IBCNSP2 ;ALB/AAS - PATIENT INSURANCE INTERFACE FOR REGISTRATION ; 21-JUNE-93
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
% ;
REG ; --Edit Patient insurance from registration, fee and mccr, allow new entries
; only edit policy if new policy
; call event driver if adding a new policy
;
; -- Input DFN = patient
;
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
S IBCNP=1
I '$D(DFN) D G:$D(VALMQUIT) REGQ
.S DIC="^DPT(",DIC(0)="AEQMN" D ^DIC
.S DFN=+Y
I $G(DFN)<1 S IBQUIT=1,VALMQUIT="" G REGQ
;
; -- of covered by ins but none currently active so indicate
S IBCOV=$P($G(^DPT(DFN,.31)),"^",11)
I IBCOV="Y",'$$INSURED^IBCNS1(DFN) W !!,"Covered By Health Insurance indicates 'YES' but none currently Active.",!,"Please Review!",!!
;
; -- ask if covered by insuracnce
S DIE="^DPT(",DR=".3192",DA=DFN D ^DIE K DIC,DIE,DA,DR
S IBCOVP=$P($G(^DPT(DFN,.31)),"^",11)
I $D(Y)!($D(DTOUT)) S IBQUIT=1 G REGQ
I $P($G(^DPT(DFN,.31)),"^",11)'="Y",'$$INSURED^IBCNS1(DFN) S IBQUIT=1 G REGQ
;
R1 S (IBNEW,IBNEWP,IBQUIT)=0
S DIC="^DPT("_DFN_",.312,",DIC(0)="AEQLM",DIC("A")="Select INSURANCE COMPANY: "
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,$P(IBD,U,6))"
I IBCNP=1 S X=$P($G(^DIC(36,+$G(^DPT(DFN,.312,+$P($G(^DPT(DFN,.312,0)),"^",3),0)),0)),"^") I X'="" S DIC("B")=X
S DA(1)=DFN
I $G(^DPT(DFN,.312,0))="" S ^DPT(DFN,.312,0)="^2.312PAI^^"
D ^DIC K DIC I +Y<1 S IBQUIT=1,VALMQUIT="" G REGQ
S IBCDFN=+Y,IBCNS=$P(Y,"^",2)
I $P(Y,"^",3) S IBNEW=1 I $$DUPCO^IBCNSOK1(DFN,IBCNS,IBCDFN,1)
S IBCNSEH=$P($G(^IBE(350.9,1,4)),"^",1)
S IBCNP=IBCNP+1
I 'IBNEW,$P($G(^DPT(DFN,.312,+IBCDFN,0)),"^",18)="" D G REGQ
.I '$P($G(^IBE(350.9,1,3)),"^",18) W !,"Insurance conversion not complete, NO EDITING ALLOWED",!! S IBQUIT=1 H 3 Q
.I $P($G(^IBE(350.9,1,3)),"^",18) W !,"INVALID ENTRY, DELETE AND RE-ENTER, NO EDITING ALLOWED",!! S IBQUIT=1 H 3 Q
;
I $G(IBFEE),'$G(IBNEW) G REGQ ; fee users can add but not edit existing info
I $G(IBNEW) D G:$G(IBQUIT) REGQ
.D SEL^IBCNSEH
.S IBCPOL=$$LK^IBCNSM31(IBCNS)
.I IBCPOL>0 D OK^IBCNSM3 Q:IBQUIT S:'IBOK IBCPOL=-1
.I IBCPOL<1 S IBCPOL=$$NEW^IBCNSM3(IBCNS) S:IBCPOL<1 IBQUIT=1 Q:IBQUIT S IBNEWP=1
.S DR=".18////"_IBCPOL_";1.09////1;1.05///NOW;1.06////"_DUZ
.S DA=IBCDFN,DA(1)=DFN,DIE="^DPT("_DFN_",.312," D ^DIE
.K DIE,DA,DR,DIC
;
; -- edit patient ins. data
S IBREG=1 G:$G(IBQUIT) REGQ
D PAT^IBCNSEH,PATPOL^IBCNSM3(IBCDFN)
;
; -- edit policy specific data if new or have key
I $G(IBNEWP)!($D(^XUSEC("IB INSURANCE SUPERVISOR",DUZ))) D:'$G(IBQUIT) POL^IBCNSEH,EDPOL^IBCNSM3(IBCDFN)
K IBREG S IBQUIT=0
;
REGQ ; -- exit logic and checks
; -- if no policy pointer delete
I $G(IBNEW),$G(IBCDFN),$P($G(^DPT(DFN,.312,+IBCDFN,0)),"^",18)="" D
.D DP1^IBCNSM1 W !,"<DELETED> GROUP INSURANCE PLAN REQUIRED BUT NOT ENTERED" K IBNEW
;
; -- if new call event drive
I $G(IBNEW),$G(IBCDFN)>1,$P($G(^DPT(DFN,.312,+$G(IBCDFN),0)),"^",18) D
.K IBNEW
.D AFTER^IBCNSEVT,^IBCNSEVT
;
K IBCNS,IBCDFN,IBNEW,IBNEWP
I '$G(IBQUIT) W ! G R1
D COVERED^IBCNSM31(DFN,$G(IBCOVP))
K IBQUIT
Q
;
FEE ; -- fee entry point to add patient insurance.
