IBCSC3 ;ALB/MJB - MCCR SCREEN 3 (PAYER/MAILING ADDRESS) ;27 MAY 88 10:15
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
;MAP TO DGCRSC3
;
EN I $D(DGRVRCAL) D ^IBCU6 K DGRVRCAL
D ^IBCSCU S IBSR=3,IBSR1="",IBV1="000" I IBV S IBV1="111"
D H^IBCSCU,3^IBCVA0
F I=0,"M","M1","U" S IB(I)=$S($D(^DGCR(399,IBIFN,I)):(^(I)),1:"")
S IBOUTP=2,IBINDT=$S(+$G(IB("U")):+IB("U"),1:DT)
S Z=1,IBW=1 X IBWW W " Rate Type : ",$S($P(IB(0),U,7)']"":IBU,$D(^DGCR(399.3,$P(IB(0),U,7),0)):$P(^(0),U),1:IBUN)
I +$P($G(^IBE(350.9,1,1)),U,22) W ?45,"Form Type: ",$P($G(^IBE(353,+$P(IB(0),U,19),0)),U,1)
W !?4,"Payer : ",$S($P(IB(0),U,11)']"":IBU,$P(IB(0),U,11)="p":"PATIENT",$P(IB(0),U,11)="i":"INSURER",1:"OTHER")
I $P(IB(0),U,11)']"" G MAIL
I $P(IB(0),U,11)="p" G MAIL
I $P(IB(0),U,11)="o" W !?4,"Inst. Name : ",$S($P(IB("M"),U,11)']"":IBU,$D(^DIC(4,$P(IB("M"),U,11),0)):$P(^(0),U,1),1:"UNKNOWN INSTITUTION") G MAIL
I $P(IB(0),U,11)="i" I $D(IBDD)>1,$D(^DGCR(399,IBIFN,"AIC")) G SHW
D UP G LST:$D(IBDD)>1 W !?4,"Insurance : NO REIMBURSABLE INSURANCE INFORMATION ON FILE",!?17,"[Add Insurance Information by entering '1' at the prompt below]" G MAIL
;W !?4,"Insurance Carrier",?40,"Whose",?66,"Relationship" S X="",$P(X,"=",81)="" W !,X
LST W ! D HDR^IBCNS
S IBX="" F S IBX=$O(IBDD(IBX)) Q:IBX="" S IBINS=$G(IBDD(IBX,0)) D D1^IBCNS
;I $D(IBDDI)>1 W !,"Not currently Selectable:" S IBX="" F S IBX=$O(IBDDI(IBX)) Q:IBX="" S IBINS=IBDDI(IBX) D D1^IBCNS
G MAIL
LST1 W !?4,$S($D(^DIC(36,+IBDD(IBX,0),0)):$E($P(^(0),"^",1),1,20),1:"UNKNOWN") S X=$P(IBDD(IBX,0),"^",6) W ?26,$S(X="v":"VETERAN",X="s":"SPOUSE",1:"OTHER") S X=$P(IBDD(IBX,0),"^",16)
S X=$S(+X=1:"PATIENT",+X=2:"SPOUSE",+X=3:"CHILD",+X=8:"EMPLOYEE",+X=11:"ORGAN DONOR",+X=18:"PARENT",+X=15:"PLANTIFF",1:"UNKNOWN")
I X="UNKNOWN" S X1=$S($D(IBDD(IBX,0)):$P(IBDD(IBX,0),"^",6),1:""),X=$S(X1="v":"PATIENT",X1="s":"SPOUSE",1:X)
W ?37,X,?49 S Y=$P(IBDD(IBX,0),"^",8) X ^DD("DD") W Y,?64 S Y=$P(IBDD(IBX,0),"^",4) X ^DD("DD") W Y
Q
SHW I $D(IBDD) S I="" F S I=$O(IBDD(I)) Q:'I D SHW1
MAIL S IB("M")=$S($D(^DGCR(399,IBIFN,"M")):^("M"),1:""),IB("M1")=$S($D(^DGCR(399,IBIFN,"M1")):^("M1"),1:""),IB(0)=^DGCR(399,IBIFN,0)
S Z=2,IBW=1 W ! X IBWW W " Primary Provider # : ",$P(IB("M1"),U,2),!?4,"Secondary Provider #: ",$P(IB("M1"),U,3),?45,"Tertiary Provider#: ",$P(IB("M1"),U,4)
S Z=3,IBW=1 W ! X IBWW
W ?4,"Mailing Address : " S X="" I IB("M")]"" F I=4:1:9 Q:X]"" S X=$P(IB("M"),"^",I)
I X']"" W !?4,"NO MAILING ADDRESS HAS BEEN SPECIFIED!",!?4,"Send Bill to PAYER listed above." G ^IBCSCP
