1 | IBCNRZRX ;DAOU/DMK - Receive HL7 e-Pharmacy ZRX Segment ;23-OCT-2003
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2 | ;;2.0;INTEGRATED BILLING;**251**;21-MAR-94
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3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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4 | ;
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5 | ; Description
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6 | ;
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7 | ; Receive HL7 e-Pharmacy ZRX Segment
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8 | ; 366.03 PLAN File Update (Pharmacy)
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9 | ;
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10 | ; Called by IBCNRHLT
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11 | ;
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12 | ; Entry point
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13 | ;
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14 | 1000 ; Control ZRX Segment processing
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15 | D INIT
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16 | I $D(ERROR) Q
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17 | D INITBPS
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18 | Q
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19 | ;
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20 | INIT ; Initialize ZRX Segment variables
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21 | ; 366.03 PLAN File
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22 | ;
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23 | N NAME
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24 | ;
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25 | ; Error?
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26 | ; V505 = Plan ID Missing
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27 | I $TR($G(IBSEG(3))," ","") S ERROR="V505" Q
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28 | ;
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29 | ; 10.01 = PHARMACY BENEFITS MANAGER NAME (pointer - 366.02)
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30 | S DATA(10.01)=$G(IBSEG(4))
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31 | I DATA(10.01)]"" S DATA(10.01)=$$LOOKUP1^IBCNRFM1(366.02,DATA(10.01))
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32 | ;
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33 | ; Error?
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34 | ; V510 = Pharmacy Benefits Manager (PBM) Undefined
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35 | I DATA(10.01)=-1 S ERROR="V510" Q
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36 | ;
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37 | ; 10.02 = BANKING IDENTIFICATION NUMBER
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38 | S DATA(10.02)=$G(IBSEG(5))
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39 | ;
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40 | ; Error?
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41 | ; V515 = Plan BIN Missing
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42 | I $TR(DATA(10.02)," ","")="" S ERROR="V515" Q
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43 | ;
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44 | ; 10.03 = PROCESSOR CONTROL NUMBER (PCN)
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45 | S DATA(10.03)=$G(IBSEG(6))
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46 | ;
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47 | ; 10.04 = NCPDP PROCESSOR NAME (pointer - 366.01)
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48 | S DATA(10.04)=$G(IBSEG(7))
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49 | I DATA(10.04)]"" S DATA(10.04)=$$LOOKUP1^IBCNRFM1(366.01,DATA(10.04))
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50 | ;
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51 | ; Error?
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52 | ; V520 = NCPDP Processor Name Undefined
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53 | I DATA(10.04)=-1 S ERROR="V520" Q
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54 | ;
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55 | ; 10.05 = ENABLED?
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56 | S DATA(10.05)=$S($G(IBSEG(8))="Y":1,1:0)
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57 | ;
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58 | ; Error?
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59 | ; V525 = Plan Enabled? Missing
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60 | I $TR(DATA(10.05)," ","")="" S ERROR="V525" Q
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61 | ;
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62 | ; 10.06 = SOFTWARE VENDOR ID
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63 | S DATA(10.06)=$G(IBSEG(9))
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64 | ;
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65 | ; 10.07 = BILLING PAYER SHEET NAME (pointer - 9002313.92)
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66 | S DATA(10.07)=$G(IBSEG(10))
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67 | I DATA(10.07)]"" S DATA(10.07)=$$LOOKUP1^IBCNRFM1(9002313.92,DATA(10.07))
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68 | ;
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69 | ; Error?
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70 | ; V530 = Billing Payer Sheet Name Undefined
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71 | I DATA(10.07)=-1 S ERROR="V530" Q
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72 | ;
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73 | ; 10.08 = REVERSAL PAYER SHEET NAME (pointer - 9002313.92)
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74 | S DATA(10.08)=$G(IBSEG(11))
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75 | I DATA(10.08)]"" S DATA(10.08)=$$LOOKUP1^IBCNRFM1(9002313.92,DATA(10.08))
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76 | ;
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77 | ; Error?
