95 lines
3.6 KiB
Mathematica
95 lines
3.6 KiB
Mathematica
IBTRC3 ;ALB/AAS - CLAIMS TRAINING INS. REV DEFAULTS ; 29-SEP-93
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;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
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;;Per VHA Directive 10-93-142, this routine should not be modified.
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;
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LAST(IBTRN,IBTRC) ; -- return last insurance review
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; -- Input IBTRN = claims tracking id
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; IBTRC = ins. review being edited (option)
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; (if hip is defined for ibtrc will use last review
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; for that policy)
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;
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N X,Y,IBHIP,IBQUIT
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S Y="",IBQUIT=0
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I '$G(IBTRN) G LASTQ
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S IBHIP=$P($G(^IBT(356.2,+$G(IBTRC),1)),"^",5)
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S X=-$G(^IBT(356.2,+IBTRC,0)) F S X=$O(^IBT(356.2,"ATIDT",IBTRN,X)) Q:'X!(IBQUIT) D
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.S Y="" F S Y=$O(^IBT(356.2,"ATIDT",IBTRN,X,Y)) Q:'Y!('IBHIP) D Q:IBQUIT
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..I $P($G(^IBT(356.2,+Y,1)),"^",5)=IBHIP S IBQUIT=1 Q
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LASTQ Q $S(+Y<1:"",Y:Y,1:"")
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;
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HIP(IBTRC) ; -- compute default health insurance policy for claims tracking
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; -- called by trigger on patient field (.05) of file 356.2
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; -- output pointer to subfile (2.312)^insurnace co name
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N X,IBDD,IBINDT,DFN
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S X=""
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S DFN=$P($G(^IBT(356.2,+$G(IBTRC),0)),"^",5)
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G:'DFN HIPQ
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S IBINDT=$S($P($G(^IBT(356,+$P($G(^IBT(356.2,+IBTRC,0)),U,2),0)),U,6):$P(^(0),U,6),1:DT)
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D ALL^IBCNS1(DFN,"IBDD",1,IBINDT)
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I $G(IBDD(0))=1 S X=+$O(IBDD(0))
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;
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; -- if more than one look for primary
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I 'X,$G(IBDD(0))>1 D
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.S IBX=0
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.F S IBX=$O(IBDD(IBX)) Q:'IBX I $P($G(IBDD(IBX,0)),"^",20)=1 S X=IBX Q
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I X S X=X_"^"_$P($G(^DIC(36,+$G(IBDD(X,0)),0)),"^")
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HIPQ Q X
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;
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HIPD(DA,IBTLST) ; -- compute default health insurance policy from last review
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; -- called from input templates
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; input da = current entry being edited
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; ibtlst = last entry for this review as determine by $$LAST
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;
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N X,DFN
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S X="" I $P($G(^IBT(356.2,DA,1)),"^",5) G HIPDQ
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G:'$G(IBTLST) HIPDQ
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S X=$P($G(^IBT(356.2,+IBTLST,1)),"^",5),DFN=$P(^(0),"^",5)
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HIPDQ Q $S(+X<1:"",1:$P($G(^DIC(36,+$G(^DPT(DFN,.312,X,0)),0)),"^",1))
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;
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PC(DA,IBTLST) ; -- compute default person contacted from last review
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; -- called from input templates
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; input da = current entry being edited
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; ibtlst = last entry for this review as determine by $$LAST
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;
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Q $P($G(^IBT(356.2,+$G(IBTLST),0)),"^",6)
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;
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MC(DA,IBTLST) ; -- compute default method of contact from last review
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; -- called from input templates
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; input da = current entry being edited
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;
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; ibtlst = last entry for this review as determine by $$LAST
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;
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N X
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S X=$P($G(^IBT(356.2,+$G(IBTLST),0)),"^",17)
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Q $S(+X>0:$$EXPAND^IBTRE(356.2,.17,X),1:"PHONE")
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;
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CP(DA,IBTLST) ; -- compute default contact phone number from last review
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; -- called from input templates
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; input da = current entry being edited
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; ibtlst = last entry for this review as determine by $$LAST
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;
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Q $P($G(^IBT(356.2,+$G(IBTLST),0)),"^",7)
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;
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AN(DA,IBTLST) ; -- compute default authorization number policy
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; -- called from input templates
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; input da = current entry being edited
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; ibtlst = last entry for this review as determine by $$LAST
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N X
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S X=$P(^IBT(356.2,DA,0),"^",9)
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Q $E($S($L(X):X,1:$P($G(^IBT(356.2,+$G(IBTLST),0)),"^",28)),1,10)
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;
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APPEAL ; -- called from IBTRC, needed more room to compute
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; info if an appeal
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N DAYS S DAYS=""
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S X=$$SETFLD^VALM1($$EXPAND^IBTRE(356.2,.29,$P(IBTRCD,"^",29)),X,"ACTION")
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S DAYS=$P(IBTRCD,"^",25) I $P(IBTRCD,"^",29)=1,$P(IBTRCD,"^",10)=3,$O(^IBT(356.2,+IBTRC,14,0)) S DAYS=$$AP^IBTODD1(IBTRC)
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S X=$$SETFLD^VALM1($J(DAYS,3),X,"DAYS")
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S X=$$SETFLD^VALM1($$TPE(),X,"TYPE")
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Q
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;
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TPE() ; -- add appeal type to type of action
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N X
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S X=$P(IBETYP,"^",3)
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I $P(IBTRCD,"^",23) S X=X_"-"_$S($P(IBTRCD,"^",23)=1:"Clin",$P(IBTRCD,"^",23)=2:"Admin",1:"")
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Q X
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