTCHV,IBPICHV)=0
	I $P($G(^DGCR(399.3,+IBAT,0)),U,1)="CHAMPVA" S IBRTCHV=1
	I $P($G(^IBE(355.2,+$P($G(^DIC(36,+IBNDMP,0)),U,13),0)),U,1)="CHAMPVA" S IBPICHV=1
	I (+IBRTCHV!+IBPICHV)&('IBRTCHV!'IBPICHV) S IBER=IBER_"IB085;"
	;
	N IBZPRC,IBZPRCUB
	D F^IBCEF("N-ALL PROCEDURES","IBZPRC",,IBIFN)
	; Procedure Clinic is required for Surgical Procedures Outpt Facility Charges
	I +$P(IBND0,U,27)'=2,$$BILLRATE^IBCRU3(IBAT,IBCL,IBEVDT,"RC OUTPATIENT") D
	. N Z,Z0,Z1,ZE S (ZE,Z)=0 F  S Z=$O(^DGCR(399,IBIFN,"CP",Z)) Q:'Z  D  I +ZE S IBER=IBER_"IB320;" Q
	.. S Z0=$G(^DGCR(399,IBIFN,"CP",Z,0)),Z1=+Z0 I Z0'[";ICPT(" Q
	.. I '((Z1'<10000)&(Z1'>69999))&'((Z1'<93501)&(Z1'>93533)) Q
	.. I '$P(Z0,U,7) S ZE=1
	;
	; Extract procedures for UB-04
	D F^IBCEF("N-UB-04 PROCEDURES","IBZPRCUB",,IBIFN)
	; Does this bill have ANY prescriptions associated with it?
	; Must bill prescriptions separately from other charges
	;
	I $$ISRX^IBCEF1(IBIFN) D
	. N IBZ,IBRXDEF
	. S IBRXDEF=$P($G(^IBE(350.9,1,1)),U,30),IBZ=0
	. F  S IBZ=$O(IBZPRCUB(IBZ)) Q:'IBZ  I IBZPRCUB(IBZ),+$P(IBZPRCUB(IBZ),U)'=IBRXDEF S IBER=IBER_"IB102;" Q
	. K IBZ
	;
	; Check that COB sequences are not skipped
	K Z
	F Z=1:1:3 S:+$G(^DGCR(399,IBIFN,"I"_Z)) Z(Z)=""
	F Z=0:1:2 S Z0=$O(Z(Z)) Q:'Z0  I Z0'=(Z+1) S IBER=IBER_"IB322;" Q
	K Z
	; HD64676  IB*2*371 - OK for payer sequence to be blank when the Rate
	;    Type is either Interagency or Sharing Agreement
	I $P($G(^DGCR(399,IBIFN,0)),U,21)="",$P($G(^DGCR(399,IBIFN,0)),U,7)'=4,$P($G(^DGCR(399,IBIFN,0)),U,7)'=9 S IBER=IBER_"IB323;"
	K IBXDATA D F^IBCEF("N-PROCEDURE CODING METHD",,,IBIFN)
	; Coding method should agree with types of procedure codes
	S IBOK=$S('$O(IBZPRC(0))!(IBXDATA=""):1,1:0)
	I 'IBOK S IBOK=1,IBZ=0 F  S IBZ=$O(IBZPRC(IBZ)) Q:'IBZ  I IBZPRC(IBZ),$P(IBZPRC(IBZ),U)'[$S(IBXDATA=9:"ICD",1:"ICP") S IBOK=0 Q
	I 'IBOK D WARN^IBCBB11("Coding Method does not agree with all procedure codes found on bill")
	D EDITMRA^IBCBB3(.IBQUIT,.IBER,IBIFN,IBFT)
	Q:$G(IBQUIT)
	;
	;Other things that could be added:  Rev Code - calculating charges
	;        Diagnosis Coding, if MT copay - check for other co-payments
	;
	I $P(IBNDTX,U,8),$$REQMRA^IBEFUNC(IBIFN) S IBER=IBER_"IB121;"   ; can't force MRAs to print
	I $P(IBNDTX,U,8)!$P(IBNDTX,U,9) D WARN^IBCBB11($S($$REQMRA^IBEFUNC(IBIFN)&($P(IBNDTX,U,9)):"MRA Secondary ",1:"")_"Bill has been forced to print "_$S($P(IBNDTX,U,8)=1!($P(IBNDTX,U,9)=1):"locally",1:"at clearinghouse"))
	N IBXZ,IBIZ F IBIZ=12,13,14 S IBXZ=$P(IBNDM,U,IBIZ) I +IBXZ S IBXZ=$P($G(^DPT(DFN,.312,IBXZ,0)),U,18) I +IBXZ S IBXZ=$G(^IBA(355.3,+IBXZ,0)) I +$P(IBXZ,U,12) D
