BPS15PRE ;ALB/ESG - Pre-install for BPS*1.0*15 ;03/04/2013
;;1.0;E CLAIMS MGMT ENGINE;**15**;JUN 2004;Build 13
;;Per VHA Directive 2004-038, this routine should not be modified.
;
Q
;
PRE ; Entry Point for pre-install
;
; The purpose of this pre-install routine is to update dictionary entries
; that are being edited (not added) with this patch. Because both the code and description fields
; are identifier fields for the record, edits are a problem if we just let KIDS send the
; data to the target sites. Duplicate entries will be created. So this pre-install routine
; will update the data to the correct values, so KIDS will not create duplicates.
;
D MES^XPDUTL(" Starting pre-install of BPS*1*15")
;
D DFIELDS ; update changed BPS dictionary entries found in ^BPS(file#
D REJECTS ; update NCPDP reject codes/descriptions found in 9002313.93
;
D MES^XPDUTL(" Finished pre-install of BPS*1*15")
Q
;
DFIELDS ;Update changed dictionary entries
N LINE,DATA,NUM,NAME,DA,DIE,DR,CNT,DCT,FLDNUM
D MES^XPDUTL(" - Updating dictionaries values")
S CNT=0
F LINE=1:1 S DATA=$P($T(DFLDS+LINE),";;",2,99) Q:DATA="" D
. S NUM=$P(DATA,";",1),DCT=$P(DATA,";",3),FLDNUM=$P(DATA,";",4)
. S DA=$O(^BPS(DCT,"B",NUM,""))
. I 'DA D MES^XPDUTL(" - No IEN found for entry "_NUM) Q
. S DIE=DCT,NAME=$P(DATA,";",2),DR=FLDNUM_"////"_NAME,CNT=CNT+1
. D ^DIE
D MES^XPDUTL(" - "_CNT_" entries updated")
D MES^XPDUTL(" - Done with updating dictionaries values")
D MES^XPDUTL(" ")
Q
;
DFLDS ;
;;PT;PERFORM LABORATORY TEST;9002313.21;1;Edit to code PT (440-E5) Professional Service Code
;;RT;RECOMMEND LABORATORY TEST;9002313.21;1;Edit to code RT (440-E5) Professional Service Code
;;
;
;
REJECTS ; Update existing Reject Codes with new explanations
N LINE,DATA,NUM,NAME,DA,DIE,DR,CNT,X,Y
D MES^XPDUTL(" - Updating BPS NCPDP REJECT CODES")
S CNT=0
F LINE=1:1 S DATA=$P($T(NRJCT+LINE),";;",2,99) Q:DATA="" D
. S DIE=9002313.93,NUM=$P(DATA,";",1)
. S DA=$O(^BPSF(DIE,"B",NUM,""))
. I 'DA Q ; quit if no IEN found for entry
. S NAME=$P(DATA,";",2),DR=".02////^S X=NAME",CNT=CNT+1
. D ^DIE
D MES^XPDUTL(" - "_CNT_" entries updated")
D MES^XPDUTL(" - Done with BPS NCPDP REJECT CODES")
D MES^XPDUTL(" ")
Q
;
NRJCT ; Existing reject codes, but with updated reject code descriptions
;;42;Plan's Prescriber database indicates Prescriber ID is inactive/expired
;;43;Associated DEA to submitted Prescriber ID is inactive or expired
;;44;Plan's Prescriber database indicates DEA to Prescriber ID not found
;;46;Assoc DEA to submitted Prescriber ID doesn't allow drug DEA Schedule
;;63;Product/Service ID Not Covered For Institutionalized Patient
;;71;Prescriber ID Is Not Covered
;;421;Purchaser Date of Birth is not used for this Transaction Code
;;477;Other Payer ID Count Does Not Precede Other Payer ID Data Fields
;;569;Provide Notice: Medicare Prescription Drug Coverage and Your Rights
;;597;LTC Dispensing Type Does Not Support The Packaging Type
;;1R;Version/Release Value Not Supported
;;1S;Transaction Code/Type Value Not Supported
;;4Y;Patient Residence Value Not Supported
;;4Z;Place of Service Not Supported By Plan
