- BSDAIU ; IHS/ANMC/LJF - ADDRESS & INSURANCE UPDATE ;
- ;;5.3;PIMS;**1007,1010,1012,1019**;APR 26, 2002;Build 3
- ;
- ;cmi/anch/maw 09/01/2008 PIMS Patch 1010 RQMT33 added number in household and income in DEM
- ;cmi/anch/maw 09/01/2008 PIMS Patch 1010 RQMT6 added mother and fathers employer name
- ;cmi/flag/maw 05/14/2010 PIMS Patch 1012 RQMT142 added call to this report from Appointment Managment
- ;
- ;
- OR ;EP - called from Other Reports on Appointment Management if no patient
- I $G(DFN) D PATE Q ;cmi/maw 05/14/2010 skip patient if already exists
- NEW DFN,BSDFORM
- S DFN=+$$READ^BDGF("PO^2:QEMZ","Select PATIENT") Q:'DFN
- PATE ;EP - called from Other Reports on Appointment Management if patient
- D ZIS^BDGF("PQ","BEGIN^BSDAIU","ADDRESS/INSURANCE FORM","DFN")
- Q
- ;
- ;
- BEGIN ;EP; entry point from queuing and from BSDFORM
- U IO
- D DEM,EC,TRIBE,PRVT,MCR,MCD,PRT2
- ;
- I '$G(BSDFORM) D ^%ZISC ;close device if not called within a loop
- D KILL^AUPNPAT ;kill patient variables
- Q
- ;
- DEM ;-- print demographics
- NEW X,I
- S X=$$DIVNM^BSDU($$DIV^BSDU) W !!,?80-$L(X)\2,X ;division
- W !?16,$$CONF^BSDU
- W !,?17,"*** PATIENT ADDRESS AND INSURANCE UPDATE ***"
- W !,?9,"*** PLEASE MAKE CORRECTIONS TO ANY INCORRECT INFORMATION ***"
- W !!,$E($$GET1^DIQ(2,DFN,.01),1,27) ;pat name
- W ?30,"HRCN: ",$$HRCN^BDGF2(DFN,+$G(DUZ(2))) ;chart #
- W ?44,"DOB: ",$$GET1^DIQ(2,DFN,.03) ;date of birth
- W ?62,"AGE: ",$$GET1^DIQ(9000001,DFN,1102.98) ;printable age
- W !,"SSN: ","XXX-XX-"_$E($$GET1^DIQ(2,DFN,.09),6,9) ;ssn
- ;
- I $$GET1^DIQ(9000001,DFN,1112)["PENDING" D
- . W !!,$$REPEAT^XLFSTR("*",80)
- . W !?3,"ELIGIBILITY PENDING - HAVE PATIENT SEE APPROPRIATE PERSONNEL FOR VERIFICATION"
- . W !!,$$REPEAT^XLFSTR("*",80)
- ;
- I $G(^DPT(DFN,.11))="" D
- . W !,?3,"Please enter your address,work and phone number on "
- . W "the line below."
- . W !!,?3," " N X S $P(X,"_",75)="" W X K X
- E D
- . ;address and phone number
- . W ! F I=.111,.112,.113 S X=$$GET1^DIQ(2,DFN,I) I X]"" W !,X ;street
- . W ?48,"Home: ",$$GET1^DIQ(2,DFN,.131) ;home phone
- . W !,$$GET1^DIQ(2,DFN,.114),", ",$$STATE(2,DFN,.115) ;city,state
- . W " ",$$GET1^DIQ(2,DFN,.116) ;zip
- . W ?48,"Birth Place: ",$$STATE(2,DFN,.093) ;birth state
