BPSRPT2 ;BHAM ISC/BEE - ECME REPORTS ;14-FEB-05 ;;1.0;E CLAIMS MGMT ENGINE;**1,3,5**;JUN 2004;Build 45 ;;Per VHA Directive 2004-038, this routine should not be modified. ; Q ; ;Save One Report Entry ; ; Input variables -> See BPSRPT0 for description ; BPTMPGL,BPDFN,BPRX,BPREF,BP59,BPENDDT,BPPHARM,BPSUMDET,BPGRPLAN,BPRLDT,BPPAYBL,BPREJFL,BPRXDRG ; SETTMP(BPTMPGL,BPDFN,BPRX,BPREF,BP59,BPBEGDT,BPENDDT,BPPHARM,BPSUMDET,BPGRPLAN,BPRLDT,BPPAYBL,BPREJFL,BPRXDRG,BPSTATUS) ; N BPCLSDT,BPDATA,BPDIV,BPFILDT,BPISSDT,BPSMSG,BPSREJ,BPREST,BPSRWR,BPTDTTM,BPTRDT ; ;Check for bad data I BPREF,$$IFREFILL^BPSRPT6(BPRX,BPREF)=0 G EXIT ; ;Retrieve Close Date S BPCLSDT=$P($$CLOSEDT(BP59),".") ; ;If NO refills I BPREF=0 D . S BPFILDT=$$RXFILDT^BPSRPT6(BPRX) . S BPISSDT=$$RXISSDT^BPSRPT6(BPRX) ; ;If Refills I BPREF>0 D . S BPFILDT=$$REFFILDT^BPSRPT6(BPRX,BPREF) . S BPISSDT=$$REFISSDT^BPSRPT6(BPRX,BPREF) ; ;Get Transaction Date/Transaction Date and Time S BPTRDT=$$TRANDT(BP59,0) S BPTDTTM=$$TRANDT(BP59,1) ; ;Get Result, Message, Reject Information, and BPS Pharmacy S BPREST=$$RESULT(BP59,.BPSRWR) S BPSMSG=$$MSG(BPSRWR,.BPSMSG,BP59) S BPSREJ=$S(BPREJFL=0:"",1:$$REJECT(BPREST,.BPSREJ,BP59)) S BPDIV=+$P($G(^BPST(BP59,1)),"^",7) ; ;Set up data node S BPDATA=BPRLDT_U_BPTRDT_U_BP59_U_BPRX_U_BPREF_U_BPREST_U_BPSTATUS_U_BPFILDT_U_BPISSDT_U_U_U_BPPAYBL_U_BPREJFL_U_BPRXDRG_U_BPSRWR ; ;For Totals by Date - No Insurance Sort I BPRTYPE=6 S BPGRPLAN="~" ; ;Sort by transaction date I BPRTYPE'=7 D:$$CHKDT(+$G(BPTRDT),BPBEGDT,BPENDDT) . ; . ;For Recent Transactions tack on Txn date and Time to Ins . I BPRTYPE=5 S BPGRPLAN=-BPTDTTM_"^"_BPGRPLAN . S @BPTMPGL@(BPDIV,BPGRPLAN,BPDFN,BPTRDT,BPRX,BPREF)=BPDATA ; ;Sort by close date I BPRTYPE=7 D:$$CHKDT(+$G(BPCLSDT),BPBEGDT,BPENDDT) . S @BPTMPGL@(BPDIV,BPGRPLAN,BPDFN,BPCLSDT,BPRX,BPREF)=BPDATA ; EXIT Q ; ;Get Transaction date and Time ; ; Input Variables -> BP59 - ptr to BPS TRANSACTION ; TIME - 1 - Return DT.TM, 0 - DT ; Returned Value -> Transaction or Transaction Date.Time ; TRANDT(BP59,TIME) N X S X=$P($G(^BPST(BP59,0)),U,8) Q $S(TIME=0:X\1,1:X) ; ;Determine the Claim Close Date ; ; Input Variable -> BP59 = ptr to BPS TRANSACTIONS ; Returned Value -> CL = Claim Close Date and Time ; CLOSEDT(BP59) N CL,BP02 S BP02=+$P($G(^BPST(BP59,0)),U,4) S CL=+$P($G(^BPSC(BP02,900)),U,2) Q CL ; ;Get Result ; RESULT(BP59,RWR) N X I BP59 S RWR=$$CATEG^BPSOSUC(BP59) E S RWR="" I RWR?1"E ".E D . S X=RWR . I X="E PAYABLE" S X=4 . E I X="E CAPTURED" S X=3 . E I X="E DUPLICATE" S X=2 . E I X="E REJECTED" S X=1 . E I X="E