64 lines
2.5 KiB
Mathematica
64 lines
2.5 KiB
Mathematica
DGCRNS ;ALB/AAS - IS INSURANCE ACTIVE ; 22-JULY-91
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;;Version 2.0 ; INTEGRATED BILLING ;**28**; 21-MAR-94
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;
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;Input - DFN = patient
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; - DGCRINDT = (optional) date to check ins active for or today if not defined
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; - DGCROUTP = (optional) 1 if want active insurance returned in DGCRDD(insurance company)=node in patient file
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; - = 2 if want all ins returned
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;
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;Output - DGCRINS = 1 if has active ins., 0 if no active ins.
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; - DGCRDD() = internal node in patient file of valid ins.
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; - DGCRDDI() = internal node in patient file of invalid ins.
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;
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% N J,X S DGCRINS=0 K DGCRDD,DGCRDDI
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S J=0 F S J=$O(^DPT(DFN,.312,J)) Q:'J I $D(^DPT(DFN,.312,J,0)) S X=^(0) D CHK
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Q
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;
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CHK ;
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;Input - DGCRI = entry in insurance multiple
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;
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S Z=$S($D(DGCRINDT):DGCRINDT,1:DT),Z1=$S($D(DGCROUTP):DGCROUTP,1:0)
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G:'$D(^DIC(36,+X,0)) CHKQ S X1=^(0) ;insurance company entry doesn't exist
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I $P(X,"^",8) G:Z<$P(X,"^",8) CHKQ ;effective date later than care
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I $P(X,"^",4) G:Z>$P(X,"^",4) CHKQ ;care after expiration date
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I $P($G(^IBA(355.3,+$P(X,"^",18),0)),"^",11) G CHKQ ;plan is inactive
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G:$P(X1,"^",5) CHKQ ;insurance company inactive
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G:$P(X1,"^",2)="N" CHKQ ;insurance company will not reimburse
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S DGCRINS=1 I Z1 S DGCRDD(+X)=X
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CHKQ S:Z1=2&('$D(DGCRDD(+X))) DGCRDDI(+X)=X
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K X,X1,Z,Z1 Q
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;
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DD ; - called from input transform and x-refs for field 101,102,103
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; - input requires da=internal entry number in 399
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; - outputs dgcrdd(ins co.) array
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N DFN S DFN=$P(^DGCR(399,DA,0),"^",2),DGCROUTP=1,DGCRINDT=$S(+$G(^DGCR(399,DA,"U")):+$G(^("U")),1:DT)
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D %
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DDQ K DGCROUTP,DGCRINDT Q
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;
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;
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DISP ; -Display all insurance company information
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; -input DFN
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;
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Q:'$D(DFN) D:'$D(IOF) HOME^%ZIS
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S DGCROUTP=2 D DGCRNS
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;
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D HDR
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I '$D(DGCRDD),'$D(DGCRDDI) W !,"No Insurance Information" G DISPQ
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;
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S X="" F S X=$O(DGCRDD(X)) Q:X="" S IBINS=DGCRDD(X) D D1 ;active insurance
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S X="" F S X=$O(DGCRDDI(X)) Q:X="" S IBINS=DGCRDDI(X) D D1 ;inactive ins
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;
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DISPQ K DGCRDD,DGCRDDI,DGCRX
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Q
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;
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HDR W !?4,"Insurance Co.",?22,"Policy #",?40,"Group",?52,"Holder",?60,"Effective",?70,"Expires" S X="",$P(X,"=",IOM-4)="" W !?4,X
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Q
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;
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;
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D1 N X Q:'$D(IBINS)
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W !?4,$S($D(^DIC(36,+IBINS,0)):$E($P(^(0),"^",1),1,16),1:"UNKNOWN")
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W ?22,$E($P(IBINS,"^",2),1,16),?40,$E($S($P(IBINS,"^",15)'="":$P(IBINS,"^",15),1:$P(IBINS,"^",3)),1,10)
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S X=$P(IBINS,"^",6) W ?52,$S(X="v":"SELF",X="s":"SPOUSE",1:"OTHER")
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W ?60,$$DAT1^IBOUTL($P(IBINS,"^",8)),?70,$$DAT1^IBOUTL($P(IBINS,"^",4))
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Q
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