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| # | Location | File | Last Modified |
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| 1 | MCCF EDI TAS ePharmacy 031218.zip\MCCF EDI TAS ePharmacy 031218 | TAS+ePhm+SDD+US575+v1.01.docx | Sun Mar 11 20:04:08 2018 UTC |
| 2 | MCCF EDI TAS ePharmacy 031218.zip\MCCF EDI TAS ePharmacy 031218 | TAS+ePhm+SDD+US575+v1.01.docx | Wed Apr 18 00:10:20 2018 UTC |
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| 1 | MCCF EDI T AS US575 | |
| 2 | System Des ign Docume nt | |
| 3 | ||
| 4 | ||
| 5 | ||
| 6 | ||
| 7 | ||
| 8 | Department of Vetera ns Affairs | |
| 9 | January 20 18 | |
| 10 | Version 1. 01 | |
| 11 | User Story Number: U SRX-8 | |
| 12 | User Story Name: Nee d most rec ent versio n of the N CPDP Telec ommunicati on standar d transact ion | |
| 13 | Product Ba cklog ID: 169 | |
| 14 | Backlog Pr iority: 31 | |
| 15 | Initial Si zing Estim ate: | |
| 16 | Rational I D: 828268 | |
| 17 | Rally ID: US575 | |
| 18 | Epic Taxon omy: eBiz Compliance | |
| 19 | ||
| 20 | Design – S ummary | |
| 21 | The Nation al Council for Presc ription Dr ug Program s (NCPDP) publishes updates to the Exter nal Code L ists (ECLs ) on a qua rterly bas is. The a nnual ECL implementa tion sched ule incorp orates up to four (4 ) ECL publ ications e ach year. The new a nnual ECL implementa tions beco me effecti ve each Oc tober. NC PDP may pu blish emer gency ECL updates wh ich are re quired to be impleme nted any d ate prior to the sch eduled ann ual implem entation d ate, but m ust be at least 180 days from the public ation date . | |
| 22 | In reviewi ng the lat est NCPDP Implementa tion Guide (October 2017), it was determ ined that updates mu st be made to the Vi stA files correspond ing to ECL s. This st ory concer ns updates to the fo llowing fi les: BPS N CPDP REJEC T CODES, B PS NCPDP C LARIFICATI ON CODES, BPS NCPDP RESULT OF SERVICE CO DE, and BP S NCPDP OT HER PAYER AMT PAID Q UAL. | |
| 23 | ||
| 24 | List of Co mponents: | |
| 25 | Routine: B PS23PRE | |
| 26 | File: 9002 313.93 - B PS NCPDP R EJECT CODE S | |
| 27 | File: 9002 313.22 - B PS NCPDP R ESULT OF S ERVICE COD E | |
| 28 | File: 9002 313.25 - B PS NCPDP C LARIFICATI ON CODES | |
| 29 | File: 9002 313.2 - BP S NCPDP OT HER PAYER AMT PAID Q UAL | |
| 30 | ||
| 31 | Design – D etail | |
| 32 | A BPS patc h Pre-Inst allation r outine BPS 23PRE will need to b e created. The pre- install ro utine will call tags that will update de scriptions and add n ew ECL cod es to the various Vi stA files. Each tag that is b eing calle d will be described in detail in separat e sections following this tabl e. | |
| 33 | ||
| 34 | Subroutine Name | |
| 35 | EN^BPS23PR E | |
| 36 | Enhancemen t Category | |
| 37 | New | |
| 38 | Modify | |
| 39 | Delete | |
| 40 | No Change | |
| 41 | Current Lo gic | |
| 42 | ||
| 43 | n/a – new subroutine | |
| 44 | ||
| 45 | Modified L ogic (Chan ges are hi ghlighted) | |
| 46 | ||
