Global: ^BPSR

FileMan FileNo	FileMan Filename	Package
9002313.03	BPS RESPONSES	E Claims Management Engine

Package	Total	Routines
E Claims Management Engine	4	BPSECMPS BPSNCPD3 BPSOS57 BPSRCRI
Integrated Billing	2	IBCNBLE2 IBNCPDP3

Package	Total	FileMan Files
E Claims Management Engine	2	BPS TRANSACTION(#9002313.59)[4, 402] BPS LOG OF TRANSACTIONS(#9002313.57)[4, 402]
Integrated Billing	1	INSURANCE VERIFICATION PROCESSOR(#355.33)[.17]

Package	Total	FileMan Files
E Claims Management Engine	8	BPS NCPDP BENEFIT STAGE INDICATOR(#9002313.35)[#9002313.0301(2151)] BPS NCPDP PATIENT PAY COMPONENT QUALIFIER(#9002313.37)[#9002313.0301(2195)] BPS NCPDP OTHER PAYER PROGRAM TYPE(#9002313.38)[#9002313.0301(2147)] BPS NCPDP COMPOUND PROD ID QUALIFIER(#9002313.39)[#9002313.0301(2405)] BPS NCPDP OTHER PHARMACY ID QUALIFIER(#9002313.4)[#9002313.0301(2395)] BPS NCPDP OTHER PRESCRIBER ID QUALIFIER(#9002313.41)[#9002313.0301(2401)] BPS NCPDP INVALID PROVIDER DATA SOURCE(#9002313.42)[#9002313.0301(2387)] BPS CLAIMS(#9002313.02)[.01]

