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Sub-Field: 9002313.1301

Package: E Claims Management Engine

BPS RESPONSES(#9002313.03)-->9002313.0301-->9002313.1301

Sub-Field: 9002313.1301


Information

Parent File Name Number Package
9002313.0301 PREFERRED PRODUCT REPEATING 9002313.1301 E Claims Management Engine

Details

Field # Name Loc Type Details
.01 PREFERRED PRODUCT COUNTER 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Type a number between 1 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    Sequential counter of the Preferred Product occurrences.
  • CROSS-REFERENCE:  9002313.1301^B
    1)= S ^BPSR(DA(2),1000,DA(1),551.01,"B",$E(X,1,30),DA)=""
    2)= K ^BPSR(DA(2),1000,DA(1),551.01,"B",$E(X,1,30),DA)
552 FORMULARY ALT ID QUALIFIER 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    Code qualifying the type of product ID submitted in 'Preferred Product ID' (553).
553 FORMULARY ALTERNATIVE ID 1;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>19!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 1-19 characters in length.
  • DESCRIPTION:  
    Alternate product recommended by the plan.
554 FORMULARY ALT INCENTIVE 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<8) X
  • OUTPUT TRANSFORM:  S Y="$"_$J($$DFF2EXT^BPSECFM(Y),7,2)
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 8 characters in length.
  • DESCRIPTION:  
    Amount of pharmacy incentive available for substitution of preferred product.
555 FRMULRY ALT ESTMTD PT COST SHR 1;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<8) X
  • OUTPUT TRANSFORM:  S Y="$"_$J($$DFF2EXT^BPSECFM(Y),7,2)
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 8 characters in length.
  • DESCRIPTION:  
    Amount of patient's copay/cost-share incentive for preferred product.
556 FORMULARY ALT DESCRIPTION 1;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    Free text message.
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