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Package: E Claims Management Engine

Package: E Claims Management Engine


Namespace

Namespace: BPS 

Documentation

VA documentation in the VistA Documentation Library

Dependency Graph

Call Graph

Package Dependency List, Total: 8

Format:   package[# of caller routines(R) -> # of called routines(R): # of global-accessing routines(R) -> # of called globals(G): # of caller fileman files(F) -> # of called fileman files(F): # of caller routines(R) -> # of fileman files accessed via db call(F): # of package components accessing routines(PC) -> # of called routines(R): # of caller globals(G) -> # of called routines (R): # of caller globals(G) -> # of called globals (G):


Kernel [7(F)->(F)2:11(R)->(F)6]   Outpatient Pharmacy [5(F)->(F)2:10(R)->(F)5]   Integrated Billing [6(F)->(F)5:6(R)->(F)5]   Registration [4(F)->(F)1:8(R)->(F)4]   Health Level Seven [5(R)->(F)2]   Pharmacy Data Management [2(R)->(F)1]   
Order Entry Results Reporting [1(R)->(F)1]   National Drug File [1(R)->(F)1]   

Dependent Graph

Call Graph

Package Dependent List, Total: 4

Format:   package[# of caller routines(R) -> # of called routines(R): # of global-accessing routines(R) -> # of called globals(G): # of caller fileman files(F) -> # of called fileman files(F): # of caller routines(R) -> # of fileman files accessed via db call(F): # of package components accessing routines(PC) -> # of called routines(R): # of caller globals(G) -> # of called routines (R): # of caller globals(G) -> # of called globals (G):


Outpatient Pharmacy [1(F)->(F)1:14(R)->(F)7]   Integrated Billing [3(F)->(F)4:8(R)->(F)6]   Registration [1(F)->(F)1]   Pharmacy Data Management [1(R)->(F)1]   

FileMan Files, Total: 40

BPS CLAIMS(#9002313.02)    BPS RESPONSES(#9002313.03)    BPS LOG(#9002313.12)    BPS ASLEEP PAYERS(#9002313.15)    BPS NCPDP PATIENT RELATIONSHIP CODE(#9002313.19)    BPS NCPDP OTHER PAYER AMT PAID QUAL(#9002313.2)    BPS NCPDP PROFESSIONAL SERVICE CODE(#9002313.21)    BPS NCPDP RESULT OF SERVICE CODE(#9002313.22)    
BPS NCPDP REASON FOR SERVICE CODE(#9002313.23)    BPS NCPDP DAW CODE(#9002313.24)    BPS NCPDP CLARIFICATION CODES(#9002313.25)    BPS NCPDP PRIOR AUTHORIZATION TYPE CODE(#9002313.26)    BPS NCPDP PATIENT RESIDENCE CODE(#9002313.27)    BPS NCPDP PHARMACY SERVICE TYPE(#9002313.28)    BPS NCPDP DELAY REASON CODE(#9002313.29)    BPS CERTIFICATION(#9002313.31)    
BPS PAYER RESPONSE OVERRIDES(#9002313.32)    BPS NCPDP PRESCRIBER PLACE OF SERVICE(#9002313.34)    BPS NCPDP BENEFIT STAGE INDICATOR(#9002313.35)    BPS NCPDP LTPAC DISPENSE FREQUENCY(#9002313.36)    BPS NCPDP PATIENT PAY COMPONENT QUALIFIER(#9002313.37)    BPS NCPDP OTHER PAYER PROGRAM TYPE(#9002313.38)    BPS NCPDP COMPOUND PROD ID QUALIFIER(#9002313.39)    BPS NCPDP OTHER PHARMACY ID QUALIFIER(#9002313.4)    
BPS NCPDP OTHER PRESCRIBER ID QUALIFIER(#9002313.41)    BPS NCPDP INVALID PROVIDER DATA SOURCE(#9002313.42)    BPS NCPDP OVERRIDE(#9002313.511)    BPS PHARMACIES(#9002313.56)    BPS LOG OF TRANSACTIONS(#9002313.57)    BPS STATISTICS(#9002313.58)    BPS TRANSACTION(#9002313.59)    BPS REQUESTS(#9002313.77)    
BPS INSURER DATA(#9002313.78)    BPS RESULT CATEGORY(#9002313.83)    BPS ERROR CODES(#9002313.89)    BPS NCPDP SEGMENTS(#9002313.9)    BPS NCPDP FIELD DEFS(#9002313.91)    BPS NCPDP FORMATS(#9002313.92)    BPS NCPDP REJECT CODES(#9002313.93)    BPS SETUP(#9002313.99)    

