ABMEH10 ; IHS/ASDST/DMJ - HCFA-1500 EMC RECORD BA0 (Provider) ;
;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
;
; IHS/ASDS/LSL - 08/29/00 - V2.4 Patch 3 - NOIS QDA-0800-110111
; Populate medicaid provider number if kidscare
; IHS/ASDS/DMJ - 09/07/00 - V2.4 Patch 3 - NOIS HQW-0900-100015
; Strip special characters for electronic HCFA-1500 claims
; IHS/FCS/DRS - 09/17/01 - V2.4 Patch 9
; Part 10a - tag 60 - formatting
;
START ;START HERE
K ABMREC(10),ABMR(10)
S ABME("RTYPE")=10
D LOOP
S ABMRT(95,"RTOT")=+$G(ABMRT(95,"RTOT"))+1
K ABME,ABM
Q
;
LOOP ;LOOP HERE
F I=10:10:280 D
.D @I
.I $D(^ABMEXLM("AA",+$G(ABMP("INS")),+$G(ABMP("EXP")),10,I)) D @(^(I))
.I '$G(ABMP("NOFMT")) S ABMREC(10)=$G(ABMREC(10))_ABMR(10,I)
Q
;
10 ;Record type
S ABMR(10,10)="BA0"
Q
20 ;4-18 EMC Provider ID
S ABMR(10,20)=$P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,8)
S:ABMR(10,20)="" ABMR(10,20)=$P($G(^ABMNINS(DUZ(2),ABMP("INS"),1,ABMP("VTYP"),0)),"^",8)
S:ABMR(10,20)="" ABMR(10,20)=$P($G(^AUTNINS(ABMP("INS"),15,ABMP("LDFN"),0)),"^",2)
S:$$RCID^ABMERUTL(ABMP("INS"))=99999 ABMR(10,20)="00"_ABMR(10,20)
S ABMP("EMCPRID")=ABMR(10,20)
S ABMR(10,20)=$$FMT^ABMERUTL(ABMR(10,20),15)
Q
30 ;19-21 Type of Batch
S ABMR(10,30)=100
I $$RCID^ABMERUTL(ABMP("INS"))'=99999 D
.S:ABMP("VTYP")=998 ABMR(10,30)=200
.S:ABMP("VTYP")=997 ABMR(10,30)=300
S ABMP("TOB")=ABMR(10,30)
Q
;
40 ;22-25 Batch Number
S ABMR(10,40)=$G(ABMEF("BATCH#"))
S ABMR(10,40)=$$FMT^ABMERUTL(ABMR(10,40),"4NR")
Q
50 ;26-31 Batch ID
S ABMR(10,50)=$G(ABMR(1,50))
S ABMR(10,50)=$$FMT^ABMERUTL(ABMR(10,50),6)
Q
60 ;32-40 Federal Tax ID or EIN
D DIQ1
S ABMR(10,60)=ABM(9999999.06,ABMP("LDFN"),.21,"E")
S ABMR(10,60)=$$FMT^ABMERUTL(ABMR(10,60),"9S")
S ABMRT(95,60)=ABMR(10,60)
Q
70 ;41-46 Filler
S ABMR(10,70)=""
S ABMR(10,70)=$$FMT^ABMERUTL(ABMR(10,70),6)
Q
80 ;47-47 Provider Tax ID Type
S ABMR(10,80)="E"
S ABMR(10,80)=$$FMT^ABMERUTL(ABMR(10,80),1)
Q
90 ;48-62 Medicare Provider Number
S ABMR(10,90)=""
I ABMP("ITYPE")="R" D
.S ABMR(10,90)=$P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,8)
.S:ABMR(10,90)="" ABMR(10,90)=$P($G(^ABMNINS(DUZ(2),ABMP("INS"),1,ABMP("VTYP"),0)),"^",8)
