VistA-WorldVistAEHR/r/E_CLAIMS_MGMT_ENGINE-BPS/BPSOSQF.m

65 lines
2.5 KiB
Mathematica

BPSOSQF ;BHAM ISC/FCS/DRS/FLS - Insurer asleep - status 31 ;06/01/2004
;;1.0;E CLAIMS MGMT ENGINE;**1,5**;JUN 2004;Build 45
;;Per VHA Directive 2004-038, this routine should not be modified.
Q
;
; Check for insurer asleep claims
;
STATUS31 ;EP - BPSOSQ2
; Situation: you have 1 or 2 or maybe 200 claims in status 31,
; because we've determined that the insurer is asleep.
; change at most one claim per insurer to status 30, to let it
; go through and try again. But if the insurer is awake for sure,
; let all of the claims for that insurer go on through.
;
; Initialization
N RETRY,PROBER,IEN59,PAYERSH,X
S IEN59=""
K ^TMP("BPSOSQF",$J) ; build ^TMP("BPSOSQF",$J,PAYERSH,IEN59)=""
;
; Make sure we can get the lock
I '$$LOCK59^BPSOSQ2(31) Q
;
; Loop through transaction that are 31 per cent
F S IEN59=$$NEXT59^BPSOSQ2(IEN59,31) Q:'IEN59 D
. ; if $$NEXT59() returned us an IEN59, then the waiting time
. ; has expired - or better yet, the insurer has awakened
. ;
. ; Get the payer sheet for the transaction
. S PAYERSH=$$PAYERSH(IEN59)
. I PAYERSH="" D LOG^BPSOSL(IEN59,$T(+0)_"-No payersheet was found") Q
. ;
. ; Get Retry Time and Prober
. S X=$G(^BPSF(9002313.92,PAYERSH,1))
. S RETRY=$P(X,U,12),PROBER=$P(X,U,11)
. ;
. ; If still in wait, but wait expired, just allow one claim thru.
. ; But if wait has been canceled - that is, we had a successful
. ; transmit, meaning the insurer has awakened - then let them all
. ; go through to status 30.
. ; if somehow the prober became complete, without clearing 101;6
. ; (maybe this happens if cancellation takes place?)
. I PROBER D
.. S X=$P($G(^BPST(PROBER,0)),U,2)
.. I X=99!(X="") S PROBER=""
. I RETRY,PROBER,PROBER'=IEN59 Q ; only prober can go thru during wait
. ;
. ; Don't we need to compare RETRY time to the current time?
. I RETRY S $P(^BPSF(9002313.92,PAYERSH,1),U,11)=IEN59,PROBER=IEN59
. S ^TMP("BPSOSQF",$J,PAYERSH,IEN59)=""
D UNLOCK59^BPSOSQ2(31)
;
; Loop through payer sheet and transactions and change status to 30%
S PAYERSH="" F S PAYERSH=$O(^TMP("BPSOSQF",$J,PAYERSH)) Q:'PAYERSH D
. S IEN59="" F S IEN59=$O(^TMP("BPSOSQF",$J,PAYERSH,IEN59)) Q:'IEN59 D
. . D SETSTAT^BPSOSU(IEN59,30) ; reset to status 30
. . D LOG^BPSOSL(IEN59,$T(+0)_"-Retrying Asleep Claim. Prober? "_$S(PROBER=IEN59:"YES",1:"NO"))
Q
;
; Function to get the payer sheet for a given transaction
PAYERSH(IEN59) ;
N POS
S POS=$P($G(^BPST(IEN59,9)),U,1)
I POS="" Q ""
Q $$GET1^DIQ(9002313.59902,POS_","_IEN59_",",902.02,"I")