| 47 | BPS23PRE ; AITC/CKB - Pre-insta ll routine for BPS*1 *23 ;2/21/ 2017 ;;1.0 ;E CLAIMS MGMT ENGIN E;**23**;J UN 2004; ; ;Per VA Di rective 64 02, this r outine sho uld not be modified. ; ; MCCF EDI TAS eP harmacy It eration 1 - BPS*1*23 patch pre -install Q ;EN ; Ent ry Point f or pre-ins tall D MES ^XPDUTL(" Starting p re-install for BPS*1 *23") ; ; Update Rej ect codes explanatio ns in file #9002313. 93 D REJEC TS | |
| 48 | ; | |
| 49 | ; Update Result of Service Co des explan ations in file #9002 313.22 | |
| 50 | D SVCCODE ; | |
| 51 | ; Update Clarificat ion (file #9002313.2 5) and Oth er Payer A mount Paid Qualifier | |
| 52 | ; codes (file #900 2313.2) wi th new des criptions | |
| 53 | D UPDCCQC | |
| 54 | ; | |
| 55 | EX ; Exit point D ME S^XPDUTL(" Finished pre-instal l of BPS*1 *23") Q | |
| 56 | ||
| 57 | ||
| 58 | On each of the follo wing files , both fie ld# .01, C ODE, and f ield# .02, DESCRIPTI ON or EXPL ANATION, s erve as id entifiers, therefore making ch anges to t he descrip tions or e xplanation s of entri es in thes e files ca nnot be ac complished through t he normal KIDS insta llation by itself – a pre-inst all routin e must be used. This is done s o that dup licate ent ries will not be cre ated by KI DS when th e data in each file is loaded into a des tination s ystem. | |
| 59 | 9002313.93 , BPS NCPD P REJECT C ODES | |
| 60 | 9002313.22 , BPS NCPD P RESULT O F SERVICE CODE | |
| 61 | 9002313.25 , BPS NCPD P CLARIFIC ATION CODE S | |
| 62 | 9002313.2, BPS NCPDP OTHER PAY ER AMT PAI D QUAL | |
| 63 | ||
| 64 | The follow ing reject codes des criptions need to be updated: | |
| 65 | 01 - M/I I IN Number | |
| 66 | Curren t VistA Na me: M/I B in Number | |
| 67 | Update d VistA Na me: M/I I IN Number | |
| 68 | ||
| 69 | 299 – Repo rted Adjud icated Pro gram Type Is Not Use d For This Transacti on Code | |
| 70 | Curren t VistA Na me: Repor ted Paymen t Type is not used o r this Tra nsaction C ode | |
| 71 | Update d VistA Na me: Repor ted Adjudi cated Prog ram Type I s Not Used For This Transactio n Code | |
| 72 | ||
| 73 | 708 - PDMP : M/I Repo rted Adjud icated Pro gram Type | |
| 74 | Curren t VistA Na me: PDMP: M/I Payme nt Code | |
| 75 | Update d VistA Na me: PDMP: M/I Repor ted Adjudi cated Prog ram Type | |
| 76 | ||
| 77 | 820 - Info Reporting Trans mtc hd to Rev/ Rej Clm no t Submitte d Part D I IN PCN | |
| 78 | Curren t VistA Na me: Info Reporting Trans mtch d to Rev/R ej Clm not Submitted | |
| 79 | Part D BI N PCN | |
| 80 | Update d VistA Na me: Info Reporting Trans Mtch d to Rev/R ej Clm not Submitted | |
| 81 | Part D I IN PCN | |
| 82 | ||
| 83 | 821 - Info Reporting Trans mtc hd to Pd C lm Not Sub mitted Par t D IIN PC N | |
| 84 | Curren t VistA Na me: Info Reporting Trans Mtch d to Pd Cl m Not Subm itted Part D BIN PCN | |
| 85 | Update d VistA Na me: Info Reporting Trans Mtch d to Pd Cl m Not Subm itted Part D IIN PCN | |
| 86 | ||
| 87 | A1 - ID Su bmitted is Associate d With An Excluded P rescriber | |
