273 lines
8.6 KiB
Mathematica
273 lines
8.6 KiB
Mathematica
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BPSRPT8 ;BHAM ISC/BEE - ECME REPORTS ;14-FEB-05
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;;1.0;E CLAIMS MGMT ENGINE;**1,3,5**;JUN 2004;Build 45
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;;Per VHA Directive 2004-038, this routine should not be modified.
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;
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Q
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;
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;Routine to Display the Reports in Excel
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;
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;Print Report Line 1
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;
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; Input Variable -> BPRTYPE,BPDIV,BPGRPLAN,BPDFN,BPRX,BPREF,BPX,BPSRTDT
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; BPBIL,BPINS,BPCOLL
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;
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WRLINE1(BPRTYPE,BPREC,BPDIV,BPGRPLAN,BPDFN,BPRX,BPREF,BPX,BPSRTDT,BPBIL,BPINS,BPCOLL) ;
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;
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;Division
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S BPREC=$S(BPDIV=0:"BLANK",$$DIVNAME^BPSSCRDS(BPDIV)]"":$$DIVNAME^BPSSCRDS(BPDIV),1:BPDIV)_U
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;Insurance
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I BPRTYPE'=5,BPRTYPE'=6 S BPREC=BPREC_$E(BPGRPLAN,1,90)_U
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S BPREC=BPREC_$$PATNAME^BPSRPT6(BPDFN)_U ;Patient Name
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S BPREC=BPREC_"("_$$SSN4^BPSRPT6(BPDFN)_")"_U ;L4SSN
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S BPREC=BPREC_$$RXNUM^BPSRPT6(BPRX)_$$COPAY^BPSRPT6(BPRX)_U ;RX Number
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S BPREC=BPREC_BPREF_"/"_$$ECMENUM^BPSRPT1($P(BPX,U,3))_U ;Refill/ECME Number
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;
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I (BPRTYPE=1)!(BPRTYPE=4) D Q
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. S BPREC=BPREC_$$DATTIM^BPSRPT1(BPSRTDT)_U ;Date
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. S BPREC=BPREC_$TR($J(BPBIL,10,2)," ")_U ;$Billed
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. S BPREC=BPREC_$TR($J(BPINS,10,2)," ")_U ;$Ins. Paid
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. S BPREC=BPREC_$S(BPCOLL]"":$TR($J(BPCOLL,10,2)," "),1:"")_U ;$Collected
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;
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I BPRTYPE=2 D Q
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. S BPREC=BPREC_$$DATTIM^BPSRPT1(BPSRTDT)_U ;Date
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. S BPREC=BPREC_$$DATTIM^BPSRPT1(+BPX)_U ;Released On
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. ;RX INFO
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. S BPREC=BPREC_$$MWC^BPSRPT6(BPRX,BPREF)_U ;Fill Location
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. S BPREC=BPREC_$$RTBCKNAM^BPSRPT1($$RTBCK^BPSRPT1($P(BPX,U,3)))_U ;Fill Type
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. S BPREC=BPREC_$$RXSTATUS^BPSRPT6($P(BPX,U,3)) ;Status
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. S BPREC=BPREC_$S($P(BPX,U):"/RL",1:"/NR")_U ;RL/NR
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;
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I BPRTYPE=3 D Q
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. S BPREC=BPREC_$$DATTIM^BPSRPT1(BPSRTDT)_U ;Date
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. S BPREC=BPREC_$TR($J(BPBIL,10,2)," ")_U ;$Billed
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. S BPREC=BPREC_$TR($J(BPINS,10,2)," ")_U ;Insurance Response
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;
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I BPRTYPE=5 D Q
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. S BPREC=BPREC_$$DATTIM^BPSRPT1($$TRANDT^BPSRPT2($P(BPX,U,3),1))_U ;Completed
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. S BPREC=BPREC_$$TTYPE^BPSRPT7($P(BPX,U,4),$P(BPX,U,5))_U ;Trans Type
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. S BPREC=BPREC_$$RESPONSE^BPSRPT7($P(BPX,U,4),$P(BPX,U,5))_U ;Payer Response
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;
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I BPRTYPE=7 D Q
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. ;RX INFO
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. S BPREC=BPREC_$$MWC^BPSRPT6(BPRX,BPREF)_U ;Fill Location
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. S BPREC=BPREC_$$RTBCKNAM^BPSRPT1($$RTBCK^BPSRPT1($P(BPX,U,3)))_U ;Fill Type
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. S BPREC=BPREC_$$RXSTATUS^BPSRPT6($P(BPX,U,3)) ;Status
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. S BPREC=BPREC_$S($P(BPX,U):"/RL",1:"/NR")_U ;RL/NR
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. S BPREC=BPREC_$S($P(BPX,U,13):"REJ",1:"")_U
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. S BPREC=BPREC_$$DRGNAM^BPSRPT6($P(BPX,U,14),32)_U ;Drug
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. S BPREC=BPREC_$TR($$GETNDC^BPSRPT6(BPRX,BPREF),"-")_U
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Q
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;
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;Print Report Line 2