N IBFEE S IBFEE=1 D REG
Q
;
MCCR ; -- called from screen 3 of the edit bill option in mccr
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
;
S IBCNP=1
S DIE="^DGCR(399,",DA=IBIFN,DR="[IB SCREEN3]" D ^DIE K DIC,DIE,DA,DR
;
I $G(IBADI)=1 D R1 S IBCNRTN=1 K IBADI G MCCR
K IBCNRTN
Q
;
DISP ; -- Display Patient insurance policy information for registrations
Q:'$D(DFN)
D DISP^IBCNS
DISPQ Q
IBCNSP2 ;ALB/AAS - PATIENT INSURANCE INTERFACE FOR REGISTRATION ; 21-JUNE-93
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
% ;
REG ; --Edit Patient insurance from registration, fee and mccr, allow new entries
+1 ; only edit policy if new policy
+2 ; call event driver if adding a new policy
+3 ;
+4 ; -- Input DFN = patient
+5 ;
+6 NEW 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
+7 SET IBCNP=1
+8 IF '$DATA(DFN)
Begin DoDot:1
+9 SET DIC="^DPT("
SET DIC(0)="AEQMN"
DO ^DIC
+10 SET DFN=+Y
End DoDot:1
IF $DATA(VALMQUIT)
GOTO REGQ
+11 IF $GET(DFN)<1
SET IBQUIT=1
SET VALMQUIT=""
GOTO REGQ
+12 ;
+13 ; -- of covered by ins but none currently active so indicate
+14 SET IBCOV=$PIECE($GET(^DPT(DFN,.31)),"^",11)
+15 IF IBCOV="Y"
IF '$$INSURED^IBCNS1(DFN)
WRITE !!,"Covered By Health Insurance indicates 'YES' but none currently Active.",!,"Please Review!",!!
+16 ;
+17 ; -- ask if covered by insuracnce
+18 SET DIE="^DPT("
SET DR=".3192"
SET DA=DFN
DO ^DIE
KILL DIC,DIE,DA,DR
+19 SET IBCOVP=$PIECE($GET(^DPT(DFN,.31)),"^",11)
+20 IF $DATA(Y)!($DATA(DTOUT))
SET IBQUIT=1
GOTO REGQ
+21 IF $PIECE($GET(^DPT(DFN,.31)),"^",11)'="Y"
IF '$$INSURED^IBCNS1(DFN)
SET IBQUIT=1
GOTO REGQ
+22 ;
R1 SET (IBNEW,IBNEWP,IBQUIT)=0
+1 SET DIC="^DPT("_DFN_",.312,"
SET DIC(0)="AEQLM"
SET DIC("A")="Select INSURANCE COMPANY: "
+2 SET DIC("W")="N IBD S IBD=$G(^DPT(DFN,.312,+Y,0)) W "" Group: ""_$$GRP^IBCNS($P(IBD,U,18))_"" Whose: ""_$$EXPAND^IBTRE(2.312,6,$P(IBD,U,6))"
+3 IF IBCNP=1
SET X=$PIECE($GET(^DIC(36,+$GET(^DPT(DFN,.312,+$PIECE($GET(^DPT(DFN,.312,0)),"^",3),0)),0)),"^")
IF X'=""
SET DIC("B")=X
+4 SET DA(1)=DFN
+5 IF $GET(^DPT(DFN,.312,0))=""
SET ^DPT(DFN,.312,0)="^2.312PAI^^"
+6 DO ^DIC
KILL DIC
IF +Y<1
SET IBQUIT=1
SET VALMQUIT=""
GOTO REGQ
+7 SET IBCDFN=+Y
SET IBCNS=$PIECE(Y,"^",2)
+8 IF $PIECE(Y,"^",3)
SET IBNEW=1
IF $$DUPCO^IBCNSOK1(DFN,IBCNS,IBCDFN,1)
+9 SET IBCNSEH=$PIECE($GET(^IBE(350.9,1,4)),"^",1)
+10 SET IBCNP=IBCNP+1
+11 IF 'IBNEW
IF $PIECE($GET(^DPT(DFN,.312,+IBCDFN,0)),"^",18)=""
Begin DoDot:1
+12 IF '$PIECE($GET(^IBE(350.9,1,3)),"^",18)
WRITE !,"Insurance conversion not complete, NO EDITING ALLOWED",!!