;;7J;Patient Relationship Code Value Not Supported
;;7K;Discrepancy Between Other Coverage Code And Other Payer Amount
;;7N;Patient ID Qualifier Value Not Supported
;;7Q;Other Payer ID Qualifier Value Not Supported
;;7S;Other Payer Amount Paid Qualifier Value Not Supported
;;8K;DAW Code Value Not Supported
;;8R;Submission Clarification Code Value Not Supported
;;8S;Basis Of Cost Determination Value Not Supported
;;A6;This Product/Service May Be Covered Under Medicare Part B
;;MP;Other Payer Cardholder ID Not Covered
;;PW;Employer ID Not Covered
;;PX;Other Payer ID Not Covered
;;RU;Mandatory Elements Must Occur Before Optional Data Elements In Segment
;;VA;Pay To Qualifier Value Not Supported
;;VB;Generic Equivalent Product ID Qualifier Value Not Supported
;;VC;Pharmacy Service Type Value Not Supported
;;YJ;Medicaid Agency Number Not Supported
;;Z0;Purchaser Country Code Value Not Supported For Processor/Payer
;;Z1;Prescriber Alternate ID Qualifier Value Not Supported
;;Z8;Purchaser Relationship Code Value Not Supported
;;ZD;Associated Rx/Service Reference Number Qualifier Value Not Supported
;;ZV;Reported Payment Type Value Not Supported
;;ZZ;Cardholder ID submitted is inactive. New Cardholder ID on file
;;
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HBPS15PRE 4549 printed Apr 09, 2024@20:58:03 Page 2
BPS15PRE ;ALB/ESG - Pre-install for BPS*1.0*15 ;03/04/2013
+1 ;;1.0;E CLAIMS MGMT ENGINE;**15**;JUN 2004;Build 13
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 ;
+4 QUIT
+5 ;
PRE ; Entry Point for pre-install
+1 ;
+2 ; The purpose of this pre-install routine is to update dictionary entries
+3 ; that are being edited (not added) with this patch. Because both the code and description fields
+4 ; are identifier fields for the record, edits are a problem if we just let KIDS send the
+5 ; data to the target sites. Duplicate entries will be created. So this pre-install routine
+6 ; will update the data to the correct values, so KIDS will not create duplicates.
+7 ;
+8 DO MES^XPDUTL(" Starting pre-install of BPS*1*15")
+9 ;
+10 ; update changed BPS dictionary entries found in ^BPS(file#
DO DFIELDS
+11 ; update NCPDP reject codes/descriptions found in 9002313.93
DO REJECTS
+12 ;
+13 DO MES^XPDUTL(" Finished pre-install of BPS*1*15")
+14 QUIT
+15 ;
DFIELDS ;Update changed dictionary entries
+1 NEW LINE,DATA,NUM,NAME,DA,DIE,DR,CNT,DCT,FLDNUM
+2 DO MES^XPDUTL(" - Updating dictionaries values")
+3 SET CNT=0
+4 FOR LINE=1:1
SET DATA=$PIECE($TEXT(DFLDS+LINE),";;",2,99)
if DATA=""
QUIT
Begin DoDot:1
+5 SET NUM=$PIECE(DATA,";",1)
SET DCT=$PIECE(DATA,";",3)
SET FLDNUM=$PIECE(DATA,";",4)
+6 SET DA=$ORDER(^BPS(DCT,"B",NUM,""))
+7 IF 'DA
DO MES^XPDUTL(" - No IEN found for entry "_NUM)
QUIT
+8 SET DIE=DCT
SET NAME=$PIECE(DATA,";",2)
SET DR=FLDNUM_"////"_NAME
SET CNT=CNT+1
+9 DO ^DIE
End DoDot:1
+10 DO MES^XPDUTL(" - "_CNT_" entries updated")
+11 DO MES^XPDUTL(" - Done with updating dictionaries values")
+12 DO MES^XPDUTL(" ")
+13 QUIT
+14 ;
DFLDS ;
+1 ;;PT;PERFORM LABORATORY TEST;9002313.21;1;Edit to code PT (440-E5) Professional Service Code
