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Routine: ABSPDB1C

ABSPDB1C.m

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  1. ABSPDB1C ; IHS/OIT/CASSevern/Pieran ran 1/19/2011 - Handling of outgoing NCPDP Billing "B1" Claims for D.0 (COB and WORKERS COMP Segments)
  1. ;;1.0;PHARMACY POINT OF SALE;**42**;JUN 21, 2001;Build 38
  1. COB ;EP CALLED FROM ABSPDB1 to set up PRICING SEGMENT -- Segment not yet implemented
  1. Q:$D(SUPRESSG("COB"))
  1. N FIELD
  1. S RECORD=$G(RECORD)
  1. F FIELD="111",337,338,339,340,443,993,341,342,431,471,472,353,351,352,392,393,394 D
  1. . Q:$D(SUPRESF(FIELD))
  1. . I (ACTION["CLAIM"),(FIELD'=111) D
  1. . . D @(FIELD_"GET")
  1. . . D @(FIELD_"FMT")
  1. . . D @(FIELD_"SET")
  1. . ELSE D APPEND(FIELD)
  1. Q
  1. ;Segment identifier
  1. 111GET S ABSP("X")="05"
  1. Q
  1. 111FMT S ABSP("X")=$$ANFF^ABSPECFM(ABSP("X"),2)
  1. Q
  1. 111SET ;This isn't used for the 111 Field
  1. Q
  1. ;Other Payments Count
  1. 337GET I '$D(SPECIAL(337)) S ABSP("X")=""
  1. ELSE X SPECIAL(337)
  1. Q
  1. 337FMT S:ABSP("X")'="" ABSP("X")="4C"_$$NFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 337SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Coverage Type
  1. 338GET I '$D(SPECIAL(338)) S ABSP("X")=""
  1. ELSE X SPECIAL(338)
  1. Q
  1. 338FMT S:ABSP("X")'="" ABSP("X")="5C"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 338SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer ID Qualifer
  1. 339GET I '$D(SPECIAL(339)) S ABSP("X")=""
  1. ELSE X SPECIAL(339)
  1. Q
  1. 339FMT S:ABSP("X")'="" ABSP("X")="6C"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 339SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer ID
  1. 340GET I '$D(SPECIAL(340)) S ABSP("X")=""
  1. ELSE X SPECIAL(340)
  1. Q
  1. 340FMT S:ABSP("X")'="" ABSP("X")="7C"_$$ANFF^ABSPECFM($G(ABSP("X")),10)
  1. Q
  1. 340SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Date
  1. 443GET I '$D(SPECIAL(443)) S ABSP("X")=""
  1. ELSE X SPECIAL(443)
  1. Q
  1. 443FMT S:ABSP("X")'="" ABSP("X")="E8"_$$ANFF^ABSPECFM($G(ABSP("X")),8)
  1. Q
  1. 443SET ;Not Yet Implemented **
  1. Q
  1. ;Internal Control Number
  1. 993GET I '$D(SPECIAL(993)) S ABSP("X")=""
  1. ELSE X SPECIAL(993)
  1. Q
  1. 993FMT S:ABSP("X")'="" ABSP("X")="A7"_$$ANFF^ABSPECFM($G(ABSP("X")),30)
  1. Q
  1. 993SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Amount Paid Count
  1. 341GET I '$D(SPECIAL(341)) S ABSP("X")=""
  1. ELSE X SPECIAL(341)
  1. Q
  1. 341FMT S:ABSP("X")'="" ABSP("X")="HB"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 341SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Amount Paid Qualifier
  1. 342GET I '$D(SPECIAL(342)) S ABSP("X")=""
