IBRBUL ;ALB/CJM - CAT C HOLD CHARGE BULLETIN ; 02-MAR-92
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
; This bulletin is sent even if the local site has chosen
; not to hold Cat C charges. In that case, IBHOLDP should be set = 0.
; requires: IBDD() = internal node in patient file of valid ins.
; DUZ
; X = 0 node of IB BILLING ACTION
; IBHOLDP = 1 if charge on hold, = 0 otherwise
; IBSEQNO = 1 if the charges are new, 3 if updated
BULL N IBT,IBC,XMSUB,XMY,XMDUZ,XMTEXT,IBX,IBDUZ,IBNAME,IBPID,IBBID,IBAGE,DFN
S IBC=1,IBX=X,IBDUZ=DUZ
D PAT,HDR,PATLINE,CHRG,INS,MAIL^IBAERR1
Q
MAIL ; for testing
; W !,XMSUB
; F IBC=1:1 Q:'$D(IBT(IBC)) W !,IBT(IBC)
Q
HDR ; formated for held charges
N T,U,SL S T=$S('IBHOLDP:"NOT ON HOLD",1:"ON HOLD"),U=$S(IBSEQNO=1:"NEW ",IBSEQNO=3:"UPDATED ",1:"")
; if the parent event should have the soft-link that is needed to find
; the division
S SL=$P(X,"^",16) S:SL SL=$G(^IB(SL,0)) S:'SL SL=X S SL=$P(SL,"^",4)
S XMSUB=$E(IBNAME,1,8)_"("_IBBID_")"_"CATC CHRG W/INS"_"-"_$E($$DIV(SL),1,11)
S IBT(IBC)="The following patient has active insurance and "_U_"Cat C charges "_T_".",IBC=IBC+1
S IBT(IBC)="You need to immediately process the charges to the insurance company.",IBC=IBC+1
Q
PAT ; gets patient demographic data
N VAERR,VADM,X
S DFN=+$P(IBX,"^",2) D DEM^VADPT I VAERR K VADM
S IBNAME=$$PR($G(VADM(1)),26),IBAGE=$$PR($G(VADM(4)),3),IBPID=$G(VA("PID")),IBBID=$G(VA("BID"))
Q
PATLINE ; sets up lines with patient data
S IBT(IBC)="",IBC=IBC+1,IBT(IBC)="Name: "_IBNAME_" Age : "_IBAGE_" Pt. ID: "_IBPID,IBC=IBC+1
Q
CHRG ; gets charge data and sets up charge lines
N TP,FR,TO
S Y=$P(IBX,"^",14) D:Y DD^%DT S FR=Y
S Y=$P(IBX,"^",15) D:Y DD^%DT S TO=Y
S TP=$P(IBX,"^",3) S:TP TP=$P($G(^IBE(350.1,TP,0)),"^",3) S:TP TP=$P($$CATN^PRCAFN(TP),"^",2)
S IBT(IBC)="Type: "_$$PR(TP,28)_" Amount : $"_+$P(IBX,"^",7),IBC=IBC+1
S IBT(IBC)="From: "_$$PR(FR,28)_" To : "_TO,IBC=IBC+1
Q
INS ; gets insurance data and sets up insurance lines
N I,CO,P,G,GNB,W,E,Y,C
S IBT(IBC)="",IBC=IBC+1,IBT(IBC)="INSURANCE INFORMATION:",IBC=IBC+1
S I="" F S I=$O(IBDD(I)) Q:'I D
.S CO=$P(IBDD(I),"^",1),CO=$P(^DIC(36,CO,0),"^",1),CO=$$PR(CO,25)
.S P=$$PR($P(IBDD(I),"^",2),21)
.S Y=$P(IBDD(I),"^",6),C=$P(^DD(2.312,6,0),"^",2) D Y^DIQ S W=$$PR(Y,25)