S X=IB("M") W !,?4,$S($P(X,"^",4)]"":$P(X,"^",4),1:"'MAIL TO' PERSON/PLACE UNSPECIFIED"),!?4,$S($P(X,"^",5)]"":$P(X,"^",5),1:"STREET ADDRESS UNSPECIFIED") W:$P(X,"^",6)]"" ", ",$P(X,"^",6) W ! W:$P(IB("M1"),"^",1)]"" ?4,$P(IB("M1"),"^",1),", "
W ?4,$S($P(X,"^",7)]"":$P(X,"^",7),1:"CITY UNSPECIFIED"),", ",$S($D(^DIC(5,+$P(X,"^",8),0)):$P(^(0),"^",2),1:"STATE UNSPECIFIED")," ",$S($P(X,"^",9)]"":$P(X,"^",9),1:"ZIP UNSPECIFIED")
K IBADI,IBDD,IBOUTP,IBINDT,I,X,X1
G ^IBCSCP
SHW1 W !?4,"Insurance ",I,": " S X=IBDD(I,0),Z=$S($D(^DIC(36,+X,0)):$P(^(0),"^",1),1:IBU) W $E(Z,1,25) W ?45,"Policy #: ",$S($P(X,"^",2)]"":$P(X,"^",2),1:IBU)
W !?4,"Group #",?15,": ",$S($P(X,"^",3)]"":$P(X,"^",3),1:IBU),?45,"Group Name: ",$S($P(X,"^",15)]"":$P(X,"^",15),1:IBU)
W !?4,"Whose",?15,": ",$S($P(X,"^",6)="v":"VETERAN",$P(X,"^",6)="s":"SPOUSE",1:"OTHER")
W ?45,"Sex of Insured: ",$S($D(IBISEX(I)):IBISEX(I),1:IBU),!?4,"Insured",?15,": ",$P(X,"^",17),?45,"Rel. to Insured: ",IBIR(I),!
Q
;
UP K IBDD D ALL^IBCNS1(DFN,"IBDD",1,IBINDT)
Q
;IBCSC3
IBCSC3 ;ALB/MJB - MCCR SCREEN 3 (PAYER/MAILING ADDRESS) ;27 MAY 88 10:15
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
+4 ;MAP TO DGCRSC3
+5 ;
EN IF $DATA(DGRVRCAL)
DO ^IBCU6
KILL DGRVRCAL
+1 DO ^IBCSCU
SET IBSR=3
SET IBSR1=""
SET IBV1="000"
IF IBV
SET IBV1="111"
+2 DO H^IBCSCU
DO 3^IBCVA0
+3 FOR I=0,"M","M1","U"
SET IB(I)=$SELECT($DATA(^DGCR(399,IBIFN,I)):(^(I)),1:"")
+4 SET IBOUTP=2
SET IBINDT=$SELECT(+$GET(IB("U")):+IB("U"),1:DT)
+5 SET Z=1
SET IBW=1
XECUTE IBWW
WRITE " Rate Type : ",$SELECT($PIECE(IB(0),U,7)']"":IBU,$DATA(^DGCR(399.3,$PIECE(IB(0),U,7),0)):$PIECE(^(0),U),1:IBUN)
+6 IF +$PIECE($GET(^IBE(350.9,1,1)),U,22)
WRITE ?45,"Form Type: ",$PIECE($GET(^IBE(353,+$PIECE(IB(0),U,19),0)),U,1)
+7 WRITE !?4,"Payer : ",$SELECT($PIECE(IB(0),U,11)']"":IBU,$PIECE(IB(0),U,11)="p":"PATIENT",$PIECE(IB(0),U,11)="i":"INSURER",1:"OTHER")
+8 IF $PIECE(IB(0),U,11)']""
GOTO MAIL
+9 IF $PIECE(IB(0),U,11)="p"
GOTO MAIL
+10 IF $PIECE(IB(0),U,11)="o"
WRITE !?4,"Inst. Name : ",$SELECT($PIECE(IB("M"),U,11)']"":IBU,$DATA(^DIC(4,$PIECE(IB("M"),U,11),0)):$PIECE(^(0),U,1),1:"UNKNOWN INSTITUTION")
GOTO MAIL
+11 IF $PIECE(IB(0),U,11)="i"
IF $DATA(IBDD)>1
IF $DATA(^DGCR(399,IBIFN,"AIC"))
GOTO SHW
+12 DO UP
IF $DATA(IBDD)>1
GOTO LST
WRITE !?4,"Insurance : NO REIMBURSABLE INSURANCE INFORMATION ON FILE",!?17,"[Add Insurance Information by entering '1' at the prompt below]"
GOTO MAIL
+13 ;W !?4,"Insurance Carrier",?40,"Whose",?66,"Relationship" S X="",$P(X,"=",81)="" W !,X
LST WRITE !
