| DESCRIPTION OF ENHANCEMENTS |
This patch supports the National Council for Prescription Drug Programs (NCPDP)
instructions please refer to the installation steps provided in each of the
stand-alone patches.
Enhancements included in the release of the six patches are a new option that
will enable the user to reopen a closed Electronic Claims Management Engine
(ECME) claim; updates to the Rx Activity Log; and permanent storage of Claims
activity information as reported by the ECME Billing Events Report.
This patch modifies the Outpatient Pharmacy (OP) V. 7.0 application in the
following areas:
standard which was adopted under the Healthcare Insurance Portability and
1. When the DAW CODE was edited on a released Consolidated Mail Outpatient
Pharmacy (CMOP) prescription it was not triggering an automatic claim
reversal/re-submit to the third party payer. This patch corrects the
problem. Editing the DAW CODE on a released CMOP prescription will work
similar to editing a WINDOW prescription, it will reverse/re-submit a
claim.
2. The ECME Reject section of the prescription activity log was changed in
the following ways:
Accountability Act (HIPAA) for pharmacy claims. This patch is one of six to be
2.1) The column header "Date/Time" was changed to "Date/Time Rcvd" because
a new column is being created (see 2.3).
2.2) "DRUG UTILIZATION REVIEW" in the "Reject" column will now display as
"DUR" for space saving purposes.
2.3) A new column is being created called "Date/Time Resolved" on the
right hand side to display the Date/Time the reject was resolved.
3. The option Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST]
is being changed to allow the user to print a label for window
released. Three patches will be released in a KIDS multi-build distribution
prescriptions after a reject is resolved. The label print prompt will only
be available if the prescription is active and no label was printed for
the fill which reject was resolved. The following prompts will be
presented to the user:
Print Label? YES // YES
Select LABEL DEVICE:
4. When the user resolved a third party reject using the 'Override Reject'
containing: BPS*1*3, PSO*7*247, and IB*2*342. Three patches will be released
action from the Third Party Payer Rejects - Worklist [PSO REJECTS
WORKLIST] option, the entry in the Prescription activity log
corresponding to this event was not displaying the NCPDP override codes
entered by the user. Before this fix the comment displayed as
'Submitted to ECME:REJECT WORKLIST-E PAYABLE'. After this patch is
installed the comment will be logged as 'Submitted to ECME:REJECT
WORKLIST-DUR OVERRIDE CODES(NN/AS/1B)-E PAYABLE', as an example.
individually and they are: PRCA*4.5*247, PSX*2*62, and PSS*1*115. There is no
recommended order to installing the stand-alone patches and they can be
installed independently of the multi-build as there is no dependency between
the multi-build distribution and the stand-alone patches. For more specific
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