| IA # | Name | Type | Custodial Package | Date Created | DBIC Approval Status | Status | Usage | File # | General Description | Remote Procedure | Routine | Date Activated |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IA # | Name | Type | Custodial Package | Date Created | DBIC Approval Status | Status | Usage | File # | General Description | Remote Procedure | Routine | Date Activated |
| 4146 | BPSUTIL | Routine | E CLAIMS MGMT ENGINE | 2007/02/22 | APPROVED | Active | Controlled Subscription | The application programming interfaces covered by this agreement have been designed to support ePharmacy/ECME Enhancements project and: - provide the Integrated Billing package with the status, date of service and amount paid for the claim by the third party ($$PAIDAMNT), - allow the Integrated Billing user to select and use ePharmacy divisions for reporting purposes ($$SELPHARM, $$MULTPHRM, $$GETPHARM), - return NDPDP # and NPI for Controlled Substance Pharmacy. Amended 8/2022: $$CSNPI added, effective with BPS*1.0*33 and PSO*7.0*680, not used by IB. |
BPSUTIL | 2022/08/03 | ||
| 4150 | STORE POINTERS TO BDP PHARMACYS | File | E CLAIMS MGMT ENGINE | 2007/02/26 | APPROVED | Active | Private | 9002313.56 | Integrated Billing requests to be able to store pointers to BPS Pharmacies file (#9002313.56) in IB file #366.14. |
2007/03/04 | ||
| 4222 | BPS NCPDP DELAY REASON CODE | File | E CLAIMS MGMT ENGINE | 2010/12/13 | APPROVED | Active | Private | 9002313.29 | Integrated Billing (IB) is using a Fileman look-up into the BPS NCPDP DELAY REASON CODE (#9002313.29) file in order to ask the user to choose a valid delay reason code during the IB back billing process. Amendment: Effective 5/15/23, added fields .02, .03 and 2 |
2023/05/16 | ||
| 4300 | DBIA4300 | Routine | E CLAIMS MGMT ENGINE | 2005/11/09 | Retired | Private |
The Outpatient Pharmacy Package requests access to call the Electronic Claims Management Engine (ECME) Package to perform the following functions: |
BPSOSRX | ||||
| 4301 | DBIA4301 | File | E CLAIMS MGMT ENGINE | 2005/11/09 | Retired | Private | 9002313.56 | Outpatient Pharmacy requests to use direct reads to the BPS Electronic Claims Management Engine's (ECME) BPS Pharmacies file (#9002313.56) to verify that a particular Pharmacy is defined to bill third party claims. |
IBNCPDP | |||
| 4305 | DBIA4305 | File | E CLAIMS MGMT ENGINE | 2005/11/09 | Retired | Private | 9002313.99 | Outpatient Pharmacy requests read access to the ECME BPS Setup file (#9002313.99). |
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| 4410 | BPSUTIL | Routine | E CLAIMS MGMT ENGINE | 2005/11/10 | APPROVED | Active | Controlled Subscription | This routine contains several APIs which are used to retrieve some specific information from ECME. $$ECMEON is used to verify if the ECME Application is turned ON or OFF. Other applications, such as Outpatient Pharmacy, need to verify this switch before submitting a prescription to be electronically billed. $$CMOPON is used to verify if the ECME CMOP switch is ON or OFF. $$BPSPLN returns the insurance PLAN NAME field for a particular BPS TRANSACTION file entry. $$BPSINSCO returns the Insurance Company (902.33) field from the BPS TRANSACTION file. |
BPSUTIL | 2007/02/13 | ||
| 4411 | BPSECMP2 | Routine | E CLAIMS MGMT ENGINE | 2005/11/10 | APPROVED | Active | Private | This API is used to send billing information from ECME to IB. |
BPSECMP2 | |||
| 4412 | BPSOSRX | Routine | E CLAIMS MGMT ENGINE | 2004/06/21 | APPROVED | Active | Private | This API is used by external applications to inquire about the status of a ECME Claim. |
BPSOSRX | 2010/08/25 | ||
| 4413 | DBIA4413 | Routine | E CLAIMS MGMT ENGINE | 2005/11/09 | Retired | Private | This API is used to format NDC codes: NNNNN-NNNN-NN |
BPSECFM | ||||
| 4415 | BPSNCPDP | Routine | E CLAIMS MGMT ENGINE | 2004/06/21 | APPROVED | Active | Controlled Subscription | This API is used by external applications to generate claims in the Electronic Claims Management Engine. |
BPSNCPDP | 2011/01/04 | ||
| 4423 | BPS NCPDP FORMATS | File | E CLAIMS MGMT ENGINE | 2005/11/10 | APPROVED | Active | Private | 9002313.92 | Allowing subscribers read access to BPS NCPDP FORMATS file. |