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;
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; Input Variable -> BPRTYPE,BPX,BPRX,BPREF,BPBIL,BPGRPLAN
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;
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WRLINE2(BPRTYPE,BPREC,BPX,BPRX,BPREF,BPBIL,BPGRPLAN) ;
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I (BPRTYPE=1)!(BPRTYPE=4) D Q
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. ;Drug, Released On
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. S BPREC=BPREC_$$DRGNAM^BPSRPT6($P(BPX,U,14),32)_U_$TR($$GETNDC^BPSRPT6(BPRX,BPREF),"-")_U
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. S BPREC=BPREC_$$DATTIM^BPSRPT1(+BPX)_U
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. ;RX INFO
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. S BPREC=BPREC_$$MWC^BPSRPT6(BPRX,BPREF)_U ;Fill Location
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. S BPREC=BPREC_$$RTBCKNAM^BPSRPT1($$RTBCK^BPSRPT1($P(BPX,U,3)))_U ;Fill Type
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. S BPREC=BPREC_$$RXSTATUS^BPSRPT6($P(BPX,U,3)) ;Status
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. S BPREC=BPREC_$S($P(BPX,U):"/RL",1:"/NR")_U ;RL/NR
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. S BPREC=BPREC_$S($P(BPX,U,13):"REJ",1:"")
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. I BPRTYPE=1 S BPREC=BPREC_U_$$BILL^BPSRPT6(BPRX,BPREF) ;Bill #
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;
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I BPRTYPE=2 D Q
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. S BPREC=BPREC_$E($$CRDHLDID^BPSRPT2(+$P(BPX,U,3)),3,23)_U ;Cardholder ID
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. S BPREC=BPREC_$E($$GRPID^BPSRPT2(+$P(BPX,U,3)),3,10)_U ;Group ID
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. S BPREC=BPREC_$TR($J(BPBIL,10,2)," ")_U ;$Billed
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. S BPREC=BPREC_$$QTY^BPSRPT6($P(BPX,U,3))_U ;Qty
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. S BPREC=BPREC_$$GETNDC^BPSRPT6(BPRX,BPREF)_U ;NDC#
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. S BPREC=BPREC_$$DRGNAM^BPSRPT6($P(BPX,U,14),32)_U ;Drug
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;
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I BPRTYPE=3 D Q
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. S BPREC=BPREC_$$DRGNAM^BPSRPT6($P(BPX,U,14),32)_U ;Drug
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. S BPREC=BPREC_$TR($$GETNDC^BPSRPT6(BPRX,BPREF),"-")_U
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. ;RX INFO
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. S BPREC=BPREC_$$MWC^BPSRPT6(BPRX,BPREF)_U ;Fill Location
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. S BPREC=BPREC_$$RTBCKNAM^BPSRPT1($$RTBCK^BPSRPT1($P(BPX,U,3)))_U ;Fill Type
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. S BPREC=BPREC_$$RXSTATUS^BPSRPT6($P(BPX,U,3)) ;Status
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. S BPREC=BPREC_$S($P(BPX,U):"/RL",1:"/NR")_U ;RL/NR
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. S BPREC=BPREC_$S($P(BPX,U,13):"REJ",1:"")
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;
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I BPRTYPE=5 D Q
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. S BPREC=BPREC_$$DRGNAM^BPSRPT6($P(BPX,U,14),32)_U ;Drug
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. S BPREC=BPREC_$TR($$GETNDC^BPSRPT6(BPRX,BPREF),"-")_U
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. ;RX INFO
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. S BPREC=BPREC_$$MWC^BPSRPT6(BPRX,BPREF)_U ;Fill Location
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. S BPREC=BPREC_$$RTBCKNAM^BPSRPT1($$RTBCK^BPSRPT1($P(BPX,U,3)))_U ;Fill Type
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. S BPREC=BPREC_$$RXSTATUS^BPSRPT6($P(BPX,U,3)) ;Status
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. S BPREC=BPREC_$S($P(BPX,U):"/RL",1:"/NR")_U ;RL/NR
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. S BPREC=BPREC_$S($P(BPX,U,13):"REJ",1:"")_U
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. I $P(BPGRPLAN,U,2)]"" S BPREC=BPREC_$E($P(BPGRPLAN,U,2),1,30) ;Insurance
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. S BPREC=BPREC_U_$$ELAPSE^BPSRPT6($P(BPX,U,3)) ;Elapsed Time
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;
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I BPRTYPE=7 D Q
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. S BPREC=BPREC_$E($$CRDHLDID^BPSRPT2(+$P(BPX,U,3)),3,23)_U ;Cardholder ID
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. S BPREC=BPREC_$E($$GRPID^BPSRPT2(+$P(BPX,U,3)),3,10)_U ;Group ID
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. S BPREC=BPREC_$$DATTIM^BPSRPT1(+$$CLOSEDT^BPSRPT2(+$P(BPX,U,3)))_U ;Close Dt/Time
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. S BPREC=BPREC_$E($$CLSBY^BPSRPT6(+$P(BPX,U,3)),1,25)_U ;Close By
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. S BPREC=BPREC_$E($P($$CLRSN^BPSRPT7(+$P(BPX,U,3)),U,2),1,30)_U ;Close Reason
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Q
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;
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;Print Report Line 3
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;
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; Input Variable -> BPRTYPE,BPX
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;
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WRLINE3(BPRTYPE,BPREC,BPX) N BP59,BPSARR,BPRJCNT,BPZZ
