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Global: ^BPS(9002313.56

Package: E Claims Management Engine

Global: ^BPS(9002313.56


Information

FileMan FileNo FileMan Filename Package
9002313.56 BPS PHARMACIES E Claims Management Engine

Description

Directly Accessed By Routines, Total: 18

Package Total Routines
E Claims Management Engine 18 BPS10P7    BPS22PST    BPSBCKJ    BPSECX1    BPSJACK    BPSJINIT    BPSJPREG    BPSJVAL2
BPSJZRP    BPSNCPD9    BPSOPR2    BPSPHAR    BPSRCRI    BPSRPT9A    BPSSCRDS    OUTPATIENT SITE
^BPS(9002313.56    BPSUTIL    

Accessed By FileMan Db Calls, Total: 7

Package Total Routines
E Claims Management Engine 7 BPSBUTL    BPSJACK    BPSJINIT    BPSJPREG    BPSOPR3    BPSPHAR    BPSUTIL    

Pointed To By FileMan Files, Total: 4

Package Total FileMan Files
E Claims Management Engine 3 BPS SETUP(#9002313.99)[.08]    BPS TRANSACTION(#9002313.59)[1.07]    BPS LOG OF TRANSACTIONS(#9002313.57)[1.07]    
Integrated Billing 1 IB NCPDP EVENT LOG(#366.14)[#366.141(.09)]    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Kernel 2 STATE(#5)[120.04130.07]    NEW PERSON(#200)[1900.011900.021900.03]
Outpatient Pharmacy 1 OUTPATIENT SITE(#59)[#9002313.5601(.01)]    

Fields, Total: 32

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>30!(X?.N)!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Name must be 3-30 characters, not numeric or starting with punctuation.
  • DESCRIPTION:  
    This is the name used to distinguish the BPS Pharmacy.
  • PRE-LOOKUP:  I $D(X) S X=$$UP^XLFSTR(X)
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
  • CROSS-REFERENCE:  9002313.56^B
    1)= S ^BPS(9002313.56,"B",$E(X,1,30),DA)=""
    2)= K ^BPS(9002313.56,"B",$E(X,1,30),DA)
.02 NCPDP # 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<3) X
  • LAST EDITED:  APR 12, 2006
  • HELP-PROMPT:  This is a number assigned to your pharmacy by the NCPDP. It was previously known as the NABP #.
  • DESCRIPTION:  
    The NCPDP # is sent as part of the electronic claim header.
.03 DEFAULT DEA # 0;3 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<3) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 3-12 characters in length.
  • DESCRIPTION:  
    Many insurances require the prescriber's DEA number as part of the claim. If your pharmacy has a DEA # that may be used in case a prescriber doesn't have this DEA # on file with you, enter that default DEA # here.
.04 LAST REGISTERED STATUS 0;4 SET
  • '1' FOR ACTIVE;
  • '0' FOR INACTIVE;

  • LAST EDITED:  JUN 12, 2008
  • HELP-PROMPT:  Enter the last status registered.
  • DESCRIPTION:  This field is set by the software in the background when registration messages are sent to Austin. If the STATUS is Inactive and the last registered status is also Inactive then this pharmacy will not be registered again
    as Inactive.
.09 AUTO-REVERSE PARAMETER 0;9 NUMBER
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<3)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 01, 2017
  • HELP-PROMPT:  Enter a number from 3 to 10. 5 is the suggested setting.
  • DESCRIPTION:  ECME shall use the following AUTO-REVERSE site parameter when determining whether non-released prescription claims (that have returned a PAYABLE response) are to be automatically REVERSED.
    The AUTO-REVERSE site parameter is set for the number of days that ECME will wait before the claim is automatically REVERSED. The user is allowed to enter a number from 3 to 10. 5 is the suggested setting.
    ECME will wait the entered number of days before REVERSING the non-released Rx with a PAYABLE response.
.1 STATUS 0;10 SET
************************REQUIRED FIELD************************
  • '1' FOR ACTIVE;
  • '0' FOR INACTIVE;

  • LAST EDITED:  JUN 02, 2006
  • HELP-PROMPT:  Enter '1' for active or '0' for inactive
  • DESCRIPTION:  
    Indicates whether a BPS Pharmacy is active or inactive. If active, claims will be processed through ECME.
1 CMOP SWITCH 0;8 SET
************************REQUIRED FIELD************************
  • '0' FOR CMOP OFF;
  • '1' FOR CMOP ON;

  • LAST EDITED:  JUL 29, 2005
  • HELP-PROMPT:  Enter ON to process CMOP claims via ECME, OFF to not process CMOP claims via ECME.
  • DESCRIPTION:  
    Indicates whether ECME shall process CMOP claims. If ON, CMOP claims will be processed. If OFF, CMOP claims will not be processed.
41.01 NPI NPI;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<10)!'$$CHKDGT^XUSNPI(X) X
  • LAST EDITED:  MAY 04, 2006
  • HELP-PROMPT:  Enter a valid NPI (10 numeric digits with proper check digit).
  • DESCRIPTION:  
    National Provider ID. This is a unique ID assigned to providers by CMS. It is used as the second piece of the Claim ID field (.01) of BPS CLAIMS file (#9002313.02) and is sent as part of the electronic claim header.
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
41.02 DATE/TIME OF LAST NPI CHANGE NPI;2 DATE

