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Validation messages to Resubmit or Reverse a claim ICR (6248)

Validation messages to Resubmit or Reverse a claim    ICR (6248)

Name Value
NUMBER 6248
IA # 6248
DATE CREATED 2015/10/15
CUSTODIAL PACKAGE E CLAIMS MGMT ENGINE
USAGE Controlled Subscription
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE BPSPSOU1
NAME Validation messages to Resubmit or Reverse a claim
GENERAL DESCRIPTION 
This API does validation checks before resubmitting or
reversing an ECME claim.
STATUS Active
DURATION Till Otherwise Agreed
ID BPSPSOU1
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION VARIABLES
$$VAL(RXIEN,FILL,PSOELIG,ACTION,COB,REVREAS) 
This api validates an ECME claim when Reversing or
Resubmitting the claim.
VARIABLES TYPE VARIABLES DESCRIPTION
RXIEN Input 
Prescription ien number from file 52 (^PSRX).
FILL Input 
Prescription number.
PSOELIG Input 
Tricare or CHAMPVA.
ACTION Input 
"REV" for Reverse or "RES for Resubmit.
COB Output 
Coordination of Benefits.
REVREAS Output 
This variable holds the text reason for reversing a
claim.
$$VAL Output 
0 = Failed validation checks.  1 = Passed validation
checks.
SUBSCRIBING PACKAGE OUTPATIENT PHARMACY
DATE ACTIVATED 2016/01/25