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1 | eInsurance_IB_2.0_602.zip | TAS eIns US3758 SDD v1.1.docx | Wed Feb 27 18:49:32 2019 UTC |
2 | eInsurance_IB_2.0_602.zip | TAS eIns US3758 SDD v1.1.docx | Wed Mar 20 16:51:56 2019 UTC |
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1 | MCCF EDI T AS EINSURA NCE US3758 | |
2 | System Des ign Docume nt | |
3 | IB*2.0*602 | |
4 | ||
5 | ||
6 | ||
7 | ||
8 | Department of Vetera ns Affairs | |
9 | March 2018 | |
10 | Version 1. 1 | |
11 | ||
12 | ||
13 | User Story Number: U S3758 | |
14 | User Story Name: Exc el Report Titles – L ow Demand Reports Gr oup 1 | |
15 | ||
16 | Epic Taxon omy | |
17 | eBiz Com pliance Port Upd ate Increase No Touch TAS Apps | |
18 | Story: | |
19 | As a... | |
20 | I want to. .. | |
21 | So that... | |
22 | Insurance Verificati on User | |
23 | The follow ing report s generate d in Excel format to include t he same id entifying informatio n (with th e exceptio ns of the label “Pag e:” and th e page num ber) as th at present ed in the header of the displa yed report : | |
24 | ||
25 | Insurance Buffer Act ivity | |
26 | Insurance Buffer Emp loyee | |
27 | Verificati on of No C overage Re port | |
28 | I can rese arch and i dentify tr ends using the same consistent informati on to comp are one ex port to an other. | |
29 | ||
30 | ||
31 | ||
32 | Insurance Buffer Act ivity | |
33 | ||
34 | Routines | |
35 | Activities | |
36 | Routine Na me | |
37 | IBCNBOA | |
38 | Enhancemen t Category | |
39 | New | |
40 | Modify | |
41 | Delete | |
42 | No Change | |
43 | RTM | |
44 | ||
45 | Related Op tions | |
46 | Insurance Buffer Act ivity [IBC N OUTPUT I NS BUFF AC TIVITY] | |
47 | Related Ro utines | |
48 | Routines “ Called By” | |
49 | Routines “ Called” | |
50 | ||
51 | ||
52 | ^%ZIS | |
53 | HOME^%ZIS | |
54 | ^%ZISC | |
55 | ^%ZTLOAD | |
56 | $$S^%ZTLOA D | |
57 | ^DIR | |
58 | $$DATES^IB CNBOE | |
59 | $$MONTH^IB CNBOE | |
60 | $$OUT^IBCN BOE | |
61 | $$FMDIFF^X LFDT | |
62 | $$FMTE^XLF DT | |
63 | $$NOW^XLFD T | |
64 | $$SCH^XLFD T | |
65 | Routines | |
66 | Activities | |
67 | Data Dicti onary (DD) Reference s | |
68 | ||
69 | Related Pr otocols | |
70 | ||
71 | Related In tegration Control Re gistration s (ICRs) | |
72 | ||
73 | Data Passi ng | |
74 | Input | |
75 | Output Re ference | |
76 | Both | |
77 | Global Re ference | |
78 | Local | |
79 | Input Attr ibute Name and Defin ition | |
80 | Name: | |
81 | Definition : | |
82 | Output Att ribute Nam e and Defi nition | |
83 | Name: | |
84 | Definition : | |
85 | Current Lo gic | |
86 | IBCNBOA ;A LB/ARH - I ns Buffer: Activity Report ;1 Jun 97 ;;2 .0;INTEGRA TED BILLIN G;**82,305 ,528**;21- MAR-94;Bui ld 163 ;;P er VA Dire ctive 6402 , this rou tine shoul d not be m odified. | |
87 | Modified L ogic (Chan ges are in bold) | |
88 | IBCNBOA ;A LB/ARH - I ns Buffer: Activity Report ;1 Jun 97 ;;2 .0;INTEGRA TED BILLIN G;**82,305 ,528,602** ;21-MAR-94 ;Build 163 ;;Per VA Directive 6402, this routine s hould not be modifie d. | |
89 | Current Lo gic | |
90 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet N X S X="MONT H^STATUS^C OUNT^PERCE NT^AVERAGE # DAYS^LO NGEST # DA YS^SHORTES T # DAYS^N ew Compani es^% New C ompanies^N ew Group/P lans^% New Group/Pla ns^New Pat ient Polic ies^% New Patient Po licies" W X K X Q | |
