| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 9002313.57 | ABSP LOG OF TRANSACTIONS | Pharmacy Point of Sale |
| Package | Total | FileMan Files |
|---|---|---|
| Pharmacy Point of Sale | 1 | ABSP REPORT MASTER(#9002313.61)[.03] |
| Package | Total | FileMan Files |
|---|---|---|
| Pharmacy Point of Sale | 9 | ABSP DUR/PPS(#9002313.473)[1.14] ABSP DIAGNOSIS CODE(#9002313.491)[1.17] ABSP NCPDP OVERRIDE(#9002313.511)[1.13] ABSP ORIGIN OF INPUT(#9002313.516)[.14] ABSP DIAL OUT(#9002313.55)[802] ABSP PHARMACIES(#9002313.56)[1.07] ABSP CLAIMS(#9002313.02)[3, 401] ABSP INSURER(#9002313.4)[803] ABSP RESPONSES(#9002313.03)[4, 402] |
| IHS Patient | 1 | PATIENT(#9000001)[5] |
| Kernel | 1 | NEW PERSON(#200)[6, 13, 903, 905] |
| Outpatient Pharmacy | 1 | PRESCRIPTION(#52)[1.11] |
| Utility Tables | 1 | INSURER(#9999999.18)[1.06, 701, 702, 703] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | ENTRY # | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .13 | TYPE | 0;13 | SET |
|
| .14 | ORIGIN | 0;14 | POINTER TO ABSP ORIGIN OF INPUT FILE (#9002313.516) | ABSP ORIGIN OF INPUT(#9002313.516)
|
| .15 | POSTED TO A/R | 0;15 | FREE TEXT |
|
| .16 | NEEDS BILLING | 0;16 | SET |
|
| 1 | STATUS | 0;2 | NUMBER |
|
| 1.05 | ABSBDIV SOURCE | 1;5 | SET |
|
| 1.06 | INSURER | 1;6 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
| 1.07 | PHARMACY | 1;7 | POINTER TO ABSP PHARMACIES FILE (#9002313.56) | ABSP PHARMACIES(#9002313.56)
|
| 1.08 | PINS PIECE | 1;8 | NUMBER |
|
| 1.09 | PREAUTHORIZATION # | 1;9 | FREE TEXT |
|
| 1.11 | ABSBRXI | 1;11 | POINTER TO PRESCRIPTION FILE (#52) | PRESCRIPTION(#52)
|
| 1.1199 | RXI-INTERNAL | COMPUTED |
|
|
| 1.12 | RESUBMIT AFTER REVERSAL | 1;12 | SET |
|
| 1.13 | NCPDP OVERRIDES | 1;13 | POINTER TO ABSP NCPDP OVERRIDE FILE (#9002313.511) | ABSP NCPDP OVERRIDE(#9002313.511)
|
| 1.14 | DUR/PPS POINTER | 1;14 | POINTER TO ABSP DUR/PPS FILE (#9002313.473) | ABSP DUR/PPS(#9002313.473)
|
| 1.15 | PRIOR AUTHORIZATION TYPE CODE | 1;15 | SET |
|
| 1.16 | COB-OTHER PAYMENTS POINTER | 1;16 | POINTER ** TO AN UNDEFINED FILE ** |
|
| 1.17 | DIAGNOSIS CODE POINTER | 1;17 | POINTER TO ABSP DIAGNOSIS CODE FILE (#9002313.491) | ABSP DIAGNOSIS CODE(#9002313.491)
|
| 2 | PCN | 0;3 | POINTER ** TO AN UNDEFINED FILE ** |
|
| 2.0099 | PCN-INTERNAL | COMPUTED |
|
|
| 3 | CLAIM | 0;4 | POINTER TO ABSP CLAIMS FILE (#9002313.02) | ABSP CLAIMS(#9002313.02)
|
| 3.1 | CLAIM IEN | COMPUTED |
|
|
| 4 | RESPONSE | 0;5 | POINTER TO ABSP RESPONSES FILE (#9002313.03) | ABSP RESPONSES(#9002313.03)
|
| 4.0098 | RESULT WITH REVERSAL | COMPUTED |
|
|
| 4.0099 | RESULT | COMPUTED |
|
