©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
ABSP5B1E ; IHS/OIT/CASSevern/Pieran ran 1/19/2011 - Handling of outgoing NCPDP Billing "B1" Claims for 5.1 (Prior Authorization segment)
Source file <ABSP5B1E.m>
| Package | Total | Call Graph |
|---|---|---|
| Pharmacy Point of Sale | 1 | ($$ANFF,$$NFF)^ABSPECFM |
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| APPEND(FIELD,NFIELD) | ;This is where the outgoing record is built field by field
|
|
| 503GET | ||
| 49804SET | ||
| 49813GET | ||
| 49807SET | ||
| 49802GET | ||
| 49805GET | ||
| 49805SET | ||
| 111GET | ||
| 49803SET | ||
| 111FMT | ||
| 49808SET | ||
| 49801FMT | ||
| 49806SET | ||
| 49809SET | ||
| 49809FMT | ||
| 49807GET | ||
| 49802FMT | ||
| 49802SET | ||
| 49807FMT | ||
| 49801GET | ||
| 49813SET | ;Not implemented yet
|
|
| 49801SET | ||
| 111SET | ;This isn't used for the 111 Field
|
|
| 49806GET | ||
| 49814SET | ||
| 503FMT | ||
| 49809GET | ||
| 49811GET | ||
| 49804FMT | ||
| PRIORAUTH | ;EP CALLED FROM ABSP5B1 to set up Prior Authorization Segment
|
|
| 49813FMT | ||
| 49804GET | ||
| 49808FMT | ||
| 49808GET | ||
| 503SET | ||
| 49806FMT | ||
| 49805FMT | ||
| 49814GET | ||
| 49811FMT | ||
| 49811SET | ||
| 49803GET | ||
| 49814FMT | ||
| 49803FMT |
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABSPC - [#9002313.02] | 49801SET*, 49802SET*, 49803SET*, 49804SET*, 49805SET*, 49806SET*, 49807SET*, 49808SET*, 49809SET*, 49811SET* , 49814SET*, 503SET* |
| Name | Line Occurrences |
|---|---|
| @( | PRIORAUTH+8, PRIORAUTH+9, PRIORAUTH+10, APPEND+2, APPEND+3, APPEND+9 |
| APPEND | PRIORAUTH+11 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| >> ABSP( | 49801GET, 49801SET, 49802GET, 49802SET, 49803GET, 49803SET, 49804GET, 49804SET, 49805GET, 49805SET , 49806GET, 49806SET, 49807GET, 49807SET, 49808GET, 49808SET, 49809GET, 49809SET, 49811GET, 49811SET , 49814GET, 49814SET, 503SET, APPEND+6 |
| >> ABSP("Prior A | uth" , 49801GET, 49802GET, 49803GET, 49804GET, 49805GET, 49806GET, 49807GET, 49808GET, 49809GET , 49811GET, 49814GET, 503GET |
| >> ABSP("X" | 111GET*, 111FMT*, 49801GET*, 49801FMT*, 49801SET, 49802GET*, 49802FMT*, 49802SET, 49803GET*, 49803FMT* , 49803SET, 49804GET*, 49804FMT*, 49804SET, 49805GET*, 49805FMT*, 49805SET, 49806GET*, 49806FMT*, 49806SET , 49807GET*, 49807FMT*, 49807SET, 49808GET*, 49808FMT*, 49808SET, 49809GET*, 49809FMT*, 49809SET, 49811GET* , 49811FMT*, 49811SET, 49813GET*, 49813FMT*, 49814GET*, 49814FMT*, 49814SET, 503GET*, 503FMT*, 503SET , APPEND+4, APPEND+10 |
| >> ACTION | PRIORAUTH+7 |
| FIELD | PRIORAUTH+2~, PRIORAUTH+4*, PRIORAUTH+5, PRIORAUTH+6, PRIORAUTH+7, PRIORAUTH+11, APPEND~, APPEND+1, APPEND+2, APPEND+3 , APPEND+6, APPEND+7, APPEND+8 |
| >> IEN( | APPEND+6 |
| NFIELD | PRIORAUTH+2~, PRIORAUTH+6*, PRIORAUTH+8, PRIORAUTH+9, PRIORAUTH+10, PRIORAUTH+11, APPEND~, APPEND+9 |
| >> RECORD | PRIORAUTH+3*, APPEND+4*, APPEND+6*, APPEND+10* |
| >> SPECIAL( | 49801GET, 49801GET+1, 49802GET, 49802GET+1, 49803GET, 49803GET+1, 49804GET, 49804GET+1, 49805GET, 49805GET+1 , 49806GET, 49806GET+1, 49807GET, 49807GET+1, 49808GET, 49808GET+1, 49809GET, 49809GET+1, 49811GET, 49811GET+1 , 49813GET, 49813GET+1, 49814GET, 49814GET+1, APPEND+7, APPEND+8 |
| >> SPECIAL(503 | 503GET, 503GET+1 |
| >> SUPRESF( | PRIORAUTH+5 |
| >> SUPRESSG("Pri | or Auth" , PRIORAUTH+1 |
| U | 49801SET, 49802SET, 49803SET, 49804SET, 49805SET, 49806SET, 49807SET, 49808SET, 49809SET, 49811SET , 49814SET, 503SET |