.S:ABMR(10,90)="" ABMR(10,60)=$P($G(^AUTNINS(ABMP("INS"),15,ABMP("LDFN"),0)),"^",2)
.I ABMR(10,90)="" D
..D DIQ1
..S ABMR(10,90)=ABM(9999999.06,ABMP("LDFN"),.22,"E")
..Q
.S ABMR(10,90)=$TR(ABMR(10,90),"-")
S ABMR(10,90)=$$FMT^ABMERUTL(ABMR(10,90),15)
Q
100 ;63-68 Provider UPIN-USIN ID
S ABMR(10,100)="PHS000"
Q
110 ;69-74 Filler
S ABMR(10,110)=""
S ABMR(10,110)=$$FMT^ABMERUTL(ABMR(10,110),6)
Q
120 ;75-89 Medicaid Provider Number (SOURCE: FILE=9999999.181501, FIELD=.02)
S ABMR(10,120)=""
I ABMP("ITYPE")="D"!(ABMP("ITYPE")="K") S ABMR(10,120)=$G(ABMR(10,20))
S ABMR(10,120)=$$FMT^ABMERUTL(ABMR(10,120),15)
Q
;
130 ;90-104 Champus Insurer Provider Number
; (SOURCE: FILE=9999999.181501, FIELD=.02)
S ABMR(10,130)=""
S ABMR(10,130)=$$FMT^ABMERUTL(ABMR(10,130),15)
Q
140 ;105-119 Provider BC/BS Number
S ABMR(10,140)=""
I $G(ABMP("BCBS")) D
.D DIQ1
.S ABMR(10,140)=$P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,8)
.S:ABMR(10,140)="" ABMR(10,140)=$P($G(^ABMNINS(DUZ(2),ABMP("INS"),1,ABMP("VTYP"),0)),"^",8)
.S:ABMR(10,140)="" ABMR(10,140)=$P($G(^AUTNINS(ABMP("INS"),15,ABMP("LDFN"),0)),"^",2)
.S ABMR(10,140)=ABMR(10,140)_" "_$E(ABM(9999999.06,ABMP("LDFN"),.01,"E"),1,2)
S ABMR(10,140)=$$FMT^ABMERUTL(ABMR(10,140),15)
Q
150 ;120-134 Provider Commercial Number
S ABMR(10,150)=""
S ABMR(10,150)=$$FMT^ABMERUTL(ABMR(10,150),15)
Q
160 ;135-149 Other Insurer Provider Number 1
S ABMR(10,160)=""
S ABMR(10,160)=$$FMT^ABMERUTL(ABMR(10,160),15)
Q
170 ;Other Insurer Provider Number 2
S ABMR(10,170)=""
S ABMR(10,170)=$$FMT^ABMERUTL(ABMR(10,170),15)
Q
180 ;165-197 Organization Name
D DIQ2
S ABMR(10,180)=ABM(9002274.5,1,.26,"E")
S:ABMR(10,180)="" ABMR(10,180)=$P(^AUTTLOC(DUZ(2),0),"^",2)
S ABMR(10,180)=$$FMT^ABMERUTL(ABMR(10,180),33)
Q
190 ;198-217 Provider Last Name
S ABME("NTYPE")=ABMP("ITYPE")
I ABME("NTYPE")'="R",ABME("NTYPE")'="D" S ABME("NTYPE")="P"
D GET41^ABMER80
S ABMR(10,190)=$G(ABM("LNAME"))
S ABMR(10,190)=$$FMT^ABMERUTL(ABMR(10,190),20)
Q
200 ;218-229 Provider First Name
S ABMR(10,200)=$G(ABM("FNAME"))
S ABMR(10,200)=$$FMT^ABMERUTL(ABMR(10,200),12)
Q
210 ;230-230 Provider MI
S ABMR(10,210)=$G(ABM("MI"))
S ABMR(10,210)=$$FMT^ABMERUTL(ABMR(10,210),1)
Q