|
| 4.1 | RESPONSE IEN | COMPUTED |
|
|
| 5 | PATIENT | 0;6 | POINTER TO PATIENT FILE (#9000001) | PATIENT(#9000001)
|
| 6 | UPDATED BY USER | 0;17 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 7 | LAST UPDATE | 0;8 | DATE |
|
| 8 | VCPT | 1;3 | POINTER ** TO AN UNDEFINED FILE ** |
|
| 8.0099 | VCPT-INTERNAL | COMPUTED |
|
|
| 9 | ABSBRXR | 1;1 | FREE TEXT |
|
| 10 | ABSBNDC | 1;2 | FREE TEXT |
|
| 10.0099 | USER-INTERNAL | COMPUTED |
|
|
| 11 | ABSBDIV | 1;4 | FREE TEXT |
|
| 12 | ABSBVISI | 0;7 | FREE TEXT |
|
| 13 | USER | 0;10 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 14 | POSITION IN CLAIM | 0;9 | NUMBER |
|
| 15 | START TIME | 0;11 | DATE |
|
| 16 | COMMS LOG | 0;12 | FREE TEXT |
|
| 201 | RESULT CODE | 2;1 | FREE TEXT |
|
| 202 | RESULT TEXT | 2;2 | FREE TEXT |
|
| 301 | CANCELLATION REQUESTED | 3;1 | FREE TEXT |
|
| 302 | CANCELED DURING STATUS | 3;2 | FREE TEXT |
|
| 401 | REVERSAL CLAIM | 4;1 | POINTER TO ABSP CLAIMS FILE (#9002313.02) | ABSP CLAIMS(#9002313.02)
|
| 402 | REVERSAL RESPONSE | 4;2 | POINTER TO ABSP RESPONSES FILE (#9002313.03) | ABSP RESPONSES(#9002313.03)
|
| 403 | PAPER REVERSAL | 4;3 | SET |
|
| 404 | RXREASON | 4;4 | FREE TEXT |
|
| 501 | QUANTITY | 5;1 | NUMBER |
|
| 502 | UNIT PRICE | 5;2 | NUMBER |
|
| 503 | SUBTOTAL | 5;3 | NUMBER |
|
| 504 | DISPENSING FEE | 5;4 | NUMBER |
|
| 505 | TOTAL PRICE | 5;5 | NUMBER |
|
| 506 | PRICE MANUALLY ENTERED | 5;6 | SET |
|
| 507 | INCENTIVE AMOUNT SUBMITTED | 5;7 | NUMBER |
|
| 601 | PINS 1 | 6;1 | FREE TEXT |
|
| 602 | PINS 2 | 6;2 | FREE TEXT |
|
| 603 | PINS 3 | 6;3 | FREE TEXT |
|
| 701 | INSURER 1 | 7;1 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
| 702 | INSURER 2 | 7;2 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
| 703 | INSURER 3 | 7;3 | POINTER TO INSURER FILE (#9999999.18) | INSURER(#9999999.18)
|
| 801 | RETRY AFTER | 8;1 | DATE |
|
| 802 | RETRY ON DIAL OUT | 8;2 | POINTER TO ABSP DIAL OUT FILE (#9002313.55) | ABSP DIAL OUT(#9002313.55)
|
| 803 | RETRY SLEEPING INSURER | 8;3 | POINTER TO ABSP INSURER FILE (#9002313.4) | ABSP INSURER(#9002313.4)
|
| 901 | CLOSED STATUS | 9;1 | SET |
|
| 902 | CLOSED DATE | 9;2 | DATE |
|
| 903 | CLOSED BY USER | 9;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 904 | RE-OPEN DATE | 9;4 | DATE |
|
| 905 | RE-OPEN BY USER | 9;5 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 906 | CLOSED REASON | 9;6 | SET |
|
| 9999.92 | HRN & FAC | COMPUTED |
|
|
| 9999.93 | DRUG NAME | COMPUTED |
|
|
| 9999.94 | DRUG IEN | COMPUTED |
|
|
| 9999.95 | RELEASED DATE/TIME (INT) | COMPUTED |
|
|
| 9999.96 | NET PAID BY INSURER | COMPUTED |
