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Routine: BPSBUTL

Package: E Claims Management Engine

Routine: BPSBUTL


Information

BPSBUTL ;BHAM ISC/MFR/VA/DLF - IB Communication Utilities ;06/01/2004

Source Information

Source file <BPSBUTL.m>

Entry Points

Name Comments DBIA/ICR reference
CLOSE(CLAIM,TRNDX,REASON,PAPER,RELCOP,COMMENT,ERROR,BPSCLO) ; Send IB an update on the CLAIM status for a Closed Claim
CLOSE2(RXIEN,BFILL,BWHERE) ;
CLAIM(RXI,RXR,COB) ;
NABP(RXP,BFILL) ;
DIVNCPDP(BPSDIV) ;
ADDCOMM(BPRX,BPREF,BPRCMNT,BPBKG) ;
REOPEN(BP59,BP02,BPREOPDT,BPDUZ,BPCOMM) ;
GETDAT(RX,FIL,COB,LDOS,LDSUP) ;Returns Last Date of Service and Last Days Supply
NFLDT(RX,FIL,COB) ;Returns Next Avail Fill Date (B04-BT) from ECME - BPS*1.0*15
BBILL(RX,RFILL,COB) ;Return Back Bill Indicator for Pharmacy - BPS*1.0*15
AMT(RX,FIL,COB) ; Return Gross Amount Due - BPS*1*15
; RX - rx ien
; FIL - fill#, defaults to original fill if not passed in
; COB - cob payer sequence, defaults to 1 if not passed in
AMTX ;
ELIG(RX,FIL,COB) ; Veteran Eligibility - BPS*1*15
; RX - rx ien
; FIL - fill#, defaults to original fill if not passed in
; COB - cob payer sequence, defaults to 1 if not passed in
GETBAMT(RXIEN,FILL,COB)
RESUBMIT(RX,REFILL,COB) ; Return Resubmit indicator for Pharmacy - BPS*1*20.
GETCOB(RXIEN,FILL) ; Retrieve the COB payer sequence for usage by PSO
; Input: RXIEN and FILL (both are required)
; Output: Function value will be one of the following
; "" (if the prescription fill cannot be found in BPS Transaction)
; -1 (when there are multiple COB's/payers found in BPS Transaction)
; Otherwise,
; COB#^BPS Transaction IEN
GETCOBX ;
ADDFLDS(RX,FIL,COB) ;Returns Additional NCPDP fields from ECME

FileMan Files Accessed Via FileMan Db Call

FileNo Call Tags
^BPSC - [#9002313.02] Classic Fileman Calls,  GET1^DIQ,  GETS^DIQ
9002313.0201 GET1^DIQ
9002313.0301 GET1^DIQ,  GETS^DIQ
^BPS(9002313.56 - [#9002313.56] GET1^DIQ
^BPST - [#9002313.59] GET1^DIQ,  GETS^DIQ
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