2011/01/03 | ||
| 4500 | DBIA4500 | Routine | E CLAIMS MGMT ENGINE | 2005/11/09 | Retired | Private | To allow pharmacy routines to log messages for ECME to track performance statistics. |
BPSOSL | ||||
| 4547 | BPSC( | File | E CLAIMS MGMT ENGINE | 2006/03/08 | APPROVED | Active | Private | 9002313.02 | Integrated Billing needs read/write access to the following fields of the BPS CLAIMS file (#9002313.02). Field Name Loc Access .07 AUTO REVERSE FLAG 0;7 Direct Read/Write 904 CLOSED REASON 900;4 Direct Read/Write |
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| 4560 | BPSNCPD3 | Routine | E CLAIMS MGMT ENGINE | 2005/02/28 | APPROVED | Active | Private | This API is used by external applications to inquire about DUR information for a prescription. |
BPSNCPD3 | 2011/08/11 | ||
| 4712 | LOOKUP/READ ACCESS TO FILE #9002313.21 | File | E CLAIMS MGMT ENGINE | 2005/07/05 | APPROVED | Active | Controlled Subscription | 9002313.21 | Permission to subscriber packages to make reference to this file to perform lookups or read its fields. No write access. Amendment: Effective 5/15/23, added field 2 |
2023/05/15 | ||
| 4713 | LOOKUP/READ ACCESS TO FILE #9002313.22 | File | E CLAIMS MGMT ENGINE | 2005/07/05 | APPROVED | Active | Controlled Subscription | 9002313.22 | Permission to subscriber packages to make reference to this file to perform lookups or read its fields. No write access. Amendment: Effective 5/15/23, added field 2 |
2023/05/16 | ||
| 4714 | LOOKUP/READ ACCESS TO FILE #9002313.23 | File | E CLAIMS MGMT ENGINE | 2005/07/05 | APPROVED | Active | Controlled Subscription | 9002313.23 | Permission to subscriber packages to make reference to this file to perform lookups or read its fields. No write access. Amendment: Effective 5/15/23, added field 2 |
2023/05/16 | ||
| 4715 | LOOKUP/READ ACCESS TO FILE #9002313.24 | File | E CLAIMS MGMT ENGINE | 2005/07/05 | APPROVED | Active | Controlled Subscription | 9002313.24 | Permission to subscriber packages to make reference to this file to perform lookups or read its fields. No write access. Amendment: Effective 5/15/23, added field 2 |
2023/05/15 | ||
| 4719 | BPSBUTL | Routine | E CLAIMS MGMT ENGINE | 2005/08/16 | APPROVED | Active | Controlled Subscription | This routine contains apis that are being used by outside applications to retrieve/file information relevant to 3rd Party Electronic Billing (ePharmacy). |
BPSBUTL | 2013/07/23 | ||
| 4720 | LOOKUP/READ ACCESS TO FILE #9002313.93 | File | E CLAIMS MGMT ENGINE | 2005/07/07 | APPROVED | Active | Controlled Subscription | 9002313.93 | Permission to subscriber packages to make reference to this file to perform lookups or read its fields. No write access. |
2010/08/25 | ||
| 4812 | DBIA4812 | File | E CLAIMS MGMT ENGINE | 2005/10/12 | APPROVED | Active | Private | 9002313.02 |
The IB package required direct Read access to the following fields of the BPS CLAIMS file (#9002313.02) Field Name Loc Access 1.04 VA PLAN IEN 1;4 Direct Global Read |
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| 4813 | DBIA4813 | File | E CLAIMS MGMT ENGINE | 2005/10/12 | APPROVED | Active | Private | 9002313.03 | The IB package requires Read-only access (both direct global reads and through FileMan) to all fields, nodes, and pieces of the BPS RESPONSES file (#9002313.03) and to all subfiles. |
2010/11/12 | ||
| 5019 | PHARMACY DATA FROM BPS PHARMACIES file | File | E CLAIMS MGMT ENGINE | 2007/07/31 | APPROVED | Active | Private | 9002313.56 | The Kernel Package requests read access using FileMan to the following fields of the BPS PHARMACIES file (#9002313.56). |
2007/09/19 | ||
| 5030 | GETEPHRM | Routine | E CLAIMS MGMT ENGINE | 2007/09/05 | Pending | Private | This API was designed exclusively to serve IB*2.0*363 post-installation process. Thus usage of this API is limited to the IB*2.0*363 post-install routine IB20P363. |
BPS01P5C | ||||
| 5064 | 9002313.25 | File | E CLAIMS MGMT ENGINE | 2007/12/14 | APPROVED | Active | Private | 9002313.25 | 2007/12/14 | |||
| 5287 | E CLAIMS MGMT ENGINE Option Access | E CLAIMS MGMT ENGINE | 2011/05/16 | Withdrawn | ||||||||