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUN 28, 2006
  • HELP-PROMPT:  Enter the data and time of the last change to the NPI.
  • DESCRIPTION:  
    This is the date and time of the last change to the NPI value.
102.03 SITE CITY ADDR;3 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    Enter City
120.01 SITE ADDRESS 1 ADDR;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    The site's street address.
120.02 SITE ADDRESS 2 ADDR;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  MAR 25, 2004
  • HELP-PROMPT:  Answer must be 1-25 characters in length
  • DESCRIPTION:  
    Site's address line 2.
120.03 SITE ADDRESS NAME ADDR;8 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    Site's Business name.
120.04 SITE STATE ADDR;4 POINTER TO STATE FILE (#5)
************************REQUIRED FIELD************************
STATE(#5)

  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Answer with a STATE NAME.
  • DESCRIPTION:  
    This is the state in which the site is located.
120.05 SITE ZIP CODE ADDR;5 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<5) X
  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Answer must be 5-10 characters in length.
  • DESCRIPTION:  
    This is the zip code for the ePharmacy billing site.
120.06 SITE PHONE ADDR;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2001
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    For NCPDP claim forms.
120.07 SITE FAX ADDR;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2001
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    For NCPDP claim forms.
130.01 REMITTANCE ADDRESS NAME REMIT;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    Pharmacy Business Name
130.02 REMIT ADDRESS 1 REMIT;2 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    Street Address (Line 1) for the Remittance Address.
130.03 REMIT ADDRESS 2 REMIT;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  MAR 26, 2004
  • HELP-PROMPT:  Answer must be 1-25 characters in length
  • DESCRIPTION:  
    Street Address (Line 2) for the Remittance Address.
130.04 REMIT DWELLING NUMBER REMIT;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  DEC 22, 2003
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    Enter the dwelling number for the claim remittance address.
130.07 REMIT STATE REMIT;7 POINTER TO STATE FILE (#5)
************************REQUIRED FIELD************************
STATE(#5)

  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Select the State from which submissions from this pharmacy are located.
  • DESCRIPTION:  
    Enter the state for the claim remittance address.
130.08 REMIT ZIP REMIT;8 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    Enter the zip for the claim remittance address.
130.5 REMIT OTHER DESIGNATION REMIT;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  DEC 22, 2003
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    Enter the other designation for the claim remittance address.
130.6 REMIT CITY REMIT;6 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    Enter the city for the claim remittance address.
1830.01 CONTACT NAMES REP;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>100!($L(X)<1) X
  • LAST EDITED:  APR 20, 2000
  • HELP-PROMPT:  Answer must be 1-100 characters in length.
  • DESCRIPTION:  You may enter more than one name, separated by "/". Put corresponding phone numbers separated by "/" in the phone number field. A random name-phone combination will appear on each bill and that way the calls get
    distributed evenly.
1830.02 CONTACT PHONES REP;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>100!($L(X)<1) X
  • LAST EDITED:  APR 20, 2000
  • HELP-PROMPT:  Answer must be 1-100 characters in length.
  • DESCRIPTION:  
    (See CONTACT NAMES description for details about "/"-separated list.)
1900.01 VA CONTACT REP;3 POINTER TO NEW PERSON FILE (#200)
************************REQUIRED FIELD************************
NEW PERSON(#200)

  • LAST EDITED:  JUN 25, 2004
  • HELP-PROMPT:  Pointer to the New Person file for the VA contact information.
  • DESCRIPTION:  
    Pointer to the New Person file for the VA contact person information.
1900.02 VA ALTERNATE CONTACT REP;4 POINTER TO NEW PERSON FILE (#200)
************************REQUIRED FIELD************************
NEW PERSON(#200)

  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Pointer to the New Person file for the Alternate VA contact.
  • DESCRIPTION:  
    This is the alternate site contact name to be contacted if site setup problems are identified.
1900.03 VA LEAD PHARMACIST REP;5 POINTER TO NEW PERSON FILE (#200)
************************REQUIRED FIELD************************
NEW PERSON(#200)

  • LAST EDITED:  JUN 07, 2004
  • HELP-PROMPT:  Pointer to the New Person file for the lead Pharmacists.
  • DESCRIPTION:  
    Pointer to the New Person file for the lead Pharmacists.
1900.04 VA LEAD PHARMACIST LICENSE # REP1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    The lead pharmacist license number will be used as a default on ePharmacy claims.
13800 OUTPATIENT SITE OPSITE;0 POINTER Multiple #9002313.5601 9002313.5601

  • HELP-PROMPT:  Answer with OUTPATIENT SITE NAME

External References

Name Field # of Occurrence
^%DT 41.02+1
$$UP^XLFSTR .01TPL+1
$$CHKDGT^XUSNPI 41.01+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^BPS(9002313.56 - [#9002313.56] .01(XREF 1S), .01(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> %DT 41.02+1*
>> DA .01(XREF 1S), .01(XREF 1K)
X .01+1!, .01TPL+1*, .01(XREF 1S), .01(XREF 1K), .02+1!, .03+1!, .09+1!, 41.01+1!, 41.02+1*!, 102.03+1!
, 120.01+1!, 120.02+1!, 120.03+1!, 120.05+1!, 120.06+1!, 120.07+1!, 130.01+1!, 130.02+1!, 130.03+1!, 130.04+1!
, 130.08+1!, 130.5+1!, 130.6+1!, 1830.01+1!, 1830.02+1!, 1900.04+1!
>> Y 41.02+1
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