- ;
- W !!,?3,"Employer: ",$$GET1^DIQ(9000001,DFN,.19) ;employer
- W ?48,"Work Phone: ",$$GET1^DIQ(2,DFN,.132) ;work phone
- W !,?3,"Spouse's Employer: ",$$GET1^DIQ(9000001,DFN,.22) ;spouse empl
- W ?48,"Work Phone: ",$$GET1^DIQ(2,DFN,.258) ;spouse phon
- ;
- W !!,?3,"Father's Name: ",$$GET1^DIQ(2,DFN,.2401) ;father
- W ?48,"Birthplace: ",$$GET1^DIQ(9000001,DFN,2602)_", " ;birth city
- W $$STATE(9000001,DFN,2603) ;birth state
- W !,?3,"Father's Employer: ",$$GET1^DIQ(9000001,DFN,2701) ;fathers employer name cmi/maw 9/1/2008 PIMS Patch 1010 RQMT6
- W !,?3,"Mother's Name: ",$$GET1^DIQ(2,DFN,.2403) ;maiden name
- W ?48,"Birthplace: ",$$GET1^DIQ(9000001,DFN,2605)_", " ;birth city
- W $$STATE(9000001,DFN,2606) ;birth state
- W !,?3,"Mother's Employer: ",$$GET1^DIQ(9000001,DFN,2702) ;mothers employer name cmi/maw 9/1/2008 PIMS Patch 1010 RQMT6
- W !!?3,"Number in Household: ",$$GET1^DIQ(9000001,DFN,.35) ;number in household cmi/maw 9/1/2008 PIMS Patch 1010 RQMT33
- W ?48,"Household Income: ",$$GET1^DIQ(9000001,DFN,.36) ;household income cmi/maw 9/1/2008 PIMS Patch 1010 RQMT33
- Q
- ;
- EC ; emergency contact info
- W !!,?3,"Emergency Contact: ",$$GET1^DIQ(2,DFN,.331) ;ec name
- W !,?3,"Relationship: ",$$GET1^DIQ(2,DFN,.332) ;ec relation
- ;W ?48,"Phone No.: ",$$GET1^DIQ(2,DFN,339) ;ec phone cmi/anch/maw 6/29/2007 orig code PATCH 1007
- W ?48,"Phone No.: ",$$GET1^DIQ(2,DFN,.339) ;ec phone cmi/anch/maw 6/29/2007 mod code PATCH 1007
- W !,?3,"Mailing Address: ",$$GET1^DIQ(2,DFN,.333) ;ec street
- W !,?3,"City: ",$$GET1^DIQ(2,DFN,.336) ;ec city
- W ?28,"State: ",$$STATE(2,DFN,.337) ;ec state
- W ?48,"Zip: ",$$GET1^DIQ(2,DFN,.338) ;ec zip
- Q
- ;
- TRIBE ; print tribe info
- W !!,"ELIGIBILITY: ",$$GET1^DIQ(9000001,DFN,1112),!
- W !,"TRIBE OF MEMBERSHIP/CORP. BLOOD QUANTUM TRIBE QUANTUM TRIBE"
- W !,"------------------------- ------------- ------------- -----"
- W !,$E($$GET1^DIQ(9000001,DFN,1108),1,25) ;tribe/corp
- W ?29,$$GET1^DIQ(9000001,DFN,1110) ;blood quant
- W ?45,$$GET1^DIQ(9000001,DFN,1109) ;tribe quant
- W ?60,$E($$GET1^DIQ(9000001,DFN,1127),1,5) ;old tribe
- Q
- ;
- PRVT ;find private insurance
- W !!,?3,"INSURANCE COMPANY",?35,"POLICY #",?51,"ELIGIBILITY DATES",!