+2 ;;RT;RECOMMEND LABORATORY TEST;9002313.21;1;Edit to code RT (440-E5) Professional Service Code
+3 ;;
+4 ;
+5 ;
REJECTS ; Update existing Reject Codes with new explanations
+1 NEW LINE,DATA,NUM,NAME,DA,DIE,DR,CNT,X,Y
+2 DO MES^XPDUTL(" - Updating BPS NCPDP REJECT CODES")
+3 SET CNT=0
+4 FOR LINE=1:1
SET DATA=$PIECE($TEXT(NRJCT+LINE),";;",2,99)
if DATA=""
QUIT
Begin DoDot:1
+5 SET DIE=9002313.93
SET NUM=$PIECE(DATA,";",1)
+6 SET DA=$ORDER(^BPSF(DIE,"B",NUM,""))
+7 ; quit if no IEN found for entry
IF 'DA
QUIT
+8 SET NAME=$PIECE(DATA,";",2)
SET DR=".02////^S X=NAME"
SET CNT=CNT+1
+9 DO ^DIE
End DoDot:1
+10 DO MES^XPDUTL(" - "_CNT_" entries updated")
+11 DO MES^XPDUTL(" - Done with BPS NCPDP REJECT CODES")
+12 DO MES^XPDUTL(" ")
+13 QUIT
+14 ;
NRJCT ; Existing reject codes, but with updated reject code descriptions
+1 ;;42;Plan's Prescriber database indicates Prescriber ID is inactive/expired
+2 ;;43;Associated DEA to submitted Prescriber ID is inactive or expired
+3 ;;44;Plan's Prescriber database indicates DEA to Prescriber ID not found
+4 ;;46;Assoc DEA to submitted Prescriber ID doesn't allow drug DEA Schedule
+5 ;;63;Product/Service ID Not Covered For Institutionalized Patient
+6 ;;71;Prescriber ID Is Not Covered
+7 ;;421;Purchaser Date of Birth is not used for this Transaction Code
+8 ;;477;Other Payer ID Count Does Not Precede Other Payer ID Data Fields
+9 ;;569;Provide Notice: Medicare Prescription Drug Coverage and Your Rights
+10 ;;597;LTC Dispensing Type Does Not Support The Packaging Type
+11 ;;1R;Version/Release Value Not Supported
+12 ;;1S;Transaction Code/Type Value Not Supported
+13 ;;4Y;Patient Residence Value Not Supported
+14 ;;4Z;Place of Service Not Supported By Plan
+15 ;;7J;Patient Relationship Code Value Not Supported
+16 ;;7K;Discrepancy Between Other Coverage Code And Other Payer Amount
+17 ;;7N;Patient ID Qualifier Value Not Supported
+18 ;;7Q;Other Payer ID Qualifier Value Not Supported
+19 ;;7S;Other Payer Amount Paid Qualifier Value Not Supported
+20 ;;8K;DAW Code Value Not Supported
+21 ;;8R;Submission Clarification Code Value Not Supported
+22 ;;8S;Basis Of Cost Determination Value Not Supported
+23 ;;A6;This Product/Service May Be Covered Under Medicare Part B
+24 ;;MP;Other Payer Cardholder ID Not Covered
+25 ;;PW;Employer ID Not Covered
+26 ;;PX;Other Payer ID Not Covered
+27 ;;RU;Mandatory Elements Must Occur Before Optional Data Elements In Segment
+28 ;;VA;Pay To Qualifier Value Not Supported
+29 ;;VB;Generic Equivalent Product ID Qualifier Value Not Supported
+30 ;;VC;Pharmacy Service Type Value Not Supported
+31 ;;YJ;Medicaid Agency Number Not Supported
+32 ;;Z0;Purchaser Country Code Value Not Supported For Processor/Payer
+33 ;;Z1;Prescriber Alternate ID Qualifier Value Not Supported
+34 ;;Z8;Purchaser Relationship Code Value Not Supported
+35 ;;ZD;Associated Rx/Service Reference Number Qualifier Value Not Supported
+36 ;;ZV;Reported Payment Type Value Not Supported
+37 ;;ZZ;Cardholder ID submitted is inactive. New Cardholder ID on file
+38 ;;
+39 ;