220 ;231-233 Provider Specialty
S ABMR(10,220)=""
S ABMR(10,220)=$$FMT^ABMERUTL(ABMR(10,220),3)
Q
230 ;234-248 Specialty License Number
S ABMR(10,230)=""
S ABMR(10,230)=$$FMT^ABMERUTL(ABMR(10,230),15)
Q
240 ;249-263 State License Number
S ABMR(10,240)=""
S:ABMP("ITYPE")="P" ABMR(10,240)=$G(ABM("P#"))
S ABMR(10,240)=$$FMT^ABMERUTL(ABMR(10,240),15)
Q
250 ;264-278 Dentist License Number
S ABMR(10,250)=""
S ABMR(10,250)=$$FMT^ABMERUTL(ABMR(10,250),15)
Q
260 ;279-293 Anesthesia License Number
S ABMR(10,260)=""
S ABMR(10,260)=$$FMT^ABMERUTL(ABMR(10,260),15)
Q
270 ;294-306 Filler (National Use)
S ABMR(10,270)=""
S ABMR(10,270)=$$FMT^ABMERUTL(ABMR(10,270),13)
Q
280 ;307-320 Filler (Local Use)
S ABMR(10,280)=""
S ABMR(10,280)=$$FMT^ABMERUTL(ABMR(10,280),14)
Q
DIQ1 ;PULL LOCATION DATA VIA DIQ1
Q:$D(ABM(9999999.06,ABMP("LDFN")))
N I
S DIQ="ABM("
S DIQ(0)="IE"
S DIC="^AUTTLOC("
S DA=ABMP("LDFN")
S DR=".01;.21;.22"
D EN^DIQ1
S ABMP("PAYDFN")=$P($G(^ABMDPARM(DUZ(2),1,2)),"^",3)
S:'$D(^AUTTLOC(+ABMP("PAYDFN"),0)) ABMP("PAYDFN")=ABMP("LDFN")
S DA=ABMP("PAYDFN")
S DR=".13;.14;.15;.16;.17;.21"
D EN^DIQ1
K DIQ
Q
;
DIQ2 ;GET SITE PARAMETER INFO
Q:$D(ABM(9002274.5,DUZ(2)))
N I
S DIQ="ABM("
S DIQ(0)="E"
S DIC="^ABMDPARM(DUZ(2),"
S DA=1
S DR=.26
D EN^DIQ1 K DIQ
Q
;
EX(ABMX,ABMY) ;EXTRINSIC FUNCTION HERE
;
; INPUT: ABMX = data element
; Y = bill internal entry number
;
; OUTPUT: Y = bill internal entry number
;
S ABMP("BDFN")=ABMY
D SET^ABMERUTL
I '$G(ABMP("NOFMT")) S ABMP("FMT")=0
D @ABMX
S Y=ABMR(20,ABMX)
K ABMR(20,ABMX),ABME,ABM,ABMX,ABMY
I $D(ABMP("FMT")) S ABMP("FMT")=1
Q Y
ABMEH10 ; IHS/ASDST/DMJ - HCFA-1500 EMC RECORD BA0 (Provider) ;
+1 ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
+2 ;
+3 ; IHS/ASDS/LSL - 08/29/00 - V2.4 Patch 3 - NOIS QDA-0800-110111
+4 ; Populate medicaid provider number if kidscare
+5 ; IHS/ASDS/DMJ - 09/07/00 - V2.4 Patch 3 - NOIS HQW-0900-100015
+6 ; Strip special characters for electronic HCFA-1500 claims
+7 ; IHS/FCS/DRS - 09/17/01 - V2.4 Patch 9
+8 ; Part 10a - tag 60 - formatting
+9 ;
START ;START HERE
+1 KILL ABMREC(10),ABMR(10)
+2 SET ABME("RTYPE")=10
+3 DO LOOP
+4 SET ABMRT(95,"RTOT")=+$GET(ABMRT(95,"RTOT"))+1