| 88 | Curren t VistA Na me: ID Su bmitted is associate d with a S anctioned Prescriber | |
| 89 | Update d VistA Na me: ID Su bmitted Is Associate d With An Excluded P rescriber | |
| 90 | ||
| 91 | ZS – M/I R eported Ad judicated Program Ty pe | |
| 92 | Curre nt VistA N ame: M/I Reported P ayment Typ e | |
| 93 | Updat ed VistA N ame: M/I Reported A djudicated Program T ype | |
| 94 | ||
| 95 | ||
| 96 | Subroutine Name | |
| 97 | REJECTS^BP S23PRE | |
| 98 | Enhancemen t Category | |
| 99 | New | |
| 100 | Modify | |
| 101 | Delete | |
| 102 | No Change | |
| 103 | Current Lo gic | |
| 104 | ||
| 105 | n/a – new subroutine | |
| 106 | ||
| 107 | Modified L ogic (Chan ges are hi ghlighted) | |
| 108 | ||
| 109 | REJECTS ; Update Rej ect Codes with new e xplanation s N LINE,D ATA,NUM,NA ME,DA,DIE, DR,CNT D M ES^XPDUTL( " - Updati ng BPS NCP DP REJECT CODES") S CNT=0 F LI NE=1:1 S D ATA=$P($T( URJCT+LINE ),";;",2,9 9) Q:DATA= "" D . S DIE=900231 3.93,NUM=$ P(DATA,";" ,1) . S DA =$O(^BPSF( DIE,"B",NU M,"")) . I 'DA D MES ^XPDUTL(" - No IEN f ound for e ntry "_NUM ) Q . S NA ME=$P(DATA ,";",2),DR =".02////^ S X=NAME", CNT=CNT+1 . D ^DIE D MES^XPDUT L(" - "_CN T_" entrie s updated" ) D MES^XP DUTL(" - D one with B PS NCPDP R EJECT CODE S") D MES^ XPDUTL(" " ) Q ;URJCT ; Updated reject ex planations ;;01;M/I IIN Number | |
| 110 | ;;299;Rep orted Adju dicated Pr ogram Type Is Not Us ed For Thi s Transact ion Code | |
| 111 | ;;708;PDM P: M/I Rep orted Adju dicated Pr ogram Type | |
| 112 | ;;820;Inf o Reportin g Trans Mt chd to Rev /Rej Clm n ot Submitt ed Part D IIN PCN | |
| 113 | ;;821;Inf o Reportin g Trans Mt chd to Pd Clm Not Su bmitted Pa rt D IIN P CN | |
| 114 | ;;A1;ID S ubmitted I s Associat ed With An Excluded Prescriber | |
| 115 | ;;ZS;M/I Reported A djudicated Program T ype | |
| 116 | ;; | |
| 117 | ||
| 118 | ||
| 119 | The follow ing result of servic e codes ne ed to be u pdated, re placing FI LL with DI SPENSED in the descr iption as shown belo w: | |
| 120 | 1A - DISPE NSED AS IS , FALSE PO SITIVE | |
| 121 | 1B - DISPE NSED PRESC RIPTION AS IS | |
| 122 | 1C- DISPEN SED, WITH DIFFERENT DOSE | |
| 123 | 1D- DISPEN SED, WITH DIFFERENT DIRECTIONS | |
| 124 | 1E- DISPEN SED, WITH DIFFERENT DRUG | |
| 125 | 1F- DISPEN SED, WITH DIFFERENT QUANTITY | |
| 126 | 1G- DISPEN SED, WITH PRESCRIBER APPROVAL | |
| 127 | 1K- DISPEN SED WITH D IFFERENT D OSAGE FORM | |
| 128 | 2A - PRESC RIPTION NO T DISPENSE D | |
| 129 | 2B – NOT D ISPENSED, DIRECTIONS CLARIFIED | |
| 130 | ||
| 131 | Subroutine Name | |
| 132 | SVCCODE^BP S23PRE | |
| 133 | Enhancemen t Category | |
| 134 | New | |
| 135 | Modify | |
| 136 | Delete | |
| 137 | No Change | |
| 138 | Current Lo gic | |
| 139 | ||
| 140 | n/a – new subroutine | |
| 141 | ||
| 142 | Modified L ogic (Chan ges are hi ghlighted) | |
| 143 | ||