- W ?3,$$REPEAT^XLFSTR("-",27),?35,$$REPEAT^XLFSTR("-",12)
- W ?51,$$REPEAT^XLFSTR("-",26)
- ;
- I '$D(^AUPNPRVT(DFN)) D Q
- . W !," *** NO PRIVATE INSURANCE INFORMATION ON RECORD ***"
- ;
- NEW X,Y,X0,Y0
- S X=0 F S X=$O(^AUPNPRVT(DFN,11,X)) Q:'X D
- . Q:'$D(^AUPNPRVT(DFN,11,X,0)) S X0=^(0)
- . S Y=+X0 Q:'Y!('$D(^AUTNINS(+Y,0))) S Y0=^(0)
- . W !,?3,$P(Y0,U),?35,$P(X0,U,2)
- . I +$P(X0,U,6) D
- .. N Y S Y=$P(X0,U,6) X ^DD("DD") W ?51,Y," to "
- . I +$P(X0,U,7) D
- .. N Y S Y=$P(X0,U,7) X ^DD("DD") W ?66,Y
- Q
- ;
- MCR ;find medicare information
- W !!,?3,"MEDICARE NUMBER",?21,"RELEASE DATE"
- W ?35,"MEDICARE ELIGIBILITY DATES/COVERAGE"
- N X,Y,Z S $P(X,"-",16)="",$P(Y,"-",12)="",$P(Z,"-",36)=""
- W !,?3,$$REPEAT^XLFSTR("-",16),?21,$$REPEAT^XLFSTR("-",12)
- W ?35,$$REPEAT^XLFSTR("-",36)
- ;
- I '$D(^AUPNMCR(DFN)) D Q
- . W !," *** NO MEDICARE INFORMATION ON RECORD ***"
- ;
- N X,Y,X0,Y0
- S X0=^AUPNMCR(DFN,0) D
- . S Y=$P(X0,U,3) Q:'Y W !,?3,Y ;medicare number
- . S Y=$P(X0,U,4) Q:'Y!('$D(^AUTTMCS(+Y,0))) S Y0=^(0) W ?14,Y0
- W ?21,$$GET1^DIQ(9000001,DFN,.04)
- S X=0
- F S X=$O(^AUPNMCR(DFN,11,X)) Q:'X D
- . Q:'$D(^AUPNMCR(DFN,11,X,0)) S X0=^(0)
- . I $P(X0,U) D
- .. N Y S Y=$P(X0,U) X ^DD("DD") W ?35,Y," to "
- . I $P(X0,U,2) D
- .. N Y S Y=$P(X0,U,2) X ^DD("DD") W ?50,Y
- . I $P(X0,U,3)'="" D
- .. N Y S Y=$P(X0,U,3) W ?65,Y
- . W !
- Q
- ;
- MCD ;find medicaid information
- W !!,?3,"MEDICAID NUMBER",?35,"MEDICAID ELIGIBILITY DATES/COVERAGE"
- W !?3,$$REPEAT^XLFSTR("-",16),?35,$$REPEAT^XLFSTR("-",36)
- ;
- I '$D(^AUPNMCD("B",DFN)) D Q
- . W !," *** NO MEDICAID INFORMATION ON RECORD ***"
- ;
- NEW X,Y,Z,X0,Y0,IFN
- S IFN=0 F S IFN=$O(^AUPNMCD("B",DFN,IFN)) Q:IFN="" D
- . S X0=^AUPNMCD(IFN,0) D
- .. S Y=$P(X0,U,3) W !,?3,Y ;medicaid number
- .. S Y=$P(X0,U,4) Q:'Y!('$D(^DIC(5,+Y,0))) S Y0=$P(^(0),U,2) W ?14,Y0
- .. S Y=$S($P(X0,U,8):$P(X0,U,8),1:"") Q:'Y X ^DD("DD") S Z=Y
- . S X=0 F S X=$O(^AUPNMCD(IFN,11,X)) Q:'X D
- .. Q:'$D(^AUPNMCD(IFN,11,X,0)) S X0=^(0)
- .. I $P(X0,U) D
- ... N Y S Y=$P(X0,U) X ^DD("DD") W ?35,Y," to "
- .. I $P(X0,U,2) D
- ... N Y S Y=$P(X0,U,2) X ^DD("DD") W ?50,Y
- .. I $P(X0,U,3)'="" D
- ... N Y S Y=$P(X0,U,3) W ?65,Y
- I $G(Z) W !!,?3,"Medicaid date of last update: ",Z,!
- Q
- ;
- PRT2 ;print request for current information
- NEW X,Y
- W !!,?3,"Does this include Dental coverage? Yes___ No___"
- W !!,?3,"Is this a work related Injury? Yes___ No___",!
- W ?3,"Date of Injury: _______________________"
- W !!,?8,"We appreciate your cooperation and assistance in filling"
- W " out this form."
- W !,?3,"It is important that we keep our patient registration"
- W " files accurate so"
- W !,?3,"that we can provide a better service to you."
