E CLAIMS MGMT ENGINE (198)    PACKAGE (9.4)

Description:
of claim responses (including drug utilization review responses and 
Routine Summary: 
================
The second line now reads as follows: 
 
    <TAB>;;1.0;IHS Pharmacy Point of Sale; **[patch list]**; Jun 2004
 
 CHECK^XTSUMBLD results: 
 
Routine        Checksum Value  
=======        ============== 
warnings) on a real-time basis, is being developed and introduced in a 
BPSECA1         6485606
BPSECA2         1682902
BPSECA4         6220829
BPSECA5         4789118
BPSECA7          711596
BPSECA8         3062006
BPSECA9         4929109
BPSECFM         2542538
BPSECP0         1231669
BPSECP1         8373351
phased implementation strategy. This deployment strategy was utilized due 
BPSECP2         4648149
BPSECP3         8882441
BPSECR0         1379515
BPSECR1         1717840
BPSECR2         3480905
BPSECX0          754266
BPSECX1         4278553
BPSECX4          569954
BPSECZ3         4496980
BPSECZA         4449840
to the complexity of the functionality and the number of product line 
BPSER1A         3879379
BPSER2A         5013615
BPSER3A         3060197
BPSER4A         4098816
BPSES00         1681063
BPSJACK        10839099
BPSJAREG        3471785
BPSJHLI         1245414
BPSJHLT        11644295
BPSJINI1        6280511
dependencies.
BPSJINIT        7809002
BPSJPHNM        7830674
BPSJPREG        3683655
BPSJUTL         2750894
BPSJUTL1        3176342
BPSJVAL         3292489
BPSJVAL1        9341066
BPSJVAL2        7321923
BPSJXI1         1888198
BPSJZPR        10852903
 
BPSJZQR         1211753
BPSJZRP         6572546
BPSMHDR         5172150
BPSOS02          922003
BPSOS03         4762173
BPSOS2          5794835
BPSOS2A         3438805
BPSOS2B        12833055
BPSOS2C         5657589
BPSOS2D         1377421
The first release of this two part implementation is BPS*1*0, comprised of
BPSOS2E         1432527
BPSOS2F            2190
BPSOS6A         1692241
BPSOS6E         2202299
BPSOS6F          975863
BPSOS6G          583939
BPSOS6H         4134763
BPSOS6I        15473221
BPSOS6K         1898226
BPSOS6L         1105023
the new Electronic Claims Management Engine (ECME) package (in the BPS 
BPSOS6N        16897666
BPSOS96          776535
BPSOS97          696242
BPSOSA          2151744
BPSOSAA         2532955
BPSOSAB         9179518
BPSOSAD          613947
BPSOSAM        11538762
BPSOSAN         1994745
BPSOSAO         1873331
namespace), plus the patches PSS*1*81, IB*2.0*223, IB*2.0*251, and 
BPSOSAP         2403666
BPSOSAQ          735144
BPSOSAR         8262363
BPSOSAS         1745519
BPSOSAW         5124351
BPSOSAY         1379312
BPSOSAZ         1186543
BPSOSB           959796
BPSOSB0          113802
BPSOSB1            2139
PRCA*4.5*202, which are listed here in order of installation. BPS*1*0 is a
BPSOSB2            2146
BPSOSB4            2160
BPSOSB5            2167
BPSOSBA          101168
BPSOSBC          617661
BPSOSBD         2674634
BPSOSBE            2279
BPSOSBI            2307
BPSOSBL          101245
BPSOSBP          484897
===========
dormant release that only allows each site to perform preliminary setup 
BPSOSBQ          485350
BPSOSBT          485371
BPSOSBU            2391
BPSOSBW         4604870
BPSOSC1         2746444
BPSOSC2        10781985
BPSOSC3         2261922
BPSOSCA         4059491
BPSOSCF        10660104
BPSOSD1            2151
work and to confirm that the software does not adversely affect other 
BPSOSEC         3788978
BPSOSFD        13905233
BPSOSH2         6439291
BPSOSH4         7279183
BPSOSH5         4709954
BPSOSH6         6286709
BPSOSH7         9955590
BPSOSHF         3902159
BPSOSHR         4748980
BPSOSHU          358514
packages.
BPSOSI          6988972
BPSOSI7         2207252
BPSOSI8         7983989
BPSOSIB         1520498
BPSOSIO         1817298
BPSOSIP          124772
BPSOSIW         2934848
BPSOSIY        13182481
BPSOSIZ         9743963
BPSOSJ1         2985572
 
BPSOSK          5983189
BPSOSK2         1179461
BPSOSL          7117465
BPSOSL1         2520334
BPSOSM          2149792
BPSOSM1        10236213
BPSOSMA         2958187
BPSOSMB         3244227
BPSOSMC         5914845
BPSOSMZ         1902484
There are two main areas addressed by BPS*1*0:
BPSOSN0            2010
BPSOSN4          844510
BPSOSN7          289249
BPSOSO1         1391042
BPSOSO2         6339508
BPSOSO3            2231
BPSOSO4            2238
BPSOSO5            2245
BPSOSQ1         2227577
BPSOSQ2         8749786
 
