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PSOREJU4 ICR (5063)

PSOREJU4    ICR (5063)

Name Value
NUMBER 5063
IA # 5063
DATE CREATED 2007/12/14
CUSTODIAL PACKAGE OUTPATIENT PHARMACY
USAGE Private
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE PSOREJU4
NAME PSOREJU4
GENERAL DESCRIPTION
This routine contains APIs to be used by ECME package
to pass Third Party Reject information to the Pharmacy Reject Worklist.

STATUS Active
KEYWORDS
  • WRKLST
  • PSOREJU4
DURATION Till Otherwise Agreed
ID PSOREJU4
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION VARIABLES
$$WRKLST(RX,RFL,COMMTXT,USERID,DTTIME,OPECC,RXCOB)
External API to store reject codes other that
79/88/Tricare on the OP Reject Worklist.
VARIABLES TYPE VARIABLES DESCRIPTION
RX Input
Prescription IEN.
RFL Input
Fill number being processed.
COMMTXT Input
Array with the comments where:

Name:  COMMTXT
Description:  The number of comments lines

Name:  COMMTXT(1)
Description:   Comment line 1.

Name:   COMMTXT(2)
Description:  Comment line 2.
USERID Input
User's IEN.
DTTIME Input
Date/time the OPECC sent the fill to the Pharmacy
Reject Worklist.
OPECC Input
A value of 1 for OPECC flagged for Pharmacy to
resolve or 0 (zero) not OPECC flagged.
STATUS Output
Returns: 1 - success 2 - already in the Pharmacy work
list 0^error text - error flag with the error text message for the User Screen
user.
Example 0 returned values:
0^1-fill not on file.
RXCOB Input
Coordination of benefits indicator may contain a
value of 1 (one) for primary, 2 (two) for secondary, or 3 (three) for
tertiary.
$$INLIST(RXIEN,FILL,RXCOB)
This API returns whether the prescription fill has
unresolved third party rejects.
VARIABLES TYPE VARIABLES DESCRIPTION
RX Input
Prescription IEN
RFL Input
Prescription fill number
REJ Output
Contains either 1 (one) meaning the prescription has
third party rejects or 0 (zero) meaning the prescription does not have
unresolved third party rejects.
RXCOB Input
Coordination of benefits indicator may contain a
value of 1 (one) for primary, 2 (two) for secondary, or 3 (three) for
tertiary.
AUTOREJ(CODES,PSODIV)
API to evaluate an array of reject codes to see if
they are allowed to be passed to OP reject Worklist.
VARIABLES TYPE VARIABLES DESCRIPTION
CODES Both
Array of reject codes to be evaluated to see if there
are overrides defined for them in EPHARMACY SITE PARAMETERS file (#52.86).
Reject codes defined in this file are allowed to be passed onto the OP Third
Party Reject Worklist. These reject codes are other than 79/88/Tricare third
party reject codes which automatically are stored on the OP Third Party Reject
Worklist.


The following values are returned:

CODES(SEQ,REJECT)= Array of reject codes.  Individual reject codes may be
defined in EPHARMACY SITE PARAMETERS file (#52.86) as override codes meaning
they can pass to the OP Third Party Reject Worklist automatically.  A retuned
value of 1 (one) for a reject code means the code may be automatically passed
to the OP Third Party Reject Worklist.  A value of 0 (zero) means the code may
not be sent.

DIV Input
Division for the prescription fill, and this
parameter is optional.
SUBSCRIBING PACKAGE E CLAIMS MGMT ENGINE
DATE ACTIVATED 2013/07/23