Routines, Total: 220

BPS10P11    BPS10P17    BPS10P7    BPS10P8    BPS10P9    BPS10PRE    BPS10PST    BPS15PRE    
BPS15PST    BPS19PRE    BPS19PST    BPS20PRE    BPS20PST    BPS21PRE    BPS22PST    BPS23PRE    
BPS24PRE    BPS25PRE    BPS26PRE    BPS27POST    BPS27PRE    BPS28PRE    BPS29PRE    BPS31POST    
BPS31PRE    BPS34PRE    BPS35PRE    BPS36PRE    BPS37PRE    BPS38PRE    BPSBCKJ    BPSBUTL    
BPSCMT    BPSCMT01    BPSCT    BPSECA1    BPSECA8    BPSECFM    BPSECMC2    BPSECMP2    
BPSECMPS    BPSECX0    BPSECX1    BPSELG    BPSFLD01    BPSGRPL    BPSJACK    BPSJAREG    
BPSJHLI    BPSJHLT    BPSJINIT    BPSJPHNM    BPSJPREG    BPSJUTL    BPSJUTL1    BPSJVAL    
BPSJVAL1    BPSJVAL2    BPSJZPR    BPSJZQR    BPSJZRP    BPSKBERPT    BPSMHDR    BPSNCPD1    
BPSNCPD2    BPSNCPD3    BPSNCPD4    BPSNCPD5    BPSNCPD6    BPSNCPD9    BPSNCPDP    BPSNPI    
BPSNTR01    BPSOPR    BPSOPR2    BPSOPR3    BPSOS    BPSOS03    BPSOS2    BPSOS2A    
BPSOS2B    BPSOS2C    BPSOS57    BPSOS6M    BPSOSC2    BPSOSCA    BPSOSCB    BPSOSCC    
BPSOSCD    BPSOSCE    BPSOSCF    BPSOSH2    BPSOSHF    BPSOSHR    BPSOSIY    BPSOSIZ    
BPSOSK    BPSOSL    BPSOSL1    BPSOSO    BPSOSO1    BPSOSO2    BPSOSQ    BPSOSQ2    
BPSOSQ4    BPSOSQA    BPSOSQC    BPSOSQF    BPSOSQG    BPSOSQL    BPSOSRB    BPSOSRX    
BPSOSRX2    BPSOSRX3    BPSOSRX4    BPSOSRX5    BPSOSRX6    BPSOSRX7    BPSOSRX8    BPSOSS8    
BPSOSSG    BPSOSU    BPSOSU1    BPSOSU2    BPSOSU3    BPSOSU4    BPSOSU5    BPSOSU8    
BPSOSU9    BPSOSUC    BPSOSUD    BPSOSUE    BPSPHAR    BPSPRRX    BPSPRRX1    BPSPRRX2    
BPSPRRX3    BPSPRRX4    BPSPRRX5    BPSPRRX6    BPSPRRX7    BPSPSOU1    BPSRCRI    BPSRDT1    
BPSREOP    BPSREOP1    BPSRES    BPSRES1    BPSRPAY    BPSRPC01    BPSRPC02    BPSRPC03    
BPSRPC04    BPSRPT0    BPSRPT1    BPSRPT2    BPSRPT3    BPSRPT3A    BPSRPT4    BPSRPT5    
BPSRPT5A    BPSRPT6    BPSRPT7    BPSRPT7A    BPSRPT8    BPSRPT8A    BPSRPT9    BPSRPT9A    
BPSRSELG    BPSRSEV    BPSRSHLD    BPSRSINS    BPSRSM    BPSRSPRS    BPSRSRLC    BPSRSTPJ    
BPSSCR    BPSSCR01    BPSSCR02    BPSSCR03    BPSSCR04    BPSSCR05    BPSSCRCL    BPSSCRCU    
BPSSCRCV    BPSSCRDS    BPSSCRDV    BPSSCRL1    BPSSCRLG    BPSSCRN0    BPSSCRPR    BPSSCRRJ    
BPSSCRRS    BPSSCRRV    BPSSCRSL    BPSSCRU1    BPSSCRU2    BPSSCRU3    BPSSCRU4    BPSSCRU5    
BPSSCRU6    BPSSCRUD    BPSSCRV1    BPSSCRV2    BPSTASDB    BPSTEST    BPSTEST1    BPSTEST2    
BPSUSCR    BPSUSCR1    BPSUSCR2    BPSUSCR4    BPSUTIL    BPSUTIL1    BPSUTIL2    BPSVRX    
BPSVRX1    BPSVRX2    BPSVRX3    BPSWRKLS    

