BPSOSC2 ;BHAM ISC/FCS/DRS - certification testing ;06/01/2004 ;;1.0;E CLAIMS MGMT ENGINE;**1,5**;JUN 2004;Build 45 ;;Per VHA Directive 2004-038, this routine should not be modified. ; Q ; SETBPS - Overwrite BPS array with values from BPS Certfication file ; Input ; ENTRY - IEN for BPS Certification (#9002313.31) ; Output ; BPS Array - This is newed in BPSOSCA and is shared by all BPSOSC* routines ; and others SETBPS(ENTRY) ; ; I $G(ENTRY)="" Q ; If there is a payer in the Certification File, reset transaction header ; values based on this payer sheet N XDATA I $P(^BPS(9002313.31,ENTRY,0),"^",4) D . S BPS("NCPDP","IEN")=$P(^BPS(9002313.31,ENTRY,0),"^",4) . S XDATA=$G(^BPSF(9002313.92,BPS("NCPDP","IEN"),1)) . S BPS("NCPDP","Version")=$P(XDATA,U,2) . S BPS("NCPDP","# Meds/Claim")=$P(XDATA,U,3) . S BPS("NCPDP","Software Vendor/Cert ID")=$P(XDATA,U,13) ; ; DMB 11/28/2006 - Existing Code, not sure if this is needed. S BPS("Patient","SSN")="" ; ; Loop through claim header fields N A,N S A=0 F S A=$O(^BPS(9002313.31,ENTRY,1,A)) Q:'A D . N X S X=^BPS(9002313.31,ENTRY,1,A,0) . N FIELD S FIELD=$P(^BPSF(9002313.91,$P(X,U),0),U) . D SETBPS1(FIELD,$P(X,U,2)) ; ; Loop through prescription fields S N=0 F S N=$O(^BPS(9002313.31,ENTRY,2,N)) Q:'N D . N A S A=0 . F S A=$O(^BPS(9002313.31,ENTRY,2,N,1,A)) Q:'A D .. S X=^BPS(9002313.31,ENTRY,2,N,1,A,0) .. N FIELD S FIELD=$P(^BPSF(9002313.91,$P(X,U),0),U) .. D SETBPS1(FIELD,$P(X,U,2),N) ; ; Construct a few other fields that weren't already set ; DMB 11/28/2006 - Existing Code, not sure if this is needed. S BPS("Patient","Name")=$G(BPS("Patient","Last Name"))_","_$G(BPS("Patient","First Name")) I '$D(BPS("RX",1,"Quantity")) S BPS("RX",1,"Quantity")=$G(BPS("RX",1,"Metric Decimal Quantity")) Q ; ; Overwrite BPS array values SETBPS1(FIELD,VALUE,N) ; N OK S OK=0 N I F I=1:1 Q:$T(TABLE+I)[";;*" D Q:OK . N X S X=$T(TABLE+I) . I $P(X,";",3)'=FIELD Q . S @("BPS("_$P(X,";",4)_")=VALUE") . S OK=1 Q ; TABLE ;; ;;101;"NCPDP","BIN Number" ;;102;"NCPDP","Version" ;;103;"Transaction Code" ;;104;"NCPDP","PCN" ;;109;"Transaction Count" ;;110;"NCPDP","Software Vendor/Cert ID" ;;111;"NCPDP","Segment Identification" ;;201;"Site","Pharmacy #" ;;202;"Service Provider ID Qual" ;;301;"Insurer","Group #" ;;302;"Insurer","Policy #" ;;303;"Insurer","Person Code" ;;304;"Patient","DOB" ;;305;"Patient","Sex" ;;306;"Insurer","Relationship" ;;308;"Patient","Other Coverage Code" ;;307;"Customer Location" ;;309;"Eligibility Clarification Code" ;;310;"Patient","First Name" ;;311;"Patient","Last Name" ;;312;"Cardholder","First Name" ;;313;"Cardholder","Last Name" ;;322;"Patient","Street Address" ;;323;"Patient","City" ;;324;"Patient","State" ;;325;"Patient","Zip" ;;331;"Patient","Patient ID Qualifier" ;;332;"Patient","SSN" ;;326;"Patient","Phone #" ;;401;"RX","Date Filled" ;;402;"RX",N,"RX Number" ;;403;"RX",N,"Refill #" ;;404;"RX",N,"Quantity" ;;405;"RX",N,"Days Supply" ;;406;"RX",N,"Compound Code" ;;407;"RX",N,"NDC" ;;408;"RX",N,"DAW" ;;409;"RX",N,"Ingredient Cost" ;;410;"RX",N,"Sales Tax" ;;411;"RX",N,"Prescriber ID" ;;412;"RX",N,"Dispensing Fee" ;;414;"RX",N,"Date Written" ;;415;"RX",N,"# Refills" ;;416;"RX",N,"Preauth #" ;;418;"RX",N,"Level of Service" ;;419;"RX",N,"Origin Code" ;;420;"RX",N,"Clarification" ;;421;"RX",N,"Primary Prescriber" ;;422;"RX",N,"Clinic ID" ;;423;"RX",N,"Basis of Cost Determination" ;;424;"RX",N,"Diagnosis Code" ;;426;"RX",N,"Usual & Customary" ;;427;"RX",N,"Prescriber Last Name" ;;429;"RX",N,"Unit Dose Indicator" ;;430;"RX",N,"Gross Amount Due" ;;431;"RX",N,"Other Payor Amount" ;;433;"RX",N,"Patient Paid Amount" ;;436;"RX",N,"Alt. Product Type" ;;438;"RX",N,"Incentive Amount" ;;439;"RX",N,"DUR","DUR Conflict Code",439 ;;440;"RX",N,"DUR","DUR Intervention Code",440 ;;441;"RX",N,"DUR","DUR Outcome Code",441 ;;442;"RX",N,"Metric Decimal Quantity" ;;443;"RX",N,"Primary Payor Denial Date" ;;444;"RX",N,"Provider ID" ;;455;"RX",N,"Rx/Service Ref Num Qual" ;;460;"RX",N,"Quantity" ;;461;"Claim",N,"Prior Auth Type" ;;462;"Claim",N,"Prior Auth Num Sub" ;;465;"RX",N,"Provider ID" ;;466;"RX",N,"Prescriber ID Qualifier" ;;467;"RX",N,"Prescriber Location Code" ;;468;"RX",N,"Primary Care Prov ID Qual" ;;469;"RX",N,"Primary Care Prov ID" ;;470;"RX",N,"Primary Care Prov Last Name" ;;473;"RX",N,"DUR","DUR/PPS CODE COUNTER",473 ;;478;"Insurer","Other Amt Claim Sub Cnt" ;;479;"Insurer","Other Amt Claim Sub Qual" ;;480;"Insurer","Other Amt Claim Submitted" ;;481;"Insurer","Flat Sales Tax Amt Sub" ;;482;"Insurer","Percentage Sales Tax Amt Sub" ;;483;"Insurer","Percent Sales Tax Rate Sub" ;;484;"Insurer","Percent Sales Tax Basis Sub" ;;498;"RX",N,"Prescriber Phone #" ;;*