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S BP59=+$P(BPX,U,3)
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;
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I (",2,7,")[BPRTYPE D Q
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.S BPREC=BPREC_$$CLAIMID^BPSRPT2(BP59)_U ;Claim ID
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.S BPRJCNT=$$REJTEXT^BPSRPT2(BP59,.BPSARR)
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.F BPZZ=1:1:BPRJCNT S:BPZZ'=1 BPREC=BPREC_"," S BPREC=BPREC_$P(BPSARR(BPZZ),":")
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.;
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.;Write one record per reject/close code
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.S:+BPRJCNT=0 BPRJCNT=1
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.F BPZZ=1:1:BPRJCNT W !,$G(BPREC),U,$P($G(BPSARR(BPZZ)),":"),U,$P($G(BPSARR(BPZZ)),":",2)
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;
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I BPRTYPE=4 D
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. ;Method
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. I $$AUTOREV^BPSRPT1(BP59) S BPREC=BPREC_U_"AUTO"_U
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. E S BPREC=BPREC_U_"REGULAR"_U
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. ;Return Status
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. I $P(BPX,U,15)["ACCEPTED" S BPREC=BPREC_"ACCEPTED"_U
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. E S BPREC=BPREC_"REJECTED"_U
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. ;Reason
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. S BPREC=BPREC_$$RVSRSN^BPSRPT7(+$P(BPX,U,3))
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;
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;Write the record
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W !,$G(BPREC)
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Q
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;
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;Print Excel Header
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;
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HDR(BPRTYPE) ;
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;
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;Check if header already printed
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I $G(BPSDATA) Q
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S BPSDATA=1
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;
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;Division
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W !,"DIVISION",U
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;
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I BPRTYPE'=5,BPRTYPE'=6 W "INSURANCE",U
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;
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I (",1,2,3,4,5,7,")[BPRTYPE W "PATIENT NAME",U,"Pt.ID",U,"RX#",U,"REF/ECME#",U
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;
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I (BPRTYPE=1)!(BPRTYPE=4) D Q
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. W "DATE",U
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. W "$BILLED",U
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. W "$INS RESPONSE",U
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. W "$COLLECT",U
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. W "DRUG",U
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. W "NDC",U
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. W "RELEASED ON",U
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. W "FILL LOCATION",U
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. W "FILL TYPE",U
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. W "STATUS",U
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. W "REJECTED"
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. I BPRTYPE=1 W U,"BILL#"
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. I BPRTYPE=4 W U,"REVERSAL METHOD",U,"RETURN STATUS",U,"REASON"
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;
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I BPRTYPE=2 D Q
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. W "DATE",U
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. W "RELEASED ON",U
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. W "FILL LOCATION",U
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. W "FILL TYPE",U
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. W "STATUS",U
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. W "CARDHOLD.ID",U
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. W "GROUP ID",U
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. W "$BILLED",U
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. W "QTY",U
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. W "NDC#",U
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. W "DRUG",U
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. W "CLAIM ID",U
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. W "REJECT CODE(S)",U
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. W "REJECT CODE",U
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. W "REJECT EXPLANATION"
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;
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I BPRTYPE=3 D Q
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. W "DATE",U
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. W "$BILLED",U
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. W "$INS RESPONSE",U
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. W "DRUG",U