- W !!,?3,"The Business Office, ",$$GET1^DIQ(9999999.06,DUZ(2),.02)
- W ?50,"Printed ",$$TIME^BDGF($$NOW^XLFDT)," ",$$FMTE^XLFDT(DT)
- Q
- ;
- STATE(FILE,PAT,FIELD) ; returns state abbreviation for state field sent
- NEW X S X=$$GET1^DIQ(FILE,PAT,FIELD,"I")
- Q $$GET1^DIQ(5,+X,1)
- BSDAIU ; IHS/ANMC/LJF - ADDRESS & INSURANCE UPDATE ;
- +1 ;;5.3;PIMS;**1007,1010,1012,1019**;APR 26, 2002;Build 3
- +2 ;
- +3 ;cmi/anch/maw 09/01/2008 PIMS Patch 1010 RQMT33 added number in household and income in DEM
- +4 ;cmi/anch/maw 09/01/2008 PIMS Patch 1010 RQMT6 added mother and fathers employer name
- +5 ;cmi/flag/maw 05/14/2010 PIMS Patch 1012 RQMT142 added call to this report from Appointment Managment
- +6 ;
- +7 ;
- OR ;EP - called from Other Reports on Appointment Management if no patient
- +1 ;cmi/maw 05/14/2010 skip patient if already exists
- IF $GET(DFN)
- DO PATE
- QUIT
- +2 NEW DFN,BSDFORM
- +3 SET DFN=+$$READ^BDGF("PO^2:QEMZ","Select PATIENT")
- IF 'DFN
- QUIT
- PATE ;EP - called from Other Reports on Appointment Management if patient
- +1 DO ZIS^BDGF("PQ","BEGIN^BSDAIU","ADDRESS/INSURANCE FORM","DFN")
- +2 QUIT
- +3 ;
- +4 ;
- BEGIN ;EP; entry point from queuing and from BSDFORM
- +1 USE IO
- +2 DO DEM
- DO EC
- DO TRIBE
- DO PRVT
- DO MCR
- DO MCD
- DO PRT2
- +3 ;
- +4 ;close device if not called within a loop
- IF '$GET(BSDFORM)
- DO ^%ZISC
- +5 ;kill patient variables
- DO KILL^AUPNPAT
- +6 QUIT
- +7 ;
- DEM ;-- print demographics
- +1 NEW X,I
- +2 ;division
- SET X=$$DIVNM^BSDU($$DIV^BSDU)
- WRITE !!,?80-$LENGTH(X)\2,X
- +3 WRITE !?16,$$CONF^BSDU
- +4 WRITE !,?17,"*** PATIENT ADDRESS AND INSURANCE UPDATE ***"
- +5 WRITE !,?9,"*** PLEASE MAKE CORRECTIONS TO ANY INCORRECT INFORMATION ***"
- +6 ;pat name
- WRITE !!,$EXTRACT($$GET1^DIQ(2,DFN,.01),1,27)
- +7 ;chart #
- WRITE ?30,"HRCN: ",$$HRCN^BDGF2(DFN,+$GET(DUZ(2)))
- +8 ;date of birth
- WRITE ?44,"DOB: ",$$GET1^DIQ(2,DFN,.03)
- +9 ;printable age
- WRITE ?62,"AGE: ",$$GET1^DIQ(9000001,DFN,1102.98)
- +10 ;ssn
- WRITE !,"SSN: ","XXX-XX-"_$EXTRACT($$GET1^DIQ(2,DFN,.09),6,9)
- +11 ;
- +12 IF $$GET1^DIQ(9000001,DFN,1112)["PENDING"
- Begin DoDot:1
- +13 WRITE !!,$$REPEAT^XLFSTR("*",80)
- +14 WRITE !?3,"ELIGIBILITY PENDING - HAVE PATIENT SEE APPROPRIATE PERSONNEL FOR VERIFICATION"
- +15 WRITE !!,$$REPEAT^XLFSTR("*",80)
- End DoDot:1
- +16 ;
- +17 IF $GET(^DPT(DFN,.11))=""
- Begin DoDot:1
- +18 WRITE !,?3,"Please enter your address,work and phone number on "
- +19 WRITE "the line below."
- +20 WRITE !!,?3," "
- NEW X
- SET $PIECE(X,"_",75)=""
- WRITE X
- KILL X
- End DoDot:1
- +21 IF '$TEST
- Begin DoDot:1
- +22 ;address and phone number
- +23 ;street
- WRITE !