91 | Modified L ogic (Chan ges are in bold) | |
92 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet N X ; ; IB*60 2/HN ; Add report he aders to E xcel Sprea dsheets W !,"INSURA NCE BUFFER ACTIVITY REPORT^",I BRANGE_"^" _$$FMTE^XL FDT($$NOW^ XLFDT,1),! ; IB*602/ HN end S X="MONTH^S TATUS^COUN T^PERCENT^ AVERAGE # DAYS^LONGE ST # DAYS^ SHORTEST # DAYS^New Companies^ % New Comp anies^New Group/Plan s^% New Gr oup/Plans^ New Patien t Policies ^% New Pat ient Polic ies" W X K X Q ; | |
93 | ||
94 | ||
95 | ||
96 | ||
97 | ||
98 | ||
99 | Insurance Buffer Emp loyee | |
100 | ||
101 | ||
102 | Routines | |
103 | Activities | |
104 | Routine Na me | |
105 | IBCNBOE | |
106 | Enhancemen t Category | |
107 | New | |
108 | Modify | |
109 | Delete | |
110 | No Change | |
111 | RTM | |
112 | ||
113 | Related Op tions | |
114 | Insurance Buffer Emp loyee | |
115 | [IBCN OUTP UT INS BUF F ACTIVITY ] | |
116 | Related Ro utines | |
117 | Routines “ Called By” | |
118 | Routines “ Called” | |
119 | ||
120 | ||
121 | ^%ZIS | |
122 | HOME^%ZIS | |
123 | ^%ZISC | |
124 | ^%ZTLOAD | |
125 | $$S^%ZTLOA D | |
126 | ^DIR | |
127 | $$DATES^IB CNBOE | |
128 | $$MONTH^IB CNBOE | |
129 | $$OUT^IBCN BOE | |
130 | $$SELEMPL^ IBCNBOE | |
131 | $$FMTE^XLF DT | |
132 | $$NOW^XLFD T | |
133 | Routines | |
134 | Activities | |
135 | Data Dicti onary (DD) Reference s | |
136 | ||
137 | Related Pr otocols | |
138 | ||
139 | Related In tegration Control Re gistration s (ICRs) | |
140 | ||
141 | Data Passi ng | |
142 | Input | |
143 | Output Re ference | |
144 | Both | |
145 | Global Re ference | |
146 | Local | |
147 | Input Attr ibute Name and Defin ition | |
148 | Name: | |
149 | Definition : | |
150 | Output Att ribute Nam e and Defi nition | |
151 | Name: | |
152 | Definition : | |
153 | Current Lo gic | |
154 | IBCNBOE ;A LB/ARH - I ns Buffer: Employee Report ;1 Jun 97 ;;2 .0;INTEGRA TED BILLIN G;**82,528 **;21-MAR- 94;Build 1 63 ;;Per V A Directiv e 6402, th is routine should no t be modif ied. | |
155 | Modified L ogic (Chan ges are in bold) | |
156 | IBCNBOE ;A LB/ARH - I ns Buffer: Employee Report ;1 Jun 97 ;;2 .0;INTEGRA TED BILLIN G;**82,528 ,602**;21- MAR-94;Bui ld 163 ;;P er VA Dire ctive 6402 , this rou tine shoul d not be m odified. | |
157 | Current Lo gic | |
158 | PHDL ; - Print the header lin e for the Excel spre adsheet N X S X="EMP LOYEE^MONT H^STATUS^C OUNT^PERCE NT^AVERAGE # DAYS^LO NGEST # DA YS^SHORTES T # DAYS^N ew Compani es^% New C ompanies^N ew Group/P lans^% New Group/Pla ns^New Pat ient Polic ies^% New Patient Po licies" W X K X Q | |
159 | Modified L ogic (Chan ges are in bold) | |
160 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet N X ; IB*602/H N ; Add re port heade rs to Exce l Spreadsh eets W !, "INSURANCE BUFFER EM PLOYEE REP ORT^"_IBRA NGE_"^"_$$ FMTE^XLFDT ($$NOW^XLF DT,1),! I +$G(IBEMPL ) W "EMPLO YEE: ",$P( $G(^VA(200 ,+IBEMPL,0 )),U,1),! ; IB*602/H N end S X= "EMPLOYEE^ MONTH^STAT US^COUNT^P ERCENT^AVE RAGE # DAY S^LONGEST # DAYS^SHO RTEST # DA YS^New Com panies^% N ew Compani es^New Gro up/Plans^% New Group /Plans^New Patient P olicies^% New Patien t Policies " W X K X Q | |