  1. ELSE X SPECIAL(342)
  1. Q
  1. 342FMT S:ABSP("X")'="" ABSP("X")="HC"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 342SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Amount Paid
  1. 431GET I '$D(SPECIAL(431)) S ABSP("X")=""
  1. ELSE X SPECIAL(431)
  1. Q
  1. 431FMT S:ABSP("X")'="" ABSP("X")="DV"_$$ANFF^ABSPECFM($G(ABSP("X")),6)
  1. Q
  1. 431SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Reject Count
  1. 471GET I '$D(SPECIAL(471)) S ABSP("X")=""
  1. ELSE X SPECIAL(471)
  1. Q
  1. 471FMT S:ABSP("X")'="" ABSP("X")="5E"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 471SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer Reject Code
  1. 472GET I '$D(SPECIAL(472)) S ABSP("X")=""
  1. ELSE X SPECIAL(472)
  1. Q
  1. 472FMT S:ABSP("X")'="" ABSP("X")="6E"_$$ANFF^ABSPECFM($G(ABSP("X")),3)
  1. Q
  1. 472SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer-Patient Responsibility Amount Count
  1. 353GET I '$D(SPECIAL(353)) S ABSP("X")=""
  1. ELSE X SPECIAL(353)
  1. Q
  1. 353FMT S:ABSP("X")'="" ABSP("X")="NR"_$$ANFF^ABSPECFM($G(ABSP("X")),8)
  1. Q
  1. 353SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer-Patient Responsibility Amount Qualifier
  1. 351GET I '$D(SPECIAL(351)) S ABSP("X")=""
  1. ELSE X SPECIAL(351)
  1. Q
  1. 351FMT S:ABSP("X")'="" ABSP("X")="NP"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 351SET ;Not Yet Implemented **
  1. Q
  1. ;Other Payer-Patient Responsibility Amount
  1. 352GET I '$D(SPECIAL(352)) S ABSP("X")=""
  1. ELSE X SPECIAL(352)
  1. Q
  1. 352FMT S:ABSP("X")'="" ABSP("X")="NQ"_$$ANFF^ABSPECFM($G(ABSP("X")),8)
  1. Q
  1. 352SET ;Not Yet Implemented **
  1. Q
  1. ;Benefit Stage Count
  1. 392GET I '$D(SPECIAL(392)) S ABSP("X")=""
  1. ELSE X SPECIAL(392)
  1. Q
  1. 392FMT S:ABSP("X")'="" ABSP("X")="MU"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 392SET ;Not Yet Implemented **
  1. Q
  1. ;Benefit Stage Qualifier
  1. 393GET I '$D(SPECIAL(393)) S ABSP("X")=""
  1. ELSE X SPECIAL(393)
  1. Q
  1. 393FMT S:ABSP("X")'="" ABSP("X")="MV"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 393SET ;Not Yet Implemented **
  1. Q
  1. ;Benefit Stage Amount
  1. 394GET I '$D(SPECIAL(394)) S ABSP("X")=""
  1. ELSE X SPECIAL(394)
  1. Q
  1. 394FMT S:ABSP("X")'="" ABSP("X")="MW"_$$ANFF^ABSPECFM($G(ABSP("X")),6)
  1. Q
  1. 394SET ;Not Yet Implemented **
  1. Q
  1. WORKCOMP ;EP CALLED FROM ABSPDB1 to set up WORKERS COMP SEGMENT -- Entire segment not implemented yet
  1. Q:$D(SUPRESSG("Workers Comp"))
  1. N FIELD
  1. S RECORD=$G(RECORD)
  1. F FIELD="111A",434,315,316,317,318,319,320,321,327,435,117,118,119,120,121,122,123,124,125,126 D
  1. . Q:$D(SUPRESF(FIELD))
