EPHARMACY BILLABLE STATUS ICR (6243)

Name

Value

NUMBER

6243

IA #

6243

DATE CREATED

2015/10/06

CUSTODIAL PACKAGE

INTEGRATED BILLING

USAGE

Controlled Subscription

TYPE

Routine

DBIC APPROVAL STATUS

APPROVED

ROUTINE

IBNCPDP

NAME

EPHARMACY BILLABLE STATUS

GENERAL DESCRIPTION

This function returns the ePharmacy Billable status to
subscribing packages.  The subscribing application shall pass in the
PRESCRIPTION File #52 IEN and the BILLING ELIGIBILITY INDICATOR: TRICARE(T),
CHAMPVA(C), or VETERAN(V) field of PRESCRIPTION file to make this
determination.

STATUS

Active

DURATION

Till Otherwise Agreed

IBNCPDP

COMPONENT/ENTRY POINT

VARIABLES

$$BILLABLE(DRUG,ELIG,IBRMARK,IBBDAR)

VARIABLES	TYPE	VARIABLES DESCRIPTION
DRUG	Input	Prescription File IEN (required)
ELIG	Input	Billing Eligibility Indicator (T,C,V), field #85 of the Prescription file or Refill sub-file. If not defined, assume "V" (Veteran)
IBRMARK	Output	Return value is in the format: "DRUG NOT BILLABLE" - only set if drug is not billable (pass by reference)
IBBDAR	Output	Return array is in the following format: IBBDAR("DRUG-BILLABLE")=1 or 0 IBBDAR("DRUG-BILLABLE TRICARE")=1 or 0 IBBDAR("DRUG-BILLABLE CHAMPVA")=1 or 0

SUBSCRIBING PACKAGE

DATE ACTIVATED

2016/02/01