DO HDR^IBCNS
+1 SET IBX=""
FOR
SET IBX=$ORDER(IBDD(IBX))
IF IBX=""
QUIT
SET IBINS=$GET(IBDD(IBX,0))
DO D1^IBCNS
+2 ;I $D(IBDDI)>1 W !,"Not currently Selectable:" S IBX="" F S IBX=$O(IBDDI(IBX)) Q:IBX="" S IBINS=IBDDI(IBX) D D1^IBCNS
+3 GOTO MAIL
LST1 WRITE !?4,$SELECT($DATA(^DIC(36,+IBDD(IBX,0),0)):$EXTRACT($PIECE(^(0),"^",1),1,20),1:"UNKNOWN")
SET X=$PIECE(IBDD(IBX,0),"^",6)
WRITE ?26,$SELECT(X="v":"VETERAN",X="s":"SPOUSE",1:"OTHER")
SET X=$PIECE(IBDD(IBX,0),"^",16)
+1 SET X=$SELECT(+X=1:"PATIENT",+X=2:"SPOUSE",+X=3:"CHILD",+X=8:"EMPLOYEE",+X=11:"ORGAN DONOR",+X=18:"PARENT",+X=15:"PLANTIFF",1:"UNKNOWN")
+2 IF X="UNKNOWN"
SET X1=$SELECT($DATA(IBDD(IBX,0)):$PIECE(IBDD(IBX,0),"^",6),1:"")
SET X=$SELECT(X1="v":"PATIENT",X1="s":"SPOUSE",1:X)
+3 WRITE ?37,X,?49
SET Y=$PIECE(IBDD(IBX,0),"^",8)
XECUTE ^DD("DD")
WRITE Y,?64
SET Y=$PIECE(IBDD(IBX,0),"^",4)
XECUTE ^DD("DD")
WRITE Y
+4 QUIT
SHW IF $DATA(IBDD)
SET I=""
FOR
SET I=$ORDER(IBDD(I))
IF 'I
QUIT
DO SHW1
MAIL SET IB("M")=$SELECT($DATA(^DGCR(399,IBIFN,"M")):^("M"),1:"")
SET IB("M1")=$SELECT($DATA(^DGCR(399,IBIFN,"M1")):^("M1"),1:"")
SET IB(0)=^DGCR(399,IBIFN,0)
+1 SET Z=2
SET IBW=1
WRITE !
XECUTE IBWW
WRITE " Primary Provider # : ",$PIECE(IB("M1"),U,2),!?4,"Secondary Provider #: ",$PIECE(IB("M1"),U,3),?45,"Tertiary Provider#: ",$PIECE(IB("M1"),U,4)
+2 SET Z=3
SET IBW=1
WRITE !
XECUTE IBWW
+3 WRITE ?4,"Mailing Address : "
SET X=""
IF IB("M")]""
FOR I=4:1:9
IF X]""
QUIT
SET X=$PIECE(IB("M"),"^",I)
+4 IF X']""
WRITE !?4,"NO MAILING ADDRESS HAS BEEN SPECIFIED!",!?4,"Send Bill to PAYER listed above."
GOTO ^IBCSCP
+5 SET X=IB("M")
WRITE !,?4,$SELECT($PIECE(X,"^",4)]"":$PIECE(X,"^",4),1:"'MAIL TO' PERSON/PLACE UNSPECIFIED"),!?4,$SELECT($PIECE(X,"^",5)]"":$PIECE(X,"^",5),1:"STREET ADDRESS UNSPECIFIED")
IF $PIECE(X,"^",6)]""
WRITE ", ",$PIECE(X,"^",6)
WRITE !
IF $PIECE(IB("M1"),"^",1)]""
WRITE ?4,$PIECE(IB("M1"),"^",1),", "
+6 WRITE ?4,$SELECT($PIECE(X,"^",7)]"":$PIECE(X,"^",7),1:"CITY UNSPECIFIED"),", ",$SELECT($DATA(^DIC(5,+$PIECE(X,"^",8),0)):$PIECE(^(0),"^",2),1:"STATE UNSPECIFIED")," ",$SELECT($PIECE(X,"^",9)]"":$PIECE(X,"^",9),1:"ZIP UNSPECIFIED")
+7 KILL IBADI,IBDD,IBOUTP,IBINDT,I,X,X1
+8 GOTO ^IBCSCP
SHW1 WRITE !?4,"Insurance ",I,": "
SET X=IBDD(I,0)
SET Z=$SELECT($DATA(^DIC(36,+X,0)):$PIECE(^(0),"^",1),1:IBU)
WRITE $EXTRACT(Z,1,25)
WRITE ?45,"Policy #: ",$SELECT($PIECE(X,"^",2)]"":$PIECE(X,"^",2),1:IBU)
+1 WRITE !?4,"Group #",?15,": ",$SELECT($PIECE(X,"^",3)]"":$PIECE(X,"^",3),1:IBU),?45,"Group Name: ",$SELECT($PIECE(X,"^",15)]"":$PIECE(X,"^",15),1:IBU)
+2 WRITE !?4,"Whose",?15,": ",$SELECT($PIECE(X,"^",6)="v":"VETERAN",$PIECE(X,"^",6)="s":"SPOUSE",1:"OTHER")
+3 WRITE ?45,"Sex of Insured: ",$SELECT($DATA(IBISEX(I)):IBISEX(I),1:IBU),!?4,"Insured",?15,": ",$PIECE(X,"^",17),?45,"Rel. to Insured: ",IBIR(I),!
+4 QUIT
+5 ;
UP KILL IBDD
DO ALL^IBCNS1(DFN,"IBDD",1,IBINDT)
+1 QUIT
+2 ;IBCSC3