161 | ||
162 | ||
163 | ||
164 | Routines | |
165 | Activities | |
166 | Routine Na me | |
167 | IBCNBOF | |
168 | Enhancemen t Category | |
169 | New | |
170 | Modify | |
171 | Delete | |
172 | No Change | |
173 | RTM | |
174 | ||
175 | Related Op tions | |
176 | Insurance Buffer Emp loyee | |
177 | [IBCN OUTP UT INS BUF F ACTIVITY ] | |
178 | Related Ro utines | |
179 | Routines “ Called By” | |
180 | Routines “ Called” | |
181 | ||
182 | ||
183 | ^%ZIS | |
184 | HOME^%ZIS | |
185 | ^%ZISC | |
186 | ^%ZTLOAD | |
187 | $$S^%ZTLOA D | |
188 | ^DIR | |
189 | $$DATES^IB CNBOE | |
190 | $$MONTH^IB CNBOE | |
191 | $$OUT^IBCN BOE | |
192 | $$SELEMPL^ IBCNBOE | |
193 | $$FMTE^XLF DT | |
194 | $$NOW^XLFD T | |
195 | Routines | |
196 | Activities | |
197 | Data Dicti onary (DD) Reference s | |
198 | ||
199 | Related Pr otocols | |
200 | ||
201 | Related In tegration Control Re gistration s (ICRs) | |
202 | ||
203 | Data Passi ng | |
204 | Input | |
205 | Output Re ference | |
206 | Both | |
207 | Global Re ference | |
208 | Local | |
209 | Input Attr ibute Name and Defin ition | |
210 | Name: | |
211 | Definition : | |
212 | Output Att ribute Nam e and Defi nition | |
213 | Name: | |
214 | Definition : | |
215 | Current Lo gic | |
216 | IBCNBOF ;A LB/ARH - I ns Buffer: Employee Report (En tered);1 J un 97 ;;2. 0;INTEGRAT ED BILLING ;**82,528* *;21-MAR-9 4;Build 16 3 ;;Per VA Directive 6402, thi s routine should not be modifi ed. | |
217 | Modified L ogic (Chan ges are in bold) | |
218 | IBCNBOF ;A LB/ARH - I ns Buffer: Employee Report (En tered);1 J un 97 ;;2. 0;INTEGRAT ED BILLING ;**82,528, 602**;21-M AR-94;Buil d 163 ;;Pe r VA Direc tive 6402, this rout ine should not be mo dified. | |
219 | Current Lo gic | |
220 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet N X S X="EMPL OYEE^MONTH ^TOTAL^NOT YET PROCE SSED^% NOT YET PROCE SSED^ACCEP TED^% ACCE PTED^REJEC TED^% REJE CTED^NEW I NS CO^NEW GROUP^NEW POLICY" W X K X Q ; | |
221 | Modified L ogic (Chan ges are in bold) | |
222 | PHDL ; - P rint the h eader line for the E xcel sprea dsheet N X ; IB*602/H N ; Add re port heade rs to Exce l Spreadsh eets W !, "INSURANCE BUFFER (E NTERING) E MPLOYEE RE PORT^"_IBR ANGE_"^"_$ $FMTE^XLFD T($$NOW^XL FDT,1),! ; IB*602/HN end S X ="EMPLOYEE ^MONTH^TOT AL^NOT YET PROCESSED ^% NOT YET PROCESSED ^ACCEPTED^ % ACCEPTED ^REJECTED^ % REJECTED ^NEW INS C O^NEW GROU P^NEW POLI CY" W X K X Q | |
223 | ||
224 | ||
225 | ||
226 | Verificati on of No C overage Re port | |
227 | ||
228 | Routines | |
229 | Activities | |
230 | Routine Na me | |
231 | IBCOMN1 | |
232 | Enhancemen t Category | |
233 | New | |
234 | Modify | |
235 | Delete | |
236 | No Change | |
237 | RTM | |
238 | ||
239 | Related Op tions | |
240 | Verificati on of No C overage Re port | |
241 | [IBCN NO C OVERAGE VE RIFIED] | |
242 | Related Ro utines | |
243 | Routines “ Called By” | |
244 | Routines “ Called” | |
245 | ||
246 | ||
247 | ^%ZISC | |
248 | ^DIR | |
249 | $$TERMDG^I BCONS2 | |
250 | ADD^VADPT | |
251 | DEM^VADPT | |
252 | $$FMTE^XLF DT | |
253 | $$NOW^XLFD T | |
254 | Routines | |
255 | Activities | |