+5 KILL ABME,ABM
+6 QUIT
+7 ;
LOOP ;LOOP HERE
+1 FOR I=10:10:280
Begin DoDot:1
+2 DO @I
+3 IF $DATA(^ABMEXLM("AA",+$GET(ABMP("INS")),+$GET(ABMP("EXP")),10,I))
DO @(^(I))
+4 IF '$GET(ABMP("NOFMT"))
SET ABMREC(10)=$GET(ABMREC(10))_ABMR(10,I)
End DoDot:1
+5 QUIT
+6 ;
10 ;Record type
+1 SET ABMR(10,10)="BA0"
+2 QUIT
20 ;4-18 EMC Provider ID
+1 SET ABMR(10,20)=$PIECE($GET(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,8)
+2 IF ABMR(10,20)=""
SET ABMR(10,20)=$PIECE($GET(^ABMNINS(DUZ(2),ABMP("INS"),1,ABMP("VTYP"),0)),"^",8)
+3 IF ABMR(10,20)=""
SET ABMR(10,20)=$PIECE($GET(^AUTNINS(ABMP("INS"),15,ABMP("LDFN"),0)),"^",2)
+4 IF $$RCID^ABMERUTL(ABMP("INS"))=99999
SET ABMR(10,20)="00"_ABMR(10,20)
+5 SET ABMP("EMCPRID")=ABMR(10,20)
+6 SET ABMR(10,20)=$$FMT^ABMERUTL(ABMR(10,20),15)
+7 QUIT
30 ;19-21 Type of Batch
+1 SET ABMR(10,30)=100
+2 IF $$RCID^ABMERUTL(ABMP("INS"))'=99999
Begin DoDot:1
+3 IF ABMP("VTYP")=998
SET ABMR(10,30)=200
+4 IF ABMP("VTYP")=997
SET ABMR(10,30)=300
End DoDot:1
+5 SET ABMP("TOB")=ABMR(10,30)
+6 QUIT
+7 ;
40 ;22-25 Batch Number
+1 SET ABMR(10,40)=$GET(ABMEF("BATCH#"))
+2 SET ABMR(10,40)=$$FMT^ABMERUTL(ABMR(10,40),"4NR")
+3 QUIT
50 ;26-31 Batch ID
+1 SET ABMR(10,50)=$GET(ABMR(1,50))
+2 SET ABMR(10,50)=$$FMT^ABMERUTL(ABMR(10,50),6)
+3 QUIT
60 ;32-40 Federal Tax ID or EIN
+1 DO DIQ1
+2 SET ABMR(10,60)=ABM(9999999.06,ABMP("LDFN"),.21,"E")
+3 SET ABMR(10,60)=$$FMT^ABMERUTL(ABMR(10,60),"9S")
+4 SET ABMRT(95,60)=ABMR(10,60)
+5 QUIT
70 ;41-46 Filler
+1 SET ABMR(10,70)=""
+2 SET ABMR(10,70)=$$FMT^ABMERUTL(ABMR(10,70),6)
+3 QUIT
80 ;47-47 Provider Tax ID Type
+1 SET ABMR(10,80)="E"
+2 SET ABMR(10,80)=$$FMT^ABMERUTL(ABMR(10,80),1)
+3 QUIT
90 ;48-62 Medicare Provider Number
+1 SET ABMR(10,90)=""
+2 IF ABMP("ITYPE")="R"
Begin DoDot:1
+3 SET ABMR(10,90)=$PIECE($GET(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,8)
+4 IF ABMR(10,90)=""
SET ABMR(10,90)=$PIECE($GET(^ABMNINS(DUZ(2),ABMP("INS"),1,ABMP("VTYP"),0)),"^",8)
+5 IF ABMR(10,90)=""
SET ABMR(10,60)=$PIECE($GET(^AUTNINS(ABMP("INS"),15,ABMP("LDFN"),0)),"^",2)
+6 IF ABMR(10,90)=""
Begin DoDot:2
+7 DO DIQ1
+8 SET ABMR(10,90)=ABM(9999999.06,ABMP("LDFN"),.22,"E")