SET IBQUIT=1
HANG 3
QUIT
+13 IF $PIECE($GET(^IBE(350.9,1,3)),"^",18)
WRITE !,"INVALID ENTRY, DELETE AND RE-ENTER, NO EDITING ALLOWED",!!
SET IBQUIT=1
HANG 3
QUIT
End DoDot:1
GOTO REGQ
+14 ;
+15 ; fee users can add but not edit existing info
IF $GET(IBFEE)
IF '$GET(IBNEW)
GOTO REGQ
+16 IF $GET(IBNEW)
Begin DoDot:1
+17 DO SEL^IBCNSEH
+18 SET IBCPOL=$$LK^IBCNSM31(IBCNS)
+19 IF IBCPOL>0
DO OK^IBCNSM3
IF IBQUIT
QUIT
IF 'IBOK
SET IBCPOL=-1
+20 IF IBCPOL<1
SET IBCPOL=$$NEW^IBCNSM3(IBCNS)
IF IBCPOL<1
SET IBQUIT=1
IF IBQUIT
QUIT
SET IBNEWP=1
+21 SET DR=".18////"_IBCPOL_";1.09////1;1.05///NOW;1.06////"_DUZ
+22 SET DA=IBCDFN
SET DA(1)=DFN
SET DIE="^DPT("_DFN_",.312,"
DO ^DIE
+23 KILL DIE,DA,DR,DIC
End DoDot:1
IF $GET(IBQUIT)
GOTO REGQ
+24 ;
+25 ; -- edit patient ins. data
+26 SET IBREG=1
IF $GET(IBQUIT)
GOTO REGQ
+27 DO PAT^IBCNSEH
DO PATPOL^IBCNSM3(IBCDFN)
+28 ;
+29 ; -- edit policy specific data if new or have key
+30 IF $GET(IBNEWP)!($DATA(^XUSEC("IB INSURANCE SUPERVISOR",DUZ)))
IF '$GET(IBQUIT)
DO POL^IBCNSEH
DO EDPOL^IBCNSM3(IBCDFN)
+31 KILL IBREG
SET IBQUIT=0
+32 ;
REGQ ; -- exit logic and checks
+1 ; -- if no policy pointer delete
+2 IF $GET(IBNEW)
IF $GET(IBCDFN)
IF $PIECE($GET(^DPT(DFN,.312,+IBCDFN,0)),"^",18)=""
Begin DoDot:1
+3 DO DP1^IBCNSM1
WRITE !,"<DELETED> GROUP INSURANCE PLAN REQUIRED BUT NOT ENTERED"
KILL IBNEW
End DoDot:1
+4 ;
+5 ; -- if new call event drive
+6 IF $GET(IBNEW)
IF $GET(IBCDFN)>1
IF $PIECE($GET(^DPT(DFN,.312,+$GET(IBCDFN),0)),"^",18)
Begin DoDot:1
+7 KILL IBNEW
+8 DO AFTER^IBCNSEVT
DO ^IBCNSEVT
End DoDot:1
+9 ;
+10 KILL IBCNS,IBCDFN,IBNEW,IBNEWP
+11 IF '$GET(IBQUIT)
WRITE !
GOTO R1
+12 DO COVERED^IBCNSM31(DFN,$GET(IBCOVP))
+13 KILL IBQUIT
+14 QUIT
+15 ;
FEE ; -- fee entry point to add patient insurance.
+1 NEW IBFEE
SET IBFEE=1
DO REG
+2 QUIT
+3 ;
MCCR ; -- called from screen 3 of the edit bill option in mccr
+1 NEW 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
+2 ;
+3 SET IBCNP=1
+4 SET DIE="^DGCR(399,"
SET DA=IBIFN
SET DR="[IB SCREEN3]"
DO ^DIE
KILL DIC,DIE,DA,DR
+5 ;
+6 IF $GET(IBADI)=1
DO R1
SET IBCNRTN=1
KILL IBADI
GOTO MCCR
+7 KILL IBCNRTN
+8 QUIT
+9 ;
DISP ; -- Display Patient insurance policy information for registrations
+1 IF '$DATA(DFN)
QUIT
+2 DO DISP^IBCNS
DISPQ QUIT