|
|
| 9999.97 | ELAPSED TIME (PRINTABLE) | COMPUTED |
|
|
| 9999.98 | ELAPSED TIME (SECONDS) | COMPUTED |
|
|
| 9999.99 | RESULT CATEGORY | COMPUTED |
|
|
| 10101 | BIN NUMBER | COMPUTED |
|
|
| 10102 | VERSION/RELEASE NUMBER | COMPUTED |
|
|
| 10103 | TRANSACTION CODE | COMPUTED |
|
|
| 10104 | PROCESSOR CONTROL NUMBER | COMPUTED |
|
|
| 10201 | PHARMACY NUMBER | COMPUTED |
|
|
| 10301 | GROUP NUMBER | COMPUTED |
|
|
| 10302 | CARDHOLDER ID NUMBER | COMPUTED |
|
|
| 10303 | PERSON CODE | COMPUTED |
|
|
| 10304 | DATE OF BIRTH | COMPUTED |
|
|
| 10305 | SEX CODE | COMPUTED |
|
|
| 10306 | RELATIONSHIP CODE | COMPUTED |
|
|
| 10307 | CUSTOMER LOCATION | COMPUTED |
|
|
| 10308 | OTHER COVERAGE CODE | COMPUTED |
|
|
| 10309 | ELIGIBILITY CLARIFICATION CODE | COMPUTED |
|
|
| 10310 | PATIENT FIRST NAME | COMPUTED |
|
|
| 10311 | PATIENT LAST NAME | COMPUTED |
|
|
| 10312 | CARDHOLDER FIRST NAME | COMPUTED |
|
|
| 10313 | CARDHOLDER LAST NAME | COMPUTED |
|
|
| 10314 | HOME PLAN | COMPUTED |
|
|
| 10315 | EMPLOYER NAME | COMPUTED |
|
|
| 10316 | EMPLOYER STREET ADDRESS | COMPUTED |
|
|
| 10317 | EMPLOYER CITY ADDRESS | COMPUTED |
|
|
| 10318 | EMPLOYER STATE | COMPUTED |
|
|
| 10319 | EMPLOYER ZIP CODE | COMPUTED |
|
|
| 10320 | EMPLOYER PHONE NUMBER | COMPUTED |
|
|
| 10321 | EMPLOYER CONTACT NAME | COMPUTED |
|
|
| 10322 | PATIENT STREET ADDRESS | COMPUTED |
|
|
| 10323 | PATIENT CITY ADDRESS | COMPUTED |
|
|
| 10324 | PATIENT STATE | COMPUTED |
|
|
| 10325 | PATIENT ZIP CODE | COMPUTED |
|
|
| 10326 | PATIENT PHONE NUMBER | COMPUTED |
|
|
| 10327 | CARRIER ID NUMBER | COMPUTED |
|
|
| 10328 | PATIENT WEIGHT | COMPUTED |
|
|
| 10329 | PATIENT SSN | COMPUTED |
|
|
| 10401 | DATE FILLED | COMPUTED |
|
|
| 10402 | PRESCRIPTION NUMBER | COMPUTED |
|
|
| 10403 | NEW/REFILL CODE | COMPUTED |
|
|
| 10404 | METRIC QUANTITY | COMPUTED |
|
|
| 10405 | DAYS SUPPLY | COMPUTED |
|
|
| 10406 | COMPOUND CODE | COMPUTED |
|
|
| 10407 | NDC NUMBER | COMPUTED |
|
|
| 10408 | DISPENSE AS WRITTEN | COMPUTED |
|
|
| 10409 | INGREDIENT COST | COMPUTED |
|
|
| 10410 | SALES TAX | COMPUTED |
|
|
| 10411 | PRESCRIBER ID | COMPUTED |
|
|
| 10412 | DISPENSING FEE SUBMITTED | COMPUTED |
|
|
| 10414 | DATE PRESCRIPTION WRITTEN | COMPUTED |
|
|
| 10415 | NUMBER OF REFILLS AUTHORIZED | COMPUTED |
|
|
| 10416 | PRIOR AUTH/MC CODE AND NUMBER | COMPUTED |
|
|
| 10418 | LEVEL OF SERVICE | COMPUTED |
|
|
| 10419 | PRESCRIPTION ORIGIN CODE | COMPUTED |
|
|
| 10420 | PRESCRIPTION CLARIFICATION | COMPUTED |
|
|
| 10421 | PRIMARY PRESCRIBER | COMPUTED |
|
|
| 10422 | CLINIC ID NUMBER | COMPUTED |
|
|
