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Routine: IBCNSP2

IBCNSP2.m

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  1. IBCNSP2 ;ALB/AAS - PATIENT INSURANCE INTERFACE FOR REGISTRATION ; 21-JUNE-93
  1. ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
  1. ;;Per VHA Directive 10-93-142, this routine should not be modified.
  1. ;
  1. % ;
  1. REG ; --Edit Patient insurance from registration, fee and mccr, allow new entries
  1. ; only edit policy if new policy
  1. ; call event driver if adding a new policy
  1. ;
  1. ; -- Input DFN = patient
  1. ;
  1. N DIC,DIE,DE,DQ,DIR,DA,DR,DIC,DIV,X,Y,I,J,L,D,DIH,DIY,IBSEL,IBDD,IBD,IBNEW,IBNEWP,IBDT,IBQUIT,IBCNS,IBCDFN,IBCNSEH,IBCNP,IBCPOL,IBOK,VALMQUIT,IBCNT,IBEVT1,IBEVTA,VAERR,IBCOVP
  1. S IBCNP=1
  1. I '$D(DFN) D G:$D(VALMQUIT) REGQ
  1. .S DIC="^DPT(",DIC(0)="AEQMN" D ^DIC
  1. .S DFN=+Y
  1. I $G(DFN)<1 S IBQUIT=1,VALMQUIT="" G REGQ
  1. ;
  1. ; -- of covered by ins but none currently active so indicate
  1. S IBCOV=$P($G(^DPT(DFN,.31)),"^",11)
  1. I IBCOV="Y",'$$INSURED^IBCNS1(DFN) W !!,"Covered By Health Insurance indicates 'YES' but none currently Active.",!,"Please Review!",!!
  1. ;
  1. ; -- ask if covered by insuracnce
  1. S DIE="^DPT(",DR=".3192",DA=DFN D ^DIE K DIC,DIE,DA,DR
  1. S IBCOVP=$P($G(^DPT(DFN,.31)),"^",11)
  1. I $D(Y)!($D(DTOUT)) S IBQUIT=1 G REGQ
  1. I $P($G(^DPT(DFN,.31)),"^",11)'="Y",'$$INSURED^IBCNS1(DFN) S IBQUIT=1 G REGQ
  1. ;
  1. R1 S (IBNEW,IBNEWP,IBQUIT)=0
  1. S DIC="^DPT("_DFN_",.312,",DIC(0)="AEQLM",DIC("A")="Select INSURANCE COMPANY: "
  1. S DIC("W")="N IBD S IBD=$G(^DPT(DFN,.312,+Y,0)) W "" Group: ""_$$GRP^IBCNS($P(IBD,U,18))_"" Whose: ""_$$EXPAND^IBTRE(2.312,6,$P(IBD,U,6))"
  1. I IBCNP=1 S X=$P($G(^DIC(36,+$G(^DPT(DFN,.312,+$P($G(^DPT(DFN,.312,0)),"^",3),0)),0)),"^") I X'="" S DIC("B")=X
  1. S DA(1)=DFN
  1. I $G(^DPT(DFN,.312,0))="" S ^DPT(DFN,.312,0)="^2.312PAI^^"
  1. D ^DIC K DIC I +Y<1 S IBQUIT=1,VALMQUIT="" G REGQ
  1. S IBCDFN=+Y,IBCNS=$P(Y,"^",2)
  1. I $P(Y,"^",3) S IBNEW=1 I $$DUPCO^IBCNSOK1(DFN,IBCNS,IBCDFN,1)
  1. S IBCNSEH=$P($G(^IBE(350.9,1,4)),"^",1)
  1. S IBCNP=IBCNP+1
  1. I 'IBNEW,$P($G(^DPT(DFN,.312,+IBCDFN,0)),"^",18)="" D G REGQ