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. W "NDC",U
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. W "FILL LOCATION",U
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. W "FILL TYPE",U
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. W "STATUS",U
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. W "REJECTED"
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;
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I BPRTYPE=5 D Q
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. W "COMPLETED",U
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. W "TRANS TYPE",U
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. W "PAYER RESPONSE",U
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. W "DRUG",U
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. W "NDC",U
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. W "FILL LOCATION",U
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. W "FILL TYPE",U
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. W "STATUS",U
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. W "REJECTED",U
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. W "INSURANCE",U
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. W "ELAP TIME IN SECONDS"
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;
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I BPRTYPE=6 D Q
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.W "DATE",U
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.W "#CLAIMS",U
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.W "AMOUNT SUBMITTED",U
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.W "RETURNED REJECTED",U
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.W "RETURNED PAYABLE",U
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.W "AMOUNT TO RECEIVE",U
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.W "DIFFERENCE"
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;
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I BPRTYPE=7 D Q
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. W "FILL LOCATION",U
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. W "FILL TYPE",U
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. W "STATUS",U
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. W "REJECTED",U
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. W "DRUG",U
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. W "NDC",U
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. W "CARDHOLD.ID",U
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. W "GROUP ID",U
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. W "CLOSE DATE/TIME",U
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. W "CLOSED BY",U
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. W "CLOSE REASON",U
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. W "CLAIM ID",U
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. W "REJECT CODE(S)",U
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. W "REJECT CODE",U
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. W "REJECT EXPLANATION"
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Q
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;
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;Print Report Insurance Subtotals
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;
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ITOT(BPRTYPE,BPDIV,BPGRPLAN,BPTBIL,BPTINS,BPTCOLL,BPCNT) N BPNP
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I (BPRTYPE=1)!(BPRTYPE=4) D Q
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.W !!,?78,"----------",?100,"----------",?122,"----------"
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.W !,"SUBTOTALS for INS:",$E(BPGRPLAN,1,50),?78,$J(BPTBIL,10,2),?100,$J(BPTINS,10,2),?122,$J(BPTCOLL,10,2)
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.W !,"COUNT",?78,$J(BPCNT,10),?100,$J(BPCNT,10),?122,$J(BPCNT,10)
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.W:BPCNT !,"MEAN",?78,$J(BPTBIL/BPCNT,10,2),?100,$J(BPTINS/BPCNT,10,2),?122,$J(BPTCOLL/BPCNT,10,2)
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I BPRTYPE=3 D Q
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.W !!,?100,"----------",?122,"----------"
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.W !,"SUBTOTALS for INS:",$E(BPGRPLAN,1,50),?100,$J(BPTBIL,10,2),?122,$J(BPTINS,10,2)
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.W !,"COUNT",?100,$J(BPCNT,10),?122,$J(BPCNT,10)
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.W:BPCNT !,"MEAN",?100,$J(BPTBIL/BPCNT,10,2),?122,$J(BPTINS/BPCNT,10,2)
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I BPRTYPE=2 D Q
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.W !!,?41,"----------"
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.W !,"SUBTOTALS for INS:",$E(BPGRPLAN,1,22),?41,$J(BPTBIL,10,2)
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.W !,"COUNT",?41,$J(BPCNT,10)
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.W:BPCNT !,"MEAN",?41,$J(BPTBIL/BPCNT,10,2)
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I (BPRTYPE=7) D Q
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.W !!,"SUBTOTALS for INS:",$E(BPGRPLAN,1,50)
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.N BPBILR
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.S BPBILR="" F S BPBILR=$O(BPCNT(BPBILR)) Q:BPBILR="" D Q:BPQ
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..S BPNP=$$CHKP^BPSRPT5(1) Q:BPQ
|
||
|
|
..W !,?3,BPBILR,?65,$J($G(BPCNT(BPBILR)),5)
|
||
|
|
.Q:$G(BPQ)
|
||
|
|
.W !,?65,"-----"
|
||
|
|
.W !,"CLOSED CLAIMS SUBTOTAL",?65,$J(BPCNT,5)
|
||
|
|
;
|
||
|
|
Q
|