IBNCPDP ;OAK/ELZ - APIS FOR NCPCP/ECME ;1/9/08 17:27
Source file <IBNCPDP.m>
Package | Total | Call Graph |
---|---|---|
Integrated Billing | 3 | $$RX^IBNCPDP1 $$ECME^IBNCPDP2 $$UPAWP^IBNCPDP3 |
Pharmacy Data Management | 1 | $$PSSBILSD^PSS50 |
action | A | extended action | Ea | event driver | Ed | subscriber | Su | protocol | O | limited protocol | LP | run routine | RR | broker | B | edit | E | server | Se | P | screenman | SM | inquire | I |
Package | Total | Caller Graph |
---|---|---|
E Claims Management Engine | 5 | BPSBUTL BPSECMP2 BPSNCPD2 BPSOSRX7 BPSRPT9A |
Integrated Billing | 2 | IBNCPDP1 IBNCPUT1 |
Outpatient Pharmacy | 2 | PSOBPSU1 PSOSULB2 |
Name | Comments | DBIA/ICR reference |
---|---|---|
RX(DFN,IBD) | ; IB Billing Determination
; this is called by PSO for all prescriptions issued, return is ; a response to bill ECME or not with array for billing data elements ; third piece of return is an Eligibility indicator for the prescription |
|
STORESP(DFN,IBD) | ; this is an API for pharmacy/ecme to use to relay
; results of billing using the ecme software. If electronic billing is ; successful, then bills will be established. If not, then we will ; flag the entry in ct for paper or not billable. |
|
UPAWP(IBNDC,IBAWP,IBADT) | ; used to update AWPs. This is an API that
; pharmacy will call. |
|
BILLABLE(DRUG,ELIG,IBRMARK,IBBDAR) | ; used to pass the ePharmacy Billable Status
|
|
BILLQ | ;
|
Name | Line Occurrences |
---|---|
BILLQ | BILLABLE+14, BILLABLE+27, BILLABLE+37, BILLABLE+48 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
DFN | RX~, RX+50, STORESP~, STORESP+52 |
DRUG | BILLABLE~, BILLABLE+14, BILLABLE+17 |
DT | UPAWP+10 |
ELIG | BILLABLE~, BILLABLE+15*, BILLABLE+27, BILLABLE+37, BILLABLE+48 |
EPHNODE | BILLABLE+11~, BILLABLE+17*, BILLABLE+20, BILLABLE+21, BILLABLE+22, BILLABLE+28, BILLABLE+38, BILLABLE+39, BILLABLE+49, BILLABLE+50 |
IBADT | UPAWP~, UPAWP+10 |
IBAWP | UPAWP~, UPAWP+10 |
IBBDAR | BILLABLE~ |
IBBDAR("DRUG- | BILLABLE CHAMPVA" , BILLABLE+22*, BILLABLE TRICARE" , BILLABLE+21* |
IBBDAR("DRUG-BILLABLE" | BILLABLE+20* |
IBD | RX~, RX+50, STORESP~, STORESP+52 |
IBNB | RX+49~, RX+52*, RX+53 |
IBNDC | UPAWP~, UPAWP+10 |
IBRES | RX+49~, RX+50*, RX+53*, RX+54, BILLABLE+11~, BILLABLE+12*, BILLABLE+28*, BILLABLE+38*, BILLABLE+39*, BILLABLE+49* , BILLABLE+50*, BILLQ+1 |
IBRMARK | BILLABLE~, BILLABLE+12*, BILLABLE+28!, BILLABLE+38!, BILLABLE+39!, BILLABLE+49!, BILLABLE+50! |
U | RX+53, BILLABLE+20, BILLABLE+21, BILLABLE+22, BILLABLE+28, BILLABLE+38, BILLABLE+39, BILLABLE+49, BILLABLE+50 |