| 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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