| DESCRIPTION OF ENHANCEMENTS |
This patch changes the upper limit of the DAYS TO PULL FROM SUSPENSE Field
transmission, then the software will add the number of days from this
parameter to the print through date and process any other prescriptions it
finds in that extended print through date for that patient.
The DAYS TO PULL SUSPENDED CS CMOP Field (#3.1) controls the bundling of
controlled substances for CMOP transmissions. So, if a patient has at
least one prescription that falls within the print through date for the
controlled substances CMOP transmission, then the software will add the
number of days from this parameter to the print through date and process
any other prescriptions it finds in that extended print through date for
(#3) and the DAYS TO PULL SUSPENDED CS CMOP Field (#3.1) of the OUTPATIENT
that patient.
The field name DAYS TO PULL SUSPENDED CS CMOP has been changed to DAYS TO
PULL SUSPENSE CMOP CS.
****NOTE****
The change to the DAYS TO PULL FROM SUSPENSE Field (#3) and DAYS TO PULL
SUSPENSE CMOP CS Field (#3.1) of the OUTPATIENT SITE File (#3) may lead to
NCPDP Reject 79 Refill Too Soon (RTS) claims.
SITE File (#59) from 10 to 15 days.
If the claim submission returns a Refill Too Soon (79) reject, the label
is NOT printed for the prescription and it is moved to the Refill Too
Soon/DUR section of the patient Medication Profile screen until the user
resolves the reject. The prescription will also display on the Third-Party
Payer Reject Worklist. If the claim submission returns a Reject Resolution
Required reject, the label is NOT printed for the prescription and it is
moved to the Reject Resolution Required section of the Third-Party Payer
Reject - Worklist.
Please search for additional guidance on the eRevenue Resources main
landing page for Refill Too Soon. Guidance documents for COVID-19 Refill
Too Soon Override. The landing page may be accessed at:
https://vaww.vashare.domain.ext/sites/eRevenueResources/Pages/HomePage.asp
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The DAYS TO PULL FROM SUSPENSE Field (#3) controls the bundling of all
prescriptions for local dispensing suspense batches and for non-controlled
substances for Consolidated Mail Outpatient Pharmacy (CMOP) transmissions.
So, if a patient has at least one prescription that falls within the print
through date for the local batch or non-controlled substances CMOP
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