| 10423 | BASIS OF COST DETERMINATION | COMPUTED |
|
|
| 10424 | DIAGNOSIS CODE | COMPUTED |
|
|
| 10425 | DRUG TYPE | COMPUTED |
|
|
| 10426 | USUAL AND CUSTOMARY CHARGE | COMPUTED |
|
|
| 10427 | PRESCRIBER LAST NAME | COMPUTED |
|
|
| 10428 | POSTAGE AMOUNT CLAIMED | COMPUTED |
|
|
| 10429 | UNIT DOSE INDICATOR | COMPUTED |
|
|
| 10430 | GROSS AMOUNT DUE | COMPUTED |
|
|
| 10431 | OTHER PAYOR AMOUNT | COMPUTED |
|
|
| 10432 | BASIS OF DAYS SUPPLY DET | COMPUTED |
|
|
| 10433 | PATIENT PAID AMOUNT | COMPUTED |
|
|
| 10434 | DATE OF INJURY | COMPUTED |
|
|
| 10435 | CLAIM/REF ID NUMBER | COMPUTED |
|
|
| 10436 | ALT. PRODUCT TYPE | COMPUTED |
|
|
| 10437 | ALT. PRODUCT CODE | COMPUTED |
|
|
| 10438 | INCENTIVE AMOUNT SUBMITTED | COMPUTED |
|
|
| 10439 | DUR CONFLICT CODE | COMPUTED |
|
|
| 10440 | DUR INTERVENTION CODE | COMPUTED |
|
|
| 10441 | DUR OUTCOME CODE | COMPUTED |
|
|
| 10442 | METRIC DECIMAL QUANTITY | COMPUTED |
|
|
| 10443 | OTHER PAYOR DATE | COMPUTED |
|
|
| 10444 | PHARMACIST ID | COMPUTED |
|
|
| 10501 | RESPONSE STATUS | COMPUTED |
|
|
| 10503 | AUTHORIZATION NUMBER | COMPUTED |
|
|
| 10504 | MESSAGE | COMPUTED |
|
|
| 10505 | PATIENT PAY AMOUNT | COMPUTED |
|
|
| 10506 | INGREDIENT COST PAID | COMPUTED |
|
|
| 10507 | CONTRACT FEE PAID | COMPUTED |
|
|
| 10508 | SALES TAX PAID | COMPUTED |
|
|
| 10509 | TOTAL AMOUNT PAID | COMPUTED |
|
|
| 10510 | REJECT COUNT | COMPUTED |
|
|
| 10511 | REJECT CODES | COMPUTED |
|
|
| 10511.01 | REJECT CODE #1 | COMPUTED |
|
|
| 10511.02 | REJECT CODE #2 | COMPUTED |
|
|
| 10511.03 | REJECT CODE #3 | COMPUTED |
|
|
| 10511.04 | REJECT CODE #4 | COMPUTED |
|
|
| 10511.05 | REJECT CODE #5 | COMPUTED |
|
|
| 10511.06 | REJECT CODE #6 | COMPUTED |
|
|
| 10511.07 | REJECT CODE #7 | COMPUTED |
|
|
| 10511.08 | REJECT CODE #8 | COMPUTED |
|
|
| 10511.09 | REJECT CODE #9 | COMPUTED |
|
|
| 10511.1 | REJECT CODE #10 | COMPUTED |
|
|
| 10511.11 | REJECT CODE #11 | COMPUTED |
|
|
| 10511.12 | REJECT CODE #12 | COMPUTED |
|
|
| 10511.13 | REJECT CODE #13 | COMPUTED |
|
|
| 10511.14 | REJECT CODE #14 | COMPUTED |
|
|
| 10511.15 | REJECT CODE #15 | COMPUTED |
|
|
| 10511.16 | REJECT CODE #16 | COMPUTED |
|
|
| 10511.17 | REJECT CODE #17 | COMPUTED |
|
|
| 10511.18 | REJECT CODE #18 | COMPUTED |
|
|
| 10511.19 | REJECT CODE #19 | COMPUTED |
|
|
| 10511.2 | REJECT CODE #20 | COMPUTED |
|
|
| 10512 | ACCUMULATED DEDUCTIBLE AMOUNT | COMPUTED |
|
|
| 10513 | REMAINING DEDUCTIBLE AMOUNT | COMPUTED |
|
|
| 10514 | REMAINING BENEFIT AMOUNT | COMPUTED |
|
|
| 10515 | POSTAGE AMOUNT PAID | COMPUTED |
|
|
| 10516 | DRUG DESCRIPTION | COMPUTED |
|
|