| 144 | SVCCODE ; Update Res ult of Ser vice Codes with new explanatio ns N LINE, CODE,NUM,D ESC,DA,DIE ,DR,CNT D MES^XPDUTL (" - Updat ing BPS NC PDP RESULT OF SERVIC E CODES") S CNT=0 F LINE=1:1 S CODE=$P($ T(UPDSVC+L INE),";;", 2,99) Q:CO DE="" D . S DIE=900 2313.22,NU M=$P(CODE, ";",1) . S DA=$O(^BP S(DIE,"B", NUM,"")) . I 'DA D M ES^XPDUTL( " - No IEN found for entry "_N UM) Q . S DESC=$P(CO DE,";",2), DR="1////^ S X=DESC", CNT=CNT+1 . D ^DIE D MES^XPDUT L(" - "_CN T_" entrie s updated" ) D MES^XP DUTL(" - D one with B PS NCPDP R ESULT OF S ERVICE COD ES") D MES ^XPDUTL(" ") Q ;UPDS VC ; Updat ed Result of Service Code expl anations | |
| 145 | ;;1A;DISP ENSED AS I S, FALSE P OSITIVE | |
| 146 | ;;1B;DISP ENSED PRES CRIPTION A S IS | |
| 147 | ;;1C;DISP ENSED, WIT H DIFFEREN T DOSE | |
| 148 | ;;1D;DISP ENSED, WIT H DIFFEREN T DIRECTIO NS | |
| 149 | ;;1E;DISP ENSED, WIT H DIFFEREN T DRUG | |
| 150 | ;;1F;DISP ENSED, WIT H DIFFEREN T QUANTITY | |
| 151 | ;;1G;DISP ENSED, WIT H PRESCRIB ER APPROVA L | |
| 152 | ;;1K;DISP ENSED WITH DIFFERENT DOSAGE FO RM | |
| 153 | ;;2A;PRES CRIPTION N OT DISPENS ED | |
| 154 | ;;2B;NOT DISPENSED, DIRECTION S CLARIFIE D | |
| 155 | ;; | |
| 156 | ||
| 157 | ||
| 158 | The follow ing existi ng submiss ion clarif ication co des need t o be updat ed, replac ing FILL w ith DISPEN SED in the descripti on as show n below: | |
| 159 | 47 - SHORT ENED DAYS SUPPLY DIS PENSED | |
| 160 | 48- DISPEN SED SUBSEQ UENT TO A SHORTENED DAYS SUPPL Y DISPENSI NG | |
| 161 | ||
| 162 | There is a n existing other pay er amount paid quali fier codes whose des cription n eeds to be updated: | |
| 163 | 10 - PER CENTAGE TA X | |
| 164 | Cu rrent Vist A Name: S ALES TAX | |
| 165 | Up dated Vist A Name: P ERCENTAGE TAX | |
| 166 | ||
| 167 | Subroutine Name | |
| 168 | UPDCCQC^BP S23PRE | |
| 169 | Enhancemen t Category | |
| 170 | New | |
| 171 | Modify | |
| 172 | Delete | |
| 173 | No Change | |
| 174 | Current Lo gic | |
| 175 | ||
| 176 | n/a – new subroutine | |
| 177 | ||
| 178 | Modified L ogic (Chan ges are hi ghlighted) | |
| 179 | ||
| 180 | UPDCCQC ; | |
| 181 | ;Update C larificati on codes w ith new de scriptions N LINE,CO DE,NUM,DES C,DA,DIE,D R,CNT D ME S^XPDUTL(" - Updatin g BPS NCPD P CLARIFIC ATION CODE S") S CNT= 0 F LINE=1 :1 S CODE= $P($T(UCC+ LINE),";;" ,2,99) Q:C ODE="" D . S DIE=90 02313.25,N UM=$P(CODE ,";",1) . S DA=$O(^B PS(DIE,"B" ,NUM,"")) . I 'DA D MES^XPDUTL (" - No IE N found fo r entry "_ NUM) Q . S DESC=$P(C ODE,";",2) ,DR=".02// //^S X=DES C",CNT=CNT +1 . D ^DI E D MES^XP DUTL(" - " _CNT_" ent ries updat ed") D MES ^XPDUTL(" - Done wit h BPS NCPD P CLARIFIC ATION CODE S") D MES^ XPDUTL(" " ) | |
| 182 | ; | |
| 183 | ;Update O ther Payer Amount Pa id Qualifi er codes w ith new de scription | |
