Global: ^BPSF(9002313.9

Information

FileMan FileNo	FileMan Filename	Package
9002313.9	BPS NCPDP SEGMENTS	E Claims Management Engine

Each transaction described in the NCPDP Telecommunication Standard is comprised of one or more segments. This file contains a list of segments. The file BPS NCPDP FIELD DEFS lists each field that may be on an outgoing claim request or an incoming claim response. Each entry in that file will have a field that points to this file to indicate which segment that field is a part of for the claim request (field REQUEST SEGMENT) and/or the claim response (field RESPONSE SEGMENT). Per VA Directive 6402, this file definition should not be modified.

Package	Total	FileMan Files
E Claims Management Engine	2	BPS NCPDP OVERRIDE(#9002313.511)[#9002313.5112(.02)] BPS NCPDP FIELD DEFS(#9002313.91)[2, 3]

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>50!($L(X)<5) X` `MAXIMUM LENGTH: 50` LAST EDITED: `JUN 19, 2017` HELP-PROMPT: `Answer must be 5-50 characters in length.` DESCRIPTION: `This is the name of an NCPDP segment.` CROSS-REFERENCE: `9002313.9^B` `1)= S ^BPSF(9002313.9,"B",$E(X,1,30),DA)=""` `2)= K ^BPSF(9002313.9,"B",$E(X,1,30),DA)`
1	VISTA SEGMENT NUMBER	0;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>5!($L(X)<1) X` `MAXIMUM LENGTH: 5` LAST EDITED: `OCT 26, 2017` HELP-PROMPT: `Answer must be 1-5 characters in length.` DESCRIPTION: `Within VistA, each NCPDP segment has a number associated with it. Within the software, segments are referred to by this number. Examples include:` `100 = Transaction Header Segment` `110 = Patient Segment` `120 = Insurance Segment etc.` CROSS-REFERENCE: `9002313.9^C` `1)= S ^BPSF(9002313.9,"C",$E(X,1,30),DA)=""` `2)= K ^BPSF(9002313.9,"C",$E(X,1,30),DA)` `This cross-reference lists each segment by its VISTA SEGMENT NUMBER.`
2	TYPE	0;3	SET	'C' FOR CLAIM; 'R' FOR RESPONSE; 'B' FOR BOTH; LAST EDITED: `JUN 19, 2017` HELP-PROMPT: `Enter a value to indicate which type(s) of transaction this segment is a part of.` DESCRIPTION: `Each NCPDP segment is a part of one or more types of transactions.`

NAME

0;1

FREE TEXT

************************REQUIRED FIELD************************

INPUT TRANSFORM: K:$L(X)>50!($L(X)<5) X
MAXIMUM LENGTH: 50
LAST EDITED: JUN 19, 2017
HELP-PROMPT: Answer must be 5-50 characters in length.
DESCRIPTION:
This is the name of an NCPDP segment.
CROSS-REFERENCE: 9002313.9^B
1)= S ^BPSF(9002313.9,"B",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.9,"B",$E(X,1,30),DA)

VISTA SEGMENT NUMBER

0;2

FREE TEXT

INPUT TRANSFORM: K:$L(X)>5!($L(X)<1) X
MAXIMUM LENGTH: 5
LAST EDITED: OCT 26, 2017
HELP-PROMPT: Answer must be 1-5 characters in length.
DESCRIPTION: Within VistA, each NCPDP segment has a number associated with it. Within the software, segments are referred to by this number. Examples include:
100 = Transaction Header Segment
110 = Patient Segment
120 = Insurance Segment etc.
CROSS-REFERENCE: 9002313.9^C
1)= S ^BPSF(9002313.9,"C",$E(X,1,30),DA)=""
2)= K ^BPSF(9002313.9,"C",$E(X,1,30),DA)
This cross-reference lists each segment by its VISTA SEGMENT NUMBER.

TYPE

0;3

SET

LAST EDITED: JUN 19, 2017
HELP-PROMPT: Enter a value to indicate which type(s) of transaction this segment is a part of.
DESCRIPTION:
Each NCPDP segment is a part of one or more types of transactions.

NAME: TRANSACTION HEADER	NAME: PATIENT	NAME: INSURANCE	NAME: CLAIM	NAME: PHARMACY PROVIDER	NAME: PRESCRIBER	NAME: COORDINATION OF BENEFITS/OTHER PAYMENTS	NAME: WORKER'S COMPENSATION
NAME: DUR/PPS	NAME: PRICING	NAME: COUPON	NAME: COMPOUND	NAME: PRIOR AUTHORIZATION	NAME: CLINICAL	NAME: ADDITIONAL DOCUMENTATION	NAME: FACILITY
NAME: NARRATIVE	NAME: PURCHASER	NAME: SERVICE PROVIDER	NAME: INTERMEDIARY	NAME: LAST KNOWN 4RX	NAME: RESPONSE HEADER	NAME: RESPONSE MESSAGE	NAME: RESPONSE INSURANCE
NAME: RESPONSE PATIENT	NAME: RESPONSE STATUS	NAME: RESPONSE CLAIM	NAME: RESPONSE PRICING	NAME: RESPONSE DUR/PPS	NAME: RESPONSE PRIOR AUTHORIZATION	NAME: RESPONSE OTHER PAYERS	NAME: RESPONSE INTERMEDIARY
NAME: RESPONSE INSURANCE ADDITIONAL INFORMATION	NAME: RESPONSE PROVIDER