| 10517 | AMOUNT APP TO PER DEDUCTIBLE | COMPUTED |
|
|
| 10518 | AMOUNT OF CO-PAY/CO-INSURANCE | COMPUTED |
|
|
| 10519 | AMOUNT ATTR TO PRODUCT SELECT | COMPUTED |
|
|
| 10520 | AMOUNT EXCEED PER BENEFIT MAX | COMPUTED |
|
|
| 10521 | INCENTIVE FEE PAID | COMPUTED |
|
|
| 10522 | BASIS OF REIMBURSEMENT DET | COMPUTED |
|
|
| 10523 | AMOUNT ATTRIBUTED TO SALES TAX | COMPUTED |
|
|
| 10524 | PLAN ID | COMPUTED |
|
|
| 10525 | DUR RESPONSE DATA | COMPUTED |
|
|
| 10525.01 | DUR COUNT | COMPUTED |
|
|
| 10525.1 | DUR #1 RAW DATA | COMPUTED |
|
|
| 10525.1439 | DUR #1 DRUG CONFLICT CODE | COMPUTED |
|
|
| 10525.1528 | DUR #1 SEVERITY INDEX CODE | COMPUTED |
|
|
| 10525.1529 | DUR #1 OTHER PHARMACY INDIC | COMPUTED |
|
|
| 10525.153 | DUR #1 PREVIOUS DATE OF FILL | COMPUTED |
|
|
| 10525.1531 | DUR #1 QTY OF PREVIOUS FILL | COMPUTED |
|
|
| 10525.1532 | DUR #1 DATABASE INDICATOR | COMPUTED |
|
|
| 10525.1533 | DUR #1 OTHER PRESCRIBER INDIC | COMPUTED |
|
|
| 10525.1544 | DUR #1 FREE TEXT | COMPUTED |
|
|
| 10525.1999 | DUR #1 RESERVE SPACE | COMPUTED |
|
|
| 10525.2 | DUR #2 RAW DATA | COMPUTED |
|
|
| 10525.2439 | DUR #2 DRUG CONFLICT CODE | COMPUTED |
|
|
| 10525.2528 | DUR #2 SEVERITY INDEX CODE | COMPUTED |
|
|
| 10525.2529 | DUR #2 OTHER PHARMACY INDIC | COMPUTED |
|
|
| 10525.253 | DUR #2 PREVIOUS DATE OF FILL | COMPUTED |
|
|
| 10525.2531 | DUR #2 QTY OF PREVIOUS FILL | COMPUTED |
|
|
| 10525.2532 | DUR #2 DATABASE INDICATOR | COMPUTED |
|
|
| 10525.2533 | DUR #2 OTHER PRESCRIBER INDIC | COMPUTED |
|
|
| 10525.2544 | DUR #2 FREE TEXT | COMPUTED |
|
|
| 10525.2999 | DUR #2 RESERVE SPACE | COMPUTED |
|
|
| 10525.3 | DUR #3 RAW DATA | COMPUTED |
|
|
| 10525.3439 | DUR #3 DRUG CONFLICT CODE | COMPUTED |
|
|
| 10525.3528 | DUR #3 SEVERITY INDEX CODE | COMPUTED |
|
|
| 10525.3529 | DUR #3 OTHER PHARMACY INDIC | COMPUTED |
|
|
| 10525.353 | DUR #3 PREVIOUS DATE OF FILL | COMPUTED |
|
|
| 10525.3531 | DUR #3 QTY OF PREVIOUS FILL | COMPUTED |
|
|
| 10525.3532 | DUR #3 DATABASE INDICATOR | COMPUTED |
|
|
| 10525.3533 | DUR #3 OTHER PRESCRIBER INDIC | COMPUTED |
|
|
| 10525.3544 | DUR #3 FREE TEXT | COMPUTED |
|
|
| 10525.3999 | DUR #3 RESERVE SPACE | COMPUTED |
|
|
| 10526 | ADDITIONAL MESSAGE INFORMATION | COMPUTED |
|
|
| 10528 | CLINICAL SIGNIFICANCE CODE | COMPUTED |
|
|
| 10529 | OTHER PHARMACY INDICATOR | COMPUTED |
|
|
| 10530 | PREVIOUS DATE OF FILL | COMPUTED |
|
|
| 10531 | QUANTITY OF PREVIOUS FILL | COMPUTED |
|
|
| 10532 | DATABASE INDICATOR | COMPUTED |
|
|
| 10533 | OTHER PRESCRIBER INDICATOR | COMPUTED |
|
|
| 10535 | DUR OVERFLOW | COMPUTED |
|
|
| 10544 | FREE TEXT | COMPUTED |
|