| 184 | N LINE,CO DE,NUM,DES C,DA,DIE,D R,CNT D ME S^XPDUTL(" - Updatin g BPS NCPD P OTHER PA YER AMT PA ID QUAL FI LE") S CNT =0 F LINE= 1:1 S CODE =$P($T(UQC +LINE),";; ",2,99) Q: CODE="" D . S DIE=9 002313.2,N UM=$P(CODE ,";",1) . S DA=$O(^B PS(DIE,"B" ,NUM,"")) . I 'DA D MES^XPDUTL (" - No IE N found fo r entry "_ NUM) Q . S DESC=$P(C ODE,";",2) ,DR=".02// //^S X=DES C",CNT=CNT +1 . D ^DI E D MES^XP DUTL(" - " _CNT_" ent ries updat ed") D MES ^XPDUTL(" - Done wit h BPS NCPD P OTHER PA YER AMT PA ID QUAL FI LE") D MES ^XPDUTL(" ") Q ;UCC ; Updated Clarificat ion Code e xplanation s | |
| 185 | ;;47;SHOR TENED DAYS SUPPLY DI SPENSED | |
| 186 | ;;48;DISP ENSED SUBS EQUENT TO A SHORTENE D DAYS SUP PLY DISPEN SING ;; | |
| 187 | ;UQC ; Up dated Othe r Payer Am ount Paid Qualifier explanatio ns | |
| 188 | ;;10;PERC ENTAGE TAX ;; | |
| 189 | ; | |
| 190 | ||
| 191 | ||
| 192 | ||
| 193 | There are several ne w Reject C odes that will be ad ded to fil e 9002313. 93 as desc ribed in t he table b elow. | |
| 194 | Field Attr ibutes / V alues | |
| 195 | #.01 - COD E | |
| 196 | Field Attr ibutes / V alues | |
| 197 | #.02 - EXP LANATION | |
| 198 | 841 | |
| 199 | Record is Locked | |
| 200 | 842 | |
| 201 | Record is Not Locked | |
| 202 | 843 | |
| 203 | M/I Trans mission ID | |
| 204 | 844 | |
| 205 | M/I Other Payer Adju dicated Pr ogram Type | |
| 206 | 845 | |
| 207 | Other Paye r Reconcil iation ID Is Not Use d For This Transacti on Code | |
| 208 | 846 | |
| 209 | Benefit St age Indica tor Count Is Not Use d For This Transacti on Code | |
| 210 | 847 | |
| 211 | Benefit St age Indica tor Count Does Not P recede Ben efit Stage Indicator | |
| 212 | 848 | |
| 213 | M/I Benefi t Stage In dicator Co unt | |
| 214 | 849 | |
| 215 | Benefit St age Indica tor Count Does Not M atch Numbe r of Repet itions | |
| 216 | 850 | |
| 217 | Benefit St age Indica tor Is Not Used For This Trans action Cod e | |
| 218 | 851 | |
| 219 | Benefit St age Indica tor Value Not Suppor ted | |
| 220 | 852 | |
| 221 | M/I Benefi t Stage In dicator | |
| 222 | 853 | |
| 223 | N Payer II N Is Not U sed For Th is Transac tion Code | |
| 224 | 854 | |
| 225 | M/I N Paye r IIN | |
| 226 | 855 | |
| 227 | Non-Matche d N Payer IIN | |
| 228 | 856 | |
| 229 | N Payer Pr ocessor Co ntrol Numb er Is Not Used For T his Transa ction Code | |
| 230 | 857 | |
| 231 | M/I N Paye r Processo r Control Number | |
| 232 | 858 | |
| 233 | Non-Matche d N Payer Processor Control Nu mber | |
| 234 | 859 | |
| 235 | N Payer Gr oup ID Is Not Used F or This Tr ansaction Code | |
| 236 | 860 | |
| 237 | M/I N Paye r Group ID | |
| 238 | 861 | |
| 239 | Non-Matche d N Payer Group ID | |
| 240 | 862 | |
| 241 | N Payer Ca rdholder I D Is Not U sed For Th is Transac tion Code | |
| 242 | 863 | |
| 243 | M/I N Paye r Cardhold er ID | |
| 244 | 864 | |
| 245 | N Payer Ca rdholder I D Is Not C overed | |
| 246 | 865 | |
| 247 | N Payer Ad judicated Program Ty pe Is Not Used For T his Transa ction Code | |
| 248 | 866 | |
| 249 | M/I N Paye r Adjudica ted Progra m Type | |
| 250 | 867 | |
| 251 | N Payer Ad judicated Program Ty pe Value N ot Support ed | |
| 252 | 868 | |
| 253 | M/I N Tran saction Re conciliati on ID | |
| 254 | 869 | |
| 255 | M/I N Tran saction So urce Type | |