Package Component Superscript legend

action A extended action Ea event driver Ed subscriber Su protocol O limited protocol LP run routine RR broker B edit E server Se print P screenman SM inquire I

Option, Total: 38

BPS COB MENU    BPS COB PROCESS SECOND TRICARE(RR)    BPS COB RPT SECONDARY CLAIMS(RR)    BPS EPHARMACY RPCS    BPS MANAGER MENU    BPS MENU MAINTENANCE    BPS MENU RPT CLAIM STATUS    BPS MENU RPT MAIN    
BPS MENU RPT OTHER    BPS NIGHTLY BACKGROUND JOB(RR)    BPS OPECC PRODUCTIVITY REPORT(RR)    BPS POTENTIAL CLAIMS RPT DUAL(RR)    BPS REOPEN CLOSED CLAIM(RR)    BPS RPT CLAIMS RESPONSE(RR)    BPS RPT CLOSED CLAIMS(RR)    BPS RPT CMOP/ECME ACTIVITY(RR)    
BPS RPT DUPLICATE CLAIMS(RR)    BPS RPT ERRORS(RR)    BPS RPT NON-BILLABLE REPORT(RR)    BPS RPT NOT RELEASED(RR)    BPS RPT PAYABLE(RR)    BPS RPT PAYER SHEET DETAIL(RR)    BPS RPT RECENT TRANSACTIONS(RR)    BPS RPT REJECTION(RR)    
BPS RPT REVERSAL(RR)    BPS RPT SETUP PHARMACIES(P)    BPS RPT SPENDING ACCOUNT(RR)    BPS RPT TOTALS BY DAY(RR)    BPS RPT TURNAROUND STATS(RR)    BPS RPT VIEW ECME RX(RR)    BPS SETUP BASIC PARAMS(RR)    BPS SETUP MENU    
BPS SETUP PHARMACY(RR)    BPS SETUP REGISTER PHARMACY(RR)    BPS STATISTICS SCREEN(RR)    BPS UNSTRAND SCREEN(RR)    BPS USER SCREEN(RR)    BPSMENU    

List Manager Templates, Total: 10

BPS LSTMN COMMENTS    BPS LSTMN DEVLOG    BPS LSTMN ECME REOPEN    BPS LSTMN ECME UNSTRAND    BPS LSTMN ECME USRSCR    BPS LSTMN LOG    BPS LSTMN RSCH MENU    BPS OPECC REJECT INFORMATION    
BPS STATISTICS AND MANAGEMENT    BPS VIEW ECME RX    