- FOR I=.111,.112,.113
- SET X=$$GET1^DIQ(2,DFN,I)
- IF X]""
- WRITE !,X
- +24 ;home phone
- WRITE ?48,"Home: ",$$GET1^DIQ(2,DFN,.131)
- +25 ;city,state
- WRITE !,$$GET1^DIQ(2,DFN,.114),", ",$$STATE(2,DFN,.115)
- +26 ;zip
- WRITE " ",$$GET1^DIQ(2,DFN,.116)
- +27 ;birth state
- WRITE ?48,"Birth Place: ",$$STATE(2,DFN,.093)
- End DoDot:1
- +28 ;
- +29 ;employer
- WRITE !!,?3,"Employer: ",$$GET1^DIQ(9000001,DFN,.19)
- +30 ;work phone
- WRITE ?48,"Work Phone: ",$$GET1^DIQ(2,DFN,.132)
- +31 ;spouse empl
- WRITE !,?3,"Spouse's Employer: ",$$GET1^DIQ(9000001,DFN,.22)
- +32 ;spouse phon
- WRITE ?48,"Work Phone: ",$$GET1^DIQ(2,DFN,.258)
- +33 ;
- +34 ;father
- WRITE !!,?3,"Father's Name: ",$$GET1^DIQ(2,DFN,.2401)
- +35 ;birth city
- WRITE ?48,"Birthplace: ",$$GET1^DIQ(9000001,DFN,2602)_", "
- +36 ;birth state
- WRITE $$STATE(9000001,DFN,2603)
- +37 ;fathers employer name cmi/maw 9/1/2008 PIMS Patch 1010 RQMT6
- WRITE !,?3,"Father's Employer: ",$$GET1^DIQ(9000001,DFN,2701)
- +38 ;maiden name
- WRITE !,?3,"Mother's Name: ",$$GET1^DIQ(2,DFN,.2403)
- +39 ;birth city
- WRITE ?48,"Birthplace: ",$$GET1^DIQ(9000001,DFN,2605)_", "
- +40 ;birth state
- WRITE $$STATE(9000001,DFN,2606)
- +41 ;mothers employer name cmi/maw 9/1/2008 PIMS Patch 1010 RQMT6
- WRITE !,?3,"Mother's Employer: ",$$GET1^DIQ(9000001,DFN,2702)
- +42 ;number in household cmi/maw 9/1/2008 PIMS Patch 1010 RQMT33
- WRITE !!?3,"Number in Household: ",$$GET1^DIQ(9000001,DFN,.35)
- +43 ;household income cmi/maw 9/1/2008 PIMS Patch 1010 RQMT33
- WRITE ?48,"Household Income: ",$$GET1^DIQ(9000001,DFN,.36)
- +44 QUIT
- +45 ;
- EC ; emergency contact info
- +1 ;ec name
- WRITE !!,?3,"Emergency Contact: ",$$GET1^DIQ(2,DFN,.331)
- +2 ;ec relation
- WRITE !,?3,"Relationship: ",$$GET1^DIQ(2,DFN,.332)
- +3 ;W ?48,"Phone No.: ",$$GET1^DIQ(2,DFN,339) ;ec phone cmi/anch/maw 6/29/2007 orig code PATCH 1007
- +4 ;ec phone cmi/anch/maw 6/29/2007 mod code PATCH 1007
- WRITE ?48,"Phone No.: ",$$GET1^DIQ(2,DFN,.339)
- +5 ;ec street
- WRITE !,?3,"Mailing Address: ",$$GET1^DIQ(2,DFN,.333)
- +6 ;ec city
- WRITE !,?3,"City: ",$$GET1^DIQ(2,DFN,.336)
- +7 ;ec state
- WRITE ?28,"State: ",$$STATE(2,DFN,.337)
- +8 ;ec zip
- WRITE ?48,"Zip: ",$$GET1^DIQ(2,DFN,.338)
- +9 QUIT
- +10 ;
- TRIBE ; print tribe info
- +1 WRITE !!,"ELIGIBILITY: ",$$GET1^DIQ(9000001,DFN,1112),!
- +2 WRITE !,"TRIBE OF MEMBERSHIP/CORP. BLOOD QUANTUM TRIBE QUANTUM TRIBE"
- +3 WRITE !,"------------------------- ------------- ------------- -----"
- +4 ;tribe/corp
- WRITE !,$EXTRACT($$GET1^DIQ(9000001,DFN,1108),1,25)
- +5 ;blood quant
- WRITE ?29,$$GET1^DIQ(9000001,DFN,1110)
- +6 ;tribe quant
- WRITE ?45,$$GET1^DIQ(9000001,DFN,1109)
- +7 ;old tribe
- WRITE ?60,$EXTRACT($$GET1^DIQ(9000001,DFN,1127),1,5)
- +8 QUIT
- +9 ;
- PRVT ;find private insurance
- +1 WRITE !!,?3,"INSURANCE COMPANY",?35,"POLICY #",?51,"ELIGIBILITY DATES",!
