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PSOBPSU1 ICR (4702)

PSOBPSU1    ICR (4702)

Name Value
NUMBER 4702
IA # 4702
DATE CREATED 2005/06/27
CUSTODIAL PACKAGE OUTPATIENT PHARMACY
USAGE Controlled Subscription
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE PSOBPSU1
NAME PSOBPSU1
GENERAL DESCRIPTION
This routine contains apis used mainly by ePharmacy
(Electronic Third Party Billing).
STATUS Active
KEYWORDS
  • ECME
  • EPHARMACY
  • PSOBPSU1
  • BPS
  • ECMESND
  • REVERSE
ID PSOBPSU1
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION VARIABLES
ECMESND(RX,RFL,DATE,FROM,NDC,CMOP,RVTX,OVRC)
This procedure is used to submit a specific
prescription/fill to third party payer through ECME (Electronic Claim
Management Engine).
VARIABLES TYPE VARIABLES DESCRIPTION
RX Input
Pointer to the PRESCRIPTION file (#52).
RFL Input
Pointer to the REFILL multiple (#52.1) in the
PRESCRIPTION file (#52).
DATE Input
Date of service. Ideally, this should be the RELEASE
DATE, but in most cases the FILL DATE is passed in. In case of a future date
is passed, the api replaces it with today's date.
FROM Input
This parameter is mostly used by EMCE to indicate the
function that triggered the claim submission. Here is the current list of
possible values:

PP   - From choosing PP from Patient Prescription Processing
option.  PL   - Pull local from suspense PE   - Pull early from
suspense PC   - Pull CMOPs RN   - Renew OF   - Original Fill BB   - Back
Billing RF   - Refill RL   - Release Rx NDC check - Rebill if billed NDC
doesnt match
release NDC.  CRLB - CMOP Release & Rebill CRLR - CMOP Release &
Reverse (successful release) ERES - Resubmit from ECME user screen CRLX - CMOP
unsuccessful release & reverse RRL  - Original claim rejected, submit another
claim, no reversal DE   - Delete ED   - Edit DDED - Delete in edit DC   -
Discontinue - only reverse un-released PAYABLE DC's, release
date check should be in calling routine.  RS   - Return-to-Stock
NDC Input
Prescription/fill NDC.
CMOP Input
Flag indicating if the prescription/fill is being
transmitted to CMOP (=1) or not (=0).
RVTX Input
Reverse text. This parameter is used by ECME for
submissions that also require a claim to be reversed before it can be
re-submitted (e.g.,"RX RELEASE - NDC CHANGED").
OVRC Input
Set of 3 NCPDP override codes used to override DUR
rejects. They should be separted by "^" (up-arrow), being COD1^COD2^COD3,
where:

COD1 - PROFESSIONAL SERVICE CODE
COD2 - REASON FOR SERVICE CODE
COD3 - RESULT OF SERVICE CODE

$$LSTRFL(RX)
Returns the latest fill for a specific prescription.
VARIABLES TYPE VARIABLES DESCRIPTION
RX Input
Pointer to the PRESCRIPTION file (#52).
$$LSTRFL Output

Returns 0 (zero) for the ORIGINAL FILL,
1 for REFILL 1, 2 for REFILL 2, ...
ECMEACT(RX,RFL,COMM,USR)
Allows other applications to log ECME activities to
the ACTIVITY LOG (#52.3) sub-file in the PRESCRIPTION file (#52).
VARIABLES TYPE VARIABLES DESCRIPTION
RX Input
Pointer to the PRESCRIPTION file (#52).
RFL Input
Pointer to the REFILL multiple (#52.1) in the
PRESCRIPTION file (#52). (Default: latest refill)
COMM Input
Comments to be logged as an activity for the
prescription ECME Activity Log. Up to 75 characters.
USR Input
User responsible for setting the activity. Pointer to
NEW PERSON file (#200). (Default: DUZ)
SUBSCRIBING PACKAGE
MAIL MESSAGE 40948788
Generated from AUG 12, 2020@ IA Listing Descriptions