Key, Total: 6

BPS MANAGER    BPS MASTER    BPS REPORTS    BPS SUPERVISOR    BPS USER    BPSMENU    

Remote Procedure, Total: 4

BPS TAS CLAIM DATA EXTRACT    BPS TAS CLAIM WRITE BACK    BPS TAS DATABASE RESET    BPS TAS TXN IENS NEW    

Protocol, Total: 89

BPS ECMECL1 NTE(Su)    BPS ECMESV1 NTE(Ed)    BPS OPECC REJECT INFO MEDICATION PROFILE(A)    BPS OPECC REJECT INFO PATIENT INFORMATION(A)    BPS OPECC REJECT INFO VIEW RX(A)    BPS OPECC REJECT MENU    BPS OPECC REJECT VIEW ECME RX(A)    BPS P1 EXIT(A)    
BPS P2 CONTINUOUS(A)    BPS P2 UPDATE(A)    BPS P2 ZERO(A)    BPS PROTOCOL 2    BPS PRTCL CMT ADD(A)    BPS PRTCL CMT ADD PHARM(A)    BPS PRTCL CMT EXIT    BPS PRTCL CMT MENU    
BPS PRTCL ECME USRSCR    BPS PRTCL IBCNR EDIT PLAN(A)    BPS PRTCL IBCNR GROUP PLAN MATCH(A)    BPS PRTCL IBCNR PLAN MATCH(A)    BPS PRTCL LOG MENU    BPS PRTCL REOPEN(A)    BPS PRTCL REOPEN EXIT    BPS PRTCL REOPEN MENU    
BPS PRTCL RSCH CLAIM TRACKING(A)    BPS PRTCL RSCH ELIG INQ(A)    BPS PRTCL RSCH EXIT    BPS PRTCL RSCH GRPL    BPS PRTCL RSCH HIDDEN ACTIONS    BPS PRTCL RSCH IB EVENT REPORT(A)    BPS PRTCL RSCH MENU    BPS PRTCL RSCH ON HOLD COPAY(A)    
BPS PRTCL RSCH RELEASE COPAY(A)    BPS PRTCL RSCH TPJI(A)    BPS PRTCL RSCH VIEW ELIGIBILITY(A)    BPS PRTCL RSCH VIEW INSURANCE(A)    BPS PRTCL RSCH VIEW PRESCRIPTION(A)    BPS PRTCL UNSTRAND    BPS PRTCL UNSTRAND ALL(A)    BPS PRTCL UNSTRAND EXIT(A)    
BPS PRTCL UNSTRAND PRINT(A)    BPS PRTCL UNSTRAND SELECT(A)    BPS PRTCL USRSCR CHANGE VIEW(A)    BPS PRTCL USRSCR CLAIM LOG(A)    BPS PRTCL USRSCR CLOSE(A)    BPS PRTCL USRSCR COMMENT(A)    BPS PRTCL USRSCR CONTINUOUS(A)    BPS PRTCL USRSCR DEVELOPER LOG(A)    
BPS PRTCL USRSCR EXIT    BPS PRTCL USRSCR HIDDEN ACTIONS    BPS PRTCL USRSCR OPECC REJECT INFORMATION(A)    BPS PRTCL USRSCR OPEN/CLOSE NON-BILLABLE ENTRY(A)    BPS PRTCL USRSCR PHARM WRKLST(A)    BPS PRTCL USRSCR REOPEN CLOSED CLAIMS(A)    BPS PRTCL USRSCR RESEARCH MENU(A)    BPS PRTCL USRSCR RESUB NO REVERSE(A)    
BPS PRTCL USRSCR RESUBMIT(A)    BPS PRTCL USRSCR RESUBMIT EDITS(A)    BPS PRTCL USRSCR REVERSE(A)    BPS PRTCL USRSCR SORTLIST(A)    BPS PRTCL USRSCR UPDATE(A)    BPS PRTCL USRSCR VIEW ECME RX(A)    BPS VALM DOWN A LINE(A)    BPS VALM FIRST SCREEN(A)    
BPS VALM GOTO PAGE(A)    BPS VALM LAST SCREEN(A)    BPS VALM NEXT SCREEN(A)    BPS VALM PREVIOUS SCREEN(A)    BPS VALM PRINT SCREEN(A)    BPS VALM UP ONE LINE(A)    BPS VIEW ECME RX MENU    BPS VRX NAV BILL LIST(A)    
BPS VRX NAV BILLING EVENTS RPT(A)    BPS VRX NAV CRI(A)    BPS VRX NAV DG ELIG STATUS(A)    BPS VRX NAV DG ELIG VERIFICATION(A)    BPS VRX NAV ECME CLAIM LOG(A)    BPS VRX NAV INS POL(A)    BPS VRX NAV MED PROFILE(A)    BPS VRX NAV PRINT REPORT(A)    
BPS VRX NAV TPJI AR ACCT PROFILE(A)    BPS VRX NAV TPJI AR COMMENT HISTORY(A)    BPS VRX NAV TPJI CLAIM INFORMATION(A)    BPS VRX NAV TPJI ECME RX INFO(A)    BPS VRX NAV VIEWRX(A)    BPSJ MFN REGISTER1    BPSJ PAYER INPUT(Ed)    BPSJ PAYER RESPONSE(Su)    
BPSJ REGISTER(Ed)    

Sort Template, Total: 1

BPS SETUP PHARMACIES    

Input Template, Total: 2

BPSJ PHARMACY ENTER/EDIT    BPSJ SITE SETUP    

Print Template, Total: 2

BPS TECH    BPS TECH    
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