+9 QUIT
End DoDot:2
+10 SET ABMR(10,90)=$TRANSLATE(ABMR(10,90),"-")
End DoDot:1
+11 SET ABMR(10,90)=$$FMT^ABMERUTL(ABMR(10,90),15)
+12 QUIT
100 ;63-68 Provider UPIN-USIN ID
+1 SET ABMR(10,100)="PHS000"
+2 QUIT
110 ;69-74 Filler
+1 SET ABMR(10,110)=""
+2 SET ABMR(10,110)=$$FMT^ABMERUTL(ABMR(10,110),6)
+3 QUIT
120 ;75-89 Medicaid Provider Number (SOURCE: FILE=9999999.181501, FIELD=.02)
+1 SET ABMR(10,120)=""
+2 IF ABMP("ITYPE")="D"!(ABMP("ITYPE")="K")
SET ABMR(10,120)=$GET(ABMR(10,20))
+3 SET ABMR(10,120)=$$FMT^ABMERUTL(ABMR(10,120),15)
+4 QUIT
+5 ;
130 ;90-104 Champus Insurer Provider Number
+1 ; (SOURCE: FILE=9999999.181501, FIELD=.02)
+2 SET ABMR(10,130)=""
+3 SET ABMR(10,130)=$$FMT^ABMERUTL(ABMR(10,130),15)
+4 QUIT
140 ;105-119 Provider BC/BS Number
+1 SET ABMR(10,140)=""
+2 IF $GET(ABMP("BCBS"))
Begin DoDot:1
+3 DO DIQ1
+4 SET ABMR(10,140)=$PIECE($GET(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,8)
+5 IF ABMR(10,140)=""
SET ABMR(10,140)=$PIECE($GET(^ABMNINS(DUZ(2),ABMP("INS"),1,ABMP("VTYP"),0)),"^",8)
+6 IF ABMR(10,140)=""
SET ABMR(10,140)=$PIECE($GET(^AUTNINS(ABMP("INS"),15,ABMP("LDFN"),0)),"^",2)
+7 SET ABMR(10,140)=ABMR(10,140)_" "_$EXTRACT(ABM(9999999.06,ABMP("LDFN"),.01,"E"),1,2)
End DoDot:1
+8 SET ABMR(10,140)=$$FMT^ABMERUTL(ABMR(10,140),15)
+9 QUIT
150 ;120-134 Provider Commercial Number
+1 SET ABMR(10,150)=""
+2 SET ABMR(10,150)=$$FMT^ABMERUTL(ABMR(10,150),15)
+3 QUIT
160 ;135-149 Other Insurer Provider Number 1
+1 SET ABMR(10,160)=""
+2 SET ABMR(10,160)=$$FMT^ABMERUTL(ABMR(10,160),15)
+3 QUIT
170 ;Other Insurer Provider Number 2
+1 SET ABMR(10,170)=""
+2 SET ABMR(10,170)=$$FMT^ABMERUTL(ABMR(10,170),15)
+3 QUIT
180 ;165-197 Organization Name
+1 DO DIQ2
+2 SET ABMR(10,180)=ABM(9002274.5,1,.26,"E")
+3 IF ABMR(10,180)=""
SET ABMR(10,180)=$PIECE(^AUTTLOC(DUZ(2),0),"^",2)
+4 SET ABMR(10,180)=$$FMT^ABMERUTL(ABMR(10,180),33)
+5 QUIT
190 ;198-217 Provider Last Name
+1 SET ABME("NTYPE")=ABMP("ITYPE")
+2 IF ABME("NTYPE")'="R"
IF ABME("NTYPE")'="D"
SET ABME("NTYPE")="P"
+3 DO GET41^ABMER80
+4 SET ABMR(10,190)=$GET(ABM("LNAME"))
+5 SET ABMR(10,190)=$$FMT^ABMERUTL(ABMR(10,190),20)
+6 QUIT
200 ;218-229 Provider First Name