- +2 WRITE ?3,$$REPEAT^XLFSTR("-",27),?35,$$REPEAT^XLFSTR("-",12)
- +3 WRITE ?51,$$REPEAT^XLFSTR("-",26)
- +4 ;
- +5 IF '$DATA(^AUPNPRVT(DFN))
- Begin DoDot:1
- +6 WRITE !," *** NO PRIVATE INSURANCE INFORMATION ON RECORD ***"
- End DoDot:1
- QUIT
- +7 ;
- +8 NEW X,Y,X0,Y0
- +9 SET X=0
- FOR
- SET X=$ORDER(^AUPNPRVT(DFN,11,X))
- IF 'X
- QUIT
- Begin DoDot:1
- +10 IF '$DATA(^AUPNPRVT(DFN,11,X,0))
- QUIT
- SET X0=^(0)
- +11 SET Y=+X0
- IF 'Y!('$DATA(^AUTNINS(+Y,0)))
- QUIT
- SET Y0=^(0)
- +12 WRITE !,?3,$PIECE(Y0,U),?35,$PIECE(X0,U,2)
- +13 IF +$PIECE(X0,U,6)
- Begin DoDot:2
- +14 NEW Y
- SET Y=$PIECE(X0,U,6)
- XECUTE ^DD("DD")
- WRITE ?51,Y," to "
- End DoDot:2
- +15 IF +$PIECE(X0,U,7)
- Begin DoDot:2
- +16 NEW Y
- SET Y=$PIECE(X0,U,7)
- XECUTE ^DD("DD")
- WRITE ?66,Y
- End DoDot:2
- End DoDot:1
- +17 QUIT
- +18 ;
- MCR ;find medicare information
- +1 WRITE !!,?3,"MEDICARE NUMBER",?21,"RELEASE DATE"
- +2 WRITE ?35,"MEDICARE ELIGIBILITY DATES/COVERAGE"
- +3 NEW X,Y,Z
- SET $PIECE(X,"-",16)=""
- SET $PIECE(Y,"-",12)=""
- SET $PIECE(Z,"-",36)=""
- +4 WRITE !,?3,$$REPEAT^XLFSTR("-",16),?21,$$REPEAT^XLFSTR("-",12)
- +5 WRITE ?35,$$REPEAT^XLFSTR("-",36)
- +6 ;
- +7 IF '$DATA(^AUPNMCR(DFN))
- Begin DoDot:1
- +8 WRITE !," *** NO MEDICARE INFORMATION ON RECORD ***"
- End DoDot:1
- QUIT
- +9 ;
- +10 NEW X,Y,X0,Y0
- +11 SET X0=^AUPNMCR(DFN,0)
- Begin DoDot:1
- +12 ;medicare number
- SET Y=$PIECE(X0,U,3)
- IF 'Y
- QUIT
- WRITE !,?3,Y
- +13 SET Y=$PIECE(X0,U,4)
- IF 'Y!('$DATA(^AUTTMCS(+Y,0)))
- QUIT
- SET Y0=^(0)
- WRITE ?14,Y0
- End DoDot:1
- +14 WRITE ?21,$$GET1^DIQ(9000001,DFN,.04)
- +15 SET X=0
- +16 FOR
- SET X=$ORDER(^AUPNMCR(DFN,11,X))
- IF 'X
- QUIT
- Begin DoDot:1
- +17 IF '$DATA(^AUPNMCR(DFN,11,X,0))
- QUIT
- SET X0=^(0)
- +18 IF $PIECE(X0,U)
- Begin DoDot:2
- +19 NEW Y
- SET Y=$PIECE(X0,U)
- XECUTE ^DD("DD")
- WRITE ?35,Y," to "
- End DoDot:2
- +20 IF $PIECE(X0,U,2)
- Begin DoDot:2
- +21 NEW Y
- SET Y=$PIECE(X0,U,2)
- XECUTE ^DD("DD")
- WRITE ?50,Y
- End DoDot:2
- +22 IF $PIECE(X0,U,3)'=""
- Begin DoDot:2
- +23 NEW Y
- SET Y=$PIECE(X0,U,3)
- WRITE ?65,Y
- End DoDot:2
- +24 WRITE !
