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Routine: IBCBB14

Package: Integrated Billing

Routine: IBCBB14


Information

IBCBB14 ;ALB/WCJ - CONTINUATION OF EDIT CHECK ROUTINE FOR EPHARM ;15 Mar 2018 9:50 PM

Source Information

Source file <IBCBB14.m>

Entry Points

Name Comments DBIA/ICR reference
VALNDC(IBIFN,IBDFN) ; IB*2*363 - validate NDC# between PRESCRIPTION file (#52)
; and IB BILL/CLAIMS PRESCRIPTION REFILL file (#362.4)
; input - IBIFN = internal entry number of the billing record in the BILL/CLAIMS file (#399)
; IBDFN = internal entry number of patient record in the PATIENT file (#2)
RXNPI(IBIFN) ; check for multiple pharmacy npi's on the same bill
ROICHK(IBIFN,IBDFN,IBINS) ; ROI Check
; Verify that an ROI is on file if the drug is flagged as sensitive.
; No ROI is required if the Date of Service is on or after the
; Mission Act Implementation Date (1/28/2019).
; input - IBIFN = IEN of the Bill/Claims file (#399)
; IBDFN = IEN of the patient
; IBINS = IEN of the payer insurance company (#36)
; OUTPUT - 0 = no error
; 1 = a prescription is sensitive and there is no ROI on file
ROICHKQ ;
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