+1 SET ABMR(10,200)=$GET(ABM("FNAME"))
+2 SET ABMR(10,200)=$$FMT^ABMERUTL(ABMR(10,200),12)
+3 QUIT
210 ;230-230 Provider MI
+1 SET ABMR(10,210)=$GET(ABM("MI"))
+2 SET ABMR(10,210)=$$FMT^ABMERUTL(ABMR(10,210),1)
+3 QUIT
220 ;231-233 Provider Specialty
+1 SET ABMR(10,220)=""
+2 SET ABMR(10,220)=$$FMT^ABMERUTL(ABMR(10,220),3)
+3 QUIT
230 ;234-248 Specialty License Number
+1 SET ABMR(10,230)=""
+2 SET ABMR(10,230)=$$FMT^ABMERUTL(ABMR(10,230),15)
+3 QUIT
240 ;249-263 State License Number
+1 SET ABMR(10,240)=""
+2 IF ABMP("ITYPE")="P"
SET ABMR(10,240)=$GET(ABM("P#"))
+3 SET ABMR(10,240)=$$FMT^ABMERUTL(ABMR(10,240),15)
+4 QUIT
250 ;264-278 Dentist License Number
+1 SET ABMR(10,250)=""
+2 SET ABMR(10,250)=$$FMT^ABMERUTL(ABMR(10,250),15)
+3 QUIT
260 ;279-293 Anesthesia License Number
+1 SET ABMR(10,260)=""
+2 SET ABMR(10,260)=$$FMT^ABMERUTL(ABMR(10,260),15)
+3 QUIT
270 ;294-306 Filler (National Use)
+1 SET ABMR(10,270)=""
+2 SET ABMR(10,270)=$$FMT^ABMERUTL(ABMR(10,270),13)
+3 QUIT
280 ;307-320 Filler (Local Use)
+1 SET ABMR(10,280)=""
+2 SET ABMR(10,280)=$$FMT^ABMERUTL(ABMR(10,280),14)
+3 QUIT
DIQ1 ;PULL LOCATION DATA VIA DIQ1
+1 IF $DATA(ABM(9999999.06,ABMP("LDFN")))
QUIT
+2 NEW I
+3 SET DIQ="ABM("
+4 SET DIQ(0)="IE"
+5 SET DIC="^AUTTLOC("
+6 SET DA=ABMP("LDFN")
+7 SET DR=".01;.21;.22"
+8 DO EN^DIQ1
+9 SET ABMP("PAYDFN")=$PIECE($GET(^ABMDPARM(DUZ(2),1,2)),"^",3)
+10 IF '$DATA(^AUTTLOC(+ABMP("PAYDFN"),0))
SET ABMP("PAYDFN")=ABMP("LDFN")
+11 SET DA=ABMP("PAYDFN")
+12 SET DR=".13;.14;.15;.16;.17;.21"
+13 DO EN^DIQ1
+14 KILL DIQ
+15 QUIT
+16 ;
DIQ2 ;GET SITE PARAMETER INFO
+1 IF $DATA(ABM(9002274.5,DUZ(2)))
QUIT
+2 NEW I
+3 SET DIQ="ABM("
+4 SET DIQ(0)="E"
+5 SET DIC="^ABMDPARM(DUZ(2),"
+6 SET DA=1
+7 SET DR=.26
+8 DO EN^DIQ1
KILL DIQ
+9 QUIT
+10 ;
EX(ABMX,ABMY) ;EXTRINSIC FUNCTION HERE
+1 ;
+2 ; INPUT: ABMX = data element
+3 ; Y = bill internal entry number
+4 ;
+5 ; OUTPUT: Y = bill internal entry number
+6 ;
+7 SET ABMP("BDFN")=ABMY
+8 DO SET^ABMERUTL
+9 IF '$GET(ABMP("NOFMT"))
SET ABMP("FMT")=0
+10 DO @ABMX
+11 SET Y=ABMR(20,ABMX)
+12 KILL ABMR(20,ABMX),ABME,ABM,ABMX,ABMY
+13 IF $DATA(ABMP("FMT"))
SET ABMP("FMT")=1
+14 QUIT Y