- End DoDot:1
- +25 QUIT
- +26 ;
- MCD ;find medicaid information
- +1 WRITE !!,?3,"MEDICAID NUMBER",?35,"MEDICAID ELIGIBILITY DATES/COVERAGE"
- +2 WRITE !?3,$$REPEAT^XLFSTR("-",16),?35,$$REPEAT^XLFSTR("-",36)
- +3 ;
- +4 IF '$DATA(^AUPNMCD("B",DFN))
- Begin DoDot:1
- +5 WRITE !," *** NO MEDICAID INFORMATION ON RECORD ***"
- End DoDot:1
- QUIT
- +6 ;
- +7 NEW X,Y,Z,X0,Y0,IFN
- +8 SET IFN=0
- FOR
- SET IFN=$ORDER(^AUPNMCD("B",DFN,IFN))
- IF IFN=""
- QUIT
- Begin DoDot:1
- +9 SET X0=^AUPNMCD(IFN,0)
- Begin DoDot:2
- +10 ;medicaid number
- SET Y=$PIECE(X0,U,3)
- WRITE !,?3,Y
- +11 SET Y=$PIECE(X0,U,4)
- IF 'Y!('$DATA(^DIC(5,+Y,0)))
- QUIT
- SET Y0=$PIECE(^(0),U,2)
- WRITE ?14,Y0
- +12 SET Y=$SELECT($PIECE(X0,U,8):$PIECE(X0,U,8),1:"")
- IF 'Y
- QUIT
- XECUTE ^DD("DD")
- SET Z=Y
- End DoDot:2
- +13 SET X=0
- FOR
- SET X=$ORDER(^AUPNMCD(IFN,11,X))
- IF 'X
- QUIT
- Begin DoDot:2
- +14 IF '$DATA(^AUPNMCD(IFN,11,X,0))
- QUIT
- SET X0=^(0)
- +15 IF $PIECE(X0,U)
- Begin DoDot:3
- +16 NEW Y
- SET Y=$PIECE(X0,U)
- XECUTE ^DD("DD")
- WRITE ?35,Y," to "
- End DoDot:3
- +17 IF $PIECE(X0,U,2)
- Begin DoDot:3
- +18 NEW Y
- SET Y=$PIECE(X0,U,2)
- XECUTE ^DD("DD")
- WRITE ?50,Y
- End DoDot:3
- +19 IF $PIECE(X0,U,3)'=""
- Begin DoDot:3
- +20 NEW Y
- SET Y=$PIECE(X0,U,3)
- WRITE ?65,Y
- End DoDot:3
- End DoDot:2
- End DoDot:1
- +21 IF $GET(Z)
- WRITE !!,?3,"Medicaid date of last update: ",Z,!
- +22 QUIT
- +23 ;
- PRT2 ;print request for current information
- +1 NEW X,Y
- +2 WRITE !!,?3,"Does this include Dental coverage? Yes___ No___"
- +3 WRITE !!,?3,"Is this a work related Injury? Yes___ No___",!
- +4 WRITE ?3,"Date of Injury: _______________________"
- +5 WRITE !!,?8,"We appreciate your cooperation and assistance in filling"
- +6 WRITE " out this form."
- +7 WRITE !,?3,"It is important that we keep our patient registration"
- +8 WRITE " files accurate so"
- +9 WRITE !,?3,"that we can provide a better service to you."
- +10 WRITE !!,?3,"The Business Office, ",$$GET1^DIQ(9999999.06,DUZ(2),.02)
- +11 WRITE ?50,"Printed ",$$TIME^BDGF($$NOW^XLFDT)," ",$$FMTE^XLFDT(DT)
- +12 QUIT
- +13 ;
- STATE(FILE,PAT,FIELD) ; returns state abbreviation for state field sent
- +1 NEW X
- SET X=$$GET1^DIQ(FILE,PAT,FIELD,"I")
- +2 QUIT $$GET1^DIQ(5,+X,1)