| 5417 | EPHARM LOG OF TRANSACTION FILE | File | E CLAIMS MGMT ENGINE | 2009/03/19 | APPROVED | Active | Private | 9002313.57 | The Outpatient Pharmacy package required direct Read access to the following fields/indices of the BPS LOG OF TRANSACTIONS file (#9002313.57). |
2009/03/21 | ||
| 5575 | DBIA5575 | File | E CLAIMS MGMT ENGINE | 2010/11/04 | APPROVED | Active | Private | 9002313.19 | Integrated Billing (IB) is using a FileMan look-up into the BPS NCPDP PATIENT RELATIONSHIP CODE (#9002313.19) in order to ask the user to choose a valid ECME Patient Relationship code to perform a NCPDP Eligibility inquiry. |
2010/11/12 | ||
| 5576 | BPSNCPD9 | Routine | E CLAIMS MGMT ENGINE | 2010/11/08 | APPROVED | Active | Controlled Subscription | BPSNCPD9 | 2011/09/09 | |||
| 5585 | LOOKUP/READ ACCESS TO FILE #9002313.26 | File | E CLAIMS MGMT ENGINE | 2010/12/09 | APPROVED | Active | Controlled Subscription | 9002313.26 | Permission to subscriber package to make reference to this file to perform lookups or read its fields. No write access. Amendment: Effective 5/15/23, added field 2 |
2023/05/15 | ||
| 5723 | VIEW ECME PRESCRIPTION | Routine | E CLAIMS MGMT ENGINE | 2011/09/15 | APPROVED | Active | Controlled Subscription | Allows subscribing packages to call ECME routine BPSVRX in order to build the View ECME Prescription List Manager screen. |
BPSVRX | 2011/09/15 | ||
| 5724 | BPS RPT VIEW ECME RX | Other | E CLAIMS MGMT ENGINE | 2011/09/15 | APPROVED | Active | Private | This agreement allows the ECME option "View ePharmacy Rx" [BPS RPT VIEW ECME RX] to be included on the Outpatient Pharmacy parent menu option "ePharmacy Menu" [PSO EPHARMACY MENU]. |
2011/09/15 | |||
| 6028 | BPSUTIL2 | Routine | E CLAIMS MGMT ENGINE | 2014/02/24 | APPROVED | Active | Private | Integrated Billing requires access to data and indices of the BPS LOG OF TRANSACTIONS file (#9002313.57). The data will be used to match payments to claims. The data will be gathered by calling CLMECME^BPSUTIL2. |
BPSUTIL2 | 2014/06/19 | ||
| 6139 | BPSUTIL2 | Routine | E CLAIMS MGMT ENGINE | 2014/12/02 | APPROVED | Active | Controlled Subscription | The Accounts Receivable (AR) and Integrated Billing (IB) packages need to verify whether a pharmacy electronic claim number returned by a third party payer is valid or not. The verification will be used in the process to match payments received with existing open claims. |
BPSUTIL2 | 2014/12/10 | ||
| 6214 | ECME COMMENTS | Routine | E CLAIMS MGMT ENGINE | 2015/08/19 | APPROVED | Active | Controlled Subscription | This API retrieves comments from the BPS Transaction file in ECME and builds an array of comments for the subscribing packages. |
BPSSCRU3 | 2016/01/25 | ||
| 6226 | Pull Data from BPS Response File | Routine | E CLAIMS MGMT ENGINE | 2015/09/03 | APPROVED | Active | Controlled Subscription | This API pulls data from the BPS Response file in ECME. |
BPSOS03 | 2016/01/25 | ||
| 6248 | Validation messages to Resubmit or Reverse a claim | Routine | E CLAIMS MGMT ENGINE | 2015/10/15 | APPROVED | Active | Controlled Subscription | This API does validation checks before resubmitting or reversing an ECME claim. |
BPSPSOU1 | 2016/01/25 | ||
| 6764 | DEVELOPER LOG | Routine | E CLAIMS MGMT ENGINE | 2017/05/19 | APPROVED | Active | Controlled Subscription | BPSOSL contains APIs for adding entries to the BPS LOG file. |
BPSOSL | 2017/08/02 | ||
| 6938 | Add Additional NCPDP Fields to a Claim | Routine | E CLAIMS MGMT ENGINE | 2018/07/03 | APPROVED | Active | Private | BPSRES1 allows the user to add to a claim NCPDP fields not already on the payer sheet. |
BPSRES1 | 2018/07/26 | ||
| 6939 | Billing Related Functions | Routine | E CLAIMS MGMT ENGINE | 2018/07/03 | APPROVED | Active | Private | BPSPRRX5 contains subroutines related to secondary billing. |
BPSPRRX5 | 2018/07/26 | ||
| 7503 | READ ACCESS ONLY TO BPS RESPONSES FILE | File | E CLAIMS MGMT ENGINE | 2024/10/22 | APPROVED | Active | Private | 9002313.03 | E CLAIMS MGMT ENGINE grants INSURANCE CAPTURE BUFFER FileMan Read access to all fields and cross references in the BPS RESPONSES (#9002313.03) file. Direct global read access of all cross-references is allowed. |
2024/10/22 |