BPSOSQ3        10336941
BPSOSQ4         8580589
BPSOSQF         2968761
BPSOSQG         5287867
BPSOSQH          957180
BPSOSQJ         6618401
BPSOSQL        10953965
BPSOSQS         8333856
BPSOSR1         6141326
BPSOSR2          579087
a. Registration of the Pharmacy with the Vitria BusinessWare IE.
BPSOSR4         4195196
BPSOSRB         8237522
BPSOSS2         2327741
BPSOSS3          670477
BPSOSS6          214430
BPSOSS7           67706
BPSOSS8         7915679
BPSOSS9         1158213
BPSOSSG        11401688
BPSOSU1         2630136
b. The Insurance Matching of Group Plans with Pharmacy Plans
BPSOSU2         1004112
BPSOSU3          877677
BPSOSU4         4710582
BPSOSU5          764934
BPSOSU7         2698763
BPSOSU8         3768830
BPSOSU9         1857421
BPSOSUA         8511603
BPSOSUB         3172501
BPSOSUC         1896200
 
BPSOSUD         6705940
BPSOSUE         4667712
BPSOSX          6863167
BPSOSXA            2383
BPSOSXE         1952199
BPSRDT         12823556
BPSUTIL          464990
 
 
Documentation Retrieval:
Following the installation of BPS*1*0, each site must register their 
========================
 
The ECME documentation is available on the ANONYMOUS.SOFTWARE directory
at one of the following Office of Information (OI) Field Offices.
 
Sites may retrieve documentation in one of the following ways:
 
(1) The preferred method is to FTP the files from
    download.vista.domain.ext, which will transmit the files from the
    first available FTP server.
 
pharmacy with Vitria and match applicable insurance group plans using the 
 
(2) Sites may also elect to retrieve documentation directly from a
    specific server as follows:
 
    Albany          ftp.fo-albany.domain.ext
    Hines           ftp.fo-hines.domain.ext
    Salt Lake City  ftp.fo-slc.domain.ext 
 
The documentation distribution includes:
 
insurance matching screens. These processes are detailed in the HIPAA 
   FILE NAME                        DESCRIPTION
   BPS_1_0_IG.PDF                   HIPAA NCPDP CONNECTION FOR EDI 
                                    PHARMACY (DORMANT RELEASE)
                                    INSTALLATION GUIDE 
   BPS_1_0_RN.PDF                   HIPAA NCPDP CONNECTION FOR EDI
                                    PHARMACY (DORMANT RELEASE)
                                    RELEASE NOTES
   IB_2_251_TM.PDF                  INTEGRATED BILLING IB*2.0*251 
                                    (e-PHARMACY) TECHNICAL MANUAL
   IB_2_251_UM.PDF                  e-PHARMACY CLAIMS INSURANCE PROCESS
NCPDP CONNECTION FOR EDI PHARMACY INSTALLATION GUIDE and the E-PHARMACY 
                                    USER MANUAL
 
(3) Documentation can also be retrieved from VISTA Documentation Library
(VDL) on the Internet at the following address, http://www.domain.ext/vdl.
 
Installation Instructions:
==========================  
 
The software for this patch is being distributed via a host file.  The 
host file will contain the following package and builds:
CLAIMS INSURANCE PROCESS document. Both of these documents are located on
 
       Host file name BPS_1_0.KID
 
               Package:
                       BPS_1
 
               Builds:
                       PSS*1.0*81 
                       IB*2.0*223
                       IB*2.0*251
the anonymous directory. It is very important that the IRM or person
                       PRCA*4.5*202
 
Sites may retrieve the software directly by using FTP from the 
ANONYMOUS.SOFTWARE directory at the following OI Field Offices:
 
       Albany:         ftp.fo-albany.domain.ext
       Hines:          ftp.fo-hines.domain.ext
       Salt Lake City: ftp.fo-slc.domain.ext
 
Do not install this patch while Pharmacy Data Management users are using 
installing the patch at each facility provide a copy of these documents to
the software. Installation will take no longer than 15 minutes. There are
no scheduling restrictions or recommendations.
 
Installation Steps
 
 1. Use VA FileMan to add the new domain, EPHARMACY.VITRIA-EDI.AAC.DOMAIN.EXT,
    to the DOMAIN file (#4.2). The installation instructions are included
    in the patch description for the XM*DBA*160 patch. This domain must be
    in place before the installation of the IB*2*251 patch that is
    included in the BPS 1.0 Master Build.
its ADPAC(s) and any other relevant staff who will be responsible for
 
 2. Download the KIDS file BPS_1_0.KID via FTP. This file needs to be 
    retrieved in ASCII format.
 
 3. Review mapped sets for the PSS*, IB*, and PRCA* namespaces.  If the 
    routines are mapped, they should be removed from the mapped set at
    this time.
 