  1. . I (ACTION["CLAIM"),(FIELD'=111) D
  1. . . D @(FIELD_"GET")
  1. . . D @(FIELD_"FMT")
  1. . . D @(FIELD_"SET")
  1. . ELSE D APPEND(FIELD)
  1. Q
  1. ;Segment identifier
  1. 111AGET S ABSP("X")="06"
  1. Q
  1. 111AFMT S ABSP("X")=$$ANFF^ABSPECFM(ABSP("X"),2)
  1. Q
  1. 111ASET ;This isn't used for the 111 Field
  1. Q
  1. ;Date of Injury
  1. 434GET I '$D(SPECIAL(434)) S ABSP("X")=""
  1. ELSE X SPECIAL(434)
  1. Q
  1. 434FMT S:ABSP("X")'="" ABSP("X")="DY"_$$ANFF^ABSPECFM($G(ABSP("X")),8)
  1. Q
  1. 434SET ;Not Yet Implemented
  1. Q
  1. ;Employer Name
  1. 315GET I '$D(SPECIAL(315)) S ABSP("X")=""
  1. ELSE X SPECIAL(315)
  1. Q
  1. 315FMT S:ABSP("X")'="" ABSP("X")="CF"_$$ANFF^ABSPECFM($G(ABSP("X")),30)
  1. Q
  1. 315SET ;Not Yet Implemented
  1. Q
  1. ;Employer Street Address
  1. 316GET I '$D(SPECIAL(316)) S ABSP("X")=""
  1. ELSE X SPECIAL(316)
  1. Q
  1. 316FMT S:ABSP("X")'="" ABSP("X")="CG"_$$ANFF^ABSPECFM($G(ABSP("X")),30)
  1. Q
  1. 316SET ;Not Yet Implemented
  1. Q
  1. ;Employer City Address
  1. 317GET I '$D(SPECIAL(317)) S ABSP("X")=""
  1. ELSE X SPECIAL(317)
  1. Q
  1. 317FMT S:ABSP("X")'="" ABSP("X")="CH"_$$ANFF^ABSPECFM($G(ABSP("X")),20)
  1. Q
  1. 317SET ;Not Yet Implemented
  1. Q
  1. ;Employer State/Province Address
  1. 318GET I '$D(SPECIAL(318)) S ABSP("X")=""
  1. ELSE X SPECIAL(318)
  1. Q
  1. 318FMT S:ABSP("X")'="" ABSP("X")="CI"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 318SET ;Not Yet Implemented
  1. Q
  1. ;Employer Zip
  1. 319GET I '$D(SPECIAL(319)) S ABSP("X")=""
  1. ELSE X SPECIAL(319)
  1. Q
  1. 319FMT S:ABSP("X")'="" ABSP("X")="CJ"_$$ANFF^ABSPECFM($G(ABSP("X")),15)
  1. Q
  1. 319SET ;Not Yet Implemented
  1. Q
  1. ;Employer Phone Number
  1. 320GET I '$D(SPECIAL(320)) S ABSP("X")=""
  1. ELSE X SPECIAL(320)
  1. Q
  1. 320FMT S:ABSP("X")'="" ABSP("X")="CK"_$$ANFF^ABSPECFM($G(ABSP("X")),10)
  1. Q
  1. 320SET ;Not Yet Implemented
  1. Q
  1. ;Employer Contact Name
  1. 321GET I '$D(SPECIAL(321)) S ABSP("X")=""
  1. ELSE X SPECIAL(321)
  1. Q
  1. 321FMT S:ABSP("X")'="" ABSP("X")="CL"_$$ANFF^ABSPECFM($G(ABSP("X")),30)
  1. Q
  1. 321SET ;Not Yet Implemented
  1. Q
  1. ;Carrier ID
  1. 327GET I '$D(SPECIAL(327)) S ABSP("X")=""
  1. ELSE X SPECIAL(327)
  1. Q
  1. 327FMT S:ABSP("X")'="" ABSP("X")="CR"_$$ANFF^ABSPECFM($G(ABSP("X")),10)
  1. Q
  1. 327SET ;Not Yet Implemented
  1. Q
  1. ;Claim/Reference ID
  1. 435GET I '$D(SPECIAL(435)) S ABSP("X")=""
  1. ELSE X SPECIAL(435)
  1. Q
  1. 435FMT S:ABSP("X")'="" ABSP("X")="DZ"_$$ANFF^ABSPECFM($G(ABSP("X")),30)
  1. Q
  1. 435SET ;Not Yet Implemented
  1. Q
  1. ;Billing Entity Type Indicator
  1. 117GET I '$D(SPECIAL(117)) S ABSP("X")=""