REVERSAL ACCEPTED" S X=11 . E I X="E REVERSAL REJECTED" S X=12 . E S X=0 E I RWR="PAPER" S X=9 E I RWR="PAPER REVERSAL" S X=19 E S X=15 Q X ; ;Message ; MSG(RWR,MSGTEXT,BP59) N BPRET S BPRET=0 ; If the claim has any message text, store it I RWR?1"E ".E D . S X=$$MESSAG59(BP59,1) . I X]"" S MSGTEXT(1)=X . S X=$$MESSAG59(BP59,2) . I X]"" S MSGTEXT(2)=X . I $D(MSGTEXT) S MSGTEXT="MSGTEXT" . S BPRET=1 Q BPRET ; ;Reject Text ; ; Output Variable -> BPSRTEXT,BPRET ; REJECT(RWR,BPSRTEXT,BP59) N BPRET,BPSRESP,BPSECME,BPSPOS S BPRET=0 ; If it's a rejected claim, build the rejection text I RWR="E REJECTED"!(RWR="E REVERSAL REJECTED") D . D RESP59(BP59,.BPSRESP,.BPSECME) ; set BPSRESP,BPSECME pointers . D REJTEXT^BPSOS03(BPSRESP,BPSPOS,.BPSRTEXT) . ; word processing text goes into FDA(FILE,IENS,FIELD,n)=text . S BPSRTEXT=$S($D(BPSRTEXT):"REJTEXT",1:"") . S:$D(BPSRTEXT) BPRET=1 Q BPRET ; ;Messages ; MESSAG59(BP59,N) N MSG,BPSRESP,BPSPOS I 'BP59 S MSG="" G XMSG59 D RESP59(59,.BPSRESP,.BPSPOS) I 'BPSRESP!'BPSPOS S MSG="" G XMSG59 I '$D(N) S N=0 I N=1 S MSG=$$MESSAGE^BPSOS03(BPSRESP,BPSPOS,1) I 1 I N=2 S MSG=$$MESSAGE^BPSOS03(BPSRESP,BPSPOS,2) I 1 E S MSG=$$MESSAGE^BPSOS03(BPSRESP,BPSPOS) XMSG59 Q MSG ; ;Responds RESP59(BP59,BPSRESP,BPSPOS) ;EP - caller should N BPSRESP,BPSPOS ;Input: BP59 ;Output: ; BPSRESP,BPSPOS by reference I $G(^BPST(BP59,4)) D ; reversal . S BPSRESP=$P($G(^BPST(BP59,4)),U,2) . S BPSPOS=1 E D . S BPSRESP=$P($G(^BPST(BP59,0)),U,5) . S BPSPOS=$P($G(^BPST(BP59,0)),U,9) Q ; ;Check and compare dates CHKDT(BPTSTDT,BPBEGDT,BPENDDT) ; I BPTSTDT=0 Q 0 I BPTSTDT'BPENDDT Q 1 Q 0 ; ;Populate passed in Array ; REJTEXT(BP59,ARR) N BBX,BPSRESP,BPSPOS,A,I,X,R S BBX=$G(^BPST(BP59,0)) S BPSRESP=$P(BBX,U,5) S BPSPOS=$P(BBX,U,9) S (A,I)=0 I BPSRESP&BPSPOS D . K ARR . F S A=$O(^BPSR(BPSRESP,1000,BPSPOS,511,A)) Q:'A D . . S R=$P(^BPSR(BPSRESP,1000,BPSPOS,511,A,0),U) . . Q:R="" . . N S S S=$O(^BPSF(9002313.93,"B",R,0)) . . I S S X=$TR($G(^BPSF(9002313.93,S,0)),U,":") . . E S X=R_" unrecognized reject code" . . S I=I+1,ARR(I)=X . . K S Q I ; ;Get Claim ID CLAIMID(BP59) N BP02 S BP02=+$P($G(^BPST(BP59,0)),U,4) Q $P($G(^BPSC(BP02,0)),U) ; ;Determine $Ins Paid ; INSPAID(BP59) N X,RESP,POSITION S X=$G(^BPST(BP59,0)) S RESP=$P(X,U,5) S POSITION=$P(X,U,9) Q $S(RESP&POSITION:$$INSPAID1^BPSOS03(RESP,POSITION),1:0) ; ;Get the Cardholder ID CRDHLDID(BP59) N BP02 S BP02=+$P($G(^BPST(BP59,0)),U,4) Q $P($G(^BPSC(BP02,300)),U,2) ; GRPID(BP59) ;sent by IB in RX^IBNCPDP N BP02 S BP02=+$P($G(^BPST(BP59,0)),U,4) Q $P($G(^BPSC(BP02,300)),U)