| 256 | 870 | |
| 257 | M/I Prescr iber DEA N umber | |
| 258 | 871 | |
| 259 | M/I Compou nd Level O f Complexi ty | |
| 260 | 872 | |
| 261 | Mismatch o f Compound Level Com plexity An d Prep Env ironment T ype | |
| 262 | 873 | |
| 263 | M/I Prepar ation Envi ronment Ty pe | |
| 264 | 874 | |
| 265 | M/I Prepar ation Envi ronment Ev ent Code | |
| 266 | 875 | |
| 267 | M/I Total Prescribed Quantity Remaining | |
| 268 | 876 | |
| 269 | Prescripti ve Authori ty Restric tions Appl y, Criteri a Not Met | |
| 270 | 877 | |
| 271 | Service Pr ovider ID Terminated On NPPES File | |
| 272 | 878 | |
| 273 | Service Pr ovider ID Not Found On NPPES F ile | |
| 274 | 879 | |
| 275 | Service Pr ovider ID Excluded F rom Receiv ing CMS En rollment D ata | |
| 276 | 880 | |
| 277 | M/I Submis sion Type Code | |
| 278 | 881 | |
| 279 | Missing Su bmission T ype Code C ount | |
| 280 | 882 | |
| 281 | M/I Do Not Dispense Before Dat e | |
| 282 | 883 | |
| 283 | Date of Se rvice Prio r To Do No t Dispense Before Da te | |
| 284 | 884 | |
| 285 | M/I Multip le RX Orde r Group Re ason Code | |
| 286 | 885 | |
| 287 | M/I Multip le RX Orde r Group ID | |
| 288 | 886 | |
| 289 | M/I Prescr iber Place of Servic e | |
| 290 | 887 | |
| 291 | Prev Payer is Exclud ed Fed Hea lth Care P rogm Copay Assist No t Allowed | |
| 292 | 888 | |
| 293 | Beneficiar y Is Enrol led In Exc luded Fede ral Health Care Prog ram | |
| 294 | 889 | |
| 295 | Prescriber Not Enrol led in Sta te Medicai d Program | |
| 296 | 890 | |
| 297 | Pharmacy N ot Enrolle d in State Medicaid Program | |
| 298 | 891 | |
| 299 | Days Suppl y Is Less Than Plan Minimum | |
| 300 | 892 | |
| 301 | Pharmacy M ust Attest FDA REMS Requiremen ts Have Be en Met | |
| 302 | 893 | |
| 303 | Pharmacy M ust Attest Required Patient Fo rm Is On F ile | |
| 304 | 894 | |
| 305 | Pharmacy M ust Attest Plan Medi cal Necess ity Criter ia Has Bee n Met | |
| 306 | 895 | |
| 307 | Allowed Nu mber of Ov errides Ex hausted | |
| 308 | 896 | |
| 309 | Other Adju dicated Pr ogram Type Of Unknow n Is Not C overed | |
| 310 | ||
| 311 | There are two new Su bmission C larificati on codes, they will be added t o file 900 2313.25 as described in the ta bles below . | |
| 312 | Field Attr ibutes | |
| 313 | Values | |
| 314 | #.01 – COD E | |
| 315 | 55 | |
| 316 | #.02 - DES CRIPTION | |
| 317 | PRESCRIBER ENROLLMEN T IN STATE MEDICAID PROGRAM HA S BEEN VAL IDATED | |
| 318 | ||
| 319 | Field Attr ibutes | |
| 320 | Values | |
| 321 | #.01 – COD E | |
| 322 | 56 | |
| 323 | #.02 - DES CRIPTION | |
| 324 | PHARMACY E NROLLMENT IN STATE M EDICAID PR OGRAM HAS BEEN VALID ATED | |
| 325 | ||
| 326 | ||
| 327 | There is o ne new Oth er Payer A mt Paid Qu alifier co de, it wil l be added to file 9 002313.2 a s describe d in the t able below . | |
| 328 | Field Attr ibutes | |
| 329 | Values | |
| 330 | #.01 – COD E | |
| 331 | 12 | |
| 332 | #.02 - DES CRIPTION | |
| 333 | REGULATORY FEE | |
