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Global: ^IBCNR(366.02

Package: Integrated Billing

Global: ^IBCNR(366.02


Information

FileMan FileNo FileMan Filename Package
366.02 PHARMACY BENEFITS MANAGER (PBM) Integrated Billing

Description

Pointed To By FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 PLAN(#366.03)[10.01]    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 1 PHARMACY BENEFITS MANAGER (PBM) APPLICATION(#366.12)[#366.023(.01)]    
Kernel 1 NEW PERSON(#200)[#366.023(.04)]    

Fields, Total: 10

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

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1)!'(X'?1P.E) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) long name. Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) long name.
  • CROSS-REFERENCE:  366.02^B
    1)= S ^IBCNR(366.02,"B",$E(X,1,30),DA)=""
    2)= K ^IBCNR(366.02,"B",$E(X,1,30),DA)
.02 DATE/TIME CREATED 0;2 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 07, 2003
  • HELP-PROMPT:  Enter the date and time associated with the creation of Pharmacy Benefits (PBM) file (#366.02) entry.
  • DESCRIPTION:  
    The date and time associated with the creation of Pharmacy Benefits Manager (PBM) file (#366.02) entry.
1.01 PRIMARY CONTACT NAME 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) primary contact name in general VA name format (Family,Given Middle/MI Suffix). Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) primary contact name in general VA name format (Family,Given Middle/MI Suffix).
1.02 PRIMARY CONTACT PREFIX 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) primary contact prefix / title (e.g. Dr.). Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) primary contact prefix / title (e.g. Dr.).
1.03 PRIMARY CONTACT DEGREE 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) primary contact degree code (e.g. MD). Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    Enter the Pharmacy Benefits Manager's (PBM's) primary contact degree code (e.g. MD).
1.04 ALTERNATE CONTACT NAME 1;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) alternate contact name in general VA name format (Family,Given Middle/MI Suffix). Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) alternate contact name in general VA name format (Family,Given Middle/MI Suffix).
1.05 ALTERNATE CONTACT PREFIX 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) alternate contact prefix / title (e.g. Dr.). Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) alternate contact prefix / title (e.g. Dr.).
1.06 ALTERNATE CONTACT DEGREE 1;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  OCT 28, 2003
  • HELP-PROMPT:  Enter the Pharmacy Benefits Manager's (PBM's) alternate contact degree code (e.g. MD). Answer must be 1-3 characters in length.
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) alternate contact degree code (e.g. MD).
2 CONTACT MEANS 2;0 Multiple #366.022 366.022

  • LAST EDITED:  OCT 28, 2003
  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) Contact Means sub-file. Applies to both the PBM's primary and alternate contacts.
3 APPLICATION 3;0 POINTER Multiple #366.023 366.023

  • DESCRIPTION:  
    The Pharmacy Benefits Manager's (PBM's) Application (electronic interface application) sub-file.

Found Entries, Total: 104

NAME: NONE    NAME: RX PRIME CIGNA    NAME: PHPS SWO CARVE IN    NAME: PHPS EAST CARVE IN    NAME: PHPS CARVE OUT    NAME: WO CARVE IN    NAME: M PLAN    NAME: PHPS SCO CARVE IN    
NAME: REGENCE BLUE SHIELD    NAME: CIGNA HEALTHCARE    NAME: OPTIMA    NAME: WHP HLTH INITIATIVE    NAME: WHP CUSTOMER    NAME: COMMUNITY HLTH PLAN    NAME: PHPS SCO    NAME: PRUDENTIAL SWGO    
NAME: KMHP    NAME: WAUSAU BENEFITS    NAME: HEALTH RESOURCES    NAME: DAKOTASCRIPT    NAME: NATIONAL HLTH PLANS    NAME: PPOK    NAME: VETERANS HOSPITAL    NAME: HMSA    
NAME: BSC COMMERCIAL HMO    NAME: FIRST COMMUNITY HP    NAME: CLINICAL PHAR ADV    NAME: COMP 24    NAME: INFOTEC LLC    NAME: ANTHEM    NAME: HEALTHTRANS    NAME: PHAR PROVIDERS OF OK    
NAME: AMER PHAR NETWORK    NAME: OPUS HEALTH INFO SYS    NAME: TEST WHP CUSTOMER    NAME: PBM PLUS CARENETWORK    NAME: QUEST HMSA    NAME: LAKER SOFTWARE    NAME: HMSA WORKERS COMP    NAME: PHARMALINK    
NAME: TMESYS    NAME: 4D PHARMACY MGMT    NAME: INTERACTIVE SYSTEMS    NAME: PACIFICARE CA    NAME: HMSA MEDICAID    NAME: MSA MEDNET    NAME: PROVIDENCE GOOD HLTH    NAME: PRUNETWORK PORTABIL    
NAME: ANTHEM IN    NAME: PHPS COMPANY PLAN    NAME: AETNA PHARMACY MGMT    NAME: APS REBATE    NAME: WORKING RX    NAME: INTER VALLEY HP    NAME: BROOKS RX WATCH    NAME: APM COMP KY    
NAME: PHYSICIANS PHARM SA    NAME: PHARMACY ASSOCIATES    NAME: INTEGRATED PHAR SRVS    NAME: SELECT PRU    NAME: RXPRIME CIGNA 2    NAME: BCBS MS    NAME: PPM-DETROIT    NAME: AVMED HOSPICE    
NAME: UNITED DRUGS    NAME: HOOKS SEABURY SMITH    NAME: BLUE CROSS KS CITY    NAME: NGO    NAME: SCICOM PINC    NAME: PRES PROCESSING SRVS    NAME: PERSONAL CARE    NAME: ALLSCRIPS WRKRS COMP    
NAME: SMG MEDNET    NAME: RUSH PRUDENTIAL HLTH    NAME: CPM SOUTHEASTERN GRO    NAME: CONNSCRIPTS    NAME: RXNET OF CALIFORNIA    NAME: NMHC    NAME: TAKECARE EMPLOYEE    NAME: FOUNDATION HEALTH    
NAME: PROF PHAR BEN SERVS    NAME: STATE AND FEDERAL    NAME: COMPUTER SERVICE INC    NAME: UAHC    NAME: THE STATE OF HAWAII    NAME: MAXICARE    NAME: JOHN DEERE HEALTH CA    NAME: QUAL CHOICE    
NAME: ANTHEM US    NAME: DP/RX    NAME: HUMANA MILITARY HLTH    NAME: SELECT SCRIPT    NAME: EXPRESS SCRIPT    NAME: PHARMACY NETWORK    NAME: PRES SOLUTION    NAME: CARE CHOICES    
NAME: PALMETTO GBA    NAME: HDS MEDICAL (A)    NAME: NORTHWEST PHARMACY    NAME: WEST VIRGINIA SCHED    NAME: CENTRUS    NAME: MANAGED CARE RX    NAME: WebMD    NAME: EPIC VA    
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