  1. .I '$P($G(^IBE(350.9,1,3)),"^",18) W !,"Insurance conversion not complete, NO EDITING ALLOWED",!! S IBQUIT=1 H 3 Q
  1. .I $P($G(^IBE(350.9,1,3)),"^",18) W !,"INVALID ENTRY, DELETE AND RE-ENTER, NO EDITING ALLOWED",!! S IBQUIT=1 H 3 Q
  1. ;
  1. I $G(IBFEE),'$G(IBNEW) G REGQ ; fee users can add but not edit existing info
  1. I $G(IBNEW) D G:$G(IBQUIT) REGQ
  1. .D SEL^IBCNSEH
  1. .S IBCPOL=$$LK^IBCNSM31(IBCNS)
  1. .I IBCPOL>0 D OK^IBCNSM3 Q:IBQUIT S:'IBOK IBCPOL=-1
  1. .I IBCPOL<1 S IBCPOL=$$NEW^IBCNSM3(IBCNS) S:IBCPOL<1 IBQUIT=1 Q:IBQUIT S IBNEWP=1
  1. .S DR=".18////"_IBCPOL_";1.09////1;1.05///NOW;1.06////"_DUZ
  1. .S DA=IBCDFN,DA(1)=DFN,DIE="^DPT("_DFN_",.312," D ^DIE
  1. .K DIE,DA,DR,DIC
  1. ;
  1. ; -- edit patient ins. data
  1. S IBREG=1 G:$G(IBQUIT) REGQ
  1. D PAT^IBCNSEH,PATPOL^IBCNSM3(IBCDFN)
  1. ;
  1. ; -- edit policy specific data if new or have key
  1. I $G(IBNEWP)!($D(^XUSEC("IB INSURANCE SUPERVISOR",DUZ))) D:'$G(IBQUIT) POL^IBCNSEH,EDPOL^IBCNSM3(IBCDFN)
  1. K IBREG S IBQUIT=0
  1. ;
  1. REGQ ; -- exit logic and checks
  1. ; -- if no policy pointer delete
  1. I $G(IBNEW),$G(IBCDFN),$P($G(^DPT(DFN,.312,+IBCDFN,0)),"^",18)="" D
  1. .D DP1^IBCNSM1 W !,"<DELETED> GROUP INSURANCE PLAN REQUIRED BUT NOT ENTERED" K IBNEW
  1. ;
  1. ; -- if new call event drive
  1. I $G(IBNEW),$G(IBCDFN)>1,$P($G(^DPT(DFN,.312,+$G(IBCDFN),0)),"^",18) D
  1. .K IBNEW
  1. .D AFTER^IBCNSEVT,^IBCNSEVT
  1. ;
  1. K IBCNS,IBCDFN,IBNEW,IBNEWP
  1. I '$G(IBQUIT) W ! G R1
  1. D COVERED^IBCNSM31(DFN,$G(IBCOVP))
  1. K IBQUIT
  1. Q
  1. ;
  1. FEE ; -- fee entry point to add patient insurance.
  1. N IBFEE S IBFEE=1 D REG
  1. Q
  1. ;
  1. MCCR ; -- called from screen 3 of the edit bill option in mccr
  1. N DLAYGO,DIC,DIE,DE,DQ,DIR,DA,DR,DIC,DIV,X,Y,I,J,L,D,DIH,DIY,IBSEL,IBDD,IBD,IBNEW,IBNEWP,IBDT,IBQUIT,IBCNS,IBCDFN,IBCNSEH,IBCNP,IBCPOL,IBOK,VALMQUIT
  1. ;
  1. S IBCNP=1
  1. S DIE="^DGCR(399,",DA=IBIFN,DR="[IB SCREEN3]" D ^DIE K DIC,DIE,DA,DR
  1. ;
  1. I $G(IBADI)=1 D R1 S IBCNRTN=1 K IBADI G MCCR
  1. K IBCNRTN
  1. Q
  1. ;
  1. DISP ; -- Display Patient insurance policy information for registrations
  1. Q:'$D(DFN)
  1. D DISP^IBCNS
  1. DISPQ Q