  1. ELSE X SPECIAL(117)
  1. Q
  1. 117FMT S:ABSP("X")'="" ABSP("X")="TR"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 117SET ;Not Yet Implemented
  1. Q
  1. ;Pay To Qualifier
  1. 118GET I '$D(SPECIAL(118)) S ABSP("X")=""
  1. ELSE X SPECIAL(118)
  1. Q
  1. 118FMT S:ABSP("X")'="" ABSP("X")="TS"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 118SET ;Not Yet Implemented
  1. Q
  1. ;Pay To ID
  1. 119GET I '$D(SPECIAL(119)) S ABSP("X")=""
  1. ELSE X SPECIAL(119)
  1. Q
  1. 119FMT S:ABSP("X")'="" ABSP("X")="TT"_$$ANFF^ABSPECFM($G(ABSP("X")),15)
  1. Q
  1. 119SET ;Not Yet Implemented
  1. Q
  1. ;Pay To Name
  1. 120GET I '$D(SPECIAL(120)) S ABSP("X")=""
  1. ELSE X SPECIAL(120)
  1. Q
  1. 120FMT S:ABSP("X")'="" ABSP("X")="TU"_$$ANFF^ABSPECFM($G(ABSP("X")),20)
  1. Q
  1. 120SET ;Not Yet Implemented
  1. Q
  1. ;Pay To Street Address
  1. 121GET I '$D(SPECIAL(121)) S ABSP("X")=""
  1. ELSE X SPECIAL(121)
  1. Q
  1. 121FMT S:ABSP("X")'="" ABSP("X")="TV"_$$ANFF^ABSPECFM($G(ABSP("X")),30)
  1. Q
  1. 121SET ;Not Yet Implemented
  1. Q
  1. ;Pay To City Address
  1. 122GET I '$D(SPECIAL(122)) S ABSP("X")=""
  1. ELSE X SPECIAL(122)
  1. Q
  1. 122FMT S:ABSP("X")'="" ABSP("X")="TW"_$$ANFF^ABSPECFM($G(ABSP("X")),20)
  1. Q
  1. 122SET ;Not Yet Implemented
  1. Q
  1. ;Pay To State/Province
  1. 123GET I '$D(SPECIAL(123)) S ABSP("X")=""
  1. ELSE X SPECIAL(123)
  1. Q
  1. 123FMT S:ABSP("X")'="" ABSP("X")="TX"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 123SET ;Not Yet Implemented
  1. Q
  1. ;Pay To Zip
  1. 124GET I '$D(SPECIAL(124)) S ABSP("X")=""
  1. ELSE X SPECIAL(124)
  1. Q
  1. 124FMT S:ABSP("X")'="" ABSP("X")="TY"_$$ANFF^ABSPECFM($G(ABSP("X")),15)
  1. Q
  1. 124SET ;Not Yet Implemented
  1. Q
  1. ;Generic Equivalent Product ID Qualifier
  1. 125GET I '$D(SPECIAL(125)) S ABSP("X")=""
  1. ELSE X SPECIAL(125)
  1. Q
  1. 125FMT S:ABSP("X")'="" ABSP("X")="TZ"_$$ANFF^ABSPECFM($G(ABSP("X")),2)
  1. Q
  1. 125SET ;Not Yet Implemented
  1. Q
  1. ;Generic Equivalent Product ID
  1. 126GET I '$D(SPECIAL(126)) S ABSP("X")=""
  1. ELSE X SPECIAL(126)
  1. Q
  1. 126FMT S:ABSP("X")'="" ABSP("X")="UA"_$$ANFF^ABSPECFM($G(ABSP("X")),19)
  1. Q
  1. 126SET ;Not Yet Implemented
  1. Q
  1. APPEND(FIELD) ;This is where the record is built field by field
  1. I FIELD["111" D
  1. . D @(FIELD_"GET")
  1. . D @(FIELD_"FMT")
  1. . S RECORD=RECORD_$C(30,28)_"AM"_ABSP("X")
  1. ELSE D
  1. . I $G(ABSP(9002313.0201,IEN(9002313.01),FIELD,"I"))'="" S RECORD=RECORD_$C(28)_$G(ABSP(9002313.0201,IEN(9002313.01),FIELD,"I"))
  1. . ELSE I $D(SPECIAL(FIELD)) D
  1. . . X SPECIAL(FIELD)
  1. . . D @(FIELD_"FMT")
  1. . . S RECORD=RECORD_$C(28)_ABSP("X")
  1. Q