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e-Pharmacy HL7 Processing ICR (6250)

e-Pharmacy HL7 Processing    ICR (6250)

Name Value
NUMBER 6250
IA # 6250
DATE CREATED 2015/10/15
CUSTODIAL PACKAGE INTEGRATED BILLING
USAGE Controlled Subscription
TYPE Routine
DBIC APPROVAL STATUS APPROVED
ROUTINE IBCNRHLU
NAME e-Pharmacy HL7 Processing
GENERAL DESCRIPTION 
ECME (Electronic Claims Management Engine) is the
initial receiving point for incoming HL7 messages from FSC (Financial Services
Center).  When the system detects that an inbound MFN (Master File
Notification) message is intended to update the IB (Integrated Billing) files
of e-Pharmacy, then ECME makes the following calls into the IB processing
routines to accomplish the task.
STATUS Active
DURATION Till Otherwise Agreed
ID IBCNRHLU
COMPONENT/ENTRY POINT
COMPONENT/ENTRY POINT COMPONENT DESCRIPTION
HLT 
Receive e-Pharmacy MFN (Master File Notification)
message.  Local variable SEG should be defined upon entry and contains the
segment identifier.  Local array IBSEG should also be defined upon entry and
contains the parsed data from the inbound MFN message for processing.  The
data from the HL7 message is stored into the following files/sub-files,
depending on the particular segment groupings being processed:

Segment ID     File/Sub-file
----------     -------------
ZPT            366.01   NCPDP PROCESSOR

ZCM            366.012  NCPDP PROCESSOR (CONTACT MEANS

sub-file)



ZPB            366.02   PHARMACY BENEFITS MANAGER (PBM)

ZCM            366.022  PHARMACY BENEFITS MANAGER (PBM)

(CONTACT MEANS sub-file)



ZPL            366.03   PLAN

ZCM            366.032  PLAN (CONTACT MEANS sub-file)



ZPP            366.03   PLAN

ZCM            366.0312 PLAN (RX CONTACT MEANS sub-file)
MFK 
Send e-Pharmacy MFK (Master File Application
Acknowledgment) message.  Local array DATAMFK should be defined upon entry and
contains the data to populate the MFI (Master File Identification) and MFA
(Master File ACK) segments.
ERR 
Send e-Pharmacy HL7 error messages to the local mail
group defined in MESSAGES MAILGROUP (field #51.04) within IB SITE PARAMETERS
(file #350.9).  Local array MSG should be defined upon entry and contains the
actual error text message to be sent in the MailMan message.
SUBSCRIBING PACKAGE E CLAIMS MGMT ENGINE
DATE ACTIVATED 2016/02/01