.S Y=$P(IBDD(I),"^",4) D:Y DD^%DT S E=Y
.S G=$$PR($P(IBDD(I),"^",15),25)
.S GNB=$P(IBDD(I),"^",3)
.S IBT(IBC)="Company: "_CO_" Policy#: "_P,IBC=IBC+1
.S IBT(IBC)="Whose : "_W_" Expires: "_E,IBC=IBC+1
.S IBT(IBC)="Group : "_G_" Group# : "_GNB,IBC=IBC+1
.S IBT(IBC)="",IBC=IBC+1
Q
PR(STR,LEN) ; pad right
N B S STR=$E(STR,1,LEN),$P(B," ",LEN-$L(STR))=" "
Q STR_$G(B)
DIV(SL) ; returns the division with the softlink as input
N IBDIV,IBWARD,IBFILE,IBIEN
S:SL[";" SL=$P(SL,";",1)
S IBFILE=$P(SL,":",1),IBIEN=$P(SL,":",2)
S IBDIV=""
I IBFILE=409.68,IBIEN S IBDIV=$P($G(^SCE(IBIEN,0)),"^",11)
I IBFILE=44,IBIEN S IBDIV=$P($G(^SC(IBIEN,0)),"^",15)
I IBFILE=405,IBIEN S IBWARD=$P($G(^DGPM(IBIEN,0)),"^",6) I IBWARD S IBDIV=$P($G(^DIC(42,IBWARD,0)),"^",11)
I IBDIV S IBDIV=$P($G(^DG(40.8,IBDIV,0)),"^",1)
I IBDIV="" S IBDIV="DIV UNKNWN"
Q IBDIV
IBRBUL ;ALB/CJM - CAT C HOLD CHARGE BULLETIN ; 02-MAR-92
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ; This bulletin is sent even if the local site has chosen
+4 ; not to hold Cat C charges. In that case, IBHOLDP should be set = 0.
+5 ; requires: IBDD() = internal node in patient file of valid ins.
+6 ; DUZ
+7 ; X = 0 node of IB BILLING ACTION
+8 ; IBHOLDP = 1 if charge on hold, = 0 otherwise
+9 ; IBSEQNO = 1 if the charges are new, 3 if updated
BULL NEW IBT,IBC,XMSUB,XMY,XMDUZ,XMTEXT,IBX,IBDUZ,IBNAME,IBPID,IBBID,IBAGE,DFN
+1 SET IBC=1
SET IBX=X
SET IBDUZ=DUZ
+2 DO PAT
DO HDR
DO PATLINE
DO CHRG
DO INS
DO MAIL^IBAERR1
+3 QUIT
MAIL ; for testing
+1 ; W !,XMSUB
+2 ; F IBC=1:1 Q:'$D(IBT(IBC)) W !,IBT(IBC)
+3 QUIT
HDR ; formated for held charges
+1 NEW T,U,SL
SET T=$SELECT('IBHOLDP:"NOT ON HOLD",1:"ON HOLD")
SET U=$SELECT(IBSEQNO=1:"NEW ",IBSEQNO=3:"UPDATED ",1:"")
+2 ; if the parent event should have the soft-link that is needed to find
+3 ; the division
+4 SET SL=$PIECE(X,"^",16)
IF SL
SET SL=$GET(^IB(SL,0))
IF 'SL
SET SL=X
SET SL=$PIECE(SL,"^",4)
+5 SET XMSUB=$EXTRACT(IBNAME,1,8)_"("_IBBID_")"_"CATC CHRG W/INS"_"-"_$EXTRACT($$DIV(SL),1,11)
+6 SET IBT(IBC)="The following patient has active insurance and "_U_"Cat C charges "_T_"."
SET IBC=IBC+1
+7 SET IBT(IBC)="You need to immediately process the charges to the insurance company."
