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Global: ^BPS(9002313.99

Package: E Claims Management Engine

Global: ^BPS(9002313.99


Information

FileMan FileNo FileMan Filename Package
9002313.99 BPS SETUP E Claims Management Engine

Description

Accessed By FileMan Db Calls, Total: 5

Package Total Routines
E Claims Management Engine 5 BPS20PST    BPSJINIT    BPSNCPD1    BPSNCPD9    BPSOSK    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
E Claims Management Engine 1 BPS PHARMACIES(#9002313.56)[.08]    
Kernel 1 NEW PERSON(#200)[2500, 6000, 6001]

Fields, Total: 16

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  DEC 26, 2007
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • CROSS-REFERENCE:  9002313.99^B
    1)= S ^BPS(9002313.99,"B",$E(X,1,30),DA)=""
    2)= K ^BPS(9002313.99,"B",$E(X,1,30),DA)
.04 DATE SITE LAST REGISTERED 0;4 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  JUN 19, 2008
  • HELP-PROMPT:  Enter the date/time the site was last registered.
  • DESCRIPTION:  
    This is automatically populated every time the site is registered. The date/time in this field is the last time a registration message was transmitted to Austin for this site.
.05 INSURER ASLEEP INTERVAL 0;5 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>29)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  DEC 06, 2007
  • HELP-PROMPT:  Enter a number of minutes 0-29 to retry Asleep claims.
  • DESCRIPTION:  This is the number of minutes to retry claims for a payer sheet while the payer is identified as being unavailable to process claims.
    0 = do not implement asleep processes.
.06 INSURER ASLEEP RETRIES 0;6 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  DEC 06, 2007
  • HELP-PROMPT:  Enter the number of times retries should occur of a payer 0-99.
  • DESCRIPTION:  This is the number of times an asleep probe should be done on a payer before the claims are marked as Rejected.
    0 = Asleep process turned off
.07 DATE SITE LAST CONFIRMED 0;7 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  JUN 19, 2008
  • HELP-PROMPT:  Enter the date/time the site registration was last accepted
  • DESCRIPTION:  
    This field is populated every time the site is confirmed registered by Austin. This is automatically populated when the application ACK message is returned from Austin.
.08 DEFAULT ELIGIBILITY PHARMACY 0;8 POINTER TO BPS PHARMACIES FILE (#9002313.56) BPS PHARMACIES(#9002313.56)

  • LAST EDITED:  OCT 13, 2010
  • HELP-PROMPT:  Enter the default BPS Pharmacy to use for Eligibility requests.
  • DESCRIPTION:  
    This is the default BPS PHARMACY that will be used for eligibility verification submissions when the submission is not associated with an RX/Fill.
3.01 ECME TIMEOUT 0;2 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>30)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  FEB 12, 2008
  • HELP-PROMPT:  Type a Whole Number between 0 and 30.
  • DESCRIPTION:  
    This is the maximum number of seconds used for the display of the claims processing status. After this time, claims processing will continue but the user will not see messages indicating the progress of the claim.
3.02 PAYER RESPONSE TEST MODE 0;3 SET
  • '1' FOR ON;
  • '0' FOR OFF;

  • LAST EDITED:  FEB 12, 2008
  • HELP-PROMPT:  Set this to On to enable payer overrides. Do not enable at production sites.
  • DESCRIPTION:  
    This field enables the testing of Payer Response Overrides - 1 for On, 0 (or "") for Off. This should never be ON at a production site.
2341.01 WINNOW TESTING FLAG WINNOW;1 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  JAN 31, 2007
  • HELP-PROMPT:  Enter 'YES' to enable WINNOW TEST mode, 'NO' to purge
  • DESCRIPTION:  
    This flag controls whether purging is really done or just in test mode. YES sets test mode on and NO enables purging.
2341.03 WINNOW BPS LOG WINNOW;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1.N) X
  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Enter the days of the BPS LOG to keep on the system (0-9999).
  • DESCRIPTION:  
    Number of days of the BPS LOG to keep on the system.
2500 CERTIFIER CERTIFIER;1 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Enter the name of the person performing certification.
  • DESCRIPTION:  
    Contains the name of the person performing certification.
6000 SITE CONTACT VITRIA;1 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  FEB 12, 2008
  • HELP-PROMPT:  Enter the Site Contact for Vitria.
  • DESCRIPTION:  
    This is the Site Contact for Vitria. Usually an IT staff person.
6001 ALTERNATE SITE CONTACT VITRIA;2 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  FEB 12, 2008
  • HELP-PROMPT:  Enter the Alternate Site Contact.
  • DESCRIPTION:  
    This is the name of the Alternate Contact person for the site in relation to Vitria.
6003 VITRIA INTERFACE VERSION VITRIA;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
  • LAST EDITED:  FEB 12, 2008
  • HELP-PROMPT:  Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    Enter the Vitria supplied interface version number.
9999 SITE TYPE SITE TYPE;1 SET
************************REQUIRED FIELD************************
  • '0' FOR VA;
  • '1' FOR IHS;

  • LAST EDITED:  FEB 12, 2008
  • HELP-PROMPT:  Enter 0 (zero) for VA or 1 for IHS.
  • DESCRIPTION:  This field is used to determine whether the site is a Veterans Administration site or and Indian Health Services Site. Based on this answer, the ECME system will process in two different manners with respect to claims
    generation and data collection methods.
10000 LAST SEQUENCE 3;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Type a Number between 0 and 9999999999, 0 Decimal Digits
  • DESCRIPTION:  
    Used to sequence the transmission ID's to ensure they are unique for the site.

Found Entries, Total: 1

NAME: MAIN SETUP ENTRY    
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