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78 | ; V535 = Reversal Payer Sheet Name Undefined
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79 | I DATA(10.08)=-1 S ERROR="V535" Q
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80 | ;
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81 | ; 10.09 = REBILL PAYER SHEET NAME (pointer - 9002313.92)
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82 | S DATA(10.09)=$G(IBSEG(12))
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83 | I DATA(10.09)]"" S DATA(10.09)=$$LOOKUP1^IBCNRFM1(9002313.92,DATA(10.09))
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84 | ;
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85 | ; Error?
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86 | ; V540 = Rebill Payer Sheet Name Undefined
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87 | I DATA(10.09)=-1 S ERROR="V540" Q
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88 | ;
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89 | ; 10.1 = MAXIMUM NCPDP TRANSACTIONS
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90 | S DATA(10.1)=$G(IBSEG(13))
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91 | ;
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92 | ; Initialize RX primary contact name variables
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93 | S NAME=$G(IBSEG(14))
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94 | D NAME
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95 | ;
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96 | ; 11.01 = RX PRIMARY CONTACT NAME
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97 | S DATA(11.01)=NAME("NAME")
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98 | ;
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99 | ; 11.02 = RX PRIMARY CONTACT PREFIX
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100 | S DATA(11.02)=NAME("PREFIX")
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101 | ;
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102 | ; 11.03 = RX PRIMARY CONTACT DEGREE
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103 | S DATA(11.03)=NAME("DEGREE")
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104 | ;
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105 | ; Initialize RX alternate contact name variables
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106 | S NAME=$G(IBSEG(15))
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107 | D NAME
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108 | ;
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109 | ; 11.04 = RX ALTERNATE CONTACT NAME
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110 | S DATA(11.04)=NAME("NAME")
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111 | ;
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112 | ; 11.05 = RX ALETRNATE CONTACT PREFIX
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113 | S DATA(11.05)=NAME("PREFIX")
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114 | ;
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115 | ; 11.06 = RX ALTERNATE CONTACT DEGREE
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116 | S DATA(11.06)=NAME("DEGREE")
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117 | Q
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118 | ;
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119 | INITBPS ; Initialize variables from ZRX Segment variables
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120 | ; 90002313.92 BPS NCPDP FORMATS File
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121 | ;
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122 | ; 1.03 = Maximum RX's Per Claim
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123 | S DATABPS(1.03)=DATA(10.1)
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124 | I DATABPS(1.03)'?1.N S DATABPS(1.03)=1
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125 | ;
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126 | ; 1.07 = Is A Reversal Format
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127 | S DATABPS(1.07)=0
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128 | ;
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129 | ; 1.13 = SOFTWARE VENDOR/CERT ID
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130 | S DATABPS(1.13)=DATA(10.06)
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131 | ;
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132 | ; 1001 = Reversal Format
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133 | S DATABPS(1001)=DATA(10.08)
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134 | Q
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135 | ;
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136 | NAME ; Initialize name variables from NAME string
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137 | S NAME("SURNAME")=$P($P(NAME,$E(HLECH,1),1),$E(HLECH,4),1)
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138 | S NAME("SURNAME PREFIX")=$P($P(NAME,$E(HLECH,1),1),$E(HLECH,4),2)
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139 | S NAME("FAMILY")=$S(NAME("SURNAME PREFIX")]"":NAME("SURNAME PREFIX")_" ",1:"")_NAME("SURNAME")
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140 | S NAME("GIVEN")=$P(NAME,$E(HLECH,1),2)
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141 | S NAME("MIDDLE")=$P(NAME,$E(HLECH,1),3)
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142 | S NAME("SUFFIX")=$P(NAME,$E(HLECH,1),4)
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143 | S NAME("NAME")=""
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144 | I NAME("FAMILY")]"" S NAME("NAME")=NAME("FAMILY")_","_NAME("GIVEN")_$S(NAME("MIDDLE")]"":" "_$E(NAME("MIDDLE"),1),1:"")_$S(NAME("SUFFIX")]"":" "_NAME("SUFFIX"),1:"")
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145 | S NAME("PREFIX")=$P(NAME,$E(HLECH,1),5)
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146 | S NAME("DEGREE")=$P(NAME,$E(HLECH,1),6)
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147 | Q
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