SET IBC=IBC+1
+8 QUIT
PAT ; gets patient demographic data
+1 NEW VAERR,VADM,X
+2 SET DFN=+$PIECE(IBX,"^",2)
DO DEM^VADPT
IF VAERR
KILL VADM
+3 SET IBNAME=$$PR($GET(VADM(1)),26)
SET IBAGE=$$PR($GET(VADM(4)),3)
SET IBPID=$GET(VA("PID"))
SET IBBID=$GET(VA("BID"))
+4 QUIT
PATLINE ; sets up lines with patient data
+1 SET IBT(IBC)=""
SET IBC=IBC+1
SET IBT(IBC)="Name: "_IBNAME_" Age : "_IBAGE_" Pt. ID: "_IBPID
SET IBC=IBC+1
+2 QUIT
CHRG ; gets charge data and sets up charge lines
+1 NEW TP,FR,TO
+2 SET Y=$PIECE(IBX,"^",14)
IF Y
DO DD^%DT
SET FR=Y
+3 SET Y=$PIECE(IBX,"^",15)
IF Y
DO DD^%DT
SET TO=Y
+4 SET TP=$PIECE(IBX,"^",3)
IF TP
SET TP=$PIECE($GET(^IBE(350.1,TP,0)),"^",3)
IF TP
SET TP=$PIECE($$CATN^PRCAFN(TP),"^",2)
+5 SET IBT(IBC)="Type: "_$$PR(TP,28)_" Amount : $"_+$PIECE(IBX,"^",7)
SET IBC=IBC+1
+6 SET IBT(IBC)="From: "_$$PR(FR,28)_" To : "_TO
SET IBC=IBC+1
+7 QUIT
INS ; gets insurance data and sets up insurance lines
+1 NEW I,CO,P,G,GNB,W,E,Y,C
+2 SET IBT(IBC)=""
SET IBC=IBC+1
SET IBT(IBC)="INSURANCE INFORMATION:"
SET IBC=IBC+1
+3 SET I=""
FOR
SET I=$ORDER(IBDD(I))
IF 'I
QUIT
Begin DoDot:1
+4 SET CO=$PIECE(IBDD(I),"^",1)
SET CO=$PIECE(^DIC(36,CO,0),"^",1)
SET CO=$$PR(CO,25)
+5 SET P=$$PR($PIECE(IBDD(I),"^",2),21)
+6 SET Y=$PIECE(IBDD(I),"^",6)
SET C=$PIECE(^DD(2.312,6,0),"^",2)
DO Y^DIQ
SET W=$$PR(Y,25)
+7 SET Y=$PIECE(IBDD(I),"^",4)
IF Y
DO DD^%DT
SET E=Y
+8 SET G=$$PR($PIECE(IBDD(I),"^",15),25)
+9 SET GNB=$PIECE(IBDD(I),"^",3)
+10 SET IBT(IBC)="Company: "_CO_" Policy#: "_P
SET IBC=IBC+1
+11 SET IBT(IBC)="Whose : "_W_" Expires: "_E
SET IBC=IBC+1
+12 SET IBT(IBC)="Group : "_G_" Group# : "_GNB
SET IBC=IBC+1
+13 SET IBT(IBC)=""
SET IBC=IBC+1
End DoDot:1
+14 QUIT
PR(STR,LEN) ; pad right
+1 NEW B
SET STR=$EXTRACT(STR,1,LEN)
SET $PIECE(B," ",LEN-$LENGTH(STR))=" "
+2 QUIT STR_$GET(B)
DIV(SL) ; returns the division with the softlink as input
+1 NEW IBDIV,IBWARD,IBFILE,IBIEN
+2 IF SL[";"
SET SL=$PIECE(SL,";",1)
+3 SET IBFILE=$PIECE(SL,":",1)
SET IBIEN=$PIECE(SL,":",2)
+4 SET IBDIV=""
+5 IF IBFILE=409.68
IF IBIEN
SET IBDIV=$PIECE($GET(^SCE(IBIEN,0)),"^",11)
+6 IF IBFILE=44
IF IBIEN
SET IBDIV=$PIECE($GET(^SC(IBIEN,0)),"^",15)
+7 IF IBFILE=405
IF IBIEN
SET IBWARD=$PIECE($GET(^DGPM(IBIEN,0)),"^",6)
IF IBWARD
SET IBDIV=$PIECE($GET(^DIC(42,IBWARD,0)),"^",11)
+8 IF IBDIV
SET IBDIV=$PIECE($GET(^DG(40.8,IBDIV,0)),"^",1)
+9 IF IBDIV=""
SET IBDIV="DIV UNKNWN"
+10 QUIT IBDIV
