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Global: ^IBCNR(366.15

Package: Integrated Billing

Global: ^IBCNR(366.15


Information

FileMan FileNo FileMan Filename Package
366.15 IB NCPDP PRESCRIPTION Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 1

Package Total Routines
Integrated Billing 1 IBNCPDP6    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 2 RATE TYPE(#399.3)[.03]    INTEGRATED BILLING ACTION(#350)[.04]    

Fields, Total: 4

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

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  OCT 16, 2007
  • HELP-PROMPT:  Enter the prescription reference
  • DESCRIPTION:  
    This prescription reference consists of two semi-colon pieces. The first piece is the ien from file 52. The second piece is the fill/refill number, with 0 being the initial fill.
  • CROSS-REFERENCE:  366.15^B
    1)= S ^IBCNR(366.15,"B",$E(X,1,30),DA)=""
    2)= K ^IBCNR(366.15,"B",$E(X,1,30),DA)
.02 RATE ELIGIBILITY DETERMINED 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>1!($L(X)<1) X
  • LAST EDITED:  OCT 16, 2007
  • HELP-PROMPT:  Enter the Eligibility Determination for this Rx/Patient
  • DESCRIPTION:  This is the Patient Rx/Eligibility determination indicator. This is the flag returned back to ECME/Pharmacy to indicate what eligibility was determined for this prescription. This may effect if a medication can be
    dispensed to the patient if they are not returned as a V (veteran).
.03 RATE TYPE DETERMINED 0;3 POINTER TO RATE TYPE FILE (#399.3) RATE TYPE(#399.3)

  • LAST EDITED:  OCT 16, 2007
  • HELP-PROMPT:  Enter the Rate Type determined
  • DESCRIPTION:  
    This is the Rate Type that was determined at the time of the billable check to be used on the bill when the bill is created.
.04 COPAYMENT CHARGE 0;4 POINTER TO INTEGRATED BILLING ACTION FILE (#350) INTEGRATED BILLING ACTION(#350)

  • LAST EDITED:  OCT 16, 2007
  • HELP-PROMPT:  Enter the copayment charge associated with this NCPDP event
  • DESCRIPTION:  
    This is the copayment charge that was created in association with this billing event. This is used to reverse previously billed copayment charges.
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