 4. From the Kernel Installation & Distribution System menu, select the 
    Installation menu.
registering their pharmacy with Vitria and completing the insurance 
 
 5. From this menu, select the Load a Distribution option. When prompted 
    for a file name, enter the directory name where you FTPd the build, 
    followed by BPS_1_0. In our example, the file name is
    USER$:[ANONYMOUS]BPS_1_0.KID. Determine the location where you stored
    your build to decide the correct file name entry.
 
 6. At the "Want to Continue with Load? YES//" prompt, enter YES.
 
 7. At the "Want to RUN the Environment Check Routine: YES//" prompt, 
matching process.
    answer YES.
 
 8. From this menu, the installer may select to use the following options:
 
(When prompted for INSTALL NAME, enter BPS 1.0)
 
    a. Backup a Transport Global - This option will create a backup 
    message of any routines exported with the patch. It will NOT backup
    any other changes such as DDs or templates.
 
 
    b. Compare Transport Global to Current System - This option will allow
    you to view all changes that will be made when the patch is installed.
    It compares all components of the patch (routines, DDs, templates,
    etc.).
 
    c. Verify Checksums in Transport Global - This option will ensure the 
    integrity of the routines that are in the transport global.
 
 9. At the "Select Installation Option:" prompt, enter 6 Install 
    Package(s)
PATCH OVERVIEW
At a later date, additional HIPAA NCPDP patches will be released to 
 
10. At the "Select INSTALL NAME:" prompt, enter BPS 1.0.
 
11. When prompted, "Want KIDS to Rebuild Menu Trees Upon Completion of 
    Install? YES//" respond NO.
 
12. When prompted, "Want KIDS to INHIBIT LOGONs during the install? YES//"
    respond NO.
 
13. When prompted, "Want to DISABLE Scheduled Options, Menu Options, and 
activate all of the HIPAA NCPDP functionality. Until that time, sites will
    Protocols? YES//" respond NO.
 
14. When prompted, "Device:Home//" respond with the correct device and DO 
    NOT queue this to P-Message.
 
15. If routines were unmapped as part of step 3, they should be returned 
    to the mapped set once the installation has run to completion.
not be able to electronically submit claims utilizing this new 
functionality.
 
The HIPAA NCPDP project was created in response to a Chief Business Office
(CBO) request for modifications to several Veterans Health Information 
Systems and Technology Architecture (VistA) software applications in 
accordance with HIPAA Electronic Data Interchange (EDI) transactions and 
NCPDP mandated format standards, specifically the NCPDP Telecommunication 
 
Standard v.5.1.
 
The specific functionality for this patch is listed below.
 
(1)  A user interface has been developed to facilitate entry and filing
     Registration and Point of Contact information for each specific
     Application (Site) and Pharmacies at a site.
 
(2)  An HL7 interface is included that will create and send HL7 messages
     containing the Application and Pharmacy Registration data to Vitria.
The Healthcare Insurance Portability and Accountability Act National 
     This data notifies Vitria that the site will soon be sending 
     electronic third party pharmacy claims. 
 
(3)  An additional HL7 interface is included which receives messages from
     Vitria containing the most up to date Payer Sheet data, and files the
     data into the appropriate Vista table. This interface will run 
     continously, and will keep the site updated with the most recent
     changes and additions to the third party Payer sheets.
 
New Globals:
Council for Prescription Drug Programs (HIPAA NCPDP) initiative, whose 
============
 
The following globals will be created when installing this build.
 
^BPS            -       MOSTLY STATIC
^BPSC           -       VERY DYNAMIC - WILL CONTINUALLY GROW
^BPSCOMB        -       STATIC - CURRENTLY NOT USED BY THE VA
^BPSECP         -       DYNAMIC - DOESNT GROW
^BPSECX         -       DYAMIC - DOESNT GROW A LOT
^BPSEI          -       STATIC - CURRENTLY NOT USED BY THE VA
ultimate goal is to provide functionality allowing electronic transmission
^BPSF           -       STATIC - DOESNT GROW
^BPSR           -       DYNAMIC - GROWS CONTINUALLY
^BPST           -       DYNAMIC - GROWS
^BPSTL          -       DYNAMIC - GROWS
 
 
Associated NOISs:
=================
N/A
 
of Outpatient Pharmacy (OP) prescription claims to payers and the receipt 
 
Test Sites:
===========
NEW YORK HARBOR HCS
NORTH TEXAS HCS
ANN ARBOR, MI       
BATTLE CREEK, MI     
DETROIT, MI
IRON MOUNTAIN, MI