256 | Data Dicti onary (DD) Reference s | |
257 | ||
258 | Related Pr otocols | |
259 | ||
260 | Related In tegration Control Re gistration s (ICRs) | |
261 | ||
262 | Data Passi ng | |
263 | Input | |
264 | Output Re ference | |
265 | Both | |
266 | Global Re ference | |
267 | Local | |
268 | Input Attr ibute Name and Defin ition | |
269 | Name: | |
270 | Definition : | |
271 | Output Att ribute Nam e and Defi nition | |
272 | Name: | |
273 | Definition : | |
274 | Current Lo gic | |
275 | IBCOMN1 ;A LB/CMS - P ATIENTS NO COVERAGE VERIFIED R EPORT (CON 'T);10-09- 98 ;;2.0;I NTEGRATED BILLING;** 103,528**; 21-MAR-94; Build 163 ;;Per VA D irective 6 402, this routine sh ould not b e modified . | |
276 | Modified L ogic (Chan ges are in bold) | |
277 | IBCOMN1 ;A LB/CMS - P ATIENTS NO COVERAGE VERIFIED R EPORT (CON 'T);10-09- 98 ;;2.0;I NTEGRATED BILLING;** 103,528,60 2**;21-MAR -94;Build 163 ;;Per VA Directi ve 6402, t his routin e should n ot be modi fied. | |
278 | Current Lo gic | |
279 | HD ;Write Heading S IBPAGE=IBP AGE+1 I IB OUT="E" W: ($E(IOST,1 ,2)["C-") ! W "Patie nt Name^SS N^Age^DOB^ Phone^Veri fied" Q W @IOF,!,"Pa tients w/N o Coverage Verificat ion Date R eport",?50 ,$$FMTE^XL FDT($$NOW^ XLFDT,"Z") ,?70," Pag e ",IBPAGE W !,?5,"V erificatio n Date Ran ge: "_$$FM TE^XLFDT(I BBDT,"Z")_ " to "_$$F MTE^XLFDT( IBEDT,"Z") W !,?5," Sorted by: "_$S(IBAI B=1:"Patie nt Name",1 :"Terminal Digit")_" Range: "_ $S(IBRF="A ":"FIRST", 1:IBRF)_" to "_$S(IB RL="zzzzzz ":"LAST",1 :IBRL) W ! ,?20,"(* - Patient D eceased)" W !,"Patie nt Name",? 31,"SSN",? 38,"Age",? 43,"DOB",? 55,"Phone" ,?70,"Veri fied" W ! F IBX=1:1: 79 W "=" Q | |
280 | Modified L ogic (Chan ges are in bold) | |
281 | HD ;Write Heading S IBPAGE=IBP AGE+1; IB* 602/HN ; A dd report headers to Excel Spr eadsheets I IBOUT=" E" D W:($ E(IOST,1,2 )["C-") ! W "Patient Name^SSN^ Age^DOB^Ph one^Verifi ed" Q .W ! ,"Patients w/No Cove rage Verif ication Da te Report^ "_$$FMTE^X LFDT($$NOW ^XLFDT,"Z" ) .W !,"Ve rification Date Rang e: "_$$FMT E^XLFDT(IB BDT,"Z")_" to "_$$FM TE^XLFDT(I BEDT,"Z") .W !," Sor ted by: "_ $S(IBAIB=1 :"Patient Name",1:"T erminal Di git")_" Ra nge: "_$S( IBRF="A":" FIRST",1:I BRF)_" to "_$S(IBRL= "zzzzzz":" LAST",1:IB RL) .W !," (* - Patie nt Decease d)"; IB*60 2/HN end W @IOF,!," Patients w /No Covera ge Verific ation Date Report",? 50,$$FMTE^ XLFDT($$NO W^XLFDT,"Z "),?70," P age ",IBPA GE W !,?5, "Verificat ion Date R ange: "_$$ FMTE^XLFDT (IBBDT,"Z" )_" to "_$ $FMTE^XLFD T(IBEDT,"Z ") W !,?5, " Sorted b y: "_$S(IB AIB=1:"Pat ient Name" ,1:"Termin al Digit") _" Range: "_$S(IBRF= "A":"FIRST ",1:IBRF)_ " to "_$S( IBRL="zzzz zz":"LAST" ,1:IBRL) W !,?20,"(* - Patient Deceased) " W !,"Pat ient Name" ,?31,"SSN" ,?38,"Age" ,?43,"DOB" ,?55,"Phon e",?70,"Ve rified" W ! F IBX=1: 1:79 W "=" Q | |
282 | ||
283 | ||
284 | ||
285 | Revision H istory | |
286 | Date | |
287 | Version | |
288 | Descriptio n | |
289 | Author | |
290 | 03/09/2018 | |
291 | 1.0 | |
292 | Initial dr aft | |
293 | Henry Norm and | |
294 | 03/21/2018 | |
295 | V1.1 | |
296 | After Code Review | |
297 | Henry Norm and | |
298 | ||
299 |
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