| 334 | #1 – NCPDP VERSION | |
| 335 | D.0 | |
| 336 | ||
| 337 | The new re ject codes , clarific ation code s and othe r payer am t paid qua lifier wil l be added to their respective files in the develo pment envi ronment an d included in the KI DS build, which will automatic ally load the new fi elds into the destin ation syst em when th e patch is loaded. | |
| 338 | ||
| 339 | The tables below des cribe how the files BPS NCPDP REJECT COD ES, BPS NC PDP CLARIF ICATION CO DES, BPS N CPDP RESUL T OF SERVI CE CODE an d BPS NCPD P OTHER PA YER AMT PA ID QUAL ar e to be in cluded in the KIDS B uild. | |
| 340 | File Name | |
| 341 | BPS NCPDP REJECT COD ES | |
| 342 | Send Full or Partial DD | |
| 343 | FULL | |
| 344 | Update the Data Dict ionary | |
| 345 | YES | |
| 346 | Send Secur ity Codes | |
| 347 | NO | |
| 348 | Screen to Determine DD Update | |
| 349 | n/a | |
| 350 | Data Comes with File | |
| 351 | YES | |
| 352 | Site’s Dat a | |
| 353 | OVERWRITE | |
| 354 | Resolve Po inters | |
| 355 | NO | |
| 356 | May User O verride Da ta Update | |
| 357 | NO | |
| 358 | Data List | |
| 359 | n/a | |
| 360 | Screen to Select Dat a | |
| 361 | n/a | |
| 362 | ||
| 363 | File Name | |
| 364 | BPS NCPDP CLARIFICAT ION CODES | |
| 365 | Send Full or Partial DD | |
| 366 | FULL | |
| 367 | Update the Data Dict ionary | |
| 368 | YES | |
| 369 | Send Secur ity Codes | |
| 370 | NO | |
| 371 | Screen to Determine DD Update | |
| 372 | n/a | |
| 373 | Data Comes with File | |
| 374 | YES | |
| 375 | Site’s Dat a | |
| 376 | OVERWRITE | |
| 377 | Resolve Po inters | |
| 378 | NO | |
| 379 | May User O verride Da ta Update | |
| 380 | NO | |
| 381 | Data List | |
| 382 | n/a | |
| 383 | Screen to Select Dat a | |
| 384 | n/a | |
| 385 | ||
| 386 | File Name | |
| 387 | BPS NCPDP RESULT OF SERVICE CO DE | |
| 388 | Send Full or Partial DD | |
| 389 | FULL | |
| 390 | Update the Data Dict ionary | |
| 391 | YES | |
| 392 | Send Secur ity Codes | |
| 393 | NO | |
| 394 | Screen to Determine DD Update | |
| 395 | n/a | |
| 396 | Data Comes with File | |
| 397 | YES | |
| 398 | Site’s Dat a | |
| 399 | OVERWRITE | |
| 400 | Resolve Po inters | |
| 401 | NO | |
| 402 | May User O verride Da ta Update | |
| 403 | NO | |
| 404 | Data List | |
| 405 | n/a | |
| 406 | Screen to Select Dat a | |
| 407 | n/a | |
| 408 | ||
| 409 | File Name | |
| 410 | BPS NCPDP OTHER PAYE R | |
| 411 | AMT PAID Q UAL | |
| 412 | Send Full or Partial DD | |
| 413 | FULL | |
| 414 | Update the Data Dict ionary | |
| 415 | YES | |
| 416 | Send Secur ity Codes | |
| 417 | NO | |
| 418 | Screen to Determine DD Update | |
| 419 | n/a | |
| 420 | Data Comes with File | |
| 421 | YES | |
| 422 | Site’s Dat a | |
| 423 | OVERWRITE | |
| 424 | Resolve Po inters | |
| 425 | NO | |
| 426 | May User O verride Da ta Update | |
| 427 | NO | |
| 428 | Data List | |
| 429 | n/a | |
| 430 | Screen to Select Dat a | |
| 431 | n/a |
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