	. D WARN^IBCBB11($P($G(^DIC(36,+IBXZ,0)),U,1)_" requires Amb Care Certification")
	;
	D VALNDC^IBCBB11(IBIFN,DFN)  ;validate NDC#
	;
	;Build AR array if no errors and MRA not needed or already rec'd
	I IBER="",$S($$NEEDMRA^IBEFUNC(IBIFN)!($$REQMRA^IBEFUNC(IBIFN)):0,1:1) D ARRAY
	;
END	;Don't kill IBIFN, IBER, DFN
	I $O(^TMP($J,"BILL-WARN",0)),$G(IBER)="" S IBER="WARN" ;Warnings only
	K IBBNO,IBEVDT,IBLOC,IBCL,IBTF,IBAT,IBWHO,IBST,IBFDT,IBTDT,IBTC,IBFY,IBFY1,IBAU,IBRU,IBEU,IBARTP,IBFYC,IBMRA,IBTOB,IBTOB12,IBNDU2,IBNDUF3,IBNDUF31,IBNDTX
	K IBNDS,IBND0,IBNDU,IBNDM,IBNDMP,IBNDU1,IBFFY,IBTFY,IBFT,IBRTCHV,IBPICHV,IBXDATA,IBOK
	I $D(IBER),IBER="" W !,"No Errors found for National edits"
	Q
	;
ARRAY	;Build PRCASV(array)
	N IBCOBN,X
	K PRCASV
	Q:$$MCRWNR^IBEFUNC(+$$CURR^IBCEF2(IBIFN))
	S IBCOBN=$$COBN^IBCEF(IBIFN)
	S X=IBIFN
	S PRCASV("BDT")=DT,PRCASV("ARREC")=IBIFN
	S PRCASV("APR")=DUZ
	S PRCASV("PAT")=DFN,PRCASV("CAT")=$P(^DGCR(399.3,IBAT,0),"^",6)
	I IBWHO="i" S PRCASV("DEBTOR")=+IBNDMP_";DIC(36,"
	S PRCASV("DEBTOR")=$S(IBWHO="p":DFN_";DPT(",IBWHO="o":$P(IBNDM,"^",11)_";DIC(4,",IBWHO="i":PRCASV("DEBTOR"),1:"")
	S PRCASV("CARE")=$E($$TOB^IBCEF1(IBIFN),1,2)
	S PRCASV("FY")=$$FY^IBOUTL(DT)_U_($P(IBNDU1,U)-$P(IBNDU1,U,2))
	;S PRCASV("FY")=$P(IBNDU1,U,9)_U_$S($P(IBNDU1,U,2)]"":($P(IBNDU1,U,10)-$P(IBNDU1,U,2)),1:$P(IBNDU1,U,10))_$S($P(IBNDU1,U,11)]"":U_$P(IBNDU1,U,11)_U_$P(IBNDU1,U,12),1:"")
PLUS	I IBWHO="i",$P(IBNDM,"^",2),$D(^DIC(36,$P(IBNDM,"^",2),0)) S PRCASV("2NDINS")=$P(IBNDM,"^",2)
	I IBWHO="i",$P(IBNDM,"^",3),$D(^DIC(36,$P(IBNDM,"^",3),0)) S PRCASV("3RDINS")=$P(IBNDM,"^",3)
	;
	N IBX S IBX=$P(IBND0,U,21),IBX=$S(IBX="P":"I1",IBX="S":"I2",IBX="T":"I3",1:"") Q:IBX=""
	N IBNDI1
	Q:'$D(^DGCR(399,IBIFN,IBX))  S IBNDI1=^(IBX)
	S:$P(IBNDI1,"^",3)]"" PRCASV("GPNO")=$P(IBNDI1,"^",3)
	S:$P(IBNDI1,"^",15)]"" PRCASV("GPNM")=$P(IBNDI1,"^",15)
	S:$P(IBNDI1,"^",17)]"" PRCASV("INPA")=$P(IBNDI1,"^",17)
	S:$P(IBNDI1,"^",2)]"" PRCASV("IDNO")=$P(IBNDI1,"^",2),PRCASV("INID")=PRCASV("IDNO")
	; Check that this is a secondary or tertiary bill and insurance for previous
	; COB sequence is Medicare WNR and MRA is active --> send data elements to AR
	I IBCOBN>1,$$WNRBILL^IBEFUNC(IBIFN,IBCOBN-1),$$EDIACTV^IBCEF4(2) D MRA
	Q
	;
MRA	N IBEOB S IBEOB=0
	;
	K PRCASV("MEDURE"),PRCASV("MEDCA")
	; Get EOB data
	F  S IBEOB=$O(^IBM(361.1,"B",IBIFN,IBEOB)) Q:'IBEOB  D
	. D MRACALC^IBCEMU2(IBEOB,IBIFN,1,.PRCASV)
	Q  ;MRA
	;
	;; PREGNANCY DX CODES: V22**-V24**, V27**-V28**, 630**-677**
	;; FLU SHOTS PROCEDURE CODES: 90724, G0008, 90732, G0009