Fields, Total: 23

Field #	Name	Loc	Type	Details
.01	BPS CLAIM	0;1	POINTER TO BPS CLAIMS FILE (#9002313.02)	**********************REQUIRED FIELD********************** BPS CLAIMS(#9002313.02) LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Select the BPS Claim.` DESCRIPTION: `Identifier for BPS responses.` CROSS-REFERENCE: `9002313.03^B` `1)= S ^BPSR("B",$E(X,1,30),DA)=""` `2)= K ^BPSR("B",$E(X,1,30),DA)`
.02	DATE RESPONSE RECEIVED	0;2	DATE	INPUT TRANSFORM: `S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Enter the date the Response was received.` DESCRIPTION: `Date that response was received on the system.` CROSS-REFERENCE: `9002313.03^AE` `1)= S ^BPSR("AE",$E(X,1,30),DA)=""` `2)= K ^BPSR("AE",$E(X,1,30),DA)`
102	VERSION/RELEASE NUMBER	100;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<2) X` LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Answer must be 2 characters in length.` DESCRIPTION: `NCPDP Version/Release Number.`
103	TRANSACTION CODE	100;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<2) X` LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Answer must be 2 characters in length.` DESCRIPTION: `Code identifying the type of transaction.`
109	TRANSACTION COUNT	100;9	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>4)!(X<1)!(X?.E1"."1.N) X` LAST EDITED: `JUN 18, 2008` HELP-PROMPT: `Type a number between 1 and 4, 0 Decimal Digits` DESCRIPTION: `Count of transactions in the transmission.`
115	MEDICAID ID NUMBER	100;15	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>22!($L(X)<1) X` LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Answer must be 1-22 characters.` DESCRIPTION: `This is used to store NCPDP field 115-N5 (Medicaid ID Number), which is defined as "A unique member identification number assigned by the Medicaid Agency."`
116	MEDICAID AGENCY NUMBER	100;16	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>17!($L(X)<1) X` LAST EDITED: `JUL 22, 2010` HELP-PROMPT: `Answer must be 1-17 characters.` DESCRIPTION: `This is used to store NCPDP field 116-N6 (Medicaid Agency Number), which is defined as "Number assigned by processor to identify the individual Medicaid Agency or representative."`
201	SERVICE PROVIDER ID	200;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<1) X` LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Answer must be 1-15 characters in length.` DESCRIPTION: `ID assigned to a pharmacy or provider.`
202	SERV PROVIDER ID QUALIFIER	200;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>2!($L(X)<1) X` LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Answer must be 1-2 characters in length.` DESCRIPTION: `Code qualifying the 'Service Provider ID' (2Ø1)`
301	GROUP ID	300;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>15!($L(X)<1) X` LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Answer must be 1-15 characters in length.` DESCRIPTION: `ID assigned to the cardholder group or employer group.`
302	CARDHOLDER ID	300;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>22!($L(X)<1) X` LAST EDITED: `JUL 22, 2010` HELP-PROMPT: `Answer must be 1-22 characters.` DESCRIPTION: `This is used to store NCPDP field 302-C2 (Cardholder ID), which is defined as "Insurance ID assigned to the cardholder or identification number used by the plan."`
304	DATE OF BIRTH	300;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<1) X` LAST EDITED: `JUL 22, 2010` HELP-PROMPT: `Answer must be 1-10 characters.` DESCRIPTION: `This is used to store NCPDP field 304-C4 (Date Of Birth), which is defined as "Date of birth of patient."`
310	PATIENT FIRST NAME	300;10	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>14!($L(X)<1) X` LAST EDITED: `JUL 22, 2010` HELP-PROMPT: `Answer must be 1-14 characters.` DESCRIPTION: `This is used to store NCPDP field 310-CA (Patient First Name), which is defined as "Individual first name."`
311	PATIENT LAST NAME	310;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>17!($L(X)<1) X` LAST EDITED: `AUG 31, 2010` HELP-PROMPT: `Answer must be 1-17 characters in length.` DESCRIPTION: `This is used to store NCPDP field 311-CB (Patient Last Name), which is defined as "Individual last name."` TECHNICAL DESCR: `REQUEST PATIENT SEGMENT. RESPONSE PATIENT SEGMENT.`
401	DATE OF SERVICE	400;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>8!($L(X)<8) X` OUTPUT TRANSFORM: `S Y=$$FM3EXT^BPSOSU1(Y)` LAST EDITED: `JUN 18, 2008` HELP-PROMPT: `Answer must be 8 characters in length.` DESCRIPTION: `Identifies date the prescription was filled or professional service rendered.`
501	HEADER RESPONSE STATUS	500;1	SET	'A' FOR ACCEPTED; 'R' FOR REJECTED; LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Enter the status of the response from the payer.` DESCRIPTION: `A code indicating the status of this response.`
504	MESSAGE	504;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>250!($L(X)<1) X` LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Answer must be 1-250 characters in length.` DESCRIPTION: `Free form message.`
524	PLAN ID	500;24	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>8!($L(X)<8) X` LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Answer must be 8 characters in length.` DESCRIPTION: `Assigned by the processor to identify a set of parameters, benefit, or coverage criteria used to adjudicate a claim.`
545	NETWORK REIMBURSEMENT ID	540;5	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<1) X` LAST EDITED: `FEB 07, 2008` HELP-PROMPT: `Answer must be 1-10 characters in length.` DESCRIPTION: `Field defined by the processor. It identifies the network, for the covered member, used to calculate the reimbursement to the pharmacy.`
568	PAYER/HEALTH PLAN ID QUALIFIER	560;8	SET	'01' FOR STANDARD UNIQUE HEALTH PLAN ID; '02' FOR HIN; '03' FOR BIN; '04' FOR NAIC; '99' FOR OTHER; LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Enter a code specifying the type of payer ID.` DESCRIPTION: `Code indicating the type of payer ID.` TECHNICAL DESCR: `NCPDP field 568-J7.`
569	PAYER/HEALTH PLAN ID	560;9	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>10!($L(X)<1) X` LAST EDITED: `MAR 30, 2021` HELP-PROMPT: `Answer must be 1-10 characters in length.` DESCRIPTION: `Payer identification - the payer this claim was submitted to.`
1000	RESPONSES	1000;0	Multiple #9002313.0301	9002313.0301 LAST EDITED: `FEB 07, 2008` DESCRIPTION: `This is the transaction response data returned by the third-party payer.`
9999	RAW DATA RECEIVED	M;0	WORD-PROCESSING #9002313.39999	HELP-PROMPT: `Enter the raw NCPDP data received from the payer.` DESCRIPTION: `This is to store the raw data received from the payer.` LAST EDITED: `JUN 18, 2008` DESCRIPTION: `A copy of the raw data packet received. This could be of use in diagnosing weird problems, such as the time a packet was apparently shifted two places.`

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Package: E Claims Management Engine

Global: ^BPSR

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Description

Accessed By FileMan Db Calls, Total: 6

Pointed To By FileMan Files, Total: 3

Pointer To FileMan Files, Total: 8

Fields, Total: 23