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DBIA4300 ICR (4300)

DBIA4300    ICR (4300)

Name Value
NUMBER 4300
IA # 4300
DATE CREATED 2005/11/09
CUSTODIAL PACKAGE E CLAIMS MGMT ENGINE
CUSTODIAL ISC Birmingham
USAGE Private
TYPE Routine
ROUTINE BPSOSRX
NAME DBIA4300
GENERAL DESCRIPTION


The Outpatient Pharmacy Package requests access to call the Electronic Claims
Management Engine (ECME) Package to perform the following functions:
STATUS Retired
KEYWORDS
  • NCPDP
  • HIPAA
  • ECME
DURATION Till Otherwise Agreed
ID BPSOSRX
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION VARIABLES
$$CLAIM(BRXIEN,BFILL)
Submits a prescription to the Electronic Claims
Management Engine (ECME) for claims generation and transmission.
VARIABLES TYPE VARIABLES DESCRIPTION
BRXIEN Input
Prescription IEN.
BFILL Input
Fill number.
X Output
ECME will return:

0^reason = failure (should never happen)
1 = accepted for processing
$$UNCLAIM(BRXIEN,BFILL)
This entry point reverses a previously paid claim on
a prescription.
VARIABLES TYPE VARIABLES DESCRIPTION
BRXIEN Input
Prescription IEN.
BFILL Input
Fill number.
X Output

ECME will return:

0^reason = failure (should never happen)
1 = accepted for processing
$$STATUS(BRXIEN,BFILL)
This function returns the ECME billing status of a
particular prescription.
VARIABLES TYPE VARIABLES DESCRIPTION
BRXIEN Input
Prescription IEN
BFILL Input
Fill number.
X Output
Returned value from ECME:

X = result^time^description

Where:

result =  E PAYABLE, E REJECTED, E CAPTURED, E DUPLICATE, E REVERSAL ACCEPTED,
E REVERSAL REJECTED, E OTHER, PAPER, PAPER REVERSAL

time = fileman date and time of last recorded update in ECME

description = Waiting to start, Waiting for packet build, Waiting to transmit,
Processing response, Payable, Rejected, Reversal Accepted, Reversal Rejected

If there's no ECME record of this prescription and fill, returns null.
SHOWQ
This entry point displays the number of Claims
waiting to be submitted and the number of claims waiting to be reversed.

Example:   D SHOWQ^BPSOSRX

Returns:

CLAIM - none
UNCLAIM - none
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
OUTPATIENT PHARMACY Birmingham